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HomeMy WebLinkAbout1999-012288 - remodel kitchen PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway.;P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: -.. (612) 249-4600' Date Issued: _ _._._._ _ ,iITE ADDRESS: :..�.;.�: DESCRIPTION: ; �, '� ^ �.T. .�_ _.._. . ._ . ._. .__. ;. —�€�1 _ , �3 —_ :'#'3't • _ : 1`=... — _:Ejt;�:t-:�=�"*�>"�� _ k�=�- . = _ _ �- ' . := _ =`=�r;;W� _._ :.�_i"s,:..:i ..._�7'`r:. `s, v'C':;.� 'ri'�.-:,;I_t��r��F `_.y�.�:.. ._.�.!�.f _ .:.,W'•..,f':- _=�t��._ t': ��.4 t�`_; ?''`._�`—:��x=`.�;`4�1`'.�_�. REMARKS: �: � .: :� _ ., ;:: :_: F ._ _ . . - . � - " ;�.. `. . _ . _ . ._.� .: ; �� ;;� � :,. FEE SUMMARY: :-...__,.,_'.: :V}}y _ ;-.�',;-. ___,':�:_` i—=r�' :—=1 . _._ „ - _ _-? v!��c:+.' : — i �=';T..�+! _,_. �._....._�._._�.��.:.._ _ CONTRACTOR: __ - :::,=:; ; 3_.;.:_�: - �. �:� OWNER: . _ , , _:.__.�.; _ , _ _ ,,. ,. .. .: -.: : ,.. � � . .. - .. ._. _.���.ti4 y ._.. �...j_'l.�.�.. 3 . � '�'' : ,_ _ .. ';�"'..' 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L « _ �.. ._ , » .. . . � , APPLICANT P ITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: $ �� Date Received: �� '� -3 Ct�' Entered By: Permit#: 12Z.� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER�OR CONTRACTO} �--_____.______ _ JOB SITE ADDRESS: �'1�' �' C� �;�-�'� 1'�� ���ZIP: %������ NAME OF OWNER: �'�(�'�-S �- (,� �����[�'NE: (home) '2 —�����i' (work) MAILING ADDRESS: ��'�: � CITY: ZIP: ,�..� �,�' � � .�/f� C�_� , �C,�--`� ��1-�=�''��`���,�-C�� f�'��,+�' /'� •-1� l`r�/�� / `" '� C� r CONTRACTOR: PH4NE: � i�--�( )q--J�0�� CONTACT PERSON: �( MO ILE/PAGER: . ��h-�( �,. MAILING ADDRESS: C' 1 � -.� r �� ��t�-� , ITY: �'��,�����ZIP:,,�� j � STATE LICENSE: # ��� i �5��-�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New =_--�t� Accessory Structure Move /Remodel/Alteration , Land Alteration . __ _. �- —-----__---- --- __ O OSED WORK(describe in detai�: �`�L� �..�C���C'C� `-' �o�C�(� � F'i(_C� �,��/� � � � C �� � �� �l STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. G� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �- �i ���� ' , 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 th he approved plan. APPLICANT'S SIGNATURE: DA'�E: � �-' �� l NOTE! Parade of Homes events require separ i�e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 secrion. 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 purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally 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 other persons or en[iries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the noace reauired under this subdivision in the individual income tax or prooertv 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 pubiic,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 hirn and, if he desires, shall be informed of the content and meaning of that da[a. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro him for six months thereafrer unless a dispute or action pursuant to this secUon is pending or additional data on the individual has been collected or created. The responsible authoriry 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,ceRifying, and compiling the copies. The responsible authoriry shall comply immediarely,if possible,with any request made pursuant to this subdivision,or within five days of the 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 leeal 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 authoriry describing the nature of the disagreement. The responsib(e authority shall within 30 days either: (a)correct the data found ro 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 be(ieves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The determination of the responsible authoriry 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 pernut 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. -�� �.-' � � C% First y �- iddle � L � �'� C� -��r---� Address � t Z � � n�� � .�-��'�� j � Ciry te Zip Phone �� I u derstand y rights a tate bove. � �� � �� Sig mre '���/,�" ���- �., _����4��':�-c,l� � 6 CHECK OFF LIST FOR ISSUANCE OF PERIVIITS FOR OFFICE USE ONLY ADD�.ESS OR LEGAL: � 30 G ANfw� 2�,a� PID: DESCRIPTION OF WORK: R-C�wwv�.