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Home My WebLink About2014-01117 - addn/remodel/repair CITY OF ORONO � �� 0 1 1 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 ORONO, MN 553_56- (952) 249-4600 FAX: (9_52) 249-4616 ADDRESS : 3577 LIVINGSTON AVF PIN : 17-117-23-43-0049 LEGAL DESC : NAVARRE HEIGHTS : LOT 009 BLOCK 004 PERMIT TYPE : ADDITION/REMODEL 1 REPAIR PROPERTY TYPE : RESfDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPARATE PERMITS REQU[RGD: PLl!M[31NG, F,I,EC�I�RICAL(S�I�A�I�[) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 191.75 STATE SURCHARGE(VALUATION) 5.00 DHM HOMES LLC TOTAL 196.75 1513 CAMDEN WOODS TERRACE ST CLOUD, MN 56301- Payment(s) CHECK 8360 196.75 OWNER HANNEMAN, DUSTIN 3577 LIVINGSTON AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which d�is permit is issued shall be perl�xmed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires sep��rate permits. All provisions of law�s and ordinances goveming 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."I�his perinit may he revoked at any time for due cause. �Q � /� '(�!/ ��'c .�� , --:�� A �c eimite i�nature Date Issued R��Signati e Date � City of Orono Buiiding Permit Apptication for Main#enance / I�epiacement / Renovatian (No structural expansion. Qnly windows, doors, sidir�g, re-roof, etc.} //'.�a�,�� Mai�ing Address: _ 'V PO Box 66 Permit number: +� Crystal Bay, MN 55323-QQ66 Date received: �- !t � Received b ` � , / St�eet Address: y: ��F �`` 2750 Kelley Parkway Plan review fee: �"�Kr,�}{f�� Orono, MN 55356 ~``-��`""�J Total Fee: ��/ .7� Main: 952-249-4600 Fax: 952-24�4616 +�vww.ci.arr�no.mr�.us (P � This application form must be completed in fuli and all required information must be subrnitted. Incomplete applications will be returned. (Please print) GENERAL INFORMA7"ION: ..�� i , Job Sits Address: � � � �c^' � � Will this be a Parade of Homes, Rsm delers Show se Mome or other Display Home1 Yes �o H yes,a specia!event permrt rs required with Police Department and City Counci!app�oval 60 days prror to the event. Shuttle bus service wi!!be required unless applfcant demonstrates sufficient on-site parking is available. Non-permitted events will not Ue allowed. GONTRACTOR/APPLICANT INFORMATION: Name: �i �S�Ya�P �'�c3�1�ni�n�� State License# —'`�'�t ` � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prlor to 19T8 Phone: (cell) !� �� '� (office) Mailing Address: �' � � :.-jq , _ � , �Z��. �. � _., ., � City: %� �'��„ � Contact Person: Applicant is: Contractor / omeowner �cir�ie o�e> Email and/or Fax: �j , �� f PROPERTY OWNER INFORMATION: Name: c, ,'y� �'" ,l t/\ Phone(day): � � Address `�� ,- ' � �- �.,:,�'tf 1/ Ci �� .,, � ��J�� 1 tY� ,' �: � � � ZIP: Email and/or Fax: �� PROJECT lNFOR{IPIA�ION: Overall pro�ect description: ��%� '' '"� ` � �` �� (��t �, � � Type of Project: " Any earth movement may alsa require ❑Door(s) `�Remode! ❑ Fire Damage MCWD review&permits: ❑Re-roof, asphalt ��Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof, cedar ❑Restoration 18202 Minnetonka Blvd ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑Siding ❑C}ther: (specify) Phone: 952-471-0590 ❑Window{s} Fax: 952-471-0682 w�,�r�_______a__n�iinnef��tiacreek orq Estimated Gonstruction Valuation of Project(excluding land) $ 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 spplicant 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 af 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 the information, the a lication ma not be issued. Applicant's Signature: ��g,�r��('��a�� i' �1n Date: _��=� � C�wner's Signature: � „�' �+ /�/�/�,/t;•./ �1�.^� �,� -----�� Date: ��j Last Updated:03/06l2013 � � -� � � s � - � � , �� _ � � �-� --� -� --�, -� -s _ � � ,� o � -� �, � �� s � � � � s � � � � � � � _ _ ,� � � .�, � � �-- � �y � � � �- `' � � � --� - - ; � � � �, � � � _ _ .