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Home My WebLink About2003-P06055 - foundations only CITY OF ORONO PERMIT Permit Number: 2750 Kelley Parkway - PO Box 66 P06055 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/25/2003 SITE ADDRESS: 645 Tonkawa Rd Long Lake,MN 55356 PID: 05-117-23-33-0019 DESCRIPTION: UBC Occupancy R3 Proposed Use: Institutional Construction Type VN Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Foundation Only DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 3,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 85.25 APPLICANT: J G Contrete&Masonry OWNER: Temple Isreal Of Minneapolis 7927 230th St Ln N 645 Tonkawa Rd Forest Lake,MN 55025 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ',yam�.�,✓cl I PPLICANT PERMITEE SI - IS ED BY SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, I-Monthly Reports, 1-Assessine. I-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO — BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ----- ----------------------------______ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �1S %G�Kaw'c� >�c� ZIP:. NANI[E OF OWNER: T-l(-o — PHONE: (home) (work) MAILING ADDRESS: 6,1,5 R� CITY: ZIP: S53 S CONTRACTOR: 7C, CR i t Ertl t /Y1 Gso n-4 PHONE:. Z --Z<.-5 - 17)L3 CONTACT PERSON: MOBILE GER: MAILING ADDRESS: ?yzli Z3G4Z, CITY: ZIP: STATE LICENSE: # Z(z)17,q i 9 I ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA-NIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): ,„,�,�,�„ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESMIATED CONSTRUCTION VALUATION (excluding land): $ 3000. a0 I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work wiII be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: Z/&S/O NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 i CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 445 —t--gni aua w A fLDA-10 PID: DESCRIPTION OF WORK: 1� v N A—nu•�� (rLt�-1�,/4((� �tr3,,,� -z ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: z -7— FEES FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes f No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side Rear(Street): Left Side: Adjacent Structures: W and: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: By Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 .t BUILDING REVIEW CHECK LIST UBC: P ' 7:1 CONSTRUCTION TYPE: VA Sq Footage $Per Sq Ftg Basement x = 1st Floor x _ 2nd Floor x Garage x = x = TOTAL Estimated Construction Value: $-3, Vol`-= Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection — Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Otherthe Grading/Filling Electrical (State Permit) O REMARKS(IN HOUSE): __------------------------------____----- ------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ��---------------------------------------------M��_ REMARKS (TO BE NOTED ON PERIM): 8 GENERAL NOTES: MATERIALS Masonry Grout f = 3000 psi at 28 days Concrete Masonry Units ASTM C90, Type N, Normal Weight Mortar Type S Reinforcing Bars ASTM A615 (Grade 60) Anchor Rods ASTM A36 Injection Adhesive Anchors Hilti HIT HY-150 or equal EXISTING CONSTRUCTION Adequately shore and brace all existing construction as required during demolition and construction. Field verify all existing conditions, dimensions and elevations. MASONRY All masonry to be placed in running bond, UNO. Cores containing reinforcement shall be grouted solid with masonry grout. I hereby oe<ft that this plan,spadkoNi— 'e report was prepared by me or under rely u,.%- ,t supervision and that I am a duty Umnsqd Professional Engineer under the laws of the gists of Minnasota. Print Name: K. Peter Slessenbueltel elonaturV .wn.,n..,�.�■wwnn�•eieeer Date Z - Rep. No. 22621 Sheet.- K. Peter Siessenbuettel, P.E. Cabin#2 Foundation Wall Replacement 5057 Shoreline Drive Camp TEKO Mound, MN 55364-1736 645 Tonkawa Road (952)472-3579 Orono, Minnesota 55356 Date: 2124/03 (612)875-0239 Contractor:JG Concrete&Masonry, Inc. Comm# 03-002 lot 1 , f 1 9 0 _Q i 1 1 Z 3 _t _ ,lab I hereby certify that this plan, specification, a report was prepared by me of under my direc supervision and that I am a duly Licensed Professional Engineer under the laws of tt+e — 1/4`, ^►`-o'' state of Minnesota. FLAN tVoT�S= Print Name: K. Refer Sie enbusttel (. PRoYit;V– t- S\g +A4 T121:6.'CEt7 POT C* Signature: GM U PoST C t;NT'* Ort SA\4'C Oats}2'. •03 Reg. NO. 22621 MUM No T-)f rz Got. To ?)SI ?—F—Nom ev, SI;F 1/15121. Z. O ON pLAtJ WmL- NIFE" ON Sheet: K. Peter Siessenbuettel, P.E. Cabin#2 Foundation Wall Replacement 5057 Shoreline Drive Camp TEKO Mound, MN 55364-1736 645 Tonkawa Road (952)472-3579 Orono, Minnesota 55356 Date: 2/24/03 (612)875-0239 Contractor:JG Concrete&Masonry, Inc. Comm# 03-003 ,--- ExtST. R-�F FRA.►at�1y ico GA I hereby certify that this plan, specification, of ktAG�,tw td Ort was � t !Z LAG A prepared by me of under my direct Supervision and that i am a duly Licensed Tq Professional Engfnesr under the laws of the State of Minnesota. Print Name: K. Peter Siessenbuettel Signature:- POST Date Rog. No. 22621 not GMU PoeT 6ASt: �-- 1i�tST Gt�.1G S(.A4 SEGT IOt� Sheet: K. Peter Siessenbuettel, P.E. Cabin#2 Foundation Wall Replacement 5057 Shoreline Drive Camp TEKO Mound, MN 55364-1736 645 Tonkawa Road (952)472-3579 Orono, Minnesota 55356 Date: 2/24103 (612)875-0239 Contractor:JG Concrete& Masonry, Inc. Comm# 03-003 M AIZ.IGS 4 5 x t'-Z" 42 32" V- 1.1OTF.: 17RtLL b?�Ov't" V>;1t'CI:� g" t�1To I'r�x15T �-AM`j Goti1�.tEc,?toht T� �r(Atd- -.qtr Ott tiit {�l 1;�DV1b UPA'M W I hereby oertiiy that this plan, speciftation,or report was prepared by me or under my direct supervision and to i am a duly licensed P:ofesswnai Engineer wader to laws of the State of MWM"ota. q'S Mil. >;pvM Print Name: K. Peter LfMenbuettei WATERPRooFti�1 �Ki��'- nature: ` Rt C4 t n Gcr,1G 5Ll�� I��vLA1-IDT,i . 2 pep. No. _ 2_..?�.,...... SEDT ►C)N Sheet: K. Peter Siessenbuettel, P.E. Cabin#2 Foundation Wall Replacement 5057 Shoreline Drive Camp TEKO Mound, MN 55364-1736 645 Tonkawa Road (952)472-3579 Orono, Minnesota 55356 Date: 2/24/03 (612)875-0239 Contractor.JG Concrete&Masonry, Inc. Comm# 03-003 I hereby certify that this plan, specification. or report was prepared by me or under my direct supervision and that 1 am a duty Licensed Professional Engineer under the laws of the Stats of Minnesota. Print Name: K. Peter Siessenbuettel Signature: �-_-- Hate2. .::3 Reg. No. t Exl�'StN Wt I It Tt lit ED Z KB \4 ��Zp � At1G�-IoR- E�o4.T5 • !,- GM V W AL- e FS SN S.:F-[ -:;12 � SE GT l oN lu = tirpn Sheet: K. Peter Siessenbuettel, P.E. Cabin#2 Foundation Wall Replacement '— 5057 Shoreline Drive Camp TEKO Ar A Mound, MN 55364-1736 645 Tonkawa Road (952)472-3579 Orono, Minnesota 55356 Date: 2124/03 (612)875-4239 Contractor:JG Concrete&Masonry, Inc. Comm# 03-003 DATE TIMI CITY OF ORONO CALLED IN ":9-_1�{-0.3 INSPECTION NOTICE, SCHEDULED 42-c-27-03 O P114 PERMIT NO. (DD435 COMPLETED ADDRESS j�2(I5 %C k'gL4,. 6;- 64M TE/EO OWNER CONTR. 1211LI-s, „z•Pf Con�f, TELEPHONE NO. ` �'�a!/c �✓/ G Cancrd,� DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 0 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc 1� � J O cc 0 LL W cc Q z W W CC Uj4WORKSATISFACTORY.PROCEED ElPROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contracts t Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME -/ CITY OF ORONO CALLED f INSPECTION NOMQE SCHEDULED 7 PERMIT NO. � // COMPLETED ADDRESS -7o- y ,0L, A. OWNER CONTR. ,�tG! C' �Y�CJ-ts-tom TELEPHONE NO. LP DESCRIPTION iq 01 FOOTING 11 MECHANICAL R1 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: �,o A) �h Lood( O t� O O O W cc Q 2 W Z W cc LU /WORK SATISFACTORY.PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 OwnerlContract n s e: Inspector. White Copy/Inspector's Fi Canary Copy/Site Notice