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2016-00549 - hand excavate/water proofing
. � , CITY OF ORONO * 2 0 1 6 - 0 0 5 4 9 * • 2750 KELLEY PARKWAY DATE ISSUED: 05/24/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRE5S : 4175 NORTH SHORE DR PIN : 07-117-23-44-0093 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VAI,.UATION : $ 1,500.00 NOTE: HAND EXCAVATE AND INSTALL PEEL AND STICK WATER PROOFING APPLICANT PERMIT FEE SCHEDULE 60.35 PLAN REVIEW 39.23 JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 0.75 60335 US HWY 12 LITCHFIELD,MN 56387- MAIL-IN FEE 2.00 (320)9748729 TOTAL 102.33 Minnesota State License#:BiJIL-20446489 Payment(s) CREDIT CARD 3188 10233 OWNER GOODFELLOW,MARI 4175 NORTH SHORE DR MOLJND,MN 55364- AGREEMENT AND SWORI�T 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 pertnit 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 inspecrions aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 � � � � �/� Applicant Permitee Signature Date Issu Signature Date MAY-18-2016 07:46 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.2�4 , , t i' .� Ci#y of �rono Building Permi# Application for Mainten2�nce 1 Renov�tion twindows, doors, siding, re�roof, etc.) Mailing Address: PO Box 86 ��t �d cJ�{� Crystaf 4ay,MN 55323-0066 ermit numbei� � — sr�er�aa�►��: et���v�,: —r� -I 2750 Keli�y PBrkway . ,�Q jr,,"'�� prono,MN 55356 � �wQ eceived by: F�x: 952�249-4516 www.ci.orono.mn us �� � lan revisNr fee: �°"� �+����: /O �. 33 Ma�n: e5z-aas-ascm This applic8tio�n farm must be compieted in fuli and 2�t1 required inPormatian must be submitted. Incomplete applications will be r�tumed.{Please print) GENERAI.INFpRMATIdN: ��/'r� } ,,��/,, ,("' ) �,I ,/�,�� ] Job Sits Addre�a: "*'' /� l� !`T�"� U k��� f Y�P�J �� 1'�� /P�/� Wil�this be a Parsde of Home�,�temoc�eiers Showcase Home or other Displap Wom�? Yes Nc Nr�,a s��e��t�m�ir ra reqw►ed wlu,�x��nr ar�a�ry�eaur,cir ap�rov�r sc d�ys�w ro me eve�t snuar�bus se►vice wirr ae �t�rad unless opplir.�►nt dsnfonst�teS SW14Ci�rtt oq-sila parlcing is avcAab/s. IVon�vermitfrd evsnls wiA not(�a allow�,d. CONTRAC QR/APpLICANY IN O A O Name: (�. 5'5�.. �(� � �'��� � State 4�cense� p�rat�on e: Lead.Ce�ification Nu ber� Expiration Date: ,� �Q� (for work on hom�s thet w�aor�t,u p to 978 �"�"" Phone: , (ofFce) , , (ceU} Mpiling Address: � .� � �,�, �' ZIP; Cantaat P�rs�on_ Applica�t is: Contractor Homeo�nmar �c�rao ono� Email and/or � @,y�• d Fax� 3�� �'�3����a PRQPERYY QWNBR INFORMATION: � �� � P MRY-18-2016 07:46 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.3�4 Name: Phone(day): Address: City: ZIP' Email andbr Fax PRQJ�CT INFORMATIDN: 2 Q�Q��a-� G� L��CE- p,�I '� �"�l� CZ-�Y {�Q� Type af Proj4et; Any oarth mo�rvment may require ❑Door(s} ❑Remodel �Fire f�amage �GWD roviow�psrmits: Minrtohaha Crook Waturshod qi5trict(MGWA) Q