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HomeMy WebLinkAbout2011-00197 - addn/remodel/repair 1 CITY OF ORONO PERMIT NO.: 2011-00197 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 295 TONKA AVE PIN 05-117-23-13-0028 LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 6,240.00 NOTE: OTHER INSPECTION REQUIRED AT START OF JOB INSTALL 14 ANCHORS APPLICANT PERMIT FEE SCHEDULE 147.50 JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 5.00 60335 U S HWY 12 LITCHFIELD, MN 56387- MISC FEE 0.00 (320)974-8729 MAIL-IN FEE 2.00 Minnesota State License#: 20446489 TOTAL 154.50 PAID WITH CC# 3188 OWNER FRANK,CORY 295 TONKA AVE LONG LAKE,MN 55356 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 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 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.This permit may be 4�ire7vked at anytime r due cause..ant ermitee 'gnature Date IssueBy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. APR-1-2011 04:23 FROM:TREBILFOUNDATION SYS 3205938720 T0: 19522494616 P.2/3 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) -�„ Malting Address: Permit number: 07D��--- .00/97 .�� PO Box 66 Q 0 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 11�S ~ Kelley 2750 Ey Y Parkwa Y Plan review fee! Orono, MN 55356 Total.Fee: Mein: 952-249-4600 Fax, 952-249-4616 www ci.Qr4n4 mn.us This application form must be completed in full and all required information must be submitted. GENERAL INORMATION: Incomplete applications will be returned. (Please print) F Job Site Addr ss: r S 3S Will this be a P irade of Homes, Remodelers Showcase Home or other Display Home? Ll Yes KNo If yes,a Special vent permit is required with Police Deparrment and City Council approval 60 days prior to the event. Shuttle bus service will be req red unless applicant demonstrates sufficient on-site panting is available. Non-permitted events will nol be allowed. CONTRACTOR APPLICANT INFORMATION: Name '�� � `; \ r�A. �.. g­�s�c State License# spy 4��g� Expiration Date. Phone: Lon (office) (cell) MeilingAddress: ; ZIP:Contact Person: Lr Applicant is: ntra J Homeowner (Circho Ono) Email and/or Fa : 7V3Z Q PROPERTY 0 NE INFORMATION: Name: h,r,� " Phone (day)' Address: '�q�—t- yCity' ZIP: SS351„ Email and/or Fax 'r — C.O PROJECT INFORMATION: Typo of Projact; Any earth movement may require ❑ MCWD review& permits Remodel Water Damage ❑Window(s) Repair Minnehahs Creek Watershed District(MCWD) Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration Other. (speciry) Phone: 952-471-0590 ❑Re-roof ❑Fire Damage �-���� Fax: 952-471-0662 www minnehahacreek ora Overall Project Description�n� �� 1a 0.nC+�LteS Estimated Construction Valuation of Project(excluding land) $ `ZLkO CM 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 submltting 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 tho 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 eubject 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 you refuse to supply the information the application may not be issued. Applicant's Signature: � �� l n Q � � Ci-cQ^+� Date: Last Updated, 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: AJ-0- Description of work: P;Dy tjA.4 n o/V AN c-H-0 Septic review by: Al"/1 Date Approved: Zoning review by: A Date Approved: Building review by: Date Approved: Grading review by: /` 1A Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: De Survey Sub 'tted: 0 Yes 0 No Date of Survey: Proposed Setba s: ZZ Front(Lake) 11 Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH ABASEMENT OR C WL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the ba ment floor/crawl START the distance between the slab and the highest space floor and the highest ro eak,the top WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the dec 'ne of a the deck line of a mansard roof,or the mansard roof,or the uppermost poi on round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the high win w and SUBTRACT half the distance between the highest window highest roof peak of a pitched rogr and highest roof peak of a pitched roof SUBTRACT the distance between the bas ent floor/craw ADD the distance between the slab and the highest space floor and the highest xisting grade within existing rade within the foundation the foundation or 10 feet hichever is less. EQUALS Defined building height EQUALS Defined building hei Lot Coverage: SF % Shoreland District MCWD Permit Received Average keshore Setback Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 o 0 Yes 0 0 N/A Permit Number: Setback: Hardcove ones Existing Proposed Variance Required CUP Required q5' 0 Yes 0 No Yes 0 No 5-250' Type(s): Type(s . 250-500' 500-1000' REMARKS (in-house): /Vd C t4A1v6� Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit` Plan Review !/ State'S.urcharge Investigation Fee SACIymber:ofSACrUnts Sewer Connection �I1later;Connection i, Park Fee Other(specify) Miscellaneous,.) s Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2 n Floor X = $ Garage X = $ Estimated Construction Value: $ (o, 2_40 -b O Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical 0 Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0 Other(specify) 0 Insulation 0 As-Built Survey Final Je Other(specify) r S 7n 2rr A'i= REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 zAforms\plan review checklist.docx APR-1-2011 04:23 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.1/3 Jesse Ire it Foundation Systems, Inc, 60335 US Highway 12 Litchfield, IRAN 55355 Phone: 32 593-8729 Fax: 3204 93-6720 Fm T« City of Orono Fmnc Krisfi Carlson FM 952-249-4616 pow April 1, 2011 952 24"WO vale 3 Re Building Permit Application C D Urgent 0 For Review ©Pleas Ceir mese X Plwass Reply 0 please Recycle •Commeeb; Forwarding building rmd application for 295 Tonka Ave, Orono, MN 55356. Please call with an amount fter final approval and mail permit to our office. i I i i APR-1— 011 04:24 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.3/3 FFH / I �� INSTALLATION h[Ie,17�[L start ° Date I - S�G� - •ZG FOUNnAT1ON SYSTEMS INIL Quality We Can Guarantee W 1.800-430.5851' c 44ry. *Q44 !T'W,6*f I3U1L01P4G P P-IIT F AN REVIEW INSPECTOR_ r,A-(.E,..ti-.lam I P-EE N41T NQ. Name 9� B APP 'C J I:,:)hG ,U2 �� 1 r y .f{t I 1 �,-f�l 'e`�'.�:) F• I'N{^Tp11 Job,SI o In At ` City,Sate. � + 3 , NO t i - F .. y d I 1 ; i i I Approximate number of da for job completion: jLt Ls rn ALL MATERIAL • • .r ► r INCLUDED TOTAL • PRICE, Additional charge for moving ` I Gopher One. Amount of bid $ objects out of the work arca *Yes 0 No flus petmit fees if required .Q ❑Homeowner to get permit Our priority is to fix the problem with your foundation,that's what our customers rely onus for.Keep;in mindthat we cnot'pe responsible for any finish carpentry,painting,.paneling,etc.that may be necessary after our work is competed.7esse" rebii Vound�aoo System,Inc,. will not be responsible for any landscaping,reseeding or re-soding, unless otherwise notedon bid. We will call "Gopher One" to have all public underground lines located.If you have private lines such as satellite dish cables,propane line,sprinkler systiem,etc,you.are responsible for marking them.Jesse Trebil Foundation Systems, Inc.will not assume responsibjlityi if there is damage to private lines,If you live at a rural address,public lines will only be located to the pole or your property line.If damage to any of these lines in an area that was not marked occurs,you will be responsible:for all repairs. If your city requires outside engineering,this quote znay need to be rewritten.to meet their:recommendations. Any additional'feecc incurred are not,includedin this bid and are the . customer's mgpansibility, �� ����►,�I�er�ne►m.uilim Representative's Signature �� 1 Authorized Si stare ;/// TE TIME 1 CITY ONO --CALLED IN l/VV IN ON TI a�JSCHEDULED -3-*/� PER NO. —O`!/COMPLETED " f. ADDRESS OWNER �,TTFyLEPbIONE NO. 3Z0g CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ElMECHANICAL RI El LAKESHORE/WE LANDS h ❑ FRAMING ❑ MECHANICAL FINAL O [I TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: C / 4Lir// O O W cc Q 2 W W O W RK SATISFACTORY:PROCEED 00ROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY i p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract Inspector hite Copylinspectoes File Canary Copy/Site Notice