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HomeMy WebLinkAbout2013-00179 (add/remodel/repair) ' CITY OF ORONO * 2 0 1 3 - 0 0 1 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4010 BAYSIDE RD PIN : 06-117-23-11-0006 LEGAL DESC : POPOV ADDN : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 4,400.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) REPAIR WATER DAMAGE-ROOF APPLICANT pERMIT FEE SCHEDULE 118.00 MAVERICK CONSTRUCTION STATE SURCHARGE(VALUATION) 2.20 ll227 RIVER ROAD NE HANOVER,MN 55341 TOTAL 120.20 (763)498-7401 PAID WITH CC# 1762 Minnesota State License#: BC 005572 OWNER LEVANG, CURTIS&ELIZABETH 4010 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permit is fbr 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 I 80 days at any time afrer wark 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. �, �--! �/.Z( l i � i 2l � Applicant�itee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. _______.,_..._..... � City of Orono ������ �° � : Building Permit Application for Maintenance / Renov 'on " (windows, doors, siding, re-roof, etc.) Mailin Address: � '4v� PO Box 66 Permit number: � �3' � � �� � �\� Crystal Bay, MN 55323-0066 Date received: J 8 3 � ��` s� Received b � 5 ,a j � � �, Sfreet Address: y� ��'�t � ' ,W;�, �ti 2750 Kelley Parkway Plan review fee: 7�0.7 U d r Orono, MN 55356 9'kESH�`'� �o� 3- OD i 7 � - Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 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 �--�;') � f �, �`� � �(��, , „� Will this be a Parade of Homes, Remodelers Showcase Home or other 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 servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permifted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �'✓\ �l U � �-� ���� ' ��I.� �i ' State License # Expiration Date: �' � � ���D,.� �� -l �-' ..S '' J � ` �--� i � Lead Certification Number: ��it"t i � ( ��'; �r'j Expiration Date: � .- � � _ -7 i_�.J l�, (for work on homes that were constructed prior to 9978 l � Phone: �; ��`�, I +� (office) l �j � � l "I � �� (cell) Mailing Address: �� % ("��, �� City: � b��� �'ZIP: �S"� C. Contact Person: �� `L`�� �.��,��� Applicant is: Contrac / Homeowner (Circle One) Email and/or Fax: � � ,�- ` � %7� � �'. `l (" l�`�� J� rL 1�,i� -�� 6V�� �ta1�'t"i^�. v!J I,-l f�C _ i .� y�✓`� PROPERTY OWNER INFORMATION: Name: � f L C�� ���i� �� Phone (day): �� �� 3�� �� � �� " Address: �-! , , � ,�,�``, Sl �`,f- �ri� City: j��'j JtiLS ZIP: �� � � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar Deephaven, MN 55391 ❑ Restoration �Water Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �f ��� � 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 alternative 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. ApplicanYs Signature: �_�� ��J`�—,--.. Date: � ' l � -- �� Last Updated: 08-09-2011 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �( l`�� i; 1'�a(�y.S i ��. ��-t.:v'�✓J Description of work: t.�,;�'� �'2_::(Z. (�A i/Y1hC�� i�-E..���� Septic review by: N�'j�. Date Approved: Zoning review by: ,�v%/� Date Approved: Building review by: .s,,.,_ Date Approved: 3-1�i ""Z-a� 3 Grading review by: N i/'� Date Approved: Zoning District: Zoning File#: Reso#: Reso D�e: � �, Zoning`Lot Area: SF/AC Width: Lot Coverage: � SF _% , Survey Submitted: � Yes 0 No Date of Survey: Revi�ed date(?): ,R Proposed Setbacks: 1' Front(Lake) Rear(Street) l N S E W ) ( N S E W ) Oti}er Buildings Wetland Side Side Defined Height: t}eak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)_ �60% _ #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA£E: �r'�� � The distance between the lowe.st FO�C A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basemen�`or crawl space)and the highest point of the rpof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. GABLE OR HIPPED ROOF no , :f you have a... • � GABLE