HomeMy WebLinkAbout1996-008454 - new residence CITY OF ORONO PERMITPERMIT TYPE: �,. II
2750 Kelley Parkway- P.O. Box 66 Permit Number: BUILDING
Crystal Bay, 0 }.-454
CJlinnesota 55323
(612)473-7357 Date Issued: 10/17/96
SITE ADDRESS:
4757 Tt rNNAV I EW LA
LSV
P. I . N. ; 07-117-23-32-0011
DESCRIPTION:
NEW RESIDENCE
Building Permit. Type SGL FAMILY-NEW
Building Work: Type RESIDENCE
UBC: Occupancy R-:3
Construction Type VN
Zoning LR-1B
Census Code 101 1 - FAM. DETACH i
REMARKS:
SEPARATE PERMITS REQUIRED FOR PLSG, MECH, FIREPLACE isMFG) , WATER ?:r SEWER
CONNECTIONS AND LAWN IRRIGATION. 'NATE PERMITS REWIRED FOR WELL AND
-B PER _ _ _
FEE SUMMARY: - _ _ . _ _ . _
VALUATION $I S ,242
Base Fee $1 , 167 .25 SEWER CONNECTION -------1'''��.�..v..a�9
iiex
Plan Review $758 . 71 Total Fee $3, 122. 58
Surcharge $77. 6.2
SAC $900. 00
SAC r 100
`=tiAC: Units --------------1
Subtotal
CONTRACTOR: OWNER: - Applicant —
OLSON T I M
2647 SHANNON LA
MOUND MN 55664
(612)4722-7689
Tl
RS FERS � 1 T T1EL'THE UDERSSGNED HEREBY REQUEST 3E
:SPECIFIED AND AGREES TO DLI-ALL WORM Y1� STRICT t� � LIME ; T #�L � F a
13RONO ORD I NANCES AND STATE 13F M�TNNN"_ �,"T : :;� I I I N%%� Cow
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ P f Date Received:
Entered By: ,J1g--d Permit#: 'YSS�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
---------------------------------------------
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: ,
Z ,
NAME OF OWNER: J t � 1 �` �1 PHO
e) /�
��/ (work) �a
MAILING ADDRESS:s 2(c 7 6�n al) (n CITY: p�,c n ZIP: 1.,
NE: om_
CONTRACTOR: e.I PHONE:
CONTACT PERSON: MOBILE/PAGER: 7+7—c;? 7,30
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
OPOSED WORK(describe in detai o S��c-Z`� fl 0 St nq C-.
YL� �o►N1 cSC�i i r o5iofn
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: _ GARAGE STALLS: ATT. ,� D
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /CGS v00
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 the approved plan. 0
APPLICANT'S SIGNATURE: 52DATE: < �`r
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
Sec.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 to 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 confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property 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 authority
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authority shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five 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 determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
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 City 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 permit 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.
Gre�171 0Xyc�/7
First C, , Middle f N ,.,q.,�.t.. Last
Addr70(i .,1
City State Zip Phone
I understand my rights as stated above.
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID: j 7 11,2- + Nb
OF WORK: �; /r � �
21670 2-414 .
ZONING REVIEW BY: (r DATE APPROVED: -3
BUILDING REVIEW BY: DATE APPROVED: �p . 3 y G►
----------------------------------------------a-----------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By• Qe4 tgc3c, 4-
PERMIT Yes ,/ No
PLAN REVIEW Yes No SEWER CONNECTIONi 22 S.c o
STATE SURCHARGE Yes ci No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes / No SITEINSPECTION
Number of SAC Units 1 OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: LA- I IS
Fire Department: MCU;,j,3 Post Office: School District: We - yk%-tcA
Lot Area: Sq.ft. 0,900 Acres -L4 Width i GC Depth 05-'7$
Survey Submitted: Yes x No Date of Survey: Z--7-16
Proposed Setbacks:
Front (L-ak&): 3$ Right Side: 1 S t
1 c
Rear (Street): 135 Left Side: 33
Adjacent Structures: IJ(ft Wetland: N 1,4
Building Height: Def. Hgt. Z 3 5 Peak Hgt. Z'1•
Lot Coverage: 13,
Grading: Staff Approval Date: l0 -3. ry G By: Council Approval Date: A16 S-i.3 `1C.
Septic: Staff Approval Date: Af 4-- By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: V?-.5 y
Avg. Setback: N (A Bluff Setback: Z16 , Lot Coverage: i 3 /a
Existing Proposed
Hardcover: 0-75'
75-250'
250-500' r 5 •
500-1000'
Hardcover Variance Required: Yes No.LA Date of Council Approval:
REMARKS(in house):
26
BUILDING REVIEW CHECK LIST
UBC: (Z_3 CONSTRUCTION TYPE: '\/N
Sq Footage $ Per Sq Ftg
Basement f 6%(6 x 0913.'Z4 = f 3 47�i
1st Floor tots x 611.3i = ?D,s-A�
2nd Floor 1141i x 61. ,&( _ S
Garage ti 5ro x I b-31 = S,
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical pe, Water Connection
A( Footing Septic Sewer Connection
K Framing fX Fireplace Lawn Irrigation
Insulation (Masonry) Other
o Wall Board OC (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 PERMIT):
27
- HARDCOVER CALCULATION WORKSHEET r1M aLfaA/
/EEXIS-i-ENG
ACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
HARDCOVER IN ZO\'E
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x - S.F.
x = S.F.
E. Patio/Deck x - = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x
S.F.
By Plastic x S.F.
Or Fabric
G. .-Other x = S.F:
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE. S.F. B
A B x 100 = o
PROPOSED.HARDCOVER LY ZONA
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x A = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x S.F.
TOTAL HARDCOVER IN ZONE E XC tNO�.v( o�0 1 D ' 'S.F. A
TOTAL PROPERTY AREA IN ZONE. - / 2 9 0 O S.F. B
A U — B Z gG0 x 100 = n %
14
HARDCOVER CALCliLATION WORKSHEET T��t 01-0,✓
/EEXTISTING
ACK ZONE: (CIRCLE ONE) 0-75' 75-250' _50-500' 500-1000'HARDCOVER IN ZONE
A. House x = S.F. �I
Length width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk
` 1" S.F. SIJ i.
x — S.P.
E. Patio/Deck x _
— S.F.
x = S.F.
F. Landscape x
Underlainx S.F.
= •
By Plastic x = S.F.
S.F.
Or Fabric
G. Other x
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE _
A _ B ., x 100 = S.F. B
,o
PROPOSED HARDCOVER IN ZONE J
A. : House x _ .. ..,
Length Width S.F.
x = S.F.
x = S.F.
x = S.F.
B. Garage x
= S.F.
C. Driveway x D O S.F.
x = S.F.
D. Sidewalk z = 70 S.F.
x = S.F.
E. Patio/Deck x = 22- 0 S.F.
PaK C N x 152 S.F.
F. Landscape 60'"I'e O FC K
Underlainx — 72 S.F. �� coatirCv
S.F.
By Plastic x _
Or Fabric S.F.
G. Other x =
S.F.
TOTAL HARDCOVER IN ZONE - 3 SS / S.F. A
TOTAL PROPERTY AREA IN ZONE - 141, 12o S.F. B
.A -3 S S/ - B /20 x 100 L5. /S %
14
` EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Comili ante with the Minnesota E::e=gy Code
(S ec ti cn 502 of tt^e State Mended 1983 Motel Lner ry Code)
Project Title �/}*) �ii' ��,�/ la/p� -s
Site Address -
I. EXPOSED WALL CALCULATIONS
AREA "u" VALUE AREA x "U"
A. Ooaque WaII
1. Masonry/Concrete
a. x =
b. x =
C. x =
2. Fourdaticn Wall (Above Grade)
a. 2. 40
x I d e = Zi
b_ x =
3. Wood Fram Wall s
a. Insulated Area /&7 x
b. Framing Area (Ave. 15% at 16" oc) x
c. Framing Area (Ave. 10% at 24" cc) x = q
4. aerioheral Floor Edge/Rim Joist x
B. Glazing
1. Windows
a- 49 x A _
b. x =
2. Doors 76 x L
C. Doors
1. hoed
a. Solid x =
b. With stor:ii door _ x =
2. Meta1 x
3. Overhead x =
4- Other x =
D. TOTAL WALL ARFA, sq. ft. . . .. . .. . . .... . .. . . .. !/
22�E. TSL of A.R . x "U". . . . . . . ... .. ..... . . . . .. . . . . . . ... . . . . . . . . .. . .. . . . . . . �
ROOF/CEILING CALCULATIONS
A. Rczof/Ceiling Insulated Area x
B. Roof/Ceiling Framing (Ave. 1.5% at 16" oc) x =
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) _ x
D. Skylight x =
E. TOTAL RGOF/CEILIlrj AREA sq. ft. . . ... . . . .. ..
F. , TOIE:r., CE' AIREA x "U" . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . ..
III- BUILDING ENVELOPE REQUIREMENTS
TOM AREA REQU=C "U" ALLOWABLE
(F=, I.D & II.E) (Fran V.) (Area x "U")
A. ExDosec
B• Rccf/Ce i ling:
sm
X fog
C- TOIL P 3Z BUILDING ENVaDE=- (Total of A & B above) ...
IV- ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x "U")
A. Exaoser Wall. (Fran I.E)
B. Roof/.Ceiling (From II.F)
C. TOTAL ACTUAL B
U'�� �' (Total of A & B) ...... ... ...
S
*(Meets code requirements if less than III.C)
V. REQUIRED "U- VALUES
tiv�T,TS ICOF/C=ILII
Detached orn arm t-,4o family dwellings .1I .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* All Other C.--,,struc-ion Types (3 stories or less) .238 .06
* All Other Ccnstructicn Types (More than 3 stories) .28 .06
* Based on 8007 heating degree days (hpis/st. Paul)
Adjust 'U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have carmleted the above informat
Mion and that it ax- lies with the
i nre sots Stat--to Dnerg_v Code.
Signature
=a Date
BCSD 3-89
CC/SL.1/65;4
WaThiall RESUME]
®OSE
25
1.
1! '
1. F-VALU TNTERIOR •.
• • to•
linroll _ 11�111r:4�
•
: ASSEMBLY U-VALUE 'ASSEMBLY U-VALUE
FNTF•
WIFE'S
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1 11 ` / JIBERGLASS1
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: FIBERGLASS
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• 1
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ASS14ALL FRAMING
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1
ENERGY CODE DESIGN BY ACCEPTABLE PRACTICE
To Determine Compliance with the Minnesota Energy Code
(Section 602 of the State Amended 1983 Model Energy Code)
This form is only applicable to detached one-and two-family dwellings. The requirements herein are based on Table
No. 6-11 in lieu of the
,ccrriteriiaa specified in/Sections 602.2.1, .2 and .3.
Building Address ! ,"U
Contractor or Owner (2&c—,✓7
Building Element "R" Values Area (sq ft) % of Ext. Walls
Ceilings Design J�s'Req'd 38
Walls (exterior) Design 90-'Req'd 20
(w/o fdn)
Floors (over unheated spaces) Design Req'd 20
*Windows (in bldgs w/o Design Req'd 12
sliding glass door) (glass) 1
*Windows (in bldgs with a &949� Design 10, Req'd 10
sliding glass door) p (glass)
Foundation Walls Design D Req'd 5 (when insulating full depth of foundation wall)
Design Req'd 10 (when insulating only to frost depth and
footings extend below)
Slab-on-grade floors Design Req'd _ (See Figure No. 3)
**Doors (1-3/4" metal faced) Design /0 Req'd 3
* All windows shall be double glazed or have storm windows
** Conventional doors other than metal require a storm door
CERTIFICATION
I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy
Code.
Signature ��� '� Date
a
BCSD 3-89
CC/SM/6593
19
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL
OF TYPICALLY USED PRODUCTS
AIR FILMS (R) SHEATHING SR2
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94-
Exterior
.94-Exterior Air Film (Walls 0.17 1/2" Plywood Sheathing 0.62
Interior Air Film (Vented Ceiling) 0.61 1/2" Particle Board 0.66
Exterior Air Film(Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32
Interior Air Film (Non Vented) 0.61 - Gypsum or Plaster Board 1/2" 0.45-
Exterior Air Film (Non Vented) 0.17- Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
BLOWING WOOLS Plywood 1/2" 0.62
Approx. 3" 9.00 Plywood 3/4" 0.93
Approx. 4 1/2" 13.00 Sheathing, Reg. Density 1/2" 1.32
Approx. 6 1/4" 19.00 Sheathing, Reg. Density 25/32" 2.06
Approx. 7 1/4" 24.00 Nail-Base Sheathing 1/2" 1.14
Approx. 14" 30.00
Approx. 18" 40.00 ROOFS
All other insulation materials Built-up Roofs 0.33
must be verified (R Factor) Asbestos-Cement Shingles 0.21
Asphalt Roll Roofing 0.13
INSULATION Asphalt Shingles 0.44-
Insulation: 2-2 3/4" Fiberglass 7.00
Insulation: 3 1/2" Fiberglass 11.00 SIDING
Insulation" 6" Fiberglass 19.00 Aluminum Siding 0.61-
Insulation: 3 5/8: Fiberglass 13.00 Aluminum with Backer 1.82
Insulation: 9" Fiberglass 30.00 Aluminum with Backer & Foiled 2.96
Insulation: 12" Fiberglass 38.00 1/2 x 8 Lap Siding (Wood) 0.81
Insulation: 8" Cellulose 29.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 10" Cellulose 37.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 12" Cellulose 44.00e Stucco (Brown and Finish Coat) ----
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS
1 3/4" Solid Core Door .46
WOODS w/Storm, Wood .31
Fir, Pine & Similar Soft Woods w/Storm, Metal .26
1 1/2" 1.89 Pease Steel Door Insl/N/GL 7.45R .13
2 1/2" 3.12 Sliding Glass Door, Wood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87
WINDOWS
CONCRETE BLOCK All Windows
8" Concrete Block (S & G Reg.) 1.11 (w/Storms 1" to 4" Space) .56
(Filled with Vermiculite) 1.93 Removal Double Glazing (RDG) .55
12" Concrete Block (S & G Reg.) 1.28 Thermo or Welded 3/16"Air Space .69
(Filled with Vermiculite) 3.15 1/4" Air Space .65
8" Light Weight 2.18 1/2" Air Space .58
(Filled with Vermiculite] 5.03 (Other windows specifically tested
12" Light Weight 2.48 can use better ratings)
(Filled with Vermiculite) 5.82
20
DATE TIME
CITY OF ORONO CALLED IN l Z S A�
INSPECTION NOTICF SCHEDULED ;-3 O
PERMIT NO. -� COMPLETED
ADDRESS x-12 7y/c 27 46er-,
OWNER ( /.r0ilyi CONTR.
TELEPHONE NO. 7 3 d
DESCRIPTION
Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
WAS
C
QC
O
O
a
QC
O
LL
W
Q
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12
Z
W
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QC
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dW (WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
CC CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR !1,CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the neX inspection 24 hours in advance.473-7357
OwnerlContrac n ' e:
Inspector.
White CopylInspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC ' _ SCHEDULED / /U=y0
PERMIT NO. " COMPLETED
ADDRESS
OWNERCONTR.
TELEPHONE NO. �17:Z
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h (2FRAMING ` _ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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-UO 06 PROGRESS
v
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO-FINAL,', ! �5 SEPTIC INSTALL 22 FOLLOW-UP
= UMBING RI a s 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v TO PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENT
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W
QC
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2
W
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WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
�Uc)fflc'ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContract r i
TL J AA
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
V
D TE TIME
CITY OF ORONO CALLED IN �-"AJ
INSPECTION NO C [ SCHEDULED - oZ
PERMIT NO. !7-SL/ COMPLETED
ADDRESS '�42=57 It
OWNER CO 1TR.
TELEPHONE NO.
DESCRIPTION -�17���ct �J
01 FOOTING i 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING_ 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q BD. 12 WATER NOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO--SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
oy COMMENTS:
cc
W
cca
CC
0
W
cc
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OwnedContractor
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White Copylinspector's File Canary Copy/Site Notice
V
DATE �f TIME
CITY OF ORONO CALLEDIN 7-91-7
INSPECTION NOTICF SCHEDULED o� d 4-5/7
PERMIT NO. COMPLETED
ADDRESS
OWNER C� CONTR.
TELEPHONE NO.
DESCRIPTION _D
01 FOOTING 1 i MECHANICAL RI 16 EXCAV/GRADING/FILLNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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60j3 INSULAnON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
F' 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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Call for the next inspection 24 hours in advance.473'7357
Owner/Contractor ogsitQ:
Inspector.
Whits CopyRnspectoes File I Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN L/a✓ "3e
INSPECTION NOTICE '/'- SCHEDULED (�-/ 3d 4?1
PERMIT NO. ` Comps FTED l
ADDRESS -7 S 6a --
OWNER CONTR.
TELEPHONE NO. -2 (,L-7 - a-7 3n
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
It 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
kO3 INS N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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14 SEWER HOOK-UO 06 PROGRESS
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W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Call for t'n tion 24 hours in advance.473-7357
OwnedCont on site
Inspector.
Whit CopyAnspwtoes File Canary CopyrAle Notim
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 4' 9' S 7 =
PERMIT NO. COMPLETED _�� 1
ADDRESS
OWNER CONTR.
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DESCRIPTION Y g V
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04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Call for the next inspection 24 hours in advance.473-73557
Owner/Contract W ni e:
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
DATE
CITY OF ORONO CALLED IN i / 51 T`S� ^
INSPECTION NOTICED SCHEDULED
PERMIT NO. - �`� COMPLETED
ADDRESS L 75-7 _4 Au (,/j 'e
OWNER _ t, m TCO—NT"R�.
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DESCRIPTION
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Q 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
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v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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INSPECTOR WILL RETURN
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Call fo ext inpection 24 hours in advance.473-7357
Owner/Contra ons te:
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563571 -'-17S-7-7 01//y7 V!L W L 7C A F
C u 001 c r,b To 4-)9-9 1 a 4W t v (u4jL- "
CERTIFICATE OF SURVEY FOR ORON1110 COPY
TIM OLSON ,
OF. LOTS 5 & 6, BLOCK 3, BERGQUIST AND WICKLUND'S PARK
HENNEPIN COUNTY, MINNESOTA
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Northerly ri9ht-or-way line
/ per Co.Rd No.19 plat
LEGAL DESCRIPTION OF PREMISES :
__. _.._.�..__ ..__.._..� Lots 5 & 6 , Block 3 , "Bergquist and
"'Wo.2 Wicklund ' s Park "
i r
, • o : denotes iron marker
(1019.8) : denotes existing spot elevation ,
'. ;vti`� mean sea level datum
/oz6 --: denotes existing contour 1 i ne ,
N
By —_, mean sea level datum
DA; c _ ._ _1Q_-_7 _..—_� Bearings shown are based upon an
--- __..�__.._. assumed datum .
�.f0/OJED ELE!/�TiovJ This survey intends to shote the bound-
!) C4AAFE _ /027, 8 ari. es of the above described property .
hof,fit. z
j 2)/m- ax-FvOriv= /028-/ It does not purport to show any other
/7,800_Ta,F/,
1,7, o?v!ra,Fr, Exc1uo1,�4:
3)"c-677 ceorA /020, 0 improvements or encroachments .
,�o,/i Fr.•r• FO.t �o,,to,
denotes distance as shown on the
plat of "Bergquist and Wicklund ' s Park
I hereby certify that this surve�' was prepared by me or under my direct super [Mrt. 2-7-96
' vision, and that I am a duly registered Civil Engineer and Land Surveyor under 8-10'96 /�o/oJFO N041E
the laws of the State of Minnesota. ze-?e,xr-,J"ce40'v
scni.t- 1"c30'
JOB No. 96-015
Mark S. Gronberg Minnesota License Numbe 2755
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