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HomeMy WebLinkAbout2015-00864 - addn/remodel/repair CITY OF ORONO * 2015 - 00864 * 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2015 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 $ 4,800.00 NOTE: FOUNDATION REPAIR-(5)WALL ANCHORS AND(2)WHALERS APPLICANT PERMIT FEE SCHEDULE 123.91 PLAN REVIEW 80.54 JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 2.40 60335 U S HWY 12 MAIL-IN FEE 2.00 LITCHFIELD,MN 56387- (320)974-8729 TOTAL 208.85 Minnesota State License#: BUIL-20446489 Payment(s) CREDIT CARD 3188 208.85 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. n, ter}- 1 / 1 _/ Applicant Permitee Signature Date Issued B Signatu Date JUL-13 c015 11:44 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.2/3 City of 4ro.no Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) 'l f�O Mailing Address, Permit number: 0 Box 66 Crystal Bay, MN 55323.00681 r / Date received: —! — Street Addre8s= �!'I( Il�I Received by: 2750 Kelley Parkway `l Plan review fee: Orono, MN 55856 p Total Fee: Main: 952-249-4600 Fax: 952.249.4616 www.0.oMno.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Plosse print) GENERAL INFORMATION: Job Site Address: . Oil this be a Parade of Homes,Remodelers Showcase Nome or other Display Nome? U Yes ^0 /lyes,a spedal event permit is required with Police Department and City Counell approval 60 days prior to the event. Shutthr bus service w1N be required unless applicant demonstrates suffl6lent on sft parking Is available. Non-permitted events will not be Allowed. CONTRACTOR/APPLICANT INFORMAT ON. Name: State License# ExpirationDate: t (e Lead Certification Num er: Wr+101692i". '-f Expiration Date: (for work on homes that wete cobstfuctffprfur 9b 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact person: U66 SbApplicant is: n ra Homeowner (circle are) Email and/or Fax: PROPERTY O R INFORMATION: Name: Phone(day): r I Address: City: ZIP: Email and/or Fax .. PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) Q Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt >Smepair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,caosr ❑Restoration Q Water Damage Deephaven,MN 55391 Phone: 952-471-OSW 9-roof,other(specify) ❑Siding r: specify) Fax: 952.471-0882 ©Window(e) � vvww i ne eek Overall Proect Descri ion: Estimated Construction valuation of Project(excludin I d) ate. 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 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 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 subjectof 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 r uired by law. If you refuse to sueply the infonnation thd 2pplic2tion ma not be Issued, t Applicanfa Signature: Date: Last Updated, 08-09-2011 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 1 �9�'t K Q 1/�l GU l�� Permit No.: Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: ` Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes 0 Date of Survey: Revised date(?): Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other lldings Wetland Side Side Defined Height: Peak Height: FFE: FIFE ' us 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 B LDING ON A SLAB FOUNDATION: The distance between the lowest p posed The distance between the top of START WITH floor(of the basement or crawl spa )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(n (no windows): Subtract half windows): Subtract half the dis nce the distance between the between the highest point of the roof highest point of the roof to to the low point of the correspon in the low point of the SUBTRACTION gable or hipped roof corresponding gable or (BASED ON GABLE OR HIPPED ROOF(wi SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the ' to ce (BASED ON • GABLE OR HIPPED ROOF between the top of the high t ROOF TYPE) (with windows): Subtract window and the highest p nt of th half the distance between roof the top of the highest • ALL OTHER ROOF PES(flat, window and the highest point of the roof mansard,etc):No s traction. ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance bpfween the (flat,mansard,etc):No (BASED ON basement/crawl sFet floor and the subtraction. EXISTING highest existing grdjacent to the ADDITION Add the distance between the top GRADES) foundation OR 10whichever is less). (BASED ON of slab and the highest existing EQUALS Defined bull din height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Pe it Number: Yes 0 No 0 N/A 0 Yes 0 No C3/N/A—see attached Setback: Stormwater Quality Existin Hardcover Proposed Overlay District o Hardcover riance Required CUP Required Tier circle one (� and si %and s 0 es 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 c:\users\rpeitso\documents\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 = $ 1 s`Floor X = $ 2nd Floor X = $ Garage X = $ d Estimated Construction Value: $ ao Orono Inspections Required Work Requiring Separate Permits Required State Permits 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) */1G//�vk- a.& 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 c:\users\rpeitso\documents\plan review checklist 2015.docx JUL-13-2015 11:44 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.1/3 ORGNO COPY Jesse Trebil Foundation Systems, Inc, 60335 US Highway 12 Litchfield, MN 55355 Phone: 320-593-8729 Fax: 320-593-8720 REVIEWED for CODE COMPLI,i4NCE FaxPLAN CHECKED BY,1(7, ATE 7l� / Taj City of Orono From: Christine Smith Fax: 952-249-4616 Datw. July 13, 2015 Phom. 952-249-4600 Pages: 3 Its: Building Permit Application cc: CI Urgent Q For Review 0 Please Corn tent X Please Reply CI Please Recycle •comments: Forwarding building permit application for Orono, MN 55391, Please call with an amount after final approval and mail permit to our of oe. l Thankyou l c7 7�6S LS /'Lly, r' Christine InLo@safebasements.com JUL-13-2015 11:44 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.3/3 . 7 Bid Daae ' Phony ,. '• F'OLMATION-5YNTI M9 INC. i H. Quality wecan Guarantee j -60335.01 Owy 12 Utchfwld,MN 55355 1-800-030-5851 C �,fF+ o y7 ' .. consulWit ,�AR.G" Name Email. V.'V._ —f'OV#-A! �_� e'- Joti SACAddress 1Kuiling Address: /LII .,..', Cri tatc t 1 ff. E : 1 q4. i i 1• I I. 4. _,.,._ - - - — - I ' I t .. .- .'.':: :.yr 1. •I S A. II Y I fi v Ir 4,, '. {-:�•, '. }-Tom.:.».a I tl � �' I i �•J � .tom i .r M•..{- t •Ir { -� - i.. -w . . i r I T ! `. I A T7- .i I � � I � � .•;' A 1,� �y.' � ' t ; t•1 'C�F�� Approzi'tnai'e-number of dais f©r job compTefion: Yeaar$wilt::.. ALL MATERIAL AND LABOR ARE INCLUDED IN TOTAL PRICE. Non.-gtfundable Deposit .$: l Gopher One u of bid $ r Tate Check# - - - - ;,1Xes .O No Plns permit fees if required Engineering Fee$ ..�a •: - (If Required 8y City%County)` C] omcownex.to'get'permit i. Our ptior¢ty 4 to fix-the prublbm:with your foundation,that's whatour custorhats rely ore lu for.Keep in mind that We,can not be responsible for any .finish carpentry paintlrt&paneling,cleaning,etc.-thut may be necessary after out work is completed.Jesse Trebil Foundation Systems,.Inc..will Trot be'responsible for any landscaping,reseeding or.• ''re-coding',unless ocheruvise noted on bili. We will call"Gopher One-'to have'all.public underground lines located.U you;have private Jibes.such ass satellite dish cables,propane lice,sprinkler system;etc.you are responsible for marking them:Jesse Trebil Foundation Systems., a Inc:will not assume responsibility if there is-damage to private lines:H you live at a.rural.address,public lines will only be Jcicated to the pole or your property line;,If damage to any of these lines in an'area that was'not marked Tr occurs;you wall lie;.i.6 bonsibl6for'all rdpairsi Any additional fees/permits required.by the city/county not li*d ..i above will tie the co.#oMWs responsibility. Representative's Signature Ruthori=d Signature .. 4 DATA CITY OF ORONO CALLED IN TIME` J INSPECTION NOTICE SCHEDULED PERMIT NO. D08� COMP ED l ADDRESS � � 61&Ul Zf OWNERTE EP ONE O.��a"7<(o—Oc�7� CONTRACTOR 3Z DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: W O O O W W cc Q 2 W W cc J d W D WORK SATISFACTORY:PROCEED PROJECT COMPLETE Qc D CORRECT WORK&PROCEED I SUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. 2) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary yme Notice