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Home My WebLink About2013-00529 - addn/remodel/repair Y i CITY OF ORONO * Z 0 1 3 - 0 0 5 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2280 SHADOWOOD DR PIN : 27-118-23-32-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 100,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) ADDITION APPLICANT pERMIT FEE SCHEDULE 1,056.75 SCHRADER&COMPANIES STATE SURCHARGE(VALUATION) 50.00 4725 EXCELSIOR BLVD#300 ST LOUIS PARK,MN 55416- TOTAL 1,106.75 (952)465-3582 Minnesota State License#: BC592473 OWNER BEST, WILLIAM&TEDDE 2280 SHADOWOOD DR LONG LAKE, MN 55356- AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 sepazate 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 I80 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 aze reque ted n conformance with the State Building Code.This permit may be rev any t e for due cause. �i� i � l i< A ic t Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,. . �Q�� aw �?��`'1 " / � �-� �-� City of Orono C�" � � � ? `� 1 � �(P. �c�,� Building Permit Application � �- �c�-�3 for New Structures or Additions Mailing Address: �i3^ Z ;�(�A,�� PO Box 66 Permit number: / `v0 \\ Crystal Bay,MN 55323-0066 Date received: —( �— �� r � Received b � Sireet Address:� Y= I�� ,�j 2750 Kelley Parkway Plan review fee: �� $ � � �� Orono,MN 55356 — ��kFSHo�� Main: 952-259-4600 Total Fee: ��— �� —"� Fax: 952-249-4616 This apptication form must be completed in full and all required information must be submitted. I�complete applications will be retumed. (Please print) GENERAL INFORMATION: tC / Job Site Address: Z.Z$0 s�l7d(i1d0D0 �/L . LeNG �/Q�,'g; �� 7 J,3,5�0 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No lf yes,a special event permit is requiied with Police Department and City Councif approva160 days prioi to the event. Shuttle bus service wi8 be required unless applicant demonstrates sufficient on-site parking rs avaifable. Non-permitted events will not be aftowed. CONTRACTOR/APPLICANT INFORMATION: Name: C C'IL O l�/'�Nl�s State License# �G�j 92�7?J Expiration Date: � Phone: cell • � office ' 3sa2 Mailing Address: 2S �L LS I D �V10 �3d Cit : ZIP: Contact Person: QQppy �H��p Applicant is: on rac / Homeowner (Circle One) Email and/or Fax: �{2pDY o $G H R�1�Cd1Z'1I�AN/i!S. Gd i'YI PROPERTY OWNER INFORMATION: Name: $�L L (;�'S7 Phone (day): Address: ZZ,gs S�'�1�Ibb/pa{J Dtft.• City: �^la �./4jL� ZIP: SS3s( Email and/or Fax (.�Ls'Sfi A'� Sf-�er�[)eGTD R . CbM�I ARCHITECT/ENGINEER INFORMATION: Name: ��N�f Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction Q�Single Family with �j Residence �$Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer ❑Accessory Building ❑ Single Fam�1y with ❑Deck ❑Relocation detached garage ❑�ce/Commercial �Private Sewer ❑Other: (specify) ❑Multiple Family!Condo ❑Warehouse ❑Public ❑Storage �J Public Water kkAny earth movement may require ❑Commercial ❑Other(specify} MCWD review 8 permits. ❑Industrial ❑Private Well Minnehaha Creek Watershed Distrid(MCWD) ❑Other.(spec'rfy) 18202 Minnetonka BNd Deephaven,MN 55391 Phone: 952-471-059D Fax: 952-471-0682 www.minnehahacreek.o Estimated Construction Valuation (exduding land) � �00� �00, � Packet Last Updated: 04/19/2013 Page 22 ot 23 STRUCTURE INFORMATION: � 1.Structure Dimenslons 1,3tructure�imensions(contlnued) 2.Type of ConstrucQon ' i 1 ; a.Lenglh(fl.)= �_ Number ot bedrooms=�1Cl�f� ood/Frame ? b.Widlh(ft.)= � Number ot garege stalls: ❑Masonry i Areas in sauare feet AUached= 3��S T C❑Metal � ❑Pole Bldg. ' c.Basement= /V� Detached= � ��' sT ��C� d.1�Story = f11'�'�' � ❑On-site Prefab e.2nd Story= N ❑Off-site Prefab f. '/:Story = � � ❑Olher(ptease speaty): g.7otai Area= i REQUIRED SUBMITTALS: � All of the information must be submttted in order for our a lication to be rocessed: � Not ' Enctoaed A Iicable � ❑ Permit ication jJ ❑ Pro osed Buildin Plans ❑ MN Slate Ener Code Calculations and Mechanical Code Re uirements Form i � ❑ Surve meetin all re uirements ❑ ,.S Stormwater PoHu6pn Preventbn Plan j .� ❑ Hardcover Calculatlon s � ❑ Se tic S stem S(te Evalualion R ort ' ❑ Access Permit � ❑ WeQand BuBer lm rovement Plan i ❑ fi.' En Inaered Plans/or Retainin Walis 4 feet or above ' � ❑ Minnehahe Creek Watershed DlstdG Pertnit s I � O f'lan Review Fee � ' ❑ ❑ Olher, t i � APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provlde afl informallon requlred or requested by lhe Building Reparlment; • Agrees to pay lhe City of Orono for englnaering consultant review costs in excess of;500; i . Certifies that the Information supplied is irue and correct tA�e best of hislher knowledge. The appticant recognlzes that they � are solely responsible tor submitting a complele epplicailon being aware that upon fallure to do so,the staff has no altemative � but Io reject it untll(t Is complete; : ! • Acknowledges Ihe Escrow Agreement Is completed and sfgned; j • Understands some or all of lhe information Ihat you are asked to provlde on tlus appYcalion is classifled by State law as eflher � private or confldenlial. Private data(s IntormaUon which generatly cennot be given to lhe publfc bat cen be given to the subJect � of lhe data. Confidentiai dete is Iniormatfon which generaily cennot be given lo etlher the public or lhe subject oi the data. Our t purpose and intended use of this information is to annually npdate our records and records of olher govemmanlal agencies � required by law. If you retuse to supply the intocmatfon,the applicafion may not be issued. I � • Agrees thet in the event that weather or other condltions prevenl the completion of an as�ulk aurvey at the Hme the ' Certtficate of Occupency Is requested,a temporary Certfficute oi bccupancy may be leeued upon receipt of e 510,000 escrow to encura compietion af the as-buflt sunrey and a11 site Improvemante. �-- Applicant's Sfgnature: Y ^ 1 Date: �"��Z /� Owner s Signature: �� v • Date: _ O�8 (3 Packel Lasl Updated.• 04H9/2013 � ' Page 23 0(23 � F � I i i I I , �� i ' City of Orono ��oNo Hardcover Calculation Worksheet � Property Address: u� 5�� n � y� ti `'KEs}a�a``� Prepared by: �i.1�7�'�-�4'�9K— 3 Go• Date: ( /g �3 Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5 Step 1: EXISTING HARDCOVER In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item(Describe) Length x Width Total Surve S uare Feet (Exampl (Garage) (24'x 30') (720 S.F.) e A l.�,s �` S.F. B r2. d r b GD S.F. C OX p0 S.F. D SO X 3 S.F. E ' S'r'Da � S.F. F S.F. G �c O S.F. H S.F. I S.F. J S.F. K S.F. L S.F. M S.F. N S.F. O S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Existin Hardcover j� S.F. Excludable Hardcover See Ci Code Sec 78-1684 : S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover �-- S.F. 3 Net Existin Hardcover Subtract line 2 from line 1 O S.F. 4 Total Lot Area 1 S.F. Existing Hardcover Percentage [(3)=(4)] /� O$ °/a (Proposed Hardcover next page) Packet Last Updated: 04/19/2013 Page 14 of 23 ' City of Orono ��on�o Hardcover Calculation Worksheet Property Address: �Z�� S �� ^ c `�'rESHUQ'� Prepared by: \y ��. Date: (� ' � 1 Stormwater Quality Overlay District Tier: (Circle one) ier 1 ier 2 Tier 3 Tier 4 Tier 5 Step 2: PROPOSED HARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item(Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. A O� X S.F. B C� 2.8 x S.F. � /L v x 0 s.F. � D�C S.F. E ✓r S � S.F. F D S.F. G O O S.F. H D . S.F. � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. � S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Pro osed Hardcover S.F. Excludable Hardcover See Ci Code Sec 78-1684 : � K S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover �{ S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 S.F. 4 Total Lot Area S.F. Proposed Hardcover Percentage [(3)=(4)] �d % Packet Last Updated: 04/19/2013 • Page 15 of 23 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: � � '-� �`� ��-�A �� -~`�� ,�l�l NV Vo V� � a Description of work: ��,�� '�' � � �. - .-> Septic review by: ��' Date Approved: �`�C� ( -� Zoning review by: Date Approved: � �� ;L� Building review by: � - �.-- Date Approved: - b � f 3 � ��S i� Grading review by: .r� Date Approved: Zoning District: Zoning File#: Reso #: Reso Date: ��. �kF�EtP>rC��G ;E �t�'tt � � ,� Q •�';�ri�1-,�' Zoning: Lot Area: �� SF/AC � Width: Lot Coverage: � � � '. SF _% Survey Submitted: j�"Yes � No Date of Survey: � � � � �..� Revised date(?): / Proposed Setbacks: Front(Lake) Rear(Street) ( N S E t W� ( N S E W ) Other Buildings Wetland Side - Side �dy 1 ��' ��' � � ' ( Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: " The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. � � If you have a... • GABLE OR HIPPED R�O�(no . GABLE OR HIPPED ROOF(no windows): Subtracth�7f the windows): Subtract half the distance distance between fhe highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. %' ' mansard,etc:No subtraction. ADDITION Add the distance beriveen the top of slab SUBTRACTION Subtract the distance between the (BAS�D ON and the highest existing grade adjacent to (BASED ON EXISTING basemenVcrawl space floor and the EXI TING the foundation. GRADES) highest existing grade adjacent to the DES foundation OR 10 feet(whichever is less). QUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff ,� � Yes 0 No N/A ' 0 Yes � No � Yes ,d No 0 Yes � No �Y'N/A ,/ Permit Number: / Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover ❑ Yes No 0 Yes p� No ! `, Type�S�: Type�S�: , � ' 1 � Updated: January 2013 v:\forms�plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit :/ Plan Review � State Surcharge " �� Investigation Fee SAC—Number of SAC Units Other(specify) � S uare Foota e $ er S uare Foota e Basement X = $ 1S�Floor X = � 2nd Floo� X = $ , Garage X = $ Estimated Construction Value: $ � 0 0,��G °s Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �lumbing 0 Grading / Filling � Well � Hardcover Removal Mechanical � Fire ,0"`Electrical Footing 0 Septic � Water Connection � Poured Wall ❑ Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing 0 Other(specify) �nsulation � As-Built Survey � Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx �I ��`�!� DATE TIME �, CITY O RONO � GALLED IN "'� � INSPECTION TICE SCHEDULED J��.3 PERMIT NO. I �-so� � MPLET D ADDRESS � O G� OWNER TELEPHO NO. - �d ��3 CONTRACTOR � q �- . � GL � DESCRIPTION � , � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEiLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAFD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a j . �7 � a -�-�✓!� '' OI� �O �? � - 0 � W � Q � 2 W � W � � d � ��A�19RK'31kTISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on s'te: Inspector. White Copyllnspector's File Canary CopylSite Notice G � � DATE TIME ✓ CITY OF ORONO CALLED IN $�,�-l3 INSPECTION NOTICE SCHEDULED ��,�� ' PERMITNO.r�I�- �OS�S OMPIETED T- ADDRESS -�� OWNER T EPHONE NO;��-$�� CONTRACTO `� � �� DESCRIPTION � `�V�� "'�'�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � ^ `� - DI ' 7.S% � W a � J O p� 1�1��'-�-� ;�Q d �i�.J` � �V'�� 'A�-��,5 �-' Q � �e t -- � p �• z � t,,,J� A-�i � f� r� 'r �n.�ll �A � SATISFACTORY:PROCEED �� ❑ PROJECTCOMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTIOM1I TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. / 1��;� Whfte Copyllnspector's File ` Canary CopylSite Notice �� DATE TIME � CITY OF ORONO CALLED IN �� -`/ -�,� INSPECTION NOTIC SCHEDULED —`—� �� PERMIT NO - v� COMPLETED ADDRESS �� Gf�d OO � �G //`�. OWNER T LE ONE NO��- �`Q�� CONTRACTOR r `J� >; DESCRIPTION C�� - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREN✓ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J �/l.S CJ � Ar'�"�C3 l� � � 0 a � ° � -f-� -�-� fi TS 2 W � �` Ke�� z--� c'C � Q z —{ � + � W � W � � d W� �j(VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O•CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � �ORRECT WORK,CALL FOR REI PECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on sit Inspector. l 1� White Copyllnspector's File Canary Copy/Site Notice G �� ..�� -✓ DATE TIME � � ITY OF ORONO CALLED IN � � •S _'� �� INSPECTION NOTICE SCHEDUI.ED `t,f�-4-f i� �� PERMIT NO.--�1`l� �:� �,.��I COMPLETED ADDRESS ��•� �L �,I Ys��` �`C'��c� l�i� : OWNER TELEPHONE NO. ��a ��c ��c�3 CONTRACTOR •C�,��t°�� b • � DESCRIPTION �C'TIIU '� �Cf T�.�� ly ❑ FOOTING ❑ PLUMBING FINA�=� �(}-� ❑ EXCAV/GRADING/FILLING QO POURED WALL ❑ MECHANICAL RI C�� `�-` ❑ �AKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL �/Z� ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE � ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:_YES NO c�.� COMMENTS: � W a � J O �. o� O k W � Q � 2 W � W 2 J d W� �ORKSATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WI7HIN HOURS. � pHOTO TAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 "ontractor on site: �� White Copyllnspector's File Canary CopylSite Notice e� TE TIME �/ CITY OF ORONO CALLED IN INSPECTION N HEDULED p?- � PERMIT NO. �Sa,�MPLEfED ADDRESS OWNER TELEP NE NO. a��`v��y3 CONTRACTOR ry � DESCRIPTION ��L(�' �GrG�I �4Y1 � ❑ FOOTING �UMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ M�HANICAL RI ❑ IAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL p HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNDATION/REMOVAL ? OYYNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � j � O �. � O W � � Q � 2 � w � j d W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT 1NORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 24 hours in advance. (g52) 249 600 OwnerlContractor on site: Inspector: White Copyllnspector's File Cenary CopylSke Notke