HomeMy WebLinkAbout2016-00973 - adv plan review CITY OF ORONO * 2 0 1 6 — 0 0 9 7 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/15/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3215 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0088
LEGAL DESC : LAFAYETTE RIDGE
: LOT 001 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL ���'�
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW �
VALUATION : $ 75,000.00 ��k �1G
NOTE: PLEASE FILL IN THE FOLLOWING: ���
VALUATION OF PERMIT:$75,000 � � ���
� ,� \�
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL �� �\D ��
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00974
��
APPLICANT ADVANCED PLAN REVIEW 593.40
DANIEL PATRICK HAMANN TOTAL 593.40
8689 DAVERN AVE NE Payment(s)
MONTICELLO,MN 55362- CREDIT CARD 4188 593.40
(612)759-4402
Minnesota State License#:BUIL-BC698464
OWNER
WYERS,DAVID&ANN
3215 LAFAYETTE RIDGE CT
WAYZATA,MN 55391-
AGREEMENT AND SWORI�i 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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this rype 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 app►icant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
Roger Peitso
From: Hamann's Custom Carpentry Inc <hamannscc@gmail.com>
Sent: Sunday, December 11, 2016 7:31 PM
To: Roger Peitso
Subject: 3215 lafayette ridge w orono
hi Roger , I spoke with you last week about canceling a building permit on 3215 Lafayette. ��)
the home owners David & Ann Wyers are contracting there own job �(�
and I would like to cancel the exsiting permit that is at your office at this time . �� � �
�I . �,\\
hope this makes sense , ��\
Daniel P Hamann �
Hamanns Custom Carpentry Inc
612-759-4402
i
City of Orono
, Buiiding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O� Mailing Address: Permit number: / [`�97
O PO Box 66 c�
Crystal Bay, MN 55323- 066 � Date received: O �"�S ���
Street Address: b Received by: ��'��
y � 2750 Kelley Parkway �� ,� Plan review fee: .., '�l.3, �
`� � Orono, MN 55356
`qkESH��� ����o—
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:�
Job Site Address: � / S� � �� � ;d • � /'v.�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Y No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the vent. �us service will be
required unless applicant demonstrates sufficient on-site parking is available. Non permitt nts ill t llowed.
CONTRACTOR/APPLICANT INFORMATION: �
Name: 1�'a ,`� �v'. C� r✓�a�%, `
State License# � ('d 9 (p xpiration Date: 3 • � U�
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) Ja � S - D�? ( ice) —�
Mailing Address: �. ,� City:�/p„{,C�J/ ZIP: �s3 �,2
Contact Person: 1��,,� plicant is: ontrac / Homeowner (Circle One)
Email and/or Fax:
�'
PROPERTY OWNER INFORMATION:
Name: v;eQ � l�;.,.-� GcJ��t v�s
Phone (day): (D l� � S g�� - / 7 U
Address: �z,�S L.c��i�,,,e��,e ��,0� � � City: l�y��,� ZIP:
Email and/or Fax: ���.,���,,�,,..���mu;� , ���,,,�
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) �Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ 7S vc�r�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I th information,the a lication ma not be issued.
Applicant's Signature: � /- `�e�� Date: �a �- /S —-��/��
Owner's Signature: Date:
Last Updated:January 2016 C�� � �� �/„
f