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Home My WebLink About2002-P04875 - addn/remodel/rapair .�TY F R N PERMIT C O O O O 27n��elley Parkway - PO Box 66 Permit Number: Po4s�s Crystal Bay, Minnesota 55323 Permit Type: additio�emodevxepair (952) 249-4600 Date Issued: 3i6i2oo2 SITE ADDRESS: 440 Brown Rd S Wayzata,MN 55391 P I D: 03-117-23-42-0012 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residenrial Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: riumoingiviecnanicai nieciricai�staie� NOTICES/REMARKS: � i-"-- -r--�_` -- ci' `- -'--'-" ---`-- ---`-- ...G....G. ....,.:.............G .....Gi.::.::.:.D:,t:.:'.,:,l:.C::"' FEE SUMMARY: Pernut Fee: $ 825.75 Valuation: $ 76,000.00 Plan Review Fee: $ 536.83 State Surcharge Fee: $ 38.00 TOTAL FEE: $ 1,400.58 APPLICANT: Streeter&Associates OWNER: 7oseph&Marilyn Moyer 18304 Minnetonka Blvd 440 Brown Rd S Wayzata, MN 55391 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. ( - �'��:_ �--�-��_�_� �� A�� APPLICANT PERMITEE SIGNATURG ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Jan-31-2002 10:02am From-CITY OF ORONO +9522494616 T-58T P.006/00T F-098 �_ ,- ��' Total Fee: $ / �l ��, . > � Date Received:_ �' - C�� (' �Z_. • Entered BY� „ ,�,� Pennit#�: . � �, � �:�--,S- ;� r;' � �'� _ C�TY OF URONO � B�}ILD�N'G PERM�,T Al'PLICATIQN Ail information must be submitted in fuli before pIan review �vil1 be started. (please print all informa��on} � - �-------.,..��------- THE APPL�CANT IS: (circle one} ()WNER QR CONTR.ACTOYt �O$ SITE �DRESS: �f�� '�ewn r�oav�`� . 7,��': 5"�,�-'3 9/ NAME �F O'VV'N�ER: Gs�►'/��i„l n /�o �•'' _ PHONE: {home) 9�2-��-7�� (work) Mf��,.�GF�D�$S: �� .�/a�Jp oa.� CITX: Di�»Q Z�: 5539/ CdNTRACT017: ��Y��-{.,- v �ssaGca��s', �f. PHONE: 95�s • �9- 9�f�t-� C4N�'ACT PERSpN: Se�t/ ,ti-,-.� MOBYLE/��: �.�-��- 4�i p 1VIAYLING ADDR +'SS' /Y3o h� /j?i��• /9/✓s�[ C�TY'• Gv t-a� ZIP: 5539/ STATE Y,TCENSE: # ��-/3 �a -�—�..� ARC�TTTEC�/ENG�ER,: ,yBA,�re�:tc� PH4IV�: G�- 37�- 6!74/ M�1LING AY3bRESS• ��i N�-r� /!'' S�i�f CITY: ,,,A o./•f ZIP: .�s�s/ NAIVIE: ��.,•� l.�r.�.�-� ,,, __ -- REGIST1tATI N#t �- T`Y'PE O�' WORK: New Addition Accessory Suucture Move Remodel/Alteration t� Land Alteration P�20 OSED WQRK (descrzbe in detai�; �',cs�••-�� r�.-,.�.►�"-; • �O7Y�-s,;,, ,�� ,�Sm� ,c,� �a a s�u.I a„.�/ �n.�� a A �cs�ioaY.-, �.+..✓ /f Q�iS�a'a»,. STORIES: SQ. FEET OF F:AC�T FLQOR: N4. QF BEDR04MS: / GARAGE STAI,,�.,5: ATT. D�T, ESTIMATED CQNSTRUCTIpN VAL'U'AT;I4N (excIuding land): $ 7(r DOD,oa iR � hereby apply for a buiIding permit and I ackn��wl�dge that the information above is cvmpleee and aCCurate; that tl�e work will be in confarman�e with the ardinan,ces and codes of the Ciry and with the State Building Code; that I understand [hi�; is not a pe�mit and work is not to stan without a permit; anc3 chat the work r�ill be in accordan�.e with �he approved plan. APPI.'1GANT'S SIGNATURE: � _ �� r}ATE: a 3" oa-- NOTE! P�rade r�f I�omes eve ts require separate perrttit approval by Police Depgrlment a�td City Cauncil 60 days prior to the event. Non permitted events will nat be allowed. S ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY � ADDRESS OR LEGAL: �-i 4 0 (��,o w N (Lo,A�.(J PID: DESCRIPTION OF WORK: �3p�s�cM�r-- (L�.