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
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FOLaV0AT1ON affm
W' Quality We Can Guamnlee
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`ll A - S s9 .Sly 320.
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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
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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:
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❑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