HomeMy WebLinkAbout2014-00511 - addn/remodel/repair ' . � . CITY OF ORONO
* z 0 1 4 - 0 0 5 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/02/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2253 BAYVIEW PL
PIN : 17-]17-23-44-0029
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
; LOT 027 B1,OCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,877.00
NOTE: REPnIR WATL;R DAMAGE
APPLICANT PERMIT FEE SCHEDULE 103.25
STATE SURCHARGE (VALUATION) 1.94
LEGACY SERVICES CORP
6390 MCKINLEY ST NW TOTAL 105.19
RAMSEY, MN 55303- Payment(s)
(763)712-5656 CRED]T CARD 5046 I OS.l9
Minnesota State License#: BUIL-206381 10
OWNER
RIOUX, KELLY & SHAWN
2253 BAYVIEW PL
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work fbr which this permi[is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. "I�his permii is for only the�+�ork 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 specitied 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 inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� �� � i � i
App icant Aermitee Signature � ate Iss d By Signature Date
Cit of Orono ��`� 5� 2�- ��{
� . � . Y
Building Permit Application for Maintenance / Replacement / Renovation
�(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O� MailingAddress: Permit number: D��—DD S��
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: Jr- �7—/
Street Address: Received by:
y G, 2750 Kelley Parkway Plan review fee:
`� Orono, MN 55356
lqKESHOR� _ �OS . 9 '
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 m �t�ed.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 'Z2-�� �j�y� ' e� p���e--
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Q No
If yes, a special event permit is required with Police Department and City Counci!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/APPLICANT INFORMATION:
r--
Name: ��,5 ro;�w
State License# r��6 3 9 1 I� Expiration Date: 0 3/3�f Z���
Lead Certification Number: Expiration Date:
(for woik on homes that were constructed prior to 1978
Phone: (cell) � (z �c�7 7 j� � (office) "763 7(2. 5 6 SSG
MailingAddress: �7��� ���,`���,��v � � �W r-� ,za City: �,w�,ge, X ZIP: �,5��3
Contact Person: y��,5 � o S�er� Applicant is��rrt�/ Homeowner (Circle One)
Email and/or Fax: �6� �rz S°1 S�O
PROPERTY OWNER INFORMATION:
Name: c���,,�, � (Z � ��r�
Phone (day): ��3 3�0 �� 6�j
Address: � -Z,s 3 (� �,y v �ew {� 1�..� �, City: p�'d�e� ZIP: SS3`l �
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ R�model ❑ Fire Damage MCWD review&permits:
� Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ��Repair ❑ S orm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar [�Restoration �ater Damage Deephaven, MN 55391
❑ Re-roof, other(specify) [�Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
[�Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ $ � Z-
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 required by law. If
ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: // �- Date: �—Z7 � Z d/�
Owner's Signature: Date:
Last Updated: 03/06/2013
�L�4N RE�/IEUV CHEC�LIS� FOR I��VV�' ��'�U�1"�J��S / ADD[TIONS
�►cldresslPermit Number: ��`�� ��r`�����+i� ��� Q�€���,��
Description of wark: t�� �`m- �'�, �y ����1c�!-��:-�= ����`�`z�;
Septic re�riew by: �' y�� Date Approved:
Tonin revieve b `� '�`�'
9 Y� ____,�eO Qafe Approved:
Buiiding review by: '� ^'��°� Date R,pproved: ��� �� T �`�
Grading review by: �' �� Date Approved:
Zon�g District: Zoning File�: I�eso#: Reso Date:
Zoning: ot Area: SF/AC Width: Lot Coverage: SF �/o��
Sunrey Sub itted: ❑ Yes ❑ No Date o�Survey: Revised date ? : �
Pro osed Setb ks:
Front(Lake) l�eae(Street) ( N S E W ) ( f� S E UV ) Other Buildi s Wetiand
Sic�e Side
Defined Height: eak Height: FFE: FFE minus 6 ee�_ (Existing Contour)
I�erimeter(linear feet) _ �50% _ #of Stories Ok? 0 YES
"i
FOR A BUILDING WiTH A BASEMENT OR CRAWL S CE: �
The distance between the lo st FOR/4 ILDING ON A SLAB FOUNDATIOId:
START WITH proposed floor(of the baseme r crawl
� space)and the highest point of th�oof. START WITH The distance between the top of slab and
t If you have a... the highest point of the roof.
