Loading...
HomeMy WebLinkAbout2014-00419 - addn/remodel/repair CITY OF ORONO * 2014 - 00419 * 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014 ORONO, MN 55356- (952) 2494600 FAX: (952) 249-4616 ADDRESS 295 TONKA AVE PIIS 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 $ 1,800.00 NOTE: FOUNDATION REPAIR APPLICANT PERMIT FEE SCHEDULE 67.25 STATE SURCHARGE(VALUATION) 0.90 JESSE TREBIL FOUNDATION SYS INC. MAIL-IN FEE 2.00 ' 60335 U S HWY 12 LITCHFIELD,MN 56387- TOTAL 70.15 (320)974-8729 Payment(s) Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 70.15 OWNER FRANK,CORY&SARAH 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 revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date MA1 7-2014 10:08 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.2 I j City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Melling Address. Permit number o?o 0�0 PO Box Crystal Bay, MN 55323-WW Date received: Street Address: Received by, 2760 Kelley Parkway Plan review fee: Orono,MN 55356 � LL Total Fee; �O•�.7 Main: 952-2494600 Fax: 952.249.4616 www.ci.orono.tnr.us I - f "lfffnn This application form must be completed in full and all required information must bebmitt GENERA!.INFORMATION- Incomplete applications will be retumed. (Please print) �� / Job Site Address: � Wilt this be a Parade.of Homes,Remodelers Showcase Home Home or other Display Home? Yes No If yes,a special event permit is required w$h Poke Depotrnant and City Cbmwo approval 60 days pdarto die event, Shuftb bus servkm will be required uniass applicant demonstrates suM*nt on-site parkins is ave®able. Non-permtded events wIB not be allowed. CONTRACTOR/APPLICANT INFORMATION! Name: i State License 0 Expiration Date: � Lead Certification Number. — Expiration Date: (for work on homes that were constrtic[eC1 prior to 1878 Phone: aRQ (office) (call) Mailing Address: City: ,Z1P: Contact Person: p Applicant is: Contractor' / Homeowner (cadnorwl Entail and/or Fax. / PROPERTY OWNER NFORMATION• Name: Nru Y Al r-,0-4n(!G Phone(day): Address: 'Z4 City: Q✓47-l"0 ZIP: 11551:5 Email and/or Fax PROJECT INFORMATION: Type of Project Any earth movement may require 0 Doors) 0 Remodel p Fire Damage MCWD review&permits; Minnehahe Creek Watershed District(MCWD) 0 Re-roof,asphalt epair Q Storm Damage 1842 Minnetonka Blvd ❑Re-roof,cedar Restoration Q Water Damage Deephaven,MN 55381 Phone: 952-471-0590 0 Re-roof,oth4r ienectfy) ❑Siding ❑Other: (spehdfy) Fax: 952-471.0882 [) Window(s) www,minnehaharxeek a Overall Project Description; Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied Is tree and correct to the best of his/her knowledge. The applicant recognizes that they aro 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 ail of the information that you are asked to provide on this application is dassififed by State law as e'Ittw private or. confidential. Private data is information which generally cannot W givers to the public but can be given to the subject of the data. Confidential date i8 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 uired law, If you refuse to supj2ly the information the application mq not be issued. Applicant's Signature: Date: Last updated: 08.092011 r MAY-7-2014 10:08 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.3 Bid Date - ��g INSTALLAnON Start Phone; Date � H . ��, �/Fs� 24 � [:�G>� OLAIIUATION SY51EM5 ING _� 'ity We Can Guaranteeoren • Ogg W �9Y. I-800.43/0-,5851 C 9s, - 6 X13' 16 c -moi IR 12 4 1-a A.N 1L, �M.Q�G, rG M NameVErnall ,2 T5 'ro.y K.4 A v C Job Site Address Mailing Address City.State b, City, I • 1 • ILL. 9 i }} i C �+' fTL Approximate number of days-for job completion: Year Built: +/- ALL MATERIAL Aw LABOR ARE w w IN TOTAL - - lwon-Refundable Deposit $ 190. ' Gopher One AM=of bid S nn• r at k O YesNo Plus permit fees if reqHomeowner to get permit uired ng.Feesu' ©Yes o Eng.Fee$ Our priority is to fix the problem with your foundation,that's what our customers rely on us for.Keep in mind that we can not be responsible for any finish carpentry,painting,paneling,cleaning,etc.that may be necessary after our work is completed.Jesse Tmbil Foundation Systems,Inc,will not be responsible for any landscaping,reseeding ng or re-soding,unless otherwise noted on bid. call"Gopher One"to have all public und6ripund lines located.If you have private lines such as satellite dish ropane line,sprinkler system,etc,you are.responsible for marking them,Jesse,Trobil Foundation Systems, not assume responsibility if there is damage W private lines.If you live at a rural address,public lines will located to the pole or your property line.If damage to any of these lines in an.area that was not marked you will be responsible for all repairs. U-your city requires outside engineering,this quote may need to be n to meet their recommendations. Any additioaW•fees incurred are not ineluded in this bid and are the c ustomer's responsibility. 2%media da on Mat�arp►t1/wralDtrC6ver tative's Sign Authorized Signatut+e F May 19, 2014 Memo to: Finance Department From: Lyle Oman Building Official Re: Permit refund On May 7, 2014 permit#2014-00419 was issued in error. Please refund $67.25 to Jesse Trebil Foundation systems Inc.The state surcharge and mail in fee are not refundable.Thank you. u,o/t�� S M