HomeMy WebLinkAbout2015-00826 - addn/remodel/repair ' ' � CITY OF ORONO * 2 0 1 5 - 0 0 8 2 6 *
2750 KELLEY PARKWAY DATE ISSUED: 07/09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 4225 SIXTH AVE N
PIN : 31-118-23-12-0012
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 9,718.06
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL
FIRE REPAIR
APPLICANT PERMIT FEE SCHEDULE 201.36
LINDSTROM CLEANING&CONSTRUCTION PLAN REVIEW 130.88
9621 l OTH AVE N STATE SURCHARGE(VALUATION) 4.86
PLYMOUTH, MN 55441- TOTAL 337.10
(763)544-8761 Payment(s)
Minnesota State License#: cont-1087 CHECK 321679 337.10
OWNER
DAHLSTROM,JESSE
4225 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 no[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 wi[h the State Building Code.This permit may be
revoked at time for due cause. �
�� ' _ n c�
L� �---� �7 j- � � � -��1�--(� � l ! l�
Applican� itee Signature Date Issued By i ature Date
�
' , . � .
CITY OF ORONO `���y
BUILDING PERMIT APPLICATION N� �•
FOR NEW STRUCTURES OR ADDITIONS
�O t _ MailiPO Bo�r66. Permit number: ��
1��0
Crystal Bay, MN 55323-0066 Date received: �
�
StreetAddress:' Received by:
ti G��'' 2750 Kelley Parkway Plan review fe �
`� Orono, MN 55356 /
r�KESHO�� /�j V/�'�' /V
Total Fee: -�
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us V
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: o?o?S �'t' /P� 6 ���
Will this be a Parade of Homes, Remodelers owcase Ho e or oth Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: J
Name: �o� rd (eaniw e�— �o'hs!!'vc��o✓1
State License# Qp Expiration Date: .Zp
Phone: cell office
Mailing Address: 96�? / T'� ���+u� Cit : .+•,ed ZIP: S".S'^�S/
Contact Person: Applicant is: Contra or / Homeowner (Circle One)
Email and/or Fax: /Ij iC�C � ��e�4a►:� . c+v�+
PROPERTY OWNER INFORMATION:
Name: J' s s�ibr�n
Phone(day): 7 G 3 •. �2 � �
Address: Co „ �Q Cit : ZIP:
Email and/or Fax ,P ss e . d 4 ti�s'y'�o�r►,C c•�-�o.l. m�,
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction �Single Family with �esidence
❑Addition attached garage ❑Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation • detached garage ❑Office/Commercial ❑Private Sewer
❑Other: (specify) �r�/'trD��r ❑Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑Public Water
*'Any earth movement may also require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑Othef: (speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �'f, 7�8. a6
,.
�
' ,
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms=
❑Wood/Frame
b.Width(ft.)= Number of garage stalls: ❑ Masonry
Areas in sauare feet Attached= ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1S�Story = ❑On-site Prefab
e. 2nd Story= ❑Off-site Prefab
f. '/�Story = ❑Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our application to be processed:
Not
Enclosed A licable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ O Minnehaha Creek Watershed District Permit s
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• 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 alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands 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.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date:
Owner's Signature: Date:
' ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: �-�� y CGUv! ��i ��-Q� �� Permit No.:
Description of work: /�C�e ,�.Q,f��t l`` Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: � �i
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area:_�SF/AC Width: Lot Cover�e: SF %
Survey Submitted: Yes � No Date of Survey: Revised date(?):
`.
Proposed Setbacks:
Front(Lake) Rear treet) ( N S E W ) ( N S Ef�,W ) Other Buildings Wetland
Side Sid�
/
Defined Height: P k Height: FFE:� FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50%_ ' L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A 3LAB FOUNDATION:
The distance be en the lowest pro sed The distance between the top of
START W ITH floor(of the basem nt or crawl spa )and START W ITH slab and the highest point of the
the highest point of e roof. roof.
If you have a...
If you have a... . GABLE OR HIPPED ROOF
• GABLE OR HIPP D R OF(no (no windows): Subtract half
windows): Subtrac h f the distance the distance between the
between the highes oint of the roof highest point of the roof to
to the low point of orresponding the low point of the
SUBTRACTION gable or hipped r of corresponding gable or
(BASED ON . GABLE OR HI ED R F(with SUBTRACTION hipped roof
ROOF TYPE) windows): S tract half e distance (BASED ON • GABLE OR HIPPED ROOF
between the op of the hig est ROOF TYPE) (with windows): Subtract
window an the highest po t of the half the distance between
roof the top of the highest
• ALL OT ER ROOF TYPES( at, window and the highest
mansa ,etc):No subtraction. point of the roof
• ALL OTHER ROOF TYPES
SUBTRACTION Subtract th distance between the (flat,mansard,etc):No
(BASED ON basemen rawl space floor and the subtraction.
EXISTING highest isting grade adjacent to the ADDITION Add the distance between the top
GRADES) foundat' n OR 10 feet(whichever is les . (BASED ON of slab and the highest existing
EQUALS Defin building height EXISTING grade adjacent to the foundation.
GRADES
E�UALS Defined building height
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: 0 Yes � No 0 N/A � Yes � No
� N/A—see attached Setback:
Stormwater Quality Exi ing Hardcover Proposed
Overlay District o Hardcover Variance Required CUP Required
Tier circle one (�o and s� %and s
Yes � No � Yes � No
1 2 3 4 5 Type(s) Type(s):
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
Pem�lt
Plan Review
State;Surcharge //�
Investigation Fee
SAC x-Num6er of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1S�Floor X = $
2nd FI00� X = $
Garage X = $
Estimated Construction Value: $ �V, ���
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site Plumbing � Grading/Filling � Well
0 Silt Fence/ Erosion Control Mechanical 0 Fire � Electrical
� Hardcover Removal � Septic 0 Water Connection
� Footing � Fireplace � Sewer Connection
� Poured Wall 0 Masonry 0 Lawn Irrigation
O Foundation Survey � Mfg. O Landscaping
0 Foundation Waterproofing � Other(specify)
� Radon Rock Bed
Framing
Insulation
� As-Built Survey
Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES 0 NO New: 0 YES 0 NO
OF ICIAL RE ARKS-TO BE NOTED ON PE MIT AND INITIALLED � �C�G� �� C(�� ��S
�,
v� l��b�n � ��e c a�r ��cc��
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
Insured: JESSE DAHLSTROM Business: (763)228-2868
Property: 4225 COUNTY ROAD 6 E-mai(: jesse.dahlstrom cr gmail.com
LONG LAKE,MN 55356-9660
Home: 4225 COUNTY ROAD 6
LONG LAKE,MN 55356
Claim Rep.: Scott Reddington Business: (612)419-0647
Estimator: Scott Reddington Business: (612)419-0647
Claim lYumber: 2024056 Policy Number: 32833683 Type of Loss: Fire
Date Contacted: 6/3/2015 1:00 PM
Date of Loss: 5/31/2015 Date Received: 6/2/2015
Date Inspected: 6/6/2015 9:00 AM Date Entered: 6/2/2015 4:23 PM
Date Est.Completed: 6/22/2015 2:48 PM
Price List: MNMN8X JUN15
Restoration/Service/Remodel „ ,� � „�,X
Estimate: JESSE DAHLSTROM ���������=� +� � � � � ` {r; ^ L �`���a°���
Yd•.�� �s��,� �,.l,� .i►�iC'"""��1 a
pLAN CHECKED BY DATE 7 I
�
Carbon monoxide detector �� � ���
required within 10 ft. of � �
all �leeping rooms.
�� v�� �� G�i''Gct S
SMOt�DETECTOR CONtVECTED TO A SOUND-
!NG QEVICC OR OTHER DEtECTOR�tJGiBLE I�!
SL���I�tu Ai;�AS.
�Uf h �°t� �02�ci'�� Q��2!�'G�Li�
This is the estimate of repairs for the damages to your property.The prices used are the prevailing rates in your geographic
location.Please review the estimate with the contractor of your choice.
Recoverable Depreciation
In some estimates,depreciation maybe applied,based on the age and condition of the items requiring repair or replacement.If
the depreciation is listed as"recoverable depreciation"you may be able to collect all or some of the depreciation after the
completion of the repairs and the expense has been incurred.You
will need to forward the final bill/invoice/proof of payment from the repairer.A re-inspection may be required of completed
repairs.If you elect to complete the repairs yourself,the pricing we be recalculated
to reflect homeowner pricing instead of contractor pricing,which will change the amount of recoverable depreciation available.
