HomeMy WebLinkAbout2000-P02608 - deck ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po26og
Crystal Bay, Minnesota 55323 P@ftY11t Typ2: Addition/Remodel/Repair
(612) 249-4600 Date Issued: gisi2000
SITE ADDRESS: 3265 Bohns Point La
WAYZATA,MN 55391
PID: 08-117-23-44-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Deck
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 209.63
APPLICANT: BERNT FOSSE OWNER: E J MC DONALD/C J MC DONALD
8421 LITTLE RD 3265 BOHNS POINT LA
BLOOMINGTON,MN 55437 WAYZATA MN 55391
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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APPLICANT PERMI7'EE 1 NATURE ISSUED BY SIGNATiJRE
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ ��p�', (v3 Date Received: �/L;;_�'/���`
Entered By: s� Perm.it#: �4 C�,.;'�-�''�
CITY OF ORONO - BUII.,DItiTG 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 OR
.
JOB SITE ADDRESS: �.Z ��,C.�f,ry�����a�.� ZIP:
NAI�IE OF OWNER: �Z��d�� PHO�]E: (home)
� � (work)
I�IAII.I�i'G ADDRESS: � G S /�r��-�s CTTY: ZIP:
C0�1TR�CTOR: ,-� � � �o S S� PH0�1E: gS.Z �,�,s=,ZG G�
COi�1TACT PERSON: I�iOBILE/PAGER: ��q -- 3 3/ Z- .
1�L�iII.,I�i TG ADDRESS:�`�Z/ L��t L e fPc� CTTY:,���u,:.Y��,..=ZIP:�7 -
;-� __--- -�_ l�
( STATE LICENSE,_�#- .
�, �-
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ARC��TECTlENGI�YEER: P����
�IAILL�7G A.DDRESS: CITY: ZIP:
N�y�. REGISTRATIOti'#
TYPE OF `VORK: New ddition Accessory Structure
Move Remodel Alteration Land Alteration
PROPOSED WORK(describe in detai�: �� ���
STORIES: SQ.F'EET OF EACH F'LOOR:
NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET.
ESTII�iATED CONSTRUCTION VALUATION (excluding lancn: $ �a-rv, —
I hereby apply for a buildinJ perm.it and I acknowled�e that the information above is complete and
accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with
� the State Building Code; that I understand th.is 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.
APPLICANI''S SIGNATURE: /.��� DATE: �/28 - •Z-o�-o
NOTE! P ra ade 4f Homes events require separate permit approval by Police Department and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0�i RIGHTS OF SL'BJECTS OF DAT�
Subd. 1. Tvpe of data. I�e righcs oi i�dividual on whom�he data is s:or_d or ro be storcd shall be as sec focrh ia rhis section.
Subd."_'. Information reqirirrd to be�ven individual. �n individual uked to supply privarr or confidendai dam conceraing him.self shalI
be inforaed of: (a)�he purpose aed iac�aded use of che requesud dac�wichin c�e coilecring'sace a,eary,polirical subdivision,or sacewide rystm:
(b)whe::er he raay rfuse or is le3ally reGuircd m si:pply�he rGuested daci:(c)any l�own caas��uence arising from his supplyi,^.g or refusing to supply
priva[e or conr.dendal dara;and(d)the ideaary of ocher per�oas or enddes aurhociz�by sca�r oc federal law to re_eive che da�a. This requir.meac shall
noc apply when an individual is�sked,o sspply incesdzadve daci, pursuanc ro sr_�on 13.82, subdivision 5, en a law enforccWeac o�cer.
"Ihe comrtissioner of r•:e�ue r�av oli;e �he nocce r�uir_d under chis subdivision in the individual income tax or orooem taz re:ur.d
ins:rucdons ins.ead of on chose forms.
Subd.3. access to data bc individuaI. lipon requesc co a responsiblt auc.'�oriry,an individual shall be informed�vhecher he is the subjecc
of stor_d dara on individuals,and whe:her it is e!usif:ed as public, privace or con:�=r.aa1. L;poa his fur.her request, an individual who is the subjecc
of stoc-d privace or publie daa on ir.dividuals shatl be stiown dze daea wicl:ouc any caar3e en hia and,�if he desires, shall be iniomed of the concenc
ar:d meaning oi chac da�a. Aher an individua!hu�eea shown che privac:daa ar.d ia:or.�ed o[ics meanin3,che data need noc be disclosed oo him for
six man�s �her�ikc unless a d'upute or acrion pu:suanc[o �his secrion is pendiag or addiaoaal daci on che individual 6as beea collecred or creaced.
Tne responsib(a auchoriry shall provide copies ot�he privace or public data upon r.quesc 6y�e iadividual subjecc of�:a daca. I"n�respansible auchoriry
may requir_ �he requesring person ro pay the acaal cos�s of making.cerrifying,u:d compiliag che copies.
'Ihe rsponsible auchoriry s�all comply ir.-�c;:ediately, if possibie, wirh�^.y�ques�sade pursuant co this subdivision,or wichin five d�ys oi
the dam of cha requesc,e�cluding Saeurdays.Sur.e�ays ar.d legal holidays,if immedu:e compli�c�is noc possible. If he canao�comp(y wi[h rhe requesc
wi44in[hat dme,he shall so inform ct:e individual,sr.d may have an addidooal five days wichin which co camply wic:z the request,excluding Saturdays,
Sundays and legsl holidays.
