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HomeMy WebLinkAbout1998-009938 - kitchen remodel PERMIT CITY OF ORONO PERMIT TYPE: �;t����i:��z; 2�50 Kel�y Parkway- P.O. Box 66 �^;�3��,�,:^,;_: Permit Number: ` � ' � Cr�ystal Bay, Minnesota 55323 ij� ,,� Y (612)473-7357 Date Issued: .� ���`'`�`; SITE ADDRESS: �.�,{�,.::; �;�E�:� L�k�::E ��I_��`�:� :Tt,j �`. � .��[ . y :�%t=,—'f ?:—_�—_���—i ii i:�;;�;' DESCRIPTION: }�:T_Tt��E�t� C�E��Ii i�i��._ E�i.�s 1��i t��� �'�-a�r��i�. T���,_ `=�F—�i:t�r i;�����i:t�� �;s:� j��i 13i� �s_F3��:: i��r��� F��:i�:��t����j��'�°r t�r::�C:EEL. t_�:SFl��.1'4,�C�.�t i1l � ��-'?_° tY�� i_-F�ll=:�E-� {�:����;t� �:�:Li,. �,�� . �i�����L?�_F����11_ REMARK :+;� `��:A�r;� �`�r�'t�l I T`=� �Es;ti_3I���t F��+h �`L��:i, t�;�C�E—� :�� `=�THZF E��.;�T�;I�:s=�� �'Et�:f1 i T FEE SUMMARY: _ �jfi?�,.�_1{-`�1 i�i�t{ '��'i l; t it_;i 7 ��:�,:.� �µ,� �'�';`7 . .�� �°��y� F:,�:�u; �� �i ,�,�, . 7f �;�.��'�h��'�� ______ _�.�i;�;��c; �s��t.�1. �?Y ^��_="� `"r' .r•_ . � . CQNrR�� R �'t L'C` =i c?tl: g ,LEF�:`t�::����it.�' �,i_s'I�l���'°�: I C�It: i�.._��=':-:-_�- ����C�:��=.: �_�t;�`��L �z:.�.� ;µ�F,f;�=t f-i►'�hi�:I�T �i:�t _ f F.:�t:i �t���v.; i �;;:::r �;i t;�;�; ���+=�t��i';I t�i'i'Elt�l t1P� ���.�.��Ci t��#=;t�.��t� ;,�;� c c_���� f_f_�.Ii.} .. ..'�.'�'.F.li.t�L .��JL�.���f,?_`_r �N� !it1!���=i'•���i�''��.xt �-li�;:°����Y ii%:i�i a;,`��I °� ;=`w�°�'i I°w;__��_Gi'.l t s=� l�';f=it=•.r_ '�,";_�� i=i?:'t� I:'„�='���'E;,�=��;��,;"- �.,.� r.. �ryr � F � .d } ,�.. ..d t.' :���`�,(._. ���� �. .:.) i-��;�i��`.�: 3 �_! �}%_� :;LL �e:'1_;t.'��:. ��''u ,=�;;i� i. � E;;w�i 3�':_=�-':�v�_`_ N:'��� ?����_�.. �...:i�'`. E..i� �rt#��:3g•�E� a�' It�l���i�'���� �[�E� ��Tr�T� ��►'= C�i������::`����#Ti=� _.:�I��I�t:� �:��►�� r���A!!I�:E�°1F�t�:1�°w; . L ' � r �� -/ . APPLICANT'PERMIT IGNATURE ISSUED BY:SIGNATUR Total Fee: $ L.�.�3� � �a Date Received: �'% � : Entered By: !�, Permit#: ��� ��' , V' CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------_`----------------------- THE APPLICANT IS: (circle one) OWNER�QB �ONTRACTOR ' --- � _ JOB SITE ADDRESS: ������,��_ � ul.ti �ic�<' �1 f���� ZIP: NAME OF OWNER: �� ��� �i�� C��, ���� � PHONE: (home) G' "�;;�y' � (work) t/�,%%�. �;c��;r� � ���) � MAILING ADDRESS: ' ��,���'�%� � , �=< � � CITY: �,���_ L���i�c�_ ZIP: � � � •� !� � � � ��— CONTRACTOR: � �-�-��� � .� �� ����, �,� � PHONE: �" �fS—�< CONTACT PERSON: �- lCI� MOBILE/PAGER � ,-��- � '��_ � MAILING ADDRESS: �_U( � 7,� � ��"� CITY: ZIP: STATE LICENSE: # c"v d��7��'� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ,� Land Alteration ' � PROPOSED WORK(describe in detai�: �;: ,��u�-"�� ��;�-����- STORIES: � SQ. FEET OF EACH FLOOR: . ��' NO. OF BEDROOMS: `� GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i (;aG�G `�' 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 acoordance with the approved plan. �. i � �' � ��a ; ��� i, / � � � APPLICANT'S SIGNATURE: � � � ���` DATE: ��� � �� NOTE! Parade of Homes events require separate permit approval by Police Deparlment 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. l. Type of data. The rights of individual 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 informed of: (a)the purpose and intended use of the requested data within the collecdng 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 idendty 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 mav vlace the notice required under this subdivision in the individual income tax or proaertv 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 classi£ied as public,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 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 si�c months thereafrer 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 pubiic daha upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying, and compiling the copies. The responsible authoriry shall comply unmediately,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 ro comply with the request, excluding Saturdays,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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing 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 nodfy past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes[he 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 determinauon of the responsible authoriry may be appealed pursuant to the provisions of the admuvstrative 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 �ity 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. �'iour full name �s required to process this application or permit. % / /i � �i� � i ;,�l,�Gc / ` � �— � l�"`C,�Y�.E'� �E i First � ��. Middle Last J �% � �� �' _ � � , ,s� ,,-', — � � Address !� ��� � (�.,�����ti� ��vl �r��l�,, ��s�13�� �`�_� � ��a� �-� Ciry , State Zip Phone I understatidlmy righ�s as tate above. , � � ��� �� ������� �� Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS . - ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: I(�bU l�rv G l,A lc.�c. <3 t�V b PID: DESCRIPTION OF WORK: l�..at-c�-�en� f?.r-�7 4R�-- _________------ -- ---- -------------------------------------------------�,----_--- ZONING REVIEW BY: DATE APPROVED• �/'� BUII.DING REVIEW BY: DATE APPROVED: Z-� c�—�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓" No PLAN REVIEW Yes �' No SEWER CONNECTTON 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: 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: Wedand: ,C Building Height: Def. Hgt. Peak Hgt. �0 Lot Coverage: �` Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approvai 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 Vaziance Required: Yes No Date of Council Approval: REMARKS(in house): 7 .. BUILDING REVIEW CHECK LIST UBC: lZ-3 CONSTRUCTION TYPE: �/N Sq Footage $ Per Sq Ftg - Basement x = 1st Floor x = 2nd Floor x = Gazage z = R = TOTAL Estimated Construction Value: $ ?�G,c�o�"" Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hazdcover Removal �Mechanical Water Connection Footing Septic Sewer Connection �o Framing Fireplace Lawn Inigation �Insulation (Masonry) Other OC Wall Boazd (Mfg.) Well(State Permit) �Final Grading/Filling � Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: E�sting New Access Approval: Date By: ' REMARKS (TO BE NOTED ON PERMI'1�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE�� r SCHEDULED �1d //=C� c' PERMIT NO. � (i� % '� coMP�ETEo t� _-� ADDRESS -'r'i-(/(�;� f. ��� �Gcizf�• OWNER CONTR. �...y -�•t.•�-�-�5�1i��i TELEPHONE NO. ��� '��-S � DESCRIPTION �o���-�.� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMIN ' 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 Q 05 FINAL 14 SEWER HOOK-UP O6 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 � j d WORK SATISFACTORY:PROCEED �I PROJECT COMPLETE W � ❑ ORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Ci CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSP CTOR L GTATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOl� RANGEACCESS. Call f e next i spe tion 24 hours in advance.473-7357 OwnerlContrac on site: Inspector. ` White Copyllnspector's File Canary Copy/Site Notice D TE TIME CITY OF ORONO CALLED IN 'y � INSPECTION NOJI��� SCHEDULED -f /� PERMIT N0. y COMPLETED ADDRESS ��D�)�_,�X�'�� - v OWNER CONTR. ��,�,�/>��.,.0� TELEPHONENO. Bc� ���.2 S� � DESCRIPTION �',Q�,/�� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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: � - r � J O a � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑ STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call fo ne t inspection 24 hours in advance.473-7357 OwnerlCont o i - Inspector. White Copyllnspector's Fil Canary CopylSite Notice AT TIME CITY OF ORONO CALLED IN '`� �- S� INSPECTION NOTICE SCHEDULED 9 z� �Z '�vo PERMIT N0. 93 3 � COMPLETED ADDRESS �<a0 � OWNER CONTR. � TELEPHONE NO. �o-z/' �oS�"i 3 � DESCRIPTION ,,.ro�>z��� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FIN 14 SEWER HOOK-UP O6 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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. � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � v � o -- 9w t ��' � : � � 0 � W Q � � 5 � � � � � Z C l W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CO�IRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � y�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY �! BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR r'CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.475-7357 OwnerlContracto on ' e: Inspector. White Copy/lnspector's File Canary CopylSite Notice