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HomeMy WebLinkAbout2017-00630 - foundation only � ' CITY OF ORONO * z 0 1 7 - 0 0 6 3 0 * 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2032 SHADYWOOD RD PIN : 17-117-23-31-0012 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 005 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FOUNDATION ONLY VALUATION : $ 3,000.00 NOTE: FOUNDATION REPAIR APPLICANT PERMIT FEE SCHEDULE 92.89 PLAN REVIEW 60.38 JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 1.50 60335 US HWY 12 LITCHFIELD, MN 56387- TOTAL 154.77 (320)974-8729 Payment(s) Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 154.77 OWNER STRONG, STEVE&NANCY 2032 SHADYWOOD RD WAYZATA, MN 55391- AGREEME1vT 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 governing 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 � .� � - ,�s� � Applicant Permitee Signature Date Iss Signature Date JUN-8-2017 10:04 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.2�3 CNty of Orono 8utldtng Permit Applicatlon for Ma➢ntenance/ Replacement/Remod�l— Resldantial �NL.Y (i.e.windows, daars, siding, re-roof, etc.— NO STRUCTURAL �XPANSiON) Moiling address: R����i,�� Parmlt number, �,� — vv ��� �'Q�dx$fi Y Crystal Bay,MN 55323-0OBB Qate recelved: —�. st,�or,aaaross. JU� 0 8 2017 Re�i�ma by: y � 2760 lCoUay P�rkway plan review.(oo: �r � G�rona,MN 66��,�F ORO /�� �� �'kFs��o�`� NO 7ota�Foe: MaEn� $52.249-4600 �ax: 852-249-4618 www.ci.orono,mn.�� This applicatinn torm must be completed In fu(I and a11 raqulred Information must be submi#ted. Incomploto�pplicationa will be returr►ed. (Pl�ese print) G�N�RAL INFORMATION:o'2O,�R /jR� 0 0� �a� ZO�� r�'�/�/ ��� I Job Site Addrass: WIII Chls be a Parade of Nomes, Remodelers S wcaSe hI0m9 Or Qthe Display ome? Yes [�No ff yas,a speciol evont p�nr�il;s rNqulruu w/t��NaNce 17epartment and Ciry Councll spprova!6tl deys prfor to the avvnt. Shulllv Lus cnrvke wil!be roqulrod unloaa epplrcan!demonstrot�a sut�iabnt an-slto parking ia cvttllablo. Non-pam,;tted�vants w!!1 not bo a�lowed. CONTRACTOR 1 I ��"4tJT IIJ p q �p�c N3me: �.� � U �Q.�(.��� � ,�.._. ._ State License# � �xpiratipn Date: _ Lead Certification Number� � r2 � _ Expiration Date: � � � ffor work on homos that ware con5truCted prlor Pp 1Q78 1 �q �3 PhOnO' (cell) (pffiCB) ���l J r 3�a � Mailing Address: ��� Clt � ZIP: 5 5' Contact Porson: $ Applican Is• Contractor / Hamaowner Ici.�:.0�,1 Email and/or FaX; fi' Q (,t5''�°j�9�Q.6t, .CO�'►]_ ��� � �"�„��-Q PRpPERTY OWNEF�I�'ORMATIQN° Name: L�«r�'s Gva 1� Phone(day): � , . Address: (;W' 401�nPJ �A �'C� City ZIP' . . Email and/or Fax: —�-� - -- PROJEC7 INFORMATION; Overall ro'ect descri tian; Type of ProJect; My earth rndve 4n y also requ re (� Cloor(s) ❑Rqmndal [�Fire Damsgo M�WD ravlaw � ormlta: ❑Re-raof,asprialt Q�ePair 0 Storm Dz�m�pe Minnehaha Creek Wator�hed Dlatrfct(MCwD) 15320 Mlnnetonka 81vd ❑ Ra-roof,�odar �Restoration �]Wster Dam�ge Mlnnetonka,MN 8534b [I Rr�•roaF,other(�p�city) Q Siding �] pther:(spaCify) Phorte; 952-471-OS90 F�x: 952�71-0682 (]Wlnr.lpw(s) Estfrnated Constructlon Valuatlan of Projeet(excluding land) $ "� APPLICANT AGKN�INLEDGEMENT: _.