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Home My WebLink About2008-P11814 - addn/remodel/repair ` PERMIT CIT� OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11814 Crystal Bay, Minnesota 55323 Permit Type: Additior,/RemodeURepair (952) 249-4600 Date Issued: 1/25/2008 SITE ADDRESS: 1220 Bracketts Pt Rd Unit# Wayzata,MN 55391 PID: 11-117-23-32-0018 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Remodel 3 bathrooms,replace 3 windows, replace stair railings. FEE SUMMARY: Permit Fee: $ 628.00 valuation: $ 45,000.00 Plan Review Fee: $ 408.20 State Surcharge Fee: $ 22.50 TOTAL FEE: $ 1,058.70 APPLICANT: Dovetail Renovations Inc. OWNER: Jule&Elizabeth Hannaford 3503 Hennepin Ave. S. 1220 Bracketts Pt Rd 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. � � � �� _ -� � � ' ' i ' ��; �"�" � � r{Y�.c r L� ��-'� `!� `� �_ i APP ICANT PGRMI"I'lil:SIGNATURE ISSIik?D BY SIGNATURE Copies: 1-File(Signata�res Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Scptic) paQP � � , Total Fee: $ � �SO e �� Date Received: �� ^ Entered By: Permit#: � 'L+' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ��.�� 3_�� _�d��7 ______________________________________________________ d THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � JOB SITE ADDRESS: ��. �.�-� I�cY�c.kc�: �'c`�a,�� 1 ' c�� zir: ��3�i i Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �„NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffzcient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: J <,��`��r ��S��C�111�L\�('('� PHONE: (home)��S�-��3 '��j�7 (work) MAILING ADDRESS: 1��1��e�{�"�;�n��'�,CITY:v�-+!�y l.l�c�, ZIP: ;��' CONTRACTOR: �C'�%'Z\C�t, ��ilC��"�T�\�� -�.�►1� PHONE: �; ��--�J��'7-�C�7� CONTACT PERSON: -� � �•.� t �� '�� MOBILE/PAGER: �, j �- �F�rl - �� I MAILING ADDRESS: �Z`.^� �_��r1F i ��c`��ITY: �' ��: ZIP: r�� STATE LICENSE: # "]`G(""r�C�� EXPIRATION DATE: �� j � �� ARCffiTECT/ENGINEER: � Y\�t<��(' t'��,c;�C-►r�'F?; PHONE:b l�� `�'7( --��I�{� MAILING ADDRESS:�4�` �c�L� �l ��t� CITY:� l�° ZIP: ��1� ` NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure T- Move Home RemodeUAlteration (ie: Siding, Windows) X Any earth movement may require MCWD review and permits ! P OPOSED WO,RK(describe in detai�: ��m�. c��\ 3 ��`��1�� ,��t��L�--��•� :n��'��"�� T�c�.�� c�..� rc��:� l� r; STORIES: � SQ.FEET OF EACH FLOOR: r �� NO. OF BEDROOMS: �1-�_ GARAGE STALLS: ATTACHED3 DETACHED_ c"�� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �, �� h I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that tbe 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: "�'� �� DATE: I I� �j 31 Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be storod shall be as set forth in this section. Subd.2. Information rcquircd to be givcn individuaL An individual askcd to supply pnvatc or contidcntial data conccming himsclfshall bc informed of: (a)the purpose and intended use of thc requcsted data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is Iegally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply privatc or confidential data;and(d)thc identity of othcr persons or cntities authorizcd by state or fcdcral law to rcccivc the data. This rcquircmcnt shall not apply whcn an individual is askcd to supply invcstigativc data,pursuant to scction 13.82,subdivision 5,to a law enforccmcnt officcr. Thc commissioncr of rcvcnuc mav placc thc noticc rcquircd undcr this subdivision in thc individual incomc tax or propertv tax rcfund instructions instcad of on thosc forms. Subd.3. Access to data by individual. Upon rcqucst to a responsible authority,an individual shall bc informcd whethcn c�is thc subjcct of stored data on individuals,and whcthcr it is classified as public,private or confidential. Upon his further requcst,an individual who is thc subjcct of stared 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 mcaning of that data. After an individual has becn shown thc private data and informcd of its mcaning,the data nccd not bc disclosed to him for six months thcrcaftcr unlcss a disputc or action pursuant to this scction is pcnding or additional data on thc individual has bccn collcctcd or crcatcd. Thc responsible authority shall provide copics of thc private or public data upon request by the individual subject of the data. Thc responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediatdy,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 possibla Ifhe 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 thc 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 orprivate data concerning himself. To exercise this right,an individual shall notify in writing thc responsible authority describing the nature of the disagreement.Thc responsible authority shall within 30 days cither. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incompletc data,including recipients namcd by the individual;or(b)notify the individual that hc believes the data to bc correct. Data in disputc shall be disdoscd only if thc individual's statcmcnt of disagrccmcnt is includcd with thc discloscd data. The detcrmination of thc responsible authority may bc appcalcd pursuant ro thc provisions of thc administrativc proccdurc act rclating to contcstcd cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects ofdata",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 fumish 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. ��1� '� � ��'�CII�G�Y`�Cl i First Yliddle Last C'`? �... 3� � �1�1'�01 y � ti'� � -_ �aaress ��\t'�L5 N`r�� `� � a �;-- �3 7'1— �C�7 � City Statc Zip Phone I understand my rights as stated above. �—�� \ l� �- � Signature Rcset Form 32 � „,,., .... . .. .. mk6s".-�.ag a. . „ CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � �,� �� t3%!� C i�c' �t f S 'j��, ; -E'r}— PID: DESCRIPTION OF WORK G�G,r,W� b ,-�sE �r..r ZONING REVIEW BY.• �� DATEAPPROVED:�, �� BUILDING REVIEW BY.• —�� DATEAPPRO►rED: i -2 ti-c�$ �____________________�________ ________�____�____�_w__�______��-- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes ,� No WATER CONNECTION INVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No—� SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: N'p G�-►�N�Q _�Y�M~_~_��NY��_ Fire Department: Post Offce: � School District: Lot A��ea: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: i� F�•ont(Lake): Right Side: Rea�•(Street): Left Side: Adjacent Structures: Wetla d: Building Height: Def. Hgt. Pea Hgt. Lot Coverage: Grading: StaffApprovaT Date: By: Council Appr-oval Date: Septic: StaffApproval Date: �__ By; ��;� Zoning File: # Resolution: # Resolution Date: Shoreland Disb•ict: MCWD Permit: Avg. Setback: Bluff Setback: Lot Coverage.• Fxisting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Ha�•dcover Variance Required: 3'es No Date of Council Approval: REMARKS(in house): ; �. 33 �\ BUILDING REVIEW CHECK LIST UBC: IZ� 3 CONSTRUCTION TYPE: �!N Sq Footage $Per Sq F[g Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL � Estimated Construction Value: $ �t 5,�c�C� ! Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal �Mechanical Water Conneclion Footing Septic Sewer Connection �C Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�, Wall Board (Mfg.) YG'ell(State Permii) _ L Final Grading/Filling _�Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ONPERMIT): 34 iJ , � � � � �' TIME � CITY OF ORONO CALLED IN `� '� r '� ,� INSPECTION NO ICE scHE�u�E� � '''� �? � PERMIT NO. ' COMPLETED ADDRESS /c�c�?n �f�)� � ��- �� K C1I OWNER CONTR. '�� C�(.l��/� �t.�?Sci'�. TELEPHONE NO. f .P �� •" � ��J _ .'6�"� _ � � DESCRIPTION �t�/h�� -- ��y � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL AETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on 'te: % 1 ` Inspector. �� White Copyllnspector's File Canary CopylSite Notice � �� D E TIME ✓ CITY OF ORON CALLED IN �" � INSPECTION TI SCHEDULED �G. UD PERMIT NO. / / COMPLETED ADDRESS � � O/�. GZ OWNER CONT . TELEPHONE NO. �l I — �Ql�- �5� r!5� � DESCRIPTION _ � `lLi�f � ��-r!/LD� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. Z ❑ ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C oL�i�-►a..� 3� c� �� /'-��G� �O � ►C'rrin ��J'e c� S.� � �9 j�-e.i i3A�t-� 0 � Q �.-� ' �S (`�(s�:., �/�2 �' � �.J �-�-L.� n� i U` �� C c�v --1 z � C� G � �Qv.� W � � d W ❑WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W ��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � EFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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. (952� 249-4600 OwnerlContractor on site: Inspector. ��,, f -� � 1, -� White Copylinspector's File Canary CopylSite Notice .�� C`�� , V `�A � �� TIME i CITY OF ORONO CALLED IN � INSPECTION NOTICE / � SCHEDULED � � .� •� �� PERMIT NO.�� I � 'f ' COMPLETED � ADDRESS I�� YC�C lC �� OWNER CONTR. �d-�� ] TELEPHONE N0. �1�� I ` ��I� �� DESCRIPTION � �`�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU: YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL fiEfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contra site: Inspector. White Copyllnspector's ile Canary CopylSite Notice _� � �� D E TIME CITY OF ORONO CALLED IN INSPECTION N ICE SCHEDULED �g //-�3� PERMIT N0. / COMPLETED ADDRESS � OWNER C NT TELEPHONE NO. �—` S � DESCRIPTION l� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y��fRAMiNG ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the n xt inspection 24 hours in advance. (J52� 249-4600 OwnerlContr or ite: Inspector. � White Copy/lnspector's le Canary CopylSite Notice � � �J /�-D� TIME " CITY OF ORONO CALLED IN � INSPECTION N TIC SCHEDULED ��/-� %3 PERMIT NO. �� COMPLETED ADDRESS �a�� -�� OWNER CONTR. ��C-� TELEPHONE NO. ��'a� � - ��s 7 � DESCRIPTION �s�� `� � ❑ FOOTING �MECHANICAL RI ❑ EXCAV/GR G/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y �INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED I�I PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 24J-4600 OwnerlContract 'te: Inspector. White Copyllnspector's Fil Canary CopylSite Notice