HomeMy WebLinkAbout1993 - 005379 - kitchen remodel PERMIT
CITY OF ORONO PERMIT TYPE:
2750 KelleyParkway • P.O. Box 815 Bt_.I LI) N
Permit Number: ?°_J
Orono, Minnesota 55356-0815 Date Issued:
(612) 473-7357 08/02/9 .:
SITE ADDRESS:
R6-,0 WI ,ED.i AMMER LA
CH
P . 1 . N_ , 07-117-2 -11-001i
DESCRIPTION:
KITCHEN REMODEE 1
C:l;1Iding Perm L- Type •-•1 -ADO/REMODEL
_RCd1 I:_,, r,_a W;11'1.: Type E,E.NOV TE%'riEtI_I[ L
URC Orr}up my _ 88 R-_:
t,,_:nE.t fir!do{.10}jType VN
ill
REMARKS:
;E ARATF F FRM I T°= REQ;".t I PIED FOR PLUMBING AND ELECTRICAL (STATE) . . _1.
FEE SUMMARY:
iVALUr T I O[ .10; c}l �i
Rase Fee $117 . 00
Plan Rev1e 6 . 0.
Surcharge $17,_00
Total Fee $1 t1=,
CONTRACTOR: - pp: i c ant -- ST . L IC .OWNER:
E; G JOHNSON CONST r / �L%: 1: F::t ?u`3: KELLY ii DAN
�`t�1•� r•OLEj GATE ;VC _860 WINDJAMMER LA
11INN{ETONKA MN rySA:4S ORONO O MN =,C_:i_:4
(612) 473-1364. 472-3396
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TI' DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCFS AND STATE OF MINNESOTA E;t tILDING CODE REQUIREMENTS. J
PP CAN •ERMITEE SIGNATURE ISSUED BY:SIGNATURE-- p + �y
tIvo
CITY OF ORONO - BUILDING PERMIT APPLICATION
• v p
Total Fee: $ ��d QS Date Received: 7A: I9J
Date Approved:
Entered By: •X/L) _
Permits: 3 '7I
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTY.D
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 860 L Ytal On tr LA ZIP:
(work) 5,kmE
PHONE: (home) 71 - 33 i.tr
�iA<*� OF OWNER: bap\ Kehl �t
.SAILING ADDRESS: 860 L)1148 `lal+d+r�
K. CITY: Omni!) ZIP:
CONTRACTOR: , G Ioi 1<i1J Couci, PHONE: -13611
MAILING ADDRESS: *� CITY: ZIP:
STATE LICENSE: $ 7(iL_
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION a
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration c Renovate Land Alteration
?ROPOSED WORK (describe in detail) : -,_,.,- d- ► - b *" _ 4 • 1
be i
,TORIES: SQ. FEET OF EACH FLOOR:
:O. OF BEDROOMS: GARAGE STALLS: ATT. ) DET.
"STIMATED CONSTRUCTION VALUATION (excluding land) : $ cird,2-Z '00
hereby apply for a building permit and I acknowledge that the information
)ove is complete and accurate; that the work will be in conformance with the
::di.nances and codes of the City and with the State Building Code; that I
nderstand this is not a permit and work is not to start without a permit; and
zat the work will be in accordance ith the approved plan.
PPLICANT'S SIGNATURE:
DATE: dr-2 `57
r
s (a'
. . . '''•;",----.-_-'
_ CITY of OJLIONO
CITY
._ , . ..;....:.
,- , Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OO,ORON 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
r
license from the City of Orono or any of its departments may reg
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.
f e1 l'°1"
filLW k G • r.5 .,
First MiddlLast
'(3)$ coiztxk Au ,
Address
City State Zip
-(7R- 136
Phone
I understand rights as stated above.
Sign ure
BUILDING&ZONING—473-735 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
-
- r .
i
•
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. 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 informedtate agency,
of: (a) the
purpose and intended use of the requested data
whether he may refuse or is legally
collecting s
political subdivision, or statewide system;
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
ral
other persons or entities authorized by state or�e�kedlto supplyto einvest gative data,
ive the data. This_
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place ethe rnoticund i required un er his
oi
subdivision in the individual income tax or prop
on those orms. —
Subd. 3. Access to data by
dividuaL Upon request to a responsible
authority, an individual shall be informed whether he
she subject o t ore data
his
individuals, and whether it is classified as public, privatenal. Upon further request, an individual who is the subject of stored private ordata on
hep desires, shall
individuals shall be shown the data without any charge to him and, ifbeen
Se informed of the content and meaning of that data. After an individual has
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.quest by
Pprivate or public data upon responsible authority shall provide copies of the require the
the individual subject of the q�•�o The of making,le cert certifying, may
the
requesting person to pay the
coQies. ssible, with any request
The responsible authority shall comply immediately, if pa
madeursuant to this subdivision, or within five days of the date of the request,
P Sundays and legal holidays, if immediate compliance is not
excludingsSaturdays,cnwith the request within that time, he shall soQinfoth the
m the
individual,
possible. and cannot comply within which to comply may have an additional five
legal v ��days.
request, excluding Saturdays, Sundays
lure when data is not accurate or complete. An individual may
Subd. 4. Procedure himself. To
contest the accuracy or completeness of public or private data concerning
notify in writing the responsible authority
exercise this right, an individual shall authority shall within 30
describing the nature of the disagreement. The responsiblelite and attempt to
days either: (a) correct the data found to be ate data, including or recipients named by
notify past recipients of inaccurate or income
the individual; or (b) notify the individual that heif the individual's bieves the
e dot dto be a orreci.
Data in dispute shall be disclosed onlye..1ed pursuant to the
• included with the disclosed data. app
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 960 WiNIO v w�.a.-% PID: (' '� - // '7 - ) /1 (c1/
DESCRIPTION OF WORK: t
ZONING REVIEW BY: /VIA DATE APPROVED:
BUILDING REVIEW BY: JVDl,/ DATE APPROVED: 7-27 - 'Y
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v/'No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Depar ent: Post •ffice: School District:
Lot Area:
\ Width- Depth:the
!
Survey S •bmi ted: Yes No Date •f Survey:
Proposed Setba ks:
Fr• t (Lae) : Right Side:
Re-r (Stre -t) : Left .ide:
Ad acent St uctures: Wetland
Buildin• Height: Def. Hgt. Peak Hgt.
Avg. Se 'sack: Lot Covera-ee:
Existi g Propose.
Hardcove' : 0-75 '
75-250 '
'50-500 '
5 . 0-1000 '
Hardcove Variance Req ir:d: Yes No Date of Council Approva . :
Grading: Staff Approval D. te: B : Council Approval Da ►e:
Septic: -taff Approval la e: By:
Zoning : le:# Resolution #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
4
UBC: gl 2- 3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ (Olo oo —
Inspections Required: Work Requiring Separate Permits:
Site pe Plumbing Grading/Filling
Footing Mechanical Fire
iv Framing Septic Water Connection
,< Insulation _Fireplace - Sewer Connection
Wall Board (Masonry) Lawn Irrigation
4 Final (Mfg.) - Other
Other Well (State Permit)
p‘- Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
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DATE TIME
CITY OF ORONO CALLED IN //-019-Q-3
INSPECTION NOTICE SCHEDULED //- 30 3•��
PERMIT NO. _3 77 COMPLETED (I •SO'S3 3="
ADDRESS f 0 Gl�z e
OWNER {/ CONTR. 1 G' elft/4 ii
TELEPHONE NO. y 73 '" /3 6
�
DESCRIPTION
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
" 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
• 04 L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
= 05 FINAL - 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Lu 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED ,%/-i
DATE TIME
CITY OF ORONO CALLED IN s- 8.. Yid in
INSPECTION NOTICE SCHEDULED ;5. -/0-93cd'
PERMIT NO. 3 > > CI/ COMPLETED VL ( ate O .
ADDRESS g/,-.n U 1 Isar i5,e Z_A _
OWNER A 1 — . . CONTR. 4 C7ta-e-2----•
(99--
TELEPHONE NO. /7�/5--/3c y
DESCRIPTION AL=-7-2-,---6--z?
14.1 LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAL . 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
O 03 ' i •N 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENT'. _
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WU ❑WORK SATISFACTORY:PROCEED 1=1PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. LI PHOTO TAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Co site:
Inspector.
White Copy/Inspector' File Canary Copy/Site Notice