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Home My WebLink About2002-P05475 - addn/remodel/repair CITY F R PERMIT �� N� Permit Number: 275Q Kelley Parkway- PO Box 66 Posa�s Cry`stal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: aii9�2oo2 SITE ADDRESS: 3513 Lyric Ave Wayzata,MN 55391 PID: 17-117-23-43-0101 DESCRIPTION: UBc occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Pemut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: n-_-�_r_-'-- - - �------- . G�:».. .......:................:bG FEE SUMMARY: Permit Fee: $ 748.75 Valuation• $ 65,000.00 Plan Review Fee: State Surcharge Fee: $ 33.00 TOTAL FEE: $ 781.75 APPLICANT' Southwest Construction Company OWNER' �'illiam&Julia Dolder � 8610 182nd Ave S.E. � 3513 Lyric Ave Becker,MN 55308 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. � - APPLIC N PERMITEE SIGNATU D BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 � ��i �S � � � Total Fee: $ _ ly�¢ ate Received: �-�- �� ntered By: �N�w I Permit#: _ -�? �`�`7S CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------__=---- ---�------------------------- THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR' ___------- JOB SITE ADDRESS: �`� � 3 �-�i'z-�� +��- ZIP: �5 3 9 I NAME C3F OWNER: \ ��\ i A r��r�¢..2 PHOivE: (home) q�a-� � - �,�3�3 (work) MAILING ADDRESS: 3� � 3 �-�rt'�c r�v� CITY: �,;c,,,T�u�� ZIP: S�;-�� CONTRACTOR: Ljc��-�h w�S� Cor�y��.u e��i orU G c�� PHONE: tp+�- �a� -� �3�I �a CONI'ACT PERSON: B�c�,fz�t �c.1�w�+�-e� MOBILE/PAGER: ��3.-��S- o��-J MAILING ADDRESS: ��,� �4.� ""q v� ;, ►�_ CITY: �c-ke r� ZIP: �5 3�� STATE LICENSE: # �o a'►`�`�3�O ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �� c�.n� �n�.: �rx,��«�� -��u�h�1�-�sz_ C,t�ti�� t�o� � � `�� , (�F� 1 �A STORIES: � SQ.F`EET OF EACH FLOOR: �5� �� NO. OF BEDROOMS: {� GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (0 5 ,v ��.��' I hereby apply for a building pemut 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-t�s is nqt a permit and work is not to start without a pemut; and that the work will be in ac�r��p� nc� �v' the approved plan. :, —� `,1��,� i APPLICANT'S SIGNATL�:-+- �, DATE: � � S- c'� NOTE! Parade Qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will nat be allowed. Sec.13.04 RIGFTTS OF S[JBJECTS OF DaT.� • Subd. 1. Type of data. The righa of iadividual on whom the data is stored or to be stored shall be as set fo�th in this secdon. Subd.2. Information reqirired to be givm individual. An individual asked to supply private or coafidential data concerning himself shall be informed of: (a)the pu�pose and inteaded use of the reques�ed data wirhin the collecang 3tate agency,poliacal subdivision,oc srauwide rysum; (b)whether he may refuse ot is legatly required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply privau or confidenda!data;and(d)the idenary of other penons or enrides auchorized by state or federal law W receive the data. This requirement shatl not apply when an individual is asked to supp(y invesdgadve dara,punuanc to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place che noace rcwired under this subdivision in the individual income tax or praoectv taz refund instrucdons instead of on those forms. Subd.3. Access to data by individuai. Upon request to a iesponsible authoriry,an individual shall be informed whethec he is the subject of stored data on individuals,and whecher it is classifted as public,private or confidenaal. Upon his further request,an individual who is the subject of swred pcirate or public data on individuals shall be shown che data without any charge to him and;if he desires,shall be informed of the content and meaning of rhat data. ARer an individual has been shown the private data and informed of its meaning,the data need not be disclosed Do him for siz months thereafter unless a dispute or acaon punvant[o this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall pmvide copies of the privau or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual costs of making,certifying,and compiling the copies. • The responsible authoriry shall comply immediately,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 possible. If he caanot comply with ihe request within that tune,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data tc not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurau or incomplete and attempt to notify past recipients of inaccurate or incomplete data,inciuding recipients named by the individual;or(b)notify the individual that he believes d�e data to be correct. Data in dispute shalt be disclosed only if�he individual's statemenc of disagreement is included with rhe disclosed data. The determinauon of the responsible auchoriry may be appealed pursuant to[he provisions of ehe administradve procedure act relating to contesud 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 Ciry 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. g�� Middle Last Address . Ciry Srdte Zip Phone derstand my righ s ted abov . � ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3s t 3 c_y��L ;�v L � PID: DESCRIPTION OF WORK: s;c%;�w. t�,�wwc:��, (u==-�F'.4��/'`l�,r2�.c rrr;urc /�+.Yw�;C �.:�'.�.� rY'�::e� ZOVPIG REVIE�V BY: �l,°I f-1 DATE APPROVED: BUII.,DING REVIE`V BY: ��Y�_ DATE APPROVED: �- r3 � � --- ____-----_ --,r----- - -----------------------------------------=--------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes � No PLA1�1 REVIEW Yes No �� SEWER CONNECITON STATE SURCHARGE Yes _� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: ��% �,�s�,,� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Dep[h Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Fron[(Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetlan • Building Height: Def. Hgt. Peak Hg . Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Res lution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Covera�e: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REV�W CHECK LIST � �C� �� CONSTRUCTTON TYPE: `1/� Sq Footage $Per Sq Ftg Basement x = lst Floor z = 2nd Floor x _ Garage x = z — TOTAL F,stimated Construction Value: $ C; J, �c;�;"" Inspections Required: �Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection �Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other u( Wall Board (Mfg.) Well (State Permit) o�-Final Grading/Filling Electrical (State Permit) O[her REMARKS(IN HOUSE): -------------------- REVIEW BY OTHERS: DAT'E: Access: Existing New Access Approval: Date gy; ------------ REMARKS (TO BE NOT'ED ON PERivIIT�: 8 � DA7E TIME CITY OF ORONO CALLED IN �L''"�'' •-C�7 INSPECTION NO ICE SCHEDULED .�'d��S�-OY � %�— PERMIT NO. �� -� COMPLEfED ADDRESS ��3 LC✓��-e� OWNER ' .• �� CONTR. ��`�-�� C�� TELEPHONE NO. L� �� - S'�.S 'C%Z�- 7 � DESCRIPTION _ � /t'-�sn ��ti l� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING 02 FRAMIN� 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra�o ite: Inspector. � � White Copyllnspecto's File Ca�ary CopylSite Notice � DATE TIME CITY OF ORONO r // CALLED IN INSPECTION NOTICE V SCHEDULED � �� d �'�%�-' PERMIT NO._�'P�=.4�`�`� COMPLETED ADDRESS_ �3 S i 3 L �� r- � C �1 � �= OWNER CONTR. S - w . �-c,-nSt . TELEPHONE NO. i c i ;� - SS 1� - �%Z-�-� � DESCRIPTION � �� ✓��-� -' �� '�'��`� ( � 01 FOOTING 11 MECNANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 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 0 INAL 14 SEWER HOOK-UP 06 PROGRESS � 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL / 15 SEPTIC INSTALL. 22 FOLLOW-UP = 0 PLUMBING RI % 23 SEPTIC FINAL 35 HARD COVER REMOVAL 0 UMBING FINAL /� 36 FOUNDATION/REMOVAL � WNERICO�RACZOR TO MEET YOU:_YES_NO �� 1 � COMMENTS: u.-�'1'�� V1C, — �C`I E'�— � Q '`'l 3 � � 0 � �� I S �f . 0 � , W � , Q � - �� W / � W \ � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (952� 249-46�0 OwnedContra�t� ite: Inspector. � White Copyllnspector's File Canary Copy/Site Notice DATE E CITY OF ORONO CALIED IN l�a`�-4'2 INSPECTION OTICE � SCHEDULED /D-'�S-O� �/ PERMIT NO. � ��S COMPLETED N ' ADDRESS ��'-� i�i.�.,e� � OWNER ��-�/ CONTR. .�S��c.�Ct�� TELEPHONE NO. �r�Z �7'�--�'zZ� � DESCRIPTION �`►.�._e--s�n.�� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 F MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y INSULATI 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � q � �/r� � � 0 � �K 5 r0 0 � W � Q � Z W � W � � O W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-46�� OwnerlConUac o ite: Inspector. - White Copyllnspector' File Canary Copy/Sfte Notice