HomeMy WebLinkAbout2016-01430 - septic repair - �
CITY OF ORONO * Z 0 1 6 - 0 1 4 3 PJ *
2750 KELLEY PARKWAY DATE ISSUED: 1U15/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2730 RAINEY RD
PIN : 04-117-23-43-0015
LEGAL DESC : TREES TO BE
: LOT 002 BLOCK 002
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SEPTIC(REPAIR)
NOTE: TANK REPLACEMENT
APPLICAi�IT SEPTIC REPAIR 100.00
TOTAL l 00.00
PATNODE BROTHERS INC. Payment(s)
2841 LANDER AVE CREDIT CARD 7103 100.00
ST. MICHEAL,MN 55376-
(612)919-0112
Minnesota State License#: sept-L3843
OWNER
HILLEGASS, JAMES
2730 RAINEY RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and speci6cations,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 l80 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.
�! �l � �.5�
Applicant P itee Signature Date Issued By Sig ture Date
RECEIVED
,'��101�l�` City of Orono FOR CfTY USE ONLY
O `: 2 50 Keley Parkway � ��!U Date Received: / �� ��
' ��V 1
`�,�� � �� Crystal Bay,MN 55323 Permit# oZ C�� �c� � �
Phone:(952)249-4600
��'��.`?xf`�;,��".���� Fax: (952)249-4616 �+����QR�NQ APProved By: �
�J �� . Amount$: I��i �
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l�� CI7Y OF OROND- SEPTIC SYSTEM PERMIT APPI.lCATlON
(All permits must be approved by the On-Site Septic Manager and/or Building Official�
Job Site / 4wner fnformafion:
� .� � ����
Site Address: .�-7.3C� �4� ���'��'�c c� ��/���5 f-/,e ir��E�,7 �?r��: � r', ' ���irc� ��i
�C.e. ,�j �?c�i�C=.
Owner: �ir h C�'I��� ;l/' �. Mailing Address: �;7�� ;�,�„��� t�,,�,� �,�
y. ,:t�ne �t�/-�r th�,
Cit ��'/�c'nU� Zip:
c c��.i�� .
;;
Home Phone: Alternate Phone: ����� �3��� �7��C%`
�,cl,�� ,� ��11J�J���.:, ���
Contractor 1 Appiicant lnformation:
?
ContractoriApp:� l-�c�f�-���t- �i''v�ht'/�•� �?����. Gontact Person: ��ic�c-��'i�� ����r��-!�r�
A�dress: � �V/ �«�n`��'� ��l�c' r2��- State License#: L- �;5'�/��
City: �?}� �'Y1��I�c� �Zip: 5 5:� 7Cr Expiration Date: �-; � � 7 � �-���"`7
Phone: � � �- I� t G �t�---� Altemate Phone:
�____. --- -- _____
. TYPES OF OCCUPANCY
�µ
�'`esidential ❑ Commercial ❑ Other
i`
-- --- -
**ATTENTIO�! APF�LICANT�* I
,
�__ Fiit in all appropriate blanks and check al@ appro:;3r��te baxes. �
Tanks:
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other:
Number of Tanks: `�
S9ze of Tanks: f��;G ��;�..)h�C., l�t' ��e�i�—� /z2'"-�"��f 1��
7—
T_ype of Activity:
❑ Trenches ❑ Mound ❑ !'ressure Bed ❑ Chambers ❑ Holding T�nks
❑ Pre-Treatment ❑ (ather ��r►k. /'P�'f�����r��n�
NtJTE: Provide an As-Built of the system before the fina! inspection.
A 24-HOUR NOTICE IS REQUIRED FOR AL� iNSPECT10A1S.
Page 1
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�} -f� . � �i�4 `�^ S�1� ;."��;ii'P�^ .��q� .����,.,�� .�...;Y '€SS,*` _,.�.�* ',.t.��. � .r�.
New or Replacernent System $400.00
.l�.--
R isting System 100.00 ���
,{ anks r Drainfield)
Total $
The undersigned hereby applies to the City of Orono for issuance of a septic system
installation pen�nit, agrees to do all the work in strict accordance with ordinances of the City
and regulations of the State of Minnesota and certifies that all statements made on this
application are complete, frue and correct.
Signature of Applicant /�-:.. �� Date: //`ly -!Cc
MPCA License�No.: L.���/�u'
Staff Review: � ept ❑ enied
Reviewer: .,`� Date: l� l
Reason for D�nial:
Comments (ta be printed on inspection card):
�.��� `E��. �6E. l�t�;: �G'�IOM�$ �} � �E ,� �: t
1. Applications for septic system permits may be mailed or submitted in person at the City
o�ces; however, permits will not be mailed out. The permit must be picked up in person at
the City offices and work must not begin unless the permit card is on the job site.
*** DO NOT MAIL PAYMENT WITH TH(S APPLICATION ***
2. Permits will be only issued to contractors holding a Minnesota Pollution Contro! Agency
(MPCA) Ssptic System Installers License.
3. AI(work must be done in accordance with the approved septic system design.
4. The following inspections will be reguired for all septic systems:
A. Tank installation prior to covering.
B. Drainfield trench installation prior to cavering. For mounds, inspection is required after
rough up, but prior to sand placement (sand must be jar tested for silt content) and
again during pressure distribution piping installation in the rock bed.
C. Final ir�spection to verify final cover depths and to verify that all pump station (where
requiredj components are functional and comply with codes.
5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present
during all inspections.
Page s
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T4�tS SYSTEM IS DESIGNE CR�SE IN NUMBER
_1.�$EDROOMS. ANY iPl
Ende Septic Service OF SEDROOMS INVAl1DATES THIS DESIGN.
249io Territorial Road, Rogers, MN �53�4--763-42H-44g9 — infonendeseptic.com
SEPTIC COMPLIANCE
�w?����'���� ����
. . ���
Pro�ect: 273o Rainey Rd. Urono, MN 55391
A septic compliance was completed at the abave address and the system is non-
compliant according to the MPCA codes for Chapter�080, and local codes for the City
of Orono in Hennepin County. The system has the following attributes:
Date Home Built: 1993
Bedrooms: 4
Date Septic Built: 1g93
Septic Tank(s): 2-i000 gallon precast septic tanks. Manhole covers buried i8 inches
deep. Inlet and outlet baffles in place.
Pump Tank: �-�000 gallon precast tank, manhole cover to grade. i/2 hp pump, on/off
float and alarm float in working condition.
Soil Treatment: iox5o ft rockbed, i2 inch sandlift, pressure fed mound.
Problems Identif ed:All three septic tanks have lealang risers. Major root intrusion
in first and second tank at tank lid and inlets. Tanks are non-compliant and will need to
be replaced.
Ende Septec Servicc, LLC, bas bc�ea hired to perform a compliaace inspection of your ISTS for
compliance with local ordinances pursuant to Minn.State. Sec. 155.55(2Q10). The compliance inspection
covers only the criteria required by Minn.Stat Sec. 155.55,Subd. Sa (2010 and Minn. lL 7080.1540
(2011). A Compliance inspection is a snapshot in tinne of your septic system and does nat warrsnt the
condition or longevity of your septic system. Ende Septic Service,LLC,disclaims �ny use of the
compliance inspection beyond determining SSTS compliance pursuant tv Minn.Stst. Sec. 155.55(2010).
Sincerety,
. CITY OF ORONO
�s- SF,PTIC PE IT PL���R_ �y�/IEW
iNSPECT R ,�„_`�
Tristan Ende DAT PERMIT NO. �� " D�[l�23
rre vrn As s�;B�1(?TED
8 AAPROVF.D 1VITH CORRFCT(ONS AS Iv'O'CED
TOT APPROVED-C()RKECT dc RBSUBMIT
Thcsc commcnts are li�r your information. AU work sha11 be done
in full compliunce�vith:�il upplicable septic and�uning cacle.
Rrn,uiremcnts including items not specii'icn(ly noicd in iliis revirw.
KI:C-P THIS('LAK SF.T Ol�5l'i'E AT ALL Tl�Y1GS
�
�
�� .
� Mi�nesota Po��ution ` `'r� Compliance Inspection Form
Control Agency
520 Latayette Road North ��sting Subsurface Sewage Treatment Systems (SSTS)
S�Paul,MN 55155-4194 Doc Tjpe:Cqmplienc;e snd Enloroemen!
_ . _. _....____ _ ._ __
InspeCtion roSu1t8 based on Minnesota Pollutbn Control Age►�cy(MPCA) For local tradcing purposes:
requirements and attached forms-additional locai requinements mey also appiy.
Submit completed fortn to Local Unit of Government(LUG)a�d syaeem owner
within 15 days '
$�/StEfit $tatUS
System sta�s on dabe(mm/dd/yyyy): 10117l2016 _
❑ Compiiant—Ce�tificate of Compliance � Noncompiiant— Notice of Noncompliance
(Valid for 3 years fiom repoR date,uMess shorfer dme (See Upgrade Requirements on pege 3.)
frame oudined in Loca/ONinance.)
Reason(s)far noncompliance(check all appticabie)
❑Impad on Public Heatth(Compliance Component�1)-Imminent fhr�al to public health and safety
❑Other Compliance Conditions(Compliance Companent#3)-Imminent threat to publ�c hea/th and safety
�Tank Integrity(Comp6ance Component�2)-Failing to protect gr�undwater
❑Other Complianoe Conditions(Compiiance Componer►t�.?)-Faiting to protect gioundwater
❑Sal Separation(Canp/iance Component#4)-Failing to profect groundwater
❑Operating permit/monitoring plan requiremenis(Complianc.e Component!.5)-Nor►cbmpliant
Property Information Parcel ID#or SeclTwp/Range: _04-117-23-43-0015 .____ _
- -
Property address: 2730 Rainey Rd•Orono,MN _ Reason for inspection: Property_Transfer
_ __ _ __ _
Property aNmer. Poterttial Bu�Rich Dellinger __ Owne�s phone: 608-332-7050
_ _ _ _ _ __ ___ _ _ _ __._ .
or
OMmer's represeniaiive: ____ _. __. _ _ -- -- Representative phone:
Local r�egulatay auNiority: City oi Orono Regutatay authority phorre: 952-249-4625 _
_ _ __.
Brief system desaription: 2-1000�allon tanks and a t000gallon pum�tank to a pressure fed_mound
. _ _ _ _ _ ___ _--- ..---
CommeMs or recommendatians:
Certification
f heieby cefify diat ell the rrecessary information has been gatheied lo detemiu►e the oompliance status o/this system. Mo
detemdnation of futu�e system perfom►ance has been nor can be made due b unknown corrditions during system carr�on,
possiWe abuse ol tt►e system, inadequate maintenance, or future water usage.
Inspector name: Tristan Ende _ Certification number. C9206
_ _-- _ __ .___ __-- _____.
Business name: Ende tic Servioe License number. L2654
_ - ----1.. . .._____-�--- __._________.._. __. ._...__.______._.__. _---.____..
t►►spec;lorsignature: ''�.�_ Phone number. 763-428-4489
Necessary or Lxally Required Attachmenis
�Soil boring logs �System/As-built drawing ❑ Forms per local ordinance
❑Other i�orrnation(list):
-- -- — — -�_—._. _____ _ - _ _ --- - _ _ _ -- - - -
www.pca.state.mn.us • 651-296-6300 • 80a-657-36M • TTY 651-282-5332 or 800-657-3864 • Avaitabte in altemative famats
wq•wwists�f-3fb • b/4/14 Page 1 of 3
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PropeR�►addresa: 27�30 Rairroy Rd.Orono,MN ---._.. tnspector initielslDabe:. � 10/47/1018
f+�YY!'Y!
1. 1 rpact on Rublfc Health—Cornp�ianoe oorrrponent#1 of 3
ComMiar+o�ari�s�ia: . . verMlcaelon meltwd(s):
9�em d�r�a a�ge�o,l�e a Yes �No a s�d�ea 4or s�ufaoe«,riec
g���• _-.. _..— �SearGhed for aeepinp in yardlbadu�p in horrre
$yslem di�a�sewa�e�o drs�n ❑Y�s �No ❑E�ossshre ponding in soru systemlD-bo�oes
tIe or saktoe a►eters. _. ❑Homeo�wner testimotty lsse Glornrtaenta/F�cpfarretion)
$ystem causes sewege bedap irsto ' ❑Yss �Nc ❑"Bfack soN'abo�re so�dtspersal sYs�sm
dw�eNing a eatab�shmer�t. . ❑�+re�s b��"9�Y P���9
Any"�ea"�swe�r�bove fndi�ai�as�e ❑�dye eeec
sysMn!IS elt Nnminerrt�er�t to pub!!c p l�e to ve�rY lsee 1
hv�Mh and aa�ety. _.. �otl�er meu�ods not Nstea rse.
