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HomeMy WebLinkAbout2011 - 00174 - siding CITY OF ORONO PERMIT NO.: 2011-00174 2750 KELLEY PARKWAY ORONO, MN 55356— DATE ISSUED: 03/22/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4700 WEST BRANCH RD PIN : 06-117-23-33-0004 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING l5 1)2I tic) VALUATION : $ 3,985.00 NOTE: PINE SIDING • • APPLICANT PERMIT FEE SCHEDULE 103.25 PETERSON,RONALD STATE SURCHARGE(VALUATION) 5.00 4700 WEST BRANCH RD TOTAL 108.25 MOUND, MN 55364 OWNER PETERSON, RONALD 4700 WEST BRANCH RD 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,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 re d at a liihebr due cause. 044a/L_ 3 litiviztvivor Applicant Permitee Signature Date Is i'. By Signature Date If SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Pi F4e City of Orono � • 16 Building Permit Application for New Structures or Additions Mailing Address: Permit number: 11.71:2/1-120/7 67w1,41 PO Box 66 3�a Crystal Bay, MN 55323-0066 Date received: // Received by: )44-F Street Address:' 2750 Kelley Parkway Plan review fee: Esflo�w Orono, MN 55356 f Total Fee: l g 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:ess: �7 O -IMV\ ES3�q700uses-V �'�,.‘(�,/•� tit©`v'\t7 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 e required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION Name: �Co► ��rS6�1o� Phone (day): Address: 70 if2 L02.&1— �C - ICU CitC)rQ (pq Email and/or Fax 95Z X72 17c1 J -�.c c 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. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation —7-1 detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) V%(R•2 ck1('L\ ❑ Multiple Family/Condo 0 Warehouse ❑ Public ❑ Storage ❑ Public Water `*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 3 8 5 d co Last Updated: 1/26/2011 - 19- STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= 3 Wood/Frame ❑ Masonry b.Width(ft.)= Number of gar stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= c ❑ ICF 1:1 On-site Prefab c. Basement= 0 \�00 ❑ Off-site Prefab d. 1st Story = \_0b ❑ Other(please specify): e.2nd Story= f. 1/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit Application ❑ 0 Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report ❑ 0 Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee ❑ 0 Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow agreement to ensure completion of the as-built survey and all site improvements. Applicant's Signature: -- Date: 3 -8Z -- 11 Last Updated: 1/26/2011 - 20 - 12/01/2010 00:08 5802256269 SU PAGE 01 Sutton wood Products Mfg . 98 Clubhoiise Drive, Elk City, OK 73644 580-2i5-6269 580-309-0490 www.sOttonhousemillvvork.com 12-06-10 Loc siding receipt for Ron Plete�son, Mound MN 1450 s.f. 2 x 10 kiln dried knotty bine shiplap log siding @ 1.99 2885.00 400 I.f. 2 x 4 kiln dried rough)pine trim @ .75 300.00 6 ten foot outside corners kiln cried rough pine @ 50.00 ea 300.00 Freight 500.00 (We will pay any difference onlfreight) Total $3985.00 paid Visa 11-30-10 Bundles to be 2000 lbs or less. Terms: Orders are placed on our,proliuction schedule once payment in full is received. We accept checks. Visa,Master Card.arid wire transfers. Minimum production time on this order is 8 weeks. While it is our intention to complete order in tis time frame.delays may occur due to circumstances beyond our control such as suppler delays, machinery malfunctions,weather, etc. Sutton Wood Products mfg.will ih no way be held frable or responsible for your construction schedule. We wish to make it clear fillet your construction process does not dictate our production time. We veil not comp oMMise our reputation for excellence in product quality to rush any order. Any and all changes or adtdtions must be submitted in writing and paid far at time of change. Aft products are custom matte and MAY NOT BE RETURNED. REFUNDED.OR CANCELLED. Thank you for your order and we book forward to wonting with you on your project! Greg Sutton