Re-roof,asphalt ❑Repair ❑Storm D�m�ge 18202 Minnetonka Blvd [„�Re-roof,ced8r [�Restaration [J Water�amaga Deephaven, MN 55391 Phnne: 952-471-0590 ❑ Re-roof,other(apecity� �]Siding ❑Other:(specify) F2x: 952-471-4682 [�window(s) www.minn8h�haCrBek,orS� Overall Pro ect Descrlptlon: Estimated Cons�ructipn VaEua�i4n Of Project(exctuding land) � APPI.fCANT ACKNOWL�DGEMENT: ❑ Agraes to provide afl information required or requestod by the Building Department; p Certlfles that the infprm8tion Suppli�d is true and CorreCt to the best of his/her knowladge- 7he applir�nt recognizes that tn9y are sotely respansible fqr submitting�complete application being aware that up�n f�ilur�to do so,the staff has np altemative but to reject it until it 1s Cpmplgte; ❑ Some or all af the lnformatlon that you are asked to provid� on this applfcation is clasai�ed by State law as either privete or confidential. Private data is iniurmstion whiCh gener'ally cannot be given to the publiC buf can be given to the subject of the data. Confldential data Is information whlch generally cannat bo givon to e�thor the public ar the subJect at the dpta, Our purpase and intended use�f this inform�tion is to annually update our records and r ecxds of ather government2l agencies requir�d by law. If you retuse fo suppl the information,the a lication rr►a not be issu . Applicant's Signature: � Date: J✓� ��j d�Ul� ���� � L��t Updoted: 08•09-2011 � %� � �� ����:����� � �� �� � � ��/� � ` � ������ ���o��,.��� ��� :��I� ��������a� , i�������.� ' ' ' � � � .����e �1'' Gf'Ci' Peemit No:��" �� l/ ���� i /�ddress; _ f t ,/�arv^� t: .C�' � �� ° � � - � Descripti�n t�f w�artd: ; �a#e Rec'd. . t ; _ , , , I�_ � � � _ , . , , , �. -S�p�c review by: Date Approvet�, � � � ; � �: �� � Zonir� review b , 'Date � Y Approyed � , „ (�� � � � � ,;, �uilciing reviev�r by: { - ; D�te Approved, � � Grad€r� r��� . � � � � �� , .� ; � _ � g eview by: bate Approved; , . f � ' Zaning District: Zoning �FI�#: `R��#. � i�e�o Date: ' , : , ,: � ` Zoning: Lot a►r�a: , S�� ' Witlth: Lot:C�ver�ge: ' �F _T?/o ,; �, . ` : , I Survey�ubin�itted: �YBs �, � No Date of Survey, Revised da#e 2 . ��- °' La�a�dscaipe ptan submift�d? : �.Ye� ' � No L.a�ndsc�per P"ro���osecl���etlaacks: ��. Fcont k � � {t� e} ��ar(Stree#� ;: ��.,N S � � ) ( N E W ) Qth�r,�utl�iing� UVe#land Side Sicfl� � � � ��t Detin�tf H�ight: • P�ak Height. �� �fE: � � FF'E m[trus 6 fieet= " (�c�sting ContflurJ �f�en�met�r �linea�fest '� _ . � ( )= 50%= � L:F'. b+�low�r�d� , j� ' �asement? t7 Yes � NA, ,__r____T-�tfl es' ;'� � � � t - �, � ��.� �. _ ° �.�� � FOR A BUILDtNG WIT�I A B/�lSEAN�NT aC2 CRAW�.SPACE: �' ;'_ Ft�R A B�JIL.DING ON A S'�.,4R FOUNDA'fION' - �y: , , The distancs between the l .' t�r?F�B� �ieit�at ar above gratfe— 8 S'�ART W�TH floor(of th`e i�sei�#or space)ar�d ; : mea�ure ftom h[g�existlna x #he hi�t poiirt of the roofi. � ST`ART W ITH ��the hiqhQst paint of the roo#`ev�n�f fiil�4vas browght in tc N you have a... �I�vate home. , Si)BTRACTION • �4B6E OR H,IPAEp!f2� F(tib" SIBb befow�1'8de r m@asure _, � � � � .