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HomeMy WebLinkAbout2010 - 00136 - escrow fee CITY OF ORONO PERMIT NO.: 2010-00136 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/11/2010 (952) 249-4600 FAX: (952) 249-4616 l ADDRESS : 40 WEAR LA N PIN : 33-118-23-34-0010 LEGAL DESC : ROLLING MEADOWS 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: , THIS ESCROW IS TIED TO BUILDING PERMIT#2010-00100 FOR SEPTIC AT I I OG C r BID /Il APPLICANT ESCROW FEE-BUILDING 6,003.80 MASTERPIECE HOMES TOTAL 6,003.80 127 EAST COUNTY RD C LITTLE CANADA,MN 55117- (651)484-3244 Minnesota State License#: 1435 OWNER HOFFMAN, HUGH J 40 WEAR LA N 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: o0/0-DU/00 'gi,0 PO Box 66 O Crystal Bay, MN 55323-0066 Date received: ',, a Street Address:' ::: ee. by: 1 ',hi;� . oti 2750 Kelley Parkway Q.51 <1k;I:u. Orono, MN 55356 criC2 I0- 00/0/ 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: 40 Wear Lane 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: Masterpiece Homes, Inc. State License# 1435 Expiration Date: 3/31/2010 Phone: 651-484-3244 (office) 612-363-3021 (cell) Mailing Address: 127 East County Road C City: Little CanadaZIP: 55117 Contact Person: Steve Peters Applicant is: Contractor .-/ Homeowner (circle one) Email and/or Fax: stevep27@masterpiecehomesmn.corn PROPERTY OWNER INFORMATION: Name: Hugh and Dianna Hoffman Phone(day): 612-325-6730 Address: 40 Wear Lane City: Orono ZIP: 55356 Email and/or Fax hugh.hoffman@)craig-hailum.com ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply New Construction , Single Family with Residence Addition attached garage ❑ Garage/Accessory Bldg. 0 Public Sewer a Accessory Building ❑ Single Family with 0 Deck 0 Relocation detached garage 0 Office/Commercial Private Sewer ❑Other: (specify) 0 Multiple Family/Condo ❑Warehouse ❑ Public 0 Storage 0 Public Water "'Any earth movement may require 0 Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial 0 Private Well Minnehaha Creek Watershed District(MCWD) 0 Other:(specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation(excluding land) $ 20,000 Last Updated: 9/29/2009 - 17- Mar'10 1.0 11:39a Toni LeRoux 651-426-2084 p.1 • 1 ors opies Proposal 3/10/.2610 LeRoux Excavating Inc. 2104 64th St. 4 White Bear Lake, MR 55110 BB B .ACCR/DITE 651-426-2084 . BUSSUES5 DongCd:lerouxexcavating.comcast biz.net MasterpieceHomes 12 7 E.CO. RD. C Little Canada, MN. Phone# Faxi Job location: 440 Wear Lane N. Orno, MN. Description: Total Earthwork Inclusions: Open up the top of mound remove and dispose of rock and sand to elevation 106.1 $5458.00 plus 2 extra feet around rock bed Then install new sand to elevation 107.8 and install rock bed and cover. Earthworks Exclusions: 11%o permits included in proposal. No seed or sod included in this estimate. The existing tanks and pump are being reused. TOTAL $5458.00 We propose: hereby to furnish material and labor—complete in accordance with above specifications,for the sum of Five thousand four hundred fifty eight and 001100. Dollars:$5458.00 Payment to be made as follows. Paid on completion of work All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. Authorized Signature: 07042, N : This proposal m be withdrawn,by us if not accepted within 30 days Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are utdhorired to do the work as specified. Payment will be made as outlined above. Authorized Signature: Date: Authorized Signature: _ Date: Please sign and return one copy