HomeMy WebLinkAbout1991-003582 - remodel kitchen PERMIT
CITY'OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: SIGN
Crystal Bay, Minnesota 55323 Date Issued: {}t--9 9-4-514-
(612) 473-7357 BU I LD I NG
SITE ADDRESS: 0 Q. L1�
013/13/91
38S TURNHAM RD
DFS RIPTION:
P. I . N. . =31-118-23-31-0003
REMODEL KITCHEN
Building Permit 'Type SF-ADD/REMODEL
Building Work Type RENOVATE/REMODEL
UBC Occupancy 88 R-=3
Construction Type �
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REMARKS:
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FEE SUMMARY: 22
'
PLS 1 ,- � SAL, WOOD STOVE ANS ELE R I
SEPARATE PERMITS REWIRED:
(STATE) FI ETT'T-Tl*(h(i Y�'b''
7}LVI r�'I1is VV1tIV f vu-bl{
VALUATION $1S,t)00 ���Oi.°rtTi
Ease Fee $162.00
Plan Review $105. 30
Surcharge ---------$7.51Q)
Total Fee $174 .80
CONTRACTOR: OWNER:
-- --
i Applicant i c an t
PETRUSHA FRANK
19343557 JAMESMICHAEL
r r:
ROIN
., - - ` .
E t' tit
SPECIFIED AND AGREES TO DO ALL WORK: I N STRICT C:C+MF't_I ANC:E W
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OR S ANi :=:T ++F MINNESOTA EUILDING R QUI ENT`s.
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APPLICANT/PERMITEE SIGNATURE SUED BY:SIGNATURE
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
J G
ADDRESS OR LEGAL: � CV'��'1 /1 C( h'1 �G` r PID: 2�.
DESCRIPTION OF WORK: k rt Ll=� 4r"O
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ZONING REVIEW BY: Iy�� DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED
------------- -
- -------- - ( -------------.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes L,,-'No
PLAN REVIEW Yes_ No SEWER CONNECTION
STATE SURCHARGE Yes_,C�No -e!-wt WATER CONNECTION
INVESTIGATION FEE Yes No L,:� PARK FEE
SAC Yes No �/ SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Office School District:
Lot Area: Width: De t
Survey Submitted- Yes N Date f Survey:
Proposed Setback
Front (Lake) : Right Side:
Rear ( Street) : Left ide:
Adjacent St uct res : Wetla d:
Building Height: Def Hgt. Pe k Hgt.
Avg. Setback: Lot Cover ge:
Exi ting Propose
Hardcover: 0-75 ' '
75-250 '
250-500
500-1000
Hardcover Variance Required: es No ate of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date
Septic: Staff A proval Date: By:
Zoning File:# Resolution h - Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: 3�1 3 CONSTRUCTION TYPE: --
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x =
Garage x =
x =
TOTAL
0
Estimated Construction value: $ /5000 `'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing 'Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other o S-rov-C
,LFinal (Mfg. ) Well State Permit
Other Electrical (State Permit)
REMARKS (IN HOUSE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT) :
CITY OF ORR/O�NO - BUILDING PERMIT APPLICATION
Total Fee: $ a ��„b Date Received: q�
f\ Date Approved:
Entered By: 1 '
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
---------------------------------------- --------------------------
THE APPLICANT IS: (circle one) OWNER o NTRACTO
JOB SITE ADDRESS: �.��1��,� _ ZIP:
(work) L
NAME OF OWNER:
•yyt,c; � �i D ..,. PHONE: (home) 12 3 -L a b
MAILING ADD]!�ESS Q� ,�n�Q� �.o CITY: ZIP:
CONTRACTOR: � � �iG PHONE:
MAILING ADDRESS: /S'y(o 7Z._z,0a0A CITY: ZIP: ST3 9
TYPE OF WORK: New Addition Accessory Structure Move
Demo Rem�r/Alteration_ Renovate Land Alteration
PROPOSED WORK (describe in detail) : moi- 04rg:,&
STORIES: SQ. FEET OF EACH FLOOR:
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. `
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APPLICANT'S SIGNATURE: DATE:
t
1
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
s • • On the North Shore of Lake Minnetonka
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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
Fg,4 M,J(, i'0 �L 1 ��'1�Y U.S k 19.
