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Home My WebLink About2003-P06176 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P06176 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeMepair (952) 249-4600 Date Issued: 4/21/2003 SITE ADDRESS: 3601 Togo Rd Wayzata,MN 55391 PID: 17-117-23-42-0021 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 500.00 Plan Review Fee: $ 15.28 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 39.78 APPLICANT: owner/Self OWNER: Thomas Snyder MN 3601 Togo Rd 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. APPLICANT PERMI EE SIGNATURE ISSUE BY SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 1 � ' Total Fee: $ Date Received: 03 Entered By: _� k/) Permit#: 0671 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 OR CONTRACTOR JOB SITE ADDRESS: 360j' T-t)C 0R.6 ZIP: SS 3 I I NAME OF OWNER: -m6M 9N`4dEK PHONE: (home) 9SZ-Y71-7g13 (work) MAILING ADDRESS: -3601 T-D Gb 26 CITY: (,LAfzpTa ZIP: 3 CONq'RACTOR: O(a N&R- PHONE: CONTACT PERSON: MOBILE/PAGER: 1VIAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHTTECT/ENGINEER: OWN EIVL- PHONE: MAIMING ADDRESS: CITY: ZIP: NA_-NIE: REGISTRATION# TYPE OF WORK: New Addition / Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): T1415 WILL gE A MoNo?1rc.H MFrAL,RcwF oyEkt-7AE rxoN y 00o1- STORIES: 2 '/i- SQ. FEET OF EACH FLOOR: 160 , g60, J2.9 NO. OF BEDROOMS: - GARAGE STALLS: ATT. t DET. ESTBIA.TED CONSTRUCTION VALUATION (excluding land): $ ( Z 8-00 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 wiII be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: y•11.0.3 NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 a 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. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,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 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 reye_nuemay Oace the notice re uired under this subdivision in the individual income tax or to erty tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,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 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 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 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, 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the Mature 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 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 correct. 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. 1/2 6,M &6E TSIZ 9N'40,Ek First Middle Last 3 �t'J� i opo rc0 A Address WA'-t zA CA �,.1 13,391 95-2-y 7 + --79I3 City State Zip Phone I understand my rights as stated above. Signature 6 4 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3(.0 1 -T-O&0 20 A",0 PID: DESCRIPTION OF WORK: ENTR is �y,= ZONING REVIEW BY: DATE APPROVED: q-i if-03 BUILDING REVIEW BY: DATE APPROVED: y i 40 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 W No Date of Survey: 4-2 '6 '-T-t -9 7 Proposed Setbacks: Front(Lake): y2' Right Side: 34 Rear(Street): Zoo I + Left Side: Adjacent Structures: A-ry.,4*eV Wetland: N 14- Building Height: Def. Hgt. o.t t Peak Hgt. Lot Coverage: — Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: 2�-f Avg. Setback: nr)n Bluff Setback: N //3 Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' b•j< 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: V^1 Sq Footage $Per Sq Ftg Basement x = 1st Floor x. _ 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 5'o o.oo Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _ e Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _Y—Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): ---___------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 8 ORONO COPY MALI PT.Q DST I � I o I � 1 �,��'�100�• a ct? i �,_ T _ ,, CITY OR_ oaorv® BUILDING P PLAN srEcroa iEw `, ._. - - - - _ - __ - - /�.-� �•.�__ I"�'r?i IIT�1�_..`r" - ❑ - 2(o• The � n � , �\\ \` Aequ rarnE ne i < �I b6 ;� h\tfALTtW�fS PLq cc�e. N SET . _ . Yq O�SSE AT ALL TIMES �- 2xG ?r I! 4 i j QoS� " t i j I :. i o uT /� -IT 5 v /�E� O� TIME CITY OF ORONO CALLED IN INSPECTION NQTIICE SCHEDULEDLT ✓?� PERMIT NO. t`0 Le 1 -7 COMPLETED ADDSS N -T OWNER �W4'�'� CONTR. TELEPHONE NO. 015 Z - LLQ DESCRIPTION V C F1 NC 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 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 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTORTOMEETYOU: YES—NO COMMENTS: cc W CL J O cc O W cc Q Z W W cc Wo WORK SATISFACTORY:PROCEED El PROJECT COMPLETE O W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractof Qn Inspector. - White Copy/Inspector's File Canary Copy/Site Notice (5&) DATE TIME CITY OF ORONO CALLED IN INSPECTIONIC SCHEDULED S-/ -0.3 /:30 PERMIT NO.B�L�-� COMPLETED w/ 9WNE S _ 36 /? CONTR. TELEPHONE NO. 9,51--547/- 79/3 DESCRIPTION 141 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 INAL 14 SEWER HOOK-UP 06 PROGRESS EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TOMEET YOU:ZYES_NO COMMENTS: W a j O cc O W cc Q 2 W Z W CC UO f ORKSATISFACTORY.PROCEED /pROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the net inspection 24 hours in advance. (952) 249-4600 Owner/Con osite: Inspector. White CopylInspector's Fil Canary Copy/Site Notice 1 . ! 588484 Certificate of survey for Thomas Snyder : of Lot 1 , Block 1 , BRENTEN WOODS' , Hennepin County, Minnesota C'O 0 N N TOGO ROAD N +O -- N 89048' 30" E 146.03 n /.5 o ------------------------- ------------------- -- ! •j• M-- Or ORONO PLA GRA PLAN 5; Proposed additions. r APPROV A rJ ontS C? APPROVED ' EVISIONS I DISAPP �D b Fk?S.2 BY -�- - - -42.6 �k CITTOF X SITE PLAN GRADING*PLAN dR APPROVED £�r�rty /l«,F mop.rno.J ' 0 APPROVED WITH REVISIONS ❑ USAM VE N ",�'°j BY ' DATE `-1-110 -03 w LEGAL DESCRIPTION 'OF PREMISES: o %4j Lot 1, Block 1, BRENTEN WOODS o ;�•Drainage and ' .^ /0 Y o utility easements ';' ry o ;C.2 This survey intends to show the boundaries of the above ' described property, the location of an existing house and deck thereon, and the proposed location of two proposed additions. It does not purport to: show any other improve— ments or encroachments. o Iron marker Bearings shown are based upon an assumed datum r , / / / 'I hereby certify that this survey was prepared by me orrunder my direct super- DATE 5-1-97 1 vision, and that I am a duly registered Civil Engineer and Land Surveyor under the laws of the State of Minnesota. SCALE 1"=30' loa NO.97//2 Mark S. Gronberg Minnesota License Number 12755