�� � (�iASED�PI �_= wlntlotN's);Subf�ct^t�eif' e�ista�ce � . � froti�hYghest eitisting gr�de fo the :ROO�'T�+�} betwee�the highQBt poiAt f the roof hi ngst. tnkof the tcc�. io the low polnt ef�the cor��ponBTng � '� ��`Y�u have a.';. �� � �� ��ble or�PP�!� • GABtE OR HIPP�D ROOF 3UBi'tiACTIbN {rao windows): Subtrack M�al� • GABLE OR HIPP�D Rf30F ' - - (BASED ON �,dlStBtice betv�een the �: � � . wllldo�asj: Swb4ract haif�fh� �qce � ROOF 7Y�'E� ` � hfghest puh►t of the roof to� � I �^' bst�ween ti�e top of the Nighest 1fie.low poi�t of thQ � �dow and the hlghest{?o1M the cocrespo�ing gaFihe or hipped�i � + ALL OTH�R ROOF TYPES(flat,. .: GABLE OR HlPPED ROQF �r . ; mansard�etc}::Nq subtrac�ctn. {wtdi windows):�ubtract ,' SUBTRACTION Swbtract the dist�nce befvreen t{te haff the dfstance beiween • (BAa^�D ON ' l�sementicrgwl space tioor and the the fop of the highest EXISTING highest e�istln9 9r�de adJacertt tti ithe windew antl the fNgfiest , . .� � GRADES) foundatlori OR 10 feet{whichever is less� ' - point of the roof j �' '_ • ' ALL OTMER RQQF TYPES= (flat�manSard„e4c):h1C � � � EQUALS- �� Detir+ed'buildln9 t�al�ht � -� "--'subfraotlon. Qef�ned bui ding liaight i EQUALS � I � ', - : C � � � ��� z:lf�ormslplan�ober 201� ��� � � �. >; �' U ated: Od . ` �„ review chedclist 1�-2015,docx ` i -_ �� � �� °� � _: ., � - � " -: ; ' f Shoreland Distric�t NOGVi(D P�rmit Averag�L��S�sC�or�,Setback BlufF MetB � Permit Number. � Yes �]'I�a L] Mf�i+�► O Yes IC� ! � � Y�s � No ; `No C] N/A-see attach�d Setback: � � Pro seei , Stormwat�r Qw�l�y F�c�stin� po �. t�v�rla�D'rstcFct Tier Har�cover- � liat�dcouer Vgriance Req�aired - CUP R�Quir�d . c�rGe one %and s °�a and"s : . �'; Q Yes L7 No W Yes C7 No : � � � � '�, � '�Yp��sj� TY�(S�� , . , _ _ Fees to 6�Cfi�r ed YES� �O ,.. � ' : _ = , , , � P�mit���: � , � �,.�.-� , . � Pl�r� R��aiew . � Stat�S�rcharg� : ! Inwesfi�gation Fe� , -. E ���—�1urr�bBr t�fi SAC`Un� t,r�'" ` - ,., �her(s�e�fify) 'l,r/' '� , . � S �aare F�ota`� � r S uars Fot�fa ' Basement , , � ' _ � � ?�Floor � :� 2� Floor � . . } : X = $ II G�rage X $ � k:� .; �stimatee�Con�truct�ora Yalue: � - � Orano I;nspectians Requirte�l UVo,rk Requicing Separate Permits f; ; � �'ooting � Site 'O Plumbing . [] Grading/Filfing ' � Poured Wall ` � Silt��rtce��rosipn Cont�ol � Mect�anicai` D Fire 0 FoundafYo�Su�vey . � Hardcover'Removal s C] Septic � Water Connec�on % �� `` � ��� :,; �� �Foundafion Waterproofing ' � OChe��specify) ; � Firepiace � Sewer Conne�fion � framing` ` 1�1 Masonry � Lawn Irrigatid�► � O lnsulation ° � :Nffg. fl Landscap�ng C'�,�►��u�l�'�urvey [� OtMer(specifY} � �i��� _ � �' � the R�quired State Permits � 0 O'kh�r(specify} ; � � I � W�II � Electrical l2EMARKS �in-haiise}:` . � I � ;OFF#CIA�REMIARKS-1`0�E W�TED OI�,.PERMIT A�19D INITIALLE[3: - i :� S�e Builder Ackno�nvl�dg��r�t Fe�rm ' � Prlor to rel��se of es�row money an as�buiit survey and hardcover calcu#ations,must be submitted and ap�roved:, �, j � Updated: October 2015: . � ; I. rifnrmcWan roviow r.hrsrklfc4 111.2f11+",Anrv' � , MAY-1�-2016 07:46 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�4 • -i J�sse Trebil �oundatian Systems, Inc. 60335 US Highway 12 i.itchfield, MN 55355 Phone: 320-593-8fi29 Fax: 32Q-593-872Q (���� RQviewed for Code �� V Compi�ance City of Orono ��� Dabe z, l Raviewer ' �ro: City afi Orono From: Cheryi Anderson R�. 952-249-4616 oat�: M�y 18, 201� Phone: ��J2-249-4600 P�ges; 4 rrt�: Building Permii Applicatipn cc: �!Urgerlt ❑For Revlew Cl Please Comrrren! X Plemse R�ply ❑ rl�sse I�ecycle •Cummer�s Forwarding a building permit application 4175 North Shor� Drive, Orono. MN 553�6. Please call with an amourtt�fter fina!approval and mail permit to our office. Thank youl l MAY-1$-2016 07:47 FR�M:TREBILFDUNDATION SYS 3205938720 T0:19522494616 P_4�4 h� . ..•,.� 3: . . ..�,.. • ' _ .... . a ' � f (r � /M , �, ' 1 :.� +.. � �.• :k �:� . , r` l. `F: . �r �� o, �;�, ;. "' � - x':: ..;,,,��;�. � . , q::,' ° s�a�� .�' �4����c: '��• �S�TAL.LAT14.1� { � : . ,.�: ,� � ' - �.��; � , � � .':t�'��p���+��'.'1�.b •�':"�''t.�;'�:.i ,,. , $ �� �.�h . t , �a� '� {�_� ,�' /;. r P��x.''''`��� •:tr'�,�,� .:,.� F'E1�lN�#A'1i�115'!C5'�'�IS�111I� '�. f . ,.,�: ;.;�� - . . . . ,. . . �.;'. � s , . . .. . }::-, �.Q�'i�e Can�Guarantee �po�,s,; ����. �'� -.,�+rt�: �,?:.+s��� 60335 LTS Hwy 12*Litch�ield,MN SS35S ' �:� �.�- � ":i:�:,; �' , �.�0o�3o-s�sr e �.�'�.� `�,�'"�"�''J+'..�� ; .., - TConsuitanc ,.s'.'�� ��'°��.t. � �'. �� � � �, �`". �-- . ' �, � ��+-o u1 , ,K� � � R�. .�Nt�d C�4 Name. . .. .. Ema,`] F -z . ���'7.5'. J1r•. S�F}D,2� �7�• nb Si.t�Aditress -:- . „ � ,,,,�,_�,,.�,. �_..,. ��.... � �.», . o-.,, � �.M:uling Ad�resa ;� :.' rav�o N� .��.��� �. ������:�4 - � �Y _ � -Cicy�S�a� ...,,...... C� ,State , . 'a � ;s.._, , � . ,� � ' U ' . �. � r . , . ° -. . . ,. .. ... :�1, _ ,:r.,,� _ .� � _ , � . , .. �.�........:_ ' . _ ..g�. . �b � l. � � ,. : .., �-�� .:,.. � . � 4. . . h , : ; �� ��'�I��� - - �;.��� ..,��. r. ,-.. , , . � : , � . j,;..... .�� I � ' � ' i,: i 1. • ' . .. � � �';�. :.� ��-- - - - - ���� - - �; :�..' ��� ��� , . , t � .. ,�. ..:, �1..�'.h..ro 1 ' ; ��i � � ��t.`~ i ' ,�Q _ ; ;, � ;• { � _ ^ . :. . :.:. ' — } �`' • a.ii_t:i: :� nq..•_:.._ ' _ _ •y „L- �� -r�"•' ;� � ' ' ..�.,� .',:.. .ep" • , . _. _ . ,L:, , � ��1} �.'f' � ' .. .... ,� '� ': ". .... � ' � ' ' _ � '�^'. �__'f...f�1+��1�-� J..i_... t .' •: �. 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' . . ,.���y.•'•. . • . . . • : ' .�.. .. ..L' � ,{, i : . r ...4.� . t i I. .-�-'..... _ ar+ .. 1-e�^_. .1 , :: . � . � . . . . • . - .. � �. � .. . . � . � ��� � � . • . . � t i.,+.•• . f',:�� o � : , :�� .. �,.. 5 :+ny�C+�'• ' ��'<.:�►w , � i, + � ' I . � � � i � � � ; �.,�--'� i i , � i Ap�roximaCe n�r of days fox job completian: . 'Yc,ar Bui1G +1-. ' .� � ' l A � � ,�. . .� i � :� � R r � � � � � - - � No�:l�efundablo�e�psit $.,,��� �.�i�,� �,,,op`'licr($ha A►nt�un[of bia $ Taa�"�;j cc��' " �y��Yes �C�No Q�'li� 't�e�s�f ttirCd � s... ; . ��� �� �� y � � equired i��JCovnt� 'U J�'omeowner to get pez�uaxt . Eng�rreer.ing�ee$ . (Tf R ` `�`^ . � ,: ._.a:• : ;^k"�;,";.: •�' '�iix;priari''ty is to fix�pruble�n with'�y�ur foumdation"; ►s what oux�cuscomers rcly ou us for.�e��in,,mied that _we can noC be regponsible.�or ariy finish carpenrry,paia�ing,PaneTin�g;cleuning,etc.tbat may 1�necessary a�ter aur work is cnmpiotcd.Jesse Tteli�l Fo al�Uri Systems,Tua,wiil n�be tes�ansibl�far�aj►a 1ond�capmg,reseeding or r�•sodiar�,unless ocherw."ise noted o � �, . :. �.::. ' Wo cvill cNl:"Gaphcc One"to have al1 pablic und�r�mund lin�s lc�.�t you bev�pri�te]ines such as sdcellice dish cablca,�ropane li�3C.,S�TulkleT'system?etG,yoa��xe��,nsible.fv�xn�, ng rteem.7csse Trebi]Poundateon Sys�ms, � Jnc;.W32I,IiOk•H5Sll�i1�T�'.3�,1QIISi��2I���E��e 15 adamage � 'v lin�,c;�li�!011,�IV.C•'iti A Y'UI�1�di�55,publie lines will , : only ti�lo�it�d.�io,the'pv1�or your�rop�rty lane,if dama �y`of.these I;ines in an area th�t was not marked accurs,yau wil�l�lye res�onsibl�:For all re�ai: . ;.. Y addil�o�$1�f�l�rmtits required by the aty/coant,�►not listed : al,�ve wi�l be t�cu�imer's.responsib .� � ��: �' � .b�1�F� fl��,nlet_i ,^nn. � .���f �4Jt. ..y:' ,ti ��aarcharge on.Afa,etena+�dl�urt/A�r -r .a���". �:a - � ' RC"�?TCSC�CdLIVC.'B$1 c� � 8� . Autlior,ir.�f Si�lature � .. DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.X0/6.oO S'q COMPLETED a?'/4y-ii‘ ADDRESS y/ 7S /Y• Store 4e. OWNER TELEPHONE NO. CONTRACTOR •ZS S s T r eh DESCRIPTION N1411eler/"),1 �k'`Bde~ wa a III ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING C1FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 2• ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT ' ❑ FINAL ❑WATER HOOK-UP FOLLOW UP/ W 13 AS BUILT-SURVEY 13 SEWER HOOK-UP 0 FOUNDATION/REMOVAL _ 0 DEMO-SITE 0 SEPTIC INSTALL gNNB(CONTRACTORRTO MEET YOU:_YES_NO aCOMMENTS: PG/r,.t `ia/eale- - 1*Iej2 e dir//1 tu �, l/5Ve=d4TPA Permit has expired per MN Building Code Sec. 1300.120 subp. 11 Expiration, no record of a Final inspection. 0 ccW W OC W O WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK, TEMPORARY FOR REINSPECTION TEM ►RY V BEFORE COHERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 burs in advance. (952) 249-4600 OwnedContractor on site: s. Inspector: ,„' 41q- -- White Copyhmp.ctor's FIN Canary CopylSttS Notice.