If you have a...
• �ABLE OR HIPPED ROOF(no 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 corresponding gable or hipped roof � SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF(with � (BASED ON • GABLE OR HIPPED ROOF(with I
NPE� windows): Subtrect half the I ROOF TYPE) windows): Subtract half the distance
distance between the top of thy� between the top of the highest
highest window and the higt�st � window and the highest point of the
point of the roof I roof
o ALL OTHER ROOF T?�PES(flat, • ALL OTHER ROOF TYPES(flat,
mansard,etc) No btractior.. mansard,etc:No subtraction.
ADDITI Add the distance between the top of slab
Subtract the distance, etween the g g grade adjacent to
SUBTRACTION (BASED O and the hi hest existin
(BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation
GRADES) highest existing�,ade adjacent to the I GRADES ��
foundation O 0 feet(whichever is Iess). EQUALS Defined building heigh4
EQUALS Deflned b�iiding height
*: j �;
�
�f�oreland �is�rict M�V1l� Permit ideceived Avera e Lakeshore Setback Met? BlufF
� Q Yes � No E� N/A � Ye h� No
� Yes � fy� � Yes � No � P�/A
� �� Permit Number: Setback:
Stormwater,Quality Existing Proposed �ariance Required CU� Required
Overfa D'�tri��Tier Hardcover Hardcover
� Yes � No L� Yes � !�o
� �YPe(S): Type(s):
Updated: January 2013 , F,
v:\forms�plan review checklist 2013.docx ��' '�- ����`�1'�
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REMARKS (in-house):
Fees to be Char ed ��5 Na'
Pert�� ��:
Piar� Review t`����
State Surcharge •.�����
�
Investigation Fee �`
�`�Jy..N
SAC—Number of SAC Units
Other(specify}
S uare Foota e $ per Square Foota e
Basement X - $
151 Floor X = $
% Z�d FIOOf � $
Garage X �
7
Estimated Construction 4�afue: � '� °', <f;�' �°` �'
Orono Inspections l�eauired Work Requiring Separate Permits Required State Permit�
0 Site � Plumbing 0 Grading/ Filling � Well
� Hardcover RemovaE ❑ Mechanical 0 Fire 0 Electrical
O Footing � Septic 0 Water Connection
� Poured Wall O Fireplace 0 Sewer Connection
0 Foundation Survey Q Masonry a !awn Irrigation
} 0 Radon Rack Bed ❑ Mfg.
� Framing � Other(specify)
Q Insulation
0 As-Built Survey
�
,� Final
0 Wetland Buffer
Q Other(specify)
RENiARKS (in-house):
Other Revievv: I�eviewed by�: Date �.pprovecl:
�iccess: Existing: 0 YES 0 NO tVew: � YES � NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT ANQ INITIA�LEQ
Updated: January 2013
v:\forms�plan review checklist 2013.docx
, . _. _ _ � _ ,
� � 13-527
' D R 13-394
Lcgact� Scrviccs Corporation
LB[�BCy 6�90 McKinlcy Su�cct�lE: Sui�c r�12{i
Ramscv. MN 55303 �
(7E�3) 712-5(56 Ofl'ice
(763) 712-5980 Fax
(61?) 50�-2751 Ccll
C'licnt: Slta�inRioux;'MichaelV�nhovcr [Iort1c: (763)360-19fi�
Pruperty: 2253 [3avvicw Placc
Vb'ayiata. MV 5$i91
OF�a�a�or: DA�]A.ROG
F.stiil�ator: Uai1� Rogcrs E3usiness: (763) 712-5656
E3usin�ss: (390 McKinley Sircct NW sui�ct,`12O F,-mail: dana.