Comme�lExNlan�tlon:
2. Tank Integlrity--Comp�arwe companent#2 of 5
Compli�nos chbNa: . V�riflcatia�nwtlwd(s�:
System oonsiats of s seepape Pit. ❑Yes �No ❑Probed tsr�lc(s}bot60m
oesspool,dryw�eY.or IeadMnp pit. ❑�xatnirred oonslct�ia�n reoor+ds
3�pe�e P�a�7oe0 236o rr,�y be ❑Exami�ed Tank Inte�y Form(Af%h)
M aNrnred b�lood ordfner�oa.
seyrag�t�dc(e)leak beloM►u� �Yes p No ❑ob�rved Nqutd le�el beloM►�ne deplf►
��oP�B d�• �Exarr�irbd empty(PumPe��Sts)
If Yos.whioh se+�ge tank(s)teaks: �Prnb�d oe�lside tank(sj�'�ladc sdi'
My`�"a�swer abov�e�riaicai+es the ❑unaae�verirr(see vo�n�c�)
8y�m�i f��6fg!hD p�0t�9Ct�I+OfMdN►at� ❑Other melhods rwt Ns1ed{See ' )
CommanblF#planatlon:
majar rod intr�uaion�ro�gl►t�lc Nds.ri�s ar�d Mlets of tardcs.
3. Other Cormpliance Cortditions—compii�noe oomponei,t#3 ot 5
,
s. AAeintenanoe hole oanrens e�e dan�aged,cxac�ced,uneeaur+ed,ar appear io be str»chualy ursound. ❑Yes• �No p lM1u+oMm
b. Otlier'isaues(aledr�caf�e�b�rrr�edrelelY and ad�reraeh►irtipact PubMc healEh a�. ❑Yes" �No ❑lhimown
'S�ae�rrr�ls�n 6�Mn�ntUM�atf�pvblNe MM�a�dsslb[�►.
��.
c- S]►a�en�is ran-P�e of 9round vrapi�for clhs�oo�ons�d�wmined bY i�pocEor• ❑rer ��+o
'Syaean 1s IJ�A�riq b�ProOsct grou�er.
E�cptaln;
www.Pca.staoe.mn.us • �,�-z914-6300 : eoo-bsr-3�6�s • m 6s�-ZSZ-s33z or soo-6sT-3�bt • �railab�e 1n atGemache ronnats
wq-wwists�-31b � 6/4!i�t Page 2 oJ 3
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Pr�operly sddness: 2730 RaineY Rd.Ororq___�_MN_ Ir�spec�or ini�Da�e: � 1 QIT2016 •---
(�+�N!'YYI
�. Soil Separallon—Compliance caompor�ent#4 of 5
DaEe of im�tallatlon: 111�189:i ❑unknown VerlflcaRlo�n�tlwd�s�: '—
(m� Soi�observation does not exp�r+a.Pr�Nous sal
�� Ar°�O�O°d�+'a° �Yes �No obse�vedoRs bY iw�n Tindepe�nderM Partiea aro sufide�t
r�ue�ss si�e carx�itlons hev�been a�red orlacal
Compli#n�x crlterfa• req�iler►�ents d�ler.
F�systgrt�s bu�7t prror ib I�pril t, 1986,and �Yea ❑No �Condu�ted soil observation(s)lAnad,ba�n9�e�J
rrot bca6ad�n Shoro�nd o�NAs1�ad ❑Two p�evious veri�ons(At�ac�►,bo►b,q bpsl
Pnol�ecElon Naa or ncuF servs�g a lfood,
beHe►sge or bd�p�: ❑Not applicabls(FJo�c�tny tank(�L no drsb��d1
Orainfieid has at least a iwo-ioot vertical ❑Unable to ren7p f5ea � 1
sep�rauor+distanoe tr�om pierio�iCaly ❑other(see ' )
s�ed aoil or bsdrodc.
