HomeMy WebLinkAbout2000-P02725 - entrance mouments ' " PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�2s
Crystal Bay, Minnesota 55323 Permit Type: A��esso�-y stru��res
(612) 249-4600 Date Issued: �i2si2oo
SITE ADDRESS: 1645 Bohns Point Rd
WAYZATA,MN 55391
PID: »-1»-23-1 i-000�
DESCRIPTION:
Proposed Use:
Census Code 329
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Entrance Monuments
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00
p,e�,,,,, 7� ��
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 186.03
APPLICANT: KATHY HALLORAN OWNER: P J& K A HALLORAN TRUSTEES
1645 BOHNS POINT ROAD 1645 BOHNS POINT RD
ORONO, MN 55391 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL [MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
v"l �� �
APPLIC T PERMITEE SIGNATURE SUED BY SIGNATiJRE
Copies: City,Applicant, Assessor,Finance Page 1
f �
Total Fee: $ J$l¢. 0 3 Date Received: � o �
Entered By: . Permit#: �a-7 `o�,�_
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------- --------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER�R CONTRACTOR
�
JOB SITE ADDRESS: I�'-I 5 l�c_:hr�;; �-� 4-�c� ZIP: �5 3� �
NAME OF OWNER: �c1���J }�c���L�rc`3t'� PHONE: (home) �� � l -� � �1
(work) �_� c�-+�,�
MAILING ADDRESS: �� `c��v�ti��� CITY: �� Y��-n'C> ZIP:
CONTRACTOR: ��-I�� i�� (�C:� c� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZII':
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
NL�ILING ADDRESS: CITY: ZII':
N�y�; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
� � -.
PROPOSED WORK(describe in detai�: �� ����C�- 7�i I I c�r"� - ���t ��� �� '� �7 ��� VL '�� �-
�.� '/�� � � 1�'l f 1 � �l���1 �1 C�,C� C.�� C�-`l r v� - "c�r 1`t-�";��t1� �� ) � ��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � , G LO
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 Ciry 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.
DATE: �
, �
APPLICANT'S SIGNATURE: ��l ��� '�� c��`� --- �7 ' -a�`-� CZ.�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
,► �
Sec.13.0�RIGH'I'S OF SUB.JECTS OF DaT,�
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.'_'. Informatioo reqirired to be given individual. An individual asked to supply privace or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data wichin the collecting'state agency, poliUcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply[he requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idenriry of o�her persons or enrides auchonzed by sta[e or federal law to receive the data. This requirement shall
no[apply when an individual is asked to supply investieadve dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propercv 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 s[ored data on individuals, and whether it is cfassified as public, private or confidenaal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. Aftzr an individual has been shown the private data and informed of iu meaning, the data need not be disclosed to hun for
six months thereafter unless a dispute or acrion pursuant to this section is pending or addiaonal data on the individual 6as been collected or created.
The responsible au�horiry shali provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person ro pay the actual costs of makine, certifying;and compiling the copies.
The responsible authoriry shall comply immediately, if possible, wich 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 compiy with the request
within that time,he shall so inform the individual,and may have an addiaonal 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
data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing[he nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of
inaccurate or incomplete data, inciuding recipiencs 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 disagreemen[is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng [o
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 Ci[y 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 [o supply data, but refusal may require that the Ciry deny the pemut 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 pernut or license requires Council action to approve, some information may become
public.
�. 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.
Fitst �tiddle Last
Address
City State Zip Phone
I understand my rights as stated above.
� V�� --�.
Signature
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CHECK OFF LIST FOR ISSUA��ICE OF PERi1�1ITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ((��--(� � b I-{Y�S Qa i nr-� (���
PID:
DESCRIPTION OF WORK: �2�v Q w r4 y I�VI�o N u rw��v r�
ZO�'G REVIE`V BY: �5�� DATE APPROVED: 7- 25'-0�
BUII�DTivG REVIE`V BY. ..,.._ DATE APPROVID: '� -Zs-w
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �" No ;
PLAN REVIEW Yes ✓iAio SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECIION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO��+G CHE.CK LIST Zoning District: /�U C�¢�4,�'S.P
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes ,� No Date of Survey: e r C.t
Proposed Setbacks`.
Front(Lake): $� -f- Right Side: S � '�
s� � Left Side: � �`"
Rear (Street): S
Adjacent Structures: C�.�� Wetland:
Building Height: Def. Hgt. Peal:Hgt.
L.ot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
� Zoning File: # Resolution: # Resolution Date:
��ti
p Shoreland District:
���� Avg. Setback: Bluff Setback: LotCovera?e:
Eusting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Da[e of Council Approval:
REi�L�i.RKS (in house):
7
� �
BUII,DING REVIEW CHECK LIST
�C� — CONSTRUCTION TYPE: —
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x _
2nd Floor z =
Garage x =
z — +
TOTAL
Estimated Construction Value: $ �--+ Uva Q°
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
OC Footing � Septic Sewer Connection _
Fram.ing Fireplace Lawn Irriga[ion
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�F�� Grading/Filling Electrical (State Pecmit)
Other
REI�IARKS (IVi HOUSE): .
- ----------------------------------------
REV�`V BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
- ------------------------
REI�IARKS (TO BE NOTED ON PER1tiIIT�:
8
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