HomeMy WebLinkAbout2017-01479 - inkind replacement of timber wall > >
CITY OF ORONO * 2 0 1 7 - 0 1 4 7 9 *
2750 KELLEY PARKWAY DATE ISSUED: iU27/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2070 SHORELINE DR
PIN : 15-117-23-21-0005
LEGAL DESC : HARTWOOD
: LOT 006 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION : $ 20,000.00
NOTE: REPLACEMENT OF TIMBER WALL(IN-KIND)
APPLICANT PERMIT FEE SCHEDULE 356.22
F&B CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00
1743 1TTH AVE S
TOTAL 366.22
SHAKOPEE,MN 55379- Payment(s)
(952)445-6604 CHECK 59674 366.22
Minnesota State License#:BUIL-BC4327
OWNER
HIRSCHMANN,MARK&KEELY
2070 SHORELINE DRIVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. 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 suthorized is not
commenced within 180 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 are
requested in conformance with the State Building Code.This permit may be
revoked at ime for due cause.
��' 2'7 '�� 1� �-��� /l l -�7 / /7
Applicant Permitee Signature Date Issued By 'ignature Date
, �
CITY OF ORONO q�
BUILDING PERMIT APPLICATION ff'� (�(� �,�Z�
FOR NEW STRUCTURES OR ADDITIONS
OA, Mailing Address: Permit number: a��"7' �/
� l VO PO Box 66
Crystal Bay, MN 55323-0066 Date received: ���3�
StreetAddress:' �,��,1 I Received by: m�
ti� G� 2750 Kelley Parkway ��„ Plan review fee: �� Jr
�.y �. Orono, MN 55356 ��
kESH°�` Main: 952-249-4600 Total Fee: �����D/�7
Fax: 952-249-4616 www.ci.orono.mn.us �Q)�-� �
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: �(:> � 5�,�� �� , �, (U���u
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ���i`� (.[Z�$� f k c.-��„�c L� ���-
State License# t Expiration Date: //l 2�r�
Phone: cell ;, - - 3 office s'Z- �(s' p
Mailing Address: -7 7h �L �_ Cit : - ,� ZIP: - 7
Contact Person: � c� Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: ,� � ,�, ���„�,,,�
PROPERTY OWNER INFORMATION:
Name: /l'1 � �.l �i� �� �
Phone(day): � Z ^- -. -
Address: Za� � s�;,,� (�.�.c ��. City: U�c:�� ZIP: ���
Email and/or Fax
���
ARCHITEC /ENGINEE NFORMATION:
Name: • �• H�.c, � ,.
Phone(day): � 1Z-- -- �7 2._
Address: � �J�J �J,I �� t�_�.�.lS 17r' City:����!`�.,�'�^ ZIP: S-� 3 S'�
Email and/or Fax:
PROJECT INFORMATION: Descri tion of pro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction �ingle Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation �, ` , � detached garage Residence �Private Sewer
�ther. (specif ) {' ���T`�+�{' ❑ Multiple Family/Condo etaining Wall(s)
�t;� i„ I-� �� ❑ Public -feet or greater ❑ Public Water
**Any earth m v�m�nt ma�als�f require ❑ Commercial ❑ Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(speCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
' J� ��
Estimated Construction Valuation(excluding land) $ �v� D v=�
NOV �� '� 1U i7
Last Updated: January 2016 CITY OF ORONO
, �
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued)
a. Length(ft.)= Number of bedrooms= 2. Occupancy:
b.Width(ft.)= Number of garage stalls:
3. Occupant Load:
Areas in square feet Attached=
c. Basement= Detached= 4. Type of Construction:
d. 15f Story =
e.2"d Story= 5. Code Edition:
f. '/z Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
� ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size, to scale meetin ALL surve requirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands 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 information which generally cannot be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
--'SS i..... ti. ,.,�.
�
��,i 2�.