`_ ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: /J (�' DATE APPROVED: BUILDING REVIEW BY: ,,G DATE APPROVED: ��- �� - °c�l FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No ✓ SEWER CONNECTION STATE SURCHARGE Yes �� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: N v G�f-►�N� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetl d: Building Height: Def. Hgt. Peak gt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): � BUILDING REVIEW CHECK LIST UBC: /Z - '3 CONSTRUCTION TYPE: �(/� Sq Footage $ Per Sq Ftg Basement . x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL a� Estimated Construction Value: $ 2 5, u o� "-' Inspections Required: Work Requiring Separate Permits: Site 0 Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation _g 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�: 8 � � r STATE OF MINNESOTA STATE OF MN DEPT. OF COMMERCE oF�;�STq�� DEPARTMENT OF COMMERCE �dt�cxF sr�r�, F'v.`.� �"'�O �,P ,�,,,,�°� �'�. '� ��� l33 East SevPnth St. �'�",'�-- ''. � '�'�"":�' 133 East Sever►th SL ' �����^` Z St.Paul NLrT 55101 St.I'�aul,MI155101 �����r � � � 11,�'�� ' (65l}296-Fh�19 '��+�ssa•'?� ��. yi�18�k.�y (651 j 29Er�3]9 B��ING CONTRACTOR BUILDING COZ�ITRACT�R II?#20175074 II?#2017507d BTJILDER gTnLDER c�pP•FOR?.TI ON CORPORATION Expires: 03/31/2(X�0 TIMUTHY M WAfsENMAN Expires: 03/31/2000 7 Hrs CE due by 3/31/2000 TIDI�OTHY M WAGENAd-AN WP.GENMAN JACOBSON REMODEI ING INC 7 Hrs CE due by 3l31/2000 9483,]ERGE2d AVE S WAGENbLyN JACOB50N REMODELIN� COTTAGE GP�C�VE Iv41 SSOIFT� 9483 JERGEN AVE S CUTTACTE GkU�TE MN SSU16-G000 CM-00543 DATE TIME CtTY OF ORONO CALLED IN _ __(-� INSPECTION NOTIC�2� SCHEDULED � PERMIT NO. COMPLETED —��� � �Q ADDRESS � �G' OWNER CONTR.���� ' ►�' � �C��'� TELEPHONE NO. C�I� I�'� � DESCRIPTION 1 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_ ES_NO � COMM NTS: ��� ��v'� � �[ �����'" � ��-� �� ' �rti o� � "�'�L S zc� c� , _�r_ � �l� Q ��m « �i�. « � �Q���� � e-c,�� �-����. �� � �c �.-� � Q � z W � W k � d W C� WORKSATISFACTORY:PROCEED , PROJECTCOMPLETE � �CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REWSPECTION TEMPOFIARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C' INSPECTIONREQUIRED.CAL�TOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. ����C✓C �c��� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE , scHE�u�Eo � � " �j I) _ PERMIT NO. OIZZg� COMPLETED � �c� 3 : 3c� ADDRESS ��� �cG�G�1� y� ��+ OWNER CONTR. ��(-_%�f1Y1S�C��I:���(��� TELEPHONE NO. �� �t — 1�c} � DESCRIPTION lL O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. ��ti 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d �/� W� �!WORK SATISFACTORY:PROCEED PROJECT COMPLETE W I\CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN C'STOP ORDER POSTED.CAIL INSPECTOR CITATION�SSUED CJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContrac or on site: inspector. � � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE^� SCHEDULED C � PERMIT NO. ���`��� COMPLETED ��� ��-� �C� ADDRESS ?3� �=t� OWNER CONTR. J ��i"�.��''� TELEPHONE NO. � DESCRIPTION LL 01 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULA N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL 8D. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q�� 14 SEWER HOOK-UP 06 PROGRESS � 0� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTQR O MF�T YOU:_Y S_NO ) D COMMENTS: %/t�L a � 5 � a � - ti � i� o �;2't/i C �D 5� c L�-u� h �. � ' � � , L ' LiT ;-� � _ �O t � � � W � Q � z W � W � � d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W � �ORRECT WORK R PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. `—, pHOTO TAKEN INSPECTOR WILL REfURN ❑ STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnertContractor on site: Inspector. `�7��ti�C�. �a.� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE , SCHEDULED I � �I� PERMIT NO. ���� COMPLETED � � � ADDRESS �� Fi�-�►'1�tc1i' �G� ' OWNER CONTR. V�Y��-�l(��ll�a�t��� � �n� . TELEPHONE NO. - •3 ��-' ���� -- � DESCRIPTION Un K�+ci�r, �-mn�� lL Ot FOOTING 11 ti1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 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 FINAL 14 SEWER HOOK-UP 06 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � �- F��� ►�� � J O � � O � W � Q � Z W � W � � d /' W diF WORK SATISFACTORY:PROCEED PROJECT COMPLETE � � CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY O �i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins�ection 24 hours in advance. Z49-4600 Owner/Contractor it�- � �,:��'r-,�.— Inspector. �.- - White Copyllnspector's File Canary CopylSite Notice s .1 _ - t.• - it i _ ++ �yy. • :f 'i i e , -mac - - r•J F - - - __ itlJ � '. ♦L �2' i• 1 r ' • 1' f, I` f } 'w 1 •t_ .5 r= I t . Tr+ r ys • ,'r `' L :, . fti •.J..•:r. '-r' y is � _ -i • - ' 7 ''V. - �• _ '-vim. 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