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Home My WebLink About2001-P04496 - addn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04496 Crystal�Bay, Minnesota 55323 P@fr711t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: lo�3ii2ooi SITE ADDRESS: 1290 Lyman Ave Wayzata,MN 55391 PID: o2-ti�-23-2t-000i DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai r,iectricai�siatej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,833.75 Valuation: $ 250,000.00 Plan Review Fee: $ 1,192.03 State Surcharge Fee: $ 125.00 TOTAL FEE: $ 3,150.78 APPLICANT: Morr Construction Service, Inc. OWNER: Steve Melberg 3623 Pascal Ave N. 1290 Lyman Arden Hills,MN SSll2 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 ` (- ��,�/� �"l,, , _L ��' � , ,',:`,� � , APPLICAN ERMITEESIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(Si,enitures Repuired), 1-Aoolicant. 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 Total Fee: $ �� :�L- - ��` Date Received: � �� /t>t i,. Enter�d By: /?t_? Permit#: i� --�-�=+'� . � ��y�r�: - � - . - <"�� %� � CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: /`.-� `"�U C l�f'�ct_�� r'l v';' ZIP: ,' ' ' ,�' NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: , �� CONTRACTOR: �r'� �." ' dat �.�V(C�y 14 u PHONE: �S� "G� .�?'�1,3�J CONTACT PERSON:�r� ,�.y, MOBILE/PAGER f�(�-' " Z�C `�' MAILING ADDRESS: 3e(�� .�v.�,c'rL� X1 CITY: j, �- ZIP: ��l( 2 STATE LICENSE: # '7��(� ARCHITECT/ENGINEER: /\�,,.�� C,�E�:c� � 1� PHONE: �=J I �`�7''( l� J�' MAILING ADDRESS: CI Y: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition_� Accessory Structure Move Remodel/Alteration Land Alteration . � PROPOSED WORK(describe in detai�: �'��i� l��/�z��7� , 2 `/ X� Z`�� --��z�E /'(,'��c� r��c�t� ��-�t�-e� �L �t e STORIES: �_ SQ. FEET OF EACH FLOOR: 5 � �-�� NO. OF BEDROOMS: GARAGE STALLS: ATT. _� D ___ _ � ESTIMATED CONSTRUCTION VALUATION (excluding land): .�j�,� (`��(`� � � T I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the 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: '� �r�k DATE: G"� NOTE! Parade o�'Homes events require separate permit approval by Po ice eparlment and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 stored shall be as set forth in this section. � Subd.2. Inforination required to be�ven iadividual. An individual asked to supply private or confidential dara concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal 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 law to receive the data. This requirement shall not apply when an individual is asked to supply invesagative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revern►e mav�lace the notice rewired under this subdivision in the individual income tax or orocertv taz refund instrucrions instead of on those forrtts. 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 classif'ied as public,private or co�dential. 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 i�ividual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter utiless 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 pmvide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the acNal 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 widtin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he 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, ezcluding Saardays,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 concerning himself. To exercise this right,an ic�ividual shall notify in wtiting the rosponsible authority describing the t�ature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or it►complete and attempt to notify past recipient�of inaccurate or incomplete data,including recipienu named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisioas 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 �ity of Orono or any of its departments may require you to fumish certain private or confidential information. You aze 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 shazed with other local, state or federal agencies to the extent necessary to process the pemut 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 Ciry State Zip Phone I understand my rights as stated above. Signamre 6 4 .� CHECK OFF LIST FOR ISSUANCE OF PERMITS . FOR OFFICE USE ONLY ADDRESS OR LEGAL: /Z,g p Ly� q.,,Q PID: DESCRIPTION OF WORK: _ �c}.,p,p, r��1 ZONING REVIEW BY: ��----------------DATE APPROVED: ---io-u •n�--- BUII..DING REVIEW BY: DATE APPROVED: �c,.Z.c.�_c,� 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 (specify) ZONING CHECK LIST zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: oru P�l.� N-2-f�5 Proposed Setbacks: L14�'�1� l�p �p' 6�� Front(Lake): S3 (�t Right Side: O� 1 ZU �-�- Reaz (Street): 5 ` S��'Left Side: 3� t 30�t Adjacent Structures: Ar'�'�'RCMt� Wedand: �V J/f Bullding Height: Def. Hgt. d�� Peak Hgt. O•!Z Lot Coverage: bl� Grading: Staff Approval Date: '—' By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: N d Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 �_ . �. � � BUII.DING REVIEW CHECK LIST UBC: /t, • 3 CONSTRUCTION TYPE: �/� Sq Footage $Per Sq Ftg Basement x = lst�'loor z = 2nd Floor x = Gazage z = R = TOTAL Estimated Construction Value: $ 2 5'��OO�� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal �Mechanical Water Connection _�Footing Septic Sewer Connection Framing Fireplace Lawn Inigation �Insulation (Masonry) Other _�Wall Boazd (Mfg.) Well(State Permit) _�Final GradinglFilling �C Electrical (State Permit) Other REMARKS(IN HOUSE): ---________________ _--�-----_-----------------------------------�----------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI'1�: 8 , / �� DATE TIME CITY OF ORONO � CALLED IN INSPECTION NOTIC �/ SCHEDULED PERMIT NO. T� COMPLETED =� ^� �� ADDRESS /�?��D ��0�/� _ OWNER CONTR. �O/�Y �r�7�S"7� TELEPHONE N0. (ol�� — -�(o�„ -E�C�/� � DESCRIPTION •ltl'Y�}f�j'b0, � 01 FOOTING 11 MECHANICAL RI 18 E) �//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOHTOMEETYOU: YES_NO � OMMENTS: W a j D 0 � � 0 � W � Q � z W � W � � d W� �ORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE W �O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ��'-��'"� White Copylinspector's File Canary Copy/Site NoHce o�--Q� . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT,IC//E,�/��ry SCHEDULED � _� �z�'� PERMIT N0. �1 '7 / �/ COMPLETED �� ^� ADDRESS �� , 1 s r�I ,�(.. OWNER CONTR. � 0� �u��rS�s_ TELEPHONE NO. / J �� G��i' �a l� � DESCRIPTION ��Z-(�� G�� lu Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FI AL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � C NTS: � �. J ��- O �. � W � Q � 2 W � �u � � � d W� /�DqORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac or on site: Inspector. � � White Copyllnspector's File Canary CopylSite Nodce ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NO E C��'f(� SCHEDULED PERMIT NO �� 1 l T'" COMPLETED `-� � � ADDRESS � � G�`1 I�l!�� OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � 01 F� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q L� FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOL.LOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C(�,MMENTS: ' � ; �7'� ' ��✓c�2' S S � Ct..� _ .� � 0 � � o � �Q �::�i5-�t W '� � t Q � Z W � W � j d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr on site: Inspector,�� , White Copyllnspector's File Canary Copy/Site Notice ,t .:s ^ - � - DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIQQ� (j�L��SCHEDULED L� 3��— PERMIT N0. �`V � COMPLETED �� j � �� ADDRESS l:a��O �- �//�'�C.C� �t/� OWNER �CONTR. ��;C.Z..J/� ��,� TELEPHONE N0. �`YS� �(-'� �„�� DESCRIPTION "�� S ZA- 1 �� l � 01 FOOTING 11 MECHANICAL RI 18 EXCA�I/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 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 OEMO-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: � W a � � O � � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advarice. (g52) 249-46�0 OwnerlContr�ctor on site: Ins ector. -li � � �� "�� P ��— White Copy/inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CA ED IN INSPECTION N TICE f�Q�j� SCHEDULED ' PERMIT NO. ! !`� COMPLETED � �� ADDRESS Lc� O �� (/e- OWNER CONTR. dVl 00�COnS7'� TELEPHONE NO. �oSI �O� 3 �"� � �v9 � DESCRIPTION <��` , L l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNERICONTRACTORTO MEETYOU: YES_NO � C� MJ,VTS: a � � � G� � o � � ' �. � o� � W � Q � z W � W � � GW/�1M1IJORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector.�� White Copyllnspector's Ffle Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE` / SCHEDULED `�L�� : U ,!� PERMIT N0. ��-I�� COMPLETED L� � �O ADDRESS �� 1 ,�/�7'yt t.t_�1't_. �/!/L� OWNER CONTR. �/I G�l/7�-(� TELEPHONENO. �D� �3[p��_��f C'� � DESCRIPTION ��" �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORFIWETLANDS 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 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 � OW ER/CONTRACTOR TO MEET YOU:�ES_NO � O M�TS: a �-C S � C�. Gc..� � >.' — r � _ . 0 � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector.��1��6��,,�) White Copyllnspector's File Canary Copy/Site Notice