HomeMy WebLinkAbout1993-005535 - renovate kitchen � _
' PEIZMI�.
C�TY OF ORONO PERMIT TYPE:
2750'Kelley Parkway • P.O. Box 815 Permit Number: -`::T`• =?����
Orono, Minnesota 55356-0815 �;i:?y�:_'.�,
(612) 473-7357 Date Issued: _ �
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DESCRIPTION:
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� REMARKS:
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'' FEE SUMMARY:
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APPLI NT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. , CITY OF ORONO - BIIILDING PER.'iIT APPLIC�TION
^,�L�I r eo: $ Date P.eceived:
Dd�� P.DDZ"OVECi'
;�.eYed By: ' .
Pe�it�
:,L,I, INFORMATION MIIST BB SIIBM=TTED IN FITLI� BEFORE PLAN REVIEW WILL B$ STAR�`ED
(See Check-of ' t Enclosed)
'E APpI,ICANT IS: (circle one) .` ar CONT_RACTOR
�s Sz� �Dx$SS: � � ` �v, /� ZZP: �i- S ��� (
(work)�7� ZS u
�` �� p PHONE: (home) � ( �I> f
'� OF aWNER:��I�� � - C� %C'����G�'G"`��- - �
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.�ZING ADDRESS: /-�-��� /t1[,c���%� �' CITY: ���-�Gc.�� • ZIP: ',�.*����
�� ��J z� Z� �
JN���R: PHONE.
�ILING ADDRESS: �S�►"Yl� CZZ'Y: ZIP:
�'�TB I�ICENSE: Q
'�ITECT�ENGINE�: I��,��, �t..,� `�= PHONE:
.�I�ING ADDRBSS: CIT?- ZIP:
,,�: REGISTRATSOA =
:PE OF WORR: New Addition Accessory Struc�ure Move
Demo Re�ociel/Alteration Renovate�_ Land Alteration
��POSF.D WORK (describe i.n detail) : �(�'i�1 � �L.�l'_ �, l`c�- �� ��`'�( � �%LZ'1`� L2l
� ,ti f�i �c�i;�c',,� `�,ti�-- �n. �c `� �!1�'�l�� v��t � � �c.���
��� �� ��� �
:RIES=�_ SQ. FEBT OF EACH F"LOOR: � � � -
. OF BBDROOMS: G�RAGS STAI.I,S_ ATT. DET.�_ \
; ��.
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"L'tiibTED CONSTRIICTION VALIIATION (eacluding la.nd) : $
vreby apply for a building permit and I acknowledge that the information
ve is complete and accurate; that the work will be in conformance with the
inances and codes of the City and with the State Building Code; that I
::erstand this is not a permit and work is not to start without a permit; and
i:: the work will. be in accordance with e' apProved plan. .
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� �',ICANT'S SIGNA�*Qg�� %/ �� ,/ DATEs ��
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""" �;. � Post Office Box 66•CrystaI Bay,Minnesota a�323•hiunicipal ' c�
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�� � On the North Shore of Lake itifinnetonka
a � s+��
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data" , we would Iike to inform you that your request for a yerm ire
license from the City of Orono or any of its departments ma req
you to furnish certain private or confidential information.
You are notified that:
1. The informa�i�heY°ermit or li ensebreques ed, determine your
qualification fo P
2, You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other loca'_, state or
federa3. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5, You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6, Yaur full name is required to process this applicatian oi
permit.
'� � � � �
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First Middle
�' �'' >�.�c�C'�- � �
Addr,ess � -. � �
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City " State
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�=�i�-- ��/�� � �� S
Phone .
I understand y ._z:i�.�s���tated above.
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BUILDiNG&ZONING—473-7357 • ADMINISTRAT'IO`!&FIN�yCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
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� �
�I3.04 RIGHTS OF SIIB�CTS OF DATA "
•� ts of indivldu°-� on whom the c:ata �s �
Subdivision L Z� of ��- The r:�h
stored or to be stored she11 be ss set forth in this section- An.individu�.l es�ed to
to be given in�vi�u.al-
S�� 2. Information requir� ency,
� • rivate or confidential data conc�rning 1ums.e2�fin the �ollec�ti� stgte ag the
supply p
purpose and intended use of the requested d�tg wi {rom his
(b) whether he may refuse or is le� Y
political subdivision, or statewide system; �oWn �o�equenc� arising
required to supply t�he requestedr a ate orcconfydential data; es►d (d) the identity of
� supplying or refusinb to supoly p
e*sons or entities authorized by siate or fed�Seke �o SUDplyPinvest cat ve da a
other p 1 when an individual is
requirement shall not app y
pursuant to section 13.82, subdivision �, to a law en�o:c�ment oifice:- red unaer this
The commissioner of income tax or oro�ertv tax re�und instQuctions instead ot
subdivision in the ineivi�ual
on those iorms. � - �
Subd. 3. - Acc�s to �ata by
����, Upon request to a responsible
it an individual shall be informed whet�C h=vateeor confidential.e UPan h�s
a u t h o r y, i f i e d $s p u b � P u b l i c d a t a o n
individuels, a.nd whet her i t i s c 1 a s s
charge to him and, if he desires, sh�11
further request, an inoi`ndu e �t8 without any t of stored priva te o r been
indiviauais shall be shown th of that data• Afte' an i���dual hes
6e informed of the content and mearung the data need not be �sclosed t�
shown the private data and informed of its mear►ing� ��nt to this section is
him for six months thereafter unless a disPute or action P �C �tg u�n request by
or additional data on Lhe individuel h�ate or p�fle�ted or ereated. The
P�n�ng rovide copies of the p reouire the
responsible authority shaii p The responsible authority maY � the
the individual sublect of the data• certifying, and comp g
requesting person to pay the gctua� COS� of m�g�
� ssible, with any requesL
coQies. 5}�,1 comply immediatelY, P°
The responsible authority or withirz five days of the date of the request,
made pursuant to this subdivision, holideys, if immediate compliance is not
excluding Saturdays, SunagYs �d leg�l
. If he �annot comply with the request within that time, he shail so in�th the
possible �Ve � additionel five days within which to comply
lndividual, and m$Y end lebal holidays-
SundayS
request, excluding Saturdays, lete. An individual maY
Subd. 4. Proce�se when �ata is not ac�ate or comP himse1f. To
or completeness of public or private �ta concerning
contest the accuraey notify in writir�g the r�O�ible authority
exercise this right, an individual e��t The respansible authority shall within 30
describing the nature of the disagr
lete data, inclu�ing reciPients named by
� either: (a) correct the data found tc�b� �cc�'ate or in�cnmQlete and attemp
0
�
notify past recigients of ineacurate or � P '
the individuel� or (b) notify the in�ividu�l i��dua�l,s�s�tement of disagreementcis ,
Data in dispute shall be disciQsed only � i
• included with the disclosed data• � appegled pursuant to the !
' The determination of the responsible authority �p�ntested cases• !
provisions of the administ�'stive procedure act relating �
1
CHECK OF� LIST FOR ISSIIANCE OF PERMITS
� � 4 ; ' . FOR OFFICE USE ONLY
4
?.DDRESS OR I�EGAL: �`�� 5��,C�-��ti���y /��-e� _PID: .�2. � -// 7- ...23 � 3- c���0 j
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'EgCRIPTION OF WORR: i(��''✓- '
-------------�-] j -----------------------------
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ZONING REVIEW BY: /v !� DATE APPROVEn=
BIIILDING RLVIEFI BY: DAZ'B APPROVFD: 9-��"93
--------
FEES TO BE CHARGED: Misc. rees Calculated By:
:'RMIT Yes ✓ No � .
:�AN REVIEW Yes-� No�� SEWER CONNECTION
;TATE SURCHARG� Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
_;��� ' Yes No SITE INSPECTION
�Iu�-nber of SAC IInits OTHER (specify)
---------------------
ZONING CHECR LIST Zo ing Dist ict:
'ire Department: Post Offic : School. Dist ict:
ot Area: Width: epth:
Survey Submitte : Yes No Dat of Survey.
?roposed Setbac s:
Front (Lak ) : Ri ht Side:
Rear (Stre t) : Le t Side:
Adjacent S ructur s : We land:
Building Height Def . gt. eak Hgt
Avg. Setback: Lot Cov rage:
Exist'ng Prop sed
Hardcover: 0-75 '
75-250 '
250-500 '
500-100 '
Hardcover Vari nce Required: es
No Dat of Council Approval:
Grading: Staff Approval Date:
gy: Council Approval Date:
Septi c: S taf f pprova]. Date: y'
'oning File:�
Resoluti ff : Resolution Date:
�M.AEtKS (in use) :
BIIILDING REVIEW CHECR LIST u
. , • ,-
. . ,
IIgC: t' �=3 _ CONSTRIICTION 2'Y�PE: �(�-- �
Sq Footage $ Per Sq Ftg
Basement X � - �
lst Fl.00r X -
2nd Floor X -
Garage ' X -
x =
TOTAL
Estimated Construction Value: $ Z"7 SOd="�
Inspections Rem�ired: Work Requiring Separate Permits=
Site � �CPlumbing Grading/FiZling
Footing Mechanical Fire
_�Framing Septic Water Connecti.on
�Insulation Firep�ace Sewer Connection
�WaI.1. Board (Masonry) Lawn Irrigation
Fina� (Mf g.) Other
-� Wel� (State Permit)
Other
�Electrical (State Permit)
-------------------------------------
RF.I�ARRS (IN HOIISE) :
_
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REVIETnT BY OTHEFtS: DATE:
Access: Existing New
Access Approval: Late ____________
----------------------------------------------y-------------------
�F.1�(ARRS (TO BE NO�ED ON PERMIT) :
. �
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DATE TIME
CITY OF ORONO CALLED IN Url l aV />'�
INSPECTION NOTICE SCHEDULED ! /`'�
PERMIT NO. COMPLETED
ADDRESS c���_7 ��c n ri+�v c: G� ca �Lt.�i
OWNER L��Y���-��a-�� CONTR.
TELEPHONE NO. y����,��� �
� DESCRIPTION �j�/LvZ ������..
lL 01 FOOTING l�. 11 MECHANICAL RI � 16 WELLTEST PUMP
� 02 FR � �7 S 3 ) 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
= 07 DEMO—SITE � 14 SEWER HOOK-UP 06 PROGRESS
Q 07 DE — AL ��E �J 27 SEPTIC MAINT. 21 COMPLAINT
= 9 PLUMBING RI 15 SEPTIC INSTALL. 22 FOILOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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.473-73�J7
OwnerlContract r n ite:
Inspector.
White Copy/inspector' ile Canary CopylSite Notice