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Home My WebLink About2001-P03777 - addn/remodel/repair PERMIT C I'f Y'�F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po3�� Crystal Bay, Minnesota 55323 PeCl711t Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: sisi2ool SITE ADDRESS: 785 Ferndale RdN WAYZATA,MN 55391 P I D: 3 6-118-23-11-0012 DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Kesidentiai Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanic;ai Eiecuicai�staiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,486.55 Valuation: $ 188,000.00 Plan Review Fee: $ 973.63 State Surcharge Fee: $ 95.00 TOTAL FEE: $ 2,555.18 APPLICANT: Silver Bullet, [nc. OWNER: M A&T C CULLUM dR 2611 First Avenue S. 785 FERNDALE RD N Minneapolis,MN 55408 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 CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / �"t ��G �� ', ' APPL ANT PERMITEL SIGNAT RE � � _ � � ISSUED BY SIGNATU Copies: City,Applicant,Assessor,Finance Page l To al Fee: $ .,1�`J -`� ��' Date Received: �� y � Entered By: .�;�j�_ Permit#: �9 C�3��-�i�-� �Z rr'��.-� `- � 1" �",/ CITY OF ORONO - �UILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------- -------------------- - --------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: 7 85 �e.,�n da�e �a acY ' l•�auza� ZIP� 5s 3qi Mn NAN� OF OWNER: � �' k PHONE: (home) 9 5 � -� �� 7� 7 g 5 e r�d.,�l c o (work) MAILIl�IG ADDRESS: CITY: a. ZIP:5539 I �� CONTRACTOR: � i• � r uI I - PHONE:_ �la • 3'7�4 =� 7� g CONTACT PERSON: fi� t�� 'MOBILE/PAGER: (a ia - (�g 5-b B�a- MAILING ADDRESS: �(, I -�i r � - v�. , CITY: � �,�, � ZIP: 5 5�a 8 STATE LICENSE: # a C- 3 �C�C( ARCHITECT NGINEER• /}�Q�so r� �� cL��4�� PHONE: C,��- g a�- ��7 a S MAILING�DRESS: 1� 1 4 l�J. � e .��b�CITY:/11,n n�e� o l� i s ZIP: �,y 4 08 NAME: es ��.}�D,� REGISTRATION# /Cc �O ( TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED ORK(describe in detain: ,{c�e n Y�rn o d t� l Se� �r au�J�,S L.�� c�►� r�.rnoCI.C.I 0.r�c�- STORIES: SQ. FEET OF�:�tC-;�]��: �07 Co S• �. NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTINIATED CONSTRUCTION VALUATION (excluding land): $ t B g 000 I hereby apply for a building permit and I acknowledge that the inforination 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. APPLICANT'S SIGNATURE:�-�hcw �h�.�a�.-. DA'TE: J"� -� l NOTE! Parade of Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 . j 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. Information required to be given individual. An individual asked to supply private or confidential data conceming 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 lega(ly required to supply the requested data; (c)any known consequence arising from his suppiying or refusing ro supply private or confidential data;aod(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 to section 13.82, subdivision�, ro a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or oro�rtv tax refund instructions instead of on those forms. 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, shal]be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed to him for six months thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been coilected 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 w idiin five days cf�`�e date of ttie reques[,excluding S<iturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wi[h 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 legai 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 hunself. To exercise this right, an individual shall notify in writing the responsible authoriry describing thz nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attzmpt 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 inc(uded 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 fumish 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 perm:t or license requires Couiicil 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. o. � v �l C� �C�... First Middle Last k 1 Je�� (0 11 rir5 � � J�� . Address -��Q�� I�s mn• �5µo� ��a 87y - 77�18 Ciry State Zip Phone I understand my rights as stated above. -� ��►--��-��.