First Middle Last
ISS/ b
Address
, 2e,ti Aout iz Mh _c'S 3N 7
City State Zip
Phone
I understand my rights as stated above.
its� � •
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473.7358 • PUBLIC WORKS—473-7359
ASSESSING -
S13.04 RIGHTS OF SUBJSC M OF DATA
Subdivision L Type of data. The rights of individuals 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
he
purpose and intended use of the requested t whe her he mayhin the ecting re use or is legally
political subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (c) anyof
supplying or refusing to supply private or confidential data; and (d) the identity is
other persons or entities authorized by state is askedral lto supplyw to einvestigativeive data,
requirement shall not apply when an individual
pursuant to section 13.62, subdivision 59 to a law enforcement officer.
der
is
The commissioner of revenue ma lnt tax roound instructionsinsteadhof
subdivision in the individual income tax orprop,
on those orms. -- -
Subd. 3. Access to
data by individual• Upon request to a responsible
d data on
authority, an individual shall be info rmedawhether public, pr'vateeor confident al.subject of e Upon his
individuals; and whether it is classified p public data on
further request, an individual who is the subject cage to hired m and, if hdesires, shall
individuals shall be shown the data withoutof that data. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaingn
pursuant to this section is
him for six months thereafter unless a dispute
ending or additional data on the individual has a e or public eddatarupon request by
ted. The
p provide copies of th p require the
responsible authority shall pr p responsible authority may compiling the
the individual subject ofthe the actual• The costs of making, certifying, and comp g
requesting person to pay
copies. Immediately, if possible, with any request
The responsible authority shall comply i of the date of the request,
made pursuant to this subdivision, or within five days
immediate compliance is not
excluding Saturdays, Sundays and legal holidays,
if possible. If he cannot comply with the request within
at withinthat tw ch tohcomply with h the
so in
p have an additional five y5
individual, and may and legal holidays.
request, excluding Saturdays, Sundays g
Subd. 4. Procedure when data is not acuate or complete. An individual may
public or private data concerning himself. To
contest the accuracy or, completeness"of p in writing the responsible authority
exercise this right, an individual shall notify authority shall within 30
describing the nature of the disagreement. The responsible and attempt to
days either: (a) correct the data found to be inaccurate or incomplete named
notify past recipients of inaccurate or incomplete data�,l including
rdata ecipients
s correct
• or (b) notify the individual disagreement is
Data in disputethe shall be disclosed only if the individual's statement of
included with the disclosed data. be appealed pursuant to the
elating
The determination of the responsible authority may o ontested cases.
provisions of the administrative procedure act r
DATES TIME
CITY OF ORONO CALLED IN c3
INSPECTION NOTICE SCHEDULED t3 076- //
PERMIT NO. COMPLETED >t'
ADDRESS 2
OWNER a__77 d CONTR. 4:&dd1,&4
TELEPHONE N .
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
—MfTrQ AMIN 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSU TION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Q
12 WATER HOOK-UP 34 TREE REMOVAL
13 METER SET/TURN ON 17 SITE INSPECTION
§:407DPO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAI NT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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COMMENTS:
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WW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrao site:
Inspector.
White CopyMspectoes File Canary Copy/Site Notice
DATE
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. CO PLETED Z
ADDRESS /' rok CL
OWNER �tMeS CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h (g;;�ULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAI NT 21 COMPLAINT
14
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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ORKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE
W
RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
I]INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor-on '
Inspector.
White Copylinspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN AT�/ o A '
INSPECTION NOTICE SCHEDULED - /7 �V��
PERMIT NO.- COMPLETED 5�� COMPLETED �( G
ADDRESS d S5
OWNER -� CONTR.
TELEPHONE NO. f34-
- -J)S57
3Z DESCRIPTION
4j 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y TION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z4 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
h COMMENTS:
W
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2
W
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12
Z
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W
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cc ❑CORRECT WORK 8&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑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.
Cali for the next inspection 24 hours in advance.473-7357
Owner/Contract e-
Inspector. yj
White Copyflnspectoes lim Canary Copy/She Nofte
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT �j SCHEDULED
PERMIT NO. O COMPLETED 1{ q
ADDRESS
OWNER CONTR. S e0115-1,
TELEPHONIVNO.
DESCRIPTION 16'1yLC- '
L4 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO M ET YO _YE _NO
cd., COMMENTS: r.4 rAA tv J rt `tA
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W� ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
QO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra site:
Inspector. U
White Copyllnspect is File Canary Copy/Site Notice