The URL can be used to link to this page

Home My WebLink About2009-00022 - kitchen remodel CITY OF ORONO PERMIT NO.: 2009-00022 2750 KELLEY PARKWAY ' ORONO, MN 55356- �ATE IssUEn: 02/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 160 GOLDEN VIEW DR PIN : 33-118-23-43-0022 LEGAL DESC : HALLSON ESTATES 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI VITY : 434-RESIDENTIAL VALUATION : $ 45,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL KITCI IEN RF,MODEL APPLICANT PERMIT FEE SCHEDULE 628.00 MIN?�]ETONKA CUSTOM HOMES INC. PLAN REVIEW 408.20 3575 TUXEDO BLVD MOUND, MN 55364 STATE SURCHARGE(VALUATION) 22.50 (612)386-4494 TOTAL 1,058.70 Minnesota State License#: BC20386620 OWNER SCHMID, KURT&CAROL 160 GOLDEN VIEW DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMEtVT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conf e with the State Building Code.This permit may be revoked� time tor ue cause. � �- / Co / o / / Applicant Per itee Signature Date Issued C3y ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. ��'�;� 09 /a � Total Fee: $ �,�,SC�.�(� Date Received: �-�-0� Entered By: Permit#: a0f� -QDOa o� CITY OF ORONO - BUILDING PERMIT APPLICATION Alt information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � �(� �j��G ;ti U ��_i.J �,)1Z ZIP: �� s� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �.No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: K�-ZL� 5C._�>,n� i r� PHONE: (home) � � - O � (work)�,,�Z- 9(�y-y9L� MAILINGADDRESS: � /a,�,�� ,�5 �� CITY: ZIP: CONTRACTOR: {/}'1 wv�iTb.�iLA C�S;�,,,� `-��.�r�s PHONE:(�,;1 Z - 3�L"��yS'Y CONTACT PERSON: ��Lv z� S��eTa,� MOBILE/PAGER �� MAILING ADDRESS: �' ,�� , � CITY: �/V��,�,v� ZIP: S s cdy STATE LICENSE: # EXPIRATION DATE: 0,,,/3�10� �-0 3 g(o�a� ARCHITECT/ENGINEER: �,�µ�Z ��5/v� PHONE: �; 7 y�- 7 7�t MAILINGADDRESS: / iv .S �u_��r�;-i. `.1iiZ CITY: jf(.�1,e�Pc,�� ZIP: S"5�� NAME: v'1/� � �.�� REGISTRATION: # ' TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) � Any earth movement may require MCWD review and permits! � ..�4 � ��Z,��V\�i�.JrT- L - /l�� y�"rr�.��Z.1(��1�-- PROPOSED WORK(describe in detai�: {�( �< < l.vcy,�� STORIES: ��. SQ.FEET OF EACH FLOOR: l � ICx>c� �- ��.oc:, �� /(o c�U NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED � DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y.5', �U� � 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 i ot to st t without a permit;and that the work will be in accordance with the approved plan. p � APPLICANT'S SIGNATURE: �� DATE: I Z �' 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. ]. Type of da[a. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2 (nformation required to bc given individual An individual asked to supply private or confidential data concerning himself shall be informed of. (a)the purpose and intended use ofthe 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 entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may�lace the notice reauired under this subdivision in the individual income tax or propertv 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 public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been 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. The responsible authority 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 certifying,and compiling the copies. The responsible authority shall comply immediately,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 compl iance 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 Sawrdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoritydescribing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to the provisions ofthe 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 permit 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature Reset Porm 32 � . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: t(�O �dL,p� �(�LW rpR PID: DESCRIPTION OF H'ORK: K �'Tc.�1�,�, �'?.�;,,,�„e b-e� ZONING REVIEK'BY:• �1 � DATEAPPROitED. `Y^y � B UILDING RE[�IEiN'BY.• DATEAPPRO i�ED: i•zy .0 5 FEES TO BE CHARGED: Misc. Fecs Calculated By��Y____�_�____ PERMIT �'es ✓ No PLAN REi�IEW Yes_�/ No SEWER CON.NECTION STATE SURCHARGE Yes_�/ No u�ATER COIVNECTIO.N INVESTIGATION FEE 3'es No_�� PARK FEE SAC ��"es No__� SITEII�'SPECTION Numbe��ofS.4C Units OTHER (spec�) ---------_____________�___--------------------- ZONING CHECIi LIST Zoning Dist��ict: �0 C!-h4r✓C'oQ Fire Depm�tnzent: _ Post Office: School District: Lot A�•ea. Sq.ft. Acres YGidfh Depth Su�-vey Submitted: 3'es No Date of Su�vey: Proposed Setbacks: Front(Lake): Right Si e: Rear(Street): Left S� e: .9djacen[Structin-es: N�etland: Building Height: Def Hgt. Peak Hgt. Lot Coverage: Grading: Slaff App�•oval Date: BY Counci!Appr-ova!Date: Septic: SiaffApproval Date: By; Zoning File: � Resolution: # Resolution Date: Shoreland District: AICLTD Pe��mit: .Avg. Setback: BlzrffS back: LotCol�erage: Faisting Proposed Hardcoi�er: D-��' 75-'�0' '.i 0-�DO' 500-1000' Har•dcover 1 ariance Reguired: I'es No Date of Coamcil,9pproval: RE11LgRhS(i�r liouse): 3 � . . B UILDING REVIEW'CHECIi LIST LBC: R '3 COIYSTRUCTIO.N TYPE: y/s Sg Footage $Per Sq Ftg Basement z = 1 st Floor s = 2nd Floor x = Garage x = x = TOTAL 6stimated Construction f�alue: �' i-(S,p00 °= Inspections Required: W'ork Requirine Separ�zte Permits: Site �Plumbing Fire Ha�-dcover Removal /c Alechanica! YG'ater Connection Footing Septic Sewer Connection y! Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other Wall Board (Mfg.) Y6'ell(State Permit) _�Final Grading/Filling Electrical(Sfate Permit) Other REMARKS(I1V HOUSE): REVIEW BY OTHERS: DATE: Access: E,iisting N'ew Access Approval: Date By: REMARIiS (TO BE NOTED ONPERMIT): 34 �—� �� AT TIME � CITY OF ORONO CALLED IN � �c/ INSPECTION NOTIC SCHEDULED � � PERMIT NO -��OMPLETED A D D R ESS �� D��e,�. I/ Jr� c�r�%�/`-C� OWNER CONTR. `�i7�� L/Q�7/v14, TELEPHONE NO.S1�`�/V��'��P r��T - - � DESCRIPTION �" � — l� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING �FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK R PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on sit - Inspector. � �� White Copyllnspector's File Canary CopylSite Notice