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Home My WebLink About1995-007309 - remodel kitchen PERMIT CITYPOF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612)473--,357 Date Issued: SITE ADDRESS: 4025 WATCRTOWN Ri) J P . I . N . : DESCRIPTION: REVVEL K1TC%'--J.* Building Permit Type Evildins Work Typl,� RENCNATEXEMODEL. USC Occupancy Construction Typc.- CITY As OW-11imik-i 13.111".0 0 0 0 0 11344570 REMARKS: SEPARATE STATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: Base Fee $99 . V-, Total Fv�; V02 . 2S CONTRACTOR: OWNER: 402S WPTERTOWN RD MN 55359 472-7246 THE L)NOERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPf�i�PVEMENTS , � I IN 13TFZICIT COMPLIANCE WITH= SPECIFIED AND AGREES TO DO ALLVORI 'r ; ORONO 'ORDINANCES AND STATE OF MINNESTATA EWILDING COOS PQQVIR-ME S— L lX �-ZPPbANT/PERIVIITEE SIGNATURE 0 ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 02S G✓A "`'^� PID DESCRIPTION OF WORK: 00" K1 --------- ----- ------------------ -------------DATE APPROVED: ZONING REVIEW BY: ( '�*�'� DATE APPROVED BUILDING REVIEW BY: --------�------------------ ------------------ -------------------- Y FEES TO BE CHARGED: Misc. Fees Calculate PERMIT Yes �No PLAN REVIEW Yes No WATER CONNECTION ✓' SEWER CONNECTION STATE SURCHARGE Yes ✓No INVESTIGATION FEE Yes No_�/ PARK FEE SAC Yes No SITE INSPECTION OTHER (specify) Number of SAC Units ----------------------------------------------- ----------- ZONING CHECK LIST Zoning District: Fire Department: Post Office: Sc oo District: Lot Area: Width: Dep Survey Submitted : Yes No ate of Survey: Proposed Setbac s Right ide: Front (Lak ) : Rear (Stre t) Left ide: Adjacent ruc ures: W tland: Building Heigh De . Hgt• Peak Hgt. Lot overage: Avg. Setback: pr posed fisting Hardcover: 0 5 ' 75- 50 ' 250 500 ' 500- 000 ' Req ' r d: Ye No Date of Cou cil Approval: Hardcover ariance Grading: S aff Approval D te: By: Counci Approval Date:,_,_ Septic: S f f Approval e: By: Zoning File:#_ Resolut' n #: Resol tion Date:____ REMARKS (in house) : BUILDING REVIEW CHECK LIST + UBC: 0-- -5 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x 1st Floor x 2nd Floor x = Garage x x = TOTAL Estimated Construction Value: $ 5 00 Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire _LFraming Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation - Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) --------------------------------------------- --------------- R_EMARKS (INHOUSE) : ------------=-------------------------------- ----------------- REVIEW BY OTHERS: DATE: Access: Existing New 1 Access Approval: Date --------------------------------------------- ----------- REMARKS (TO BE NOTED ON PERMIT) : ` CITY OF ORONO - BUILDING PENT APPLICATION jDate Received: Total Fee: $ Date Approved:2Entered By: ' PermitA: --�--3o ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ----------- ------ ------------------------------ - ------------ THE APPLICANT IS: (circle one) cOrN ZIP: OWNER or CONTRACTOR JOB SITE ADDRESS: (work) PHONE: (home) 3 ---A NAME OF OWNER: MAILING ADDRESS: Cl��lf CITY: I( � 1' + ZIP: � .3 PHONE: CONTRACTOR: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: —> CITY: ZIP NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration__ PROPOSED WORK (describe in detail) : Y ISI�JYI IN A�1 E t1,� / tn- STORIES:_ SQ. FEST OF EACH FLOOR: GARAGE STALLS: ATT. DET. NO. OF BEDROOMS:_,__ , ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ T hereby apply for a building permit and I acknowledge that the informatic above is complete and accurate; that the work will be in conformance with th d codes of the City and with the State Building Code; that ordinances an it and work is not to start without a permit; an understand this is not a perm that the work will be in acc dance with the approved plan. DATE: APPLICANT'S SIGNATURE: CITE' ®f ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF e _ONG 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. L4ULA �Dr First Middle Last a W Address City State ip C�b1 `13 - Pho e I and to d my rights as stated above. C� Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 PUBLIC WORKS—473-7359 ASSESSING 513.04 RIGHTS