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Home My WebLink About2016-01143 - addn/remodel/repair , � . CITY OF ORONO * z 0 1 6 - 0 1 1 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3710 LIVINGSTON AVE PIN : 17-117-23-34-0060 LEGAL DESC : LAKE MINNETONKA WOODS : LOT 008 BLOCK 001 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 5,449.80 NOTE: SEPARATE PERM[TS REQUIRED: ELECTRICAL(STATE) THIS PERMIT W[LL COVER WOK AT 37t0,3712,3714&3716 LN[NGSTON AVE FIRE DAMAGE FROM LIGHTNING. PERMIT WILL BE KEYED UNDER 3710 LIVINGSTON AVE APPLICANT PERMIT FEE SCHEDULE 139.36 LINDSTROM CLEANING&CONSTRUCTION PLAN REVIEW 90.58 9621 l OTH AVE N STATE SURCHARGE(VALUATION) 2.73 PLYMOUTH, MN 55441- TOTAL 232.67 (763)544-8761 Payment(s) Minnesota State License#: BUIL-BC001087 CHECK 307639 232.67 OWNER GRAMS, SHIRLEY 3710 LNINGSTON AVE 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 City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission 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 auUiorized 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 c �.?� d� �/.h pplicant Permitee Si ature Da Issued B ignature Date . , , City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY (i.e, wi�dows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �-- �O� Mailing Address: Permit number: ��l�n" � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� / `p Street Address: Received by: yF � � _1��` 2750 Kelley Parkway Plan review fee: �f �,� t L `�� Orono, MN 55356 Akf S H��''� 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: ��/O —/02 �/�—/( ��/o�/ �o �vG�iicc e o-�G Will this be a Parade of Homes, Remodelers Showcase Home or other Dispfay H e? ❑ Yes o 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 sufficieni on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: _ Name: .,aD�tvi+-�� ClPo.n�w � -T��c�. o� State License# 8C0 Q �o$� Expiration Date: ,� ,3/ �G � � Lead Certification Number: �y�T a/ ��a—a Expiration Date: ,��a�/ aU a0 (for work on homes that were constructed prior to 1978 Phone: (cell) �6,� �d,3� ._�j� (office) �v�3 —5y�/—g i 6/ Mailing Address: al /07`' vt�cce �7`� City: / ,.y�o��"� ZIP: �`S'�.✓t�� Contact Person: ry�,�� G'�^,,4e�� Applicant is: ontra or / Homeowner (CircleOne) Email and/or Fax: /r��'c�C� -Fi�e�r�x,�r� . con., PROPERTY OWNER INFORMATION: Name: Cc��s.��sS '��g� Phone (day): 6��a-8'Fl?� — �/7�0 / Address: y�,� /��p� �Yav�o� S7' �'ets� City: �,/�yz�;yQ ZIP: SS��i/ Email and/or Fax: PROJECT INFORMATION: Overall project description: � � ,v ��l /�' i�^ � Scd �- Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt �epair ❑ 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.or Estimated Construction Valuation of Project(excluding land) $ S, yy9 . 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, a lic ion ma not be issued. ApplicanYs Signature: %'�� Date: /9 �6 Owner's Signature: Date: Last Updated:January 2016 ��` ///�� n u�`� .r y--. v �7� PLAN .REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS . . cv�a Address: � ( 6 v ~ ��^ ` � � �� !� ' �5S � ��° Permit No.: �0��"'�1� �"� Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Ti Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? � Yes 0 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? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from hiphest existinq the highest point of the roof. ra ade to the highest point of the START WITH roof even if fill was brought in t� elevate home. If you have a... � � SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to,the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. � to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF .� • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Aver.age Lake ore Setback ' � Sh�oreland District MCWD Permit _ . , . �� . - BI'uff � Yes � No Permit Number: 0 Yes O No � N/A � Ye No � 0 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 0 No 0 Yes � No 1 2 3 4 5 . � � _ TYPe(s): _,�; .. • Type(s): Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee SAC— Number of SAC Units Other(specify) Square Footage $ per Square Foota e Basement X = $ 15f Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits � Footing � Site ❑ Plumbing 0 Grading/ Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire � Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection � Foundation Waterproofing � Other(specify) 0 Fireplace � Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation � Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) Final � Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INIT�ALLED: � 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 �•lfnrmc\nlan ravic�u rharklict 1f1_7f11F rinrv , � LINDSTROM RESTORATION t v s �� 9621 T'ENTH AVENLTE NORTH,PLYMOUTH,MN 55441-5098 ��w Phone(763)544-8761, (877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 Client: L Minnetonka Woods-(Compass Mgnt) Busing�:{��-5(14,1 Property: 710- 2-14-1b Livingston Avenue Re�1e��e City a� �C��V rono,MN 55391 Comp��a � Operator: DENNIS pat� - � Raviewer Type of Estimate: Lightning Date Entered: 9/14/2016 Date Assigned: Price List: MNMN8X_SEP16 �� Labor Efficienc : ��0 y Restorat�on/Service/Remodel � Estimate: LK-MTKA-WOODS-COMPAS �� LINDSTROM RESTORATION � r v � �� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 �� Phone(763)544-8761,(877)544-8761 Fa�c(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 LK-MTKA-WOODS-COMPAS a � .' ' �.,: Unit#3716 Exterior DESCRIPTION . QTY REMOVE REPLACE TAX O&P TOTAL Carpenter-General Framer-per hour 8.00 HR 0.00 65.51 0.00 104.82 628.90 (Material Only)2"x 6"lumber(1 BF 36.00 LF 0.00 0.71 1.86 5.50 32.92 per LF) � (Material Only)Sheathing-plywood- 32.00 SF 0.00 0.79 1.84 5.42 32.54 1/2"CDX Insulation-Labor Minimum 1.00 EA 0.00 143.84 0.00 28.76 172.60 HEAT, VENT&AIlt 1.00 EA 0.00 0.00 0.00 0.00 0.00 CONDITIOIVIIVG-Per Perfection Heating and A/C ELECTRICAL-Per South Side Electric 1.00 EA Electric Bid SOFFTT,FASCIA,&GUITER-Per 1.00 EA Per Bid Roof Company SIDING 1.00 EA Per Bid Totals: Exterior 3.70 144.50 866.96 Total:Unit#3716 3.70 144.50 866.96 Unit#3714 Exterior DESCRIPTION QT'Y REMOVE REPLACE TAX O&P TOTAL Carpenter-Genera]Framer-per hour 8.00 HR 0.00 65.51 0.00 104.82 628.90 (Material Only)2"x 6"lumber(1 BF 36.00 LF 0.00 0.71 1.86 5.50 32.92 per LF) (Material Only)Sheathing-plywood- 32.00 SF 0.00 0.79 1.84 5.42 32.54 1/2"CDX Insulation-Labor Minimum 1.00 EA 0.00 143.84 0.00 28.76 172.60 HEAT, VENT&AIR 1.00 EA 0.00 0.00 0.00 0.00 0.00 CONDI'I'IONING-Per Perfection HeaUng and A/C ELECTRICAL-Per South Side Electric 1.00 EA Electric Bid SOFFIT,FASCIA,&GUTTER-Per 1.00 EA Per Bid Roof Company SIDING 1.00 EA Per Bid MASONRY-Per Kenco Masonry 1.00 EA 0.00 2,400.00 0.00 480.00 2,880.00 LK-MTKA-WOODS-COMPAS 9/14/2016 Page: 2 . � LINDSTROM RESTORATION r v � � 9621 TENTH AVENUE NORTH,PLYMOUTH,IVIN 55441-5098 � Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-2172�-2 Fed TIN 41-0847540 � CONTIIViJED-Exterior DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL Totals: Exterior 3.70 624.50 3,746.96 Garage DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL Drywall Installer/Finisher-per hour 3.00 HR 0.00 67.03 0.00 40.22 24131 Totals: Garage 0.00 40.22 241.31 Total:Unit#3714 3.�� 664.�2 3,988Z� Unit#3712 Exterior DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL HEAT, VENT&AIR 1.00 EA 0.00 0.00 0.00 0.00 0.00 CONDTTIONIIVG-Per Perfection Heating and A/C Totals: Fxterior 0.00 0.00 0.00 Unit#3710 Ezterior DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL ELECTRICAL-Per South Side Electric 1.00 EA Electric Bid SOFFTT,FASCIA,&GIJTTER-Per 1.00 EA Per Bid Roof Company SIDING 1.00 EA Per Bid Totals: Exterior 0� O� O� General Conditions DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL Haul debris-per pickup truck load- 3.00 EA 131.54 0.00 0.00 78.92 473.54 including dump fees LK-MTKA-WOODS-COMPAS 9/14/2016 Page: 3 LINDSTROM RESTORATION . • r v '� 9621 T'ENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 � Phone(763)544-8761,(877)544-8761 Fax(763)5448766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 CONTINUED-General Conditions DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL Permit 1.00 EA Open NOTE:There may be other drywall repairs once the HVAC sub�inds out how far he has to go. ELECTRICAL-Per South Side Electric 1.00 EA � Per Bid SIDING 1.00 EA Per Bid SOFFTT,FASCIA,&GUTTER-Per 1.00 EA Per Bid Roof Company Totals: General Conditions 0.00 78.92 473.54 Labor Minimums Applied DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL Drywall labor minimum 1.00 EA 0.00 100.85 0.00 20.18 121.03 Totals: Labor Minimums Applied 0.00 20.18 121.03 Line Item Totals:LK-MTKA-WOODS-COMPAS '7.40 908.32 5,449.80 � LK-MTKA-WOODS-COMPAS 9/14/2016 Page:4 , . , , LINDSTROM RESTORATION r v } V . 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 w Phone(763)544-8761,(877)5448761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 Summary Line Item Total 4,534.08 Mad Sales Tax Reimb 7.40 Subtotal ' Overhead 4,541.48 454.16 Profit 454.16 Replacement Cost Value $5,449.80 Net Claim $5,449.80 LK-MTKA-WOODS-COMPAS 9/14/2016 Page:S ,�F �.. �� "�;. �, � ��,�� .�;A�� ,. 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