HomeMy WebLinkAbout1994-005988 - remodel kitchen PERMIT �/
CITY OF ORONO PERMIT TYPE: _
2750 Kelley Parkway • P.O. Box 815 `��'-�,�-��'y�'��=
Orono, Minnesota 55356-0815 Permit Number: �_,4°;�=�_;;_;
(612) 473-7357 , Date Issued: i��:i;'i�i;�'��?
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: -._ �;�::�:::; ; _:��.�:���.:. — � . t..i:: OWNER:
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APP ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO = BIII7�ING PERMIT APPZICATION
Total Fee: $ �r1d, 3 � Date Received:
Date Approved:
Entered By: ' - Permit�: Sy�O
AI�L INFORMATION MIIST B$ SDBMITTED IN FQL.L BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: -5�G 1�� OC�''� ZIP:
(work)
NAI�: OF OWPTER: r� e� V b�/sz os-. PHONE: (home)
1KAII.ING ADDR.ESS: �D /!��-�� �r.n CIZ'Y: d�oh0 ZIP:
CONTRACTOR: � �P PHONE: 02� � 9� � O
r�zixc Annx$ss:�i'/�l �� �s'7—�� ci�r: �l�-s��. ziP:S/6y5�
STATS LICENSE: � 5�a y�3
ARCHITECT/EDTGINEER: PHONE:
MAIZING ADDRSSS: CITY: ZIP:
N�: RSGISTRATIOH �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : l'w , /'� � ����4` �-o �� �x�s'��'
LYo�t— �� S�O`✓c°Y �-f+ /� hJ/r COcJ �C Pw C�rA�s-j�c_ /�-FGIa�—
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STORI$S: SQ. FE$T OF EACB FI�OOR:
NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezclndi.ng land) : $ � s ��
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 wiI 1 be in acc dance w' h the approved p lan.
APPLIC�iNT'S SIGNATOI2E: . DATE: L- / �/ �
CHECR OFF LIS'� FC,�t, ISSUANCE OF PERMITS
. FOR OFFICE USE ONLY
ADDIt$SS OR LEGAL: �FS�U �'`i0 I'��`� PID:
D$SCRI PTION OF WORR: i1 c_.��^-•:�-Q-�- �����
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ZONING REVIEW BY: N r� DATE APPROVED: � -
BIIILDING REVIEW BY: � ��� DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes �'� No
PLAN REVIEW Yes �No SEWER CONNECTION
STATE SURCHARGE Yes ��No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number. of SAC Units OTHER (specify)
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ZONING CHECR LIST Zoning District:
Fire Department: Post Office: School istrict:
Lot Area: �_ Width: Depth:
�
\ I '
Survey Submittedl Yes No Date of Sur ey:
��
Proposed Setbacks:� �
Front (Lake) : Right Side: i
,
Rear (Street) Left Side:�� _ ��,
� �
Adjacent Stru tul�es: W�tland: 1
i �
Building Height: ef.\\Hgt. ; Peak Hgt. '�
i
Avg. Setback: � Lot C verage: �
i
Exis, ing Pro�osed �
�
Hardcover: 0-75 ' � ,
i
75-250 ' i
�
250-500 ' i �
500-1000 '
Hardcover Variance�, Required: Yes No ; Date of Council App�ova�:
Grading: Staff App�oval Date: By: ', Council Approva� Date:
, �- �
Septic: Staff Appriova� Date: $y:
Zoning File: # Resolu�vion #: ', , Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECR LIST �
IIBC: � �3 CONSTRIICTION TYPE: �N -
. . ��� .i,N.'+r'
.. . ... .. � . � �.
Sq Footage $ Per Sq Ftg
.. Basement x - _ '�' �
lst Fl�oor x = _ - _ ""�.
2nd F].00r x = : _ ,�.� -." "_`�•.
Garage x = "�
x = .
TOTAL
$sti.mated Construction VaJ.ue: $ Z�S:, (�c�0 e�
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Grading/Fi]�l.ing
Footing Mechanica� Fire
Framing Septic Water Connection
�D Insulation Fireplace � Sewer Connection
°�Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Wel 1 (State Permit)
�Electrical (State Permit)
-------------------------------------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHEItS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
.
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� • � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 wil.l be used to determine your
qualification for the permit or Iicense 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 3.ocal, state or
federa]. 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 to review pri�a�L
data on yoursel.f.
6. Yaur full. name is required to process this application or
permit.
�� �� � 6 �
Fir Middle ast
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Address
n CYN4-.SDs-� / <h ��6
City State Zip
�5��- ���
Phone
I understan my righ as sta ed above.
�
Signature .
BUILDING&ZONING-473-7357 • ADMINISTRATION 6t FINANCE-473•7358 • PUBLIC WORKS-473-7359
ASSESSING
-�__.._____._..._ ------------------—-- - w
513.04 RIGflTS OF SIIBJF•C15 �F DATA �
gubdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section. An.individuel asked to
- - g�d. Z. Information re9uired
to be given in�vidual.
� ' u 1 rivate or confidential data concernin a BmWit�hin t�he collecting state agen Y�
S pP y p v refuse or is legally
purpose and intended use of the req tem;d (b) Whether he ma,
political subdivision, or statewide sys ��� any �own consequence arising from his
required to supply the requested date; �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
ther ersons or entities authorized by state or f ederal law to receive the data. This.
° p 1 when an individuel is asked to supply investigative data,
requirement shall not app y to 8 �W enforcement officer.
pursuant to section 13.62, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und uistructions instead o
on those orms. • - --- - .
Subd. 3.
Accsss tc data bY in���' �Pon request to a responsible
authorit , an individuel shall be informed whetbh�eC h r vateeor confident al.e Upon his
y �1 ' p ublic data on
individuels, and whether it is classified as p
e to him and, if he desires, shall
further request, an individual who is the subject of stored private or�du� � been
individuels shall be sh°wn the data witho of�hat da a• After an ind�
�e informed of the content and meaning t� �ta need not be �isclosed Lo
shown the private dats and informed of its u���action pursuant to this sectioT��s
him for six months thereafter unless a �P n request by
� ending or additional data on the individuh h� gteeor public dataruQceSted.
+ p require the
responsible authority sfisll provide copies o t P o�ible authority maY �in the
the individuel subject oft�e actual•cos h of makinB, certifying, and comp g
requesting person to pay -
copies. y ssible, with any request
The responsible authority shall comply immediatel , it po
made ursuant to this subdivision, or within five days of the date of the request,
P g�days and legal holidays, if immediate compliance is not
excluding Saturdays, With the request within that time, he shall so inf�orth the
possible. If he cannot comply within which to comply
individual, and may hsve an additio�d le alaho days.
request, excluding Saturdays, SundaYS g
Subd. 4. Proced�e when data is not accctrate or complete. An indivi� mgy
himself. To
contest the accuracy or completeness�of public or private data conce�ible authority
exercise this right, an individuel $� notify in writing the resp
describing the nature of the disagreemenL The resPonsible authority shall within 30
days either:
(a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccurate or ineomple tehe t�e esdthe datalto be correct
the individusl; or (b� notify the individual tha eement is
Data in dispute shall be disclosed only if the individual's statement of �a� to the
• included with the disclosed data• � 8ppealed pursuar►t
' The determination of the responsible authority may
provisions of the administrative procedure act relating to centested cases.
����,�� ��� �
_ _ . .�� �
Pool Area
, Living Room
_ _._._.___ _ -- -•-- ,3
T ,�' �`� ... L �i
3' rec�c��' b�ns . � ,
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Laundry , � . c4os'"�
1JvT
o rolshc��e,s? •
i .
�� Kitchen .
` �o .__.__ Bar/
�,. � -- � � Service
;_. . _ `,�'• _._._.. ' �'- ._.__.. '� .' -_.-- -•� Area
i _ - ;I __� ._._._._._. .,a.
� 3/4 Bath ,�
' � ° ---,---- o. � ,i
_
�� --,� o a ��,
e�;,,,���: � � ������-
���� � °� Dining Area
��C1(�r�� - (pao0 .�����D�[��i M['F Pi.�AAN R�V1�l9�/
a SpE�`r�c3�t
_;;'�r,�—�`�......,,,,,,,,,o,,,v„r PERMtT 1V0. ...�.....�...
�; ;,,;;,,:zs;� � . ,� .:.� s���r�,;��D '
"� , ,-, , ;, . � T14NS AS NOTED
� ;`,�„; :�-;-r;:i'�,:.'.: — C:�RRECT & RESUBNIT
;;,;,�;,�;;�,; r;E t�r yJur i^tnrmation. All work shail be done
,,�s,� '�;�;��p;�sncn ��v;�t� aii ���{�abie buHding & zoning oode !�
� !•-c „ ,� �r�,; ,.;p, apEersfi:.eily noted in this re:����,
• , __ �.•� �:aiTF. �;! �1.i_ iii.����.
/ DATE TIME
CITY OF ORONO CALLED IN G ^ � �
IPVSPECTION NOTICE �i SCHEDULED �D '�� �.3�
PERMIT N0. '�J�d COMPLETED � Y
ADDRESS ��� � L-//L�,'t- .v�l--
OWNER�/N7-���1 CONTR. ��t� /b��
TELEPHONENO. y7�- ��l�
� DESCRIPTION ��Z����
lL 01 FOOTING 11 MECHANICA�RI 16 WELL TEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRAD�NG/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
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d ORKSATISFACTORY:PROCEED �_ PROJECTCOMPLETE
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� CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN `
'7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n x inspection 24 hours in advance.473-7357
OwnerlContra o s t -
Inspector. '�
White Copylinspector's File Canary Copy/Site Notice
AT TIME
CITY OF ORONO CALLED IN � 9 �
INSPECTION NOTICE � scHEou�Eo /D `30
PERMIT NO. � � � COMPLETED �� N '
ADDRESS �
OWNER • CONTR.
TELEPHO ENO. �'5���- �962'
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI i6 WELL TEST PUMP
Q 02 FRA ING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 0 27 SEPTIC MAINT. 21 COMPlA1NT
Q
09 PLUMBIN RI 15 SEPTIC INSTALL. 22 FOLL�V-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPI.ETE
W �CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advan�.473-7357
OwnedCon� ' e:
Inspector: �
Whits Copyllnspector's FI Canary CopyfSiM Notk:e
DATE TIME
CITY OF ORONO CALLED IN '`� � %
INSPECTION NOTI�., SCHEDULED �/'-�/r-� /0 :�'�
PERMIT NO. �� �, COMPLETED h K'
ADDRESS -S C� `�/� •
OWNER '� �� CONTR. �`����
TELEPHONE NO. r�S�/� -�'l G � C'
� DESCRIPTION _�70_''���'.��'�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q I 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 INSULATI� 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.475-7357
OwnedContra r site:
Inspector. �
White Copy/lns or's File Canary CopylSite Notice