HomeMy WebLinkAbout1999-011602 - addition PERMIT
Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 B_t LF T t,RG
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: 3 ` `
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(612)473-7357 t i
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
F R tl 1 1 RE-U11�' D FOR f`I_ITIS I N13, 11EH-J-(F-NIC_A! f Ell ECTRICAL ==TH
FEE SUMMARY:
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CONTRACTOR: c;T . i._Td: . OWNER:
It)NO&RiEN E"i TT
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE E LMPRO[ EMENT`"'
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL I' NCE WITH ALL, CITY OF7.
L_ �� :ONO 'ORDINANCES AND STATE,,,OF MINNESOTA BUILDING C fDE REQV I RI�#ANT S.
APPLICANT/PERMITEE t14ATURE ISSUED BY:SIGNATURE -GLS
C T RONO 612249461 06/14/99 11 :18
.07/10 N0:982
taI Fee: q0 17. 1 7 Date Received:
tered By: Permit#:
CITY OROibebmitted
BUILD `X' APPLICATION
All Informs n must in bet a plan review will be start .
ee prlit a o ion)
G - -------. _---------------'--_--------_APPLICANT ane) U R CONTRACTOR
JB SITE ADDR : Y2 b Tcw k4 w.¢ Zip; S-9 3S'L
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OF OWNER PHONE: (home)
"DRIELS
(work)
ILING' ZIP:
CONTRACTOR: ` aL •�+ t, L_n•�S PHONE: G/z. _ y73 -/Z3/
CONTACT PERSON L �.. rt.wi ILE/PAGER: qj q--o 513
{ ILING ADD 3 E. walk ITY: Wkz ZIP: sS'J 9/
TATE LICENSE: ' t
ON r
AR CHITECT/ENGINEER: PHONE:
MAILING ADDRESSS: ITY: _ ZIP:
GISTRATION#
YPE OF WORK: New Additi _ Accessory Structure
Move _ YRemodel/Alteration Land Alteration
ti ROPOSED WORK(describe inidetail): /2a�_- �___8
dd-.,,,;9 . . 3 rR:STORIES: SQ. FEET OF EA NO. OF BEDROOMS: GARAGE . _14 _ DET.
i
STIMATED CONSTRUCTION VALUATIOI'� (excl�hng land): $ 2
ereby apply for a building per t and I acknow ge t t the information above is complete and
urate; that the work will be in nformance w' the inances and codes of the City and with
State Building Code; that I rstand this is t rmit and work is not to start without a
rmit; and that the work will in accordance ith approved plan.
LICANT'S SI4NATURE. AA, DATE:
T pp ev requlre se t approval by Police Department and
Councll 60 dad s prior to t event. Non- events will not be allowed.
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See.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual oa 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 dam concerning himself sball
be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,political subdivision,or statewide system;
(b)whetherhe may refuse or is.legaIly required to supply the requested data:(c)any known eooseceeace arisi.^g from his supplying orrefusing to supply
private or confidential data;and(d)the identity of other persons oreaddes authorized by state er federal law to receive the data. This requirement shall
not apply when an i.dividual is asked to supply'investigadve dam,pursuant to section 13.82,subdivision S,to a law enforcement officer.
The centmissioner of revenue may place the notice reauired ander this subdivision in the individual income tax or orooerty 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 dam 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 dam on individuals shall be shown the dam 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 dam and informed of its meaning,the dam need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created.
The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the dam. 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 trade 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 orprivate
dam 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 dati.
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 Iicense.
4. If your requested permit or license requires Council action to approve, some information may become
public.
S. 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.
Aa,l ri-,,j
First diddle Last
3s /3Lt�P
Address
LU)4'4 2a� WA/ L/7 3 12 3
Ery State Zip Phone
I understand my rights as stated above.
A&I,
Signature
i
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICAN-r IS: (circle one) _ OWNER OR CONTRACTOR
JOB SITE ADDRESS:
- zzP: j
NAME OF OWNER: PHONE: (home)
(work) "
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILINGADDRESS: CITY: ZIP:
STATE LICENSE: #
A,RCHTTECT/ENGINTER: PHOT:
CITY: ZIP:
MAILING ADDRESS:
N
NAME: REGISTRATIO #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail):
STORIES: _ SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 Build'ung 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.
