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Home My WebLink About2016-00675 - addn/remodel/repair , CITY OF ORONO * z 0 1 6 - 0 PJ 6 7 5 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 600 BIG ISLAND PIN : 22-117-23-31-0034 LEGAL DESC : ISLAND POINTE : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,061.26 NOTE: INTERIOR SUPPORT FOR BEAM APPLICANT PERM[T FEE SCHEDULE 185.83 PLAN REVIEW 120.79 LINDSTROM RESTORATION STATE SURCHARGE(VALUATION) 4.03 9621 IOTH AVE.N. PLYMOUTH,MN 55441- TOTAL 310.65 Minnesota State License#: BUIL-1087 Payment(s) CREDIT CARD 6676 310.65 OWNER ADAMS TRSTS,DL&BD 203 MILL ST#202 EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit 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 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 a[�iy time for due cause. � , . �`, /.' � �, - ti �- � ��C�. �'1 /,-� t � � �-i � (�� /L' Sign Date Issued By Sign ure Date . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. – NO STRUCTURAL EXPANSION) ,-�0�\\ Mailing Address: Permit number: � � � f� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: — �� i Street Address: Received by: '� � �` � 2750 Kelle Parkwa � �y G. Y Y Plan review fee: � \� tq � Orono, MN 55356 \kcsHo� ____ Total Fee: 3 � � bs Main: 952-249-4600 Fax: 952-249-4616 vv �^:�.� ��,rr�n��.�7�n.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: Q Job Site Address: �o� �16- � J(�jJ�1.� (��I�J� 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. 5huttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM TAj, ION: � Name: �N�S1�' �'1 �VZ�`�� State License # �CG� � �$'� Expiration Date: �- �-�7 Lead Certification Number: N�.�.. -'Z�� _Z Expiration Date: 3- ZZ _ � (for work on homes that were constructed prior to 1978 Phone: (cell) � - 'Z� -� (office) 3-�y- �j r Mailing Address: 6 � '+'�1 A� � �, City: ZIP: � Contact Person: 0 � Applicant is: ntracto / Homeowner (Circle One) Email and/or Fax: (� ��G � ��C� PROPERTY OWNER INFORMATION: Name: � l. ��/1� DC ��__-�►�'�CS `�VLS�� Phone (day): Address: ' Z� City: (�� ZIP: �3 Email and/or Fax: 1- PROJECT INFORMATION: Overall project description: `_-.�-- -f-�'�( � ��— . �� . ° l. '�1 +„ I Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof, asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ 5iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www i��innNtiali�c��E�k o� Estimated Construction Valuation of Project(excluding land) $ 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 5tate 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 informati n is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the i rmation,the a lication ma not be issued. Applicant's Signature: Date: ��J � /b Owner's Signature: Date: Last Updated:January 2016 G��'�� (J` /� ��p �✓'"� `C PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS . 7� Add�ess: l�� /�°� G/� CZ�1 Permit No.:�p� ��;� Description of work: Date Rec'd: Septic review by: � � Date Approved: '�P l� � Zoning review by: Date Approved: Building review by: Date Approved: ��Q ` Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Co erage: SF % Survey Submitted: � Yes No Date of Survey: Revised date ? : Landscape plan submitted? � Yes ❑ No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) N S E W ) Other Buildings Wetland Side Side ,; Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 50% - L.F. below grade Basement? � Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC . FOR A BUILDING ON A SLAB FOUNDATION: The distance between e lowest prop sed Slab at or above grede- START WITH floor(of the basement r crawl space) d measure from hiqhest existinq the highest point of t roof. ` START WITH rq ade to the highest point of the / � roof even if fill was brought in to If you have a._ � elevate home. -/ t SUBTRACTION • GABLE OF�HIPPED ROOF(no �, Slab below grade-measure (BASED ON windows):�Subtract half the distance from highest existing grade to the ROOF TYPE) between�e highest point of the roof ' hi hest oint of the roof. to the loy�point of the corresponding � If you have a... gable of hipped roof �� SUBTRACTION ' GABLE OR HIPPED ROOF GABL�OR HIPPED ROOF(with (BASED ON (no windows): Subtract half � the distance between the windq�ws): Subtract half the distance '` ROOF TYPE) highest point of the roof to betw en the top of the highest � � the low point of the win ow and the highest point of the corresponding gable or roo ` hipped roof • ALL OTHER ROOF TYPES(flat, \ . GABLE OR HIPPED ROOF ansard,etc):No subtraction. � (with windows): Subtract SUBTRACTION Subtr t the distance between the half the distance between (BASED ON baser�enUcrawl space floor and the the top of the highest EXISTING high�st existing grade adjacent to the window and the highest 3' GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS De�ined building height subtraction. ��" � Defined building height \ EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? Permit Number: � Yes � No 0 N/A � Yes ❑ � Yes 0 No No ❑ N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes � No ❑ Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review �J State Surcharge Investigation Fee R/` SAC— Number of SAC Units Other(specify) (/' Square Foota e $ per Square Foota e Basement X = $ 1 S�Floor X = $ 2nd Floo� X = $ Garage X = $ 1 � Estimated Construction Value: $ �j(�lP�f Orono Inspections Required Work Requiring Separate Permits � Footing ❑ Site ❑ Plumbing 0 Grading/Filling ❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey � Hardcover Removal ❑ Septic ❑ Water Connection 0 Foundation Waterproofing ❑ Other(specify) 0 Fireplace ❑ Sewer Connection Framing � Masonry 0 Lawn Irrigation ❑ Insulation . ❑ Mfg. ❑ Landscaping 0 As-Built Survey 0 Other(specify) Final ❑ Lathe Required State Permits 0 Other(specify) 0 Well Electrical REMARKS (in-house): �' OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan roviaw rharklic4 9(1_7f115 rinrv , , , � v �� LINDSTROM RESTORATION � �,� 9621 TENTH AVENUG NORTH,PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 �l�sR�y' MN 0001087, LA 44547 Building Construction Fed TIN 41-0847540 Client: Donna Adams Home: (612)327-8601 Property: 600 Big Island Lake Minnetonka,MN 55331 Operator: ERIK Estimator. Erik Powers Business (763)544-8761 Company: Lindstrom Restoration �-mail: erik@firerepair.com Business: 9621 Tenth Avenue North Plymouth,MN 55441 Type of Estimate: REPAIR Date Entered: 5/24/2016 Date Assigned: Reviewed for Code Price List: MNMN8X MAY l6 Ce C�� 0�0�0�10 Labor Efficiency: Restoration/Service/Remodel Connplian Estimate: ADAMS_DONNA_MUDROOM Da� l , ..-^--- Reviewer Carbon monoside detector required within 10 ft• of all sleepinq rooms• SMOI�DE��TOR CONNEC�D TO A SOUND• ING DE��OR OTHER DE7ECTOR AUCIBt.F.�� gLEEPING AHE�• vLINDSTROM RESTORATION �� 9621 T�NTH AVGNUE NORTH, PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 alubysReody MN 0001087, LA 44547 Building Construction Fed TIN 41-0847540 ADAMS_DON'.VA_MUDROOM main level Mudroom Height: 8' Subroom: Closet(1) Height: 8' DESCRIPTIOV QTY UNIT PRICE TOTAL Bifold door set-(4 slabs only)-Double Detach&reset 2.00 EA�a 36.26= 72.52 Detach&Reset Washer/Washing machine&dryer combo-Electric 1.00 EA� 45.90= 45.90 Water heater- Detach&reset 1.00 EA �u; 536.67= 536.67 Water softener-Detach&reset 1.00 EA � 536.67= 536.67 R&R Snaplock Laminate-simulated wood flooring 144.00 SF @ 8.58= 1,235.52 (Material Only)Sheathing-plywood-3/4"CDX 180.00 SF @ ].09= 196.20 4°x 4°x 12'-treated lumber post-material only 1.00 EA @ 15.42= 15.42 2" x 10"x 12'#2 treated pine(material only) 6.00 EA @ 16.02= 96.12 Carpenter-General Framer-per hour 56.00 HR @ 65.65- 3,676.40 Reframing of mudroom floor. bottle jacking and cribbing floor in order to install supportive framing. Final cleaning-construction-Residential 144.00 SF @ 0.18= 2592 General Conditions DESCRIPTION QTY UVIT PRICE TOTAL Debris disposal 1.00 EA L; 225.00= 225.00 transprtaion to and from island,material and debris trips on barge 1.00 EA� By Owner Pontoon rental for labor,tools,and misc material transprtation on a daily l.00 EA @ By Owner basis . x�:.. .n Grand Total Areas: 576.01 SF Walls 144.00 SF Ceiling 720.01 SF Walls and Ceiling 144.00 SF Floor 16.00 SY Flooring 72.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 72.00 LF Ceil. Perimeter 144.00 Floor Area 164.67 Total Area 576.01 Interior Wall Area i2.01 Exterior Wall Area 51.33 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 ADAMS_DONNA_MUDROOM 6/9/2016 Pagc: 2 vLINDSTROM RESTORATION �� 9621 TENTH AVENUE NORTH, PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 Rl��s Ready MN 0001087, LA 44547 Building Construction Fcd TIN 41-0847540 Summary Line Item Total 6,662.34 Matl Sales Tax Reimb 53.49 Subtotal 6,715.83 Overhead 671.58 Profit 671.58 Cleaning Sales Tax 2.27 Replacement Cost Value �8,061.26 Net Claim $8,061.26 Grik Powcrs ADAMS_DONNA_MUDROOM 6/9/2016 Page: 3 v LINDSTROM RESTORATION �� 9621 TENTH AVGNUE NORTH,PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 AI�SR�y' MN 0001087, LA 44547 Building Construction Fed TIN 41-0847540 Recap of Taxes,Overhead and Profit Overhead(10%) Profit(10%) Mati Sales Tax Manuf.Home Tax Cleaning Sales Tax Clothing Acc Tax Reimb(7.275%) (7.275%) (7.275%) (7.275%) Line Items 671.58 671.58 53.49 0.00 2.27 0.00 Total 671.58 671.58 53.49 0.00 2.27 0.00 ADAMS_DONNA_MUDROOM 6/9/2016 Page: 4 �ri LINDSTROM RESTORATION �r 1� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 :�l�rnsR�d� MN 0001087,LA 44547 Building Construction Fed TIN 41-0847540 Recap by Room Estimate: ADAMS DOVVA MUDROOM Area: main level Mudroom 6,437.34 96.62% Area Subtotal: main level 6,437.34 96.62% General Conditions 225.00 3.38% Subtotal of Areas 6,662.34 100.00% Total 6,662.34 100.00% ADAMS_DONNA_MUDROOM 6/9/2016 Page: S vLINDSTROM RESTORATION �� 9621 TENTH AVENUE NORTH, PLYMOUTH,MN 55441-5098 Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 AI�SRcadv MN 0001087, LA 44547 Building Construction Fed TIN 41-0847540 Recap by Category O&P Items Total % APPLIAVCES 45.90 0.57% CLEANIVG 25.92 0.32% GENERAL DEMOLITIO�I 376.20 4.67% DOORS 72.52 0.90% FLOOR COVERI:VG-WOOD 1,084.32 13.45% FRAMING&ROUGH CARPE:vTRY 3,98414 49.42% PLUMBING 1,073.34 13.31% O&P Items Subtotal 6,662.34 82.65% Matl Sales Tax Reimb 53.49 0.66% Overhead 671.58 8.33% Profit 671.58 8.33% Cleaning Sales Tax 2.27 0.03% Total 8,061.26 100.00% ADAMS_DONNA_MUDROOM 6/9/2016 Page: 6 ivain level ' 12' R„ 12' Closet (1) �,-, M Mudroom a, � � Ill�till �Ct�C� ADAMS_DONNA_MUDROOM 6/9/2016 Pagc: 7 �� - V DATE TIM i . CITY OF ORONO CALLED IN --�—�� INSPECTION NOTICE SCHEDULED _�(1' PERMIT NO. ��;-E'C(.t'7`� COMPLETED � ADDRESS �� l C-' ��t �l �T 5 %��2 c_/ OWNER TELEPHONE NO. ��3�a� �r�,�j,� CONTRACTOR �–�r��5��`� r S�� . � DESCRIPTION �� lL ❑ FOOTING ❑ DEMO-FINAL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO `�_ � COMMENTS: E �� J'� a � � ` c� � J O ). � O —� � W � Q � 2 W � W i � � J d W �WORK SATISFACTORY:PROCEED PROJ ECT CO LETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OFDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva . 2) 249-46�0 OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice