HomeMy WebLinkAbout2002-P05405 - addn/remodel/repair ' ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05405
Crystal Bay, Minnesota 55323 PeCCTIIt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: 8i2i2oo2
SITE ADDRESS: 2675 Shadywood Rd
Excelsior,MN55331
P I D: 21-117-23-24-0053
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Iviecnanicai niectricai�siate�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 923.75 Valuation: $ 90,000.00
Plan Review Fee: $ 600.53
State Surcharge Fee: $ 45.50
TOTAL FEE: $ 1,569J8
APPLICANT: Owner/Self OWNER: Gary E Hogenes
� 2675 Shadywood Rd
Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
l •
� ' �-,��:--�� -f�77��1�_ r'�l�
1 �
APP C RMITEESIGNATUR[ ISSUEDBYSIGNATURE
Copies: 1-File(Sienitures Required), 1-Anplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
f (� � .�
Total Fee: $ ���-1 '� ;� Date Received: �1�� J� ���i�j
Entered By: '}� l> ��� �( � ��i ��� '�Permit#: 1� /C�,�
�
�`
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
ZE�`t 5
JOB SITE ADDRESS: � 54�,�4d Y����- ZIP:
6�z- !d3 -z� �7
NAME OF OWNER: �if' /.5Al� i,.�i�1 PHONE: (home)_�-�170
��S (work)
MAILING ADDRESS: � �/ � CITY: j�i�li20' ZIP:
CONTRACTOR: Q��i PHONE: �/t- 9�!? Zd�
CONTACT PERSON. .y MOBILE/PAGER: �,iZ- 6 � 7
MAILING ADDRESS: 5 ,A�/CITY: ��7 ZIP:
STATE LICENSE: # ��
�'..�.�s 73y �N� �s����-.�z.
ARCHITECT/ENGINEER: PHONE: 9J 2` q-�S'���
MAILING ADDRES : /S3a CITY: �jX� ZIP: �`"S�
NAME: ,4� REGISTRATION#
TYPE OF WORK: N�w Addition�_ Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�: �►c!f���,c/ ����� !���'�
STORIES: �_ SQ. FEET OF EACH FLOOR: ?j�v 5 GtJ� 1�0�(
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�J
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 90_ pAll
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that th� work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not permit and work is not to start without a
permit; and that the work will be in ac ance wi the approved plan.
APPLICANT'S SIGNATURE: DATE: A �--
T� �-
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
�� ,� ��s�"s a�- ���,��, ����-- 1�,� �,c.���-6'/t-lB� o�i3.
Sea 13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision, or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidennal data;and(d)the idendry of other persons or enriries authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply imestigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav vlace the notice reauired under this sutxlivision in the individual income tax or pro�ertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within 6ve days
of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request,
excluding Saturdays,�Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deterniinarion of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
ro contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
!,�'�
First Middle La t
7?� Sl,��� i D�.
Address
b l� �I�U � 9.�- z o�7
Ciry State Zip Phone
I understand my rights as s ted above.
Signature � �
6
. ` • t
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�� S �tt A�'�(W t�d� f2��,�-✓,
PID:
DESCRIPTION OF WORK: ,4�j�,n�s 1� 6z�rCl�e.� r- De-c!t
ZONING REVIEW BY: � DATE APPROVED: �7- �g.o-Z
BUII.DING REVIEW BY: DATE APPROVED: -1 - z�i .o-Z�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes —� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning Districr.
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_� No Date of Survey: �„r Fr�;
Proposed Setbacks:
F�e�t(Lake): Q D � Right Side: 'Q
�ear(Sueet): �.�` Left Side: 129,b
Adjacent Structures: Wetland: N'�/}
Building Height: Def. Hgt. b � � Peak Hgt. —
Lot Coverage: ('�,�fC
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: y�J
Avg. Setback: G •l� Bluff Setback: /V�/� LotCoverage:
Existing Proposed
Hardcover: 0-75'
�s-2so� `� ^ro G���
250-500'
500-1000'
Hardcover Vaziance Required: Yes No_� Date of Council Approval:
REMARKS(in house):
7
� ' .
BUILDING REVIEW CHECK LIST
UBC: �' 3 CONSTRUCTION TYPE: `/�
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ �}�� �v p �=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
� �--�eeting-- Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
�o _Insulation (Masonry) Other
oc Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling �Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMI�:
, � �
8
� ��� �:'":��'�;,r}�,,.; `
�� �,� _
�i �
� c
�� �
� � Zo3.i� I �,�'.
'�O� � , -
°=0°,36�4�-z6
� � -�.58
} � � �.
-:.:�.::. ,�,
� � � �
i=7 � 1'�
•.r. � ��•a.. \� � r
.�.� .. / �� r.�,ij'�:"y�`f�.. 'u.���/:.