__„ � Ar�reea tn pmvidq all Information required or requested by tha Buildin4 DepaMm�tlt; . Certifies that the informatinn�supplipd IS trup and correGt to the best of his/her knowledga. Tho appliCant rp�opnizoe that they 8r0 Eolely rer�ponsiblg for�ubmitting a Compl�to applicatipn boing aware th�t wpon f�llure tp do 60,thp staff has na�lternative bUt tp reject it untfl it is Complete; . Some or sll o! the Iniormailon that you aro askad tfl provlde on this application is alaseffiGd by Stat�s law as either priv�te Ar tonfidential. Private data is information whiCh gonordlly Cannot qq gl�an tp tho public but can be glvpn to tha subjoct of the datp. Cqniidpntial data is iniprmation which ganerally oarinot be given to 6itlipr the public or the BubJect pf tho data. Our purpose and intended usc of this information is to annually update our records and racords af ather gpvarnmental agoncies required by law. If , _youu refusa to supply the informatlan,the appllcatlon may not ba is_suad. __ ,, .., �, ApplEcant's Sfgnakure: Date: �wner's Slgnature: Date; Last Updaled:J�nuary 2018 � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �Q J�� �f�1e�eLilu/ar��l_ ��� Permit No.: Description of work: �p�%� '�CJJc,�o?���o�iC"!�K Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: L2 1 Grading review by: Date Approved: Zoning District: , Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 l�es 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: •�,T FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and �� measure from hiQhest existinq the highest point of the roof. rq ade to the highest point of the ` • .START WITH roof even if fill was brought in to ` . ��� �'�' � elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade ta4tSe ROOF TYPE) between the highest point of the roof hi hest oint of the roof. . to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Average Lakeshore Setback Shoreland District MCWD Permit � Met? � Bluff 0 Yes 0 No Permit Number: � Yes , �. No � N/A � Ye No � � N/A—see attached ' '� � ` � ' ' i ' � Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes 0 No O Yes 0 No 1 2 3 _,'.4 5 TYpe(S1>. , - ' Type(S); Fees to be Char ed YES NO Permit � Plan Review (�'` State Surcharge Investigation Fee SAC— Number of SAC Units fj+ Other(specify) v' Square Foota e $ per Square Footage Basement X = $ 1 S' Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ � (y�/� � � Orono Inspections Required Work Requiring Separate Permits � Footing 0 Site � Plumbing � Grading/ Filling � Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire 0 Foundation Survey ❑ Hardcover Removal � Septic 0 Water Connection � Foundation Waterproofing �Other(specify) � Fireplace 0 Sewer Connection 0 Framing J��Y ��� 0 Masonry ❑ Lawn Irrigation � Insulation ��" � 0 Mfg. � Landscaping 0 As-Built Survey � Other(specify) Final � Lathe Required State Permits � Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 ��\fnrmc\nlan rovia�u rhar4lic}1f1_9(11F rVnrv JUN-8-2017 10:04 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�3 , �� � ,)esse'1"rebil S�faE3asements af Minnesata, Inc. 6p335 US Highw�y 1� Litchfield, MN 55355 Phone: 320-593-8729 F'ax: 320-593-8720 ch�rvl(a7saf�basements.corrt ����o ca�� ro: City of�rono Fron,: Cheryi Anderson F�x: 952-2�9��1F> Date: JuM� 8, 2016 Phone: 9J2-2Q����OO Pages: 3 R�: 8uilding Permit Applicafiivn cc: ❑ Urg�nt ❑ For Revlww C7 Please Comment X Please Rep�y � PlQase 1�s�ycle •Comments: Forwarding building permit appiication for 2032 Shadywoad Road. Please call with permit amount after final approval then mail,fax or email permit to our office. Thank yow! Reviewed for Code Compliance City of Orano Date_""G�"� Reviewer ' JUN-8-2017 10:05 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.3�3 �� � ` ' � ' ` Bid D�te: �I �' � 7 /<'SS(' Tr�bil;S INSTALLATI�N � A c�1 -,.�F��� �C)�l l� �....�- st� J l . fle«: Project Cons ' � � � ' Home '�'- F'aremnn; D�1Ce �o��� ��,`-/-7-�' ��',�-��� r ,�r Mi�esot� l� ,� �.ail � �, �' Basement Repair Speci�lists � ,�o l aY'� s , �,� �'"�79°" Praject Pla�ning ,r, 6p33� US.Hwy 12�l:itchfield,M.N•55355 Scope Definition �_�1,rT�� /�f1�C � TVame 1-�Q�"4��-SBS� DraintileSystem �� � 0 s8ro-$aQe .2 D_.,2 �rv,�r��j y�r o r� ���� , o�5.�.�� � Address p�w�u�_�1�b5ite OBoth Address �Malltpg L�InhSiu �5����+in ....ti.`�� A�� , r.�=—i-�7 �t D.�� O Safe•'►Mck ��--�...�,� 'r i����rr rr�rrrwrr �p [�117! 8 �ty,To ip �.��y,lownehip P P . .�---•�» .�.���3 C.bunty,$tste,Zip Cvde Rockup SyFeema I��000sywrn, •cuw,� ..�.....,....._.......... 'f Ti!'�',�L!�'N� W / ' Q 1730 Sritcm � � . PC17fiA• /'> �� � � rh �1 C�2400 Sye{cm �� r hC7h . � _...... .,`� s.� "�_ . 1 � :... � Radon C cr '� - � ~^, - - -- - � '��,.� „�. � Eucapsu i z ;•. p ri� � l'_'�.rt � . �vt;n � ;,�4 (� . i �W� • .....--: . 0 Speny .. . . . . • ,,,�� Wall Anchoss '� �C�C�'1.`x J��r�r� , l�`�x ��i. . Walers �� __._...._.._.._ �G�� �� Carhnn Fiher ---_ Z,.` � "�',[° .� "_ '"T`�' �e'r . Puuh Picrs �,_ [l P�ah Q!'.rnwl Spece �,"�� Hclicni Piers ,�..,...,,�,,,,,...�, ,._ . �.. ,,, O n�ck p pow,danon w � �" • �n CCaWI Spac� p, Stablixers 7..�-�� . Pp crc.N �:-r Pol �lackln t E�k� --�-- y s. �..�... . Froject Notes: �?"N��.arr �'- �:'�r-r- s�A�:� Gu��r�,�I1U�hI�I�3 " Radan `'� ��,J�.,.._'� � � � � Q'halinR Mli tlon � i,a1N� � � ' ' i - *� ".�1(�(J .-==. $3 W Syste • �iv F7`.kl,rf' ,`'�r,►r..�, /�� �!�f ►Z � �C 7,��':'/1��r�/ly��� Dchun�idifiers --- '�. .� `�'T� / .� 7�7.T• r�n�7'J''r.�' �i�!'�,�.r'7� Gi'r' Y�'/ CIS�u�aFaGomy+an�2 OSuu.FeAewncedZ � r �� � i ic''1r'�, '�"'_ f 7r 'i� T ...�N r �4 C � Miscellaneous ..��_ . �7 ,�-' � r t.�. �i r . � .7 . :a�w. .� r�- "�l r�F..��P �I',�- � �� ��O , �"' ��,.�.. � � � _�� _� . _`. � `,�.� � � .... Non Refundable Acpoait $ ��1.�'�r �� Guphcr pne - —y� UaCc C;hetk�i ._.,.„ Amount of bid $ ,� . ,�,,._,�,,�._._ �es QNo Monthly Options: kngineeri.�g 1?ee $ � ='�� � (If Re qnixed M y Ci t y/Counc y) W i n t e r D i s c o u ri t (�Plua prrmit fccs if requlred Any addltlonel f���/pqrmlts requlr•ed by (if Applicable) eity/caunty not Iisted abov� wiN b� tho �z Month �,..� Q l�lomeowner to get permit � nu inlerest/no, customer s rerponsEbil{ty. payment� r�j �stimated PA ment is due u 011 e#ion.�,� ,�.:r�� 1 l Mlh�y Paymcnts.�... Representaave And/or ��'+ „��;� ��� Tern��,,.,, }ZntC Authorized Sign�ture �� ...� � � � � ^ Mr� __... �—� e� TE i� TIME CITY OF ORONO CALLED IN � � MISPECTION N EDULED '- ` PERMR NO. � . � ADDR OMIN � TELEP E NO� - �a��' co��cTo � � I l _ S . � DESCRIPTION ly 0 FOOTING ❑ DEMO-FINAL SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v 0 DEMO-SITE ❑ SEPTIC INSTALL Z OMfNEWCOKTMCTOR TO MEET 1POU:_YES_NO � coMM� � � Lu K �i�er •� u�A o —���� ' > � ° ,.Jor GC Clsw�,o%Le. — � �.,p. �c G. . ,��-E�c�s - O� � W W j ,I�e�w�-'G crr�lea� � ❑WORK SATISFACTORY:PROCEED �AAOiECT COMPLETE W ❑OORF�CT WiOfiK�PROCEED o ISSUE CEFiTIRCATE OF OCCUPMNCY 0 ❑CO�ECT WORK,CALL FOR REINSPECTION TBiAPORARY V BEFORE CdVERiNO PFAMANENT 0 OORRECTUN3AFECONDITIONWRHIN HOl1R3• ❑pHpTOTAKEN INSPECTOR Wlll RE111RN O STOP OROER POSTED.CALL INSPECT�i O CRATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS. caN tor n�e next tnspeaaon 2a no�rs�n ad�►anoe. (952) 249-4600 on site: �«:�� �_- �— YI1hiM CoV1�AnaP�elo�'S�M G^Wp��