HomeMy WebLinkAbout2005-P08932 - front entrance remodel/reside A •
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08932
Crystal Bay, Minnesota 55323 Perr111t Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued:
7/25/2005
SITE ADDRESS: 2560 Dunwoody Ave Unit#
Wayzata,MN 55391
P��: 20-117-23-21-0023
DESCRIPTION:
Proposed Use: Residenrial
Census Code 434
Permit Class: Building
Addition/Remodel/Re air Permit Sub-type(s): Addn/Remodel/Repair
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Front Entrance Remodel&Reside Entire House
FEE SUMMARY: Permit Fee: $ 713J5 valuation: $ 60,000.00
Plan Review Fee: $ 463.94
State Surcharge Fee: $ 30.00
TOTAL FEE: $ 1,207.69
APPLICANT: Lemmerman Const. Inc. OWNER: Jill Estoclet
9037 Cty. Rd 17 SE 2560 Dunwoody Ave
Delano,MN 55328 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 R UIREMENTS.
�► `/� (� ��
A PLICANT PERI�i Eli SIGNATURE SSUED BY SIGNATURE
�
Copies: 1-File(Sigizatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� .
� 7 � � �I
Total Fee: $ /i � Date Received: �(��'c�3�?
Entered By: JJ,� .��` �,�c� Permit#: %/ �/���"
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforniation)
THE APPLICANT IS: (ci�•cle one) OWNER O CONTRACTOR �
JOB SITE ADDRESS: 25� I.�- ��•�"!� , i ZIP:
�Vill this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �10 If i�es, a special event permit is��egarirec�with Police Depm•trrient and Citv Coirncil t�pprovcil
60 days prior to the event. Sharttle bus service wil/be required cuzless applicant demonstrrates
su�cient o�z-site parking is ctvai[able. Non permitted eve�its wi/l iiot be allotived.
NAME OF OWNER: �.u. �,�Tcx'�.a�"( PHONE: (home)
(work)
MAILING ADDRESS: Z CITY: ZIP:
CONTRACTOR: ��.nn�tEl2.tin� (���. �Nc.- PHONE: '�(�3 972-�v���
CONTACT PERSON: `i oM MOBILE/PAGER: `T�3�Z�.� - 23��
MAILING ADDRESS: Qo37 L�� tZU �� 5� CITY: ���r-�c ZIP: 5532f,
STATE LICENSE: # �-t�5`� EXPIRATION DATE: M�rz c�:
�;a.�t�SM�a..'
A R: �j�t2rZ4 �;�►.��'�o►-) PHONE:
MAILING ADDRESS: 1�1�� -f��L. ��t CITY: ��F'r=e�.t' ZIP: S r 3�3
NAME: ..��=�-�zs.i �F\NSUtJ REGISTRATION: #
TYPE OF WORK: New Addition � Accessory Structure
Move Hoine Remodel/Alteration
PROPOSED WORK(desc�•ibe rn detai�: F�� �+�RA►�cc ���•.c���
� t°��s ic�� ��...--�.� ��
S'I'ORIES: � S�.FE�T OF EAC�I FLOOR:
NO. OF BEDROOMS: 7 GARAGE STALLS: A�"I'ACHED DETACHEI)
�
ESTIMATEI)CONSTRUCTION VALiJATI(3N(excluding land): $ C,2�;�'��= �—
I hereby apply for a building permit and I acknowled�e that the inforniation above is complete and accurate;
that the work will be in conforniance 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 st ithout a pernlit; and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: ��� '�---- DATE: � ���u�,`�( ��
�
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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 srored shall be as set forth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply p�ivate or confidential data conceming himself shall be
infonned of: (a)the pu�pose and intended use of the requested data within the collecting state a�ency,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 da[a;and(d)the identity of other persons or entities authorized by state or federal law to receive the da[a. This requirement shall
not apply when an individual is ashed to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individull income tac or pronerty tar refund
instructions instead of on those fonns.