Contents Depreciation
The infonnation provided in the Personal Property Inventory has been obtained and used with permission
of the Joint Military Industry Depreciation Guide(JMIDG). The life expectancy values found in this report and in the pricing
information are intended to be averages.This means that normal wear and tear is anticipated,as well as proper maintenance of
the item. The depreciation percentages are based upon the ages submitted by the insured. If no age was submitted,the pricing
will not be estimated on the
item. Homesite uses a maximum depreciation percentage of 75%,regardless of the age or condition of the item. The
Depreciation Guide published by the JMIDG can be viewed and downloaded at
http://www.fss.gsa.gov/fsstt/archives/dtos/dsec 12.htm.
Payment
Payment of this claim has been made as outlined on the last page of this estimate.The check(s)will be
mailed under separate cover in approximately 5-10 days.A letter regarding the replacement cost benefits and how to recover
them will also follow under separate cover.
Supplements
Should you elect to make any changes or upgrades to your property,you will be responsible for any
additional expenses as a result of these changes or upgrades.No suppiement�vill be considered without prior approval.
Flooring
If your claim invoives the replacement of flooring(carpet,vinyl,wood,ceramic)we reserve the right to
send a sample to an independent third party for analysis of the existing flooring and recommend a like kind&quality
replacement. If you receive flooring estimates tiiglier tl�an allowed in tliis estimate please retain a 12"x12"sampte to allow
us the opportunity to liave the flooring evaluated.
Mortgage
If there is a mortgage on the property,the mortgage company may be listed on any claim payments made,as required by the
policy.If the mortgage company is listed on your payment,you will need to contact
them to inquire as to their procedures in processing insurance claim payments.
This is an estimate of the damage observed.This estimate neither expresses nor implies coverage for this loss.
JESSE_DAHLSTROM 6/22/2015 Page:2
J�SSE DAHLSTROM
Exterior
I'ront�levation Formula Elevation 27'x 6'9"x 6'
263.25 SF Walls 27.00 LF Floor Perimeter
263.25 SF Long Wall 263.25 SF Short Wall
29.55 LF Ceil.Perimeter
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
28. R&R Builder board- I/2" 96.00 SF 1.88 5.03 37.08 222.59 (11.48) 21 I.11
(composition or fiberboard sheathing)
1. R&R Siding-board on board-cedar 96.00 SF 5.t 9 17.95 103.24 619.43 (47.88) 571.55
3. Exterior-paint two coats 263.25 SF 0.84 4.98 45.22 271.33 (45.23) 226.10
30. Mask and prep for paint-plastic, 110.00 LF 1.02 1.84 22.80 136.84 (76.03) 60.81
paper,tape(per LF)
31. Prime&paint exterior soffit-wood 70.00 SF 1.62 1.78 23.04 138.22 (30.71) 107.51
29. Two ladders with jacks and piank(per L.00 DA 104.12 0.00 20.82 124.94 (0.00) 124.94
day)
32. Haul debris-per pickup truck load- I.00 EA I31.40 0.00 26.28 157.68 (0.00) 157.68
including dump fees
Totals: Front Elevation 31.58 278.48 1,671.03 211.33 1,459.70
Total: Exterior 31.58 278.48 1,671.03 211.33 1,459.70
Main floor
Main Level
�-IJ'6'-�
1 �4' Living Room Height: 8'
• � 672.00 SF Wal(s 342.17 SF Ceiling
������s��m - 1014.17 SF Walls&Ceiling 342.17 SF Floor
N N �= 38.02 SY Flooring 84.00 LF Floor Perimeter
1 r a--•T h
��'8' ;, Q 8 4.0 0 L F Cei l.Perimeter
�
�--r-,
DESCRIPTION QUANTITY UNIT PRICE TAJ{ O&P RCV DEPREC. ACV
4. R&R Batt insulation-6"-R19- 130.00 SF 1.08 4.73 29.02 174.15 (7.43) 166.72
unfaced batt
ceiling
5. R&R 5/8"drywall-hung,taped, 130.00 SF 1.99 4.73 52.68 316.11 (14.27) 301.84
floated,ready for paint
36. Seal ceiling joist system* 130.00 SF 0.90 1.89 23.78 142.67 (31.70) 110.97
37. R&R l/2"drywall-hung,taped, 40.00 SF 1.93 1.37 15.72 94.29 (4.22) 90.07
floated,ready for paint
JESSE_DAHLSTROM 6/22/2015 Page:3
CONTINUED-Living Room
DESCRIPTION QUANTITY Ul�'IT PRICG TAX O&P RCV DEPREC. ACV
39. R&R Batt insulation-6"-R19- 40.00 SF 1.08 1.46 8.94 53.60 (0.00) 53.60
unfaced batt
wall
38. Seal stud wall for odor control(shellac) 40.00 SF 0.75 0.70 6.14 36.84 (0.00) 36.84
6. Polyethylene vapor barrier 130.00 SF 0.24 0.66 638 38.24 (2.12) 36.12
7. Scrape part of the ceiling&prep for 338.17 SF 0.46 0.25 31.18 186.99 (103.88) 83.11
paint
8. Acoustic ceiling(popcom)texture 342.17 SF 0.69 1.24 47.46 284.80 (15.82) 268.98
9. Seal the walls w/latex based stain 672.00 SF 0.45 3.42 61.16 366.98 (101.94) 265.04
blocker-one coat
10. Paint the walls-two coats 672.00 SF 0.69 9.29 94.60 567.57 (157.66) 409.91
11. Baseboard-4 1/4"w/shoe 8.00 LF 5.28 I33 8.70 52.27 (2.91) 49.36
12. Stain&finish baseboard 75.00 LF 1.14 0.98 17.30 103.78 (57.65) 46.13
13. Sand,stain,and finish wood floor 342.17 SF 4.04 21.66 280.82 1,684.85 (1,053.03) 631.82
14. Add for dustless floor sanding 342.17 SF 1.00 0.00 68.44 410.61 (0.00) 410.61
33. Carpenter-General Framer-per hour 16.00 HR 64.86 0.00 207.56 1,245.32 (0.00) 1,245.32
34. Electrical-Labor Minimum 1.00 EA 242.43 0.00 48.48 290.91 (0.00) 290.91
40. Casing-Detach&reset 21.00 LF 1.67 0.03 7.02 42.12 (0.00) 42.12
41. Stain&finish casing 21.00 LF 1.14 0.27 4.84 29.05 (6.45) 22.60
Totals: Living Room 54.01 1,020.22 6,121.15 1,559.08 4,562.07
Stairway Height:8'
16�'�-� 345.63 SF Walls 86.96 SF Ceiling
T 16�3•
sn���Y o � 432.59 SF Walls&Ceiling 86.96 SF Floor
1 � 1 9.66 SY Flooring 43.20 LF Floor Perimeter
43.20 LF Ceil.Perimeter
DESCRIPTION QUAA'TITY UN[T PRICE TAX O&P RCV DEPREC. ACV
15. Scrape the surface area&prep for 199.43 SF 0.46 0.14 1836 110.24 (61.25) 48.99
paint
16. Acoustic ceiling(popcom)texture 199.43 SF 0.69 0.73 27.66 166.00 (9.22) 156.78
17. Mask the surface area per square foot- 199.43 SF 0.17 0.58 6.90 41.38 (0.00) 41.38
plastic and tape-4 mil
Totals: Stairway 1.45 52.92 317.62 70.47 247.15
JESSE_DAHLSTROM 6/22/2015 Page:4
14'9"--�
,,.�. Kitclien Height:8'
47333 SF Walls 218.50 SF Ceiling
=° Kitehcn � � G91.83 SF Walls&Ceiling 218.50 SF Floor
24.28 SY Flooring 59.17 LF Floor Perimeter
1 59.17 LF Ceil.Perimeter
14'7"-�
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
42. Seal the walls and ceiling w/latex 69I.83 SF 0.45 3.52 62.96 377.80 (83.96) 293.84
based stain blocker-one coat
43. Paint more than the walls-one coat 691.83 SF 0.49 5.54 68.90 413.44 (91.88) 321.56
44. Mask more than the walls per square 691.83 SF O.17 2.01 23.92 143.54 (31.90) 111.64
foot-ptastic and tape-4 mil
Totals: Kitchen 11.07 155.78 934.78 207.74 727.04
Total: Main Level 66.53 1,228.92 7,373.55 1,837.29 5,536.26
Total: Main floor 66.53 1,228.92 7,373.55 1,837.29 5,536.26
Basement
Main Level
�-i��z•---•
j �r6• Family Room Height•8'
I 644.00 SF Walls 297.13 SF Ceiling •
�' �amily Roo
1 � q � 941.13 SF Walls&Ceiling 297.13 SF Floor
ia s--�
� � 33.01 SY Flooring 80.50 LF Floor Perimeter
�-�o'x• 80.50 LF Ceil.Perimeter
!
7'6"
DESCRIPTION QUANTITY UNIT PRICE TAJ{ O&P RCV DEPREC. ACV
18. R&R 1/2"drywall-hung,taped, 48.00 SF 1.93 1.64 18.84 113.12 (5.07) 108.05
floated,ready for paint
19. Scrape part of the ceiling&prep for 249.13 SF 0.46 O.18 22.96 137.74 (76.52) 61.22
paint
20. Acoustic ceiling(popcom)texture 297.13 SF 0.69 1.08 41.22 247.32 (13.74) 233.58
Totals: Family Room 2.90 83.02 498.18 95.33 402.85
Total: Main Level 2.90 83.02 498.18 95.33 402.85
Total: Basement 2.90 83.02 498.18 95.33 402.85
Labor Minimums Applied
JESSE_DAHLSTROM 6/22/2015 Page:S
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
21. Insulation labor minimum* 1.00 EA 20.76 0.00 4.16 24.92 (0.00) 24.92
22. Finish carpentry labor minimum* 1.00 EA 116.21 0.00 23.24 139.45 (0.00) 139.45
23. Siding labor minimum* 1.00 EA 9.11 0.00 1.82 10.93 (0.00) 10.93
TotAls: Labor Minimums Applied 0.00 29.22 175.30 0.00 175.30
Line Item Totats: JGSSE_DAHLSTROM 101.01 1,619.64 9,718.06 2,143.95 7,574.11
Grand Total Areas:
2,398.21 SF Walls 944.76 SF Ceiling 3,342.97 SF Walls and Ceiling
944.76 SF Floor 104.97 SY Flooring 293.87 LF Floor Perimeter
263.25 SF Long Wall 263.25 SF Short Wall 296.42 LF Ceil.Perimeter
944.76 Floor Area 1,028.15 Total Area 2,134.96 Interior Wall Area
2,089.50 Exterior Wall Area 232.17 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
JESSE_DAHLSTROM 6/22/2015 Page:6
Summary for Dwelling
Line Item Total 7,997.41
Matl Sales Tax Reimb 101.01
Subtotal 8,098.42
Overhead 809.82
Profit
809.82
Replacement Cost Value $9,718.06
Less Depreciation (2,143.95)
Actual Cash Value $7,574.11
Less Deductible (2,500.00)
Net Ctaim $5,074.11
Total Recoverable Depreciation 2,143.95
Net Claim if Depreciation is Recovered $7,218.06
Scott Reddington
JESSE_DAHLSTROM 6/22/2015 Page:7
Recap of Taxes,Overhead and Profit
Overhead(10%) Profit(10%) Matl Sales Tax Manuf.Home Tax Clothing Acc Tax
Reimb(7.275%) (7.275%) (7.275%)
Line Items 809.82 809.82 101.01 0.00 0.00
Total 809.82 809.82 101.01 0.00 0.00
JESSE_DAHLSTROM 6/22/2015 Page:8
Recap by Room
�stimate:JCSS� DAHLSTROM
Area:Exterior
Front Elevation 1,360.97 17.02%
Area Subtotal: Gxterior 1,360.97 17.02%
Area: Main floor
Area: Main Level
Living Room
5,046.92 63.11%
Stairway 263.25 3.29%
Kitclien 767.93 9.60%
Area Subtotal: Main Level 6,078.10 76.00%
Area Subtotal: Main floor 6,078.10 76.00%
Area: Basement
Area:Main Level
Family Room 412.26 5.15%
Area Subtotal: Main Level 412.26 5.15%
Area Subtotal: Basement 412.26 5.15%
Labor Minimums Applied 146.08 1.83%
Subtotal of Areas 7,997.41 100.00%
Total 7,997.41 100.00%
JESSE_DAHLSTROM 6/22/2015 Page:9
'.. ,
Recap by Category with Depreciation
O&P Items RCV Deprec. ACV
G�NERAL DEMOLITION 309.32 309.32
DRYWALL 924.43 61.62 862.81
ELECTRICAL 242.43 242.43
FLOOR COVERING-WOOD 1,724.54 1,036.78 687.76
TINISH CARPGNTRY/TRIMWORK 193.52 2.82 190.70
FItAMING&ROUGH CARPENTRY 1,204.80 11.14 1,193.66
INSULATION 191.36 9.19 182.17
PAINTING 2,632.98 945.26 1,687.72
SCAFFOLDING 104.12 104.12
SIDING 469.91 46.08 423.83
O&P Items Subtotal 7,997.41 2,112.89 5,884.52
Matl Sales Tax Reimb 101.01 31.06 69.95
Overtiead 809.82 809.82
Profit 809.82 809.82
Totat 9,718.06 2,143.95 7,574.11
JESSE_DAHLSTROM 6/22/2015 Page: 10
� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED� —�
PERMIT NO. ° COMPLETED �
ADDRESS �a a� � �X� �
OWNER TELEPHONE O�G� Z�JFi-R�3�
.
CONTRACTOR
� DESCRIPTION r' �,
ty ❑ FOOTING ❑ DEMO- INAL ❑ 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 WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4! ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
v�, COMMENTS: "'
� � � �
a ;-�'� G`'� `�c'
J � , � � . r
O i �� �
�.
� ,.
/
O � ,�„" Lt �
W
�
Q
�
2
� �n .
W
�
J
1
W WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in adva . 952) 249-4600
OwnerfContractor on site:
-�
Inspector. °
White Copyllnspector's File Canary CopylSite Notiee
�,\ �,'
DAT TIME , ,
CITY OF ORONO CALLED IN ���JL `�'.
INSPECTION NOTICE � SCHEDULED CI-a ��"�/ '�.�U�
PERMIT NO. :�l S--C��IJ � C MPLETED,
�— �T--
ADDRESS_��5 _ ;t�;�LL C�L��-/1,",
OWNER �ELEPHONE NO.� � � 3g"� �
CONTRACTOR 1%'�1� � '�ti�"L�
� DESCRIPTION .�L�--!/�,2� __, - �
4~j ❑ FOOTING ❑ DEMO-FINAL � ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ' ❑ MECHANICAL RI ❑ SITE INSPECTION
Q�'�RAMING ❑ MECHAN�CAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCOI�fTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
� '7 Ysrw.,K.S' �o � i,rt?�rtor 7�t�c-G �/ -
n /� i
O �'rY `f �OUd� {��td�.s - 3 �a 4i'r S/Ng�e
� �G� G.>e��t 44c.�' a 'r /0�57�r� �c S.
�
° �'• �� - 3 �` 6.�� .•�s��. �v �
� -
Q I/'�Dor h��r��:- 1�� s �o ��.�
�
W
�
W
�
�
J
W/�G16RIEBlt�?SFACTOFiY:PROCEED ❑PROJECT COMPLETE
W❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECd1/ERING PERMANENT
O CORRECT UNSAFE OONDITION WITHIN HWRS. p pHpTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED
❑INSPECTION REf]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
ONI�IC0111f8CtOf 0�1 S�t@: v r�5
111S�Ct0�: r � /i..--• �
YVhite CopyAnapector's Fila Canary CopylSite Notfce
��-� ��� ;
TE TIME \
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED �—�rS%l S L.��
PERMIT NO. G�5"�` ��C PLEfED�
ADDRESS ��� � �L�L- �,(,"`-�-/V`.
OWNER — T�LEPHONE N0.7 �� �����
CONTRACTOR l'� �'���l �L ' °
� DESCRIPTION �G"��` ��- `�- e-�J
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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 WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ,�FINAL r.�, ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNENCONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS: � '� e �r'� c .0 !J/d��aoy ►�-. -��.
� ��✓G GY —
o - b�,r� 6� Al� �.,�. - �,�� /4t h .�
'' ��r{���- 3 �a .� � ,� S��ce - ���--�
o�
0
� ��p D r,�.,.�. s LJ Ll 6�5�- Y �/•t a�
W _
� L��'ll(e✓ - �,� � Ga�'e�/
Q
�
2
�
w
�
j
W �KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� `O WRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlCorttractor on site- Cj '��s' —
Inspector: '�^-�
Whits CopyAnspecto�'s Flle Canary CopylSite NWice
�,- �� �
/ DATE TIME
CITY OF ORONO cnLLED IN D/D� /�'�
INSPECTION N TIC scHeou�� �—
PERMR NO. �d co �n.
ADDRESS T� � Y`�
ONYNER C.EPHONE N �� ����3�
CONTRACTOR
` DESCRIPTION `'!��'`-� _ c''��/ •
� ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �i '�JNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERICOlfTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:,
� F�rZ /���f�,.� �/'�4.,`- �.S c-�-..,r�Dl�Z`c
oG� w.o�►�!s d�rC _
�.
� �
° rv- �Q c�.o�c��o✓s 1J✓'oi�,•-h
� '
Q /'o�v ` ���o� J ld `
i � /��r»*s-
� �°e-nt�..�.ta� �6 �a-* � -r.�•��.� ,ola z`a—
°C G� I're�b-c Qe r,,.1:t �. •�t l,e�SJ
j
� ❑WORK SATiSFACTORY:PROCEED �G(�CT COMPLEfE
CT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVEF�Nf3 PERMANENT
❑(ARRECT UNSAFE CONDITION WITHIN HOURS. ❑pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑pTATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANtiE ACCESS.
caa ro� ext inspection 2a nours�ac�►a�ce. (952) 249-4600
Ow ractor on ��'S
�nspector; +�^�
WMt�CaPYAnspeCto�'S FlN Gnary CoPYISib Notice
n � T Y
�! - � �- ��_
CRY OF ORONO c�u�cn�N /,%i°��n nMe
INSPECTION NQTICE -�, scHEnu�en /C�-s /l�'��l'�
PERMR NO. ,->`:�; -C G��(� ���
ADDRESS `��_� --'''� l,'�� (� _(��
OMINER TELEPHONE NQ��'� ;-_�'"=': � j '. -
CONTRACTOR ,'� ,; r t` !�� �'�) '1 � �� �
, _
�' DESCRIPTION �� � � .:='�. r.�, `� � ::- ,�( � .�� .
� ❑ FOOTIN(3 ❑ DEMO-FINAL �"SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBINCa RI ❑ DCCAV/GRADINGIFILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAI
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SffE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
'� �EINAL ❑WATfR HOOK UP ❑ FOLLOW-UP
_ ❑AS BU�LT-SURVEY ❑SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
, v ❑ DEMO-SfTE ❑ SEPTIC INSTALL
2 dWN�(IRACTOR TO MEET YOU:_Y68_NO
� COMMEN'T�.
� _ ���-e G�a�.,�f7�- ✓'ei�G•� � s r'c�Wr�,�,e z`e
o _ c�b 4,o P�. �t b/C -
�.
� n
� � •
W _ �7J'�'�G�a CX�PL�C�<�v} ,�✓Uur�e �
f � l!>v � ¢ �P�rctrc�/) "E/t,,.- �d �
! Q
? C� ' b��r ►N►s -
� ! b h f✓cF c �b / '�i. !X b�'6 � ' bv>a r / ,v�o�G�'
� E'U r r�� � -c `��� �..,.� �. -�/��9
� , -
� ❑WORKSATISFACTOfiMPROCEED ;�RWECTCOMPLETE
'RRECT W�OFiK 3 PROCEED ❑ISSUE CERTIRCATE OF OCCUPANCY
❑OORRECT WORK GALL F�i REINSPECTION � TEMPORARY
� V BEFORECdVEf�NO PERMANBdT
` ❑C�ORRECTUNSAFECONDITIONWffTHIN HOIJRS. ❑PHOTOTAKEN
INSPECTOR WILL RtZURN
❑STOP ORDER P08TED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
can ro t�pectlo�u nours in ad�►ance. (952) 249-4600
Ow rector�on t�' V✓�5
� lnspector: - �
F
� WMb CopY1M�FlN Gn�ry Copy/8N�Notla
E
�
�a�5 �u� �}�. x�
� � � 4 �� Y ie �'�y�,�,"^,�+'�ft iP`rrl��a�'�`� ' � �a i w ���;,� �:
y, .'}tti t .. t Pe j 4y_�� 1 �f��n"� A`f,1°'�' ,,� Y ,�. ��,s` {r.A
.i. �,�'� ' � y � . ,� 4F �.� � y-r t � i
;�t r s � �' �',��5��'^5 ��.: 1�..` r l. r * � r � .
