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Home My WebLink About2007-P10654 - addn/remodelrepair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10654 Crysta�Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: . 1/12/2007 SITE ADDRESS: 905 Ferndale Rd W Unit# Wayzata,MN 55391 P�� 02-117-23-44-0010 DESCRIPTION: UBC Occupancy R3 Construction 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#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Kitchen Remodel FEE SUMMARY: Permit Fee: $ 1,531.35 Valuation: $ 196,000.00 Plan Review Fee: $ 995.38 State Surcharge Fee: $ 100.00 \ TOTAL FEE: $ 2,626.73 APPLICANT: Streeter&Associates OWNER: John&Joan Brooks 18312 Minnetonka Blvd 905 Ferndale Rd W Wayzata, MN 55391 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERM[SS10N TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � , / � _;��' �- � �� - � 1�71�"� � �__ APPUCANT� RMITEE SIGNATURE ' ISSUED BY SIGNATURE Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) � Page 1 Jan-31-200Z 10:02am From-CITY OF ORONO �� +952Z494616 T-587 P-006/007 F-098 . , �, j , Total Fee: $ �,�� --l�" ��l � I �`��_� Date Received: �� ( �� r�� • Entered By: f�;) ��n��.� ��/�,7 � �,� Pemut#: ►2 J �c. CITY Cl�' (JRUNO � B�I,I)�NG PERMZT Al'P AU information must be submitted izt full before plan review�vill be started. (please p�znr all in,formation) � THE APPL�CANT IS: (circlP on�) t�W1�tER QR ON'TR.ACT � �oB $� �D��: F z�: NAME UF O'UV'NER: ,,��,�'J� � PHONE: (home)�'Z _ . � (work). MAI�.lYG ADDRESS: � CITX: Zip:�� . CONTRACTOR: G PHUNE. • � C4NT�ICT PERSQN: M4�YLE/.PA�ER: • . IVIATY.ING ADDRESS: , � CYTY: STATE LYCENSE: # J��;�'�/I A.�C�TECT/EN�INEER,: pHQNE: • • MAiLING�ADbKESS: CITY:� ZIP: NAME= REGISTRATION# T'YPE OF VVQRK: New Addirion Accessory Structure Move Remodel/A�teration� Land E1.Iteration PROPOSED WQRK(descr�be in detain; �.1�` ` �� r��.� sTo�s: sQ. ��m o��:AC�F'T.44R: N4. QF$EpR0�1�1S: GARAGE STALLS�: ATT. DET, ESTT1ViATED C4NS1`RUCT14N VALU'ATdON (excluding land}r $ �� hereby agpIy for a building permit and I ackn�wled e that thc in�ormation above is comgleee and -�r)`� accurate; chat rhe work will be in co e i th ardinances and codes of the City and wich � the State Building Code; t�iat I und s tt�,,is� ' not permit and wark is not to start tivithout a permit; artd that the work will be i� c d _ wi e approved plan. i � AP�'Y.YCANT'S SIGNA'I'URE: � _ DATE: I�i'�•� NOTE� P�rade n��I�mes events require se��arate perniit approval by Police DepqTtment and City Council 60 days prior to the event. No�r permitted ev�nts wilt no�be allowed. S Scc.13.0a RIGHTS OF SUBJCCT5 OF DATr� Subd. 1. Type of data. The ri�hts of individual on�vhom 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 dataconcerning himselfshall be intormed 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 legally 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 identiry of other persons or entities authorized by state or federal la�v to receive the data. This requirement shall not apply�vhen an individual is asked to supply investigative data,pursuant to section 13.32,subdivision�,to a Iaw enforcement ofticer. The commissioner of revenue may�lace the notice required w�der this subdivision in the individual income ta�or proaerh�tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authorit��,an individual sha(I be infonned whether he is the subject of stored data on individuals,and whether it is classitied as public,private or confidentiaL Upon his further request,an individual who is the subject of stored private or public data on individuals shafl be shown the data without any charge to him and,if he desires,shal I be informed of the content and meaning of[hat data. After an individual has Ueen shown the private daca and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual suUject 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 shal l comply immediately,if possible,��ith any request made pursuant to this subdivision,or within tive days of the date ofthe req�rest,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may Itave an additional five days��ithin which to comply with the