HomeMy WebLinkAbout2003-P06063 - new structure � PERMIT
�I�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po6o63
Crystal Bay, Minnesota 55323 Permit Type: NeW sr��cure
(952) 249-4600 Date Issued: si2ii2oo3
SITE ADDRESS: 2980 Sussex Rd
Long Lake,MN 55356
P I D: 04-117-23-31-0015
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 101
Permit Type: New Structure Pernut Sub-type(s): New Home-Single Family
DETA�LS:
Approved per resolution#:
Separate permits required: riumbing iviecnanicai �epiic rirepiace imgaiion Eiecuicai �siaiej
NOTICES/REMARKS:
C'�_._�"_ A"_ _1
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FEE SUMMARY: Pernut Fee: $ 4,739.50 Valuation: $ 817,000.00
Plan Review Fee: $ 3,089.87
State Surcharge Fee: $ 410.50
TOTAL FEE: $ 8,239.87
APPLICANT: Hickory Fine Homes OWNER: Scott Weisberg&Claudia Mitchell
153 E. Lake Street 2980 Sussex Rd
Wayzata,MN 55391 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATU �[SSUED BY SIGNATURE 1
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
' � ��� . � �1
' ' Total Fee: $ '� '� � -� Date Received: �D (n C�(� 3
Entered By: `j'� Permit #: 1- - 2�� - �;%�
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CITY OF ORONO - B�LDING PERNIIT APPLICATION
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� "`v��1 All information must be submitted in full before plan review will be started.
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: ;� �� �,X ��--�;� ZIP:
�-�( ��`. ��--..1��,� ., r
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NAME OF OWNER ��c� r�' f �����;/-} = ��� ' PHONE: (home) �f�Z � 73�i• ! �l�:
' i a��S��z�=-� (work) �7i�:5 �7���- - 3�
MAILINGADDRESS: II�cZ �vr�'��ca�r� i.,_: CITY: c'=:�-' ZIP: j5���
CONTRACTOR: �I-� ��-��-� ���. I�c�<-t�`-� PHONE: `I��Z `�"'f� 7<���`i
CONTACT PERSON: h)r� I�e,•�-,-+��-� MOBILE/PAGER: ��z ��,� �z,z`�
MAILING ADDRESS: �j�S� t=, � .a� �,�L CITY: j/1���z,4��'+ ZIP:_� t
STATE LICENSE: # �t�7u ( 1 z�v
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: Z-- SQ.FEET OF EACH FLOOR: 1 �?��;�c�: Z r�� � ,-t� G'�►-;Y 14 5�=
NO. OF BEDROOMS: _� GARAGE STALLS: ATT. � DET.
._-;
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��i'1 , ���� �
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the 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 a permit and work is not to start without a
permit; and that the work will be in accordance with e approved plan.
APPLICANT'S SIGNATURE: .,� � DATE: ' �, ,x �3
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.
9
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` � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z°��o s u ss�x
PID: '
DESCRIPTION OF WORK: N�w 2E5 • .
-------
ZONING I�EVIEW BY.• DATE APPROVED: 3- �.o�
BUILDING REVIEW BY.• ,,,� (L,,,,,,,._ DATE APPROVED: 3 6 03
----------------------------------����_—_--_-----------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLANREVIEW Yes ,�' No SEWER CONNECT70N
STATE SURCHARGE Yes ,/ No WATER CONNEC770N
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Depamnent: Post O,�ce: School District:
Lot Area: Sq.ft. Acres �dth Depth
Survey Submitted: Yes_� No Date of Survey: Z� �z-03
Proposed Setbacks: \
Front (fxrke): J'l v` = Right Side: � 3q' +
Rear (St�eet): ) I�.3 Left Side: 3y•q
Adjacent Structures: N 1 A Wetland: ''1 S' -�'
Building Height: Def. Hgt. 3� Peak Hgt. 3S
Lot Coverage: _ /�r�A
Grading: Sta,f�'Approval Date: 3-6 •0 3 By: �L Council Approval Date: --
Septic: Sta�`'Approval Date: 3-c•03 By: M �j.
Zoning File: # - Resolution:/� — Resolution Date:
Shore[and District: N d
Avg.Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
Zsasoo�
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
32
{ • ' 1
BUILDING REVIEW CHECK LIST
UBC: R• 3 CONSTRUCTION TYPE: �(/V �
_ Sq Footage $Per Sq Ftg
Basement x —
lst Floor x =
2nd Floor x =
Garage x =
x —
TOTAL
Estimated Construction Value: $ $�1.o 0 0 °s
Inspections Required: Work Requiring Separate Permits:
Site _�Plumbing Fire
Hardcover Removal o� Mechanical Water Connection
x Footing _�Septic Sewer Connection
�Framing ,c Fireplace _�Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Board � (Mfg.) _�Well(State Permit)
�Final Grading/Filling ,� Electrical (State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Fxisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
33
Syc.13.04 RIGHTS OFSUBJECTS OFDATA
Subdrvrsion 1. Type ojdata The rights of i»dividual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Injormation required to be given individuaL An irrdividual asked to supply private or confidential data concerning himselj
shall be informed of.• (aJ the purpose and ixtended use of the requested data within the collecting state agency,polrtical subdivision,or statewide
system;(6)whether he may refuse or is legally sequired to supply the requested data;(c)arry known consequence arising from his supplying or
refusing to supply private or confidential data;arul(d)the identiry of o�her persons or entities authorrzed by state orfederal law to receive the data.
This requirement shall not apply when an individual is asked to supply irrvestigative data,pursuant to section 13.82,subdivision S,�to a law
enforcement o�cer.
The commissioner of reverrue mav nlace the notice reouired under this subdivision in the individual income tax or nropertv tax refund
instructions instead ofon those forms.
Subd.3.Access to data by indivtdtiaL Upon request to a responsible authority,an indtvidual shall be informed whether he rs the subject
of stored data on individuals,and whether it is class�ed as public,private or confrdential. Upon his further request,an individual who is the
subject of stored private or public data on individuals shall be shown the data without arry charge to him and,if he desrres,shall be informed oJ
the content and meaning of that data. After an individua!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 dispr�te or action pursuant to thrs section is pending or additiona!data on the individual has
been collected or created. The responsible authority shall provide copies of the private or publtc data upon request by the indrvidual subject of
the daJa. The responsible authority may requrre the requesting person to pay�he actua!costs of makixg,cert�ing,and compiling the copies.
The responsible authority shall comply immediately,rfpossible,wilh arry request made puntuan!ro thrs subdivision,or within five days
of the date of the reques�,excluding Saturdays,Suxdays and lega/holydays,if immediate compliance is not possible. I,f he caxnot comply with the
request witAin that time,he shall so inform the individual,and may have an additional frve days within which to comply with the request,excludrng
Saturdays,Sundays and legal holidays.
Subd.4.Procedure when data is not accurate or complete An individual may contest the accuracy or completeness ofpublic or private
data concerning himself. To exercise thrs right, an irtdividual shall not�in writing the responsible authority describing the nature of the
drsagreemenr. The responsible authority shall within 30 days either: (a)correct the datafound to be irraccurate or incompleJe and attempt to not�
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individual that he believes rhe data
to be conect. Data in drspute shall be disclosed only if 1he individual's statement of disagreement is included with the disclosed data.
The determination of Jhe responsible authority may be appealed pursuant to the provrsions of the adminrstrative procedure act relating
to contested cases.
DATA PRIVACYADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of su6jects of data';we would like to inform you that your request for a permit or license
from the Crty ojOrono or a�ry ojits departments may require you to furnish certain prrvate or confidential information.
You are notrfred that:
1. The information you furnish wil!be used to determine your qualrfication for the permit or license requested.
2. You may refuse to supply data,but refusal may require that the City derry the permit or licerrse.
3. The information may be shared with olher local,stale or federa/agencres to rhe extent necessary to process the permit or
license.
4. IJyour requested permrt or license requires Counci!action to approve,some information mcry become pub[ic.
5. You have certain rights under M.S.13.04(see following page)to review private data on yourself.
6. Your ful!name rs required to process this application or permit.
PLEASE PRINT
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First Middle Last
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Address
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City S�ate Zip Phone
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c�a�rva►►,e: HICKO�.If F�lE HOMES rI1�IC�." �- aus��ess saua�,re:
nBa'_ ;. :` , .' � � � . CORPORATION
� : Address: 8�5 BRQYVPI RD S � � �
� ORONO, MN 5639t � r '
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-License Ident�icatic�N�mbe�^ �3�,` 203Q1,12� < S�ua�tMn4 person :STEVENI:RIGHARD BOHL :.
Lioense E�irat�bn Erate ` . �3l3'�/2003 =� � ��ng'Educatio�: 7 Hrs CE dt�e.E�y 3f3?/2003
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02/19/209� THU 12:19 FAg 9 612 496 5512 SCHERER LUhBER CO ., f�002/002
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MNcheck COMPLIANCE REPORT � �
Mtnnesow Energy Code � Permft#� �
MNcheck Software Verston 3.0 � �
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� Checked by/Date �
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COLINTY: Hennepin
5TAT�: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Famtty
DA1'E:2-13-2003
COMALIANCE: PASSES
• Required UA = 8b�
Your Home = 839
3.1% Beuer Than Code
Area or Cavlty Cont Glazing/Door
Perimeter R Value R-Vafue ll-Value L]A
CEILINGS: Raised Truss l 958 38.0 0.0 49
WALLS: Wood Frame, l6" O.C. 4]58 ]9.0 2.0 233
BSMT: Conc. 9.0' hV8.0' bg/9.0' msut 96 10.0 0.0 6
GLAZ(NG; Wlndorvs or poors, Above Grade 870 0.350 304
DOORS 105 0.350 37 .
ELOORS: Over UncondlUoned Space 2�2 �0.0 0.0 8
SLAB Fl.00RS: llnheateQ, 4.0" insal. ]94 0.0 202
HVAC EQl1IPMENT: Furnace, 92.0 AFIJE
COMPLIANC�STATEMENT: The proposed buflding desfgn descrlbed here Is
consistent with the building plans, spedflcadons, and other calculadons �
submitted with the pennit appl[catlon. The pra�gd buf[ding has been
designed to meet the require�nen of nesot� Energy Code.
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Bu�der/Designer � , '�: _ __.� _� ' Date .� � 'F' ;
✓
DATE TIME
CITY OF ORONO CALLED IN "� �
INSPECTION NOTICE SCHEDULE�j( Z%�>c:'7M
PERMIT NO. r'-Y�IlOI� � COMPIETED
ADDRESS � � l� ����,�
OWNER CONTR. ,� � .%
TELEPHONE N0. �d�� 3�P� /:���'
� DESCRIPTION � �� \� ��� t��•
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBiNG RI 23 SEPTIC F NAL 35 HARD COVER REMOVAL
J 10 P BING FINAL 36 FOUNDATION/REMOVAL
� OW R/CONTRACT R TO MEET YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-4600
Owner/Contr o ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
�� DATE TIME �
CITY OF ORONO CALLED IN �� aY
INSPECTION NOT ,� SCHEDULED � / . (Z�
PERMIT NO. ��'0�'-�-� OMPLETED
ADDRESS �c1,�f� �S ��� ---L�_Cl��
OWNER CONTR.�j�'f� ��s�
TELEPHONE NO. `�� � ���0 �
� DESCRIPTION �=�t--���Z��
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52� 249-46��
Owner/ConVa on 'te:
Inspector. \
White Copyllnspector's 'le Canary CopylSite Notice
�� DATE TIME �
CITY OF ORONO �ALLED IN �
INSPECTION NOTI E f_ 7� SCHEDULED //�/D�� D
PERMIT NO. �G`' COMPLETED
ADDRESS � �S G� ��--�-�� �'�
OWNER CONTR. �%�= ' � ���
TELEPHONE NO. � ! �- - �ln C�" 1 Z-�-� �`��S
� DESCRIPTION ��- " � l
� 01 OTING 11 MECHANICAL RI 18 EXCAV/GRADING/F ING
Q 2 F MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOy AL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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 �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for ihe next nspection 24 hours in advance. (g52) 249-46��
OwnerlContr�'c an it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�./
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT,-�� scHEou�Eo - ,-G'`' '
PERMIT N0. f` C''�L��G?� COMPLETED
ADDRESS F�� �^1 l'���5��:1� ..
OWNER CONTR. !�/C-�dly
TELEPHONE N0._ ���� �3�t`�l� /;�v�`�
� DESCRIPTION � �'���`� LC�v'��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q�FRAtvIING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUL�710 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95Z� Z49-46�0
OwnedContract��si�e:
Inspector �`�
White Copyllnspector's FI e Canary Copy/Site Notice
� �� :-L�
'< DATE TIME
CITY OF ORONO CALLED IN � �?�
INSPECTION NOTI�E scHE�u�Eo —j��, - /( :3C
PERMIT NO. I-� J�'�`� ', COMPLEfED
ADDRESS �-�7 `_��C.' �-��.�_> ���'=X
OWNER CONTR. � � C-l��'U �/�'Y�S
TELEPHONE NO. Lr � Z " �jD�> " ����
� DESCRIPTION ��'�' `T�/l'C�
� Ot FOOTING i t 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 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 FINAI 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVEAING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnedContracto n s e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�s�+� �
DATE TIME
cinr oF oRONo ` CALLED IN
INSPECTION I�OTI E SCHEDULED -z.�D3 _ :3�Z
PERMIT NO�� COMPLETED
ADDRESS ���
OWNER CONTR.
TELEPHONENO. �lZ 36 7 �
� DESCRIPTION /�� Gl/��-G["
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC AAAINT. 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
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DATE TIME
CITY OF ORONO CALLED IN O-Y
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PERMIT NO. 3 COMPLETED
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� 1 ING 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
Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS F�NAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-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
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INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
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White Copyllnspector's File Canary CopylSfte Notks