HomeMy WebLinkAbout2013-00587 - addn/remodel/repair � ' CITY OF ORONO * 2 0 1 3 - 0 0 5 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 07/02/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1348 REST POINT CIR
PIN : 07-117-23-31-0023
LEGAL DESC : REST POINT PARK LAKE MTKA ~ —� �
: LOT O11 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,500.00
NOTE: FOUNDATION REPAIR-CRACK INJECTION(25'-30')ON POURED FOLTNDATION
APPLICANT pERMIT FEE SCHEDULE 57.50
JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 0.75
60335 U S HWY 12
LITCHFIELD,MN 56387- MAIL-IN FEE 2.00
(320)974-8729 TOTAL 60.25
Minnesota State License#:20446489 PAID WITH CC# 3188
OWNER
JONES,RYAN&JAMIE
1348 REST POINT CIR
MOLTND, MN 55364-
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 speci£ed herein.This permit wil(
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
7� �.��3 7� a.� ,C3
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• JUN-29-2013 08:22 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.2�3
. , • 7".l".�
City of Qrono
Building P�rmit Application for Maintenance ! Rertov�tipn
(windows, doors, sidin�, re�roof, etc.)
�p� Mefll O �: Pennit number: �l 3-� 'rj g
O � ��ey,MN 65373-�66 f�ate recel�ed' '1 — l —�3
St�et Address: ��d�'
�, � 275Q Kelley PBrkw�y Plan review fee:
o� drono.MN 55356 /�
Tofal Fgp' ��. t • V v
Main_ 952-2a9-460� Fax: 952-249�46t6 www.ci.orono.mn.us
Tt�is application form must be completed in full and all required irtformation must be submitted.
Incomqlsk�appUcations wlll be returned. (Please print) ��.�/��i
GEN�RAL INFORMATI�N;
Job SlteAddr�s: _.).3�$ 1�e� p{'Za�'h _ear�l� _
WIII thls ba s Parade of Flomes,Remodelers Shawcaae Flome or other Display Nome'T Yes No
Kyes,a apedet ev�ent pemJt Is,aqulred w�1r Aelke Dspertment and CJty Coca�app�owH 4G dsra p►br b da e�r►►t. Shutfle bu�s ssnrrcce w1H bs
requl,a�d u+Msss oppucanr dtrmonsbaha s�rrc on�s1�parx/np!s ava�a�e. Mon�pem,aroa svs,us wra na os arbHeo.
CONTRACTOR!APPI.ICAN7INFORIiAATIQN:
NBme: �.�.��."T� h' 1 �o�S�4'�+.Bt]�.1a�3--�.,.t�
smta�.�cense� �c.y,��,� �� � ���at+on oa�e: �31- �y
,�
I�ead Cerafi�ation Number, N A�'- �n�,,a�c�.. � ^ Expiration Date: r�- �f�- f�R
(for wark a�hanea�t wero Con�iructed prlor t�o 1878
PhOne: - - � (offce) (ceq)
Mailing Addre9s: � City: �,q�IP:
Cohtact�erson: �����p,Q, �,�,,,��� ApPlicant is: nt�actor 1 Womeowner (ara.a�r1
Email and/or Fax; . c� �
PROP�R7Y 01NNER INFQRMATION:
Name: � "
Phone(day): !21 s'�- ��`���3 9
Address: 13.!�}$ �,'�,,,'i" �'o��,i� L�.i r�l� C�ty' RCf4f)Q7.1S1� zIP: ��.�L�;l
Email and/or Fau �Qn��.,�, a � �,mas 1, c.r.nn
PROJEC7 iNFORMATION:
Type of Any eard+rriovement may requln
G7��(b) C7 Remodel C)Fire oamsge MCWD revlew�permlb;
� Mlnnehena Creek wacershed[HsaicE(MCwD)
Q Re-roof, 1t �apair Q Stom�pamage 18202 Minnatonk�Blvd
Q Re-roof,rxdar Q R�tqrdtiqn ❑Water Damage �ve^,MN 55391
Pttone: 952�71-05�0
❑Re�roof,oq�sr Upeeih) �SidlnO CI Od�rer:(apec�fy) Fex: 952.a71.0882
C�V��dc�w(sy www. inn h
Overall ProjeCt posc�i ion• `
�st�mated ConstrucHon Valuatlon of p ect ex�ludfn tand) ' S p
APPLICANT ACKNOWLEDG�MENT:
� Agrees to Arovide all inf�xmaGon required or requested by the Buildiny Clepartmer�t;
• Certieea that the ir�ormatlon suppliea is true and oon�scx to tne best of his►her Ia�orMedge. The appliqM revdg�izas that they
are aoley rUsponsible for aubmiE�ng�complete appliCadon belr�g aMraro that uppn failure tp qp sp,the staff has no alt�matfva
but tq rejsd�urttll R Is oomp��te;
• Some or all of the infortnatbn that you are asked t0 provide on�tis applfcabon is dessified by State 18w as either privato or
oonlidenpet. Privete data ia inforrna6on whidt genar�lly cannod bo piven to the public but can be given to tt�e subject of the
datg. Conftdentfal date is iniormation wh;ch yeneralty CgrinOt b9 given to dithor tho publiC or the subJeCt Of the de�. Our
purpase and iritondod usa of this infoimedan is to ennually upd� our reoords and reoorda ot oUter gov�emmental aqencies
uired 1pw. If ou refuse to su 'the inf�nrmeti the a icatlom m �pt pe.i8sued.
A►PplicanCs Signature: 6 . Date: � ��
laet upaetad: 08�09��2ot1
� PLAN REVIEW CHECKLIST F�R NEW STRUCTURES / ADDITIONS
Address/Permit Number: �3`'��} fZ-l=S► P 0/N`'� C ti zC�-�-
Description of work: �n�^'��r't� e� ���t 2
Septic revie�vv by: l�{ 1 A Date Approved:
Zoning review by: N I Date Approved:
Building rev�ew by: Date APProved: ?' � - � �3
Grading review by: N iA Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: tArea: SF/AC Width: Lot Coverage: SF _%
Survey Subm ed: 0 Yes � No Date of Survey: Revised date(?):
Pro osed Setback
Front(Lake) R r(Street) � N S E W ) ( N S E W ) pther Buildings We d
Side Side
Defined Height: Pe Height: FFE: FFE minus 6#eet= {Existing Contour)
Perimeter(linear feet)_ %a= #of Stories Ok? YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPA :
The distance between the lo FOR A BUILDIN N A SLAB FOUNDATION:
START WITH proposed floor(of the basement crawl
space)and the highest point of the f. START WITH The distance between the top of slab and
the highestpoint of the roof.
if you have a...
If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): SubtracC half the distance
distance between the highest poirrt between the highest poirn of the roof
of the roof to the low point of ttie to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GqBLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
TYPE) windows): SubVect half the ROOF TYPE) windows): SubVact fiaitthe tlistance
distance between the top of#he between the top of the highest
highest window and the highes window and the highest point of the
point of the roof �f
- • ALLATHER ROOF TYPES(flet,
. ALL OTHER ROOF TYP (flat,
mansaM,etc):No sub otion. mansard etc:No subtrac�on.
RION Add the distance between the top of slab
SUBTRACTION Subtract the distance een the (BA D ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl spa oor and the EXISTI the foundation.
GRADES) highest e�dsting g adjacent to the GRADES
foundation OR 1 t(whichever is less). EQUALS Oefined bullding heigM
EQUALS Deflnedbui ng height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met� Bluff
� Yes G No � N�A � es � No
0 Yes � G Yes G No G N/A
Permit Number: Setbac �
Stormwate uality Existing Proposed . Variance Required CUP Required
OveMa ' trict Tier Hardcover Ha�ticover
G Yes O No � Yes � No
Type(s): Type(s):
Updated: January 2073
v:\forms�plan review checklist 2013.docx �� C�����
REMARKS (in-house):
Fees to be Char ed
Plan Review
Investigation Fee
Othe�(specify)
S uare Foota e S er S uare Foota e
Basement X = �
1�Floor X = $
2"d Fioor X = $
Garage X = $
Estimated Co�struction Value: S /�'s Ov ��
Orono Inspections Required Work Requiring Separate Permits Requi'ed State Permits
0 Site � Plumbing � Grading/Fiiling � Well
� Hardcover Removal � Mechanical � Fire � Electrical
� Footing O Septic � Water Connection
G Poured Wall G Firepiace 0 Sewer Connection
O Foundation Survey G Masonry � Lawn Imgation
G Radon Rock Bed 0 Mfg.
G Framing O Other(specify)
0 Insulation
G As-Built Survey
Finai
t7 Wetland Buffer
O �ther(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: G YES 0 NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January2013
v:\formslplan review chedclist 2013.docx
JUN-29-2013 08:22 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�3
Jesse Trebil Faundation Systems, In�.
60335 U5 Mighw�y 12
Litchfield, MN 55355
Phane: 32Q-S93-$929
Fax: 32Q-593,8720
T« City of Orona F.� Michelfe Andersan
is� 952-249.4618 a�eee June 29, 2013
� 952�249-4600 P� 3
�w Building Permit Applicafion t�
o upane [a r��► ❑�e can�e x�e ae�, a Ple•s.�cyc�.
•Cou,e„n1s;
Farw�rding buikling permit apptication. Pfease call wi�h an amount aRer final
approval and rnai!permit to our offioe.
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JUN-29-2013 08:23 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.3�3
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Approximate number o�days for job com�letio�t:. ! Ycar Built: +/-
. . - , � � � : • - � "' r � • • • -
Non-Rcfundable DeposiC $. . �/u, Gaphcr Onc Amonnt af bid S_ ��'��
Date ChcxJc� 0 Ycs �No �Plus permit feas i��equired
F�ng.Fas�tequired CI Ycs C.l No �g.F�c�
f�Homeown�r to gct per�uit
Our priariry is ta�ix thc proble�a with your fouqdatio�t,ChaC's what our cuswmcrs rcly oa us for.Keep in mind that
we can�ot bc responsible for any finish carpcntry,paiuting.paaeling�clea'ning,ete.that may bc necessary afier our
work is cotnpleted.Iesse Trebil 1�'oundadon Systems,Xnc.will not be responsible for any Iandscaping,reseeding or
re-s4ding,ueless Otherwisc noted on bid.
'1Ne will call"Gopher Onc"to have all public anderground lin�s lac�tcd.Yf you have private lines sach as satellite dish
cables.propane line�sprinkler. system,etc.you are responsibla�ar marlting them,Jesse'h�abil Foundation Systems,
J.nc.will not assamc reaponsihili.ty if thcre ia damage to privatc lines,If you.l.ive at a rural address,public lines will
only be lotal:ed to tha pole,ar yaur properh'lina.If damagc to any of thcsc Iines in an ar�a that wss not marked
vccarx,you wilI bo rasponsible for all rapairs. If your city roqaires au�caginocritlg,this qudte may nced to be
rewrict�n ea rx,oct their recommcndadans. A�uy�ddifiowl I��cwr�el are not iaduded.ln thls bid and ar�the
custa�er's r�esponsibility. �
1��o��re,r�rs+►,��+,r�
RepaeaentAiive's Signatwz thoriud 5ignatlu+e