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HomeMy WebLinkAbout2012-00417 - addn/remodel/repair CITY OF ORONO * 2012 - 00417 2750 KELLEY PARKWAY DATE ISSUED: 05/18/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 780 TONKAWA RD PIN 05-117-23-34-0010 LEGAL DESC PARTENS POINT 1 ST DIV LOT 015 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,150.00 NOTE: FOUNDATION REPAIR,4 WALL ANCHORS&EXCAVATE 22'OF WALL&STRAIGTEN(NORTH WALL) APPLICANT PERMIT FEE SCHEDULE 103.25 JESSE TREBIL FOUNDATION SYS INC. PLAN REVIEW 67.11 60335 U S HWY 12 LITCHFIELD,MN 56387- STATE SURCHARGE(VALUATION) 1.58 (320)974-8729 MAIL-IN FEE 2.00 Minnesota State License#:20446489 TOTAL 173.94 PAID WITH CC# 3188 OWNER HAUGAN,TODD&TERESA 780 TONKAWA RD 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 f e e. . 1152i Applicant Permrtee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. MAY-15-2012 23:46 FROM:TREBILFOUNDATION SYS 3205938720 TO: 19522494616 P.2/3 City of Orono Building Permit A plication for Maintenance / Renovation �Ill"�dilfig, re-roof, etc.) IrusPricToRMailln A 5: Permit number: / O'Q�+01�0 tl�aTeS- .r, °X Date received: -S/ PROVIE;,, r i 'ED ❑ �°PRt;t$�ir1 �,, Received by; a D NIOT APP:C$ 154 l i"c Plan review fee: These comments ar !X G r°, ,All svo�k shah be f�H cc:,ptianco v;i�i1 a'! ^p:°i�-° t,r:;IC; ' Total Fee; Main. 952-248 i+�t1nQ',�3, IYE ' 7l This application I A>i�Wt#u tggired information must be submitted. Incomplete applications will be returned. (Please print) -t GENERAL INFORMATION: Job Site Address: `I p,-, j —7 3 . Will this be a Parade of Homes. Remodelers Showcase Home or other Dleplay Home? EJ Yes No if yos,a special event permit is required with Pdloe Department and Cid Council approval 60 days prior to the event: Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking Is available. Mon-permitted events will not be allowed, CONTRACTOR/APPLICANT INFORMATION: Name: �� �r��s9. 9L.rs +a0 ,• ,.,s State License# yl♦(6L11 Expiration Date: -3 Z _ )y. Lead Certification Number. N pZ,-- I p�� �_t Expiration Date: 3.1�- 1 jp TM� (for work on homes that were constructed prior to 1978 Phone: 3 Q D- 593- -7 ag (office) (cell) Mailing Address: 1 City; L "_J)CeJA ZIP: ContactPerson: � ` Applicant is: Qjnfracto / Homeowner (circa.ons) Email and/or Fax: a. ry,ininSrJ&zla,UDIa,,isrC) ;9,,�;- `g-1ab PROPERTY OWNER INFORMATION: Name' Phone(day): Address: '-7$D Tpl--,4 � q., c\ City Email and/or Fax -......_ }— " A-) PROJECT INFORMATION: Type of Project: Any earth i ❑Door(s) ❑ Remodel ❑Fire Damage MCWD ruviow ON Psenmw: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt Repair ❑ Storm Damage 19202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 590 Re-roof, other(spoclry) El Siding Phone: -0 g Q Other: (specify) Fax. 9522.471--471-08822 ❑Window(a) www,minn®hahacreek.ora Overall Project Description: Q' - ^�, CnjJo_+e da, o WaR� �)ra<< Estimated Construction Valuation of Pro ect(excludln land) $ ! wt 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 dasslfied 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 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 bv law. If you refuse to 5u2&the information the application may not be issued. O Applicant's Signature: m �+ Date; p Last Updated: 0"9.2011 MAY-15-2012 23:46 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.3/3 �' 1;11STALI-aloI 'Stan 11 •• -�'--- nae FOLaV0AT1ON affm W' Quality We Can Guamnlee I:ROOJ,tO�SdJ/ `ll A - S s9 .Sly 320. r reo lla 4 $1L w k, '. d r. Ci prr 4 r4 VIA RAyr+ 46 a A s i n Appmximatie n mber of days for job completion: / ti at LAI • � � _ • � Year Built: 011g, Igo Rollin"OrAIND obioAddTonal ohms for moving Gopher one Amount of bid S •r' O `� h objoets out of the tnorlt arca S a )(Yes O Na 2Fplus permit fees if requited F,. Our ptfority is to 111.[the problem with �i�owaer to�paNd, p aye cart rear be t+ec p your foundation.[bat`s what our customers.Hely oo us for.Keep in tniiW.that a 1 poncibk for any Fnish t:arpentry.ptunting,paneling.etc.that may be rsyy.after ow is ,a a comp'et Jew Trebil Foundation systems.Inc.will not be responsible for aoy landst�ping.reseeter o or re-sod Urias othari'be noted on bid, n Wer 011 call"Gopher One-to have all public underground lines Ioeacecl,.If you have private Una such as satellite disp. rablar,propane line.sprinkler system.sic.you arc responsible for marking them,lease Trebil Foundation Inc,will nut assume responsibility if them is damage to private lines.if you Systems. live at a[vert address.public lines will Only K iacaad to tltr polo or your properly line.If damage to any of these lines in an area that,was not OLVkAd oc-cm.you will be responsible for all repairs. If your city requires outside engineering,this quote may need to be rewritten to meet their recommendations. Any oddltlonal fees Incurred are not Included In this bid and an the customer's rrapottslblllty. r eo w prh n+ftyW M Mar.•1nfr11•s Represattat%-"r-SignetLor s... AuthaizW Sigruture l f MAY-15-2012 23:46 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.1/3 Jesse Trebil Foundation Systems, Inc. 60335 US Highway 12 Litchfield, MN 55355 Phone: 320-593-8729 Fax: 320-593-8720 Fm TO: City of Orono Fame: Michelle Anderson Fam 952-249.4616 Dales May 16, 2012 Phony 952-249-4600 ftgew 3 Re: Building Permit Application cc: D UmeM O For Review 0 Mme Comm X PWmw ReOV D Pbow Watcyas •Commend; Forwarding building permit application for 780 Tonkawa Rd, Long Lake, MN 55356. Please call with an amount after final approval and mail permit to our office. C-5 Z_e� TIM/ CITY OF ORONO CALLED IN C INSPECTION NOTICE SCHEDULED �O PERMIT NO. 7A" COMPLETED ADDRESS OWNER T EP ONE NO.3:W-6: 5-631Y CONTRACTOR rl DESCRIPTION Lit l ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: W a J O cc O W W cc Q f2 2 W Z W cc LU /�i ❑WORK SATISFACTORY:PROCEED „OJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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: ` Inspector4 White CopylInspector's File Canary Copy/Site Notice