request,e�cluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individuaf may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall no[ity in writing the responsible audiority describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correcc the data found to be inaccurale or incomplefe and attempt to notily 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 disagreemen[is included�vith the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACl'ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn you that your request for a permit or license from the City of Orono or any of its departments may require you to fin-nish certain private or confidential information. You are notified that: l. The information you furnish will be uscd to dctemiine your qualification for the permit or license requested. Z. 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 pern�it or license. 4. If your requested permit or license requires Council action to approve, some infornlation may become public. 5. You have certain ri;hts under M.S. 13.U4 (available upon request)to review private data on yourself. 6. Your full name is required to p ocess this application or permit. i��i�� J' G�� S�/l�l��I F��sr �[�ddi� �.�5� /��/ Z n'I,:��N/�� /�� ;�ddress /'�, . S.T.3�/ City St:�te Zip Phonc I understand � rights as st te bove. � � � ".i---- —- Si�;natu c � Reset Form 32 �KE�K p�`F i�IST FOR ISSU.ANCE 4F �'E��'IITS � FOR OFFTCE USE ONLY ADDRESS OR LEGAL: 905 ��2^��-e �2or�� PID: DESCRIFTION OF WORK: I�.r�� =v�? =w��oc ------------- ----------____—.---- -------- --- AA.TE A.PPROVED: ZO�G REVIE�V �Y: ►ti I ►� DATE APPROVED: �-s -0 6 � PUII�DLNG REVIEtiV BY: � . �`EES TO BE C�-IARGED:^ � Misc. Fees Calculated By: P�g�T Yes ,/� No PLAI�T REVIEti� � Yes ✓� No SE`VE.R CO�INECTTON STATE SURCHARGE Yes `,� No �VATERCONNECTIO�,T INVESTIGATIOitiT FEE Yes Na _� PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) ZONI�tG CH�.CK LIST Zaning DiStrict: r�o G�-+�-2- �. Fize Departmenc: Post Office: Schoal District: � �Or Area: Sq.fc. Acres Wid[h Depct� Survey Submitted: Yes tv'o Date oF Survey: Froposed Setbacks; �a t Side Front(Lake); � Rear(Streetj; LeFt Sid Adjacent Structures: bVetland: auiluin� Hzight: Def. Hgt, Pealc Hgc. Lot Covera�e: v� �r'..GuuCu ci D:C','?�•1 il�C?: - Gradi�z�: S�aEf App:ov�l Date; �'- Sep�ic: S�af� Approval Date: E� : ZoainQ Fuz R Rese?ution: „ Resolu:ion Datz: Shetel=.�^_d Dis[r':cc: ?,v�. SecbacK: Bluf?Setbac.: I�t Coverage; Eusc�g Proposed Hz�dcover; 0-75' ?5-2�0' 2�0-560' �00-1��1�, T�-,•� �� '�i�nri� A,p�-O'1�: --- :,��'.rp't�. �i�_:2�:C' ..�y:..:_�. :e� • - ` F.�.�L��S (ir!hou�e`, -- � . � BUILl7ING F�EVIE�V CHECK LIST vBc: R- 3 � coNsz�UCTrorr�E: �.�nf Sq Footage $ Per Sq Ftg Basement � . x _ Ist Floor z _ . 2nd k�oor x _ , Garage X � z = TOTAL Estimated Constructioa Vaiue; $ I S lo,p0o e° Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal o� Mechaaical Wacer Coanection Foot�ng � 5eptic Sewer Connectioa _..,�C_Fr��o Fireplace Lawn Ircigation Insulation Wall Board ��0°ry� Other . CMfB•) Weil (State Permit) � F�� Grading/Filling oc Electrical (State Permit) O che r R.EMAR.K� (IN HOUSE): - -- -- ------------------------------------------------------------------------------ REVLE�V BY OTHERS: DATE: Access: Existing New Access Approval: Date gY: � ----------------------------------------------------------------------------------- REI�tARh'S ('I'O SF N��n nv PEF��i?�';: � /1 DATE �/� TIME � 'J ITY OF ORONO CALLED IN 'L�` 7'q'$ INSPECTION TICE � , SCHEDULED �p �Zb'��U-7 I,GG=Prv� PERMIT NO. COMPLETED ADDRESS G� �'YI��L�l.X-- �(A I/�� OWNER CONTR. 5�� '�Y�CJC ' TELEPHONE N0. �I � ��C�/� L-��, � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 INAL 14 SEWER HOOK-UP 06 PROGRESS � 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL � 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �� , O � �u � { S �CO Q � Z w � W � j d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pH0T0 TAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOtJ REQUIRED.CALLTO ARRANGE ACCESS. Call for ihe next' spection 24 hours in advance. �95Z� 249-46QQ OwnerlContr�c`�n s • Inspector. � White Copylinspector's File Canary CopylSite Notice