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Home My WebLink About2008-00195 - entrance monuments CITY OF ORONO PERMIT NO.: 2008-00195 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUEn: 09/08/2008 • 952 249-4600 FAX: 952 249-4616 ADDRESS : 1480 BRACKETTS POINT RD PIN : I1-117-23-33-0005 LEGAL DESC : BRACKETTS POINT : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ENTRANCE MONUMENTS VALUATION : $ 7,500.00 CJ � S � ' � APPLICANT p��IT FEE SCHEDULE 162.25 BARKLEY LANDSCAPES (612) 598-9895 PLAN REVIEW lOS.46 STATE SURCHARGE(VALUATION) 3.75 TOTAL 271.46 OWNER HEADRICK, MARK&LAURIE 1480 BRACKETTS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be pertormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance;or if construction is suspended Yor a period of]80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit ma}�be revoked at any time for due cause. / / / / Applicant Permitee Sienature Date Issued B��Signature Date SEr�,Rf�,T= o�F�1v??`''� R��"I�JIR��: �OF V�'�RI�; O�'N�F_ THA� ")�SCF:IBED .ABOVE. � , CITY OF ORONO PERMIT NO.: 200&00195 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 09/08/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1480 BRACKETTS POINT RD PIN : 11-117-23-33-0005 LEGAL DESC : BRACKETTS POINT : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ENTRANCE MONUMENTS VALUATION : $ 7,500.00 APPLICANT PERMIT FEE SCHEDULE 162.25 BARKLEY LANDSCAPES PLAN REVIEW 105.46 (612)598-9895 STATE SURCHARGE(VALUATION) 3.75 TOTAL 271.46 OWNER HEADRICK, MARK&LAURIE 1480 BRACKETTS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission lor additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 1 RO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. J �� `'—��"�("-�L'�"` t,'`f/L'� lC'�j l l �O Applic t Permrtee Signature Date Issued B S gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. Total Fee: $ �?'/. �� Date Received: �t "� � J Entered By: Permit#: �o� ,. DD/ 9 �-- CITY OF ORONO - BUILDING 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 �� /� , n �, �.----------- JOB SITE ADDRESS: ��l �-�� j��-'�`> �� I�G'l ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 1'eS �NO If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �'J � � 1T`��C-�- � �(> _�_��-��' NAME OF OWNER: � ��'� �. PHONE: (home) � �E�,.,� n L.� _ (work) �� ``,� l_-'ff`s �� C'i�� MAILING ADDRESS: ��- l'j�ac '' CITY: ZIP: CONTRACTOR:�� L��2�S�u� ^�-- PHONE: �� `�'�y�`�''�� CONTACT PERSON: u�� MOBILE/P,�GER: %°�`N-� MAILING ADDRESS:i C; �;,_�: �� {(,. � _ CITY:��y��t��'� ZIP: `�>>�1� STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # � - - ___. ____.__ ` TYPE OF WORK: New Home Addition �__Accessory Structure _ � Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement ay r qu ire MCWD review and permits! PROPOSED WORK(describe in detuin: C'�'�� (�'��Zi� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED _ c<,v ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ � � 'C��;- I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wil] 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 accardance with the approved plan. APPLICANT'S SIGNATURE: ./ ��'"' DATE: Ll `' -��' 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. L 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,pol itical 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 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 5,to a law enforcement officer. The commissioner of revenue mav place the notice reouired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,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. After an individual has been shown the private data and informed 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 authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any reques[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. 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 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 conceming 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)correct the data found to be inaccurate or incomplete and attempt to notify pas[recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves the data to be correc[. 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 authority 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. SignAture Reset Porm � 32 • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE NLY ADDRESS OR LEGAL: �y ca� Q�,�.,�5 �a�,v� PID: DESCRIPTION OF WORK: [:N;YU�e� /1jL�,�,�,� ZONING REVIEW BY: DATEAPPROVED: 9-8 -O� � B UILDING RET�IEW BY: DATEAPPRO[tED: � - 8-o� ��--------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCH.ARGE Yes � _No w'ATER CONNECTION INVESTIGATION FEE Yes No ,/' PARK FEE SAC Yes No � SITEINSPECTION Nzrmber of SAC Units OTHER (spec�) �--------�---�--------��---��- ZONING CHECK LIST Zoning Dist��ict: Fire Depm�tment: _ Pos Office: School District: Lot Area: Sq.ft. Acres W'idth Depth Survey Sz�bmitted: Yes Vo Date of Su��vey: Proposed Setbacks: F�•ont(Lake): 1 D � Right Side: t�� Rear(Street): (�IG Left Side: �� Adjacent Structures: Yi'etland: Building Neight Def Hgt. �-1 2 �` Peak Hgt. Lot Coverage: G�-ading StaffApproval Date: By: Council Appi-aval Date: Septic: Staff.�lppi-oval Date: By; Zoning File: + Resolution: n Resolution Date: Shoreland Dist�•ict: AlCGG'D Permii: Avg. Setback: BlzrffS back: LotCoverage: Existin Proposed Hardcove�•: 0-��' 75-�50' 2�0-.i 00' �00-1 D00' Hardcover f"ariance Required: }'es � o Date of Council Approval: REMARKS(in house): 1 33 B�TILDING REVIEW CHECK LIST UBC: 4� N �I� CONSTRUCTION TYPE: — Sg Footage �Per Sq F�g Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ��SO O o_ Inspections Required: i�Y'ork Requiring Separate Permits: Site Plumbing Fi�•e Hardcover Removal A�lechanical YY'ater Connection _�Footing Septic Sewe�-Connection Framing Fireplace Lawn Irrigation Insulation (,�fasonry) Other Wall Boar-d (Ntfg.) IY'ell(State Permit) �Final Grading/Filling Elect�•ical(State Permit) Oiher REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New .4ccess Approval.• Date By: REMARIiS (TO BE NOTED ON PERMIT): 34 � '� �� T TIME CITY OF ORONO CALIED IN � �� •l INSPECTION N TICE SCHEDULED �� D�' �tJ PERMIT NO. —1 COMPLETED ADDRESS 8� QC P �i/� OWN ER CONTR. L�2%�� TELEPHONE NO.�Cf�C�_ _ �o�a � J R �- Cf � S � DESCRIPTION " ' `��f �`�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z � WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBtNG RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL . ❑ FOUNDATION/REMOVAL � OWNERICONTRAC�R TO MEET YOU:_YES�NO �� COMMENTS. C.-� � � ��3 -5 5/- �� 8' - -Tha� s 0. — � J O � � O � W � Q ti Z w � W � � d � W� ❑WORK SATISFACTORY:PROCEED L�PROJECT COMPLETE W �CORRECT WORK&PROCEED C SI SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� Z49-4600 OwnerlContractor on site: Inspector. ��' �;�,`1�5�-5 , White Copyllnspector's File Canary CopylSite Notice � _� ------- A TI M E CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED l� �D; U PERMIT NO. ��8' �dl9S COMPLETED ADDRESS �� e S �I OWN ER CONTR. L� TELEPHONE NO. l ' - � -� � DESCRIPTION - � �OOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAM�NG ❑ MECHANICAL FINAL ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED f� PROJECTCOMPLEfE � ❑C RECT WORK&PROCEED I�� ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali torthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site Inspector. � White Copyllnspector's File Canary Copy/Site Notice