HomeMy WebLinkAbout2013-00179 (add/remodel/repair) ' CITY OF ORONO
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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
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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?��-____�
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COflE R��i�.��;�.�.�r�;Y� � � ��
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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 •�
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Mairr Level
LEVANG 2/12/2013 Page: S
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F'ax Transmittal Form
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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
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Message:
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INSPECTION NOTICE/., SCHEDULED - /;3h _
PERMIT NO. `�/G� COMPLETED
ADDRESS_S`t/ � S�� /`�
OWNER TELEPHONE NO. lD�Z ��l��Z6
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUM RI ❑ SEPTI L ❑ FOUNDATION/REMOVAL
Z OWNE /CONTRACTOR TO MEET YOU:�YES NO
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❑ iNSPECTtON REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on site:
Inspector. � �
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INSPECTION N TICE /y' J/� SCHEDULED —� —i �—
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Ca11 forthe next inspection 24 hours un advance. (952� 249-4600
OwnerlContractor on site: r'
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CO`�� DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED ���-��� �
PERMIT NO. / �"�` conn ETED
ADDRESS
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�; DESCRIPTION �
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� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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❑ 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