,� •: � 1._ :'.L;a. ". � y�'�:
�� � t..
�•�� / / � ,{lv�.:.i��1 `, � �'�
1,; v � .X.�
� �•Z �,.% S. ' _
� y�`.i-:l�e-'''•�, ;'..
�•, ` :r „a . zc
ti `� ' �„� �
� . Y\ r, � 7V i� � �` ..\-�� i ��.'.
�ti 1 . � ^ � S7 ~ t�t
�9.0 ...<��.iir�' �9?� a.t��� .- ..' � ?�'
B/jG i�i �'. N . ���kV;�?� t{ir�a�-"� \� , 1 � .� j` '.';.
Y 3. � �-�y ..�
� N .•t F 1 J�.S2'i'� . � y� �. l 4t 1.� 3 � � � ��.,K�i
{ H . � �/S � y� �.r# . r+� 1� f �. � � . :.
� ��:. �' .tf�/V� 5'l.�i � 'r�` !t! � . „�[-.� „y..
Caa ze� � � � r�ct �-� r Q�?y}'1 >.4 * �. { r' a ,�". �Y^
��y"y�' t � z r -s �P .� 'K' ) � h.�
� . V- � �3 � '�fr� �� u yl�� cY^� �f�����(�e 'i.^rd "'.5t ' �+ { �C
h ^, l. :
♦ , /J�(F 'Q ` {� ~ '�r• {•t 2i�jl�ti`'i�t�+�.'1}�y''. :a�-J '�'
.���` `� J • c. tfi�'7.f'�':4j,; �rc ., ,,. .
� Q � eL� S � � �.,A �-: y�? ?Y },•':'ti�(' � � ''
,V // � c:• ••2D + ,;.•�. � `\ '
-O � � ;�, ,:�' " � `�,_.= l�" �'�?;;- _
O � ,� '� `"J �'Y,'.'i;
O O ��a N cA >^ ' •. � '�"�. -
/ _� p �t..�' (.� �'��'�ti'�_...
� J � %:.! � �`�b� - ��;:!� .
,;. ka ��� ,;,"•�1.4���t.
'�" �'�- � � �, �.. ���..•'
, ` ,`i:.^:'`�r.
Q Q �� ���I,�i.. / '�„ � .�a• , -
0 Q O D 0+' ,�+i.,,^ � / ,A' �� r ;.
r .'� � , ��
v '� � t�; �- `;;�:�a�>,'•`,':
�'
c • � P L':"_!.� ?.-
�, ��>��:':{
• .• ',i.•• --
�.�t y :y;:':�s'�:
� � ��. � :�;•.','::;.
v � �W.b ����� .;r:s',;,:.
vl t �'.i. .".
:.T'L::
.����
\-'"l'�,C.'�� `� � _�I„�i��,i�
, � � ��A:}.;�4
�� �` � V ..���::�\o.
L� ���.'y�t
�� �� `�Y'..
1�� • •��~,.
SL 1 'O^� �`�+�i�
l , � ..'_�i�.
.�+rnY�rr� �,S4:i1f
�
� �/�����TY OF ORONO ::.:��:�
U�,rr ; '.:�.:�'.
� � ��AN GRADilVG PLAN • �
',:;.:.'V
L�����r���.�3 ,�Q�„-�v.� �:��-f.;;
Y;'e�
� ❑ APPRI��'F�� ��rlT�i f����iSlOI�IS � ,`;``_.
�, .•
' , � ❑ DISAPp 0 � �C� °;.�.�
��TI'�"� ff✓t������C o�����. ���.� ;�,�..-.
BY ��'�`
���
��-z ��vs/� �. z 4- �-z DATE � • z3-02 � ���:
G� � �::
��� � . ,7:i-
Pn.�o2 � �or�� rr�N� ��ci< ���.
�Sr � �.;:;�
't7� �e o Tl N� ��5 '��(..C_ 62�c -'�-'
P ��
v�,,,✓�a,` c..�,...✓�f�, I 11.67 '"�'
� 2� ._Y � _S.
DATE ME
CITY OF ORONO C LLED IN
INSPECTION NOTICE SCHEDULED -!��) /l'I
PERMIT NO. P� =�1 GS COMPLETED �1
ADDRESS �Lv `�S� ��. ' ' � � � C��
OWNER -� CONT . �
� "
TELEPHONE N0._ LF � � - ,-���! ^ �/ �'�"('�_
r--- � /
� DESCRIPTION �v�i1k- ,c�-�"LC��-<-- i�--�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PFOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
�
W
a
J l./ -
O
� ��� �
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac n s te:
Inspector. -
White Copyllnspector's ile Canary CopylSite Notice
,Yr- I D��ATE�1 TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �
PERMIT NO.C��� 0� COMPLETED �
ADDRESS �L�,^ '7 J j�'��c�L� �,�;'��C�p f�
OWNER CONTR. -�--lG1G, �r�/�1 ,
TELEPHONE N0. U� l01 ��- I - � ) ��
� DESCRIPTION �rC� r►���r�
� 01 FOOTING 1�ME ANICAL RI " 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL • 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: i ,���� I� . �-1��" E<K�%�-
� ,� �.;� �'�,/'�
�
J
O
� � �
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. (952� Z49-46QQ
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
��- ✓
DATE TIME
CITY OF ORO CALLED IN
INSPECTION NOTICE � SCHEDULED �_ I '� u�
PERMIT NO. Q COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO._� I�`� �� � .� / �7,
� DESCRIPTION
� 01 F G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU YES_NO
� COMMEN�S:
� �
� C�
0
�.
�
o ,
W
�
Q
�
2
W
�
W
�
J
a
W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OHDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952) 249-46��
OwnerlContra� te
Inspector.
White Copyllnspector's File Canary CopylSite Notke
DATE TIME �
CITY OF ORONO CALLED w L �3� �
INSPECTION NOTICE � SCHEDULED �/- 5-�U � <;�.��'�I/I
PERMIT N0. �{('�S COMPIETED
ADDRESS ��Cp�-.� 5���=-�i r�✓c r � �,
OWNER ��-�'i�-�-S CONTR. ���-4��1�cS
TELEPHONE NO. (�(3` .��/ .3J / Cl
� DESCRIPTION l".�.e�c�"�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
RA N 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
j ;� <.
O
�
�
O
� � erbe's�'"
� � �W�9 and Rail'mg �
Q �
z �-p 0
��,�
�.�
� ���
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALI INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContr r n site:
Inspector.
White Copyllnspector'�File Canary CopylSite Notice
� /,.
� DATE TIME ��
CITY OF ORONO CALLED IN ' ZC:' ��3
INSPECTION NOTICE SCHEDULED ����-►-��3 1 . �
PERMIT NO. ���j�i-}C� COMPLETED
ADDRESS Zf n��� �J�.cS����CO D � •
OWNER CONTR. C�� -� �'
TELEPHONE NO. LQ �� " o��1 � '�(a�
� DESCRIPTION � -�-C� - ��C��TII�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP71C FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
j �
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContra te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
V
CITY OF ORONO CALLED IN �Dl�,,�� TIME
�<<j�
INSPECTION NOTIC�/ SCHEDULED ' "U 'c10 .�I
PERMIT NO. -=7'7� COMPLETED
ADDRESS ?C d�oo � � �'�
OWNER ;� �/9ti�--t�� CONTR. ;��-��-�
�
TELEPHONE NO. ��� ��� ��r�
� DESCRIPTION .;���� — /�-�-lz'�'��� ���fi"�..
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEFUFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 FINAL_ 14 SEWER HOOK-UP O6 PROGRESS
� 0 SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
�M COMMENTS:
\ p
� 1 �
O �\
^
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W C RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
p�.ORRECT WORK,CALL FOR REINSPECTION TEMPORAflY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (g52) 249-46��
OwnerlContrac on i e:
Inspector.
White Copy/lnspector's Ffl Canary CopylSHe Notice
.� i �� � �
(s/ l �?AT TIME
CITY OF ORONO CALLED IN
� I ���
INSPECTION NO�ICE SCHEDUL��3 '
PERMIT NO. �t (����� COMPLETED
ADDRESS � �5 .
OWNER CONTR.
TELEPHONE NO. �,�� ��0� � � /(D
, / //
� DESCRIPTION ���'l "C�- f
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP C FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO (
� COMMENTS: ��� L l�� 1�`� (���� -
W
a
�
J
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
� �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex�inspection 24 hours in advance. (g52) 249-46��
OwnedContr site:
Inspector.
White Copyllnspector's File Caoary CopylSite Notice
DATE TIME
CITY OF ORONO pG5y�5cALLED IN
INSPECTION NOT E SCHEDULED � � O
PERMIT N0. COMPLET D
ADDRESS r�•CO� '�7 S C.G C/uJCX'�
OWNER � CONTR. �/?'j02'l/I�l�(.
TELEPHONE NO. �o lo� i�o�� ���3� �d"W1
� DESCRI ON �^
� FOOTIN 11 MECHANIC RI 18 EXCAV/GRADING/FILUNG
Q 0 MING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIRfPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q US FlNAI. 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
�
a (�K f��t.�,,�-
j
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/ConUacto s te:
Inspector. �
Whfie Copyllnspector'a ile Canary CopylSite Notke