HomeMy WebLinkAbout2015-00342 - water damage - interior repairs only . • CITY OF ORONO * Z 0 1 5 — 0 0 3 4 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/02/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1515 GREEN TREES RD
PIN : 11-117-23-23-0013
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�T TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,174.00
NOTE: (WATER DAMAGE-INTERIOR REPAIRS ONLY)
APPLICANT PERMIT FEE SCHEDULE 108.42
STATE SURCHARGE(VALUATION) 1.59
CLEAN RESPONSE TOTAL 110.01
480 N. PRIOR AVE
ST. PAUL, MN 55104- Payment(s)
Minnesota State License#: BUIL-BC216414 CHECK 45305 110.01
OWNER
BURWELL, RODNEY&BARBARA
1100 MILLSTON ROAD
WAYZATA, MN 55391-
AGREEMENT AIYD SWORN STATEME1vT
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 Codc. 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Codc.This permit may be
revok at any time for due cause.
� � �-_� -,-f_ /��-- / o� / ��
Applicant Permi ignatu Date Issue By Signature Da
. � City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
�O�O Mailing Address: Permit number: �L �5 �UU��-/Z_
PO Box 66
Crystal Bay, MN 55323-0066 Date received: ��2 �!�"
Street Address: �� Received by: �
tiFl G� 2750 Kelley Parkway �'I I)� Plan review fee: ��;/ , � t �(i �'Cii�--
�kESH��� Orono, MN 55356 �
Total Fee: �/lD, ��
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: ( _;-' - �:;��=� /,Z`-t-_ ;`�;�, �.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle 6us service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �
(' L�.,�•�L'Ct"-S'`��;:ya Ce_
State License# /;�1_`� ��� Expiration Date: f��- �-d<��,G.
Lead Certification Number: f,,,�j- �;��y���G. -o Expiration Date: _ 3
.d- �.�'l�
(for work on homes that were constructed prior to 1978
Phone: (cell) �� . ���'-/��% (office) �j.J`;' �-�; ��; .. �j%.�
Mailing Address: ���,. ,�Y /°/���/Z �> City:_,'"j'�, �'f�,c ZIP:_;�t��° y
Contact Person: �. � z Applicant is: �-Contractor / Homeowner (Circle One)
Email and/or Fax: �.(��,,�., �.. ,:%;,����. c�r���vj_r<' .CC�«; _.
,
PROPERTY OWNER INFORMATION:
Name: �' ,;��;��:�' .c�>;�J���%c=�
Phone (day): 4ts�- l 7-- ��-�-�
Address: �-�,t' Lr-��'�-� i%CGY�r _ `,I�,��J CitY: �'-CL;.t�s_ ZIP: .���1/
Email and/or Fax: �T �.;,�.��-rc' � h;;:-��;�.f�������r�<.i C� ,�c;Ert
PROJECT INFORMATION: Overall project description: r J�--`�r ��'��Y�� '� " `�r����� ��--
Type of Project: Any earth movement may also req re
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& 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) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ `;f ly `�'
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 rmation,the a ication ma not be issued.
,"L, ' ," -
ApplicanYs Signature: •�"� � � Date: � .,Z `7` - ��-c:)�-�
Owner's Signature: Date:
Last Updated:January 2015
� � PLA�! F�E�fIEW CHECF(LIST �OR �EW ST�tUCTUI�I�S / ADDITI�NS
Address: l�,� ��"Z�=�"+� `%��'� Permit No.: '�%� `�����
Description ofwork: _��;�?� 1��+2�„� ������ Date Rec'd: � `�'�-� ��'�
��
Septic review by: �9a'� Date Approvecl:
Zoning review by: �l9� Date Approved:
Building review by: � ' �,,,.�_ Date Approved: �� ��- '� r �
� ��t-°o�
Grading review by: Date Approved:
ning District: Zoning File#: Reso#: Reso Date:
Zon : Lot Area: SF/AC Width: Lot Coverage: SF %
Survey bmitted: O Yes � No Date of Survey: Revised date
Proposed Se acks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Build' gs Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 et= (Existing Contour
�.: Perimeter(linear feet) = 50%= L.F. below grade #of Stories
FOR A BUILDIPIG WITH A BASEflAENT OR C WL SPACE: FOR A BUILDIN ON A SLAB FOUNDATION:
The distance be een the lowest proposed The distance between the top of
START WITH floor(of the base t or crawl space)and START WITH slab and the highest point of the
the highest point of t roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPED OF(no (no windows): Subtract half
windows): Subtract half t distance the distance between the
between the highest point o e roof highest point of the roof to
to the low point of the corresp ding
SUBTRACTION gable or hipped roof the low point of the
corresponding gable or
(BASED ON . GABLE OR HIPPED ROOF(wit SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half the d' ance (BASED ON . GABLE OR HIPPED ROOF
between the top of the hig t ROOF TYPE) (with windows): Subtract
window and the highest int of the half the distance between
roof the top of the highest
• ALl OTHER ROO YPES(flat, window and the highest
paint of the roof
mansard,etc): subtraction. . ALL OTHER ROOF TYPES
SUBTRACTION Subtract the dista e between the (flat,mansard,etc):No
(BASED ON basement/crawl pace floor and the subtraction.