5ubd.3. Access to data by individuaL Upon reques[to a responsible authority,an individual sltall be infonned whether he is the subject of
s[ored data on individuals,and whethe��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 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. After an individual has been sho�m the private data and infonned of its meaning,the data need not be disdosed 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 of the piivate or public data upon request by the individual subject oY the data. The responsible authority may
require the requestin�person[o pay the actual costs of making,certifying and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days ofthe
date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot compiy with the request
wi[hin that time,he shall so infonn the individual,and may have an additional tive 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 piivate data
concerning himselE To exercise this tight,an individual shall notify in writing[he responsible authority describing the na[ure of the disagreement. The
responsible authority shall within 30 days ei[her: (a)corcec[the data found to be inaccurate or incomplete and attempt 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 con�ect. Da[a in
dispute shall be disclosed only iY the individuaPs statement of disap�eement is included with the disclosed data.
The detennination of the responsible authority may be appealed pursuant to the provisions of the adminishative 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 pennit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential infornlation.
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 suppiy 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 perniit or license.
4. If your requested permit or license requires Council action to approve, some infonnation 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.
`Z'Now�s �2c,i,• L�nm ERr��
First Middle Last
"1��7 C'`r�t . �r� i�? 5�
Address
�j c--v��c MN �'�3�� 7�.s�i 7z 3 tx�
Citv Statc Zip Qhone
I understand rights as stated a e.�
c-
Signatu
�
CHECK OFF LIST FOR ISSUANCE OF PERII�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Zsbo O u N w o0
PID:
DES CRIPTION OF W ORK: F�N T �;N T�lhy�►C,p �'u..sw�•dt�
ZO�TG REVIEW BY: DATE APPROVED: -7-z�-o�
BUII�DING REVIE`V BY: DATE APPROVED: �•Z,� - 0 5'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTTON
INVESTIGATION FEE Yes No v PARK FEE
SAC Yes No c/ � SITEINSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------------------------------------------------------------
ZO�tI�1G CH�CK LIST Zonin; Districc:
Fire Departmen[: Post Office: School District:
Lo[Area: Sq.ft. 22, �yc7 Acres . SL Width /v� Depth Z$3
Survey Submitted: Yes �c No Date of Survey: Oiu i=�C,G �, ' !a'`��►
Proposed Setbacks:
Front (Lake): �{Z� Right Side: 37�
Rear (Stree[): /'�7� Lef[Side: 31�
Adjacent Structures: AM�ac++-c:'�j �Vetland: �✓1/`}
Building Height: Def. Hgt. Q �!L- Peak Hgt. �
Lot Covera�e: 9• 6��
Grading: Staff Approval Date: —' By: Council Approval Date:
Septic: Staff Approval Date: ^— By:
Zonin� File: # � Resolution: # Resolution Date:
Shoreland District: v�PS
Av�. Setback: r. /�! Biuff Secback: n/�� L,ot Coverage: �.(,`�'o
ExistinQ Proposed
O
Hardcovec 0-75
7�-2�0'
2�0-�GO'
50C-1d�' D•K
Hardcover Variance Required: Yes No 7` Date of Council Approval:
RE�IARKS (in house):
BUILDING REVIEW CHECK LIST
��� _ 2•3 CONSTRUCTION TYPE: �N
Sq Footage $ Per Sq Ftg
Basement . x =
lst Floor x =
2nd Floor x _
Garage z =
R =
TOTAL
Estimated Construction Value: $ �p,OOa �0
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Foo[ing ` Septic Sewer Connection
oC Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Pecmit)
�F�� Grading/Filling _ (Electrical (State Permit)
Other
RENIARKS(Pi 1 HOUSE): - —�----
--------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
---------------------------------------------------------------------------------------------------------
REI�IARKS (TO BE NOTED ON PERivII'I�:
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(j" � " DATE TIME �
CITY OF ORONO CALLED IN "� "vS
INSPECTIONJ�OTIC�,� SCHEDULED 7 -Z°I-oS� o- �C)
PERMIT NO.F'"Ci ������ COMPLETED
ADDRESS ���C�?C� �i�l�w`��C�c�t�
OWNER CONTR. �r� ��jQcyi,l.�"122GL�� �c� It
TELEPHONE NO.� — ��C� c����%
� ION ��.� �f .
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0 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
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATfSFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑ RRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '^]CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next in ection 24 hours in advance. (952� 24J-460�
OwnerlContra sit �
Inspector. `
White Copyllnspector's File Canary CopylSite Notice