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Home My WebLink About2013-00835 - kitchen remodel t CITY OF ORONO1111111 * z 0 1 3 — PJ 0 8 3 5 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 591 NORTH STREAM RD PIN 25-118-23-34-0004 LEGAL DESC NORTH STREAM LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL UCTION CON TS�R;ONTYPE ADDN/ �MOPEL/.REPAIR VALUATI " $ 7,000.0051 �� NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 295.00 CRYSTAL KITCHEN CENTER PLAN REVIEW 191.75 668 N. HIGHWAY 169 GOLDEN VALLEY,MN 55427 STATE SURCHARGE(VALUATION) 8.50 (763)544-5950 TOTAL 495.25 Minnesota State License#: 7200 OWNER PEARCE,DAVID&SUSAN 591 NORTH STREAM RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,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 separate 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 conformance with the State Building Code.This permit may be rev ked any time f r due Qapse. -Tcar t e tee S ature at Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' 5 3 Total Fee: $ J' Date Received: E.ter:d By: f ermit#• &1,01,3 -d6 3 CITY OF OROIY - BUILDING PERMIT APPLICATION Ali information must be submitted in full before plat; review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER ORONTRACTOR l JOB SITE ADDRESS: isd ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? [:] Yes PH�90 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 required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed NAME OF OWNER: 1-)Ayltc d 5v-e. Qukezl; PHONE: (home) rj z -173 (work) MAILING ADDRESS: f 4)aa�-h t2WqM &I CITY: ZIP:E2 CONTRACTOR: ryr PHONE: �J®3 CONTACT PERSON: fy -06y MOBILE/ R:r,,,tZ- C'!,0- Wiz. MAILING ADDRESS: VJ1A - CITY:L-9- ZIP: ZJ STATE LICENSE: # 7Wt) EXPIRATION DATE: 3-31-J ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home emodel/ Iteration PROPOSED WORK(describe in detail): Q4jl d STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 11 j X 6 I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate: ,hat the work will be in conformance withthe ordinances and codes of the Cite and with the Stag Building ode;that I understand this is not a pen-nit and•Vvork is not to start without a permit;and that the woJk-will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 3 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: S 1 l (VorCM Ste'q�Ayw (Z D A4 Description of work: k'V-C 1 c*N 12-A=—VV`0 Septic review by: N I A Date Approved: Zoning review by: N I Date Approved: Building review by: Date Approved: - Z 2 Zt)1 Grading review by: Date Approved: ning District: Zoning File#: Reso#: Reso D Zonl : Lot Area: SF/AC Width: Lot Coverage: SF _% Survey %Sbacks: itted: 0 Yes 17 No Date of Survey: Re ' ed date(?): Proposed Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) ther Buildings Wetland Side Side Defined Height: Peak Height: FFE: F E minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = # f Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENTOR RAWL SPACE: The distance\hi en the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floe basement or crawl space)and test point of the roof. START WITH The distance between the top of slab and the highest point of the roof. If you have a... If you have a... • GABLE OR HIXalfthe OOF(no GABLE OR HIPPED ROOF(no windows): Sulf the windows): Subtract half the distance distance betwhest -int between the highest point of the roof of the roof to the to the low point of the corresponding SUBTRACTION corresponding h' ed roof SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR HOF( 'th (BASED ON GABLE OR HIPPED ROOF(with TYPE) windows): Sulf the ROOF TYPE) windows): Subtract half the distance distancebetwp of the between the top of the highest highest windo highest window and the highest point of the point of ther f roof • ALL OTHER ROOF TYPES(flat, • ALL OTHPR ROOF TYPES(flat, mansard,etc):No subtraction. mansa ,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract t distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basem t/crawl space floor and the EXISTING the foundation. GRADES) high existing grade adjacent to the GRADES fo ation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS efined building height Shoreland Dis ict MCWD Permit Received Average Lakesho Setback Met? Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No N/A Permit Number: Setback: Stor ater Quality Existing Proposed Variance Required C Required Ov#lay District Tier Hardcover Hardcover 0 Yes 0 No 0 s 0 No Type(s): Type(s): Updated: January 2013 /I"�Q C 14 q^16 vlorms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit max' Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units — Other(specify) Square Footage $ per Square Footage Basement X = $ 1 st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1-70 6 0 0 vJ Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filling ❑ Nell ❑ Hardcover Removal 0 Mechanical ❑ Fire Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. ,EKFraming ❑ Other (specify) ❑ Insulation ❑ As-Built Survey ,@( Final ❑ Wetland Buffer ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx � r See.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is sitored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual.An individual asked ro supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the 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 place the notice required under this subdivision in the individual income tax or property 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 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 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 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 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 ofpublic 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 notify past recipients 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 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. 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. `�oL( NIU &t— la04 First Middle Last 11'7 , &1 G, r4f- Address City State Zip Phone understa d my rights as stated Signa re 32 K-/ W DATE TIME CITY OF ORONO CALLED IN /0 13 INSPECTION NOTICE p� SCHEDULED Aly D PERMIT NO.,;Z2 COMPLETED ADDRESSc1rY� - OWNER TELEPHONE N "-91a-dl9-2-1 CONTRACTOR DESCRIPTION —PA ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE SH OR y ❑ FRAMING ❑ MECHANICAL FINAL O [_1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W a CC O CC P UL kA en_ N S W CC Q 2 W W J d W 021NORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE C ORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED,CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice DAT TIME V CITY OF ORONO CALLED IN INSPECTIONTICESCHEDULED — 9 PERMIT NO. - COMPLETED ADDRESS �l/ j . YYY,C/'_YI OWNER T ."ONE E NO;h3' CONTRACTOR — ,/ r 3Z DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W cc C Lies-r-f__7 W cc Q 2 W cc tjj j ❑WORK SATISFACTORY:PROCEEDOJECT COMPLETE QC W ❑CORRECT WORK&PROCEED ❑ ISSUE C RTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 092) 1P Inspector. S White Copy/Inspector's File Canary Copy/Site Notice