HomeMy WebLinkAbout1998-010697 - kitchen remodel PERMIT
CITY OF ORONO PERMIT TYPE: �;, ;-� �
� 2750 Kelley Parkway- P.O. Box 66 -'���=�'�;���`�`
Crystal Bay, Minnesota 55323 Permit Number: {;i;�i=,°+; _
(612) 473-7357 Date Issued: �;;-;f:^;� r��;_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — �:'x��C°� 1__::3i'�. — _,E . L I{ .OWNER: _ _
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APPLI NT!PER TEE SIGNATURE ISSUED BY:SIGNATURE �{�L/
� Total Fee: $ �� � `�'J 7•� % Date Received:
Entered By: ,��i Permit#: ;L�'(�`z :?
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
����� �����(pleas rint all inform� ationJ ��
------------ - �C�I.- - ��._ --�'`�C=�__'_�rr►��_t� e-
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THE APPLICANT IS: (circle one) OWNER O�� CONTRACTOR�
JOB SITE ADDRESS: ,�DO � . ��� (p ZIP: ���
w�y z.�-�q � /v��.1
I u�- (h ) `���7 �".�- �.-� 2�
NAME OF OWNER: ��u q t��, �� d�, PHONE: ome
(work)
MAILING ADDRESS: J�0 C D . f2�, � CITY: (�f�`�Z�i � ZIP: �S 3`��
CONTRACTOR !I C)1�..��1�..� �.N 1 E C�L t��t�� :a ��� `�y.IPHONE: '^ ` �=- ` ��:�� "��AF S
CONTACT PERSON: 6_,.`�(�I J1�(bt,l� MOBILE/PAGER:
MAILING ADDRESS:,.2'7�'� ��(ZkErt ST. CITY: M I�JN �`t�u�ZIP: ��% C�S
STATE LICENSE: # �,G�I �� Z.��. �v ��` �rr�`�
AI�.C:ffiTECT/ENGINEER: f�n�lS�O.� v`..�j�.�,� ,�.,,;� .�.<-r : �;��HONE: '�., � �:: " ��3g ^-L�(�(aS
MAILING ADDRESS.�'�,. /'�,';�x v�'• � - CITY:� � � ZIP: • ��", =
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NA1��TE: l `i �_.�> 1 ����`r�;►��G � � . '�, � �� � �' ��REGISTRATIO #
- � � '.�.���,_ ��J c611.J�.-�'� ,� i�,�� . � _ ���.. . � � ,�Pc� ►S-�-r���..��ti 4�� �` 1__'`���D
TYPE OF WORK: New Addition Accessory Structure I
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�: ���.��.� �. � �•�.� r•c� {, ' � � �`��'�
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��i �L\'� -��'�.e'�✓ ' `�.a t.-4 �' . _� �` �^�4 ! �, `t.
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5TORIES: I SQ. FEET OF EACH FLOOR: ���-;JJ =� ��� �'�°�''c�>'c �3��F�,
NO. OF BEDROOMS: �' GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, �r'<, _
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 �
permit; and that the work will be in acc rda�ce w'th the approved plan.
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APPLICANT'S SIGNATU�2E: {,l ;,_� ��'' '. ` �i`,..__ DATE: �> � '� �
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NOTE! Parade of Homes events requ separate permit approval by Police Deparlment���
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SiJBJECTS OF DATA �
Subd. 1. Type of data. The righu of individual on who the data is stored or to be stored shall be as set forth in this section.
S�bd.2. Information required to be glven individual. individual asked to supply private or confidential data conceming himself
shall be informed of: (a)the purpose and intended use of the requeste data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply th requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identiry of o r persons or entiaes authorized by stau or federal law to receive the data.
This requirement shail not apply when an individual is asked to su ply investigadve data,pursuant to section 13.82,subdivision 5, to a law
enforcement officer.
e ' er f ve la e re 'v' ' i 'v' in r
instructions instead of on those forms.
Subd.3. Access to data by indtvidual. Upon request a responsible authority,an individual shall be informed whether he is the
subject of swred data on individuals,and whether it is class�ed as blic,private or confidential. Upon his further request,an individual who
is the subject of stored private or�blic data on i�ividuals shall be sh wn the data without any charge ro him and,if he desires,shall be informed
of the content ancl meaning of that data. After an individual has bee shown the private data and informed of its meaning,the data need not be
disclosed ro tvm for siz mondu thereafter unless a dispute or acfion pu to this section is pending or additional data on the individual has been
collected or created. 'Ihe responsible authority shall provide copies of e private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay e actual costs of maldng,certifying,and compiling the copies.
The responsible authority shall comply immediately,if po ble,with any request made pursuant to dris subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legai h lidays,if"vnmediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and y have an addirional five days within which to comply with the request,
ezcluding Saturdays,Sundays and legal holidays. �
Subd.4. Prceedure when data is not accurate or com ete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual hall notify in wridng the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: ()cornct the data fwmd ro be inaccurate or i�omplete and attempt to notify
past recipients of inaccurau or incomplete data,including recipienu ed by the imlividual;or(b)norify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individu 's sratement of disagreement is included with the disclosed data.
The denem�inadon of the responsible authority may be ap ed pursuant W the provisions of the administradve procedure act relating
to contested cases.
DATA PR
In accordance with M.S. 13.04, Subd. 2, "Right of subjects of data", we would like to inform you that your
request for a permit or license from the Giry of Orono r any of its departments may require you to fumish certain
private or confidential information. j
You aze notified that: i
I
1. The information you furnish will be us�d to determine your qualification for the permit or license
requested.
2. You may refuse to supply data,but re al may require that the City deny the permit or license.
3. The information may be shazed with o er local, state or federal agencies to the eztent necessary to
process the pemut or license.
4. If your requested pemut or license requ' s Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13. (available upon request)to review private data on yourself.
6. Your full name is required to process s aPplication or pe t.
/l��NSo�J 2 �c1 T�1G�0�2 L�ES i��, �i1���
"D v �a �ohl
First Middle Last
/2./� g , UiTG- Z� z.
Addross
Q L-1� S /�/Z-'�3 S'a�
Ci State Zip Phone
I understand y rights stat d above.
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,, ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: >L C� ���c`��� ��e r'J�=
PID: �
DESCRIPTION OF WORK: k �'r�i�:''tv �������
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ZONIl\TG REVIEW BY: , �1 .�,.� DATE APPROVED: � 3 i -y�
BUILDING REVIEW BY: f � 1,;,,.-- DATE APPROVED: �i 3� - `7�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERM11' Yes ✓ No
PLA`� REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes t/' No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: ��^-{� L(-FwhvCvt�
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: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Gradin;: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By: • -
Zoning File: # Resolution: # Resolution Date:
Shoreland Dis[rict:
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):
7
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BUILDING REVIEW CHECK LIST
UBC: ��-- > CONSTRUCTION TYPE: ��Id'l:
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �+��,�L� '�
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal �i^ \Mechanical Water Connection
Footing Septic Sewer Connection
c,L Framing Fireplace Lawn Irrigation
�(_Insulation (Masonry) Other
�_Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling '`-� Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMII�:
8
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DATE TIME
CITY OF ORONO CALLED IN �'-5 - % � `� C
INSPECTION NOTICE Gj SCHEDULED �-�� 1 l.3 �
PERMIT NO. �:�j a � / COMPLETED ��f �
ADDRESS �� O v �?'`P /���
OWNER CONTR. �� /�-S �� --��7f.
TELEPHONE NO. � ��� � 3 � � �' �'s
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
MO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO �
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� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
� CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
W
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner/Contra n i e:
Inspector. 1
White Copyllnspector's File Canary CopylSite Notice