�� �' i ,t3� t t 1
a 1 t��t. w t '^,aa,:�r h. 1�� js�.: . � 1 � �i y.i.
y{��4�kh� . �l�* 1 ts�j h.,���}�: �k HT�y�� } y- �y � ' yt..
i � p f 9�
, t�q!�p` t�?�ekS���'`N.s r ._ ) '.
L�:���� � a �t�t� �tY�� r �'-� ti ;r } �,', �f
}ti✓ . ,`�
,�.�.i ,��. 4 j � �,a Y� t �t`� �'� a y..t ��`�'
�� �S -� �
`°-�� � '.,f " , * � � ,� '
��"�5,�' ��'' � s i t i'.
�y,} I � �f.'' ! J
\:�f �.�r .'
�i�4� 1
S; t
�Ct�. .r.,� y I�i II
� i fy�:� l I i Il�i
�=
�.�� ,:;, \
r' �
�
�I
�r.�
r:' �;
�r �%.�
s t,
r }
�
a �
� t,. h �-. . 7 t� �.-,� � .� r �+A . ,,...� �.. N„� r� � � . .� �. � 7 {' 'J
G �.e'"` �, 1 ���. - � - � f.'6 � . �k ��i�i�R .s .� � '.: ' t ''� 'c.i .�, ix� 4i, j K.. ..
c ' ,�> � �,.t !�^`f + ' �q ' e�q.,,�t �� r.cti ���.� �' � ����� � ��A .��`� � �a �r . f a e1 .�`�' ? t �C�
fJ �V�' Y�f' y .�„�t� � r . � ���P 1 °"V i�� fi �'A '.'3.,�'}�''y,a�i�'�SY >nt^�� r� Y � � �
V s� M.�v � �1� �c1 1� � � i � ' t S' �,� �.Z �.S`��,�"S�.y�.�yt.�'4 ( { �Y A ? y 4,y u�
� ft -�` �'"Se n e ' I"r�� z i'n v I s � t Kui 1 � r
,'� L > b t.Q � � � � � x � e � wn . �'F t>t �t
4 't (4 �n y,�'.f 1 . t C . r � Ct . i ,�; �4 �>r 147jy� �u" xit^ �f �I �'��ft
Y i ^:�14L \J„M � Y �.}�11 � ��' A ,� , . .c � t� ... 4 C i .
1 ti '.. � \ � 4 t . R r�. S: }�.
. T Ff�'� F n� � Y .�s � r�� �1�..p � �„i� � * 4 L.'",s��'i� �� 1u> 5� t a 1�� k r �, it �. 1 ..
4
t r� �£i �," � i�. S i\k � �..i i+. �� f ,�I,,�� � r ¢:� t ��.' y ,y.�
R. � L! ♦ 1 l k ��' v.� F'. 1 4 F i 1 .'„,tx..�''}
; � t 'ti .^ � � � " r:; u(� 1 e � j u �,�} r. .
sts t y '4�" ',c � � �+ yr t w, ,4..
��
.� , � � �,� ,.� �' : ;�� �., �� � , ,. —
<` f . t`" Cc h t az r,�� �;�'y"��y�Ta'�r�1t'�'Ca,�>G�"`m..�.
� (Z Y . 4.
..� �� �M . �^ , ��+;. .
� • � Ll i;,� ..t.%F�t Y�'N � '�s ,
1: -� 5� .r � r
i �
,H .e' ) �. C�� �� .12 4 1
�. �:� .� ...
. . . . �. 1 ., y ��t
' f �:f
. r,
,� ' . � ' ��.4Y� .n r
o .'�* -��� ��� �. � „ > ',�
. �� �7 ��.g+�'
g����,,. .� .y �:,� ; ti{� � �;r t N,�t,,y � i'' � ...---_•-
�'7f41t-.. .* � � � � "�` � �
'�`.;:� ` i.` " ae„-.
1�
.�� .,
q� � �1
��;i
�y��� �
�✓g�k
�/ii�/�tz�
�///���iY�
� ���'�
4 � �� ���^�
k �.
� ti���
s�z ; �
' ����yr�'ar�'
� ti ��
�, F
����
�aNa ,
�� !Y a
��/�1� �