APPLICAN71S SIGNATURE: DATE:
NOTE! Parade gf 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.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: HZp 'rOAJZ4 w4
PID:
DESCRIPTION OF WORK: A qb I T) Ow S
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY:. DATE APPROVED: _ &-Lq- 95--
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes v No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: & A
Fire Department: (,oAj w.4L Post Office: Cis(*%u: School District: o aON o
Lot Area: Sq.ft. K!; 3 V) Acres Width t dl,Itz-Gu p eL Depth
Survey Submitted: Yes se,— No Date of Survey:
Proposed Setbacks:
Fraaf('L,ake): 340 t Right Side: I,bo` I
Rear(Street): L 3 Left Side: t t,S,
Adjacent Structures: N/r4- Wetland: 4///1-
Building Height: Def. Hgt. U -K- Peak Hgt. 0-le-
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: /V 1A By:
Zoning File: # — Resolution: # — Resolution Date.
Shoreland District: Y dS
Avg. Setback: w/,4- Bluff Setback: Al I I-- Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: 7Z 3 CONSTRUCTION TYPE: %4eY
Sq Footage $Per Sq Ftg
Basement x _
1st Floor x —
2nd Floor x =
Garage x =
X =
TOTAL
Estimated Construction Value: $_ 22 s� cacao
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
vc Footing Septic Sewer Connection
a1 Framing Fireplace Lawn Irrigation
A Insulation (Masonry) Other
P Wall Board (Mfg.) Well(State Permit)
Pc Final Grading/Filling �o _Electrical(State Permit)
Other
REMARKS ON HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
ORONO Copy
` EXTERIOR ENVELOPE AVERAGE U COMPUTATION
�orislaucnori i
roc
Site Address Lot Block
h' — 2�-�.
R & U Factors R U
Opaque Walls .043
135 E.way„�a Itivcl.
Vayraii Wall Framing Areas .09
Ahmmota55391 Ceiling Insluation Area ,21
G12)-1731231 Ceiling Framing Area ,
Rim Joist .04
Masonry Wall
Windows , 3S
Doors .31
Skylights .55
1) Lower Level (Basement)
Total Exposed Wall Area
Opaque Wail Area 2 X (U) .043 = (�
Wood Frame Area X (U) .09 =
Rim Joist 2-74 X (U) .04
Exposed Block ,i (U) .132 = ��
Window Area 100 X (U) .35 = �✓�
Sliding Glass Door to Z) X (U) .35 = 2
Total ( 2.
LunDGRE A
B RO5' 2 First Or Main Floor
COIJSTRUC LION
INC
Total Exposed Wall Area 2.1 CSO
-,�
Opaque Wall Area (� X (U) .043 =
Wood Frame Area I rJ2 X (U) .09 = _
Rim Joist 240 X (U) .04 = I0
Window Area 'jl2S X (U) .35 = 1
935 C.Waylala Blvd.
Waylala
Minncsola 55391 Door Area X (U) .31 = 2 '
(612)473-1231 Total
3) Second Floor If Two Story
Total Exposed Wall Area
Opaque Wall Area X (U) .043 =
Wood Frame Area X (U) .09 =
Window Area X (U) .35 =
Sliding Glass Door X (U) .35 =
Door Area X (U) .31 =
Total
4) Total Ceiling Area
Wood Frame Area X (U) .027 = —7
Opaque Ceiling Area X (U) .023 = rJ�
Total rot
LII �
U"D RLL`_�1■ ■
BROS.
CONSTRUCTION
INC. MINNESOTA U FACTORS Total Exposed Wall Area �q0 X .11
MINNESOTA U FACTORS Total Exposed Ceiling
Area ? 3o X ..026
(A) Total
935 E.Wayzata Blvd.
wayzal, Item 1 124 + Item 2 - + Item 3 NA + I tem 4 �✓- _ -40'�
Minnmola 55391
(6141173-1231
If Total Of Items 1-4 Is Less Than Item (A), Building Complies With
SBC 6006 (C)s
DATE AM E
CITY OF ORONO CALLED IN 7-1_*x l/ °
INSPECTION NOTICE �. SCHEDULED
PERMIT NO. 1 6 \D0 COMPLETED
ADDRESS 4,Q0 c ®'
OWNER CONTR. 1F- addP7
TELEPHONE NO. 3 7 1/Z
1``Z S/
DESCRIPTION
WOTING , 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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-UP 06 PROGRESS
07 DEMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LWORK SATISFACTORY:PROCEED 1:1PROJECT COMPLETE
W ❑��vCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contt on It jz- si e:
Inspector.
Ate Copy/inspector's File Ca opylSite Notice
DATE IME
CITY OF ORONO CALLED IN 9 g�y 10D
INSPECTION NOTICE SCHEDULED _!Ef 9•-3a
PERMIT NO. 0 COMPLETED 9�
ADDRESS 47� O
OWNER . f,±2s Z CONTR.
TELEPHONE NO. q 73
DESCRIPTION
LLj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
2 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 FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTO TO MEETY U:_YES__NO ,(
C MMENTS:1' � �4-� 6a K'E's
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BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. ffij_�
White Copy/Inspector's File Canary Copy/Site Notice
DATP TIME
CITY OF ORONO CALLED IN qz
INSPECTION NOTICE SCHEDULED /b I I 3 a
PERMIT NO._011(90�, COMPLETED
/`
ADDRESS '7 dD TA's K q l vG1
OWNER / � CONTR.
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TELEPHONE NO. /Z 1o� `
DESCRIPTION
IU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
LL FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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-UP 06 PROGRESS
07 DEMO-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
J 10 PLUMBING FINAL 36 F DATION/REMOVAL
OWNERICONTRAC RTO MEET YOU:_YES_NO
C MMENTS4ng ,-�-
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �/ El 7,
ISSUED v
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS./��(�� /���/
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
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Inspectorf.�GC.�liyCf^Gif C
White Copy/Inspector's File Canary Copy/Site Notice
DATE // TIME
CITY OF ORONO CALLED IN [�
INSPECTION NOTICE SCHEDULED 09
PERMIT NO. /Z&O- COMPLETED 3 3 DC7
ADDRESS CA-
OWNER CONTR. h gjgn
TELEPHONE NO. u r 3 g
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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-UP 06 PROGRESS
07 DEMO-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 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMM N S:
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BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. ar::S�
White Copy/Inspector's File Canary Copy/Site Notice
ATE ^ TIME
CITY OF ORONO CALLED IN T!�
INSPECTION NOTICE SCHEDULED V,411 9 9 -5 - 3 O
PERMIT NO. 42 COMPLETED 3'
ADDRESS
OWNER CONTR.
TELEPHONE NO. 7 _t)
DESCRIPTION
Lu 01 FQ.QTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING s 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
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 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_/NO 1
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0 BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
D T TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC SCHEDULED / / _% •� (�
PERMIT NO. �� O'2'J COMPLETED
ADDRESS
OWNER CONT
TELEPHONE NO. '0)��
DESCRIPTION
tj 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
W� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
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 FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACT0{"r�d T�O MEET YOU:_YES NO
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BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 17
CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector��a e-C OfL64-s
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS l w O11
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
Uj 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
05 FIN 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
OWNERXONTRACTOR MEET YOU: YES_NO
CMMENTS:
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BEFORE COVERING
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. D, PHOTO TAKEN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �77 y'(;�--Z16 4 2:5
Call for the next inspection 24 hours in advance.
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE >/ SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR. N-1
TELEPHONE NO. Z�73 �aq-
DESCRIPTION --(�1 Y1Ctk
LLI 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
Z 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 FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMEN S:
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W iC VIORKSATISFACTORY:PROCEED P OJECTCOMPLETE
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El CORRECT WORK 8 PROCEED / G ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. D, PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
G CITATION 1S8tf
❑ INSPECTION REQUIRED.CALL TO ARRAN)SE ACCESS. ( C 6
Call for the next inspection 24 hours in advan
Owner/Contractor on site:
Inspector �2C, S
White Copyllnspector's File Canary Copy/Site Notice