° - Sig re 6 � CHECh: OFF LIST FOR ISSUA._'�TCE OF PER�tiIITS ' ~ FOR OFFICE USE Oi�LY . � . ADDRESS ORLEGAL: ��3� ('`cZr�( �l '� PID: DES CRD?TI4N OF�ORK• �..�r,-��.}�„t �,�zv��.-e`.. ZOti�G REY��% BY: D�TE APPROV�D: S�� '�� BUIZD�'G REVIEZY BY: DA'I'E APPROYED: S• 7-.� 1 F'EES TO BE C�iARGED: Niisc. Fees Calculated By: pEgM['r Yes _ ,/ No �� PLAN REVIEW Yes �' No SEWER COi�ECTION STATE SURCHARGE Yes � No ��ATERCONNECTION ��TESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC•Units OTHER (specify) ZO\Z:�IG CI-i�CK LIST zoning Districc: `t1c� G�� _ . Fire Department: Post Oftice: School District: - � ' Lot Area: Sq.fc. Acres � idth Depth Surve;� Subr�.itted: Yes No Date of Survey: Proposed Setbac!cs: Fron[(L�ke): Ri�ht Side: � Rear (Screet}: I.eft Side: Adjacenc Structures: ZV laad: lL.� Ci�Y,-` // guile�in� Hei�hc: Def. H�t. Pe L-H�t. � �/]�� L L,oc Covera�e: v"' ' ( �Q�- �� O Gradin�: Stafi Approval Date; gy: Council� � �' Septic: Staff Approval Date: By: Zoain�File: n Resolution: n Resolution Date: � Shoreland District: Av�. Setback: Blufi Setb�k: I,otCocera�e: E��? Proposed Hardcover: 0-7�' -- 7�-250' �', -- --� ti0-500' I --� S00-lOQO' Hardcover Variance Required: Yes Na Date of Council Aoproval: �_ REtiIAR�iS (in house): `�, 7 � - BULLDING REVIE�V CHECK LIST usc: � ' � - CONSTRUCTION TYPE: �/nJ Sq Foota�e S Per Sq Ftg Sasement z — lst FZoor z — 2od Floor z — Garage z — z — TOTAL Estimated Construction Value: $ /��UG1��`� InspectiorLs Required: SVor�;Requiring Separate Permits: Sice �Plumbing " Fire Hardcover RemovzI __�CMechanical Water Connection Footin� Septic Sewer Connection �_ Framing Fireplace 'Lawn Irrigation _� Insulation (Masonry) Ocher �Wall Board (Mfg.) Well (Scate Permit) Final Grading/Filling �_Elec[rical (State Pecm.i[) Other REti�LARKS (IN HOUSE): . RE'V�W BY OTHERS: � DATE: Access: Existing New Access Approval: Da[e gy; REI�LARK,S (TO BE\TOTED ON PER1l�1I'1�: 8 r,p q'� a b�v� �n� � r. � . . „ . . � � "X b" " ' � h Z'�X $ �� .,. �,Ilt e .C . � w� � �V�� c o It � � -1 I.s ar q�� q �,f � ,. �..,, � � � � � ' 3 ' , � � il F , � � ...! �$(�Y�ph evtv (<�fG�ICM'�� ' , � f•r►t�n G f'�s{pr��'f " -o 's � � �— --- +- �..-- .....,.—.---....�+�. � 3 2'�x1o�Jois+S Ib" o�. � � � o Irov� & bt(vyv o ' � ��^� � �-- .... _ — .. 0 �C :� __� l 1��` 1••%$~� ' `••O'C` . � � 4�,X r�' r Y4YN �c7�w �'.�. . Od6r ' . �.._ y � � . � 5 C C � �eG�io►+ �' "�' �" � � lo elow u 45 �� `J�'L GD1.1�N1JJ - - - -- • - - - �- . .. .... _ , . _ .._ -,. _ � �o�c�o '�05j' � �,.p �irti► e e.loLC� waW � Lov W8X4t � �'► , _oP�„ ,,••�� n:��-� . . g�4cr � eL.vt— �� „ Z „ � " �c �s.G. ��'� �� CAi,u�.!►u �°' o� � -2��4 STv95 �' ;'., c„ � y�� X e " 16� e�c ��CR}i�w �� a�J .v-�II ��.i M C� _ , . • ♦ . . • . . . � � • � � ' tCCt % e � 1 H�r�by C�rtify That Thi• Plan Was Pnpand By Me Or Und�r IJy Dlr�ct 8u vltlon And That 1 An� A Duly R i •��d rol�s�l a E�pin��r Und�r T � ws Th��4 at� t n��ota � ^ �� r DATE t REa. MO:�L D� TIME CITY OF ORONO CALLED IN INSPECTION NO IC�,�+� SCHEDULED 'S � � � PERMIT N0. / COMPLETED --� � �� ADDRESS 7�� T/1 �G�,Qe_. /(�. OWNER CONTR. �� (.P��v `�Q`T TELEPHONE N0. � �r� �a � (��`(�S� � DESCRIPTION �L�IJlC4- ��U� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 0 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y ,03 I 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a ! � � � , � 0 � �e - � �� '� � a � W �� ' , Q �. ti Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContra on site• Inspector. �� --� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN =-�� INSPECTION NO ICFy SCHEDULED ' PERMIT NO. COMPLETED � .� ADDRESS �� TIIC�� /� � OWNER GONTR.��'' d�'�/�-=� TELEPHONE NO. ��~( �� '�� OO !� � DESCRIPTION �i��/�� /�Ll�r � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRA ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 0 ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J O _ � �, V!l \, ., �_Ll.� � O � W � Q � 2 W � W � � d W� �NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W (O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REiURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. /_—� -_��\ Call for the next inspection 24 hours in adva�fice. (g52) 249-46�� OwnerlContra t on site: ~---- Inspector. r� White Copyllnspector's File Canary CopylSite Notice � 7� D� A�E��, TIME CITY OF ORONO �O �J7 CALLED IN � INSPECTION NOTIC SCHEDULED � C�/l/= PERMIT N0. � � coMP�ETEo �'' A D D R ESS____ � -rJ ��-2-�r�c.�(o`'C--E ��G� OWNER CONTR. ��'� `��lC'f2��g . TELEPHONE N0._ �� 3 Ja�� DESCRIPTION � � ``-'�"h- �� ' ��--E--/ti� � � O1 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 1'JOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. ?2 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINA! 15 SEPTIC INSTALL. 22 FOLLOVJ-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLU".1BING FINAL 36 FOUNDATION/REt.10VAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C M NTS: � a �' � G o - �� r �- i � --� � � � �"3 ° -,�S SZc.�-5 �, �, � � /-�� i Q z 3� y 'l�r � /c :� �, vs-e � � � �� b � -P�;�� j �r _ . GW RKSATISF .'f FAOCEED ❑ PROJECTCOMPLETE � ,❑ ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RFiECT YJORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� Owner/Con r on site: Inspecto White Copyllnspector's File Canary Copy/Slte Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED � o�30 � PERMIT N0. ��-7 COMPLETED 1: -_� �' ' 3 d ADDRESS ��.� �-2 �n �A-�.- ��I (� � OWNER I�(� �t hc�'r`n CONTR.�� I� C�u��;�S��,. TELEPHONE N0. 2rz� � lP c�SS - C�� DESCRIPTION �� `c��.-� � Ot FOOTtNG 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FiEMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O a . n_ O �`C�.�� Q � �� z W � .,' / � � W �VORK SATISFACTORY:PROC�Ep ��ROJECT COMPLETE (O CORRECT WORK&PROCEED v ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILLRETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector.L��/�r�i� White Copyflnspector's File Canary Copy/Site Notice ' �� o� � ! � ; SP�CIAL N�`I'� � � �EE E4�"T.�.�t-�::�: �3-$"��[' � FOR_� ►na�c� cLl�—T�jc�btL CODE RE�LJIF;EIVIENTS I �;��-':` ��:; ,:�;��f�;;� . ,:r•:��. ��111�Gi��1G P,ty�:r91T . N ftEViEW 1 .'` ' ---- �::�'�:c ;� ,�� ;N �:_��"j=�1------"FRL^,I'"s'�C).--- - _ I I � ��, .� r�. � f ` t ' _ � � --� - - - - --' , $ � �ii :�:iU'`it �J �-i}� � �:, �„�C^\J i�r'�� ( � ' � � �I {��r'� ��.i r . �! �.�! � it[ ��.1(�:V'�II ( �`/C��T�� C�x.JMPJ � � n s c.. r �y, t� `nr r i P.(�� R ah�l f)B d�RO ' �. � I'1 � �'�� ^ 1n�.�fl 5+1 �x � ��i! `J-I'i !1� ' 1� I�_'l :r r.;C'3: H�c,";ra . ,,.cl��n� �e �r,� .,N _;,I y ro�d�i,tu t•.i�-�. �R �y��D ��5 � — KEEP T}11.�,PL.AN S�T�GitiJ �1TE� AT r":.L�_i ito9c�3 - � � - i / _ � I i , . i � i - -- I � ; I i ,�Isr�N� °'�X10 sT'��c_ I � � �_B Et��i 8��ovJ �c�tZ I ; i � I i ! 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