OR HIPPED ROOF(no windows): Subtract half the * windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the '`•., to the low point of the corresponding SUBTRACTION �orresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the` between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPErS(flat, \ • ALL OTHER ROOF TYPES(flat, � ♦ mansard,etc:No subtraction. mansard,etc):No subtr2ction. DDITION Add the distance between the top of slab SUBTRACTION Subtract the distance betw,,�en the ( SED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space fldor and the EXI TING the foundation. GRADES) highest existing grade,acijacent to the GRAC�FcS foundation OR 10 fee{(whichever is less). EQUAL Defined building height EQUALS Defined buildin�. eight � �` �' / \ Shoreland District CWD Permit Received Avera e Lakeshore Setback t? Bluff � Yes � No ❑ N/A ❑ Yes 0 No ❑ Yes 0 No 0 Yes � No 0 N/A Permit Number: tback: Stormwater Qualit Existing Proposed Variance Required CUP Require Overla District T' r Hardcover Hardcover � Yes 0 No � Yes � No � Type(s): Type(s): Updated: January;�013 v:\forms\plan revievv checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge �/ Investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $per Square Footage Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ �'� Estimated Construction Value: $ �, `��(� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire Electrical 0 Footing � Septic � Water Connection 0 Poured Wall 0 Fireplace ❑ Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. � ,8'Framing � Other(specify) ,0'Insulation � �►s-Built Survey .�Final � Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checkiist 2013.docx i 4 � ������ ���� N_���ICK°° Maverick Construction Company 11227 River Road N.E. Hanover Mn. 55341 Office 763-498-7401 Fax 763-498-7609 Lic#5572 Client: LizLevang Cellular: (612)309-7928 Property: 4010 Bayside Rd. Orono,MN ��3�-j`'( Operator Info: Operator: GREG Estimator: Greg Groom Cellular: (612)834-4885 Type of Estimate: Date Entered: 2/7/2013 Date Assigned: .�° � . Price List: MNM�X_JAN13 Labor Efficiency: Resto t�on/Service/Remodel Estimate: LEVANG SP�C�AL �tOTE 5EE ATT�{.C���!:3 �4���ET FOR �'ot s^-''u�u:oz?��-____� ' .�.�...�.�•_:�.n COflE R��i�.��;�.�.�r�;Y� � � �� R��l����� �'o� ��"���� ����LL,����- PLAN CHECKED BY aATE -_�g -�i3 c�r��l� �(� ce��.�n�5 AnnlJ �a(( �O lt- �+I�rs�- MA��CK°° Maverick Construction Company 11227 River Road N.E.Hanover Mn. 55341 Office 763-498-7401 Fax 763-498-7609 Lic#5572 LEVANG Main Level ,-,.�.� �• Family Room Height: S' 869.33 SF Walls 671.33 SF Ceiling _ 1,540.67 SF Walls&Ceiling 671.33 SF Floor �� � 74.59 SY Flooring 108.67 LF Floor Perimeter 108.67 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. R&R 5/8"drywall-hung,taped,floated, 221.54 SF 0.37 1.39 38991 ready for paint 2. R&R Batt insulation- 10" -R30 221.54 SF 0.33 1.16 330.10 3. R&R Polyethylene vapor barrier 221.54 SF 0.08 0.22 66.46 4. Detach&Reset Recessed light fixture 4.00 EA 0.00 0.00 425.28 5. R&R Acoustic ceiling(popcorn)texture- 671.33 SF 0.40 1.00 939.86 heavy 6. Mask and prep for paint-plastic,paper, 108.67 LF 0.00 0.81 88.02 tape(per LF) 7. R&R Casing-2 1/4" hardwood 90.00 LF 0.44 2.91 301.50 8. Stain&finish casing 90.00 LF 0.00 0.93 83.70 9. Stain&finish door/window trim&jamb 6.00 EA 0.00 24.54 147.24 (per side) 10. Scaffold-per section(per week) 3.00 WK 0.00 48.00 144.00 11. Scaffolding Setup&Take down-per 8.00 HR 0.00 39.22 313.76 hour 12. R&R Ceiling fan without light 1.00 EA 16.58 203.40 219.98 13. Clean and deodorize carpet 201.40 SF 0.00 0.31 62.43 14. Content Manipulation charge-per hour 2.00 HR 0.00 39.22 78.44 Totals: Family Room 3,590.68 TotaL•Main Level 3,590.68 Line Item Subtotals: LEVANG 3,590.68 Adjustments for Base Service Charges Adjustment Carpenter-Finish,Trim/Cabinet 12g•Zg Floor Cleaning Technician 69.44 LEVANG 2/12/2013 Page: 2 �CK°° Maverick Construction Company 11227 River Road N.E.Hanover Mn. 55341 Office 763-498-7401 Fax 763-498-7609 Lic#5572 Adjustments for Base Service Charges Adjustment Drywall Installer/Finisher 218.52 Electrician 196.02 Insulation Installer 101.92 Painter 93.64 Total Adjustments for Base Service Charges: 807.82 Line Item Totals: LEVANG 4,398.50 Grand Total Areas: 869.33 SF Walls 671.33 SF Cei(ing 1,540.67 SF Walls and Ceiling 671.33 SF Floor 74.59 SY Flooring 108.67 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 108.67 LF Ceil.Perimeter 671.33 Floor Area 712.68 Total Area 869.33 Interior Wall Area 893.35 Exterior Wall Area 111.67 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 LEVANG 2/12/2013 Page: 3 NLA�ZICK" Maverick Construction Company 11227 River Road N.E.Hanover Mn. 55341 Office 763-498-7401 Fax 763-498-7609 Lic#5572 Summary for Dwelling Line Item Total 3,590.68 Total Adjustments for Base Service Charges 807.82 Matl Sales Tax Reimb @ 7.125% 53.93 Subtotal 4,452.43 Overhead @ 10.0% 445.22 Profit @ 10.0% 445.22 Cleaning Sales Tax @ 7.125% 11.28 Replacement Cost Value $5,354.15 Net Claim $5,354.15 Greg Groom LEVANG 2/12/2013 Page:4 Main Level •� � 19'9' �q. � Fam N Room W � Mairr Level LEVANG 2/12/2013 Page: S u� 1J 1J e,o,r,o PlZVL 1—LUPL'T �1417114��IS11V17 �SGIO—G��'0��1 1-25�5 r�o�o�osf�a�o�n;� r-r b� /�.�,�. 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Date C�escri tion 350[-Twy IO S,Suite 101 SignBture si,cioud,Mt�'S6344 .3 � ` 3�� � L3� �� SK - � of � Phbne:(320)259-G575 �nx:(324)259-6991 DaC� Rcp,No. , „ �03-15-' 13 08;08 F�OM-DUFFY ENGINEE�ING 320-259-6991 T-855 P0001/a003 F-764 � - — " �Du�fy Ercgineering aZ .�lssociates, Inc � �� 350 H.ighway � 0 Sou�h * Suit� 101 *St . /�-1� Cloud Minnesota 5630� F'ax Transmittal Form To: � ,�'�vs�� F ro m:. ��=-�z"�1 Phone: Phone: 320-259-6575 Fax: 320-259-6991 Fax: �Z�� — �"� g " � �°� Alt Fax: 320-Z03-1234 Date: � J � � � � � Time: Urgent For Review Please Reply Number of Pages 3 Please Comment Including Cover Page: Message: � ��'� � R- ]� � S '�'�-�-�. � � �l�-/,!��r ti. •n--.,-r--� „� � � � � ,�✓ � �- I a 2 �""u c�1z- v S .S F_ r�-C �� 'f i'ut S P ,�- �`".. -�'"�' -�"c� "S' -� u �q ,( fi� �v ,9 � �� �- �.,J�.c, ��Ct�U �/ --P�^-•�S �"'.U � �q.. �.. . ��-. �,Q,�-c.... T— ` D�T/E TIME �/ CITY OF ORONO CALLED IN _ v INSPECTION NOTICE/., SCHEDULED - /;3h _ PERMIT NO. `�/G� COMPLETED ADDRESS_S`t/ � S�� /`� OWNER TELEPHONE NO. lD�Z ��l��Z6 CONTRACTOR lK �-I17vL� �: DESCRIPTION I�L����l�Y( � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUM RI ❑ SEPTI L ❑ FOUNDATION/REMOVAL Z OWNE /CONTRACTOR TO MEET YOU:�YES NO � COMMENTS: � a � j ' � � �(�� /� , ��� � 0 a � 0 � W � Q � z W � W � � GW �ID6RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ iNSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. � � White Copylinspector's File Canary CopylSite Notice � V— " D TE TIME I / . V CITY OF ORON CALLED IN 1�1����Z iL, ,�— INSPECTION N TICE /y' J/� SCHEDULED —� —i �— PERMIT NO. �`"" � OMPLETED � ADDRESS hc� OWNER ELEPFj,ONE NO " �7J7/ CONTRACTO � �: DESCRIPTION ' � �� � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o /`'t�0 [L-G p.�n-c� �. p � �,S' � '�-�r � ,�G:P 0 � W � Q ti Z W � W � � � GW ❑WORK SATISFACTORY:PROCEED / tO�ECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours un advance. (952� 249-4600 OwnerlContractor on site: r' Inspector. White Copy/inspector's File Canary CopylSite Notice CO`�� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED ���-��� � PERMIT NO. / �"�` conn ETED ADDRESS � � OWNER �'� TE HO NO. CONTRACTO �C �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO`MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 w � W � � GW ❑WORKSATISFACTORY:PROCEED � PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED •`S3UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice