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Home My WebLink About2016-006 - addn/remodel/repair ' ` CITY OF ORONO * z 0 1 6 - 0 PJ 6 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 743 BRIDGEWATER DR PIN : 33-118-23-11-0107 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,275.00 NOTE: SUMP I3ASKGT AND DRAIN TILE APPLICANT PERMIT FEE SCHEDULE 53.53 PLAN REVIEW 34.79 JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 0.64 60335 US HWY 12 LITCHFIELD, MN 56387- TOTAL 88.96 (320)974-8729 Payment(s) Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 88.96 OWNER GATEHOUSE, IAN 743 BRIDGEWATER DR 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 afrer 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. O lv l �l�� Applicant Permitee Signature Date Issued B gnature Date JUN-2-2016 07:43 FROM:TREBILFOUNDATION SYS 3205938720 T0:1952z494616 P.1 , � City of Urono Building Permit Appl�cation for Maintenance / Replacem�nt/ Remodel — Residential QNLY (i.e. windows, doors, s➢ding, r�WrQof, etc. —NO STRUCTURAL EXPANSION) Mailinq Add�ss: P�rmik number° -✓ .- ',.: �O�Q Cry sal Bay,MN 55323-006B �,�. Date received: �� ' � streer Addrass: �f y Recelvee by: '—� � � 2750 KeAe Parkwa ' y,� � Y Y � Plan review fee: --� t,� �,� Urono, MN 55356 ---- . . , - _ k�s�`O� TOtel Fee' � �� Main: 952-249-4800 Fax: 862-249�F1G www.ci.crono mn.us 7his application form must be Gompfeted In full and sll required Infprm8tfpn mu5t be submitted. Incomplete applications will ba returned. (Please print) GENERAL INFQRMATIQN: r " �l Job Site Address: �� G�,�A �� Q� �Q �/V Wil!this be a Paredo of Homas, Ramodeler�Showcas�Home or othQr Dis lay Hom Yes No N yea,a speclel event perm;!is,dqu;red with Pplic�Department and Ciry Council approva!60 days prror to the evont. Shuttla bus servire witl be ietluin9d unless eppliCant dempnstrates sufrrCient on.site pdrlcinq is available- Non.pennifted evonfS wil!nOt be allowed. CONTRACTaR/AP I.IGANT l �O 7 - n Name: S� � ��t� �S-� £'D�c,.�Sl j'!�t $#ate I�iGense� ' �xpira#ion p�te: _. �0 Laad Certification Number: b � � Expir�tivn Date: (for work on homOs fhaf wore conatructed prlor ta 1978 Phone: cell) � (office') . . Mailing Address: , , '� G�, City: ZIP: �� Cpntack PQr&On: {�,�� AppliC t ig: pntraC Hpmepwner �c�rcie one� �mail and/or Fax: ��,. S'Q. Gt..S�Q/YI2.k �' �f�7 � �aZ d . PRQPERTY OWh1E NFO�q A7 O : � Name: �G�17 L " _ 6G(�S'� °� /�a,!(Ljl�/ �"(�.L�'�/�'�Q.(�-l� - - , Phone(day): � Address: Y/ �1 `�.�.� CitY:�j �IP� �5�,�5ro Em2if�nd/or Fax' � ��.s'lCc��./u� Y��AI� PROJ�CT INFORMATION: Overal� ro'act descri tion: �� u� Type of ProJect: i Any oarth movoment may al�o wequlro ❑Door(s) Q Ftemoda� ❑Fire Damage ��ND roviow&pormits: ❑R6-ro0f,as halt Re 8ir Minnehana Cr�ek watershed Oistrict(MCwD) p � p ❑Storm Damege 15320 Minngtonka Bfvd �Re-roof,cedar ❑RBStprdtion ❑Water�amage Minnetonka, MN 55345 ❑ Re-rqpf,Othor(�peoity) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fex: 952-471-0682 Q Windpw(s) www,minnehah»creek,ara Est�mated Construction Valuation of Project(exctuding land) $ APPLICANT ACKNOWLEDGEMENT: . Agrees to provide au fnformation required or requested by the Building Aepartment; • Certffies that the inf4rmation Buppliad is true and correct to tha best of his/her knowledga. The applicant recagnizes tnai tney are sofely responsible fpr submittinq a Cpmplete apqliCation b�ing aware that upon failure to do so, the staff has no atternative but to reject it until It Is Gomplete; ', + Some or all pf the information that you �ro askod to provide on tnis eppHcatipn is Gassified by State 18w as eitner private or Canfidential. Private data is infprmation which 9enerally cannot be given to fhe public but can be glven to the subjeCt of the datp. Gonfidential data is information which generally cannpt be given to either the public ar the subject of the data. Our purposa and intended use of khis intormation is to ann 3y update our r�cords and records of other governmental agencfes requlred by law. It ou refuse to su I i formation th licati ma n4t be isSued. Applicant's Signature: p��: � � a D�G Owner'� Signature: Date: Ldst UpdBted:January 2d1fi � � /� �f''�� [ �i��% l � , PLA,N RE�IEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � �/'�� `C'�(/' Permit No.: Description of work: u ,b2S'�,� ip' T��/�Date Rec'd: Septic review by:__ .�2��' (NG�Ii��G- 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 overage: gF o, Survey Submitted: 0 Yes ❑ No Date of Surve . Revised date(�)• Landscape plan submitted? Yes � No Landscap : Pro osed Setbacks: � Front (Lake) Rear(Street) N S E W ( N S E W ) Other Buildings Wetland Side Side < Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Conto� �' Perimeter(linear feet) = 0 0 = L.F. below grade Basement? 0 Yes � No, S ories FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FOR A BUILDING ON A SLAB FOUNDATION: ` The distanc etween the lowest pro osed Slab at or above grade— START W ITH floor(of th asement or crawl space) nd measure from hiQhest existinp the highe point of the roof. START WITH rade to the highest point of the roof even if fill was brought in to If you ave a... elevate home. 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 • GABLE OR HIPPED ROOF 4 SUBTRACTION +`' • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TypE the distance between the b2tween the top of the highest � highest point of the roof to window and the highest point of the the low 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 SUBTRA ION Subtract the dista�ce between the half the distance between (BASED N basemenUcrawl space floor and the the top of the highest EXISTIN highest existing grade adjacent to the window and the highest GR,4DE ) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQU S efined building height subtraction. Defined building height EQUALS � Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Average Lakeshore Setback g�uff Shoreland District MCWD Permit Met? ❑ Yes ❑ No � N/A ❑ Yes ❑ ❑ Yes ❑ No Permit Number: No � N/A-see attached Setback: Stormwater Quality Existing Proposed ' Overlay District Tier Hardcover Hardcover Variance Required CUP Required ' circle one % and sf % and sf ❑ Yes ❑ No Q Yes � No 1 2 3 4 5 Type(s): Type(s): ; Fees to be Char ed YES NO Permit fi Plan Review � State Surcharge ��' Investigation Fee SAC�Number of SAC Units Other(specify) Square Foota e $ per Square Foota e Basement X - $ 1 St Floor X = $ a 2nd Floo� X $ Garage X - $ 7 �'�— Estimated Construction Value: � � � ` � �' Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site � Plumbing ❑ Grading/Filling � Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical 0 Fire � Foundation Survey ❑ Hardcover Removal � Septic ❑ Water Connection ❑ Foundation Waterproofing Q Other(specify) � Fireplace ❑ Sewer Connection ❑ Framing � Masonry � Lawn Irrigation ❑ Insulation � Mfg. � Landscaping ' � As-Built Survey ❑ Other(specify) '� '" Final � Lathe _ Required State Permits ther(specify)�'Q(rI f �� Well ❑ Electrical r REMARKS (in-house): � OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: Q See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan fP\/IPU/rhorklicT 9(1-9f11Fi rinev Jesse Trebi{ Foundation Systems, Inc. 60335 US Highway 12 Litchfield, MN 55355 Phone: 320-593-8729 Fax: 320-593-8720 i.a::'v Si3.Yv��': ..r. 4t�. ..._ C��:�l�a�ce C�ty o��t�rono Date � � �� _ � � Reviewer �� ro: City of Orono From: Cheryl Anderson � y � '� �� Fa�c: 952-249-4616 �ate: Ma 23, 2016 ,..��J Phone: 952-249-4600 Pages: 3 Re: Scaled Drawing cc: ❑ Urgent ❑ For Review ❑ Please Comment X Please Reply ❑ Please Recycle •Comments: As requested, am forwarding a scaled drawing for 743 Bridgewater Drive, Long Lake (city of Orono), MN 55356. Thank you! " �/`�bt,/.ta�/k.�.. . ` •!�J �iC�� `t'� . � ��1� � .:� � � �� J� � �o,�� 1��- �� C�� G !�( �9 T � �/'l9 5 �i'� �- � s � c�� o �� f�� , �� ' . .. ,. ii . SA AS E�' w � � � � a . � , FOUNQATtON 5Y5TEM5 tRt[. BASEM,�NT REPA/R SP�C/AL/STS i 1-800-430-5851 ,�'�nd ��7�c�-a �S � `7�� t��u�,�� 7�� ,'U��.�' �.�--�s f ru�4-� �� 'd��0 .� Aj ��-t�� -�-f-ev�ju-� � �'--��(� 1�� ..��C £ _ �c� ~� c��- : �u�--- ��t � �� ,�y�,� ! ��.� � S.�.c.�-t�� r v��.�-( _ _ . . : , �� : � . � � � ; 1� � �___� � ______._ .: i _ _ � _._.__ ___.__.__ _ c@v-��=r�=t� ��-r-o-r�.� S�M� I ' + ' . � � �T,-_ -� . __ _ '�t,sl� . . __ . _ `�c 5 e,tt�t-'�-C's-� -�� h.,�. � �t n1`� ��?C,� � -- -' , � � , � � � �� c-� �- '� c z \ � � _ �.,.. _ __ .... s �: � � � � � N m \j ` m D ..�� a \'r ' I m ' � 1 � .. ..... , .....�.. . ............� __ ... _...____. .._.___.. . . ; i : i i ; , � .. . . _ �. �. _._.___. _._� ._ _._. _ _._...._. ; 60335 US Hwy 12 • Litchfield, MN 55355 ' Phone: 320-593-8729 • Fax: 320-593-8720 // � �� r d ,n i �il i��;e i ti� K ��° h I ('"� � r �1�� .+.,,,E. ��n�S '�" �� i� __ . i ��,�/� � . �._ 'LV°�wr�•s� ' u �. . . _ ,_ _ ..,._ . i i �� . � . � w,_1_ ° ;f .,�ai . . ._. � r, e � ��.,.e.� �; � _ .�. „�..� ..�.�.,..., .._ , , �� , �� . �' �` � � �� '� � �,:� "� ^ �� , � � 3 P�8`3 � � g Sk .: � � � � � �. f... r , �...,.-�,,..„�.s�� "�"� � r,.�' � ""t � e;. 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CONTRACTOR J e-55e- re-eb EDESCRIPTION ��1� S`t*>1 4 to t/g._r 1,4 El FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING f' ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ OMPLAINT JQ 0 FINAL ❑WATER HOOK-UP etLOW-UP 141 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNEIVCONTRACTOR TO MEET YOU:_YES_NO COMMENTS Ar rrw %.+d�✓ 14 i/& 4 r k /6Q cl,/Qli I41p40ec ,CPI % Permit has expired per MN Building Code Sec. 1300.120 subp. 11 Expiration, no record of a Final inspection. 0 V. W CC Q cc W ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE cC 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE COND4TION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal for the next Inspection 24 hours In advance. (952) 249-4600 OwnedContrector on site: 7" Inspector. WNW CopylInspec1oes FIN Canary CopylSib Notley