HomeMy WebLinkAbout1992-004356 - new residence v�p
.,
PERMIT
v CI Y F ORONO PERMIT TYPE: �� I��
133 Bro n Rd. South • P.O. Box 66 Permit Number: �it f�.��t�.
Cry t I y, Minnesota 55323 Date lssued: c.��/�F,I�i:�
(61 )�7 357
SITE AD RE S: �
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f�fE4� RE'W:I C�El�Iz:E
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NTR T R: OWNER: — �P�l i c�cnt. —
P I Ef�C:E �i��
�� HAF��;II�C;T��N DR
Lj�NG LAr::E i�1� 5�:���
(�.1:�:�d7F.—q.:�;�i�,
,
___-_ __ _ _ __ .
_ --- -- - - — —
_ __ __ _ . --- _ _ _ _____ __ --------___
� H�- ��iDE� �I=.�i�3�G NE�:���Y �°Ec:�t_�E T= f-ERt1 I �:I E_��l T�f C'1r���::E THE REt�L I h#�'F:�=+VEC��Et�T'=�
' F'��: ��I�E? F�t�fC? �?C�EE�°_; -('i i �s��; ��L �i�w�F,:t�:: I��I ':�T�I�:T C:+��l�1�'L I�C�C:E �I�"H i�LL C::I T'� t=iF
+ h1�+�!� i.�h�I�1��l�:�'� HIVL� '�;�1"NTE i��= t�f i f�lha�'=;#=r��A E,t 1 I l.[3I tJ�; C:i;�L?F f,E�:���I�EP1EhJT'=� .
;
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�
� � CITY OF ORONO - BUILDING PERMIT APPLICATION
To al �ee: $ � " "' � Date Received: `��3��'z-
Date Approved:
En ered By: f� u---z'"
Permit#: ��� 5 �
INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII�L BB STARTED
(See Check-off List Enclosed)
-- - ----------------------------�- ----------------------------------------
TH APPLICANT IS: (circle one) fOWNER or CONTRACTOR
�
JO SITE ADDRBSS: ��:-�' , `- � ': �; �; :�i ` t` ^ ZIP:
r �
(work)� E-��''�:�.'�
.�, ; _ �
N OF OWNER: �":C.s � � - ,s �' � PHONE: (home)
MAI ING ADDRESS: �:..:: . , ! '; CITY: �- ?',.,�, �.�s >' .-� ZIP: , �S�
co c�roR: ���� ����� �c�' Paor�: � ��- �,'!`;.� ``.
MAI ING ADDRESS: ...�:::� rj�--, ,, ., '. , .' ; , .
��� �. CI TY: ,�-� �^, ��-n ,��� ,� Z I P: --�
ST E B,ICENSE: #
,
� �-, .�
� r / ; j.r► �i� � : ,,PHONE: �� ,�.._ "'' : _ f�
ARC I TECT/ENGINEER: 1-J� n e � �, '�J �` �
MAI ING ADDRESS: �rt���n c.rU�3,t�. 1 s7l�.t.o �•.` CITY: %1(,r� `.i ZIP:
p REGISTRATION #
TYP OF WORR: New .� Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PRO OSED WORR (describe in detail) : ` -<< � � r. j� � 7` � � � " '
� ` r1 V
STO IE5: � SQ. FEBT OF EACH FLOOR: � 5 a��(�C� �h � � � � Z
NO. OF BEDROOMS: `� GARIIGE STALLS: ATT. DET.�
�' ;= � ,�',
EST MATED CONSTRIICTION VALIIATION (ezcluding land) : $ J�f�, -�
I h reby apply for a building permit and I acknowledge that the information
abo e �.s complete and accurate; that the work will be in conformance with the
ord ' nances and codes of the City and with the State Building Code; that I
und rstand this is not a permit and work is not to start without a permit; and
tha the work will be in accordance with the approved plan. •
!' �.%_.� �" ' / • �
.- �-�%.�-1 f��'.:'-
APP ICANT'S SIGNATURE: �i. • '=r ' ' DATE: �
. -, ' CHECR OFF LIST FOR ISSDANCE OF PERI�IITS
'' FOR OFFICE USE ONLY
ADD �S R LEGAL: .�0 0 ,sv SSeX �'ID=
DES �P ON OF WORR: E W R=�5
--- �- -------- -----------------------------------------------------
ZONI t� IEW BY: - ---- - DATl3 APPROVSD: S�Z���
BIII �N REVIEW BY: � u,� DATE APPROVED: �'Z6 _c7-t____
--- -�- ------------- ------------------------------------------------------
FE$S �'O $ CHARGED: Misc. Fees Calculated By:
pERNI � Yes ✓ No
PLAN �t EW Yes ✓� No SEWER CONNECTION
STAT iS CHARGE Yes�� No�,/ WATER CONNECTION
INVE �I TION FEE Yes No ✓ PARK FEE
SAC Yes No�� SITE INSPECTION
Numb r SAC Units OTHER (specify)
---- }- -------------------------------g---------�--n--_----------------------
ZONI G ECR LIST Zonin District 1`2 1 �
Fire �e rtment: ,s k,� Post Office: L�N� � Schoo� District:D�-w`�a
Lot re z �g-� -F; Width: q-u-� Zo c� Depth: 3�O �u-Q
Sur �i ubmitted: Yes� No Date of Survey: J�-�/- 5 z
Pro �se Setbacks:
�'r nt (Lake) : /SU �-� Right Side: y(�-�
Re r (street) : � 3.3 Lef t side: �/Z- �
�Ad acent structures: N�A wetland: /t/�A
Bui dl�in Height: Def. Hgt. 2Y.S Peak Hgt. Z�i �
Avg 8e back: /�Ul�+' Lot Coverage: /V/�
Existing Proposed
Har ao r: 0-75 '
75-250 '
250-500'
' 00-1000'
Har c2o r Variance Re ired Yes No Date f Coun il Approval.:
Gra i;n Staff Appro al Dat : y: Council Approval Date:
Sep i�c Staff Appr val Dat : By:
Zon r�g ile:# eso tion Reso ution Date:
I (in hou e) :
�
r
', �
I
BDILDING R�VIEW CHRCR LIST , " ,- .
.
IIBC: $� R -� CONSTRIICTION TYPE:� +
Sq Footage $ Per Sq Ftg ,
Basement x =
lst F�oor x =
2nd Floor x =
Garage x =
x =
TOTAL
0
$sti.mated Construction Value: $ ��S�(7
Inspections Required: Work Reqnirinq Separate Permits: ��,
Site � Plumbing Grading/Fil].ing
�Footing �Mechanical Fire I
Framing �Septic Water Connection
Insulation �C Fireplace Sewer Connection ,
� Wal7� Board ,�(Masonry) �Lawn Irrigation �I
Final (Mfg.) Other ;
Other �Wel 1 (State Permit) i
�Electrical (State Permit)
-----------------------------------------------------------------------------�-
REMARRS (IN HODSE) :
-----------------------------------------------------------------------------�-
REVIEW BY OTHffitS: DATS:
Access: Existing New '
Access Approval.: Date By:
-----------------------------------------------------------------------------*--
Rffi�lARRS (TO BE NOTSD ON PERMIT) : i
�
�
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offiees
•
_ � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
d ta , we would Iike to inform you that your request for a permit or
ic se from the City of Orono or any of its departments may require
ia o furnish certain private or confidential information.
You are notified that:
1. The information you furnish wi1.1 be used to determine your
qualification for the permit or Iicense 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, s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council act�on
to approve, some information may become public.
' 5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
��s�� I��d�-� ) r �f�C�
First Middle Last
j.� a�o�-r� �� ��
Address
o,� � n � .�5 3 5�
City State Zip
' `��� � ��/
Phone
I un and y ri s stated above.
�
,_/"
, Sig ture .
B 1�.DI G&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
AS SSING
� �' .
y�.pe� RIGHTS OF SIIB�7ECZ5 OF DATA � �
Subdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
. Subd. 2. Information required to be g�v� ����' An.individusl asked to
� ' su ply private or confidentiel data coneerning himWielhfinl� collecting state agencY, '
puPrpose and intended use of the requested data
political subdivision, or statewide system; (b) whether he may refuse or is legally
required to supply the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of I
other persons or entities authorized by state or federal law to rece��ee�e�ve data
requirement shall not apply when an individ ig en orcementuofficer. g
� pursuant to section 13.82, subdivision 5, to a i
The commissioner of revenue me lace the reo�a�tructio uinsteadhos
subdivision in the individual income tax or ro ert tax I
on those orms. . -- - --- - ',
A�� � �� � ����,L Upon request of stored da albon
Subd. 3.
authority, an individusl shall be informed whether h=VBteeor eonfidential. IIpon his ,
individusis, and whether it is classified as public, p ublic data on ,
turther request, an individusl r�►he is the subjecc�ge to himrlande if he desires, shell
individuels shall be shown the data without any
�e informed of the content and meaning of that data. After an individuel hes been II
the data need not be disclosed to
shown the private date and informed of its meaning, u��t to this section is j
him for six months thereafter unless a dispute or action p
� � pending or additional data on the indi of the hr vateeor p blic datarupongrequest by
responsi b le a u t h o r i t y s h a l l p r o v i d e c o p i e s P
the individual subject of the data. The responsibl Cert f �nl ty and compiling the ,
requesting person to pay the actual costs of making, Yl g�
copies. ` lmmediately, if possible, with any request I
The responsible authority shall comply ' of the date of the request,
made pursuant to this subdivision, or within five ��immediate eompliance is not �
excluding Saturdays, Sundays and legal holideys,
possible. If he cannot comply with the request Wit�within which tohcom llnwi h the �
individuel, and may heve an additional fve days
PY
request, exeluding Saturdays, SundaYS and legal holidays.
e when data is net acc�8te or eomplete. An indiviciuel Ty�
Subd. 4. Proced�u' tumself. i
contest the accuracy or completeness�oi public or private �the�res o�nsible authority
exercise this right, an individusl sh811 notify � ��e authortq shall within 30 �
describing the nature of the disagreemen� The respo
days either: (a) correct the data found,t�bn inae��aei°��ng Pec pienLs nemedt by ',
notifq past recipients of inaecurate or in P
the individuel; or (b) notify the individuel that he believes the data to be correct.
Data in dispute shall be disclesed only if the individual's ststement of disagreement is
• included with the disclosed data. ealed ursu8�t to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
�
i L/� 1 L f� t V I\ L i�v �_�� ��- ��• _ •• ... .
V ! �
�rr�� �,� ,� 1 1.1�.��_----------- --�---- nn1�r :_ �-C�- f.��
S?l E n�`JD�ESS : � .
�' �. � u C`.
CO\T, �C;OR Y��-'� 'I'i E'�C�.._--,----.— — PLAN � _ �y- �o �!�'�'�
L.-,_�---
Determire t�rorking square foota�e cf e�ch '
1. o�all exoosed wall area. . . . .��.>`�__.__Sy • ft . x 11 = �� I , �
Ilt�sq, ft. x .�20 = ��
2_ o�all roor/ceiling area. . . . _�_ �
' Tc�al exposed wall �rea above .floor=__ �Z;i'�
a. o�al wall window area. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1��
b. otal door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. � . . . . . . . . . . . . . . . . . . ✓
c_ o�a1 sl �ding glass door area . . . . . . . . . . . . . . . . . .
d. ota f:replace ��rall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . —�—3
e ota wail frami:�g area (average 10%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . —
• . . . . . . . . . . . . . . 7
�. ota rim joist �rea. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��-,
�. n= wall d1�aG above rioor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. r��a11 area above r"loor. . . . . . . . . . . . . . . . . . . . . . . . .
i . r��all area a6ove Tloor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j . trc e wzll are� a� =o�-�ca��or1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ic�al exposed rour.dation ���ea= -7� . �
k_ ot� iouneatiuz �vindow area. . . . . . . . . . . . . . . . . . . . . .
1 , iota� ne� rounda�ion area above grade. - . • • • • • • • • • • � -
re�ermine "u" value of each titi�all segment .
(E_g. �,rindo��r, c'oor , each sep�rate wail sec�ion)
l X �����_ - �'(�, 7 �
� I_1 � —', �`
� �� „ ����� � '� � _ ( �: 1
b �� ^ .
����� � �.� -- �� , �
c �� h --,--�— . .
�
j y �- Y ����� _ :
z�� � X ����� � � _ ��i � . •
0
� .� --/ n nl�ii � l. _ � � . . .
i. G- I � U
a � 'l�j� � ����� � (� _ � �� �
X ��'��� "
n .
i \ , �„ _
i .
----
� ������ _
� ^ i; i�er� �3 is ;he sz
.J -
��, �� � _ ,,Cj !-f as , or i eSS �han i�E
� X J �I
fi
f �. _ � =1 ou nave �ne.. thE
, , � Y
G in�Gnt or SBC o00b I
�� X ����� , �.�• _ � . - _ _
i � - .
� r
3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total = %'� , - " . � .
. , .
- - - -- _.,..._.._�„_._.-.-_,�__-.:_ z�.__.,�.. - �------�-�-- --
�
, �, � Total exposed roof/ccilinq area = . .
' .i ? s:y�i.g?:� area . . . . . . . . . . . . . . . . . . . . . . . . . . . . • ,
..i _ �a� roo•`/cei_ir., �f�-aming ar�a (,ivcragc. 1.0�) : . • • .
. _ tal r.ct i:�s��ated roof/ceiling �are:a. . . . : . . . . . � � , . � � , . - �
Determine "U" vuluc L-or each roof/ceil.ing segnent ,
� �r iiU�� �� _ /....�. . . - + . .
� �1 � ��li" � !�?i� _ _ �� ( . � �. .. - .
� t•>� / X nU,� � t'>� _ (�V i I . .. - .
^. ' . . . . . . . . . . . . . . . . . . . . ���z = ZZ, `b - � . � � . . '
__ �p= c: -� is the s�-ne as, or les� t:han �2, you have met the intent o� . � �
S:3 50" i�? i• . . . •� .
Alterr.�te Building Enve.'_ope Desiqn • � . �
'� ��i� �2 ��e total envelooe 'system method, the values estzblishecl by tne s:un of '
_ ,,s a:�d -= sha11 no� be rreater than the sum of. items ul and n2. .� '. " .
�. �Z��j, � + 2. Z = „30�� � � . ..
3. 73�, �- , 4. '�Z� �7 � = Z��, Z� " � .
i .
,
, � . � � PLAN #
^ I�TNEAL FEE,,T EXPOSID WALL �
K: z�+ �3-�L�4-� `� i i� -�- t� -t- 2�- lo k 7.-�- l� = I�'c� . �.
. ,--
w� . . --
1� Z� �-� �� 1��-�.;- I�{�- �r,,rZ�" I�v� Z�+- �,f-3-�- l.�.fi3�- Z � I�
2: Z�?,r-��-.�. 2�-�' ZZ.,` ,3 �' (� �- 3'�- Z = �Z.�
L�ACE:
Z7� .
,� SQUARE FEET EXPOSID WAL�L AFZF,A ' ' : .
B K: (�lv x .5 = �� .
. r-- x 5 = r--
W. . r— x 8 = �— -
1: I�`� x 8 = �18�� �.
2: (2c,( x s. = ��08 .
.
F LACE: — x = ..� .
��� � X 1 ' ��'�' •
- — ZS3� - . .
� sQuaxE r�r �osm cEzvzrr� � � 1`,�.-c¢
� w i►.�s�atiYS :: DOORS 3�� � Z�
Z� ,� 111� 7� � � �.�,
3�
�� � ` �'� -� PATIO DOORS o q'
Z� t� � ll ll �o c� � c� �- ` ��-�
�� � t� I� � �SEME�IT tTNI�T'S
�lv�i � �\ _`�_"_-_: _
. l �t�-�, � i� — ��1 �'
yv Stti.T1�c-C1J
, Noi L, Us '� o� opaque �l 1 �r� f�r R- VAI.�TE
. , •,�ir •rj�e, truCf io� CONSTRUCTI013- - FRAMING - -
� 1. IN'I�RIOR AIR FIIM 0.68
�, � 2. 2 GYP D .
3. 5 1 2 ' SOFT WOOD 6.87
, .
4.
� S. ING _ .8
6�SzC ��� 6. IOR AIR FILM 0.17
�'�-�- R= .8
�<
� U= .09
SG. 1 T�UR��ErJ CP
P4�AME y!q LC �'T
�
1. INTERIOR AIR fZIM 0.68
�J 2.� 1 2 GYP D .45
3.
! 4. 2 32 SFiEAT'��NG 2.06
5. SIDING .S
�• � 3 6. OR
� U= .04
--�
v 1 . l � 1. INT'EgSOR AIR FII�i 0.68
___._.. _ -•-- ._ + .. i ...�.._._.
�
" "-�I � 2. 6� INSUL. 1 .00
5��� S�h� �� 3. x R JO .
/ t M -� n 4. 3 G
� I� ..�..Q 5. S DING .6�
� ' �� �� � 6. OR AIR F
, v�- �' � U= .04
� � � �j ---�..._ � .
� ------- �
� o" � BLOCK
�d-NDhT�C.XJ � � � -.w.._ �.._.._....._..__..�
� ,
��'�- �• • 'p� ' G � 1. IN'TERIOR AIR FILM 0.68
0 � 2. �
. � --
�'�� e �f-�..~�.", f. 3. STYFtO 5. 0
' 4. PROTECTIVE BARRIER
t�� � 5.
6. F
TOTAL R= .13
, _ _ U= .I4
t
f' � l SLAB ON GRADE � p _ ,� '�, � �� .�� `
, � � � : ° ' ' �
,
„� �� ^ _.._. � � �� . �,- b � f � • I
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
h 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
1- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra r q¢site:
Inspector. U
White Copyllnspect r's File Canary CopylSite Notice
�
DATE TIME \
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED "� ��=�
PERMIT NO. `�3� COMPLETED � �
ADDRESS 3�IS Suss-�x Q.o,�
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� DESCRIPTION
� 01 F 11 MECHANICAL RI i6 WELLTEST PUMP
Q 02 FR 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24125 WOOO BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATEA HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOH TO MEET YOU:�YES_NO
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Con o te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN '� g�—
INSPECTION NOTICE SCHEDULED '�� '�
P�RMIT NO. � ��� COMPLETED �� �
ADDRES � �t
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� DESCRIPTION ��'Lcr��'—��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 031NSULATION 24125 WOOD BURNER/ IRE LACE 9 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
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INSPECTOR WILL RETURN
� CITATION ISSUED
C]STOP ORDER POSTED.CALL INSPECTOR
[1 INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac o ite:
Inspector. � �
White Copyllnspector' File Canary CopylSite Notice
v'
DATE TIME
CITY OF ORONO CALLED IN —
INSPECTION NOTICE SCHEDULED =��f 2=36
PERMIT NO. � �-��� COMPLETED � d� q-3 0
ADDRESSs�I� ��z.cSs�)C
OWNER CONTR.
TELEPH�NE NO.
� DESCRIPTION
l4 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 0 RAMING 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING
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� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.4T3-7357
OwnerlContr r ph site:
Inspector. �
White Copyllnspec or's File Canary Copy/Site Notice
DATE 1/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE .t SCHEDULED �
PERMIT NO. �-�� COMPLETED J—'T—'j� �"OO
ADDRESS 3��� ��t.S S °�-�G
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANiCAL RI 18IXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 0 MO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
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Call for the next inspection 24 hours in advance.473-73�J7
OwnedContrac on site:
Inspector. e
White Copyllnspector's File Canary CopylSite Notice
548175
Certificate of Survey for
' f ar�tners 4 De;inn � � COP� .
of Lot �4 , [31ock 2 , FOX CCNL
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BY �u`"�:�
. 7'op o{Fnodln. = 989.96
Ex�•stin9_Legal Des r_ip_tion DA�'E r�.z,�_ �:.`-�-_.�:_.___�__� . �°.°9� F/aor = 9A9.��
. �ou,.�f F/o•�- - Y�i. 29
Lot 4 , aloch 2 , FO QE�iJD. �
This survey shov�s he �ocation of a proposed house
in relation to the bouhdaries of the above described
;�ro,�erty. It does ot urport to show any other im- o , Ir�n ;-�arker
�rover�ents or encr ach�ients . (9�9.Z) : �xistin� elevation
v�9.2 : �ronosed clevation
II Datum: Mean Sea Level
`�;�� �'
4 t4� s-�-9z
;i , ! hcrc�y ccrlify lh�t this survcy was prcparc�i by mc or undcr my direct super- �n��.
�'"j'V' � � � � � � �� � vision, and that 1 am a dul rc rislcrca Civil En�incer and Land Survc or undcr
��?'�:;�; Y b b� Y
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#�,� h �� i ` the laws o lhe Stat�� o Minnesota. ,. ,
SCALf: � =So
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�•�'`. Mark S. Grc�nbcrg Minnrsota Liccnsc Numbcr ]2755 ���N�� 9Z -/qyr.
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