Kamscy, MN 55303 ro�crs(�r;lcgacyservicescorp.
com
Typc ot'Estimatc: <�lOVF.=
Ualc Entcred: 9%4/2013 Datc Assigncd:
I'ricc Li�t: 'viNM�I�X SF,P13
Labor Ffficicncv: Rcstoration/Sci-��icciRcmocicl
E�timatc: Z013-09-O4-1�53
The cc�ntractor ic n<>t respoi�siblc I��r any hiddcn and unf�c>rscun fssucti. Thc Ilooring,panclin�,and �rimwork is fairly
straightlix-ward but we do not know what wc will (ind bchind the paneliu�ur drywall until wc star�opening thcse are�s up. Thc
sidiiig wc arc at this puint louking at dctaching and rescttiug aroas by�hc windows to chcck thc coudition of thc buildinc
materials behind it. We will take evcry precauti�>i� lo sat�c the�iding but some arc�s arc in rou�h condition and wc will nu�know
if it cau bc sa��cd until we rcmovc it and inspcct thc condition. Thcrc is altio a�trun�*E�ossibility�hat insulation will nccd tu bc
replaccd but we do no[ k��ow how much until inspected. Picase let me know if�yo�i havc ai�y questions c�r concerns.
SPEGIAL NOTE
SEE ATTACHED SHEET
�OR�°�'►ti'w�� o� ��--�2
CODE REQUIREM�NT3
��tEv��w�o f�� coa� c�������c��
P�AN CHECKED BY �ATE S= �
� a�
� GHO C Y
Le�acy Scr��iccs Corporation
LBIJBCy 6390 McKinley Strcet�1F; Suitc{�I?0
Ramscy, M�! 55303
(7fi3) 712-SGSfi Ol�l�icc
(763)712-5980 Fa�
(612?Sf)8-2751 Ccll
2(113-09-04-1253
2013-09-04-1253
DF.SCRIPTIO\ QTti RF.SF.T RF.Y1OVF. REPI.ACF. TAX O&P TOTAI.
1. R&R Laminatc-sinwlated wuod 12{5.00 51� L03 6.57 54.91 292.�0 1.753.11
flooring
:,. R&R [3ascboard-3 1;4"stain gradc SS.UO L.1� q.4U 3.30 7.00 4?.]0 25?.60
5. 5cal&paint baseboar�-iwo coats 55.00 Ll� U.UU 1.02 0.4O I 1.30 (,7.80
7. R&R Panding 100.00 SI� 0?2{ 194 4.51 4530 ?71 81
9. Dryw�ll Repair- Minimum Chargc- 1.00 I{A 0.00 2�i3_62 09O 5?.y0 317.42
Labor and Material
Wc���ill nrcd to opcn walls in thc]ivin��room arca t� inspcc� (or damagc It li���ks like ihc watcr ran through thc walls li•om thc window am.� to thc
floor-
11. R&RAluminumwindow. -�+.f�l:n 19.97 ?3G.63 103?i 43L22 ?'�5ff�q9' t
pict�u�c'lixcd 12-_'3 sf(_'paitrj � Y.PC '"��(�iD.<s J
13. Detach cX Resel Siding-board& 300.OU Sl�� 2.1�' O.UO 0.00 1.53 137.50 765.03
batten-pine or cqual
Total: _�013-09-(la-I?53 17?-50 1.002.52 6,OIS.Q4
Labor'Vlinimums Applied
DF.tiCRIPTI01 QTY RF.tiF,T RF,VIOVF. KF.PI,ACE TA� O&P TOT;U.
-------_.._-_-_. _ __
4 1 inish carpcntry]abor minimum L00 I[n U.UO 60.43 U.UO J?.OR 7?.5]
(i. Paintin,labor mininwm L00 I(n O.qO 112.58 0.00 ?2.52 1:35.16
K. P�incling labur minimwn 1.00 f�:iA I).00 4.3K O.UO U.H8 5?6
Totals: LaburMinimums.npplied 0.00 35.4R 212.87
I.inc Itcm Totals:21i13-09-04-1253 172.511 1,03A.110 6.227.91
�J� ��' L�
201_',-09-04-1253 y%4i�20]3 �'agc: ?
