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Home My WebLink About2016-01493 - addn/remodel/repair , . CITY OF ORONO * Z 0 1 6 — 0 1 4 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 744 DICKEY LAKE DR PIN : 27-118-23-33-0007 LEGAL DESC : RINGERSWOOD : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL COIYSTRUCTIOIY TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 6,500.00 NOTE: 9 WALL ANCHORS&4 CARBON FIBER STRAPS APPLICANT PERMIT FEE SCHEDULE 154.85 PLAN REVIEW 100.65 JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 325 60335 US HWY 12 LITCHFIELD, MN 56387- TOTAL 258.75 (320)974-8729 Payment(s) Minnesota State License#: BUIL-20446489 CREDIT CARD 3 I 88 258.75 OWIYER GROVE, CHARLES &SHAUNA 744 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 goveming this rype 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 for due cause. � l.L �I�� / l �l/� Applicant Permitee Signature Date Issued By nature Date NOV-29-2016 13:31 FROM:TREBILFOUNDATION SYS 3�05938720 T0:19522494616 P.2�3 . C�ty af Orono Building Pernnit Appl�cation for M�intenance / Renovation (windows, doo�� siding, re-roof, etc.) ��=� Mailing AddreSS' pQrmit number° �'�(�� ^C y�/� ��,O,�.O PQ Box 6fi � Crystal Bay, MN 55323�Q086 Qate rec�ived: �i-� � - � .. Street Addn�ss: Received by; � ` c 2750 Keilqy PerkwaY Plen review�e: �� ;''e.t' � 1= �r_C�'� �e��a�� 4rono,MN 55356 �� . Tptal�gp: Mafn: 952•249•4600 Fax: 952-24A•4816 www.�i.orono.mn.us �5 � 7 This appliC�tivn form must be completed in full�nd 811 required infprmatiQn must be submitted, Incomplete appllcations will be returned. (Ple�se prtint) G�NERAL INFORMATION: . Job slte Aaaress: �� _ _._ . � . _��,.w .., _--._ _------- --- Will this b�a Parade of Homes,Romod�lers Sh case Nome or other Dlsplay Wome7 �Y� ��No M yos,9 spocra!evenr permlt!s rrqulnsa wltn Pp1;cs OvpeNmant and City Counc!!approvs!BO days p�ior to the event. Sl►uttk Dus snnrJce w1t1 De requl�ed unless applJcant demonStrAtlfS 8UJ1fClellf 0l1-81tA p8rking IS�v9Jt9blb_ 1UOn-p6+mi1t9d ev�ents wllJ noi 68 allowetl. CONTRACTOR f APP ICANi'IN��RMATIpNc IVam$. ��T � � � State License# Exp tion Dato: '� -- Lead Cartification Number: � Expi�tian Date: —� � (/or rvork on homvs chai wer�c�nstructvd prJor to 1878 Phona: �-. l ��ffice) � � (cell) Mailing Address: Ciry; ZIP' "� Cont�ct Pe�son: �� ApplicanE is: ontra o / Homeowner �ci►�ie pna� �ma��and�or Fax: ln,� CQm � PROPERTY OWN�R lN�pRM/�TION' Name: Phone(day): p„ Address: � � City� rQ� ZEP: �`^��j� Email endlor Fax � �ROJECT INFORMA710N: Type of ProJect: Any oarth mpvement may repulr9 Q Door(s) []Remodel ❑Firg pamage MCWQ revlew&pormlia: Minnahaha Creek Watershed District(MCwD) ❑Re�root, asphalt �Repair �Storm Damage �82p2 Minnotonkp Btvd �RB-roof,cadar Rastoration �eePhavon,MN 55391 Q p water Damsge Phone' 852-471-0590 C]R8-ro0f,ather(epeclfy) ❑Siding [J Other. (specify) Fax: 952�71-0682 0 Window(s) www.minnehahaCreek.ora Overall Fro eot Dascriptiort: �stimated Cqnstruction V�luation of PrpJeat(exCluding land) ^$ �� APPLICANT ACKNOWLEDGEM�NT; • Agrees to prpvide all{nformation required or reGuested by the Building Department; • Certifios that the information supplied is tn,ie and correci to the best Of hislMar knrnMedge. Tha applicant recognizes [hat thG}r are solety responsible for submitting a cpmplete applir,ation being aware that upon f�ilure to dp sa,tho�taff hr�s no pltarnativa but to rejeCt it until it is c:omplete; • Soma or aA of the iniarmatfon tnaC y0u �re asked ta provide on tMia appliC�ltion is classified by State law as 8ith6r private or confidenii�l. Private data ia infarmalion which generauy r,an�at be glven ta the publlC but cen be given to the subjea of the data. Confidential data is intormat�on whfch generally cannoc bo giv0n to oirher the public or the subjoct af tho daCa. Our purpose �nd intended use of this lnformati0n is ba annually updaCe our rer.ords and records of other governmentml agenciee re ulred law. If yvu re e ta supply the inform0tion,the a Ilcation ma not ba issued. Applicant's Signature; , � Date: f��c�/ �� 1,�8t Updefed= OS-Ut�-2011 . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: i 7 `�` �f�,f l`� ��f�� PermitNo.:Z��` �� 1,� Description of work: Date Rec'd: Septic review by: /`{ �� Date Approved: Zoning review by: Date Approved: Building review by: � Date Approved: � � �N Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C verage: SF % \ Survey Submitted: 0 Ye � No Date of Survey: Revised date ? : Landscape plan submitted? \ Yes ❑ No Landscaper: \ Proposed Setbacks: ''� , Front (Lake) Rear(Street) `, ( N S E W ) ( S E W ) Other Buildings Wetland �• Side Side :� Defined Height: Peak Height: E: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) _ �'� 50% = L.F. below grade Basement? � Yes 0 No, Sto 'es FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC FOR A BUILDING ON A SLAB FOUNDATION: The distance between e lowest oposed Slab at or above grade— START WITH floor(of the basemen r crawl spac and measure from hiqhest existinq the highest point of t e roof. START WITH r�ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTR,4CTION • GABLE HIPPED ROOF(no Slab below grade—measure (BASED ON window : Subtract half the distance from highest existing grade to the ROOF TYPE) betwe the highest point of the roof hi hest oint of the roof. to th ow point of the corresponding If you have a... gabl or hipped roof SUBTR,4CTION ' GABLE OR HIPPED ROOF • G LE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half ndows): Subtract half the distance ROOF TYPE) the distance between the etween 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 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 EQ LS ,� Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback g�uff � Met? 0 Yes p Na Permit Number: � Yes � No ❑ N/A � Ye 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 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit tf Plan Review � State Surcharge � Investigation Fee (/' SAC— Number of SAC Units 1/� Other(specify) Square Footage $ per Square Footage Basement X = $ 15t Floor X = $ 2nd FIOOr X = $ Garage X = $ 0�, v� Estimated Construction Value: $ Cll,�� Orono Inspections Required Work Requiring Separate Permits 0 Footing ❑ Site � Plumbing � Grading/ Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical ❑ Fire � Foundation Survey ❑ Hardcover Removal ❑ Septic ❑ Water Connection ❑ Foundation Waterproofing �Other(specify) ❑ Fireplace ❑ Sewer Connection 0 Framing �n �� .��- ❑ Masonry � Lawn Irrigation ❑ Insulation 0 Mfg. ❑ Landscaping � As-Built Survey ❑ Other(specify) Final ❑ Lathe Required State Permits � Other(specify) � Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan rovio�u rharlrlict 9(1_7(11F rinrv NOV-29-2016 13:31 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.3�3 ��,�,� . _ ` ; . �! l o �. , ""� �� a_ � , � : ��sse �rebJl � , INSTALLATiCN �om,c , �-1- /�� Uffice . .._�_ .�� '7 i.� . � .� , M�bil�� - �.��,�'L�+'.B.�.0�"�,...�.,�::� � ` _ . –, � �'�'O�C ' �c�i��l 0 ��:1,4�� :��-S�S -��%D B�sement Reparr 5p�r�� ProJett P�enning ��ti - 60335 US Hwy 12•Lftch�dd,MN-5S3S5 taflr:��' �r�<yr,�� 2� S�Cop� DffUition .�e X-$Oa-430-5851 n�►c�s� f,M cx7 a ��,�� N � y� � �sr �� _ � - o�� Aaare� a� or� � � o� o�� o� C � �Y a Sda'D�adC � � • �� S�mP Pu�ps --.�� S � p ua r�sr.er� p ua�s�..�.. �000a � CouatK Sraoe �ip Code --- Q�� p i He�sn� , �f, `� •� _ � ' ' ".1 r• r, ,. � ' t ; ' :. B"�+9�m i000 9�.�a . Q 17go s�.o� �.t�,.,, �E.., z(.�. 1 - f ; � , l . _ .�t a - a_.. � ,I, _ 4 ' -s , ; y }_ ' r�. 4 _ � r,.. O f 11 ,�� a[�r i i`� i �. . � i a f ! '' . 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Gopha One H.moumt nfbid S � �# �Yes allo �nantl�9 OPtEon : k. 1Bagfaoaiag Fa s�..�.��`��"�'`�{�''Rcquiaod by CSty�Coanty) (�k) �p��.�� Ar�Y Adfieton�l fi�/P�nits ngWr�d b11 ��8�'�P� ��.a not Wtsd abaw wtll bs eAa �a�/no payme�ts . �. �� R�tEve��d/cQ T�rr,�„�.,,,._� ' Authorizod S�Aaxe � �� .� � REvieMred for Code Cot�pli�nce Ci'�Y ofi Orono f3ate f� r � ' �_� Reviewer -� _ _ ��' Z� �.�--� .�� (A" DATE TIME CITY OF ORONO cnLLED IN / /! 7 ___`� INSPECTION NOTICE r Z�SCHEDULED PERMIT NO.�Li��`�Ll ��" COMPLETED ADDRESS �� OWNER .'�� ' �`' E EPHONE NO. � �� ' �� CONTRACTOR 6�'�'-��-TTP�2/ � DESCRIPTION � -`-�� Y ,/" lC�_!�S ��`�7�b� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑_DENI(l,-SITE ❑�TIC INSTALL �. DMINERlCOI�fRACTOR TO MEET YW: YES_NO `Z� _ _-_ _" � COMMENT'� � o � � �. � ° � � ��; �lf �"��i 1�i"�(/(� � W � Q i �' � � ��` �'(:� `Q � W 0� J W ❑WOFiKSATISFACTORY:PFiOCEED PROJECT COMPLETE � ❑OORRECT WORK 8 PROCEED ❑ E CEFiTIFICATE OF OCCUPANCY O ❑CORRECT WORIC,CALL FOR REINSPECTION TEMPORARY V BEFORE(�1/ERINO pEq1AANENT ❑OORRECT UNSAFE CONDITION WITHIN H��• ❑p►�pTO TAKEN INSPECTOR VYFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. CaY for the next tnspectfon 24 hours in advance. (952) 249-4600 OwnerlContra site: '� Inspector: � YYhib CopYAnsp�etor's FiN Canary CoppfSlb NoUe