� �, �- � � � �, ._- _� � ,� � � � � � �-� � � 3 � _ _ � � � 9 � � -� o'� � �5 � ` s � � _j , � � � �-� � � `� _ 2; � ..� � .� � � � � � � � � � � � � o �� .� � �..� _ �- � �, ;,.I� � � � � -� �. � -� � __. �-- � - -- �� -� o � o J � - , � �" � ,� �J V � � � -- � � s � �n - -- �� -- s � � � � � I`� � � � � � � - _.r.- - ..�-. � �.- � ..s� , t�- _ � � l� � ' � � `� �S � v � L +��[�; ��t��C' ��.t�� C�L�CC� ��[�i�� t Y.d�� L�� I�dctr�s�/Permft[�umber: �`s �") L,,f t�r�1r��'•n;l� �v� De�cri�tion of work: ��t��Z Septic review bY� �l� Date Approvecf: Zoning re�i�w by: /�! ✓� Date Approved• Buitd�ng review bY� D�te Approved: `� ^'"3 �% - /� Grading review b�►: �+i /"`E D�te�pprovad: Zcning D1s#rict: Zoning FEIe#: Reso#: Reso Date: � Zori : Lot Area: SF/AC 1�idth: Lot Coverage: % S�rvey S ifted: 0 Yes i� No Date of SurveY: Revised te � : Pro osed Setb ks: Front(Lake) ear(Street) ( � S E 1E"il ) ( N S E Il�il ) Oth Buifdings Wetland Sid� �i8e Defned HeEght: P k H�ight: FFE: FFE us 6 fest= (Existing Contou Perimeter pine�r feet)_ %_ �of�t ies Ok? �YE5 FOR/i BUILDIA�G 1MT#i A BASENiENT OR CRAWL Sp � The distan�belween the I t FO A BUILDING ON A SLAB FOUNDATION: START WffH propos�d floor(of the ba�ment crawl space)and the highest point of the ef. START YVITH T�distance between the top of slab anc If you have a... the highest poiM of the roof. GABLE OR HIPPED ROOF(no If you have a... � windows): Subtract half the • GABLE OR HIPPED ROOF(no distance between the high�est point windowa): Subtract 11a1f the distam of the roof to the Iow point of the between the highest poirrt of the ro SUBTRACTION correspunding gable or hipped to the low point of the cortespondir (BASED ON ROOF SUBTRACTION gable pr hipped roof • GAB4.E OR HlPPED ROOF{ (BASED ON . GAB�„E pR HIRPED ROOF(vvith TYPE) windows): SubVact haH th ROOF TYPE) windows): Subtraet half the diatarn distance between the top the between the top.of the hiphest highest window and th ighest windowand the highest poiM of the point of the roof ropf • ALL OTHER R TYPES{flat, • ALL OTHER ROOF TYPES(flat, mansaM,etc):' subtraction. mansard etc`.No subtraction. Su ct the dista between fhe ��ON Add the distance betw�een the top of sla6 SUBTRACTION ( D ON and the highest e�dsfiing grade adjacent t (BASED ON EXISTING basemeM/crawl paee floor and the EXIS NG the foundation. GRADES) hiphest existi grade adjacent to fhe GRAD foundation 10 feet(whicheveris less). EQU Deflned building heigM EQUAL3 Defined ullding hetgM St�oreianci District MCWD Pertnit Received Avera e Lakeshore�etback et? Bluff � Yes � No 0 N!A Q Yes Ct Na 0 Yes � Q Yes 0 No 0 N/A Permit Number: Se`�back: Stotmwater Q ality► Existitt� �roRaSed �►�riance Re�uired CUR RBc�uire Overla Distri t Tier Hardcover Harc�cover C2 Yes 0 No � Yes � No TYPe(S): Type(s): Updated: January 2013 �,,,�� .�,�� v:\formslplan review checklist 2013.doac REt�i�4RKS (in-house): Fees ta be Ch�r ed �'�� P�t�t �`� Plan Review �e Surcha� Investigation Fee g,A�_fii�rt�fier c�r SAC U��s Other(specify) S uare Fooffi e � r S uare Foota e Basement X - � 1�Floor X - $ 2"�Floor X - $ Garage X - $ Estimated Construction Va{ue: � r� ��'" � Orono Inspecti�ns Requit�ed 1d�lork RequirEng Separate f�ermits Required St�te Permits Q Site Plumbing � Grading/Fitling � Weii t� Hardcover Removal � Mechanical � Fire ,� Ele�trical � Footing Q Septic L� Water Connection E� Poured Wall Q Fireplace Cf Sewer Connection C Foundatiort Survey d Masonry 0 lawn Irrigation G Radon Rock Bed 0 Mfg. C3 Framing E1 Other(specify) E1 Insuiation CI As-Built Survey Final � Wetland Buffer 0 Other(specify) REI�lfARKS (in-house): Other Review: Reviewed by: Date Approveci: Access: Existing: [7 YES Q NO I�ew: i� YES Q NO OFFlC[AL REMARKS-TO BE t�lQTED OH PERRAIT AND iNITEA�LED Updated: January 2013 v:�forms�plan review chedclist 2013.docx