ApplicanYs Signature:�� �Tr /k�%•�-�) Date: � )�/3�17
Owner's Signature: Date:
Last Updated: January 2016
� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: Z� `b V!� tk��'l�._ �. Permit No.: �-�.l�7 - Q�9""7/
Description of work: � Date Rec'd: ��'k7 '� /
Septic review by: Date Approved:
Zoning review by: Date Approved: ��� LZ � �
Building review by: i�c�/� Date Approved: l �Z �
w ' /� � �t�►GW
Grading review by: 1�1 �f'� Ag,Q��p� Date Approved: "—' ����c5'�7
Zoning District: L�' Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA
Zoning: Lot Area: SF/AC Width: Structural Coverage: SF %
5��-Q� /
Sylac�-Sttbmitted: �f Yes � No Date of Survey: Revised date(?):
/
__ _. . __:,...-_w.
Landscape plan submitted? � Yes Landscaper: o/None proposed_
�—--_ __ _
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Buildin Hei ht Anal sis:
Distance Between First Floor and defined Top of Roof"(See"building heighY' �a� �
definition :
First Floor Elevation from buildin lans : (b)
Highest Existing ground level (pe rvey) or 10' above lowest ground level, ���
whichever is lower:
Difference befinreen and c *: (d)
DEFINE�IGHT
*If highest exist�ng adjacent grade is above FFE-Height is(a)-(d): (e)
'If hi hest existin ad"acent rade is below FFE-Hei ht is a + d
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
�Yes p Na Permit Number: � Yes � No /A 0 Yes o
/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and s % and s
0 Yes o 0 Yes o
� 2 3 4 5 � I� Type�S�: Type�s�:
L
Updated: June 2017
z:\forms�plan review checklist 06-2017.docx
��'+,. . Fees to be Char ed YES NO
Permit 1/'
Plan Review ' (/'
State Surcharge �
Investigation Fee
SAC—(dumber o#SAC Units
Other(specify) (/'
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = $
2nd FIo01' X = � $
Garage X = $
-�7 ,/� ob
Estimated Construction Value: $ G—�,tX ��
Orono Inspections Required Work Requiring Separate Permits
Footing � Site O Plumbing 0 Grading/Filling
� Poured Wall � Silt Fence/Erosion Control � Mechanical O Fire
� Foundation Survey � Hardcover Removal 0 Fireplace O Water Connection
0 Framing 0 Other(specify) 0 Masonry � Sewer Connection
� Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation
� Foundation Waterproofing � Other(specify) � Landscaping
� Framing � Septic
� Insulation
� As-Built Survey
Final
0 Lathe Required State Permits
" �Other(specify) ��'� 1 V L 1
� Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
�See Builder Acknowledgement Form .
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
�
Updated: June 2017
z:\forms�plan review checklist 06-2017.docx
Christine Mattson
From: Christine Mattson
Sent: Thursday, November 16, 2017 12:02 PM
To: 'homes@fandbhomes.com'
Cc: Roger Peitso; Laura Oakden
Subject: 2070 Shoreline Drive/#2017-01479
Attachments: letter.pdf; Escrow Agreement 2017-01479.pdf
Fritz,
Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact us if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono .
2750 Kelley Parkway I Orono I MN � 55356(physical addressJ
PO Box 66 I Crystal Bay 0 MN � 55323-0066(mailing addressJ
'� 952.249.4620 I 8 952.249.4616
� cmattson@ci.orono.mn.us I �1 www.ci.orono.mn.us
Office Hours: Monday-Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: November 23&24,2017
December 22&December 25,2017
January 1,2018
i
Christine Mattson
From: Elizabeth Showalter <eshowalter@minnehahacreek.org>
Sent: Thursday, November 16, 2017 11:43 AM
To: Christine Mattson
Subject: 2070 Shoreline Drive Retaining Wall
Hi Chris,
I just spoke with Fritz of FB Construction about a retaining wall project at 2070 Shoreline Drive.The project will not be in
the vicinity of the wetland on the east side of the property and will not disturb enough soil to trigger our erosion control
rule, so an MCWD permit is not required.
Best,
Elizabeth Showalter
Permitting Technician
Minnehaha Creek Watershed District
Direct:952-641-4518
15320 Minnetonka Blvd, Minnetonka, MN 55345
www.minnehahacreek.or�
��$,� .����
C� �*lY
n �
�.
� �
.,. . .�s�l:.tltl6} .
MINMENAwA CREEK
WATER9MED Ql3?�tf�CT
1
�-��o
C ITY OF ORONO
� ,�. Street Address: Mailing Address: Telephone(952)249-4600
�� G` 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
jqkFSH�4�• Orono,MN 55356 Crystai Bay,MN 55323 www.ci.orono.mn.us
November 16,2017
Fritz Menden
F&B Construction Company, Inc.
1743 17th Avenue E
Shakopee, MN 55379
Re: Building Permit Application#2017-01479
2070 Shoreline Drive
On November 13, 2017 the City received a building permit application for replacement of retaining walls. Staff
conducted a preliminary review based on the information provided and recommends the following items be submitted
or revised in order for your application to be considered complete and for the plan review to continue:
1. Certificate of Survey. A survey or site plan was not submitted with the application. A site plan should be
submitted showing the placement of erosion control measures, i.e.silt fence, bio logs,etc.
2. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal
of an escrow and an escrow agreement. The purpose ofthe escrow is to guarantee reimbursement to the City
for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow
amount for this project is $1,000. The escrow agreement is enclosed. The property owner must sign the
enclosed agreement and submit a check for$1,000.
3. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed
District's (MCWDs) permittin� requirements; please contact the MCWD directly at 952-471-0590 regarding
your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit
or documentation stating the proposed project does not trigger any of their permitting requirements.
Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on
the above requirements.
Sincerely,
CITY OF ORONO
��
Chr stine Mattson
Planning Assistant
c Fritz Menden (via email)
Marc Hirschmann;2070 Shoreline Drive;Wayzata, MN 55391
Roger Peitso, Building Official
enclosure
Christine Mattson
From: Adam Edwards
Sent: Wednesday, November 15, 2017 3:34 PM
To: Christine Mattson
Cc: Roger Peitso
Subject: RE:2070 Shoreline Drive/#2017-01479
Chris,
The retaining wall design looks fine.
There was not a grading plan to review.
Adam
From:Christine Mattson
Sent:Tuesday, November 14, 2017 2:51 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject:2070 Shoreline Drive/#2017-01479
We received a building permit application for replacement of a timber wall. Please review and provide
comments. Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN � 55356(physical addressJ
PO Box 66 I Crystal Bay I MN � 55323-0066(mailing addressJ ��. �f n,`�
\5�
'� 952.249.4620 I 8 952.249.4616 ����� �� �u'
� cmattson@ci.orono.mn.us I � www.ci.orono.mn.us
Office Hours: Monda -Frida 8 am to 4:30 m _ � ��O� ��r�
Y Y P �
OUR OFFICE WILL BE CLOSED: November 23&24,2017 U ��`�"' " w I
December 22& December 25, 2017 I�, ,•N`h� `�M�� ��f.
January 1,2018 r{. KJI�I� �`d1 1�w �
�J
i
� � � �-� �J I �
� �i I^o S c�� u c,'�l
�\� �b �� o�C.eTe.l�2e, �V.
