HomeMy WebLinkAbout2006-P10288 - addn/remodel/repair PERMIT
CITY OF ORONO Permit Number:
27;50 Kelley Parkway- PO Box 66 P10288
Crystal Bay, Minnesota 55323 Permit Type:
Addition/RemodeURepair
(952) 249-4600 Date Issued: 9/11/2006
SITE ADDRESS: 2650 Mapleridge La Unit#
Excelsior,MN 55331
PID: 21-117-23-24-0050
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 542.75 vatuation: $ 40,000.00
State Surcharge Fee: $ 20.00
TOTAL FEE: $ 562.75
APPLICANT: Bathrooms Basements LLC OWNER: Janel Novachis
436 Sth Ave West 2650 Mapleridge La
Shakopee,MN 55379 Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, l-MonthlyReports, I-Assessing,(IfSeptic, 1-Septic) Page 1
Total Fee: $ J'r .� Date Received: �}- � • 7(X� o
Entered By: Permit#: /D 2��
� ,� CITY OF ORONO - BUILDING PERMIT APPLICATION
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p 1 �\ All information must be submitted in full before plan review will be started.
� lease rin t a[l in orma tion)
(P P .l
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �� m�1 P� ����t` l��'`�� ZIP: 4� �
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 CounciJ approval
60 days prior to the event. Shuttle bus service will be reguired trnless applacant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
�?1- 63 S'7
NAME OF OWNER: ��� �a'�`���5 PHONE: (home)�� �3�7
(work)G^ ���333
MAILING ADDRESS: �� �'��G °2l' ��'� CITY: G�2e.s�� ZIP: _��/
CONTRACTOR: ��'�'y5 �' �'��'"�'� PHONE: ��L - 2-�R ���l�
CONTACT PERSON���a�/' S�"r��' MOBILE/PAGER: 9�SL 2c�� y/�
MAILING ADDRESS: �v�� J�'' �9� �r�T CITY: Sy�t►'a�c.� ZIP: ��/
STATE LICENSE: # 2v�-f,y i3�� EXPIRATION DATE:
ARCHITECT/ENGINEER: ���� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeVAlteration (ie: Siding, Windows) aG
Any earth movement may require MCWD review and permits!
PROPO5ED WORK(describe in detain: �1L�'�'►o/��2- I�� i Z1/��
—/5!L'n/ C,�a3 S� t�t au2.,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $�'� y0. �,c..t7
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 with the approved plan.
APPLICANT'S SIGNATURE: DATE: � �!�
3t
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 conceming himselfshall be
informed of: (a)the purpose and intended use ofUie 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 suthorized by state or federal law to receive the data.This requirement shal I
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 place the notice required under this subdivision in the individual income tax or proDerGy tax refund
instructions instead of on those forms.
5ubd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and wlied�er 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 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 infonned of its meaning,the data need not be disciosed to him for six
months Niereafter 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 shal l 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within Yive days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comply with the request
within that time,he shall so inform the individuaf,and may have an additional five days within which to 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 dtita
concerning himsel£ To e�:ercise this right,an individual shal I notify in writing the responsible authority describing the nature of the disagreement.The
responsible auN�ority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurete or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves tlie 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 of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S.l 3.04,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 Nliddle Last
Address
Cily State Zip Phone
I understand ri hts as stated above.
�gnat c
Reset Form 32
� �CHECK OFF i�IST FOR ISSUANCE OF �'ERMITS
• FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: , �s d rv►�p�=2���e _
PID:
DESCR�TION'OF WORK: �<<T,e.�.o..� ���'s���p�-
------------------ --------- --_--_---_------------------------------------------------
ZON .Ni G REVIE`V BY: l DATE APPROVED:
SUII�DING REVIEtiY BY: DATE APPROVED; q- 6-o b � .
FEES TO BE CHARGED: Misc. Fees Catculated By:
PERMIT Yes r� No
PLAN REVIEtijI � Yes No � SEti'�ER CONN'ECTION
STATE SURCHARGE Yes -�` No WATERCONNECTION
INVESTIGATION FEE Yes No ,/� PARK FEE
SAC Yes No t/ STTEINSPECTTON
Number of SAC�Units OTHER (specify)
-----------------------------
ZOYI�TG CH�CK. LTST Zoning District: /U v G!-/�/6 Q ,
Fire Department: Post OfFice: School District: • �
Lot Area: Sq.ft. Acres Widch Depth
Survey Submitted:� Yes No Date of Survey:
Proposed Setbacks: . .