Nar-pe�lbrmar�cs s�sle�».t l,w�C April l� ❑Yes ❑No Comm�zp�flon:
1996,orraterorlbrr�orrperlb�r►tence
sy�[Srns bcared in Shoreland w illAelfhead
Pro�scbion Areas ar�a I�ond.
be�reiag�e�orlbdgi�g es[abNs�wnent:
Wafrdisfd t�as a tlsee�ot v�er6eal
separa�lon�stanoe inom p�Y�r
se�p�ted soil or bedrod�.'
Ezpe�fn�tad: 'Olhe/',or •Peifio�rr�ence° p Y� ❑No Indica�e or elevalions
sya�ns�ta�derpre-2006 RWe�7ype 1V
or V syat�en�a bue�t�mder ZOOB Ru�es(70�0. A. B�oltom d die�uqon rt�ia 12
23b0 o�r 7080.2400 (Aduanoed Mapecfor
Lioe�nse require� 8. Pe►iod�s�u�d soiYbed�odc 12'
Drairnield meets 1he designed�I
r�aration dishnoe tr+orn psriodc�tly �C,..5-�--"-... 2�
saWr'ated soil or bodvod�.
__ D. R�equhsd t�onn,pl,i�nos • 24"
�illy`�!O"�i�O�ne i/N�CBte�s t/�e sy�tA�ll fs ���ed�oed uP t�1 S penoeM lf�by Local
fall�rtg tn proiect grioundwat+er:
5. 4perat�ng P+armit and Nitrogen �--Cornpt�ance component#�a�5 �trat�ppucaMe
�s u,e sys�em operated unaer en operarn,g Permirr ❑Yes ❑r�o IF"yes",A tisiar is rsquk.a
Is the sya�em reQ�dred b emplo�l a Nftrogsn BMP? ❑Yes ❑No If'�S"�B bNow is ret�uired
BAi�a Be�st Aler�a�rnerit Pyad�.ie(a)s�aet�Fe�d lr►�►+�s a1"a�r»d�n
�Yltl�W�Q�ai�������YW6��W��i�.
Com I�lanoe Crlbe�a
a. Operetln8 Permk number:
Fiev�e the O P�mil been met? ❑Yes ❑No
b. Is the required ' en 81�AP in ace and tunc�ion ? Yes No
Any"no�answpr&�ircaiiea Nan�ontpkanc�
�PO���b lM�n.Sfet§41�56y1 M imn�nent E1�et�o p�eD6ic lrealt�snd sal�b'R�1��W�'�d�P�d ar i�use
�oordiir�ued wihfn sen mond►s d�ot dd�Ts r�oeics a wi�/Un a aho►tsrPe►bd!f requ'ssd bY br.a�l adr�enoo.If fbs�ye�r►i�s faRi�p Ib proMact
aound+va�er,the�m�mt bs�+p�a►adbe,+.�ptaoed,or7ts ws dl�oonttr�nsd w,ad�k,rhe wne reqeaibed y►,�oar o�nena.A►en.xis�ng aya�m►
/s not 1i�llr�as db5ned h lap,�d Aas at li�esf 1w�0 ii�et dd9alpn soR�ap�sri�ai tl�sn the sys�err�nssd n�be�grsdbd.�peied�sP�eced ar
/ls we�oonEfrxre4�anp JOCa/ordfner►ae fbAt ls n10na serkl. ]7Xs pr�vfsfo�d0A8 I�Ot�ppiy to ay8�ma A'1�hore�+d erea�
WS�+sed PYo�on Me�es,o►tliae!used/n ow►�rMOGort wi�h Ibod,bs�.s�d lo�Eng�as dlslA��d ln lerv.
www.pta.stateann.us � 651-296-6300 •__ a00-657-3864 • TIY 651-262-5332 or lOO�bb7-3Q64 • AvaRab6e in atternath►e famats
w�wwfsW-31b • 6M/fI Aa�e 3 oj3
F�eld Copy Soil Prnfile Description t.��tea: ira�io
n�n compi�t�: �o���n� o�ryAdoa#: �i �d 3�2
__ Compkt�i By : Ende Septic Service Equipmcat: Bucket Auger
ClieIIt/Plb�ect: 2730 RSiriCy Rd.O[+ori0,MN Ll�dting LIIy�C: 12"
.�
Laudacape poait�on : Vegitstlon • Grass . �
.
Mapped eo�l tS►pe: Till ---- Weather: Sunay
t�br�rv�laur�:1 or Alter�tarte Sit� Elar�allen:
�orizo�
Se�f Ts�t� Mstrbc Cobr Rod�=ta�tarr�a �i6a Gr� Comist�ix
4-6 Loam 10YR3J2 91ock Moderate Friable
6 to 12 Cla Loam 10YR4/4 Bbcky St�on Friable
12 to 18 Cla Loam 10YR4/6 SYRS/8 Blocky Stro Friable
O�r►�oK#:2 or Al�ernote Sl�t ElevarloR:
Har�on
Se�t T�tore M�tsiz C.etor Re�c fest�rp Slt� Gr�e C���
0-9 Loam iflYR3./3 B}ocky Moderate Frlabta
9 to 13 C Loam 10YR4/4 Block S Frl�b�e
13 to 18 Cla Loam 1�YR4/S aYR5J8 Blxky Stron Frlable
�
: Ende Septic Servlce,LLC,24910 Territoriai Ros�d,Rogerr,MN 55374
P}ro�e:(763)428-�489 info@endeseptic.com www.endese�tic.com
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�F �: City of Orono Septic Asbuilt Form
!,�'rES H 0��,
Address 2 7 c� r,� C F' w - Building Use �p N��C
Installer �-: , . (� License # � 3$ �-( �Date �—�G—/ 7
Septic Tanks L � ���;�;c, ���/Ic n Pump Tank � <
System Type ❑I �II ❑III � ound ❑Trenches ❑Pressure Bed ❑Othe�•
Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent
structure. Show location of drop boxes and length of trenches.
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� � C .�' DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED �f���� _'���'
PERMtT NO. :=�r:I(,-- l✓�`_� COMPLET�
ADDRESS �� .� - �- �
OWNER �` � �� ELEPHONE NO.� �/rr��Z�l�
CONTRACTOR �. �!"�� _� .��E' 7`�.
1 DESCRIPTION f�_ `�������� �
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO �
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL ���
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑,�E,�PTIC INSTALL
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W K SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
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0 ❑CORRECT YMORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORE CdVERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REf]UIRED.CALL TO ARRANGE ACCESS.
CaM for the next inspection 24 hours in advance. (952) 249-4600
on site:
inspactor:
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DATE TIME ✓
CITY OF ORONO cnLLED IN �����T� �
INSPECTION NOTICE scHEouLED ' �,����
PERMITNO. r�� �� COMPLEfED i�
ADDRESS � �� �' < -�C_,�. �
OWNER TELEPHONE O. � "�L��
CONTRACTOR ������ � � �
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� DESCRIPTION . �� _ ��-�=��&�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑��E TIC INSTALL
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� COMMENTS:
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0 ❑CORRECTNfORK�LL FOR REtNSPECTION TEMPORARY
V BEFORECONERIN(i PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR Wllll RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caq br the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContraclor on site: '
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Inspector: - �.�_...,.� � ...1
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WMte CopYAnspector's File Canary CopylSib Noda
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PERMIT NO. COMPLETED
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OWNER TELEPHQNC-�1�0. y�'�` � ���
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'' DESCRIPTION
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� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL '
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ �PTIC INSTALL
i dWNENCONTRACTOR TO MEET Y�OIl: Y ' 1fES_NO
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W ❑YMORK SATISFACTORY:PFiOCEED ECT COMPLETE
� p CORRECT WORK a PROCEED O� E CERTIFICATE OF OCCUPANCY
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0 ❑OORRECT WORIC,CALL FOR REINSPECTION TEMPOfiARY
V BEFORECdVERINd PERMANENT
❑CORRECT UNSAFE OONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR MIILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANf3E ACCESS.
CaM for the next Inspection 24 hours in advance. (952) 249-48�0
OwnerlContra site:
inspector: �
Whit�CoDYAnsprotoPs FIN C�n�ry Cop�rfBM�Notle