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HomeMy WebLinkAbout1993-005772 - garage addition . PEI�MIT ��� CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 �.i.i��,t`�j;v� Orono, Minnesota 55356-0815 Permit Number: �_�t,_,; ,y (612) 473-7357 Date Issued: 1 :';i �;/'=t:t. SITE ADDRESS: �,:��f.�i i ;�;:;'_:; _'i t=��i 7�; i'� � ;';;_; i — - =;j_t',3-�';:1 ` . ._ . . . . . _ . _. . . _-• - - ---. . DESCRIPTION: S..}I`e�4'i�:iE.: :'IL)I).E I �.#...:l�I s.:.�t.�= 3.f�i�l�� �'�1'?il3.C{'• �'yl='�= j::ii=—�(?i�;�j-�'��'=�l14,'�� G.��.�i E i i i f Ei� S�?t_�����. f y���� !�{��[� i i T t_�F4 �r—rti=�T-?^?�[+._'[.j,t-�:{ T:{=��'� Lslr�.� 411^I' V� Vt�Vlftu �1/�(i�7('�7�j��LL V��j L L jj iJ1JiL�1.,V{fV 1�f {%.i vi*� ��,ifir} 'iL.f�f{!lt.+H�f f � 1J�lY1VVVVY /V1( t7Lltf UL.�V� jj 1i.tLL�VVtVV �, 1�T' -ul V�f✓aV-V i'�..t /°k� f1 $ i '_ 4l! 41� � 16 1�V�tt+J ��'L!'r i��_..f 11��5itlS' iji�� 11L411! ! !JI!!lTJI lVLt !!G�ltVl+V 4L�Y1 lit�i 11V�U'�I�' �j•iFj�"•,it�t � di..t 1Jf luJ REMARKS: FEE SUMMARY: �i�:�_s_��"��"�I�=�h� ��, . _�t_F�_; E��sN ��� ��_�i . i:3�:r , _._ 's��� F��i�i�w ��•4 . �,S '=;�.�rc(-�ar�� ------ �:��.l�.'i� T�3 i.:�], F�,j µ�1_;;�, . r_:� CONTRACTOR: — ����°� }. {::r::���-� — OWNER: iu T i":;t,{',°{ ' j€;_�`����^L :� �;3 3 i '� `'�r��'-a'-�:� �'sttii�'—' ('. � . . 4._�t'i°�� i..:: _3�_ _.�:� I C �.•-�._- - �� • -�3-iLi�=� _�t� ��:. _.;_;r:.�W �7��t�nF°�; F 41t� � f=;,�.t�� .��`�'=:?' �'�' C�:€F; �tIi�It�1F���f=`aiL.I°�: i1��� �;�.�.E_t:=: ����_�tJt�fi� hi,.� ��:�,�,�. i `.`��.:.. . `�P;;�=,_ .. ,_ _. .. " . _.-- ;'G�.�� i �'�� �_!���,1��1-=��'_3G����S i':�=:'.i;�_��` ._._.;_'.. . . _. ` �_ .. _ � i��'�.� � _ i"�.r`t-=3i_ i !� �p_i v.':_S'i��a�. t �_� � _,,...,—.�,7 •- _ .� .�...�;�•z 3 ��,�-,i i ir'•, i 4�f �.� -r�.y � r� N _. .. _ .. . . ._ _:..�.�__. � . � ��-;�•��:r ) t'��) � �-, , .. -i-:-: : �r:,� - - `� '_ i i i t� � :.i;�. ' _ E� ' `- _ I 1�w' �+3� ..,�. _ a i '�'��. :.� '•.� I ��}_(�: 1 !�:(_� .�'e._�r:�'�'_:` sl.;;..; ` j _.�'_::_: ��� �.f`.L. . , �,r`� - -. _. _ ._..... ,-. _�:,s. , ,�'� . .::,-.--.—. -.:.-, _ . _. �t'_� 7 ,...� i_.,_ .. —.-r ; � i_l3a;:_f�'5.�3 1 I_I�":�}i���t ��,z_,T, �..�f�.:� � ;_. : � � � �. ..,��;f!� f�i ��_�l�•'•_11��'•_7 ���_��.�� �``'�s, °.a.. ....s .._.0.�'—� � ° �„� . . . _�. .. . ..._ _ . � !._.. � �{J �r , APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE . � (,�I��� 1z�`�� `'� • � ' CITY OF ORC:70 - BUILDI;IG PER�iIT APPLICATION � motal Fee: 5 r ��� � � Date Received: Date A�oroved: Entered By: ' �o�; `a. �, 7 � � _ AT•T. INFORMATION MIIST BE SIIBMITZ'ED IN FIIL.L BEFORE PI��t REVIEW WILL BS START�D (See C`:eck-c�� �-st �aclosed) ----------------------------------------- ------ �*gE APPLICANT IS: (ci_cle cne) +NER r CGNT�CTOR � �.- � 5"S3� � JOB SITE ADDRSSS: I ��� RP35"r' PO t � NC I�P zzP: (work) `��1� .� �"'C� � �, �l l Y �J PHONE: (hcme) " �/� N� OF OWNER: MAILING ADDR.ESS: � 3�U 11��� POJ� �I �i'P CITY: rn�GL ►V� ZIP: ��� �Yc��- - �a �i '� � ,�l . ��._�.�2� CONTRACTOR s ��V i� G���l�/ C�'� � d � � PHONE: MAILING ADDRESS_ �z�: ZZP: 5--�5�o g ;� OIUa � STATE LICENSE: z PHONE: ARCHI TE CT/E:�GINEER: CITY: ZIP: MAIZING ADARESS: • � REGISTRATION � > NAME: TYPE OF WORR: New Addition� Accessory Structure blove Demo Re.*nodel/Alteration Renovate Land Alteration ' -�-' q y41r-l��i � PROPOSED WORR (describe in detail) : ���1 ( �� � c���/ STO RIES: � SQ. FEET OF E.AC.H ��R= �v NO. OF BEDROOMSs G�R�1GE STALLSs ATT. DET. ESTIMATED CONSTRIICTSON VALIIATION (eacluding land) = $ (�� d Op . OD I hereby apply for a building permit and I ac?cnowledge that the informatior_ above is compl.ete and accurate; that the work will be in conformance wi�h �hT ordinances and codes of the City and with the State Building Code; understand this is not a permit and work is not to start without a permit; anc that the work wiI 1 be in accordance with the approved plan. � C�� DATE: � LJ APPLICANT'S SIGNATIIFtE: CHECR �OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /�yG /�Y^_.e�" �l�i�i-r.� � PID: D"7-�/�'�� �� O O�2./ DESCRIPTION OF WORR: G��C��c.c� � ,�Z�-2� _�-�t� ------------------- - -------------- �I____________________________________ ZONING REVIEW BY: DATE APPROVED: /1' Z 3 ' "�i-3 BIIILDING REVIEW BY: �-�� DATE APPROVED: �!-Z 3 ' S3 FE$S TO BE CHARGED: Misc. Fees Ca�culated By: PERMIT Yes � No PLAN REVIEW Yes�� No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No �� / PARK FEE SAC Yes No // SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------- ZONING CHECR LIST Zoning District: �,�-/� Fire Department: �vnrt� Post Of f ice: ���,,z� School Di strict: �,v es�N�� Lot Area: 2�, 7ao Width: h';� f --�- Depth: Z3 Z�(�'7 Survey Submitted: Yes�_ No Date of Survey: Fl-/7- 93 Proposed Setbacks: , �-t (Lake) : Z�v � Right Side: E 2� � R.�� (Street) : '? ' Lef t Side: 3� Adjacent Structures : �l) �.Z Wetland: /v�*' Bui�ding Height: Def . Hgt. v-���-�- Peak Hgt. Avg. Setback: /'�" ;rf� Lot Coverage: ( Z. 3`�� Existing Proposed Hardcover: 0-75 ' Y. `7 j /, �"�7u 75-250 ' �((U .'�f v7� 3� .� r ° 250-500 ' 500-1000 ' Hardcover Variance Required : Yes_� No Date of Council Approval : �U -(�-�t.� Grading: Staff Approval Date: /(f � By: Council Approval Date: Septic: Staff Approva� Date: /(I Jf}- By: Zoning File: # � ��3 Resolution # : -�S `f7 Resolution Date: %�' �j% �7-3 REMARRS (in house) : BUILDING REVIEW CHECR LIST • ' IIBC: � G�i"� ` I CONSTRUCTION TYPE: _]�.=- Sq Footage $ Per Sq Ftg Basement x = lst F�oor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ �.�� Oc90� Inspections Required: Work Requiring Separate Permits: Site P�umbing Grading/Fi�ling �Footing Mechanica� Fire _�Framing Septic Water Connection �Insu�ation Fireplace Sewer Connection Wa�l Board (Masonry) Lawn Irrigation �c.Fina 1 (Mf g.) Other Other Well (State Permit) ,�C� Electrica]. (State Permit) -------------------------------------------------------------------------------. REMARRS (IN HOIISE) : ------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------- REMARRS (TO BE NOTED ON PERMIT) : � ��- �, =�~y`c. � z�r�., �.._ ��� �i�{'�� �� ��a�l�� � � • Post Office Box 66•Crystal Bay,Minnesota 5a323•MunidpaI Offices -_ � _^ a ' o a. OR the Norih Shore of Lake��finnetonka '"-= DATA PRIVACY ADVISORY In accordance with M.S. 13.04 , Subd•our re1uest for a per it or data", we would like to infor:,1 you that y q license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are noti�ied that: 1. The in�or:nation you furnish will be used to determine yaur qua�ification for the permit or Iicense requested. 2. You may refuse to supp?y data, but refusal. may require that the City deny the permit or Iicense. 3. The information may be snared with other local, s�ate or federal agencies to the extent necessary to process the permit or I.icense. a, Zf your recuested per.nit or Iicense requires Councii ac��or_ to approve, some infor.^.iat�on may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your fulZ name is recuired to process this application or pe�-mit. ����� 7� �t Z .--_JI� �� � - First Midale Las�. 13�E o �e��-�' �o i � �` Ci �cl � Address � m,ac�rV� I'���, n� ss'� 6 - City State Z1P (� I � -- '� �� ' 3�/ 3 Phone I understand my rights as stated above. �z��.,� Signat re �' . BUILD[NG&ZONING—�73-7357 • ADNLVISTRATIOr&FIVANCE—�73-7358 • PUBLIC WORKS —473-7359 ASSESSI�IG �I.3.04 RIGHTS OF SII�JECTS �R DATA � Subcivision L 'ryPe of data. The rights of individu��s on whom the data is stored or to be stored she?1 be as set forth in this section. �n incividual esked to Subd. 2. Information re�quired to be given in�vl�ual. � � L1DD1 rivate or conficentiel data conce:ning him�si�n t� collecti�es�ate agencye s . yP purpose and intended �se of the requested `�t whether he may refuse or is legP11y political subciivision, or statewide system; �b� �own consequence arising from his . required to supoly the requested date; (�) �Y �d (d) the identity of supplying or refusin� to suooly privete or confidentiPl dat8; er ersons or entities autho:ized by s�ate or fed�sekedlto s Dplyoi�Ve���ve data, oth P when an individual is reauirement shal2 not e'ply tv � �g`„� enforcement officer. pursuant to section 13.8.., sL�civision �, The commissioner of revenue mev D18CLV tgX re°und i�t�u�ti��u�teadhot subdivision in the individuE1 income tax or Qro�er on those iorrrts. � - . -- - -� .._.. d 3• Ac� to �� bp ����L Upon request to a resoonsible Sub authorit , an indiyidual shall be informed Wh b�� hPf vateeor confide tlal-e IIP°n h�s y ublic data on individuels, and whether it is classified es p � e to him and, if he desires, shell further request, en individusl who is the subject of stored private or individusls shall be shown the data withou�fan�y t�a. �ter an ind��dual hes been 6 e i n f o r med of the content and meaning the data nesd not be �sclosed to shown the private data snd i n forme d o f i t s m e a n i n S. un�t to t h is sec t i o n i s him for six months thereafter unless a d�SPute or action P n request by endin or additional data on the individuel h�8teeor p blic datarupoeated. The , P g responsible authority s h a l l p r o v i d e �fl P l�The responsible aut hori t y m a y r e q u i r e t h e the individuEl subject of the data- c�rtif and compiling the requesting pe:�son to pay the acLusl costs of maldng, Y�g� copies. y ssible, with any request The responsible authority sha11 cflmPin lmme�at� �f� �te of �he request, made pursuer►t to this subdivisian. or within ��'�y immediate comolianc' is .,not excluding Saturdays, Sundays and legal ossible. If he cannot c�thply �v^ith the reoues� within that time, he she.Il so inform the P have an additional ��e ca� within which to comply with the individual, and may } a S�� �d Iegal holid$ys. request, excluding Sgtu.�y5, Y5 Subd. 4. Procs�se when �ata is not acc�sate or complete. An ��m e3�ff To � ..� or campleteness�of public or private data conc�rning contest the ac...u'a�Y � ���� 5� notify in vv�'iting t�e �O�ble authority exercise this fl��t' eemenL The res���ible authority,shall within 3 0 describing the natcu'e of the disagr' � eithe:-: (8) correct the rata found �b� �e�data�includingreciP�ents nemedtby � notifp past recipients of inscrurate er in P the individual; or (b) notify the individual th�t he believes the data to be correc.. Data in disPute shall b� d:sclased °n1Y �f the individual's statement of disagreement is • included with the c�isciosed da.ta- esled p�rsuant to the ' The determination o,f the r�s����e a t rhelating to contes ed cases. provisions of the adminis�.ative p • . . . . . � ..— �'}�i�Vit� tz-� t,w��t �,�t . � g�aG(�c. = ----'�`�`` ' �-�t.ou�► �-opS°�� 12u Vv�/�0U11�t � � _ i .__,. � � ��,t� , .� ._.._...__..._ _. ._ � � ���n c_qo , u��e� � ���v U� � ;If .I��l� 1,0C�4 �l ��G:� 1�"� Z°v OK�1� � -� f�t� I�" ��' ,, Y,�fi�f1'4z = �y i'�+ G2 i 4 0(� G��16 ' '�� ,� �� G�� �ra,�.t�t, ��u,- �c��� u��,� Q�, U S'" 4��i r��un V 1M � I V�A�W�N� G��- S'fi-�,�,-f-�} 'L�O�J �'fil �v30 {�OG pS! �,uG(��r--. . �� l �.j�,c, �(��Nd whu� ��S��C�C�UGLy, � �V� }�IG,� � � Vv��� ��'�-� � �. hu. cOt�g�J�-r�o�u � �o�►(�w► � lt�S�cu.� , � . �l�wV�t� S��'N �CfA'� G0� h�p B�Sd'" �� D��1'�llfi� �c� � : p(zfi�r��� o� �� 1�}�ia� �-r ��- � : � � � � # � � � �- �, ��4" V�.fi►Gx� ��- -----'— � ---� .---�- . __. _ � + ; f�� q� �+fi��aN�c, `� �V� ��'�o G1�a �e� � ,' �t�. �r Z�u t��= �Utu �t 6�(�'" o� t�� ► ��R6 ��G�J � �' ''� � � ' bl�w�v �a �e01"Wr�,. 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I Y / : �ir,, `'��p4 r � � � �� y rv $�. `�'�, �� � ; � �J p0 ,�`i � �� � � 3 v � �� M � o � � � � . � � � �zu o,c- �'o P Bn�-� ----.> � � --------� ,.�. �. -— ti � : w � � � � 5-��r t��►G�tUb►NM.. ��7�"� �� /"--� • . � , �� o a� r � � � � r-. � � �� � , � �4t}�Cf��'� z��(� �t0 F�� � 0 p ��_�� � 1�-�T Z� D k`�S - _� _�L � �',— �u_._�. � _ . — ...— __ _._.-5 =�-�-�--� -- ---�. _ y � rc.��i`/�a U� �V�1 C� W � �� Ng 4Q� i �N ���v o� Soi� p�R�' Fe�t�� 1 ARCHISTRUCT'URES "�'� �"' ��'�"'�° �°�` �S°° �"�� A-nt''-rm,� ; pg�. 4�su cJ�PA�,�t_ Gocut�lu-���- Y�C;i� F.r�c�p„�{., , ; . ����p��:� : �e�ry�a��.P.�. f� ��S�Q�Bt�� -I� U�11�;1 I3'�ci R����ar� r�i�� t,r�. � Archrt9durar$truCtures �y4Q�1D �jVltiLl l�t �j�i�wllhR� �I L,_ � �1�1AlV�1E�1 dU�}�f� V1�►V � s,z«8�,s iW 1POV�', 14�p�r�� �l�o�t�z `�'o .��'3��r ' 732 Easi 19�57reet ���� l� ,l• �,��!��- AAinneapai:�MN 55+0< �-( S 1 ;�/`�/�3 . . . ,;;,. . . . � � ��`�` � � � �t������-, �:*�1L.DINGi 1T PL,ATd REi/1'�1M► � � t,�vs�e�sr� �p _ aC �. _ �� _�CaTE: � RQ �_...�_.�.�. F�ERM�Y N0. _ _�. _________________. __�__ . . _ .,ti .� _. ._ �� � _ __ __ � � � F,PPRO� " i-? � >����TlONS AS NOTED �._._ ._�_____ -------_.�_.._._�—_.,_.—_---���-{--+�ft�-E- i�r=-�-Y-t--�-�- ', '�yr-��i-�`�'R,4F�---------- �•s� ccmmen'._; :, ti �;� �; irzt�rmation. 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S7 7� COMPLETED � � ADDRESS 3`ya � OWNER ��+Gv-stitaLa- CONTR. TELEPHONE NO. � 7� - 3 3i3 � DESCRIPTION � 01 FOOTING 11 MECHANICALRI '16WELLTESTPUMP 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 0.3 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. P2 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � WORK SATISFACTORY:PFi0CEE0 ❑PROJECT COMPLETE W � CORRECT WORK 8 PROCEED ❑ ISSUE C�RTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FpR REINSPECTION' TEMPORARY V BEFORECO'VERIiVG PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. � pHOTO7AKEN INSPECTOR WILL RE�URN ❑STOP ORDER POSTED.CA�L INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.(�ALL TO ARRANGE ACCESS. Call for the e�tt inspection 24 hours in advance.473-7357 Owner/Con o n 9ite: , Inspector: Whits CopyAnsqsct s File Canary Copy/Sits Notke DATE TIME CITY OF ORONO CALLED IN .lo� ' -y3 /i' ��' am INSPECTION NOTICE SCHEDULED �-�� 3 /n 3� a"� PERMIT NO. S ���' COMPLETED �� �� `��� %J Y� ADDRESS -3� 'Li°� D'��x�- OWNER ��c. -� CONTR. TELEPHONE NO. `�7� ' ? S/ -'� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 0 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 31N ULATION 24/25 WOOD BURN.ER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT ? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � — �iv 5�/G U lL � J O a � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 'W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY 0 BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance:473-7357 OwnerlContract s' ��^'' Inspector. White Copylinspector's File Canary CopylSite Notice ATE TIME CITY OF ORONO CALLED IN � /��9 INSPECTION NOTICE ��,�� SCHEDULED i �b'/9 fC5 : .3b PERMIT NO. connP�ErEo � /U.S`fl ADDRESS �.�Z� � � � OWNER ���_�r���� CONTR. TELEPHONE NO. �7� -� 3 .3 J � DESCRIPTION..�"_e�y/�.� � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION h 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT � 09 PLUMBING RI 15 SEPTIC INSTA�L. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � — C,ovl�S �,�� S a r�"� � � 0 � C.Q c.� ,1 irl A-� /� 5� c..�'� �J � ° C�.x;�-�2, u�2 ,S t�,�--p C��y W � Q � z W � W � J Q��KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. L PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor Qp ' e: Inspector. � White Copyllnspector's File Canary Copy/Site Notice ATE TIME CITY OF ORONO CALLED IN / 9 INSPECTION NOTICE SCHEDULED /�'�3 a PERMIT NO. '12- COMPLETED lf � ADDRESS OWNER C����.r.11� CONTR. ,�o� TELEPHONE NO. � 3l� - / OQ �/ ��.�,�� �d � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 0 LL B . 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT � 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBiNG FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � � �ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;, pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnedContr r o ite: Inspector. � White Copy/lnspector' File Canary CopylSite Notice