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HomeMy WebLinkAbout2017-00059 - addn/remodel/repair CITY OF ORONO 11113111 II 11I 3 1II 1 * 2750 KELLEY PARKWAY * 2017 - 0009 DATE ISSUED: 01/24/20172017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1230 ORONO OAKS DR PIN : 35-118-23-34-0019 LEGAL DESC : ORONO OAKS : LOT MB BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: 5 WALL ANCHORS APPLICANT PERMIT FEE SCHEDULE 92.89 PLAN REVIEW 60.38 JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 1.50 60335 US HWY 12 LITCHFIELD,MN 56387- MAIL-IN FEE 2.00 (320)974-8729 TOTAL 156.77 Minnesota State License#:BUIL-20446489 Payment(s) CREDIT CARD 3188 156.77 OWNER ESAU,RONALD&LAURIE 1230 ORONO OAKS 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 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. In n n ^ �!J Applicant Permitee Signature Date Issued By Signature Date (JAN-2:-2017 11:42 FROM:TREBILFOUNDATION SYS 3205938720 TO: 19522494616 P.2'3 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �� Mailing Address- Permit number: (fid / 7 /-a.)7 (/c�� PO Box 66 Crystal Bay, MN 553230066 Date received: ( acs - /7 ' ,' Street Address: Received by: ---(1 -./ .i."41 2750 Kelley Parkway Plan review fee: (1 ir,�tA,� d ,tlQ� Orono, MN 55356 Total Fee: /5 by -7 _ Main: 952-249.4600 Fax: 952-249-4616 www,ci.orono,mn,us This application form must be completed in lull and all required information must be submitted. Incomplete applications will be returned. (Please pant) GENERAL JNFORMATIO T� Job Site Address: r3o (010-716 O Will this be a Parade of HHHomes, Remodelers Showcase Home or other Display Home? TYes 7 No If yes,a special event permit Is required with Police Department and Clty Council approval 60 days prior to the event, Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed, CONTRACTOR I APPLICANT INFORMATION: Name: . , # ./ N iz4'J2t� e9 f2/4 - - State License# „� Expiration Date: •---5f'"~/dy Lead Certification Number: AM-77041 1::2- - .,' Expiration Date: L/_�?rZ i (for work on homes that were constructed•nor to 1978 7 Phone: illife (office) (cell) Mailing Address: {s `{�/ t .1, �� if,�� ' ZIP: S Contact Person: IFI , Applicant is: ontractor / Homeowner (circle one) Email and/or Fax: n , (- Scl /7_)aiy rgi. • . CQYrl r . - 7 � PROPERTY OWNER INFORMATION: Name: i MA s 1 s' ,E-seax- Phone(day): ,/2-, 4. + O �-T Address: /,.c ...,..126- . - It.d.J _w__ City: ZIP: �: 7 Email and/or Fax _..._ " PROJECT INFORMATION: _ Type of Project: Any earth movement may require 0 Door(s) El Remodel cl Fire Damage MGwl review 8 permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt poir 0 Storm Damage 18202 Minnetonka Blvd O Re-roof, cedar 0 Restoration ❑Water Damage Deepnaven, MN 55391 Phone: 952-471.0590 ❑ Re-roof, other(specify) ❑ Siding 0 Other: (specify) Fax: 952-471-0682 0 Wlndow(s) www.minnehahacreek,oro Overall Project Description: aw Estimated Construction Valuation of Project(excluding land) $ 3 (tea 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 oltemative but to reject it until it is complete: • Some or all of the information that you are asked to provide on this application is classified 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 by law_ If you refuse to Supply the information,the application may not be issued. Applicant's Signature: (j?, kL 'z..e._',,.. !.{.{ /� Date: /"--?0—/-7 Last Updated 0S-08-2011 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: .. /z-3© Of'O0© (f ft 5 /6,0-0/ Permit No.: M(7- O6:037 Description of work: rx cef(m 0 . 07`' Date Rec'd: Septic review by: N7,,C- Date Approved: Zoning review by: Date Approved: Building review by: --A, Date Approved: 041—// Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF Survey Submitted: D Yes No Date of Survey: Revised date(?): Landscape plan submitted? D Yes D No Landscaper: / Proposed Setbacks: / Front(Lake) Rear(Street) ( N S E W ) ( NE W ) Other Buildings Wetland Side Side / Defined Height: Peak Height: 7: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = / L.F. below grade Basement? D Yes D No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowet proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to i elevate home. If you have a... i SUBTRACTION • GABLE OR HIPPED ROOF(ho 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 highest point of the roof. to the low point of the correspoi ding If you have a... gable or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF GABLFr1OR HIPPED ROOF(with (BASED ON (no windows): Subtract half • windoWs): Subtract half the distance ROOF TYPE) the distance between the between 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 m8nsard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON base ent/crawl space floor and the the top of the highest EXISTING highet 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 r' Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes D No Permit Number: 0 Yes 0 No 0 N/A Ye No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) D Yes O No D Yes O No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit U Plan Review l/ State Surcharge t� Investigation Fee SAC—Number of SAC Units v' Other(specify) r---- Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 5 W Orono Inspections Required Work Requiring Separate Permits O Footing 0 Site 0 Plumbing 0 Grading/Filling O Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire O Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection O Foundation Waterproofing Other(specify) 0 Fireplace 0 Sewer Connection O Framing -/1C,WV. ,X fes 0 Masonry 0 Lawn Irrigation O Insulation C0 Mfg. 0 Landscaping O As-Built Survey 0 Other(specify) Final I 0 Lathe Required State Permits O Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: D See Builder Acknowledgement Form O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 7\fnrmc\plan raviaw rharklicf l f..9ni rinry JAN-P0-2017 11:42 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494E16 P.1'3 Jesse Trebil Foundation Systems, Inc. 60335 US Highway 12 Litchfield, MN 55355 Phone: 320-593-8729 Fax: 320-593-8720 Fax uRoNo Copy To: City of Orono From: Christine Smith Fax: 952-249-4616 Date: January 20, 2017 Phone: 952-249-4600 Pages: 3 Building Permit Application cc: 0 Urgent 0 For Review 0 Please Comment X Please Reply 0 Please Recycle *Comments: Forwarding building permit application for Orono, MN 55391. Please call with an amount after final approval and mail permit to our office. Thank you i 4850 01-6 0� /'/ VV �y 67144J 0/44.,e Christine InfoCadsafebasements.comde CorO� �©Ct0 R oto G m 01 d •JAN-2'-2017 11:42 FROM:TREBILFOUNDATION SYS 3205938720 TO:19522494616 P.3'3 pm{ . . r ? `'''Bit1 Dafe / =$ 1 G esse' r oil stIi"c STA LLATOI • r . Pr1. it ; SN,QN -•S3S7°ti 3 - • 'Date ' . _Project.ConsultinE • SAFEBASEMEN S . . '..41,1'..44..,v /i} bine, . . • . • :Iotexaa: • C7l CC _ Mobile 64 SS7 '' ?5 'y -•' ' 1 M,o,Oscila inc . 'L .,.• E-mail. .12.61.). .•.e.,/,,r,14-r-444,4..64t' ". Basement RepairSpecialists . .films y dr; elo iKt . *AK*/99e Project Planning' 12. C'A • 6033'5 VS Kwy 12•Iatchfteld,M_ N••55355 , Scope Definitloo Nae - 30.5851 Draintiio System .. • • 12 c O(zoo!+'o 0,444 O rb i.,o C 0sdr.-Edge - —...•. Addrexv QMailing'�lab'Slae 6o1b • •• A•+Fess (:1Mui i D Job.; 0 4>�•rn.� Q3rk AY�ek • City,Township :. • : •. City,Township. S">nP Pumv1 • County,State,Zip Coae Backup Systems _ ..:_.. On CaVCr • b r i:7lCApSlll� A • • :.. .._. ... .. f y L _. � � WailA,neitanc �.�.. - • Wafers ' .. . ',_'__,J.•, ,: ' ' ' I - . • . Carbon Fiber - ...i • ? Piers Crhvi • 0. • 1 ,, '✓r . ./f# 40,-. tt 1Q•'Y,'. 0D Desk : pFow,e _ . -' •.. !"''S. . ' Crawl Space : . Stablisets '•"""` l r r.. V Project•Notes: - Tn.sr:4 L ,S ;e7e- -eA/A'tt✓ Racket .. . • 0 maim ©MilisatlanAkie• t••v.2 S ' +• 'if-1 -..5` AiVSS / e e� . 7MFG t4 f/ „T,.. E3 Waf.System " 'IL� 5'e � - neilttinidifters -.4 S. . ',YE-4.2. 1 BA rs'T' tii4 ii C-E •^ 41_44120,0/V1 j Ot+ ,ttCompacr�{ O s.t.PeAdv.ncsd.Z �,� Miscellaneous — . • Non:Refundable Deposit $ . 3C)Q Ct ph�r CAic --3,..016.. Date - 8 /G. : • .Amount of'bid $: . Cbeck. '`/d2.1.. Ya. No: '' r•Mont.. . Optbns: 1 hngineering.lee $ - ,,• (if Required by City/County) ' Winter Discount P1uS. fees if aired • ' Any'additional fees/permits r tdred by (ifApplicable) • etty/c,'ounty not listed above wM b.the 12 Month ' '"' ''>" 0•FIomeowner to l 4 customer's responsibility; p - . no.tewrest/no'paynlenti. . Estimated Paumen#is.dugiupon. . letion: - 3 -.-- ; : • Reprt seetative.and/or "I 'Term. , lbw. - t Authorised tore - r signs ` ,;i'-F•. r�� ; r