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CITY OF ORONO PERMIT NO.: 2011-01058
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 09/14/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1368 NORTH ARM DR
PIN : 07-117-23-41-0054
LEGAL DESC : SAGA HILL REVISED
: LOT 021 BLOCK 008
PERMITTYPE : MWORALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACT[VITY : O/S BUILDING -UNDEFINED
VALUATION : $ 12,000.00
NOTE: VALUATION OF PERMIT: $12,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQU[RE 24-48 NOTICE,PRIOR TO
WORIC BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 221.25
P.A.R. CORPORATION STATE SURCHARGE(VALUATION) 6.00
P O BOX 383 TOTAL 227.25
ST M[CHAEL, MN 55376-
(612)438-9938 PAID WITH CC# 3229
Minnesota State License#: 20676396
OWNER
NAUGHTON, SEAN P
1368 NORTH ARM DR
MOIJND, MN 55364-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issucd shail be performed according to
thc 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
pemiits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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 l80 days at any time after work has commenced.
The applicant is responsible fo uring a required inspections are
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requested in conformancy�th the State.�uilding Code.This permit may be
revoked t any time,fc�'r�due cause. ��
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App � nt Permitee Signature --�— Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Cit of Orono �� ' � ���
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� Building Permit Application for Maintenance / Renovation � �
(windows, doors, siding, re-roof, etc.)
� Mailing Address: �
Permit number: 02���• (�`d
g,�,�. PO Box 66 �
� Q Crystal Bay, MN 55323-0066 Date received: �
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a � ��; �, Street Address: Received by: '
�,�, t 6'�''" ti 2750 Kelley Parkway �
Plan rewew fee:
r9kESH��`'�G Orono, MN 55356 ��� � A�
— Total Fee: �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �
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This application form must be completed in full and all required information must be submitted. M�
Incomplete applications will be returned. (Please print) �
GENERAL INFORMATION: ��
Job Site Address: !.�j(�� ��;G �' ��� J�vL v�� jJiZ �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �J No �
If 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 �s
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ��`�
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CONTRACTOR/APPLICANT INFORMATION: �"
Name: p. f�.�Z �'�,�z�)� ;��
State License# -, � Expiration Date: "�
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Lead Certification Number: Expiration Date:
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(for work on homes that were constructed prior to 1978
Phone: "7l,3 - ��3�-1?I-7 (office) (cell) �4
Mailing Address: r�C� ��o� 3$s 3 5� City: S;a r�� �C��al� ZIP: �S 37�. '��
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Contact Person: �� A licant is: C t a�c o�i ��/ Homeowner �
� � i�l� (_G. 1.l�,�.�C� PP (Circle One)
Email and/or Fax: ��� - �3 f�'`c t 3� `�
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PROPERTY OWNER INFORMATION:
Name: 1��1-�c•, � �c�a.� SEGc� /� ������-o��
Phone (day): L, ('Z - Z 7 c� C, ? �'��+ �
Address: i�� 4 � �` ,",. �t-y� !t-� ��. � ,IJ.. City: �,�. �,`, �, ZIP: �,
, Email and/or Fax a_;
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PROJECT INFORMATION: �
Type of Project: Any earth movement may require �
❑ Door(s) ❑ Remodel MCWD review&permits: �,'
❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ��
�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
_ ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
�� www.minnehahacreek.orq �
j ❑Window(s)
��i Overall Project Description: �2 F �,y�c,�,,F ��.� ��I�'�c'� t���
Estimated Construction Valuation of Project(excluding land) $ /Z� c�rc� , c�C,
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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 ,t�
,{ are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative ��
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�� 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 mformation which generally canno�be given to the public but can be given to the subject of the �
data. Confidential data is information which generally canrrof�be given to either the public or the subject of the data. Our �
purpose and intended use of this information is to annu�lly update our records�- n'd records of other governmental agencies �
re uired b law. If ou refuse to su I the informati�h,the a lication ma no,t�e issued. ,..�
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�; Applicant's Signature: i" � '�.__-- - Date: ����jl ��
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= Last Updated: 08-09-2011
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DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED .
PERMIT NO.�b!/' D/OS� COMPLETED � 3a -
ADDRESS 13�$ �art�( �rr,.c ,C�r .
OWNER TELEPHONE NO.
CONTRACTOR P� /�• R• C'or,yb�GLto.�.
A DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
e= ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOf<-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWEA HOOK-UP ❑ COMPLAINT
Tv ❑ DEMO-SITE ❑ SEPTIC MAINT. �-FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL i
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: rI6 ��'r-D-�,(' /n,S9���o.� /'eco��s�
a *OLD PERMIT - NO FINAL INSPECTION REQUESTED.
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W� �WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j BEFORE COWEii1NG PERMANENT
❑CORRECTUNSAFECONDITIONWITHItd HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP OROER POSTED.CALL IMSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.C�4LL TO ARRANGE ACCESS.
Ca11 for the next irospection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. __C�i w-- t�
White Copyllnspector's File Canary CopylSite Notice
9 // j TIME �
CITY OF ORONO ALLED IN
INSPECTION N IC pSCHEDULED
PERMIT NO. D �����0 COMPLETED
ADDRESS
OWNER ELEPHONE NO. � — 7��
CONTRACTOR
� DESCRIPTION ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on site:
Inspector. � 1
White Copyllnspector's File Canary Copy/Site Notice