�� � \ ,
� y
� \`�� Certificate o�' Survey
/ / �� �� for KrutLig CuEt.na: Homes
, � � � oi' int 6, Bl.oc�k 1, Hartuood
� / / ,'/."ly� � � F;onnepfn County, :�innesota
� h.. oinqq�easemcir/` �
�� • -�
� / \��ws
..._ , / � I � . 5 i o; : .. TNIS ITEM HAS �EEN
. �� / . .�3� � �9 �. ��� ��- p MICROFILi41ED
a ,e. , �
�� / • . '�.Yj t���� y1 � ��_N
l ` , �. )3 jo W
`' 'S� y]=.� t . � � •.`
1Y t�
/ `-- _.-- �`�� u � ~ �
�
� a�z.a•:' �C � -•..` .. 2cb
� � r , ` � ��o' /
/ \ � �
/ _. `` —` %
_.__-- Y�' ,� '> i
/ / �G. '` "o Y
` � ,, i
`, � * \O• /
/ �� t !�i<< � �
L`Gf
/ 11.2 \ ,-►(Y! �ip•
� N .
/ I ry� 14.,' /
-- /
/ / L' •��0 /
/ ` ` ,
\ O �Z
.�f/ , 7. �S �i ���
�� / ry'
� � \ � 'M1 't.Q 1n
Nh� � `` a � �'
• '
�y 1 ' . �+�w'��i.r� . '�\ ~`,�w'``'� ,-
•�
� � I, ��o ' O �' 7� `, 3� � w..�,A �..�
/ �i �� � � �+ - � � �•�." /
�1� S�L , , 1 C�I-�VA
/ �'� , . 'a• � 6 +� • t4N �
B�J/��J Q��0'1 '`� i
� / olfir/r�,`r -'.. ��S L � '
� /
1 ` , _ �, /
'` '� '' +�
'�� � . ,�• .r ": �`'. �! �
JJ `., ''.�; •
•� , . �,�
�'�\ \ •. •3a° � •'•L�.� /.`/�,``�` I h�re:�y certi�y that
"=o � �' �'� � -� ��� th3s is a trua end c�r—
�= \ \ �''�'� �f � � " � s°' " r�ct rraresenthLi�n oi'
i ' .�,s "��"�� �� �1° a s:;.^ve� �f t!:� bouzsdarier
� �f :,o: �+, Linr.k 2, Hartwo�d
� �\ � �` �j Lne l�c:�tior. �f all exiating
. �,�"��•r '�� �! � ��. �/► ,�;�'`. 11 � Ot;zl^.'fn �� 3.!' s
\ � ���. thereon
\ � � �v �'7 '�*�\� ��o� �nd tne p�rr,��s�d o%stion of�a
. ` �,, ;�„ ;� �� ��1, �,�Q prc�o�ed bLiidin�:. It doos not
� � • � ��ti pi:rourt co s:�ov other impr�veroents
�\ � .
N � `.� or e7r_r�ec�-:m�nts.
� . �
B.' � �k
/ �� �-_
Scale: 1"r' S�' `�' \ � /r '4��� ���doC, F;. Coffin Ae +c. �b4
Dato : 11 �� 82 � ' ��r� qq� .,and .a:-+reyor and Planner
o . Iron r,erker . � Rt��, sng �kc�, F'.innesota
! ,
' '/
z� 7� 5�1.�►'C� �n�1e �r, V��^C
�' ^' . -��lr_�(' l7 �-�,;A,, �V���
�- "ri �_. �",. Y� f�� —�'FT� #+.�`��� .
t .� ... AO�'/,� ^�� ,�. _ _
: ��.:jC �" � x f. .�� r
��. � �=� - '' , �/+'� �'1 �����
.��y-�,�,,, . ''1 .' .� �9'"' �_tT" ' .~ . . �A
jf`����`.� �*� �� ���� � r.��8 y>* � _:-r' � '� �.' .,
�t � w �: °'�.' �1 .� �������
,�+'`�,,�".i �s, � s � _ d -.":�' `^����� *,�.�
r, �-��e..,'' �., ��� ��ild-�C��,.„�" 'r�y+�� .,e a-
J` .r � �-L-n��_ '� ., � �'��.•+�.;. �'� ,.
��:�y � � �,. �= �' ��:':. � �
� : �"',� �'�.,�'" ��'
i. � �� ¢ 1.�� � °�;
�: �.� �` �,
„� . ,,,,,,,.. �
�,�} r'��� '�",�!`+` ' ` . �`
`���y�=�c -} `.''���'� • '''+- � ! .
��j�
� � �� .�:� *l .�'
Y , r'�'""="�� _� . � �" "�
�� ', �.. .
* r� r � .
� � .. *�'_�. ��'K �� v�.f; g� pAh- +„�
� '_ ^ '� �
K � ,�`' �� .
s, ,-� '' _ . .. �� '� .
�� �IA+ M'� _.'"i' _ � . �� �,� ;. �' •��� r ''' .
h� . . :a'R�'��
��,�y <_� ��'4�.�� � ,��� �`�'" _"�'
} ��.',�,� �t� � �� �� p�' ��
�. � tl � r�
J }. ` x J
�� ° �'tf�t .�.r
►f ��'� �, n � • ,�.
. :��„��
����.
.�� ;: � .�.�� �.�,�,.� � � �-� �- ��� �
� .
,_ � � .�- ;
. �� ;
: _ � ,_. ` � �..
��• , -r,, ,� �Y, �.
. � �.�. „�� .c
- � "•t . , r.' , ' � .
�' :� r � r '�••,••'.+'�'a
• ...�� , rr� „+
w �
_ ' ✓
, v'1:�'L...;
. �.�^ .
'.� `� ��* � f-�Pi�, f.- :
. .� `
`` . ..�.# 'r, »* . . � �
_ j�.�, `�y��, �e r �:'�` '� ��"�''
. .
'�° '�'°�� ..�� '^� . . �.4��..
.- '����.•��� � .. �
I'Clcf.>����;��.
tla
NOV �� :� ZU)�
CITY OF ORONO
DATE
nMe V
CITY OF ORONO cnLLED IN
iNSPEcnoN Nonce SCHEDULED ��d ���7 3 -d6
PERMIT NO. a0�7-d��9 COMPLETED
ADDRESS o��70 �a�l.�� ,c')��
OWNER TELEPHONE N0.1��a ' 3�• �'�3
CONTRACTOR F` '� � ����
� DESCRIPTION 2c��.w s.�. �.✓� tl r��01,
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOKTRACTOR TO MEET Y�U:_YES_NO
y COMMENTS: �n���lt- D�
� C r�cshe�2, co r►c .a�.e 6•►sc - S " -t�(•.�k- .�-
o 'W�c ✓ +1��- �fJF�C �D�✓ .p�4 — O,C �`s
�' �,,b� u� � � h.
�
0
W
�
Q
�
�
W
�
�
�
��WO�RKSATISFACTORY:PROCEED ❑PROJECf COMPLErE
��/ �OORRECT YMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPNNCY
� O OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERINa PERMANENT
❑(ARqECT UNSAFE CONDITION WRHIN HOURS• ❑pHpTO TAKEN
INSPECTOR WILL RETURN ❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECT�i
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
csn ro�u��xt�ns�+o�2a no��s M��ce- (952) 249-4600
owneHContractor on site:
��spect«: �.�•,-, �'
wnia covrn�.v�wr.F�a C�nary CopylSib Noflce
� DATE TIME
✓
' CITY OF ORONO CALLED IN
INSPECTION N T SCHEDULED �%-� �
PERMIT NO. �����y� coM LETED
ADDRESS � �,'�- �
OWNER TELEPHONE NO.�J�-���' Y.���
, ,
CONTRACTOR � "F '�'' �
` . 1
� DESCRIPTION � �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS: /1I�� �i� ' Gdil�ut/,b��tcQe✓
�
a ✓���r��[�.ti. u� d� �e� ,����2
0 � �.r.r,�G-� t� �'6�c uo%�, --d 1�
� — rp�_ . �r,���t �.7e r ��<
�
0
� �
W �/
� �f'� � �a ,�L��s'lQ 2.�
Q
�
2
W
�
W
�
J
W �(SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. w—'
White Copyllnspector's Ffle Canary CopylSfte Notice