HomeMy WebLinkAbout2000-P02874 - attached garage ,
. PERMIT
�ITY OF ORONO
2750 6Celley Parkway - PO Box 66 Permit Number: Po2s�a
Crystal Bay, Minnesota 55323 P@Ctl11t Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: ai2sioo
SITE ADDRESS: 725 Ferndale Rd N
WAYZATA,MN 55391
PID: 36-118-23-12-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 438
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Garage/Attached
DETAILS:
Approved per resolution#:
Separate permits required: Giecuicai(siatej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 19,500.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 9.75
TOTAL FEE: $ 539.78
APPLICANT: T.V. HUGHES CONSTRUCTION OWNER: M J SOWADA&M B SOWADA
20017 ABILENE LANE 725 FERNDALE RD N
CORCORAN, MN 55340 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITX OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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� APPLI ANT PER ITEE SI NATURL ISSUEDBYSIGNATURE i
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Copies: City,Applicant,Assessor, Finance Page 1
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` , Total Fee: $ �=_� ' ��'� ` Date Received: � � �
Entered By: �' � ) Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O ONTRACTOR
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JOB SITE ADDRESS: � �,� N , r= t.._=�2,N,►�A�L� 12.1�, ZIP: �5 3� L
NAME OF OWNER: j"(, L�G LsT �-(��_� S O W l�D!� PHONE: (home) �-}?�-��k3
. (work) a.-1 `� - l .5 5�
NIAILING ADDRESS: l a.,S' J�1 , G�_�L N vA�L� R1�CITY: o��.o,r.� o ZIP: �t3 2 l
CONTRACTOR: 'j',v, l�(.�G H trS C o �i�i ST�Z., PH y-7 Fs -4 3 0 �
CONTACT PERSON: 'L"S M 1�l.l,� H��-� MOBILE/�GER. Y o 1 -a„�,5 S-�
MAILING ADDRESS:,�o 017 A�s�.�►r►�' c.o.l. CITY: �o�.�.a ti A�(. ZIP: ��p
STATE LICENSE: # !o °J L �
ARCHITECT/ENGINEER: PHONE:
MAILI�i 1G ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: p,p a�r.► (�, )a.� x. a„3 � G A�R A� �
S'C"I�L� T'� !�X,�S'Ty�� Gfj R,AG L ,
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ J `I _ �60 —
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: '�` � DATE: 1 5' a�
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Inforn�ation required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is IegaUy required to supply the requested data; (c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those fornts.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be
disclosed ro him for six months thereafrer unless a dispute or acuon pursuant to this section is pending or additional data on the individual has bee❑
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority.may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correcC the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the City of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
Firs[ Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
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. ' . CHECK OFF LIST FOR ISSUA.I�tCE OF PER1l�IITS
'_ FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �l z 5 �� �=�N O I'��-l'�
PID:
DESCRIPTION OF WORK: � r4�dLA��. ,/�(I� t 1.�7
ZOtiT\'G REVIE`V BY: � DATE APPROVED: �' Z�(- �
BUILD�tG REV�`V BY: DATE APPROVED: � -2 �( —�J
FEES TO BE CHARGED: Misc. Fees Calculated By:
pERMIT Yes � No :.
pLAN REVIEW Yes � No SEWER CONNEC"ITON
STATE SURCHARGE Yes � No WATERCONNECI'ION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO�L�1G CH�CK LIST Zoning District: �� -1 �
Fire Depar[menr. w,�}�.,--��y� Post Office: c�prTtl�t School District: W�4�f�-i�l4
L,ot Area: Sq.ft. N� Cf�f�4Nr.,,Q Acres Width Depth
Survey Submitted: Yes � No Date of Survey: �� '��
Proposed Setbacks:
Fron[ (Lake): l l �2.- RiDhc Side: �30
Rear (Street): l'�� Left Side: `{O
Adjacent Structures: ��(_(.�.�,c,� Wedand: — .
Buildin� Height: Def. Hgt. p, 1� Peal:Hgt.
Lot Covera�e: —
Grading: Staff Approval Date: — By: Council Approval Date:
Sep�ic: Staff Approval Date: — By:
Zonin; File: # — Resolution: # Resolution Date:
Shoreland District: �v U
Av�. Setback: Bluff Setback: I.ot Covera�e:
Existin� Proposed
a
Hardcover: 0-75'
75-250'
250-SQO'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REI�L�RKS (in house):
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BUII.DING REVIEW CHECK LIST
UBC: ►2.' 3 CONSTRUCTTON TYPE: �ti1
Sq Footage $ Per Sq Ftg
Basement z =
ls[ Floor z =
2nd F1oor x =
Garage x =
R =
TOTAL
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Estimated Construction Value: $ l�j,S��
Inspections Required: VVork Requiring Separate Permits:
Site Plumbing � Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection
p� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Ocher
Wall Board (Mfg.) Well (State Permit)
C Final Grading/Filling �Electrical (State Permit)
Other
REI�iARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REVIARKS (TO BE NOTED ON PERMI'1�:
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SPECIFICATIONS ON GARAGE ADDITION at 725 N. FERNDALE RD. :
-Add 12' x 23' stall per plan.
- Match all existing(soffits,f2gcia,roof,siding,etc. )
- Removal of existing garage slab and installation of new.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED l�/�' �� '-�
PERMITNO. �8?� COMPLETED C.l'�%'�� � • 3
ADDRESS �aJ`r r'"�'nG�G'.�Q � iY ,
OWNER CONTR.��T✓��4�5 C'�'757�`�.
TELEPHONE NO. qd�`o���� �..1'"
� DESCRIPTION (.(uQ'6�U"1- fU �E��
l� 0 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC�NSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �yWORK SATISFACTORY:PROCEED }C?PROJECT COMPLETE
W G CORRECT WORK&PROCEED / . ISSUE CERTIFICATE OF OCCUPANCY
� [1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
CICORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION�SSUED
C'.STOP ORDER POSTED.CALL INSPECTOR
i.-'� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
Owner/Contrac r on site:
Inspector.l:�/L-,�2�ci1-S
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN R �^�� �'�
INSPECTION NOTICE ,t SCHEDULED � �
PERMIT NO. c��`7 COMPLETED `$�} 9� 3�
ADDRESS a� n�� ' ��
OWNER CONTR. K��j �"-'
TELEPHONE NO. �j (c�S — c��::���
� DESCRIPTION ���-'c1��-
� ---�
�, 01 FOOTING ` �� 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �WORK SATISFACTORY:PROCEED i-' PROJECT COMPLETE
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� C i CORRECT WORK R PROCEED '-, ISSUE CERTIFICATE OF OCCUPANCY
W
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector j/�2vC � �
White Copyllnspector's File Canary CopylSite Notice