HomeMy WebLinkAbout2010-00333 - addn/remodel/repair • CITY OF ORONO PERMIT NO.: 2010-00333
' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUED: 05/12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1058 LOMA LINDA AVE
PIN : 08-117-23-23-0006
LEGAL DESC : LOMA LINDA
: LOT 005 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 8,000.00
NOTE: REPAIRS DUE TO YIPE MALFUNCI'ION CAUSING WATER DAMAGE.
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APPLICANT pERMIT FEE SCHEDULE 162.25
DRY TECH CO LLC STATE SURCHARGE(VALUATION) 4.00
13419 FENWAY BLVD N#104 TOTAL 166.25
HUGO, MN 55038-
(651)429-8444
Minnesota State License#: 20457802
OWNER
SCHAIBLE,TODD& MICHELLE
1058 LOMA L(NDA AVE
MOUND, MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,app(icable 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 specitied 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 c ormance with the State Building Code.This permit may be
revoked a y time for du use.
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Ap �cant Per � ee ignature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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' City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: o7.Q/D—O
O�,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: /L oZ�b�
a a, Street Address: Received by:
�, �� 2750 Kelley Parkway Plan review fee:
t��og� Orono,MN 55356
Total Fee: �/�/n� � �j
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us L��w ��/�-�
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: ���8 [�r�,� ;,�,a. iy�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �Tlo
lf yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be
required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �jc,, 7'"G� �O. G GG�
State License# Expiration Date: /- 0l
Phone: /- � office /- 7�� cell
Mailing Address: y/ }� Ci : ZIP: p
Contact Person: yi, Applicant is: ntract / Homeowner �c�►�ie o�e�
Email and/or Fax: )-,
PROPERTY OWNER INFORMATION:
Name: ! '
Phone(day): - O - S! �//
Address: Q '�(�. Ci : Q p ZIP: � 6�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: My earth movement may require
MCWD review&permits
❑ Door(s) ❑Remodel Water Damage
�/ Minnehaha Creek Watershed District(MCWD)
❑Window(s) p,d Repair ❑Storm Damage 18202 Minnetonka Blvd
y ` Deephaven,MN 55391
❑Siding ❑Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Re-roof ❑ Fire Damage www.minnehahacreek.or
Overall Project Description: � ��'f"
Estimated Construction Valuati of Project(exclud ng land) ; � f
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APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all infoRnation required or requested by the Building Department;
• Cert�es 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 altemative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is class�ed 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 nnually update our rec:ords and records of other governmental agencies
re uired b law. If u refuse to su the inf ion,the a lication ma not be issued.
ApplicanYs Signature: Date: �-��''O�10
Last Updated: 05-04-2009
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' Drytech Restoration
13419 Fenway Blvd N.
Hugo MN 55038
651-429-8444 Office
651-429-8451 Fa�c
www.drytechonline.com
Client: Tim McCormick Home: (763)607-4271
Home: 1058 Loma Linda Avenue
Orono,MN 55364
Operator Info:
Operator: KEVIN
Estimator: Kevin Johnson Business: (651)429-8444
Title: Vice President
Business: 13419 Fenway Blvd.N.Suite 104
Hugo,MN 55038
Reference: Business: (952)941-4595
Company: Cheryl Kintop/Auto Owners Insuranc
Type of Estimate: RECON
Dates:
Date Entered: 02/07/2010 Date Assigned: O1/23/2010
Date Est.Completed: 02/07/2010 Date Job Completed: 02/O1/2010
Price List: MNMN4B JAN10
Restorati on/Servi ce/Remodel
Estimate: 2010-02-07-13 REC ONAD
File Number: CLAIM#67-122-10 AUTO OWNERS
Please consider the following estimate for the necessary repairs to be completed due to water damage at the above mentioned
property to the main level master bathroom and lower level areas(bath and living rooms). Dry Tech has completed all
mitigation services at this time and to follow is the breakdown of the necessary repairs due to the damages incurred.
We appreciate the opportunity to assist you. Please contact Kevin Johnson @ 651.775.7978 to schedule.
Adjusted estimate on 4/8/2010:
Per the request of client,Dry Tech is adjusting estimate for the necessary tasks requested for completion. See revised
estimate for the details per our meeting on 4/7/2010.
Kevin Johnson WRT,SRT,ASD,CMT.00T
Vice President
Dry Tech Restoration and Construction
BC#20457802
R'arranty:
All labor and material provided by Dry Tech,not covered under the manufacturer's warranty,are warranted from the
date of completion for the time frame of 2 years on all workmanship/craftsmanship.
♦ Drytech Restoration -�,•��
13419 Fenway Blvd N. � ���,�� ���G�� :
Hugo MN 55038 ��►.�w };1.� ShcM��c..}�Sw►'+�►'b�
651-429-8444 Office
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Note; Water affec[ed the master bnth running Into
the nelghboring bathroom on maln level and
ran down ta lower level(1-26-2010 discovered).
Dry Tech was abie to use drying equlpment from
top and bottom to minlmize having to remove any
building materlal in the maln bathroom. Wa[er ran '�,1:�
through mmmon walis and down to lower level of home.
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Mein Level
2010-02-07-13RECONAD OS/08/2010 Page: 3
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♦ Drytech Restoration Le
13419 Fenway Blvd N. _ ��Q � �r I
Hugo MN 55038 � �
651-429-8444 Office
651-429-8451 Fax �1 = I�G��AQ-G a hlulR+fitn — ��j Sa.�:
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Lower Level
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Fireplace/wall
a 9"
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2010-02-07-13RECONAD OS/08/2010 Page: 2
B^ (— �� E / TIME �
CITY OF ORONO CALLED IN
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INSPECTION OTICE SCHEDULED �. 0 ���
PERMIT NO. / �COMPLETED
ADDRESS ��5� ��� �V�
OWNER TELEPHONE NO�J� ���� �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL
� OW EET YOU: YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. �jpHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: ^
Inspector. ��,f � 1
White Copy/lnspector's File Canary CopylSite Notice
��Q �I D E TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED - �
PERMIT NO. ���0—�0333 COMPLETED , �� r �^
ADDRESS �D�� L�J'J2Q ����Q J��.
OWNER TELEPHONE NO.�5l �Z7 ����
CONTRACTOR TeC�
� DESCRIPTION 6"'�/If.C�-" ��i�O�/K..0
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor t •
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice