HomeMy WebLinkAbout2016-00510 - addn/remodel/repair - ' CITY OF ORONO * Z 0 1 6 - 0 0 5 1 0 *
2750 KELLEY PARKWAY DATE ISSUED: OS/24/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 248 CYGNET PL
PIN : 04-117-23-23-0017
LEGAL DESC : SWAN LAKE ADDN
: LOT 008 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,600.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
REPLACE 2 SUPPORT POSTS ON HOUSE ADDITION&ALSO 2 ON DECK
APPLICANT PERMIT FEE SCHEDULE 108.38
PLAN REVIEW 70.45
JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 1.80
60335 U S HWY 12
LITCHFIELD,MN 56387- MAIL-IN FEE 2.00
(320)974-8729 TOTAL 182.63
Minnesota State License#: BUIL-20446489 Payment(s)
CREDIT CARD 3188 182.63
OWNER
CHANCE,JON&BIANCA
248 CYGNET PL
LONG LAKE,MN 55356-
AGREEMEIVT AND SWORN STATEMENT
The work for which Ihis 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. AlI 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 l80 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. �
� , G� � �"e� � c� �Z L / l
Applicant Permitee Signature ate Issued By ature Date
esui�aing �ermit Appli��#ion for MaintenanGe 1 Renov�tion
(windows, doors, siding, re-�oof, etc.)
MaiGng Add�ss:
PQ Box�6
Crystaf Bay,MN 55323-0068 ermit number: Z D I b — DO 5�
sr,�oraaaress: �`j l I_I b
/��� 2750 Kellay Parkway Dat�receivetl:
Qg,���, Orono, MN 55356
�., � Received by:
� Fax: 952�249-4618 �.r�orono m2us
lan review fee;
v���qt�0�'��
��.::-.-��/
Main: 952-249-4600 olal Fee: / u
l /J�' • � ��
This appiication f�orm must be completed in full and all required information must b�submitted.
Incomplete appllcati�na will be returned. (Please print)
G�NERAL INFORMATIpN: � ,/'� � ` 1n���� ��D�O �� ����
Job Slte Addrese: `�� ���J �
Will ti�is be a Parade of Womes, Remodeler� how�ase Hpme or oth�r Display H ma? Yss No
�f yes,a speCie�event permit�s requimd wUh PolJc�D�ppnrrrenr snp CJty Cpu�!!�pprpve180 deys p�io�fo Ihd yvgnL $huttlb bus sdrvk'�wql be
rnquJrgd unl�sy sppJlCpnt dampp�}�t,ps sufl5cient onslte purivnfl ia availablo, Non.permfttod vuvnts will not bo Affowed.
CONTRACTpR I A�P.�.ICANT INFORyIA I���
Name: (� �hi S�rar�'k.z`s
State License# xp�r�k�On 8te: � �
Lead Certification Number: ,2 Expiration Date: ,, ��
(for work on hem�s thai ware GQn$t�ucte p or to 978
Phone� .�� r" - ��..�:i �� �:;;-
. {office) (cell)
Mai►ing Address: = � C � � , � � j' City. l�:'i i,,.;��� ZI P: �- �����',
Contact Person: ` � ' ` � - '-
AppliC�nt is: ContraCtor / Homeowner � �ct�c�a one)
Email and/or
�vame: �l dh t,..,'f(�1�l1/
Phane(daY)=
Address: City; �Of1 D ��P; ��3�'`i
�mail and/Or Fax
PROJEC7 INFORMATiON:
Type of ProJect: Any OaRh movement may roqulro
❑Doar s ❑Remodel MCWD ravfew�pertnits:
( ) Cl Fire Damage Minn�h8ha Crgek Wstgrshed DiStriCi(MCWD)
0 Re-roof,aaphalt ❑ Repair ❑Stotm Dama�e 18202 Minnetonka Blvd
Ro-roof,aodar Deephaven,MN 55391
❑ [,�Reatoration �Water Qamago
Phone: 952�71-0590
C7 Re-roof,other(apeclfyr) �] Siding ❑Other:(speGty) Fax= 952-471-q682
C.��ndaw(s) www.minnehahacreek.pri]
Overall Pro ect Deecrlptipn: a g� O �( p, p�U • ,�" /� ,
�stlmated Constructlpn Valustfon of Pre ect(excludin land S DO °° '�L
APPLiCANT ACKNOWL�DGEMEN7:
p Agroes to prpvide all infprmatipn required or requasteC by the 6ullding DepaRment;
p Certlfies that the inUormation supplied is true and carrect to the best of his/her knowledga. The applicant recognize5 that they are
sate�y responsible for submitting a complete application being aware that upon failure tv dp so,the staff has no altemative but to
reject it until ft is complete;
❑ �ome er all at th� information that you are asked to provfde on thi9 application is classified by State law as e�ther privafe or
confid�ntial. Private data is lnformatlon wniCh g6ner�lly C&nnot be given ta tha public but can be given to the subject of tha data.