��,r�,e� ZOrTi 1G REVIEW BY: �/A DATE APPROVED: BUII.DING REV�W BY: DATE APPROVED; Z 7•�Z FEES TO BE CHARGED: Misc. Fees Calculated By: PER�v1IT Yes ,� No PLA��t REVIEW Yes f No SEWER CONNE�TION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZO�TING CH�CK LIST Zoning District: Nc� C��►�9/vG�,� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland Building Height: Def. Hgt. Pea�:Hg . Lo[Covera?e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Re olution Date: Shoreland District: Avg. Setback: Bluff Setback: L.o[Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): p F G�R� r a•-! �'yC� l�z� �-�-< -• r--�c T�� 7 r . � BUILDING REV�W CHECK LIST UBC: � • 3 CONSTRUCTION TYPE: V/J Sq Footage $Per Sq Ftg Basement x _ lst Floor x = 4 1- 2nd Floor x _ Garage z _ x = � TOTAL Estimated Construction Value: $ �(„Ut�o �'`— Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal �._Mechanical Water Connection _1 Footing ' Septic Sewer Connection _ZC Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) ti-Final Grading/Filling _�Electrical (State Permit) Other REMARKS(IN HOUSE): _—_- -------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; ------------------------------------------------------------ KENIARKS (TO BE NOTED ON PERIVIIT�: 8 Jan-31-2002 10:03am From-CITY OF ORONO +9522494616 T-587 P.007/007 F-098 � : ,+ Scc,13.OS RIGHTS OF SUBJECI'S p�'bATA, Subd. !. Type of data. The righu oP individuaI on wqo�n the data is swred or to be s[ored shall be as set forth in shis sacrion. Subd.Z. Inforqtution rrquired tu be�ven iud"svidual. Art individual asked[o supply privace or confidcncial dara conec,�ing himsalf shat]be inlo�r.�vf; �a�rh�pu�s��epdrd use of�hc rcquecccd da[a wirhin nc�cotleccing stace agency,poli�ica!subdivisioa,ar s�atowide sY��m;(b)wheihen c�may refusc or is lcgaity rzquircd to supply�he requested darr;{c}aqy la�awn consequcnce arising fram his supplyiag or refusino ro supply privxtc or conPidenual da�;and(d)rht idenriry of oxher persons or endaes authorized by state or frderal!aw�o reccive die d$ca. This requirzm<nt shafl not apply whcn an individual is askcd �o supp]y inves�igativs darr, pursuan[�o scchon 13.82, Subdivision 5, to a law cn{oraemenr oPf,ccr. ��S��jssiolteY nP rcvmue mav nlace•hP nnpce reeu�:�rd ihis cuhdivisi0n in the inAivedu�tl ineome rax a�brApercy rax rcfund incrn�crions j�.ctca4 of on tfinee(orms, Subd. 3. Aecess to data by tndividual. Upon reques�ro a responsiblc suthoriry,�n individual shall be informcd whoihcr he�s rha subjecc oF srored dAia on individuats,and whenc�r ic is ciassificd as pub�ic,priva�e or canfidenci�l. Upon his furdtar r�quest,an individua!who is rhe subjec[oPsrnred priva[a or public data on individuals shall bc snown�hc data wirhout any charge co him�nd, if he Aosires,Shall be informed of rhe conrent and mzaning of shac da�s. .4fur an individua!has bcen shown thc priva�e eata and informed oP iis meaning,the d$ta need noc be disc[ostd co him for six monThs[heceaher unleSs a dispute or acrion pursuan�ro rhis sccdon is pendir�g or addirional a$ra on chc indiviclual has been co!lcc�ed or crearcd. "Ihe responsibte authoriry ahaq provida copies oF d�priva�e or public d3c�upon requesc by the individu�!subjecc of the da�a. 7hc responsibl�uuthoriry may rcquirz thc reque�cing person tv pay zhe aca.,at cosu of making,eercifying,and compiling iha eopies. Tht responsibla auihoriry sfnll cotnply immediaaiy,if Po.,sible.wi��qy requase made pursuant w this svbdivision.or within five days oP rhe dscc of�he rcquesc,cxcluaing 5aardays, 5undays aad Iegal l�olidays,iF immadiace compliance is nvt possibla, IP he cannoc eamply widl thc rcqLesi wirhin�ha�rirrse,hc shatl so inform�nc individual,and may havc an addi�ionai five days wiihin which to eomply wi�h�he rac�cnst, excludin�r Sawrdays,Sunc►ays and icgAl holidays. Subd.4. Procedure whea data is not aeeurate or complete. An individual may cantes<<he accuraey or comptcceness of puhEic or privace dar�eonccrning hi�elf. To axcreise[his righ[,an individuai shait no�ify in wririrLq che raspansible authoriry$cscribing the•nacurc of tha disaereerr.en[. 7hc responsiblr aurhoriry st�a)1 within 34 d�ys einc��: (a)eoncec ehe daa found�o be inaccura�e or incomplcce snd attcmpc�o aocify past r:�isien�s of inaccura[c nr incomplere data,inctuding recipiencs named by tpc individual;or(b)nocify rhe individusl�hac he belicves rhe da�a co bz corrcct. Dara in dispuie Sha11 be disNased only if thc individuai's sncement of disagrccmcn[is inefuded wi�h the disclosed dara. The decerminaaon of rhe responsible auchoriry may be appo:�led pursuanc co tho provi�ions of rha adminiscrative proerdure aee relaci�q to conszsrzd cases. I�TA PRY'�'A�Y A�SOR'Y' In accordance wiih M.S. 13.04, Subd. 2, "Right:� of subjects af data", we would like to inform you zhat your requesc for a permi�or license from she Gisy of Orono or any of its departments may require you to furnish certain priva�e or cor1Fdential izlforma[i0n. You are notified chat: 1. The informa[ion you furnish will be us4d to deteruiine your qualification for tize permit or license requested. '-. Xou may refuse �q supply d�ta, but refu:;al may reyuire that the Ciry deny [bt permit or 3icense. �. The informatiotc may be shared with ot?:er Iocal, stale or federal xgencies ta the extent necessary to pracess the permit or ticense_ 4. If your reques�ed permi�oz license requir�:s Councii aeiipn to approve, some infarmation msy become public. 3. You have eertain rights under M.S. 13_Q4 (avaiiable upon request) ta review private daia on yaurseif. 6• Your full name is required �o proeess this application or permit. Firs� hfiddlc i.asi Address Ciry State 2iP Phorx r undtrstand my rights as stated above. Signacure � 6 DATE TI`�� CITY OF ORONO CALLED IN INSPECTION NO�j E �/�/ SCHEDULED � PERMIT N0. ' V /O �'�COMPLETED �y-U � ADDRESS '7`� J7,/)� -S• OWNER CONTR.---��D J�'��K�-� TELEPHONE NO. , f?�� -`�� DESCRIPTION 4./J�/ � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 PLUMB(NG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COM TS: � � ,,. � , �, � � 0 � W � Q � z W � W � � � � 1 ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFIGATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. /�'�� Q-Li'I� White Copylinspector's File Canary CopylSite Notice C� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE scHE�u�E� � � __�� PERMIT NO. � COMPLETED u ADDRESS �/`f� ��wn �S - OWNER CONTR. �/��/°�'�- TELEPHONENO. ��`� �3 "�S�/ � DESCRIPTION �Qm� � Ot FOOTING 17 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � a — �c/lit��i 7z3,� /�-5 d lS W<_:�� J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ��ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next ins ction 24 hours in advance. (952� 249-4600 OwnedContract o Inspector. ' hite Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC � SCHEDULED 3-2Z a '• `'"' ✓�t PERMIT NO. � �'��IS COMPLETED �` �� ADDRESS ��fU ,�,�l�rl�- /�i'��. OWNER CONTR. -��T%-�-`K�-- TELEPHONE N0. ��;�D�C�� (t�,�7� � DESCRIPTION �-��c.�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 4 WALL B . 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 INAL 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � 4� � Q � Z W � W � � � � �GYORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on s' e- Inspector. White Copyllnspector's File Canary CopylSite Notfce V DATE TIME CITY OF ORONO CALLED IN ��5 �', 3� INSPECTION TICE. SCHEDULED �:� PERMIT NO. 4�� COMPLETED '�L `d; �U ADDRESS � �� a�'��+�'� ��`S OWNER CONTR. ��-�-+" d i `��C.� TELEPHONENO. �0�2 �{U � �`1 � � DESCRIPTION I`-��,� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINA 14 SEWER HOOK-UP O6 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 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 MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� �ORKSATISFACTORY:PROCEED ❑ ROJECTCOMPLEfE W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVEHING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContrac o on site: Inspector. ��^� White Copyllnspector's Ffle Canary CopylSite Notice