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Home My WebLink About2012-01085 - addn/remodel/repair CITY OF ORONO 1111111111111111 II1111 II * 2012 - 01085 * 2750 KELLEY PARKWAY DATE ISSUED: 11/06/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 680 ORCHARD PARK RD PIN : 32-118-23-22-0006 LEGAL DESC : ORCHARD PARK : LOT 014 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 45,500.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 638.75 RIC, INC. STATE SURCHARGE(VALUATION) 22.75 7675 HWY 13 WEST SAVAGE,MN 55378- TOTAL 661.50 (612)220-1851 PAID WITH CC# 5093 Minnesota State License#:BC639105 OWNER WEGGE,MATT&LINDSAY 680 ORCHARD PARK RD LONG LAKE,MN 55356- 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 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 conform. •-with the State Building Code.This permit may be revo,ed at any 'me f• due cause. 4111111 l/ / / 06ta t /1/ Go/ ,',_ pplicant 'e itee Sign. r Date Iss fi By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. billiiiii------------ City of Orono Building Permit Application for Maintenance ovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: / — ,e)". (CO , PO Box 66 ik \\ Crystal Bay, MN 55323-0066 Date received: /0 -2 `` .t.4 ` I Received by: D/�-1)/08 V ,� a; Street Address: q "�, s Z.'. 2750 Kelley Parkway Plan review fee: /5 / �l ��,:ti-- h+k._+GOrono, MN 55356 \ xO4 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: 680 Orchard Park Road Orono,MN 55356 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/APPLICANT INFORMATION: Name: RIC,Inc. State License# BC 639105 Expiration Date: 03/31/2014 Lead Certification Number: NAT-119967-1 Expiration Date: 12/29/2016 (for work on homes that were constructed prior to 1978 Phone: (952)736-5930 (office) (612)220-1851 (cell) Mailing Address: 7675 Highway 13 West City: avage ZIP:55378 Contact Person: Wade Kranz Applicant is: CContractor Homeowner (Circle One) Email and/or Fax: wade@ric-mn.com PROPERTY OWNER INFORMATION: Name: Matt Wegge Phone(day): (612)803-8762 Address: 680 Orchard Park Road City: Orono ZIP: 55356 Email and/or Fax thoris81@yahoo.com PROJECT INFORMATION: Type of Project: Any earth movement may require ® Door(s) IN Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt 0 Repair ['Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration IDWater Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) 0 Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: 0-c_1(1.:0-11 ----- -e___.in(Lz oa Estimated Construction Valuation of Project(excluding land) $ 45,500 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 you refuse to su ly the information,the application may not be issued. Applicant's Signature: --- Date: 10/23/2012 Last Updated: 08-09-2011 • • Plan Review Checklist for New Structures / Additions Address/PID/Legal: (at0 ORC-k-kAWO PARK( LeA. ) Description of work: i ..fWoo£L- Septic review:by: Date Approved: Zoning review by: N/4 Date Approved; Building review by: Date Approved: t 0=26 • La I Z Grading review by: N//4- Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zonis•• Lot Area: SF/AC Width: Dept Survey S emitted: D Yes 0 No Date of Survey: Proposed Set.-cks: Front (Lake) Rear(Street) ( 'N S E 'W ) -( N S E W ) • erBuildings Wetland Side Side Building;Defined Height Building Peak Height #of Stories Ok?: 0 YES FOR A BUILDING WITH ABASEMENT OR C-:•WL SPACE: F•- A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the b ement floor/crawl START the distance between the slab and-the highest space floor and the highest ro• •eak,,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the dec' 'ne of a the deck line of a mansard roof,or the mansard roof,,or the uppermost poi on a;roun• uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest win.• and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement fl••r/craw ADD the distance between theslab and the highest space floor and the highest existing rade within existing grade within the foundation the foundation or 10 feet,whiche r is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage:: SF Shoreland District NI• D Permit Received Averag- akeshore Setback Bluff ■ Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No w 0 Yes ■ o 0 N/A Permit Number: Setback: Hardcover:Zone, Existing Proposed Variance Require. CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75-2 •' • Type(s): Type(s): 1-500' 500-1000' REMARKS (in-house): N'b C/SY74•evC Updated: 09/11/2009 `! • z:\forms\plan review checklist.docx Fees to be Cha •ed YES NO T T'"'xrYS. aTa. Plan Review Investigation Fee 777, Sewer Connection Park Fee Other(specify) �— Calculated By: Square Footage $per Square Footage Basement X _ $ 1.51 Floor X = $ 2nd Floor - X = $ Garage X = $ Estimated Construction'Value: $ 41S,5 O d —0 Orono inspections Required Work Requiring Separate Permits Required State Permits 0 Site #ATIClumbing 0 Grading/Filling 0 Well O Hardcover Removal 0 Mechanical 0 Fire Electrical O Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace El Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. ,Framing 0 Other(specify) /22insulation .0 As-Built Survey inal O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: '0 YES 0 NO REMARKS(TO:BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z lformslpian review checklist.tiocc DAIE TIME V CITY OF ORONO CALLED IN INSPECTION NOTI E �j SCHEDULED 1f—Z IZ o2 - 30 PERMIT NO. °l04 _o WSJ COMPLETED II// ADDRESS ;,8'0 Or,clla-rd Pack-t�- 12-d OWNER TELEPHONE NO.to/Z 7 30 `t"S/ CONTRACTOR R C- • DESCRIPTION /r Uj ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP ct _ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q.. cc Pe' rr -io, S tiNACI cc iv VC 3 Lai A 41-c 0 Q W CC 7RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice DAT ) � TIME \/ / CITY OF ORONO CALLED IN t 1� a j , INSPECTION NOTICE SCHEDULED I l l2 / : PERMIT NO. I% I /( CCOMPLETED ADDRESS (cR6 me -�_ 6 r ic,P�( OWNER TELEPHONE NO„j Ui i jl CONTRACTOR /�-- IC- DESCRIPTION c- DESCRIPTION eA I ▪ ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y 0 FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT • 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPJ�Q'FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR T ET YOU:' YES_NO o COMMENTS: W cc O CC O U- W CC W W CC • 1/CC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice -- GLV" �� AJC TIME 7 CITY OF O N RV O CALLED IN / %"�-3 INSPECTION NOTIC CHEDULED / S/-/-3 9-.� � PERMIT NO.[ / j aeli)COMPLETED ADDRESS j 67a2a4.4 / OWNER ; TELEPHONE NO. :� �0 e_--%/ CONTRACTOR ' / �= ->; DESCRIPTION97...(4tAti ^C/�yzi e.e _eg.e.i.rxe W ❑ FOOTING 0 PLUMBING FINAL D EXCAV/GRADING/FILLING c 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS CI) Q 0 FRAMING 0 MECHANICAL FINAL III TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP ? 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:—YES NO o COMMENTS: cc W Q. CC cc .)O N - Re vvvri 0 i e ca Q la (2dr 00 co A QTR c -F-o r- cn .� n. c 1 A� W z W cc • ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED CII SUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR L7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: ..Inspector. (. (.1/ G White Copy/Inspector's File Canary Copy/Site Notice