Con�identio�l data is informatior�which genera►ly Cennot be given to eitlter tite public or ine subj9ct of the dat�. Our pur'pbse antl
intanded use of thls in1brmetlon Is to 8nnu811y updatE�Qur reCorCEs and reCords of ather govemmental egencias required by I�w. If
y0u rafuse to sup the inforrriation,th�� li�tipn may not ba issu .
Appli�nk's Signatur . �1','`,✓ ` � Date: ��1/t �'�, a a�G
�hareland �i�trict ����,r� �����g �>. ��erag� Lakeshor� Setback Biu�
f�i�fi?
❑ Yes � �o �ermit Number: ` ` Q Yes €� �!o � ��A � Ye No �
� N/A—see attached Setback:
Stormwater(�uaiity �xistir�g Prop�sed
Overlay District Tier Hardcover liardcover Variarrce Requirec� CU� Required
circle one % and sf % and sf
� Yes Q No Ct Yes Q No
1 2 3 4 5 Type(s): Type(s):
Fee� �� be Char ec6 Y�� f�Q
PeEm it �
P[an I�evieKr +�,^
State Surcharge i./'
investigation Fee L/
SAC— Number of SAC Units �✓"'
Other(specif�) �/
�c�e�are Foot�.�e $ per Sc�uar� Foata e
Basement X = $
1 S' Floor X = $
Znd Floo� X = $
Garage X = $
r-a,�� ��
��timatecE Construction �alue: $ �� �' ��
Oror�o inspecfions Required lhfork F�equirir�g Separate Permit�
�Footing � Site � Plumbing � Grading/Filling
❑ Poured Wall � Silt Fence/Erosion Controf ❑ Mechanical ❑ Fire
� Fo�ndatioe� Surv�y ❑ Hardcover Removal � Septic a Water Connection
� Foundation Waterproofing � Other(specify) ❑ Fireplace E3 Sewer Connection
�Framing 0 Masonry ❑ Lawn Irrigation
a Insulation � Mfg. C� Landscaping
Q As-Built Sur�e� ❑ Other(specify)
Final
Q Lathe Rec{uired �tate Permit�
❑ Other(specify)
❑ Weli � Electrical
E�EF�l�E�F�� (in-house):
OFFECEA� �Et��oi�f�t� -TQ BE �OTEQ Ol� PERftAIT�4.[�D INtTl�4L�E�:
- ❑ �ee �uile�er F.ckr��wled�err���t Form
,:
'` � Prior te release of escro�v money an as-builf survey and hardcover calculations must be submitted and approved.
�
Updated: October 2015
��\fnrmc\nlan rcvic�ai rho�klict 1(1_9(14F rin�v
� �L�►!� �E�IEVPJ �HE�KLl�T ��I� �E1d� ��'�IJCT��ES / �l3Q1�[���
Acfciress: ��� �� � .s j� Permit No.:
Description af wark: Date Rec'd:
Septic review by: Date Approved:
Zoning review by:� �, Date Approved:
> ; .
, '� 1
Buifding reviewr by: "� "-4{p � - �e ,6A � [3ate Approved: `� � '�
, _ "� �
Grading review by: Date�4,pproveci:
Zoning District: Zoning File#: Resa#: Reso Date:
Zoning: Lot Area: SF/AC lAVidth: Lat Covera��: SF %
Survey Submitteci: Q Yes� � No Date of Survey: Revised date(?):
Landscape plan submitted? � Yes � No Landscaper:
Proposeci Settaacks:
Front (Lake) Rear(Street) ( f� S E W ) ( N � E lN ) Other �uildings Vhl�tland
�id� Side
,,
Defined Height: Peak �Eei�ht: FFE: FFE minus 6 feet= (Existing Contour
� Perimeter(linear feet) � \� 50% = L.F. t�efow rade
�; s
�`'
Basement? � Yes � No, Sto 'es
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR!A BUILDING ON A SLAB FOUNDATlON:
The distance between the lowes�proposed Slab at or above grade-
floor(of the basement or crawl sp�ce)and measure from hiphest existinq
START WITH the highest point of the roof. rq ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof \ SUBTRACTION ` GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
highest point of the roof to
between the top of the highest the low point of the
window and the highest point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
� ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
� EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
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MAY-11-2016 14:12 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�3
Jesse Trebil Foundation Systiems, Inc.
60335 US Mighway 12
�.it�hfield, MN 55355
Phone: 320-a93-6729
Fax: 320-593-8720
r« City of Oron� From: Cheryl Anderson
�a�cs 952-249-461 f t��te: May 11, 201 Z
PFwne: 952�249»4600 Puge�r: 9
Re� Building Permit Application cc:
0 Urg�nt CI For Revlew ❑FNease Comment X Please Reply ❑ Ptea�a Rac�Clo
•Gvmmor�:
Forwarcfing a buildir�g permit application for 248 Cygnet Place, Orono, MN 55356.
Please call with ar, amount after final approval and mail p�rmit to our office. Thank
you!
�/� � �/ ' ' �
TIME `
CITY OF ORONO CALLED IN ' �y-�
INSPECTION IC J� SCHEDULED � — �C�:Uv
PERMIT NO.��� v� `� COMPLETED
ADDRESS � g �
OWNER T ;E�P'�NE NO. z-7�8����
CONTRACTOR Z,���t�t, CP�
I - . _
� DESCRIPTIO � �
ly ❑ 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 WAILS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ "U AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �
� 02 � �{���caL D�c�j' -+� /le �,J �SfS
0 S4,Q�d�4- �j Ga..1 k�c.�a✓ � S¢4��-d K O��G� ��
�' !'/G16/'-� �� !�-s� — C6c/�fi� /�v�i 6/� rs(
�
O � �!''�I,aS�� � / rDU� C
W
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�� M �g�• -�o r'e�.�.l�r.�c,
ay ��...,. r �4
W , G
� �l/s
J �I��G �p!/ / r�-c.+-f�G�.,,
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑S OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
CTION REQUIRED.CALL TO ARRANGE ACCESS.
i;
� Call for the next inspecti�4 hours in advance. (952) 249-46�0 �
/ �1
Ow�ontractor on site: �---� b/"1 v� G�4�t C�i
or. � �-
White Copyllnspector's Ffle Canary CopyfSite Notice
��, �
_ • DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�OTICE�,_ SCHEDULED � ` ' �
PERMR NO ��r � �� COMPLEfED
ADDRESS Z�� C��� �
01AINER TELEPHON NO. �� �I� � ��
CONTRACTOR ����r°�'� � 1'� �'���
� D CRIPTION ���('���� ."���YGtl�v�
ty FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
�Q ❑ F NDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL .
2 OMfNERICONTRACTOR TO MEET YW:_YES_NO
� COMMENTS: ` _
4 �f'Gl,�icer,�t� ,mrovca� �✓ n7 �i �/�c�L
j
ni�rs �1 ►'1 e c� �Iosz.S �'o� �i��z�
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2 c.erc K �
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W •
j /��W►•� �i /'1�lP.�
� O WORK SATISFACTORY:PFiOCEED ECT COMPLETE
� ❑OORRECT WORK 8 PROCEED �I E CERTIFIC/1TE OF OCCUWINCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PER�AANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �-
wni�e covrn�.�wr.F��. C�nary CopylSit�Notic�
- _ _ -- ---- _-
- — --- _ __I —
===_- -- EXISTING DECK SUPPORT POST BASE-
------------" SIMPSON ABA66Z-
�I � 6"x6" POST 8D NAILS
I 6"x6" POST
CAP
� CAP PLATE
I I CAP COUPLING
� GRADE
0
0
_o EXTENSION � II II III
�_ I II II
COUPLING I I I I I I I I I I I I; ' '
-' , , II I II II III _ —
' �II II III I �-
-1 I I I o '—
=111 0 � i_
LEAD SECTION WITH I � I I I
HELIX BLADES I I
8"-10"-12" DIAMETER -
3/8"THICK -
HELICAL PIER SECTION 2 POST BASE DETAIL
1 Scale: N.A. Scale: N.A.
COMPONENT DIMENSIONS (IN) MATERIAL
DESIGNATION
LEAD 2.875 OD x 0.25 t" A500BC � �
EXTENSION 2.875 OD x 0.25 t'` A5006C � '
, . �
COUPLING 3.5 OD x 2.9 ID x 0.3 t* A5006C
�
COUPLING BOLT 0.8125- 10 UNC SAE J429 Grade 8 FOUNDATION 5Y5TEM51N[.
HEX NUTS 0.8125- 10 UNC SAE J429 Grade 8 60335 US HWY 12, LITCHFIELD, MN 55355 VWVW.SAFEBASEMENTS.COM
` CAP PLATE 6 x 6 x 0.5 A36 PHONE: (320) 593-8729 1-800-430-5851 INFO@SAFEBASEMENTS.COM
*OD=OUTSIDE DIAMETER, ID=INSIDE DIAMETER, t=THICKNESS.
.
• SAFE-BASE HELICAL PIER DESIGN CRITERIA
The given design load is 5.7 kips per pier
This is Live and Dead load.
The allowable capacity for a 2.875" Helical Pier is 37 Kips.
Each Helical pier was installed to a depth of 14' at a torque
� � � � �� of 5,753 Ft/Lbs. which is a capacity of 51.8 kips, Ultimate.
2 10 2-4 This provides a factor of safety of 9.
PORCH �2�
� HELICAL PIER ICON
HOUSE
HELICAL PIER PLAN - AS BUILT DESIGN ENGINEER:
1 I hereby certify that this plan, report, or specification,
Scale:3/16"- 1'-0" was prepared by me or under my direct supervision
and that I am a duly Licensed Professional Engineer
under the laws of the state of Minnesota.
Drawn By Checked By Approved By-Date File Name Date Scale ��� -
P.Nevison J.E.D. J.E.D.7/5/2016 7/5/2016 /16"=1'-0' ,'� � �'
Jon Chance Jesse Trebil Foundation Systems ��� - " s
248 Cygnet Place Li ' N / ose E Dubel
Orono, MN 55356 SafeBase Foundation Revision SheHt1 ;�Reg. No.45500
ort Pr du s