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Home My WebLink About2015-00933 - addn/remodel/repair CITY OF ORONO 11111111111111111111111111111111111111111111111 Ian * 2 0 1 S - 0 0 9 3 3 2750 KELLEY PARKWAY DATE ISSUED: 08/1 V2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4745 TONKAVIEW CT PIN 07-117-23-32-0010 LEGAL DESC BERGQUIST&WICKLUNDS PARK : LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 2,700.00 NOTE: (3)WALL ANCHORS,(3)VERTRICLE WALERS-ADDITION TO PERMIT ALREADY RECEIVED. CUSTOMER ADDED A WALL. APPLICANT PERMIT FEE SCHEDULE 92.93 PLAN REVIEW 60.40 JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 1.35 60335 U S HWY 12 TOTAL 154.68 LITCHFIELD,MN 56387- (320)974-8729 Payment(s) Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 154.68 OWNER MAITLAND,MONTY&STEPHANIE 4745 TONKAVIEW CT MOUND, 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 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. D Applicant Perm'ee Signature I Date I ued Signature Date JUL-23-2015 13:09 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P. 1/2 a 4 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) h' Mailing Addmss:Box 66 Permit number: Q Crystal Bay, MN 55323-0066 Date received: — Street Address: Received by: 2750 Kelley Parkway Plan review fee: - Orono, MN 55356 JVD Main: 952-249-4600 Fax- 952.2494616 www.ci.orono.mn.us Total Feer This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please pant) (� GENERAL INFORMATION' / Job Site Address: 17IW,4`L v✓�,c.�- /¢QL. � Will this be a Parade of Homes, R®modelers Showcase Home or other Display Homos Ll Yes No IF yes,a special event permit is required wO Poilce Department and City Council approval 80 days prior to the event. Shuttle bus service will be toquirbp unless applicant demonstrates sumclent on-Site par*fno is available. Non-permitted events will not be alto d. CONTRACTOR/A PLICANT INF RM TION: ;k- eQfe ce l a/� Nae. State License# Expiration Date: Lead Certification Number; Expiration Date: (for work on homes that were constructed pHor to 1978 Phone: cell) Mailing Address. City_ ZIP: Contact Person: Applicant is, ontracto / Homeowner (circle one) Email and/or Fax; COV PROPERTY OWN INFORMATiO Name" Phone(day), O Address: City; 402= Zip: �o Email and/or Fax -^ PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) Q Remodel 0 Fire Damage MCWD review a permits: Minnehahs Creek watershed District(MCWD) ❑ Re-roof,asphalt 110papair ❑Storm ournage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 Phone, 952-471-0590 ❑Re-roof,other(spoclfy) 0 Siding d Other: (specify) Fax: 952-4714682 ❑Window(s) www,minnehahacreek.org Overall Project Description: 1n1 Estimated Construction Valuation of Pro act(exclud gland) r wPc� 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 submitting a comploto 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 the 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 subject of the data. Confidential date 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 ou refuse to supply the information the application may not be issued. Applicant's Signature: 171 "12Z Neg� Date: La$t UP08tod: 08-09-2011 PL-AN /REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: `T '7`1' L1(tj 4' Permit No.: Description of work: � GY�/ C��'1 G�c(3�(/ff Date Recd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Z. Grading review by: Date Approved: Zoning District: Zoning File#: Reso M Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed The distance between the top of START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the the highest point of the roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(no (no windows): Subtract half windows): Subtract half the distance between the highest point of the roof the distance between the highest point of the roof to to the low point of the corresponding SUBTRACTION gable or hipped roof correspondthe low point o the (BASED ON GABLE OR HIPPED ROOF(with SUBTRACTION hipped roofing gable or ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF between the top of the highest ROOF TYPE) (with windows): Subtract window and the highest point of the half the distance between roof the top of the highest • ALL OTHER ROOF TYPES(flat, window and the highest mansard,etc):No subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance between the (flat,mansard,etc):No (BASED ON basement1crawl space floor and the subtraction. EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defined building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Yes 0 No Permit Number: 17 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A—see attached Setback: Stormwater Quality Existing Hardcover Proposed Overlay District (%and Sq Hardcover Variance Required CUP Required Tier circle one %and s 0 Yes 0 No 13 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $per Square Footage Basement X = $ 15`Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Per 0 Site 0 Plumbing 0 Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control 0 Mechanical 0 Fire 0 Electrical 0 Hardcover Removal 0 Septic 0 Water Connection 0 Footing 0 Fireplace 0 Sewer Connection 0 Poured Wall 0 Masonry 0 Lawn Irrigation 0 Foundation Survey 0 Mfg. 0 Landscaping 0 Foundation Waterproofing 0 Other(specify) 0 Radon Rock Bed 0 Framing 0 Insulation 0 As-Built Survey final 0 Other(specify)An,t Aer liliykf REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx UL-23-2015 13:09 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.2/2 Bid Date Z. Z4-/S- INSTALLATION 9ZIFFt Start Phone ORONO COPY FOUNDATION 5Y5TEMS INC. Date H Quality We Can Guarantee Foreman 60335 US Hwy 12-Litchfidd,MN 55355 W 1-800-430-5851 C 69 16 -oy2i kEV'IEWED .Wt _SAA.115 3z0-S,3S4-V IE �31v UE U s PIAN CHECKED B ��P1-'A e10E Name mail L17L) 4 U C'►- Job Site Address Mailing Address N _s—ro6 ig City,State fes. City,State Li-'Aaff .,b-e oil 5 v Al e_ loan f e �y �^ coq(r v✓ 9513 € CysrtA�' i�'►2��CS his �c.. F ' a Carz..N/qlr(- - Approximate number of days for job completion. Year Built: ALL MATERIAL AND LABOR ARE INCLUDED IN TOTAL PRICE. Non-Refundable Deposit $ Gopher One Amount of bid $ �� MOL Date Check# Yes O No VP]us permit fees if required Engineering Fee $ n —(If.Required By City/County) 0 Homeowner to get permit 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'l"rebil Foundation Systems,Inc.will not be responsible for any landscaping,reseeding or re-soding, unless otherwise noted on 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 system,etc. you are responsible for marking them. Jesse Trebil Poundation Systems, Inc. will not assume responsibility 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 arca that was not marked Occurs,you will be responsible for all repairs, Any additional fees/permits required by the city/county not listed above will be the customer's responsibility. .A. due upon fif mp elion. w 2%srharge on Masremar&Wsa/Discover Representative's Signaturc Authorized Signature —, ATS TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. =261S-00'9223 MPLETED ADDRESS OWNER EMPH NEO. -710�7 CONTRACTOR I- gei,klp�DESCRIPTION f W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INS L 2 OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: Q W a O cc O W cc Q 2 W Z W cc j GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 249-4600 Owner/Contractor on site: Inspector_ White Copylinspector's File Canary Copyl§ite Notice