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Home My WebLink About2001-P03692 - addn/remodel/repair r , PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po3692 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4n9i2oo1 SITE ADDRESS: 2775 Silver view Dr LONG LAKE, MN 55356 PID: 33-118-23-42-0010 DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Itesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,385.00 State Surcharge Fee: $ 3.20 TOTAL FEE: $ 142.45 APPLICANT: HL Remodeling Inc OWNER: CRAIG J BRANDENBURG ETAL 5021 15th Ave. So. 2775 SILVER VIEW DR Mpls., MN 55417 LONG LAKE MN 55356 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. -• , -„�.� ��i��- � �i1� T ITEE I NAT ISSUED BY SIGNATiJRE ' Copies: City,Applicant,Assessor, Finance Page 1 � � Total Fee: $ �,�l-�'` �� -'� Date Received: `i�-/�- �'� Entered By: /�� Permit#: � � �(��'� ,;`i/Y�'c" - ' �///7��-( CITY OF �RONO - 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 O CONTRACTO JOB SITE ADDRESS: �� ,.S ��U�►2- V l Gw �-. ZIP: � � 3 S �' NAME OF OWNER: �(L��s �2��r-�'�� PHONE: (home) 9J �— �7�� v2 (work) � 1�.-��.�2 - 7 �7 MAILING ADDRESS: 5 n� � � ► � �}W� .S . CITY: �/� �- � ZIP: S j�l7 � 6rz. CONTRACTOR: � � � ✓��—�'�°7��I w�'' -�-►~'�- _ PHONE: �2�-—b�l �`7 CONTACT PERSON: lm u F'� �i�.=�L MOBIL AGER• 6 I�.-7��_ $y�S � MAILING ADDRESS: SG 2 i ( � j�-{ ,�}�..� S CITY: �,�,�I,S ZIP: �� STATE LICENSE: # ��'� �-1 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF W012K: New Addition Accessory Structure Move Remodel/Alteration ✓ Land Alteration PR POSED WORK(describe in detai�: i E/�,� �p wN c�" /�-�c a��`�� G�(m.ti6�'1. ;=r�o;�r-�-s �k) N��u S r l s �w Gy �I r�S Q � �.� i uc C s SP�+.,��.�.�J STORIES: �- '� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. c:J ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 3 � � - 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. APPLICANT'S SIGNATURE: DATE: �l �}P(L<<-- p � � �. NOTE! Parade of Homes events require separate perntit approval by Police Department arcd City Council 60 days prior to the event. Non permitted events will not be allowed. 5 �. , ' � Sea 13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The rights of u►dividual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose a�l 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 refasing to supply private or confidential data;and(d)the identiry of other persons or enaries authorized by state or federal law to receive the data. This requirement shall not appiy when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The conm�ssioner of revenue mav nlace the nodce reouired under this subdivision in the individual income tax or orocertv 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 hun and,if he desires,shall be informed of the content and meaning of that data. After an individuat has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon 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 authoriry shall comply immediately,if possible,with any reqaest 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 tequest within that time,he shall so inform the'vidividual,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 of public or private data concerning lumself. To exercise this right,an individual shall notify in writing the responsible authority describing tha c►ature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the daha found to be inaccurate or incomplete and attempt to noafy 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. Dara 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 �ity of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you fumish 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 pemrit 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 pemut. First Middte Last Address Ciry State Zip Phone I understand my rights as ated above. � Signature ,' 6 . � � CHECK OFF LIST FOR I5SUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�–?� S�Lv e2 y i �, w (�/� PID: DESCRIPTION OF WORK: (�r3t��c.� �'��-k t v►�rv� ZONING REVIEW BY: .-� DATE APPROVED: N /� BUILDING REVIEW BY: ,ti._— DATE APPROVED: y-/6 �o� FEES TO BE CHARGED: Misc. Fees Calculated 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 SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: /U D G t-�� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres W dth Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. � Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Res lution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No I Date of Council Approval: REMARKS (in house): ' � � �, 7 � ' � , , BUILDING REVIEW CHECK LIST UBC: �Z ' 3 CONSTRUCTION TYPE: �N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ (,, 3`$� � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) 0�Final Grading/Filling Electrical (State Permit) _ZC Other I�i_ ��„ T N REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8