Froat(Lake): Riaht Side: �
Reaz(Street): Left Side:
Adjacent Strucmres: tland:
Buildin, Height: Def. Hgt. eal:Hgt.
Lot Coveraoe:
Gradino: Staff Approval Date: y: Council Approval Date: '
Septic: Staff Approval Date: � �
Zooing File: (# Resolutioa: # Resolution Date: _
Shoreland District:
Av�. Setback: Bluff Setback: Lot Covera�e:
Ecisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
IIardcover Variance Required: Yes No Dacz oE Council Appr�val:
RE1��L4RKS (in hou5e):
BUILDING REV7Eti� CHECK LIST :
�C� `` � � � CONSTRUCTTON T�PE: `�!/`�
Sq Footage $Per Sq Ftg ,
� Basement � . .. X _ .
lst Floor � x • _ . . � �
2nd Floor � _ � .
Garage X _ .
z =
TOTAL
Estimated Construction Value: $_ �{U,OOo�
Inspections Required: `York Requiring Separate Permits:
Site _oS Plumbing Fire
• Hardcover Removal T�Mechanical Water Coaaection
Footing ' Septic Sewer Connectioa ��
�_Fr�g • Fireplace Lawn Irrigation
�_Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Perm.it)
°C F�� Grading/Filling _�Electrical (State Permit)
Other
REMARK.S (lN HOUSE): . - -
---------------------------------------------------------------
REYIE�V BY OTHERS: DATE:
Access: Existi.ng New .
Access Approval: Date gy; �
--------------------------------------------------------------
REI�TARKS ('I'O SE NOTED ON PERitiII'T): .
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Novachis Kitchen remodel
The layout of the kitchen is staying the same. The cabinets are staying in the
same location as before.
Changes being done to original floor plan:
1. New hood
2. New cabinets
3. New floor
4. New counter
5. Existing appliances
6. Open 1 non load bearing wall- to let light into kitchen
No moving of plumbing
Plumbing contractor will be pulling permit for plumbing
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CITY cA�' (3���lU �
BUfLDING P-ti��fT ' ,,r� ;•�(,���;'c•W
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fla c-,_.�.:;r:�, ;,�i e.���s r;,i::er-.c�u;;tli;�,�.,r2o in;i-�is raview.
h'E�P i�i'E:i i'L�N SC—!'Otti 3fTE AT HLL"(IMES
vPEC1AL N�T�
SI�E ATTA�I-��p �;-��T
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This is the original layout. Tne
new layout is the same less the
cabinets on this waff.This wall will
be opened up to let light in. �1� tS�
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New 650 cfm fan being instaAed.
The HVAC contracfor defermined;-____-:::_---. - --
makeup air wil( need ta be added.. ` - _ _ - �riginal location afi sink. li i;n�t
The HV,4C contractor will puN � " i� � movii�g. Plumber vxill pulf p�rrnit
permit fo�HVAC. ^ � , II I;i �
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`LIITY OF ORONO ��w CALLED IN ��P TIME �
INSPECTION NOT CE SCHEDULED l� �
PERMIT N0. � COMPLETED
ADDRESS��' �-���`�(�j'��� iCl�� LJ\/
OWNER CONTR. ?
TELEPHONE NO. ���J�-��-�'�� ` C'� � ��
� DESCRIPTION ��'1� f "�
� 01 FOOTING 11 MECH I L RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAiNT
� 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:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L� pHOTOTAKEN
INSPECTOR W4LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REOUIRED.CALLTOARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContra sit :
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice
EI � �
�� O/ TIME
CITY OF ORONO CALLED IN ��
INSPECTION TICE SCHEDULED ��Lt
PERMIT N0. 2 g COMPLETED
ADDRESS��` �p�� R(�fG �.--Q'ltie�
OWNER N ��N��/'S CONTR. ���'�
TELEPHONE NO. ��Z- ` Z(� � - y� 8�
� DESCRIPTION FR-�Iln/NC� � �NS�IiI�C{jJd�cr
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED. LLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-460�
Owner! ntra o s e-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��o �/
DAT TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED /'-3��'1
PERMIT NO. COMPLETED
ADDRESS �� � �'�-
OWNER CONTR. � �-
TELEPHONE NO. ��, �Lp� � I f O uc
� DESCRIPTION �i T. �� !/1�.01� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952) 249-46��
OwnedContr r site:
Inspector. �-
White Copyllnspector' File Canary CopylSite Notice