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2010-00368 - roofing
CITY OF ORONO PERMIT NO.: 2010-00368 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/2U2010 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1300 FRENCH CREEK DR PIN : 10-117-23-32-0015 LEGAL DESC : FRENCH CREEK : LOT 007 BLOCK 002 PERM[T TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING- RUBBER ACTNITY : O/S BU[LDING-UNDEFINED VALUATION : $ 6,084.87 NO"I�F,: RGROOF FLA"1'RUBI3ER ROOF AND DRYWALL RGPAIR APPLICANT pERMIT FEE SCHEDULE 147.50 GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 3.04 8385 IOTH AVE N GOLDEN VALLEY, MN 55427- TOTAL 150.54 (763)546-1300 Minnesota State License#: 1796 OWNER NANN, BERNARD&VICTORIA 1300 FRENCH CREEK DR WAYZATA, MN 55391 AGREEMEIYT AND SWORN STATEMENT rhe work for which this permi[is issued shall be performed according[o the approved plans and specitications,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 I 80 days of t e of issuance,or if construction is suspended for a period of 180 ays at a �time atter work has commenced. The applicant is responsible for assuring II required inspections are requested n con orma e wi h th�State uilding Code.This permit may be revoked any t ie f ue ause ��// ���/ �/v /�_.�. LG� l l ��� V� � '�'� l l Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono y`,�blto Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) Mailing Address: Q—DD �- �O�� Permit number: PO Box 66 Q ,,` Crystal Bay, MN 55323-0066 Date received: � /l> I! � � �I � -��'� s, � Street Address: Received by: I a � s e,:�,� �'� ' '� ',� �� 2750 Kelley Parkway Plan review fee: /�� r�kESHOg'� Orono, MN 55356 Total Fee: �/�� 2� 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: ���J i'i�,�� �r'�'Q ' �✓ 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICANT INFORMATION: Name: �;F� �Ll . State License# ��g Expiration Date: Phone: ����- �(�-" �;7J office 76�--23 �C`�w� cell Mailing Address: ���� 'c? ,�p, Cit : ZIP: j Z Contact Person: Applicant is: ractor Hom owner (Circle One) Email and/or Fax: -G Z, PROPERTY OWNER INFORMATI N: Name: V' ,�� �' ���✓n�.� v1 Phone (day): - 7(� �- 7p Address: � � �, ('�,�' ��. City� ,-�;� ZIP: �j���j� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel �ater Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � ( ��;�/ Estimated Construction Valuation of Project(excluding la d) $ (��� 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 in rma � n, the a lication ma not be issued. Applicant's Signature: �� Date: � � Last Updated: 05-04-2009 . Pian Review Checklist for New Structures / Additions Address/ PID / Legal: � �U� �1�:.�'VGI-I [r,(L,C—�'k, yJ Description of work: _ 1 % 12-op i� ✓�rn� �R U�.�A �, 1?.L.�-�Q,� � ,,� Septic review by: _ �((� Date Approved: Zoning review by: {� Date Approved: Building review by: Date Approved: S- � -t � Grading review by: N � � Date Approved: Zoning File #: Resolution #: Resolution Date: Zonin District Fire De artment Post Office I Scho DisXrict Zoning: Lot Area: SF /AC Width: D pth: Survey Su itted: 0 Yes ❑ No Date of Survey: Pro osed Setb cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) O er Buildings Wetland � Side Side Buildin Defined Hei ht: I 9 9 Building Peak Height: FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: FOR A BU DING ON A SLAB FOUNDATION: START I the distance between e basement flooN ! STA the distance between the slab and the WITH crawl space floor and th highest roof peak, WI highest roof peak, the top of the cornice i the top of the cornice of a t roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or th ppermost roof, or the uppermost point on a round or oint on a round or other arch- e roof other arch-t e roof SUBTRACT half the distance between the hig st SUBTRACT half the distance between the highest , window and highest roof peak of a � ched � window and higt�est roof peak of a roof itched roof SUBTRACT the distance between the basement floo ADD the distance between the slab and the crawl space floor and the highest exis g highest existing grade within the grade within the foundation or 10 fe , , foundation � whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCW Permit Received Avera akeshore Setback Bluff ❑ Yes ❑ No � � Yes ❑ No ❑ N/A � ❑ Yes ❑ No Permi Number: � Yes No ❑ N/A Setback: Hardcover Zones E 'stin � Proposed Variance Req � ed � CUP Required 0-75' � ❑ Yes ❑ No ❑ Yes ❑ No 75-250' TYpe�S�: TyPe�s�: 250-500' i 500-1000' � REMARKS (in-house): 1�30 Updated: 07/01/200 z:\forms\plan revi checklist.docx Fees to be Char ed YES NO , Permit Plan Review i/ , State 5urchar e Investi ation Fee SAC—Number of SAC'Un`its Sewer Connection Water Connection Park Fee .Site Inspecfion _ Other(specify) Miscellaneous Fees Calculated B : UBC: Construction Type: Square Foota e � $ er S uare Foota e 1 � Basement X = $ 1S Floor X = $ 2" Floor X � _ $ Gara e X = $ Estimated Construction Value: $ �o, b ��•�'� Orono Inspections Required Work Requirinp Separate Permits Required State Permits � Site 0 Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace 0 Sewer Connection ❑ Framing ❑ Masonry ❑ Lawn Irrigation Fd'Insulation ❑ Mfg. 0 Other(specify) ❑ As-Built Survey Final Other (s ecif ) 'J"Lq�2 O�= REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES 0 NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx ' � �� ` ���� ���� ����� AMERBCAN FAMILY American Fami1S� insurance Group �. Insured: NANN,VICTORIA Z&NnNN,BERNHARD Home: (000)000-0000 Property: li00 FRENCH CREEK DR Cell: (952)769-7059 ORONO, MN 55391-9103 f lome: I 300 FKENCH CKF EK DR ORONO,MN SS391-9103 Claim Rep.: hrp Estimator: Bob Londlo Business: (763)�46-1300 Contractor: Business: (763)546-1300 Company: Giertsen Compaily Business: 8385 l Oth ave No Golden Valley,MN 5�441 Claim Number: 00841066035 Polic}�Number: 22BM�94601 Type of Loss: W1ND Date Contacted: 4/29/2010 Date of Loss: 4/23/2010 3:00 PM Date Received: 4/29/2010 Date Inspected: 5/6/2010 1:30 PM Date Gntered: 5/6/2010 3:44 PM Date Est.Compieted: 5/]0/2010 5:43 PM Pricc List: MNMNSB MAY10 Restoration/Service/Remodel a � Estimate: NANN VICTORIA Z & - • � N — – – – aM�R�c-�''�` A�,`'aM�u, American Tamily Insurance Group � NANN VICTORIA Z & N nlain Lcvel �-20'6" � GREAT R�1 Ceiling Height: 10'6" T 19'10" T � � 662.08 SF Walls 380.14 SF Ceiling ' � GREATRM �" 1,042.22 SF Walls&Ceiling 380.14 SF Floor � � �, s 42.24 SY Flooring 58.33 LF Floor Perimeter � I 78.17 LF Ceil. Perimeter l F6'4" 15'10"---I T T Subroom 1: 8,10 Cciling Hcight: 8' ���' - g,o � � `����s, � � 424.35 SF Walls 277.51 SI=Ceiling `'B��' � j 701.85 SF Walls&Ceiling 277.51 SF Floor � ����,o`'�.� 30.83 SY Flooring 53.04 LF Floor Perimeter � `�/�a� 53.04 LF Ceil. Perimeter ��,, ,. � Missin�;�Vall: 1 - 19'10" X S'0" Opens into GREA"I'RM1l Goes to Floor/Ceiling DESCRIPTIO� QNTY RENIOVE REPLACE TOTAL 1. Contents-mo��e out then reset-Extra 1.00 EA 0.00 145.34 145.34 (arge room 2. llust control barrier per square foot 271.61 SP 0.54 0.00 146.67 3. Floor protection-corrugated cardboard 657.64 SF ` 0.00 0.40 263.06 and tape 4. 5!8"drywall -hung,taped, floated, 16-3.41 SF OAO 1.57 258.12 rtady for paint 5. R&R Batt insulation- 10"-R30 164.41 SF 0.42 0.99 231.82 6. R&R Visyueen vapor barrier 164.41 SF 0.07 0.28 57.54 7. Two ladders with jacks and plank(per 5.00 DA 0.00 100.83 50�.15 day) 8. Recessed light fixture-Detach&reset 19.00 EA 0.00 4.01 76.19 trim only 9. Speaker -Dctach&reset 6.00 EA 0.00 20.98 125.88 10. Mask more than the walls per square 1,744.08 SF 0.00 0.17 296.49 foot-plastic and tape-4 mil 11. Mask and prep for paint-plastic, 56.00 LF 0.00 0.80 44.80 paper,tape(per LF)-wood beams 12. Scal then paint the ceiling(2 coats) 657.64 SF 0.00 0.55 361.70 13. Dehumidifier(per 24 hour period)- 3.00 EA 0.00 101.25 303.75 XLarge-No monitoring- lea(u 3 days NANN_VICTORiA_Z_&_N 5/17/2010 Page: 2 ANERICAH FAMELY American Family insurance Grou� �- COnTINUED-GREAT RM DESCRIPTION QNTY I2EMOVE REPLACG TOTAL 14. Air mover(per 24 hour period)-No 3.00 Et� 0.00 25.00 75.00 monitoring- lea�� 3 days l5. Equipment setup,take down,and 2.00 fiR 0.00 42.45 84.90 monitoring(liourly charge) Totals: CRGAT RM 2,975.41 � ROOF Ceiling Height: 8' � ` 'r �5� ,. ��'�'�• 460.16 SF Wafls 161.81 SPCciling < �� '`�`,RooF e��� Y 621.97 SF Walls&Ceiling 161.81 SF Floor � Se����q� � T 17.98 SY Flooring 57.52 LF Floor Perimeter �' �' S7.52 LF Ceil. Perimeter �y���,��� �o - � 3,5�� DESCRIPTIOI� QNTY REMOVE REPI,ACE TOTA[. 16. Remove Rubber roofing-Fully 1.70 SQ 62.56 0.00 106.35 adhered system-60 mil 17. Remove Fiberboard-2" 170.00 SF 0.38 0.00 64.60 18. Fibcrboard-2" 200.00 SF 0.00 1.l5 230.00 l9. Rubber roofing-Fully adhered system- 2.70 SQ 0.00' 398.71 1,076.52 60 mil 20. R&R Counterflashing 49.00 LF 0.50 6.20 328.30 21. R&R Vl'ood shakes-hea�y hand split 24.00 EA 3.97 8.89 308.64 (per SHAKG) 33. STUCCO&EXTERTOR PLASTER- 1.00 EA 0.00 0.00 0.00 OPEN ITEM 22. Sliding patio door-Largc-Detach& 1.00 EA 0.00 163J9 163J9 reset 23. Casing-Detach&reset 23.00 LF 0.00 1.34 30.82 24. Paint casing-two coats 23.00 LF 0.00 0.81 18.63 25. Paint wood patio door-2 coats(per 1.00 EA 0.00 29.39 29.39 side) 26. Window blind-horizontal or vertical- 3.00 EA 0.00 30.39 9L l7 Detach&reset 32. Detach&Reset Exterior light fixture 2.00 EA 0.00 0.00 128.64 Totals: ROOF 2,576.85 NANN_VICTORIA_Z_&_N 5/17/2010 Page: 3 a�A�,FAr��ev American Famil}� Insurancc Group �. Miscellaneous DESCRIPTION QNTY REMOVE REPLACE TOTAL 30. Single axle dump truck-per(oad- 1.00 F.A 249.87 0.00 249.87 including dump fees 31. Cleai�ing Technician-per hour-final 4.00 FIR 0.00 30.07 120.28 construction clean up TotaLs: Miscellaneous 370.15 Total: Main Level 5,922.41 Line Item Totals: VANN_VICTOR[A_Z_&_N 5,92Z.41 Grand Total Areas: 1,546.59 SF Walls 819.46 SF Ceiling 2,366.05 SF Walls and Cciling 819.46 SF Floor 91.05 SY Flooring 168.90 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short VVall 188.73 LF Ceil. Perimeter 819.46 Floor Area 876.73 Total Area 1,546.59 Interior Wall Area 1,546.09 Exterior Wall Area 174.72 �xterior Ferimeter 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 ' Coveragc Amount % Grand Total % Dwelling 5,831.24 98.46% 7,084.87 98.48% Contents 91.U 1.54% 109.41 1.52% Total 5,922.41 100.00% 7,194.28 100.00°/o NANN_VICTORIA_Z_&_N 5/17/2010 Page: 4 aM�R'tAM FAn���v American Family Insurancc Group Summar}� for Dwelling Line Item Total 5,83L24 Matl Sales Tax Reimb d� 7.125% x 1,021.96 72.81 Subtotal 5,904.05 Overhead � ]0.0% x 5,904.05 590.41 Profit � ]0.0% x 5,904.05 590.41 Replaccment Cost Value $7,084.87 Less Deduetible (1,000.00) Net Claim $6,084.87 Bob 7,ondlo NANN_VICTORIA_Z_&_N 5/17/2010 Page: S " American Famil Insurance Grou pMERItAN FAMILY � � �� � ��� x"w'`f^'�„- . � �� ."��,.... �� -�.. �� � � �,�� � � � �. � �. , € � � � � � � d � � ���� �' °�,��'��.��� �� . . . �� y � � r� n� t `�� � �-s'��k� Y �' ` . wC�; �`� � ^S � a��, �r,!'. 3. � ,-�,d' ���� � ��... �� .. �.. ��� Y�� i A( r �F� � � v . � 9 ��„ , , ; � ' � ,��� �� �� � r �� �i �� � � ��� ,��� ���- � �'�� : s�� � �s �, ;_, � ��-, -�� ; _ �; � �_ „� �� , � � �� ��'f �6� 'v � �„ _ 9¢ ' +S y �a - K s���� ti� �. , �, � s�-? � � �.� � .. � .. . � � �.��� �����y�"� a ��,i �,".' � �� �°` „ F�r � � .%�`,�� _ �' � �� � a � , � �s �, . � ���'„� � at� � � � ����'�"���s�s�'� a � � �� �. ,�,,.,,:.. . �� q ..�..... � ���� ������ ���° ,.n � � _�a.�'° ��.¢ ,r v>, 1 Itubbcr r�ul� 5�6 2U10 Taken Bv: Bob Zondlo � Seam that lifted NANN_VICTORIA_Z_&_N 5/17/2010 Page: B A�CAN fAMELY American Family� Insurancc Group ■� � � � � �� ' � � � ��� � �" �� ���'�� � 2 t ,� >� K�� � ��� �� . ����� � a: � ,� �. � �'�.:� � � � s �� �� � � � B :. � . � . . . . , � �. :�,.' � ` t � "�* ?,,��. � . -_ ��, � `� , . . . _ � � . ���j�.. �e P � _. . _ . � �� � � �<� < mr � E. $ d�Y`t ;� �� ' � .. u�`<F .8 �, � p �}°d . �' � ' � , � ����: �� ��,z'�`�� � �' �v �� sR�S�^� a . .,. '� �� �'�� � ��� '� > . � s Y �° .. � � ����� � ����� ,� , � � � �� � � �u����'� ,��.: � � � �� \ y ,�. "- > �5�-�� '� ' �iu��� '� �� � ���� � . . � ' � � � ��" �'���� � ��� a. ���� .�� ,�s``°`��. �� . , �;� ��2�h�'c�,��\ a � ���t � �� � �� ; , �e s � �r��`: �^��xc r �k �� ,� � z� ,� � � � ;.� ��a �,� ���. � � � � ��; m���� � �. �����° �� � �� � � � �� � � � : . � �t����`� � �� � � �� , � � � J•��`.���2':� ��'j�� � � �;'s,\ � \t ✓ ,,.ar' <����`r�'. '. . .� „�'�5-�.+tv�,'a � .�.tt S.-�a�..:.a.t�c.�l.`,^.�....x�v�.a.'�i' :.�`a. 2 Rubbcr roof Si6,'2010 Takcn Bv: Bob Zondlo y � Flat roof to cedar hand splits NANN_VICTORIA_Z_&_N 5/17/2010 Page: 9 a��AM� American Family Insurance Group ■=�3� F��`�.� � p�m�'m .. � ��'�. Ly'a�� b� ��v� f frF1 � ..A� ���; � � �� � � � � � � � ��. � �� �`�.� � �� � � � ;� �� � � � w� � . � . � � ��: z� -� . � � . . � ; �� — ` _, , � . �',� � �, �� ���� s ':;��. � � � � �� ��- � �' s � a= � � k ��'F � �� z�`����, �� �'�� �� � � � t= a� "��` <':-xr���.c ; . . 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Q SCHEDULED G�-7-ID ��.� PERMIT NO. — O✓�V COMPLETED •� � "� ADDRESS �3�D ���� C.��� b�C./ OWNER TELEPHONE NO. ��23 Z�O f�07 CONTRACTOR L� �: DESCRIPTION ` ��j��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ 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 � � J O >. � O � W � Q � Z W � W � � d W;�ORK SATISFACTORY:PROCEED �ROJECT COMPLEfE �❑CORRECT WORK&PROCEED / ,'-: ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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