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Home My WebLink About2006-P10326 - addn/remodelrepair PERMIT CITY OF ORONO Permit Number: 2750 Kelley �"arkway- PO Box 66 P1o326 Crysta� Bay, Niinnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 9/28/2006 SITE ADDR�SS: 865 Ferndale Rd W Unit# Wayzata,MN 55391 PID: 02-117-23-44-0006 DESCRIPTION: UBC Occupancy R3 Consriuction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/RemodeURepair Permit Type: p DETAILS: Approved per resolution#: 3217 Separate permits required: Piumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 3,121.75 valuation: $ 480,000.00 Plan Review Fee: $ 2,029.14 State Surcharge Fee: $ 240.00 TOTAL FEE: $ 5,390.89 APPLICANT: Aulik&Associates OWNER: Tracy Constable 6401 Wayzata Blvd Blvd 19455 Cedar Hurst St. Louis Pk.,MN 55426 Deephaven,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. � � i /� / �fl`��'.�; i�':�� G��'1% f �'`---� < � ��'Y1C�� f 1�� APPLICANT ERMITEE SIGNATURE y ISSUE BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , �.�.. Gj '�j� c�. �'?� Total Fee: $ � � � Date Received: Entered By: �M°��>�=; `� �' Permit#• ��- i � :�.1� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (pleuse print all information) ------------------------------------------------------------------------------------------------------------------------ -- _. THE APPLICANT IS: (circle one) OWNER�R CONTRACTO� �... JOB SITE ADDRESS' H�'S Ferndale Road W �—"-' �"� ZIP, 55391 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �✓ NO lf ves, u speciul eveiai per��irt is i•equired ivilh Police Depurnnent c�nd Crlv Coirncil approval 60 duvs prior ro the eti�ent. Shu�Ne h:�rs se�•vzce will he reyuired unless upplicu�u demons�rates su�cien�on-site purking is uvuiluhle. iVon-per�nitted evenls will not be ullowed. NAME OF OWNER: T`a`y c°°s�aei� PHONE: (home) (�sa�4�3-i3s� (work) MAILING ADDRESS: f945s c�aa�iiu�sr � CITY: °°`E'ha"°" Zip: ss3�i CONTRACTOR: �«i�k&asso��r�, PHONE: (9sz�s�i-��>oo COIVTACT PERSON: cnrts ca«te„� MOBILE/PAGER: �612�91�-14�� MAILING ADDRESS: �ao� way�ara ei�a CITY: st�o��rk Zjp; ss4z�, STATE LICENSE: # ��s4 EXPIRATION DATE: o3i3 vo� ARCHITECT/ENGINEER: A`�l'k°eS"°e"011p PHONE: �sa-s9i-��oo MAILING ADDRESS: �4oi wayz�ta si°a CITy; sr L�u�s P�rk ZIp; ss4z� NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) ✓ PR�P�SE�wORK�CIeSCYIbC'1/1(�ellll�: �'rovidc remodel of lower lcvel garage entry,bathroom,and convert lower level library into a bedroom. Add second story master suite above existing space. C�� ,��'�,. STORIES: T_ SQ.FEET OF EACH FLOOR: �°`��r=x28,Main= 1,634,Upper=831 - NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED ✓ DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��.000.00 I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes ofthe City and�vith the State Building Code;that I understand this is not a perinit � work i�t to s art without a permit;and that the work will be in accordance with the approved plan. APPLICANT'SSIGNATURE: ,�� ' DATE: o9;i3io� 31 Sec.13.04 RIGH"1'S OF SUBJEC"i'S OF D,�T,� Subd. I. Type of data. 'fhe rights of individual on ti�hom 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 ro supply private or confidential data conceming himselfshall be infbnned ot`. (a)the purpose and intended use of the requesred data��ithin the collecting state agency,political subdivision,or state��ide system;(b) whether he may refuse or is legall�required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data_and(d)the identiry of other persons or entities authorized b}�state or federal law to receive the data. This requirement shall not apply when an individual is asked to supph investigative da[a.pursuant to section 13.82,subdivision�,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or proper[v tar refund instructions instead of on thosc forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and w�hether it is classitied as public,private or confidentiaL Upon his further request,an individual��ho is the subject of stored private or publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. Atter an individual has been sho�vn the private data and infonned of its meaning,Nie data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copics of the private or public data upon request b� the individual subject of the data. The responsible authority may require the requesting person to pa}�the actual costs of inaking.certifi-ing,and compiling the copies. Ihe responsible authoriq�shall comply immediately,if possible.with any reyuest made pursuant to this subdivision.or�cithin five days ot� the date of the request,excluding Saturdays_Sundays and Iegal hol ida}�s,if immediate compliance is not possible. If he cannot comply�with the request within that time,hc shall so inform the individual,and ma_y have an additional five days widiin which to comply with the request_e�cluding Saturdays, Sunday�s and leeal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To e�ercise this righC an individual shall notify in Nriting the responsible authorit}�describing the nature ofthedisagreemenL The responsible authoriry shall within 30 days cither (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding recipients named by the individual:or(b)notity[he 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�vith the disclosed data. Che dctennination of the responsible authorin'ma��be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PR(VACY ADVISORY In accordance with M.S. 13.0-4.Subd.?."Rights of subjects ofdata",�se would like to inform��ou that y�our requcst for a permit or license ti-om the Cit�� of Orono or any of ils departments ma}� require}�ou to furnish certain private or co��idential infi�rmation. You are notified that: L The information you furnish u�ill be used to determine }�our yualitication for the permit or license requcsted. Z. You may ref�use to suppiy data, but refusal mav require that the Cit}�deny the permit or(icense. 3. The information may be shared ��ith other IocaL state or federal agencies to the extent necessar�� to process the permit or license. d. If your requested permit or license requires Council action to approve, some information ma�� bccome public. �. You have certain ri�hts under M.S. 13.04(a��ailable upon request)to review private data on yourseif. 6. Your full name is required to process this application or permit. � �� s��L� Fint �liddle Last �' "" y� �dd ress Citp State '/.ip Phone 1 under d my rights s state above. ,�.�'ti G��L Signa re Reset Form 32 CHEC� OFF i,IST FOR ISSUANCE O�F' PERIVIITS , FOR OFFICE USE ONLY ApDRESS OR LEGAL: g�os �GM�'lo��rL 1�c�. I�t� PID: ]JESCRTPri'ION OF WORK: Z �� /?7 rr.►�l S u�_.q�ZSQ�3rlJ'h/rl.�- ------------------------n_ ------------------------ ZOY.NG REVIE'FV BY: AATE APPROVED: Q I O� $UII.�DING REVIEtiV BY: I�A.TE APPROVED: 9.Z� - o �- FEES TO BE CHARGED: Misc. Fezs Calculated By: p��T Yes ✓ No PLAN REVIEtiV � Yes I/ No SE�VER CONNEC`ITON STATE SURCHARGE Yes �/ No �VATERCONNECTION INVESTIGATION FEE Yes No ,./ PARK FEE SAC Yes No v STTEIN5PECTION Number of SAC Units OTHER (specify) ------------------------------------------------- / --------_--------- ZONING CHE.CK LIST Zoaing District: / ._ . Fire Depar[ment: Post Office: School District: Lot Area: Sq.ft. Acres Width Depch Survey Submicted: Yes No ✓ Date of Survey: ! � �5� • ,5�/�'�JP.'� ��1�� Proposed Setbacks: Froat(Lake): R.ioht Side: Rear(Street): Left Side: A�j3�e�r .$rni�hsrz�; Wetl?*�d: Buil�ing Height: Def. Hgt. Pealc Hgc. Lo[ Covera�e: Grading: S�aff Approval Date: By: Council Approval Date: ' Septic: S�aff Approval D�te: ' ' �Y�' , Zoain� File: �Q • Resolutioa: n Resolution Date: � � V . . _ . , Shoreland Dist:ict: � � . � A�vg. Setback: � B'.uf�Setback:° LotCove�ge: � Eustin� � Proposed/L�� ' Ha��ccover� G-7�' ��0 3 /o 7�-250' � � 2�0-500' SCO-1C�C�J' n �i�� 3f� Oi COILiC[� .�tprCC`;2�: � Q �-T,a�QCO`'2L �'�3":2IlC2 t�2:�li'.iZ�: �Z� ��" + 5¢-kbpel� F.E�L=�RhS (in house): $UII�DING REVIEtiy CHECK LIST �C: �- 3 � CONSTRUCI'ION TYPE: \/•r', Sq Footaoe $ Per Sq Ftg Basement . x _ ls[ Floor x _ 2nd FZoor x _ . Garage x = x — TOTAL Estimated Co�struction Value; $_ ��QF()(� °�—' Inspections Required: �York Requiring Separate Permits: S ite d Plumbing � Fire � Hardcover Removal �--Mechanical Water Coaaection Footing ` 5eptic Sewer Connectio❑ _�Framing Fireplace Lawn Irrigation _�Insuiation (Masoary) Ocher �_Wal1 Board (Mfg.) We11 (State Permit) �F�� , Grading/FIl1ing _�Electrical (Stace Pecmit) O cher R.ENIARK� (IN HOUSE): - -- -- -- --------------------------------------------------------------------------------------------------------- REVIE'4V SY OTHERS: DA'I7E: Access: Existing New Access Approval: Date gy; ----------------------- REI�IARKS (TO EE NOTED ON PERitiIIT): • r h � � rn�.s b ► �l ts oc�c c�r�terl,. • ��hd�c�- Snicir�t Sv,n rcx�rh -�o be.. d�v�4-ed �-o rea.�n�r�rr'e�� ' I'��tv�dca�' �'p-vyto��ls cnc�vde., '�rtYnr+�►�n� c�ue,fhq�o� c^'� �[es�-- S�cl�. �- slned �o vrv�e..in the. o�e. �.-� i�e. eAa�-s�de, � / J� � D� TIME ✓ CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED �3�7 f D�� PERMIT NO. 3Z. COMPLETED ADDRESS C�v�7 F�P�''Y�G�� OWNER CONTR. �� `F ��G TELEPHONENO. �� z �� - � DESCRIPTION�h„S(,L�C.�"10►'� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 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-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � w � � a W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the nex inspection 24 hours in advance. (952� 24J-4600 OwnerlContr o s e: Inspector. - White Copyllnspector's e Canary CopylSite Notice ��,� (\`%� DATE TIME � CITY OF ORONO CALLED IN � 3f/Q7 INSPECTION OTICE SCHEDULED � PERMIT NO. � ��a'� COMPLETED ADDRESS_��n� T-'��n�� 1.11 � OWNER CONTR. I`-tLt I I � � �SS� TELEPHONE NO. -"L � �` �� X �II � DESCRIPTION �� /� !''Vi�I /—��/ ty� 01 FOOTING 11 MECHANICAL RI -T 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 iNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 v 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 YO : YES_NO � COMMENTS: � W a � J O >. � O � �� W � � Q � p�o-c�o �� ,/ � .� /0 3� � �,Qo ✓ � � a W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE ✓ W ❑CORRECT WORK&PROCEED '-: ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN '7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-46�� OwnerlContract n it Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE � TIME � CITY OF ORONO CALLED IN i -�:�C-7 INSPECTION N�ICE2 SCHEDULED � 4` � _`1�3 v g� PERMIT NO. v'��r,�Cl�'i COMPLETED ,� �� -� ADDRESS ,�"�_v 5 /��''E'1C��-C��_ �4� � OWN ER CONTR. i��/i/C TELEPHONE N0. �' I-� ��C1% / �� C��c�-<�ci � DESCRIPTION �C�� 't C� � l� 01 FQOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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: � W a o ft�J� � � a- � a � � 0 � W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �ORRECT WORK 8 PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN =�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContrac r site: Inspector. .. White Copyllospector's File Canary CopylSite Notice DAT TIME " CITY OF ORONO CALLED IN "� �G� INSPECTION NOT � SCHEDULED /��/-C 1-, -`�:�e.�!—✓1/L PERMIT N0. �� COMPLETED � ADDRESS '` �l �� _ OWNER CONTR. TELEPHONE NO. � DESCRIPTION I-C�l�L C �;' � 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETL4NDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 5 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 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED G PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOfl WILL RETURN (j CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the xt inspection 24 hours in advance. (J52� 249-46�� OwnerlContr r site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � i j � �y, DAT TIME ✓ CITY OF ORONO �jV CALLED IN 3 !�3 C�7 „l�C3 �:•:z INSPECTION NOTICE SCHEDULED IS �7 �- d PERMIT N0. � I O �� COMPLETED ADDRESS ��% � ��'rr�� • �'� OWNER CONTR. �'�� I� 1S TELEPHONE N0. �% �� '��c ' I�� G '�� - DESCRIPTION N��'1 �"'� ►'1cLI � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 05 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 FINA�, 36 FOUNDATION/REMOVAL � OWNERIC TRACTO TO M YOU: YES_NO � COMMENTS: �C�C, ". � ; a o � �v�<� � C� ��C' f' � � 0 � W � Q � z W � W � � d W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED '-1 ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN :� CITATION ISSUED G STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the e t inspection 2a hours in advance. (J52� 249-4600 OwnerlContr r s'te• Inspector. White Copyllnspector's File Canary CopylSite Notice