OF SUWECTS OF DATA hts of in 'viduals on whom the data is Subdivision L Type of data. The rig stored or to be stored shall be as set forth in this section An.individual asked to to be given ink tel' Subd. 2. Information requifed himself hall be informed of: (aency, supply private or confidential data concerning d intended use of the requested data withi the collecting efusesort is age legally purpose an or statewide system; (b) whethe he may from his (c) any }mown consequence arising political subdivision, and (d) the identity of required to supply the requested data; or refusing to supply private or confidential data; the data. supplying authorized by state or federal law to receive vest gat ve data, other persons or entities requirement shall not apply whenlo individual law en ort mentuofficer. pursuant to section 13.62, subdivis , of revenue ma lace the notice required under this The commissioneror roperty to re and instructions instead o subdivision in the individual income tax _ on those orms. responsible individual- �� Up n request to a resp d data on Subd. 3. Access to data by individual shall be informed whether he � teeor confident al.�bject of e Upon his authority, an in ified as public, p private or public data on individuals, and whether it is class if he desires, shall further request, an individual who the subject charge sc him and, been individuals shall be shown the data without hat data. After an individual has th data need not be disclosed to 6e informed of the content and meaning pursuant to this section is shown the private data and informed of its meaning, actin p collected or created. The him for six months the unless a dispute bee ,Ipublic data upon request by pending or additional data on the individual h ate or p require the responsible authority shall provide copies of the private authority may ui the the The responsible and comp g the individual sonsubject PBYf the actual costs of making, requesting p y� possible, with any request copies. comply immediate if The responsible authority shaIlor within five day of the date of the request, made pursuant to this subdivision, holidays, if immediate compliance is not Sundays and legal rm the excluding Saturdays, 1 with the request within ttatwhich to h comply with the possible. If he cannot come Yive ys individual, and may have an additio send le aldholida 1 request, excluding Saturdays, Sundays g to r complete. An individual To Subd. 4. procedure when data is not accurate c a data concerning himself. contest the accuracy or completeness of public or P the responsible au exercise this right, thority an individual shall no in wr ting Bement. The r�P° ible authority shall within 30 describing the nature of the disagreement- lete and attempt to late ur , including recipients named by days either. (a) correct t�cda�afound incomp be naccura a or income to to be correct. notify past recipients of i Bement is the individual; or (b) notify the individual that he b 'eves the shall be disclosed only if the individual's statement of disagr Data in disputeBaled pursuant to the included with the disclosed data• a be ape The determination of the responsible authority contested cases provisions of the administrative procedure act relating clirm t)il OPONW. two IT..; MAN Rl�. PERMIT N& S PEECIAL NOTE A;)PROVED *,,";�TH CO'RM-FIGN3 AS N'- CT & RESUBMIT AppgoVED --- CORP- ` ATTACHED ii a Its are for your tr,,,or,71a4�cn. All WOrV R lk-t -'k'�"no & �z tau nw,43no6*tth W"�cff6le j nom not speel�,-Ia:iy nnted in thm mew its Induclin COE REQ 1I AlRENI-E N-1 S p L nMW SLq ON Sl-(F- Pki 4L 1 !I 7 cie ......... VA,-Y, V-o t cob 0 A-U— ri CAajAjeT c- r OIC Zoo/& W-10, A.'-4' ;r DATE TIME CITY OF ORONO CALLED IN �D �-�3 —2 3v INSPECTION NOTICE SCHEDULED /D /-7 PERMIT NO. COMPLETED Li ADDRESS �a OWNER CONTR. TELEPHONE NO. c7 3- 7.,7 DESCRIPTION 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O a o; O 2 W QC Q 2 W Z W cc LU -�4WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 171 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the neqi nspection 24 hours in advance.473-7357 Owner/Con one: Inspector. 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