HomeMy WebLinkAbout2015-00697 - addn/remodel/repair . CITY OF ORONO *� 1 5 - 0 0 6 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015
� ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 3499 LYRIC AVE
PIN : 17-117-23-43-0090
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 006
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,400.00
NOTE: (INSTALL 4 GEO-LOCK ANCHORS TO BASEMENT WALLS)
APPLICANT PERMIT FEE SCHEDULE 92.93
STATE SURCHARGE(VALUATION) 1.20
AMERICAN WATERWORKS MAIL-IN FEE 2.00
829 ROLLING VIEW LANE SE
PINE ISLAND,MN 55963- TOTAL 96.13
Minnesota State License#: cont-BC387395 Payment(s)
CHECK 12973 96.13
OWNER
SCHMID,MARK
3499 LYRIC AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN 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 does
not grant permission for additional or related work which requires separate
permits. All provisions of laws 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 l80 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.This permit may be
revoked at any time for due cause.
. . ��
C� �' / � �O / �' /�:.5 ._
Applicant Permitee Si ature ate Issued By Signa re Date
06/01/2615 15:08 5073566021 AMWW BB PAGE 62/64
� City of arona .
Building Permit Application for Maintenance I Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
��r Mailing Addr�ess� Permit num6er. � 'U�o �
� {1/� PO�ox B6
Crystal Bay, MN 55323�0066 Date reCeived.
Red2i�ed b �� '
Streef Address, Y�
��, �� 2750 KeAey Parkway Plan review fee• ��:�6�
Orono, MN 55356 . `�
t�R'�S H O��
Tafal Fee• 4 ��
Main: 952-249�600 Fax: 952-249-4616 www.cf.orono mn.us
This app�ication fprrl'f must be completed in full and all required informa#iqn m t be su mitted ��w � _ /
Incomplete applicatlons wiil be returned. (Pleese print) �� / � �
GENERAL INFORMATIO � � � � �� ��� �
Job SRte Address:
Will th�s be a Parade of Homes,Rem 61e1"S Showcase Hom other i�play Home? ❑Yes No
ff yes,a specla!event pQrmit is iequired wdh Poflce Depar�ment end City Councif approval 60 days prior tu fhe event. Shutt/e AuS 56rvice will be
requirgd unless epplicant demonstl'aY�s Sufficient on-site park�ng Is avaflab/e. NwrpeRnitfed evenfs Wlq not be alfowed.
CONTRACTOR/APPLECA(�T INFORMATION: t, ,�
Name: � �1CC�Y� � �Y'l�J
State License# Explration Date: �i
Lead Certifrcation Number: � Expiration Date: ��j
(fol'uvork on home.s that wele Colfstructed pripr tp ��r�
Phone. (cel l) '] -- $4�,`jl.�C�. '��a�L
Mailing Address: 1 I�� LY-1 G� � (,� ZIP: ���� 7
Contact Person: �,r� �f^► Applicant is: Contract / W meowner �cE�i�o�a►
Email and/qr F&X: �, �Yl�-2�I `� CI�.YY�e 1'1�COl.Y"�,Y1JLA. Y1/���t' •(_�; �'7�)�J- ,��QQ��
� J
PROP�RTY OWN�R INFORMATION:
Name: � � �
Phone(day): �c� a — �'�
Address� ��a) U t^I L � v u � r CitY� � ZIP: ��
Email and/or�ax: ---- � �W—
PRQJECTINFORMATION: O�eralt rq�ectdescri tion: �1�15�. � �}�-�.�i('�{'(„ C,�Q(� b�tSQ,yYI 1�J'x,»S
Type of ProJect: • Any earth movement may also require
MCWD review 8 ermits:
❑Door(s) ❑ Remadel �Fire Damage A
� R�raaf,asphalt �Repair ❑Storm Damac�e Minnehaha Creek Watersh�d District(MCWD)
18202 Minnetonka Blvd
�Re-roof, cedar ❑Restoration ❑Water Damage �eephaven,MN 55391
�Ra-rooP,other(speGiy) �Siding ❑OYher_(specify) Phone: 952�71-0590
Fax: g52-471-fl882
�W[ndow(s} www.minnehahacreek.orq
Estimated Cpr�struc#ion Valuation of ProJeCt(�xcluding land) $ '�� a�
APPLICANT ACKNQWLEDGEMENT:
w • Agrees to provide all inform8tion required or requested by the Buiiding�epartment;
. Ce�tifias ihat the informatian supplied is#cue and correct to the best of hislher knowledge. The applicant recognizes that they are
solely responsihte for submitting a oomplete application being aware thet upon failure to do so, the steff has no altemative but to
reject it until it is complete;
• Some ar all of the information that you are asked to provide on this application is classified by State law as either pnvate or
confldential, Private data is information which generally cannot be given to the public but can be glven{o tha subject of the data.
Confidential data is infprmation which generally cannot be given to either the public dr kha subject of the data. Our purpose and
intsnded use of this informatfon is to a�n Ily update our records and records of other governrr�en#al agancies required by taw. If
ou reivse to s infor tton licatlon ma not be issued.
ApplicanYs Signature: p�{�; `!
Owners Signature: Date�
Last Updated:03/68/2073
06/61/2015 15:08 5073566021 AMWW BB PAGE 63/04
`. � .,
,
' 1ob:Deta�ls` , .
, , ,
� I
x��
���
�
��
, �
/� ;
��d� nc�'t' C_d v ev, �
.��.�.�_. .�_....W_�.__.._.__..._.._..,_...._........_..-----.�_�..__.__.,�.._.�....�..-------__.�...__:_,_._.�
�e��� f �f� ������
p��R�.
����,��� �
" ��;�� ��,�',�.� "��� ;-,
� �-*�����������
�N CHECKED gy
DATE
�'� � �t
. � ��
Page 2 of 5-The Schmidt Residerrce-2015-05-20
66/61/2015 15:08 5073566021 AMWW BB PAGE 04/04
'�
. . .:.........
,,,....•.. ,.:.,
.
. _ . ..,. .. .. ..� .
, ,:.,.. . ....:;. �` •
. :,.
, - >
, ,
.,. ..,
,, ,:
..... ..:....: . :.:.�... . ...
;Job
.
Det�ails.�..'..:,•.�
.. , .�.:... - ,:.:'� i
. . ,. .. ;.;� , �::�01�1�ICE,l:iS�;, "'
... . •..
., ....:..:,: ,.
. . . . ;;
• ,',', � . , .'�� . ,
_. . . �;.. .. .... �' ��'�' '',: ...
��101� P�manently StabH�e Walts
lnstatl Geo-Lock Wall Anchors as indipted on job drawing using a 12"x28'wa11 +Geo-Lock Anchors q
supportand a�6"xA6"anchor Dlate below grade on the exterior.Final locatfpn dt +Tightening Kit-GL 1
anchor(s)is sr,bject tofi8ld conditions.Provide a tigi,tening kit to the customerfor future .qdmin Fees 1
tigF�tening of ttie anchors.qdmin Fees
Contractor Will
customerwU
Page 3 of 5-Thp Schmidt Residence-2015-OS-20
�� ��� ATE TIME �
CITY OF N� (:ALLED IN
ORO - / .�
INSPECTION NOTICE EDULED — �
PERMIT NO. J��,S'��O �MPLETED
ADDRESS
OWNER , P E NO. '7�`� �
CONTRACTOR ` ���
� DESCRIPTION I �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
���NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWN� RACTOR MEETYOU:�YES_NO
c�., COMMENTS:
a � (�CC �� Q'nriltvi,5 � �D��
� �d l���lc fi�r, Gv� !! � ,iOG� ��4 vl
�.
� � -
° �i�'I�� � `� � f� /G sZ .ri.,Gko.� n c.�i-�
W
� �Je/'w�.✓L ��,�.�
Q
�
a
W
�
W
�
�
J
W ❑WORK SATISFACTORY:PROCEED �QL,ECT COMPLEfE
� �C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca rt e ne "ns ion 24 hours in advance. (g52) 249-4600
Ownerf ontractor on '
Inspector.
White Copyllnspector's File Canary CopylSite Notice