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Home My WebLink About2013-00295 - addn/rermodel/repair ` ' CITY OF ORONO * Z 0 1 3 - 0 0 2 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 BRACKETTS POINT RD PIN : 11-117-23-33-0005 LEGAL DESC : BRACKETTS POINT : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,345.00 NOTE: ROOF REPAIR,DEMO OF FIREPLACE HEARTH,FINISHES APPLICANT p��IT FEE SCI�EDULE 423.75 RADIANT CHANGE CONSTRUCTION STATE SURCHARGE(VALUATION) 12.67 680 COMMERCE DR SUITE 260 TOTAL 436.42 WOODBURY,MN 55125- PAID WITH CC# 7861 (320)221-1200 Minnesota State License#: BC639778 OWNER HEADRICK, MARK& LAURIE 1480 BRACKETTS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is Yor only the work dcscribed 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 afrer 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. 1�, � � / / A�}plicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE AN DESCRIBED ABOV City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) i�O� Mailing Address: Permit number: O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �. Street Address: Received by: tiF �� 2750 Kelley Parkway Plan review fee: t � Orono, MN 55356 �k�s��a�� 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 �/g� � c�ci � �T, �G��,c� �S�c� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o /f yes,a specia/event permit is required with Po/ice Department and City Counci/approva/60 days prior to the evenk Shutt/e bus s rvic wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICCANT INFORMATION: n ( - Name: �vl��,��-t Ct-�.:��e Co..-�S.�v�.ct-�o.-. Q-�f-t- i�o�.� �c�J is �-L'S�o`��'--. State License# ��,3�� ° Expiration Date: Lead Certification Number: �p��c�� ,�tl Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �32v- c�/-/Zv� (office) G-S �- �� Mailing Address: �� „��,�, � �J�-, S�e-# �� City: � . _, ' ZIP: S J%zS Contact Person: S�; Applicant is: ontractor" / Homeowner (Circle One) Email and/or Fax: �,,,h� .�� -�-C�� r��/-v.s"a _ �� PROPERTY OWNER INFORMATION: Name: ��;.� �ra; � /� � , ,�. Phone (daY)� 9.S�z-Z� -`�7%� (�"�z`� Address: 1�b'C� Q�;�c/ S /�c�;� �O�c-� C� � `� ' � ZIP: �SJ'�,� Email and/or Fax: (rMsC,��_�,(��Ic�°�,_,�;�, r�,.,,,,� PROJECT INFORMATION: Overall roject description: �� ,� �-.�.�: � �.-t_ ��a« �«�-f� , .�;h �,c� Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd `�Re-roof, cedar �Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 2�� 7�/$ 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 in�or atio , a lic ti ma not be issued. ApplicanYs Signature° -�� !�-� Date: �� %�_3 Owner's Signature: Date: Last Updated:03/06/2013 � Paul Davis Restoration of Greater St. Paul � 680 Commerce Drive#260 ��,��t. ��'r� >c•�ho,-.� �'(v��J ]y/�U � St.Paul,MN 55125 �'� Phone: 651-243-0757 f�: 612-235-6474 Contractor Lic: 20639778 EIN: 27-4955479 gsmn @pdr-usa.net Insured: Mark C&Laurie Headrick Cellular: (952)239-9797 Property: 1480 Bracketts Point Road Home: (952)476-0694 Wayzata,MN 55391 Wife's CeIL• (952)239-0962 E-mail: lsheadrick @ gmail.com Estimator: Mitch Seiffert Cellular: (612)564-8090 E-mail: mseiffert@pdr-usa.net Business: 680 Commerce Dr. ste 260 Woodbury,MN 55125 Claim Number: 040512128159 Policy Number: Type of I,oss: Fire Date of Loss: Date Received: Date Inspected: Date Entered: 4/2/2013 11:27 AM Price List: MNMN7X APR13 Restoration/S ervice/Remodel Estimate: HEADRICK LAURIE � _ Paul Davis Restoration of Greater St. Paul � 680 Commerce Drive#26� St. Paul,MN 55125 ° Phone: 651-243-0757 fax: 612-235-6474 Contractor Lic: 20b39778 EIN: 27-4955479 gsmn C pdr-usa.net HEADRICK_LAURIE Fireplace DESCRIPTION QNTY UNIT COST TOTAL 1. Fireplaces($id Item) 1.00 EA @ 2,491.09= 2,491.09 Replace tireplace facing,brick(deluxe),Chubb estimate open Den DESCRIPTION QNTY UNIT COST TOTAL 2. Floor protection-cloth-skid resistant, leak proof 279.29 SF @ 0.33= 92.17 3. Paint the surface area-two coats 662.99 SF C 0.94= 623.21 Closet llESCRIPTION QNTY UNIT COST TOTAL CONTENTS 4. Floor protection-corrugated cardboard and tape 79_88 SF @ 0.39= 31.15 5. Content Manipulation charge-per hour 1.00 HR @ 13627= 136.27 Chubb estimate notes very heavy contents to be moved and charges per room verus per hour 6. Mask and prep for paint-plastic,paper,tape(per L� 39.50 LF @ 1.03= 40.69 7. Mask or cover per linear foot 39.50 LF @ 0.91 = 35.95 Add for warkwork per Chubb estimate 8. Mask and cover light fixture 1.00 EA @ 9.34= 9.34 WALLS AND CEILINGS 9. Interior Plaster Repair-Min.Charge-Labor and Material 1.00 EA @ 512.16= 512.16 Per Chubb estimate,plaster needs patching/repair. Total of 48.00 SF at$10.67 10. Remove Thin coat plaster over 1/2"gypsum core blueboard 79.88 SF @ 0.83= 66.30 1 l. Thin coat plaster over 1/2"gypsum core blueboard 96.65 SF @ 2.22= 214.56 12. Remove Thin coat plaster over U2"gypsum core blueboard 17.00 SF @ 0.83= 14.11 13. Thin coat plaster over 1/2"gypsum core blueboard 17.00 SF @ 2.56= 43.52 14. SeaUprime then paint the surface area twice(3 coats)-Ceiling 79.88 SF @ 2.03= 162.16 Chubb estimate for ceiling painting lists prime as it's own line item($.80/s�,then two coats of paint($1.23/s�, this line item includes one coat of primer,then two coats of paint. 15. SeaUprime then paint the surface area twice(3 coats) 247.01 SF @ 1.09= 269.24 Chubb estimate for drywall painting lists prime as it's own line item($.41/s�,then two coats of paint($.fi8/sfl,this line item includes one coat of primer,then two coats of paint. DOOR HEADRICK_LAURIE 4/29/2013 Page: 2 � Paul Davis Restoration of Greater St.Paul ' �` 680 Commerce Drive#260 � ' � St.Paal,MN 55125 ° Phone: 651-243-0757 fax: 612-235-6474 Contractor Lic: 20639778 EIN: 27-4955479 gsmn @pdr-usa.net CONTINUED-Closet DESCRIPTION QNTY UPIIT COST TOTAL 16. Seal&paint casing-two coats 14.35 LF @ 1.77= 25.40 17. Paint door slab only-2 coats(per side) 2.00 EA @ 54.58= 10916 Chubb estimate lists one line item for two coats of paint on both sides of door slab equal to$109.16. 18. Paint door/window trim&jamb- 2 coats(per side) 2.00 EA @ 14.34= 28.68 Chubb estimate lists painting of door jamb at$1.56/lf for 18.381f,equalling$28.67. Attic DESCRIPTION QNTY UNIT COST TOTAL 19. Underlayment-3/4" BC plywood 49.58 SF @ 2.08= 103.13 20. Underlayment-3/4" BC plywood 128.87 SF @ 2.08= 268.05 Chubb estimate separates out attic and attic upper for plywood replacement,thus the separated line items. Roof DESCRIPTION QNTY UNIT COST TOTAL 21. Remove Tear off wood shakes/shingles(no haul of� 1632 SQ @ 47.41 = 773.73 22. Wood shakes-heavy(3/4")hand split-fire resistant 17.12 SQ @ 671.02= 11,487.86 23. Ridge cap- wood shake shingles 144.28 LF C 6.50= 937.82 24. Ice&water shield-Apply lst 88.20 LF @ 3.16= 278.71 25. Ice&water shield-Apply 2nd 88.20 LF @ 3.16= 278.71 26. Ice&water shield 179.53 SF @ 1.18= 211.85 27. Remove Valley metal 1fi.88 LF @ 0.34= 5.74 28. Valley metal 17.39 LF @ 3.02= 52.52 29. Remove Add.layer of comp.shingles,remove&disp.-3 tab 14.58 SQ @ 34.06= 496.59 Chubb estimate notes to add for height of roof over 16 feet. 30. Remove Additional charge for steep roof-7/12 to 9/12 slope 16.32 SQ C 12.30= 200.74 31. Additional charge for steep roof-7/12 to 9/12 slope 16.32 SQ @ 28.62= 467.08 32. Dumpster load-Approx.20 yards,4 tons of debris 1.00 EA @ 297.80= 297.80 Chubb estimate indicates one week rental 33. Specialty Items(Bid Item) 1.00 EA C -277.21 = -277.21 HEADRICK_LAURIE 4/29/2013 Page: 3 � Paul Davis Restoration of Greater St.Paul 680 Commerce Drive#260 St Paul,MN 55125 � Phone: 651-243-0757 fa�c: 612-235-6474 Contractor Lic: 20639778 EIN: 27-4955479 gsmn @pdr-usa.net CONTINUED-Roof UESCRIPTION QNTY UNIT COST TOTAL Uiscount HEADRICK_LAURIE 4/29/2013 Page:4 Paul Davis Restoration of Greater St. Paul � 680 Commerce Drive#260 St. Paul,MN 55125 ° Phone: 651-243-0757 fa1c: 612-235-6474 Contractor Lic: 20639778 EIN: 27-4955479 gsmn @pdr-usa.net Summary for Dwelling Line Item Total 20,488.28 Matl Sales Talc Reimb @ 7.275% x 8,061.42 586.47 21,074.75 Overhead @ 10.0% x 21,351.96 2,135.20 Profit @ 10.0% x 21,351.96 2.135.20 Replacement Cost Value $25,34515 Net Claim $25,345.15 Mitch Seiffert HEADRICK_LAURIE 4/29/2013 Page: S � � �� D E TIME V CITY OF ORONO CALLED I� lo �-�3 INSPECTION NOTICE SCHEDULED � �S —� � PERMIT NO.�l3-bD2-�t 5 COMPLETED � � ADDRESS �L� ?�'�� — OWNER TELEPH NO. G � —a/�� CONTRACTOR �� j; DESCRIPTION — Ce�— � � ❑ FOOTING ❑ UMBIN FINAL ❑ EX V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac on s' Inspector. White Copyllnspector's File Canary CopylSite Notice