HomeMy WebLinkAbout2011-00052 - addn/remodel/repair . r �
CITY OF ORONO PERMIT NO.: 2oii-000s2
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUEn: 03/25/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3423 SHORELINE DR
PIN : 20-117-23-12-0034
LEGAL DESC : REG. LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 150,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,SIGNAGE,AND ELECTRICAL(STATE)
TENANTIMPROVEMENT
VALUATION CHANGED FROM$105,650.00 TO$15Q000.00 SO ADDITIONAL$195.00 REQUIRED FOR PLAN REVIEW.
APPLICANT pERMIT FEE SCHEDULE 1,356J5
GM NORTHRUP CORPORATION PLAN REVIEW 195.00
15950 FRANKLIN TRAIL SE
PRIOR LAKE,MN 55372- STATE SURCHARGE(VALUATION) 75.00
(952)226-3090 TOTAL 1,626.75
OWNER
Brook Investment Group LLC
34321 MYRTLE LA
LJNION CITY,CA 94587-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is Yor only the work described and does
not gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
- shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for eriod of 180 days at any time after work has commenced.
The applic re ' e for assuring all required inspections are
requ e n o nce with the State Building Code.This permit may be
rev at n � for due cause.
� � // �,ai`/
licant ermitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ��,.
`/'" /I � �
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City of Orono � � °��
/
Building Permit Application
for New Structures or Additions _- �
��-0�'� MarliPg�Bd�dr6s6s: Permit number:
;jiQ 9 �wQ 1 Crystal Bay, MN 55323-006E Date received: �I
�` �
Received b
��,� '�'{ - ,, ,� StreetAddress:' Y' q G�
���,�, � ,�� �.`�'�' 2750 Kelley Parkway Plan review fee: 0 ► O �
° + ����$ Orono, MN 55356
��ESHOg'// o�ai - o00 53
�~__- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us i
This application form must be completed in full and all required information must be submitted. �
Incomplete applications will be returned. (Ptease print) j
GENERAL INFORMATION: �
—>�,, -. i
Job Site Address: > � G� ; 5�v�^�!;'-� „^ ,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
ff yes,a specra!evene perrnit is required with Polrce Department and City Councrl approvat&0 days prior to the event. Shuttle bus service wr7! e
requrred unless applicant demonstrates su�cient on-site paricing is avarJabJe. Non-permrtted events wi7!not be aflowed.
CONTRACTOR!APPLICA T INFQ RMATION:
Name: �,1�`'/ f(l,�,F�i�^u`� ���} �
State License# (�,--.;..�.�4 � G L Expiration Date: � . �
Phone: �- z pqU office cell
Mailing Address —� - ;,�, ;��� �:^...! � " Cit : .���:.�L.:,%z� ZIP: - �� n
Contact Person: �� �,., Applicant is: Gontracto3' ( Homeowner (Circle One)
Email and/or Fax: �,« ,;.� l,¢?�>�,.�}c�.�,�.�;,.., .� �
�
PROPERTY OWNER INFORMATION: �
Name: `'����jj a��� �.�-�-� ;
Phone (day): /'� - "<---� '
Address ,� L ' << •M�4 -� Cit : r ^.',.-�'e:�� �� ZIP: �� �G:�. �
Email and/or Fax /� o l,.`x�,,,��,.� �`.� �; ,-�; ' :��, i �,,t ' I
',
ARCHITECT/ENGINEER INFORMATION:
Name: G '� �
Phone(day): � � �3 - �p o I
Address: �t^>'�+';';? %�.:a.1-��,- ��,c� City: �1 (�J�, � lr?; ZIP: �.-, �', !�'"'.
Email andlor Fax: `
PROJECT INFORMATION: �
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction ❑ Single Family with I ❑ Residence !
❑Addition attached garage � ❑Garage/Accessory Bldg. [�Q Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation � detached garage :QOffice/Commercial ❑Private Sewer
�Other: (specify) f r-��z� ?�-��-*�— ❑ Multiple Family/Condo ❑Warehouse
� ❑ Public ❑Storage ❑ Public W�ter
*'Any earth movement may require Commercial ❑Other(specify)
MCWD review�permits. Industrial ❑ Private Well
Minnehaha Creek Watershed District{MCWD} �Other:(speCify)
18202 Minnetonka Bl�d
Deephaven,MN 55391 i
Phone: 952-471-0590
Fax: 952-471-0682 I
www.minnehahacreek.or '
Estimated Construction Valuation (excluding land) $ ;' ��; , �;,�Y�;,
1
V
STRUCTURE INFORM�lT10N: '
1.Structure Dimensions 1.Structure Dimenslons(continued) 2.Type of Construction
/
a.Length(ft.)= �� Number of bedrooms=� ❑Wood J Frame
l�, ; [�,Masonry
b.Width(ft.)= t� Number af garage stalls: ❑Metal ,
Attached=� ❑ Pole Bidg.
Areas in sauare feet Detached= ❑ ICF
❑On-site Prefab
c.Basement= _� � ❑Off-site Prefab i
d. 1�`Story = ❑Other(please specify}:
i
e.2nd Story= '
f. %:Story = � � ,
g.Total Area= �����- ' �
�
I
i
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our a lication to be processed: i
Not '
Enciosed 1lqable �
❑ ❑ Permit lication j
❑ ❑ Pro sed Buildin Plans I
O O MN State Ener Code CalculaUons and Mechanical Code Re uirements Form '
❑ ❑ Surve meetin all re uirements '
0 Stormwater Pollution Preve�tion Plan
❑ Hardcover Calculation s '
❑ Se tic S tem Site EvaluaUon Re ort
❑ � Access Permit
❑ � Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other
APPLICANT ACKNOWIIEDGEMENT: '
• Agrees to provide all information required or requested by the Building Department;
• A�rees to pay the C�ty of Orono for engineering consultant review costs in excess of 5500; '
• Certifies that the infotmation supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �
are solely responsible for submitting a complete appiication being aware that upon failure to do so, the staff has no altemative
but to reject it until it is complete; i
. 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 Gassified 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 aur records and records of other govemmental 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 condltions prevent the completion of an as-built survey at the tlme the
Certificate of Occupiancy is requested,a temporary Certfficate of Occupancy may be lssued upon receipt of a 510,�00
escrow to ensure completion of the as-built survey and all slte improvements.
C��
Applicant's Signature: l� Date: � ` � �
__. , .' �
• G�,e�� ��55
. � C �a3.�D
City of Orono �
Buildin Permit A lication for Internal Work
J pp
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: �l� O�J�,_/
,; g,0,�. PO Box 66
„ O Q,' Crystal Bay, MN 55323-0066 Date received:
',�,� l��r�l� _ �,�� StreetAddress: Received by:
��\�',�, ;��;"����� ti�' 2750 Kelley Parkway Plan review fee: ���. ��
���L.vkEs�K g�G'� Orono, MN 55356 � 00O
____'" Total Fee: /
Main: 952-249-4600 Fax: 952-249-4616 ��rrw4v.ci orono.mn us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �; �=' �- ���- ,,,�j ��.;��; ';��� , J �,�3"� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ` No
If yes.a special event permit is required with Police Department and City Council approval 60 days prior to the evenL Shuttle bus seivice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: i c� 4�,�_, i���-�t--1���I��� -� ►��oT �5, t-� ��-(�T
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: C l����"�
Name: ���c�� /su-j-��Tt u.� �'�, ��.SG .
Phone (day):
Address: ��'�3 �j. p�--��..`3�,� City:GJ�X i� �i C��nZIP: �r7�j(L,(7 C�
Email and/or Fax r;�,�; ���; �s? cC,sc�-x�,r-n, c��,--�
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑Door(s) '�Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minr�ehahacreek.orq
Overall Project Description: ( �!�-��� r�,��-,� <�� ��,--,T-�,�c� ���i�'i,�,�,� ���v�(���
Estimated Construction Valuation of Project(excluding land) $ I O`S ,���� c'
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• 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 staf`tias no alternative
but to reject it until it is complete;
• 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; ap lication ma not be issued.
-- -- � — ---- – --
ApplicanYs Signature: , Date: i/�/l/
_ C�
Last Updated: 05-04-2009
1 ROUTING
Overnight
CASCO
LETTER OF TRANSMITTAL
TO: City of Orono DATE: January 21, 2011
2750 Kelley Parkway
Orono, MN 55356
Tel: (952) 249-4600
Fax: (952) 249-4616
RE: O'Reilly Auto Shops
ATTN: Lyle Oman ORN
Orono MN
We are transmitting herewith the following:
QUANTITY DESCRIPTION
One (1) Building Permit Application for Internal Work, completed
Three (3) sets Drawings, signed and sealed
One (1) Check in the amount of$686.89
REMARKS: Submitted for your review and approval.
Please contact us if there is any additional information or applications needed.
Sincerely,
CASCO
�at�icia E��s�e�
Patricia Ernst
cc: Steve Peterie, O'Reilly (w/one set of Drawings—PDF)Via: Email
Melanie Robertson-Oxner, O'Reilly (Via: Email)
Bobbi Stockton—O'Reilly (via email)
PLE, CMS, NLK, ACT
File (310455) permit
K:\OReilly\Projects\310455 ORN Orono MN\WP\Bid_Permit\Tran Permit 01 21 11.doc
CASCO DIVERSIFIED CORPORATION
Irvine,Calif'ornia 10877 Watson Road Edison,New Jersey
l�cl��949)296-23>0 St.Louis, Missouri 63127 'I'el:(732)661-1400
TeL•(314)821-1100
. . � C�� ����
�..��.�
City of Orono
Buildin Permit A lication for Internal Wo��
9 pp
(windows, doors, siding, re-roof, etc.)
g O� Nt�Ht��: Permtt number. D - D 13
O Q C+Yslal Bay.MtJ 55323-OO6B Date recefved:
S(reetAddtess: ���'
z�so�ney�mw�y ��,re�ew ree: �'!� ��
�te�,�o��� �rono,MN 55356 � •
TotaPFee: �f��.
Main: 952-249-q800 Fax: 952-249-4896 ?�w+w.cf-oror�gmn.� .
This application form must be r,ompteted in tull and all requlred informatbn must be submikted.
lr�omplete appllcations w�l be retumed. (Please pdnt)
GEWERAL INFORMATtON:
Job Site Addrass: s3.¢ �t-�.r[._,ra.Lt��'7e��tlt, �-a� �1.1 �'✓'3 �
Wlil this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? Yes No
If ysu,a spacfaf eroerrt pBmrlt 1s►aq�hsd with Pb►!ce Deparimen7 and C(ty Cosmd►approvnf BO daYs Pr1or to Ure everrL ShWle!ws service w1C be
iequWed untesa�cant demotrstrBtBs steRkyenf orTalte parkinB!s&va!leble. Nw+yetmNfed erents►vMi nof be eNawed.
CaNTRACTOR/APPUCAM'iNFORMA7'fON:
Name: i o �r� t��r�i{�►� -� '�t�`C�r' __
State Ucense# Expiration ate:
Phone: o � ��
Mailing Address: ity: _ ZIP:
Contact Person: Appllcant�s: Contractor omeowner {c�►�o�
Email andlor Fax:
PROPERTY OWNER INFORMATION: CTic,+�1�'r�
Name: G�,�„a1'4� �,�cr�t�lattll�'..z.�' �`s. �►��
Phone(day):
E►adr�sr ��� g t��-�+-��-►�5 ��cv: � � Y;a ���►p. ��802
ErrsaSl andlor Fax i rw t f tr� n�r5c-c�-�"�rr� -
PRO.lECT iNPORMATION: qny ear�n moverneM may requlre
Type of ProJect: �1CWD revtew 8�Pertnita
Q Door(s} �.Remodet ❑Water Damage
Minnehaha Creek Watershed Distr9c�{MCWD)
[]Windaw(s) ❑Repair ❑Stcrm Damage 18202 Minnetonka B[vd
Deephaven,MN 5539i
❑saane D riestorara.on L7 omer:is�ectry? Phone: 952-�471-0590
r-ax: s�-ar�-osa2
[�fie{oof C{Flre Damage Wtiyv�'.rninnetsals om
Overall Pro)ect Descripdon: ��,! c�E�... O t � rll�
Estimated Construction Valuation af Pro ect excludl lan � t p'S,_ �''��
APPLECANT ACKNOWLEDGEMENT:
• Aprees to provide atl intormation requtred or requested by tha S�Idtnp Oeparbr►ent; ;
• Cerilfles that the tnformat(on supplled is ttve and comect tfl the begt of hleJher knowled9e. The applic;ant recognizes that they
are sdety res�onsible for submt�ing a oanplete appHcaflon befna aware ihat upon faNure lo do so.!he stafl has no altemffiive
but io reJecx It unUi it is complete;
• Sw�te or alf of lfte tnforrrraUon lhat you are asked to}xavlde on fhis apRlication ts dassif'ied by State Faw as ef�er private or
confldential. Private data is infartrrallon wfifch generaNy carnwt be 8iven to the public but oan ba given to fhe subjed of fhe
data. CflrtHdential data (s infom�ation wblfi generaRy cannot be elven ta eHher the pnbNc or the subjed of 1Fse data. Our
purpose arid intended use of ihts iMotrnadoc�is W 8nnuatty update out►eoo►ds and reco�ds of other povemrnental agenaes
re uired law. if u refuse to su ihe unorme bcat(on me noE be issued•
Applicant's Signature: ��: 1��!/
��.
Last Updated: O:rO1-2009
f el2�tqa a1� 1
G�,Je�L�R oC _ �" �ac�.,a'l l _ 2.z� �/!
i 'd T9T6 06b ZI9 tueCund btpes Q90 �OT TT 9Z UeC
� Plan Review Checklist for New Structures / Additions
Address/PID/ Legal: ��I 23 S FE O�C..0�,I ti L, �,(Z�v-Q.
Description of work: �1 �N,4n�T (='i N ►S I-� — �%v i��l/�-��T S�GLt�
Septic review by: /1///-�- Date Approved:
Zoning review by: �//� Date Approved:
Building review by: �� Date Approved: 3-2I-'�f l
Grading review by: il1/ Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted: 0 Yes 0 No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rea Street) ( N S E W ) ( N S E W ) Othe uildings Wetland
Side Side
Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A B LDING ON A SLAB FOUNDATION:
START WITH the distance between the baseme floor/crawl ST T the distance between the slab and the highest
space floor and the highest roof pea the top of H roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the deck line a the deck line of a mansard roof,or the
mansard roof,or the uppermost point on round uppermost point on a round or other arch-type
or other arch- e roof roof
SUBTRACT half the distance between the highest window SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement flooN aw� ADD the distance between the slab and the highest
space floor and the highest existing gra within existin rade within the foundation
the foundation or 10 feet,whichever' less. QUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District M D Permit Received Avera e L eshore Setback Bluff
es 0 No � N/A 0 Yes 0 No
0 Yes 0 No � Yes 0 0 N/A
Permit Number: Setback:
Hardcover Zon Existin Pro osed Variance Re uired CUP Re uired
0-75' 0 Yes � No 0 Yes � No
75- 0' Type(s): e(s):
0-500'
500-1000'
REMARKS (in-house): o C�
Updated: 09/11/2009
z:\fortns\plan review checklist.docx
Fees to be Char ed YES N0
�Pecrr�it �
,,..,. . .� .. ,_, ,
Plan Review � . :
`:S�ate Surc"�argB -
,_r_. . . , .. ._ �
investigation Fee
''S�1C`=3N�umtier�o�`SA'C�l�nits ` � _-;
. .�__ __ . . ,
Sewer Connection
:�llla���oDn�acti�n ;, ' L- � .�
Park Fee
;:'�ite��spe�ction 'Y F:� ��t ' , 1 ,�,r .�_..
..,. ., ,. . ,�._
_. _. w . _
Other(specify)
';3AhAiisaeila�en'�s fees � > ti ,. ,`: ;�� -
, .
Calculated By:
S uare Foota e $ er S uare Foota e
Basement X = $
18t Floor X = $
2nd FIOo� X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site Plumbing � Grading/ Filling � Well
� Hardcover Removal echanical � Fire �Electrical
� Footing � Septic 0 Water Connection
0 Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey � Masonry 0 Lawn Irrigation
0 Radon Rock Bed , � Mfg.
F aming �Other(specify) s((�I�1�(�2—
Insulation
0 As-Built Survey
Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: 0 YES � NO
REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009 _
z:\forms�plan review checklist.dopc
1 ROUTING
Overnight
CASCO
LETTER OF TRANSMITTAL
TO: City of Orono DATE: January 21, 2011
2750 Kelley Parkway
Orono, MN 55356
Tel: (952) 249-4600
Fax: (952) 249-4616
RE: O'Reilly Auto Shops
ATTN: Lyle Oman ORN
Orono MN
We are transmitting herewith the following:
QUANTITY DESCRIPTION
One (1) Building Permit Application for Internal Work, completed
Three (3) sets Drawings, signed and sealed
One (1) Check in the amount of$686.89
REMARKS: Submitted for your review and approval.
Please contact us if there is any additional information or applications needed.
Sincerely,
CASCO
�at�icia E��rs�e�e
Patricia Ernst
cc: Steve Peterie, O'Reilly (w/one set of Drawings—PDF)Via: Email
Melanie Robertson-Oxner, O'Reilly (Via: Email)
Bobbi Stockton—O'Reilly (via email)
PLE, CMS, NLK, ACT
File (310455) permit
K:\OReilly\Projects\310455 ORN Orono MN\WP\Bid_Permit\Tran Permit 01 21 11.doc
CASCO DtVERSIFIED CORPORATION
Irvine.California 10877 Watson R08d Gdison,New Jersey
i���lyay�'-y�-����� St.Louis,Missouri 63127 TeL(�32)66t-1400
TeL•(314)821-I l00
tJ'�� D TIME ✓
CITY OF ORONO CALLED IN 3 '�
INSPECTION NOTICE `� SCHEDULED �
PERMIT NO p�.Q l/ DD/'�C�cOMPLET�D ���� �1
ADDRESS
OWNER TELEPHONE NO. I
CONTRACTOR �� �UDry7�./2C�-�'J
� DESCRIPTION ��
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
�
a 70 /S G✓s w�n� � '- S
j
� ��� w c 5� Q�C—
�
�
O
�
W
�
Q
�
2
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W
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WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTtO1J TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contra s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTIONrNOTI E SCHEDULED s-Z���
PERMIT N0. � ' s Z COMPLETED �^
ADDRESS 3�1 Z 5 St�'�'�-ta'''4 d�R-
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI , ❑ LAKESHORE/WETLANDS
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. ❑ FOLIOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
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White Copyllnspector's File Canary CopylSite Notice
� � 9'ATE // TIME
CITY OF ORONO CALLED IN �`��'` �
INSPECTION ICE SCHEDULED S�t__�__0_/� :
PERMIT NO. �l�-G�yco ereo "
ADDRESS
OWNER ,r�T,,ELEPHONE N�P� ' � � � ��
CONTRACTO �� �'`� Q�
� DESCRIPTION � ` ���'�-�`-
� ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVA�
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V �EFORECOVERING ' PERMANENT
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OFiDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. � ,�
White Copyllnspector's File Canary Copy/Site Notice