Legacy Services Corporation
LQ[JdCy b�qp McKinley Strect NF;S��i�e#120
Ramsey, M�1 55303
(763)712-5656 OfFi�c
(763)712-5980 Fax
(612)508-2751 Cell
Summary
Line Item Total
S,O l 7.41
Ma[l Sales Tax keimb
172.50
Subto�al
Overhead
�,189.�1
Profit 5 I 9.00
5 I 9.00
Replacement Cost Value �6,22791
Net Claim
�6,227.91
Dana Rc>gers
2U 13-09-04-1253
9/4/2013 Page: 3
/ Legacy Services Corporation
I.reqacy
6390 McKinley Street NE; Suite#120
Ramsey, MN 5_53p3
(763) 712-5656 Office
(763) 712-5980 Fax
(6(2) 508-2751 Cell
Recap of Taxes,Ovcnc�ad and Profit
Overhead(10'%) Pro6t(10'%} �7at1 Sales Tar ivlanuC Home Tax Cleanin Sales Tax Clothinv Acc Tax
Reimb(7.275'%) g�� b
(7.275'%) (7.275"/0) (7175'%)
Line Items
519.00 519.00 172 SO
0.00 0.00
O.pO
Total
519.00 519.00 1'I2.50 0.00
0.00 0.00
?013-09-04-1253
9/4/2013 Page:4
Legacy Services Corporation
�@ydCy 6390 McKinley Street NE; Suite�t I 20
Kamsey,MN 55303
(763) 712-5656 OfCce
(763) 712-Sy80 Fax
(612)508-2751 Cel(
Recap by Room
Estimate: 2013-09-04-1253 4,840.02 96.46%
Labor vtinimums Applied 177.39 3.54'%
Subtotal of Arcas S,p�'7.q� 100.00%
Total 5,017.41 100.00'%
2013-09-04-1253 9/4/?013 Page: �
Legacy Services Corporation
L@[�BCy 6390 McKiuley Street NE; Sui�e l�1 ZO
Ramsey,M'.v 55303
(763) 712-5656 Office
(763) 712-5980 Fax �
(612) 50�-2751 Cell
Recap by Category
O&P ltems Total %
GENERAL DEMOLITION 400.31 6.43%
DRYWALL 263.62 4.23°/�
FLOOR COVERING-WOOU 1,215A5 19.52%
FINISH CARPENTRY/TRI:VIWORK 241•93 3•gg%
PANELINC& WOOD WALL TIN[SIIES t98.38 3.19%
PAINTING 168.68 2.71"/0
SIDING 636.00 10.21%
WtNDOVVS-ALGVIINli!Vl 1,893.04 3UA0°/�
O&P Items Subtotal 5,017.41 80.56°/�
Matl Sales Tax Reimb 1�2•5� 2•��%
Overhead 519.00 8.33%
Profit 519.00 8.33%
Total 6,227.91 100A0%
2013-09-04-1253 9/4/2013 Page:6
�� ✓
/� 'DATE� TIME
CITY OF ORONO CALLED IN o��� =G�
INSPECTIO TIC SCHEDULED �'�S-f S
PERMIT N . conn erE�
ADDRESS ��
OWNER TE HONE NO. 3
CONTRACTOR ��� �
� DESCRIPTION �- ����'� `-'G�'��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR /FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� .� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. �.EOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
�ONTRACTOR TO MEET YOU�YES_NO
v, COMMENTS:
� ��e�a► ✓� � o� wa. !/s - •yj�ezr••xF, .KSbP!
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
a r the next inspection 24 hours in advan . 52� 249-4600
wner actor on site: �` � �
Inspector. ��-�- 1�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME v
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.����J ���%� COMPLETED ��L/�_
ADDRESS �� �� �4Tr.�p E'�% �l._
OWNER TELEPHONE NO.
CONTRACTOR ��t���' •� -��-'��'<<f��
� DESCRIPTION ��• r `��-�'--✓ �a ✓vt� �' _
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
��❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
� ,� � �^ �-- /'
� 1���!"t�`"!�� �D���r �'�r.�c"� !O C�r �� roV �
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GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CAII INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advan . (952� 249-46�0
OwnerlContractor on site: `
Inspector. \
White opyllnspector's File Canary CopylSlte Notice