HomeMy WebLinkAbout2001-P03502 - addn/remodel/repair � • PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3so2
Crystal Bay, Minnesota 55323 Permit Type: adait,oniRemoaevRepa�r
(952) 249-4600 Date Issued: 2i�i2ooi
SITE ADDRESS: 500 North Arm Dr
MOUND,MN 55364
PID: 06-117-23-31-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Kesidentiai
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: �iectricai(siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,973.06
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 128.25
APPLICANT: SUPERIOR CONSTRUCTION SERVICE OWNER: M D& H J HOY
9702 85TH AVENUE N. 500 NORTH ARM DR
MAPLE GROVE,MN 55369 MOUND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI"IY OF ORONO ORDINANCES AND
STATE OF NIINNESOTA BUILDING CODE REQUIIZEMENTS.
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APPL AN P MITEE I NATURE IS EDBYSIGNATURE
Copies: City, Applicant,Assessor,Finance Page 1
Total Fee: $ f�� :�S Date Received: T - �
Entered By: /�"J� Permit#: �1�:"' ?> �C:��
✓���%� ?��,� � ' � ��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: i5op �J�ci� ��z� 1��2 ZIP:
NAME OF OWNER: iv1A���:�„J �o�j PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: S,�2i�rt C�:,,:�,-� . �c� _ PHONE: �v3-U Z4-��'�l 3�-1
CONTACT PERSON: ��- �e e�� MOBILE/P�: bi Z-' Z`�,2-�Z$`{
MAILING ADDRESS:91�z �S�`^ Ai,� �:, CITY: n^���� b�'�:� ZIP: -�>>�:�`�
STATE LICENSE: # �Z3 1
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK (describe in detai�: �-e-����z �+c a.� ,� �u.�,� 2..
SCc �� wUr.K, �t� �tl-�r�c.�2
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S�`i 13 �`� �
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: C�Scr� � DATE: � d I
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subci.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,politicaf subdivision,or statewide
system;(b)whether he may refuse or is legally required ro supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidenrial data;and(d)the identiry of other persons or entides authorized by state or federal law ro receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or nro�ertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed ro him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individua(has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision, or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five days within which to comply wi[h the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
11ie determinarion of the responsible authority may be appealed pursuant to the provisions of[he administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the City of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
��Pce�a�z �o�����2�cT��,J ��z.�.v'���
First Middle Last
��Z ���� � �
Address M� 553b`� �,�,3- �12�1-q� 3�
M�-Q1� C��-Zc>Y.�
Ciry State Zip Phone
I understand my rights stated above.
C�?� -
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Sc�c� N o i'zr-� �A(�� iO�
PID:
DESCRIPTION OF WORK: �c� d A�rnA r�, (1.�?-P!�i 2
ZONING REV�W BY: DATE APPROVED: N�/�
BUILDING REVIEW BY: DATE APPROVED: 2-�- c�i
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes No �/ SEWER CO1�fNECTION
STATE SURCHARGE Yes _� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zonin� District: �(1 O G/-f�9-n!G 2
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: We and:
Building Height: Def. Hgt. Pe Hgt.
Lot Coverage:
Grading: Staff Approval Date: B : Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac : L,ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes N Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: �z - � CONSTRUCTION TYPE: �(!�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage z =
R =
TOTAL
Estimated Construction Value: $ S�� 1'�3 •0�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling �_Electrical(State Pemut)
Other
REMARKS(IN HOUSE):
REVIEW BY OT��RS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT�:
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' Superior Construction Services, Inc.
9702 85th. Ave North
' Maple Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN ID# 7231
Insured: Matthew Hoy Business: (612)375-7411
Home: (952)472-3169
Home: 500 North Arm Drive
Orono, MN 55364
Estimator: Bonnie Roeder Business: (612)424-4100
Business: 9702 85th Ave.No,
Maple Grove,MN 55369
Claim Number Policy Number Type of Loss Deductible
75022-6437-2 N/A Fire $0
Date Entered: 1/2/2001
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Price List: MINNEAPOLISI y„ ��
Estimate: HOY-BZ �� ����
V
C6TY CaF QR�pl�p
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{NSs'cCTOR �
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CiQ�E ��������4���cJ Aequirerr,er=!�inciudi o�:.>>� , I,�,�,,�� ;;y no��in ih��ra�yiew
KEEP TNIS PLAN S��'Otv SfTE AT ALL T�MEB
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Superior Construction Services, Inc.
. 9702 85th.Ave North
Maple Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN ID# 7231
HOY-BZ
Room: Living Room LxW�I 26'0" x 15'0" x 8'0"
Subroom 1: Closet LxWxH.7'8" x 2'S" x 8'0"
817.33 SF Walls 408.53 SF Ceiling 1,225.86 SF Walls&Ceiling
408.53 SF Floor 4539 SY Flooring 102.17 LF Floor Perimeter
26933 SF Long Wall 139.33 SF Short Wall 102.17 LF Ceil. Perimeter
DESCRIPTION
UNIT REMOVE REPLACE TOTAL
Contents-move out then reset
1.00 EA 39.88= 39.88
Mask more than the walls per squaze foot
1,225.86 SF 0.14= 171.62
Drywall repair
1.00 EA 335.00= 335.00
Remove Acoustic ceiling(popcorn)texture
408.53 SF 0.26+ 106.22
SeaUprime the ceiting-one coat
408.53 SF 0.29= 118.47
Acoustic ceiling(popcorn)texture
408.53 SF 0.74= 30231
Seal then paint the walls(2 coats)
817.33 SF 0.56= 457.70
Jack&brace ceiling-repair framing(header&studs)as needed
1.00 EA 336.00= 336.00
Fireplace-wood burning-per bid
1.00 EA 2,200.00= 2,200.00
ROOM TOTAL: Living Room
4,067.20
HOY-BZ • O1/10/2001 Page: 2
Superior Construction Services, Inc.
- 9702 85th.Ave North
Maple Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN ID# 7231
Room: Dining Room LzWatH 10'0" x 9'4" x 8'0"
Missing Wall: 1 - 9'4" X 8'0" Opens into E Goes to Floor/Ceiling
234.67 SF Walls 9333 SF Ceiling 328.00 SF Walls&Ceiling
93.33 SF Floor 1037 SY Flooring 2933 LF Floor Perimeter
80.00 SF Long Wall 74.67 SF Short Wall 29.33 LF Ceil. Perimeter
DESCRIPTION
UNIT REMOVE REPLACE TOTAL
Mask more than the walls per square foot
328.00 SF 0.14= 45.92
Seal then paint the walls and ceiling(2 coats)
328.00 SF 0.56= 183.68
ROOM TOTAL: Dining Room
229.60
Room: Kitchen LxWxH 16'0" x 10'0" x 8'0"
416.00 SF Walls 160.00 SF Ceiling 576.00 SF Walls&Ceiling
160.00 SF Ftoor 17.78 SY Flooring 52.00 LF Floor Perimeter
128.00 SF Long Wall 80.00 SF Short Wall 52.00 LF Ceil.Perimeter
DESCRIPTION
UNIT REMOVE REPLACE TOTAL
Mask more than the walls per squaze foot
576.00 SF 0.14= 80.64
Seal then paint the wal(s and ceiling(2 coats)
576.00 SF 0.56= 322.56
ROOM TOTAL: Kitchen
403.20
HOY-BZ O 1/10/2001 Page: 3
r ,
Superior Construction Services,Inc.
� 9702 85th.Ave North
Maple Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN ID# 7231
Room: Attic
DESCRIPTION
UNIT REMOVE REPLACE TOTAL
INSULATION- PER BID
1.00 EA 0.00
BACKSPRAY
1.00 EA 0.00
ROOM TOTAL: Attic
0.00
Room: GeneraUMisc
DESCRIPTION
UNIT REMOVE REPLACE TOTAL
Remove Cartage&debris removal
1.00 EA 175.00+ 175.00
Constuction clean up-OPEN ITEM
1.00 EA 0.00
ROOM TOTAL: GeneraVMisc
175.00
Line Item Totals: HOY-BZ
4,875.00
HOY-BZ O1/10/2001 Page: 4
Superior Construction Services,Inc.
• 9702 85th.Ave North
Mapie Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN ID# 7231
Grand Total Areas:
1,468.00 SF Walls 661.86 SF Ceiling 2,129.86 SF Walls&Ceiling
661.86 SF Floor 73.54 SY Flooring 183.50 LF Floor Perimeter
477.33 SF Long Wall 294.00 SF Short Wall 183.50 LF Ceil.Perimeter
HOY-BZ O1/10/2001 Page: 5
Superior Construction Services, Inc.
• 9702 85th. Ave North
Maple Grove, MN 55369
(763)-424-9434 Fax(763)-424-5428
Federal ID#41-1766131 MN [D# 7231
Summary for Fire
Total Line Items 4,875.00
Material Sales Tax 6.500% 1,583.99 102.96
Subtotal 4,977.96
Overhead 10.00% 4,977.96 497.80
Profit 10.00% 4,977.96 497.80
Grand Total 5,973.56
Bonnie Roeder
HOY-BZ O1/10/2001 Page: 6
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DATE TI E �
CITY OF ORONO CALLED IN .�'� ' U I � ���
INSPECTION NOTICE SCHEDULED�/�� I U �M
PERMIT NO._/�03J0 Z COMPLET .�_�,=-c� /a :c��
ADDRESS�S OQ /U . >� "� �
OWNER CONTR. S �%�� CO��S� •
TELEPHONE N0. �I� I�__ c��� Cp� �7
� DESCRIPTION"���e ��QCR.�
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��ORKSATISFACTORY:PROCEED �]�ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �O 13SUE CEFTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContract on site:
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Inspector.�^�� .. � �;�/��
White Copyllnspector's File Canary Copy/Site Notice