Subd.4. Procedure whea data is not accurate or complete. An ir.div;dual may contest the accuracy or compleceaess oE public or prica�e '
dac►cor.arning himself. To ezer.ise r�is righc,an ir.dividuai shali noafy in wri¢�g:t::cesporsioie aurhoriry describing che nacu:e oi th�disagreemeac. ..
'Iha responsible authoriry shsll wic.'�Lz 30 days ei��ar. (a)correct�he data found ro h�inacc;:��or incomp(ece and aaempc co nnd;y past recipienu of
inaccura.e or incomple:e dara, inciuding recipiena named by [he individual; or(b)cocify [I:: individual thac he believes che daa to be correcc_ Dars
in dispuc:shall be disc!osed only if[he individual's sacement of disagreemenc is�.:luded wiL`�th�disclosed dara.
'Ihe de�e:minanon of tt:a rosponsibta auchoriry may be appealed pum��^.c to the pr�visions of che admuuscrarive pro:edure act reladng co
concesced cases.
DAT� PRIVACY :�D`ZSORY
In accordance with�1.5. 13.04, Suod.2, "RiQhcs oE subjects oi daca", ��e would like to inform you thac your reauesc
for a perm.it or license from che City o[Orono or any of its deps.u:ents nay require you to fumis� certain private or
confiden�ial information.
You are notified that:
1, 'Ihe information you fi:raisn will be used to decermiL�your qualitication for che perm.it or license requested.
?. You may refuse to supplv daca, bu� refusal may reeuire tha� the City deny the permit or license.
;. The information may be shared wich ocher local, sca��or federal a�encies co the extenc necessary to process
the perm.it or license.
.�. If your requested perr,�it or license requires Council action to approve, some information may become
public.
�. You have certain ri�cs under �1.S. 13.04 (availabt� upon request) to review private data on yourself.
6, Your full namz is required to process this applica�iea or pe:mit.
First �tiddIe Last
�ddrss
C�ry Sa� Zip PF.oct
I understand my riQhcs as staced aoove. ,
�—.+--- �
Signanire
CHECK OFF LIST FOR ISSUAl�'CE OF PERiI�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �326� (30�+N 5 �o��r�r c�-�,e
PID:
DESCRIPTION OF WORK: t� �ec.t�- R�,�p t,4�.m��-
ZO�'G REVIE`Y BY: DATE APPROVED: '�- i U-o�
BUILDI�i TG REVIEW BY: DATE APPROVED: �- �--�
F'EES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes � No y
PLAN REVIEW Yes � No SEWER COI�TNECTION
STATE SURCHARGE Yes �� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONL�i G CH�CK LI�T zoni.ng Disuicc: /l/� G r-�rr�� _
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: etland:
Buildin� Heigh[: Def. H�t. P al:Hgt.
Lot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setba : Lot Covera?e:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RE�LARKS (in house):
7
BUII.,DING REV�W CHECK LIST
�C� /` ^ 3 CONSTRUCTION TYPE: "�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage z =
z — a
TOTAL
Estimated Construction Value: $ Co,vp�a�
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
�_Footing � Septic Sewer Connection -
� Framing Fireplace Lawn Irrigation
Insulatioa (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
°� F�� Grading/Filling Electrical (State Permit)
Other
xEtitaxxs�nv xousE�: � � .
REV��V BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By;
REI�LARKS (TO BE NOTED ON PER1vIIT�:
8
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5-�03 9/. /3 '
\vILLIAM O. SCHOI:LL GI.RLISLE MADSON I
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A�' L�A5`� t7NE HI�NDRA�L REQUI�<ED
GUA�DF;.AiL Oi'EN SiDES
.. ��r�
�, . CITY OF ORON4
BUILpING iT RIAN REVIEW
� 1NSPECTOR
DA?'c' 7�10-C9� PE�MIT NO._____„____
p APFRGVED A�SUB!v!!7TED
,�t',^P"OVEG�"ll�Fi CORRECTIONS AS PlOT�D�sR-A �'�
Cl N�T A°�''?C`�.'=D--COF�;ECT 9 F�SU�fi�iT
RR�e Mmn��:iS 8fG for your information. A!l work sha�l be ddoa�
_ �- i� �.:!I compliance vJi:h aN �?p!icable buildir.g and zon:ng c.;de�
GUARDRA{LS ��;::��T��-:���:��:��r;g it�ms no!specitica!ly^oted in this re�::3w�
IctEP TNIS PLAN SEt ON SITE AT At,�.�1Mk3
36" N4 i fJ_ i-I E!�iriT
4" p,/IAX. GPE'��1ii�:;"�S
_ . . ".-. t.�;:� :�:t. . . ...i�
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' STATE OF MN DEPT. OF COMMERCE
<��E�'9�%,
BUILDING CONTRACTOR �v ��„ Tc,aj
II3#5178 ��,,� �=.
F �� �
BUILDER �
IHDIVIDIIALPRQPRIETOR `:.;��,... �
�
k��:issa�'��
FOS:E HERNT .
DEA:FO�E HERNT CONSfR
8421 LITTLE RD
HLOOI+�GTON MN 55437-0000
QP:BER2tT M FOSSE
STATE OF MN DEPT. OF COMMERCE
133 EiscSeventhSs.
5t.Paul,MN 55101
(651)�9fi�319
DBA:F�55E HBRNT CON�TR
Expires 3l31l1001
7 H:sCE due by3l31l1001
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