EXISTING highest existi grade adjacent to the ADDITION Add the distance between the top
GRADES) foundation 10 feet(whichever is less). ASED ON of slab and the highest existing
EQUALS Define uilding height E TING grade adjacent to the foundation.
GRA S
EQUAL Defined building height
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: � Yes 0 No � N/A Yes � No
0 Yes � o
� N/A—see attached Setback.
Stormwater ���tY Existing Hardcover Proposed
Overlay D' trict (%and s� Hardcover Variance Required CUP Requ ed
Tier cir e one %and s
� Yes � No 0 Yes �
1 2 3 4 5 Type(s): Type(s):
Updated: January 2015
z:lforms\plan review checklist 2015.docx
REMARFCS (in-house):
[;
Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge
Investigation Fee �
SAC—Number of SAC Units ;;,/"
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1St Floor X = $
2"d Floo� X = $
Garage X - $
Estimated Construction Value: $ �,�,,,�.f�`'`Ce�O
Orono Inspections Required Work Requiring Separate Permits Required State Permits
Q Site � Plumbing 0 Grading/ Filling 0 Welf
� Silt Fence/ Erosion Control � Mechanical � Fire � Electrical
� Hardcover Removal 0 Septic 0 Water Connection
❑ Footing � Fireplace 0 Sewer Connection
0 Poured Wall 0 Masonry � Lawn Irrigation
� � Foundation Survey 0 Mfg. 0 Landscaping
� Foundation Waterproofing ❑ Other(specify)
� Radon Rock Bed
0 Framing
Insulation
�-Built Survey
Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
� Access: Existing: 0 YES � NO New: � YES ❑ NO
OFFICiAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
�:.
�
�
::
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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� .
Restoration Contractors, Inc. dba Clean Response
�
480 N. Pnor Ave.
651-646-3408 ST. Paul,MN. 55104
Phone: 651-646-3408
Fax: 651-917-2506
Client: Peter Burwell Home: (612)719-4442
Property: 1515 Green Trees Road
Wayzata,MN 5539]
OperatorInfo:
Operator: BAUER
Estimator: Ron Bauer Cellular: (651)587-7923
Position: Estimator E-mail: rbauer@cleanresponse.com
Company: Clean Response
Business: 480 N. Prior Ave
St. Paul,MN 55104
Type of Estimate: Water Damage
Date Entered: 2/24/2015 Date Assigned:
Price List: MNMN7X NOV 14
Labor Efficiency: Restoration/Service/Remodel
Estimate: PETERBURWELL-CON
Restoration Contractors, Inc. dba Clean Response
. �
480 N. Prior Ave.
651-646-3408 ST. Paul,MN. 55104
Phone: 651-646-3408
Fax: 651-917-2506
PETERBURWELL-CON
Main Level
Entry/Foyer Height: 8'
- �~�� 146.67 SF Walls 64J8 SF Ceiling
v
o ''T ' "� 211.44 SF Walls&Ceiling 64.78 SF Floor
''@+""'"� 1 720 SY Flooring 17.67 LF Floor Perimeter
�- � : °'`" 21.67 LF Ceil.Perimeter
��z�
Missing Wall-Goes to Floor 4' X 6' 8" Opens into Exterior
Missing Wall 7' X 8' Opens into Exterior
Missing Wall 3' 8" X 8' Opens into HALLWAY
Subroom: Closet(1) Heigbt: 8'
F 2.2..
�z_ � 109.47 SF Walls 9.71 SF Ceiling
o �
� 119.18 SF Walls&Ceiling 9.71 SF Floor
` 1.08 SY Flooring 13.68 LF Floor Perimeter
'ib"��" � 13.68 LF Ceil. Perimeter
fr2'6"�
HaMwav
DESCRIPTION QNTY REMOVE REPLACE TOTAL
1. 1/2"drywall-hung,taped,ready for 29.25 SF 0.00 1.30 38.03
texture
2. ]/2"drywall-hung,taped,heavy texture, 25.75 SF 0.00 1.75 45.06
ready for paint
3. Sprayed polyurethane foam- 21b mix- 43.75 SF 0.00 1.13 49.44
per inch thick
4. Fill holes created by wall cavity drying 3.00 EA 0.00 1.23 3.69
Totals: Entry/Foyer 136.22
�-9•2.-� Bathroom Height:8'
T
$'6" � 215.22 SF Walls 45.16 SF Ceiling
� � o� 1 260.38 SF Walls&Ceiling 45.16 SF Floor
� 5,y.�'�^ �T 5.02 SY Flooring 26.90 LF Floor Perimeter
�6,�„�,�a 26.90 LF Ceil. Perimeter
HalMav
PETERBURWELL-CON 2/24/2015 Page: 2
Restoration Contractors, Inc. dba Clean Response
480 N. Prior Ave.
651-646-3408 ST. Paul, MN. 55104
Phone: 651-646-3408
Fax: 651-917-2506
CONTINUED-Bathroom
DESCRIPTION QNTY REMOVE REPLACE TOTAL
5. R&R 1/2" drywall-hung,taped,ready 45.16 SF 0.37 130 75.42
for texture
6. Chandelier-Detach&reset 1 AO EA 0.00 143.51 14351
7. Remove Wallpaper 215.22 SF 0.64 0.00 137.74
8. Fill holes created by wall cavity drying 5.00 EA 0.00 1.23 6.15
9. Drywall Repair-patch and repair all 1.00 EA 0.00 255.88 255.88
existing holes in walls
Totals: Bathroom (18.70
Total: Main Level 754.92
Insulation
DESCRIPTION QNTY REMOVE REPLACE TOTAL
10. Insulate area above the Entry Way,Bath 1.00 EA 0.00 1,345.00 1,345.00
and Hallway
Rim Joist will need to have Sprayed Polyurethane Foam applied to it.After that is complete,Blown-In Insulation-12" Depth-R30 will
be filled in the ceiling above the Entryway and bathroom.
Totals: Insularion 1,345.00
General
DESCRIPTION QNTY REMOVE REPLACE TOTAL
11. Cleaning Technician-per hour 5.00 HR 0.00 30.04 150.20
12. Taxes,insurance,permits&fees(Bid 1.00 EA 0.00 350.00 350.00
item)
Permit for Insulation Installation
Totals: General 500.20
Line Item Totais: PETERBURWELL-CON 2,600.12
PETERBURWELL-CON 2/24/2015 Page: 3
Restoration Contractors, Inc. dba Clean Response
480 N. Prior Ave.
651-646-3408 ST. Paul,MN. 55104
Phone: 651-646-3408
Fax: 651-917-2506
Grand Total Areas:
744.41 SF Walls 177.23 SF Ceiling 921.63 SF Walls and Ceiling
177.23 SF Floor 19.69 SY Flooring 9238 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 96.38 LF Ceil.Perimeter
177.23 Floor Area 202.49 Total Area 744.41 Interior Wall Area
476.92 Exterior Wall Area 65.84 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
PETERBURWELL-CON 2/24/2015 Page: 4
Restoration Contractors, Inc. dba Clean Response
. �
480 N. Prior Ave.
651-646-3408 ST.Paul,MN.55104
Phone: 651-646-3408
Fax: 651-917-2506
Summary
Line ltem Total 2,600.12
Mad Sales Tax Reimb @ 7.275% 45.62
Subtotal 2,645.74
Overhead @ 10.0% 264.58
Profit @ 10.0�/0 � 264.58
Replacement Cost Value $3,174.90
Net Claim $3,174.90
Ron Bauer
Estimator
PETERBURWELL-CON 2/24/2015 Page: S
Main Level • �
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PETERBURWELL-CON 2/24/2015 Page: 6
3i3 LyndalE Av�_ N
New Prague , M�E. 5fi071 ' • w � . !
Phor�e(612)z32,9737
Fax(952)758�6278
����2�
70: Keenen & Swelven, lnc.
Fram: Tam Klan�hnik
Dai�e: Decemb�r 97, 2072
Re: �f5�'5 Creerrtr�es Road
T�i,
As pez�o�telecQ��zence of t1�s d.ate I am foxwaz�ding to you a syno�sis o�owr
szte u�eeting con,cexni.ng t1�e Burwell�roperty at 1515 Gxeezafrees Road Oroz�o,MN.
55356.
�'irst,we naet on site to discuss a range o�'the�roperty owners concepfi options for
the parcet noted�ove and soz�ae of the impact on exist�ng az�d�otential septic drain
���s. _ _ - __ _ - _ _
Next,we;Focused on a�acation offt�e back side o��tlae garagE far �495 Crreentrees
�t.oad but closer(ho�aoz�irig that st�u�ture's sctbac�C)to the 1 S�.5 Crreentrees Dxveway.
Fi�xa?�ly,Y�Erfoxmed two soil cpze/borings i�wk�at would be t�e absor�tiou ao�ea of
tTaat m4und atxd xelated favaxa.bly to what z obscrved.
In s�nary,we s�e�#about an houX tliscussing no,oz�e conce�ts azxd options thax,z
cata reca]1(house dezuo,r�xnode�,]and splits,aud just plain,�emoval).i cXearly remembez
e�pxessing a favorable o�iu�o�of thc so;�s on the locatian discussed above.Hawer►ex,
befoz�e this locatzon can b�;ve�rxfied as a�nr�ven septic draiuo.�ield site a comple�t�se�i�c
systcm design includi�g soil bari�g verificaiion should be co�pieted.A det�ed,fully
p��.nncd site cance�t sl�duld be warked up to cxam�zze the use o�'space aud ha�u►r the ideas
meet a11 applicab�e setbacks. .A,s w�ll,the��"zLl'should be consulted to ct�tesmine tb,c
com�lete srte rc�uirezz�ents of any�,nd all Iots(p�coperties inwo�ved.
Tf�pu have any questzons please ca11 To�a Kianchnik at(612}232-973 7.
s
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ITY OF ORONO CALLED IN / ---L�
INSPECTION NOTICE yy� SCHEDULED
PERMIT NO.��1�� �-w��Z COMPLETED
ADDRESS J� � ��z`-'�� ���P�
OWNER TELEPHONE NO.��— J�����
CONTRACTOR -�- �
� DESCRIPTION �-���`5 �"� (��\�� � �`��
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POUR WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:% YES_NO
c�.� COMMENTS:
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� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOPORDER POSTED.CALL INSPECTOR
O iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in �g52) 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notiee
�
_ __
��� ��� bATE TIME 1/
CITY OF ORONO CALLED IN �
INSPECTION NS�T�ICE SCHEDULED � l. �
PERMIT NO. ��l ��� � COMPLEfED
ADDRESS I�7% � ��f �'��� T�� 7�Y-
OWNER TELEPHO E NO�5� '������� I
CONTRACTOR �'��
� DESCRIPTION � '
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/ ILLIN�
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W
_ ❑ AS BUILT-SURVEY WER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERlCONTRACTOR TO MEET YOU: YES_NO
� COMMENT�S:�
� 11/�e✓ ��rt.�rc- ►''�ci,�� -� -��o•�� �.�-�y
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� ❑WORKSATISFACTORY:PROCE PROJECT COMPLEfE
W�ERECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUFN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
or e nex ion 24 hours in advance. (952) 249-4600
Own rlContractor on si ' i'
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice