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HomeMy WebLinkAbout2015-00844 - siding repair � CITYOFORONO * 20 15 - 00844 * 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2015 ` 4 �' ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 855 PARTENWOOD LA PIN : OS-117-23-34-0012 LEGAL DESC : PARTENWOOD : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING REPAIR ACTIVITY : O/S BU[LD[NG-UNDEFINED VALUATION : $ 5,200.00 NOTE: SIDING REPAIR AROUND 8 WINDOWS. PROV[DE PICTURES OF WINDOW FLASHING&FRAMING, EMA[L TO ROGER PEITSO RPEITSO a CI.ORONO.MN.US APPLICANT PERMIT FEE SCHEDULE 139.40 STATE SURCHARGE(VALUATION) 2.60 TURNQUIST DESIGN TOTAL 142.00 2000 CHESTNUT ROAD Payment(s) HAMEL,MN 55340- CHECK 5355 142.00 Minnesota State License#: BUIL-BC661905 OWNER GUL, SHAIKH ASIM 855 PARTENWOOD LA 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 Ciry 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 permi[s. All provisions of laws and ordinances goveming 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 aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ( �f', / `�� � ��j�� I �'�-_ ( fS(` _� � l � ,��" / / plicant Perm� S' ature J at Issued By Signature Date � � City of Orono � Builsling Permit Application for Maintenance / Replacement / Remodel ' (i.e. windows, doors, sidi , re-r f, tc. — NQ ST UCTURAL EXPANSIt"3N) �,�'��"`� Mailing Address: Permit number. C-(J�� �' � ;`� � �� � CrysBtal Bay, MN 55323-0066 Date received: �/F� �'� �� Street Address: Received by: Q � J��� 2750 Kelley Parkway Plan review fee: t �,�'/ Orono, MN 55356 r�7 � ��k��%� Total Fee: / �� � "V 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: �5� ���-+�YtW Uc�C� ��� ��V,UU S���� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No lf yes, a specia/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: jUrv�c�is�r- �zsi �, LLc. State License# ���(����" Expiration Date: -F�1� 0 Lead Certification Number: — Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �Z-�'"�� - (C�� '3 (office) — Mailing Address: �(�� ��S 1U-�- (�� City: � ZIP: �S�'�(C� Contact Person: �'�'�y 1 j,�-y�v,�- Applicant is: Cont`,_tor / Homeowner (Circle One) Email and/or Fax: j��,�,i��y� J,5.��q�,�t�i�T� �c�'� PROPERTY OWNER INFORMATION: Name: �S1W�. Gtv � Phone (day): (�I 2 '24 C�-6G G� Address: �� j��T-��LLoc� `�.c�v� City: Q��j�� ZIP: ��35(0 Email and/or Fax: �S�y�-� �v a.�c���c� l ,�'ov�1 PROJECT INFORMATION: Overall project description: �-r � r�'l c r��- �i'_ Type of Project: Any rth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof,asphalt ,�Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) �Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) $ , � , vc� 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 ou refuse to su I the information, the lication ma not be issued. ApplicanYs Signature: Date: 01 �(S Owner's Signature: Date: Last Updated:January 2015 _ ,,,..,�..�,,,wr`-. ' .. ,. � a .F• � x , rtti _ _... ...�e. . � � �� . 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OVI�NER TELEPHONE NO. ��2 5���3 CONTRACTOR ��I(,�/" G�-[L I fc'7� f�h � DESCRIPTION � `-� � � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEP C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ iNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP w�"❑ AS BUILT-SURVEY ❑ R HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �' � - a `J�cQ•rr.�, rcD<4tv nc�� 4✓04 n-� r�D��+f�.�,c�.o� O (''J`IY�jjc'c�- "' . � ^ i�</ e.�cL�'C�'�o•� �r'/4 s.�t� � S�c.fl '- O � W � (�o�K � rn��7`e Q z ` � �rbw�� �t� W � 1 � _ / GW ❑WORK SATISFACTORY:PROCEED �PRpJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. �'�" White Copyflnspector's File Canary CopylSite Notice