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HomeMy WebLinkAbout2004-P07035 - addn/remodel/repair CITY OF ORONO PERMIT Permit Number: 2750 Kelley Parkway- PO Box 66 P07035 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6/3/2004 SITE ADDRESS: 3720 Togo Rd Wayzata,MN 55391 PID: 17-117-23-31-0024 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: Eiectricai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 4,000.00 Plan Review Fee: $ 63.18 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 162.93 APPLICANT: Owner/Self OWNER: Herbert Slechta MN 3720 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Sienitures Required),1-Avvlicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page I Total Fee: S Date Received: ►t -7-t- o3 Entered By: PagS Permit#: O-')03.5 CITY OF ORONO - BUILDING PERMIT APPLICATIO All information must be submitted in full before plan review will be s -(please print all information) -------------------------------------------- -----------------------------------------------------r4O-A-' ---- 'l THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 3720 Togo � G P cl ZIP: s Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not IN beallowed. r NAME OF OWNER: Hzv 6 � L jpC f� jo PHONE: (home) q 5-2 -47141S _ e e t (w.� 61 2 - ,56) - In ( i T MAILING ADDRESS: 372-6 o OpW CITY: 24 kq ZIP: CONTRACTOR: S PHONE: CONTACT PERSON: MOBILE/PAGER: o- MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # �o r ARCHITECT/ENGINEER: S Q PHONE: MAILING ADDRESS: CITY: ZIP: s NAME: REGISTRATION# s TYPE OF WORK: New Accessory Structure Addition ` Move Remodel/Alteration X Land Alteration -s PROPOSED WORK(describe in detail): Add i✓� �10 v .Q r JA p w (o f Z a l 0 2 Pm�.�r STORIES: SQ. FEET OF EACH FLOOR: 72 F NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 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: l` DATE: D 5-/7 CoAl 4-- 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. ation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a e'purp and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he ma re a off*legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or co+Yit3 tial afita;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'lndividual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property 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 ofthe 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 nature 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 .eV,6:e V-� FVA L,C t J- s L et G � First Middle Last 3720 Address "yZC,�Q /i'1� 5 3�( �I'. 2 -471 76- City State Zip Phone I understand my rights as stated above. 7 , A&JA Signature i CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3-JZ0 To G o tZz>A-,0 PID: DESCRIPTION OF WORK: 4041 ----------------------------------------------- ---------------- ------------ ---------------- ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: e • i-�-i FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTI(-\TION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION 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: YesNo Date of Survey: S Z O-0 2 --� y Proposed Setbacks: Front (Lake): 9-20 Right Side: I Rear(Street): 4-1cl•S Left Side: —16 .7- Adjacent Adjacent Structures: — Wetland: — Building Height: Def. Hgt. ,v o c tt2!W Peak Hgt. — Lot Coverage: N/p- Grading: Staff Approval Date: — By: Council Approval Date: I Septic: Staff Approval Date: -- By: Zoning File: # -- Resolution: # Resolution Date: Shoreland District: IJ D Avg. Setback: Bluff Setback: L o t C o v e r a g e Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Appro«l: REMARKS (in house): f BUILDING REVIEW CHECK LIST UBC: J?__,� CONSTRUCTION TYPE: V,O-J Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ �j(X6 Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection ( Footing Septic Sewer Connection _D Framing Fireplace Lawn Irrigation _6 Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) 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): C9 F.G. SINGLES R=A4 �a N 15u ROOF HLT � a� UI 2 X 4 ROGF TRU55E5 EXT. AIR FILM R=.61 m BATT INWL.R-36 m POLY V.S. A 516' GYP. BD. R=% INT AIR FILM R=.6] N CA TOTAL e=411.0 SPECIAL NOTE � SE'E ATTACHED SHEET FORsMUI�. D�-c�c�-o., cn /-- NEW SABLE ROCl1 C®DE RECOU E"'=%�=�+ITS LO cn 12AL6M. CRIP EDGE w RUSS I TO (� .. aLLM, scfF'iT Wf'fEVTS m LY ALLM.NRAP FRAM x e FACIA ZCe "0. w A t�� ©Aa�12►v+Q i b" anergy Feel 1 I,_�1, EXT. AIR FILM R=.17 V'E`IL 5510DINIG R=.56 U2'O-S.B. R=.66 314'TOG FLYKOOD R-.66 3 1/2' BATT CISUL,R=19_4) BATT IW-IL. R=WO POLY VAPGR aAWER POLY VAPOR BARRIER 1/2"GYP, BD. R=.45 Z 2 X 10 fLO ,JG6T5 12 X A 6-11105 16'O.C. 1— i11{T AiR RUN R-.&B rINT AIR FIITi R=.6841.0 WAL R=2L.0 QQ d �gOc.Ts P"W 6 L7 � T2E�OTZ4 P�/l.-zL3 - �Q�l T Mr.Fum-as-T5 �•C-- ;U="S"16,0.r- --;U="S"16'o.r- ilN. 'vVGOD TO EARTH SEPARATION 6` PROVIDE 18 X 24 CRA ' -SPACF W-O FLOCK 5G to SLOCKa CITY OF ORnNO ACCLn `..ii ,. �;_J t? �o x d ca(cRErE=TG. r BUILDiiAG PLAN REVIEW 1 WOPECTOR �—rxlsr.F0.N3L14 u a DATE— (. 2 cad F'c�irtilllT IJO. I� w•�.v c-�arN �� To,ST- � � U N DESS L•/lJT'ri1rC FLCO� SY S i�� f- Off. iaci Ni)TED ,-'02 C I �s L 5 a F T Pt'-Lo r�� IK/�►z�(ti-�r4<-S ❑ ,,',T APP,-", 'VEr)---C:}`;9E.0 T&RESUBMIT W, crmmenla are for your iniorrna ian.All V.,16:shall be done 5EC1 IQN in is .rli3nc3 with ai <_pp:icabie building and zcning coot J4"=11.01RQ4 +.;i;)cluding rams;ict steciiica:y nosed in Ihia rev R KEEP THIS PLAN SET ON 31TE AT ALL TIMES 3720) -TGGcG ��Re s [.FcNrq clsZ -471 -9 (s� bb/lb/1bb4 lb:41 bbly34bJbb LNULUS UUkf✓ F'Fllat b1/b� I � I MST. FAM+I,r ROOM I IX15T,8E(}R0011 � 1 I � 4iumnry I I N I EXI5T. KITCHEN - - — —I- - — — — �'Yr. SATN 1 I /r — IX15T. BEDPlAh1 X — — W D FRAMED I;AFTER5— — I - - - - - - - - - - - - - - - - - - - rRl}$s�s I - sFCTION "A" I \; NEW ADDITION WICK FLAN cr I I I NEW GABLE ROOF I H" Bey FacaI +' 1 1'-1I 1/B' iq' FRONT ELEVATION •^I' 3-120 �oGo leoAD PI k6 SLtC 'r,4 '9sZ1s �- F.G. 51NGLE5 R=,44 Irjtt ROOF FELT 1/21 2 X A� ROOF TRUSSFS (' �� /4 7�� 5 7�U EXT. AIR FILM R-11 n BATT INSUL. R=35 POLY V.B. 3 518° GYP, BD. R=.66 INT AIR FILI1 R=.b1 /4����� _V� TOTAL R=41.0 Y► NEW GABLE ROOF a i 12 f jl � r. `` ��` � ---------------- js -.-- energy heel I'-11 IlB,I energy heel N 31 R FILM R-.17 VYNL SI DDING R-;6 314` TfG PLYWOOD Rz,&G 1/2' G.S.B. R-.66 BATT INSUL, R=36.0 3 112° BATT INSUL, R=19.0 FILLY VAPOR BARRIER POLY VAPOR BARRIER 2 X 10 FLOOR JOISTS 112` GYP. BD. R=.45 INT AIR FILM R=,68 2 X 4 5TUD5 16` O.C. IUT AIR FILM R=.66 TOTAL R=41.0 TOTAL R=21.0 ) U-ST.FU".R MISTS 1 ! { { FLOOR-01STS W Q.C.. 1 1 i i Gr 10" BLO:K 1 tU" X 8 CONCRETE F 7 G. i !:X!5i. FOE14��.T:2i I ' i l 1 { ) SECT[ON 1 /.-) �DAj E,� TIME CITY OF ORONO CALLED IN / INSPECTION N T CESCHEDULED lob C20_ 4 / PERMIT NO. 035" COMPLET D ADDRESS 372 : 0 —TD OWNER S/P CONTR. TELEPHONE NO. ?5)-- �7/ - DESCRIPTION Ms tda_ 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c0.� COMMENTS: W C J O O W Q f2 Z W z W cc d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952) 249-4600 Owner/Con tr o .te• Inspector. White Copy/Inspector's File Canary Copy/Site Notice