HomeMy WebLinkAbout1998-011089 - addition/remodel PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 F._ I i C) pq-,
Crystal Bay, Minnesota 55323 Permit Number:
(612).473-7357 Date Issued: 1.7,.f 17,
SITE ADDRESS:
=H
P . i . N. i; - 17-y=-1 =
DESCRIPTION:
U i l d i ng Pew,- l i 7• Type SF,-ADD/ Er`I0E i
C i4!jn=t 1,}3c T.7 C,11• # �Pe` VN
i LR-18
l:e; i{C (:clrhn f I`Z`#`-S i i l E N I I i=L_
REMARKS:
EPA ATE F ERM i F.- REQU I 1°ED FOR PI ;E•1F,I G.. MECiiAN I Cr L, Ei E :f R I -Ai f:-_IjA i't
I
FEE SUMMARY:
VALUATJCN $1 i j5'
rase $962 . 25
Plan Review
CONTRACTOR: - Appl i rAnt. - -_,T . i IC: • OWNER:
DAHL 14747102 2 8 07 2, BUTCHER LEE
00 WF'C I" PAINT RD I _10 iT#=#jtif .AWA RD
TON ' tri s„r,3 c=_ ;i #i #�#ta#�i MNI 5 y ,A
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TH E-AL i IPRI)VILTS
SPECIFIED AND AGREE'- TO D#_t ALL WORK IN STRICTIC.hWLIANCE VITH L.L ITY "CSF
`
ORONO ORDINANCES AND :=.*fA rE �}F m mwso m ;BIJ I L D I NG CI E €80ktJ I eMEN TS
L
tPkICANAERWTEE SI ATURE ISSUED BY:SIGNATURE t'�
Total Fee: $ Date Received:
Entered By: Permit#: .4/Ogg
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 OR CONTRACTOR
JOB SITE ADDRESS: 12400 =Vtk44 0 ZIP:
NAME OF OWNER: „tj� /z-, ONE: (home) - 7
(work)
MAILING ADDRESS: 4= -MkjGf&0- ,<jq CITY: p, ktp ZIP:
CONTRACTOR: Df e,-r7 PHONE:
CONTACT PERSON: MOBILE/PAGER: a,/3 I P• F�
MAILING ADDRESS: J?o CITY: -ny,� PZIP: 5 31
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_ C Land Alteration
PROPOSED WORK(describe in detail): 1_40* &c.
�-w7r,t*A 4
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. j
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 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.
APPLICANT'S SIGNATURE: DATE: Z
NOTE! Parade of Homes events requi `e separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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 vronerty 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.
/�ff//
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE O;L,�
ADDRESS OR LEGAL: f� ��
PID:
DESCRIPTION OF WORK:
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: 4- DATE APPROVED: 1 Z-r -9g
BUILDING REVIEW BY: DATE APPROVED: (L-rc—
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: (_(2-- I('->
Fire Department: 60v 6 CAIC6 Post Office: (,wv School District: 0/14^m
Lot Area: Sq.ft. ZZ.,ytoLi Acres • S Width 1Z.5 Depth I -1 c1--11
Survey Submitted: Yes K No Date of Survey: Z 4, i S
Proposed Setbacks:
F+entr(Lake): 90 + Right Side: 23�
Feat(Street): -1 V' Left Side: -1 5 -�- S
Adjacent Structures: N Wetland: N 4
Building Height: Def. H�gt. f'• Peak Hgt. '—
Lot Coverage: (0-`lv t
Grading: Staff Approval Date: A-) Wa- By: — Council Approval Date: _
Septic: Staff Approval Date: N (A- By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: y Q S
fYrAvg. Setback: 0%kc. Bluff Setback: /J li4 Lot Coverage: }p('jo
Existing Proposed
Hardcover: 0-75'
75-250' 24-4t
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): �K e l,v c) _.7 s 0%.4-
6 u Lky, 0A,
7
BUILDING REVIEW CHECK LIST
UBC: R'3 CONSTRUCTION TYPE: V
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 11-5.0 000
Inspections Required: Work Requiring Separate Permits:
Site V`Plumbing Fire
Hardcover Removal v4 Mechanical Water Connection
0( Footing Septic Sewer Connection
_ Framing. , . Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit). .
_4 Final Grading/Filling _ p�Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------=-=---------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT):
8
11: 29 4^=-44 _ i-�'i=u;F;Eh aE t_tJ
SETBACK ZONE: (CIRCLE ONE) -75' 7S-250' 2S-500' 500.2000'
House X _ l 3 75" s.r.
• A. Width
I.s dr r.-.
PAT)d $LQcre + S.F.
x �^ S.F.
B. Garage
x S.F.
_. .. . . . _ S.F.
C. Drivcwa} x --
S.F.
D. Sidewalk x . S.F.
x S.F.
r E. Patia/Dcck•- '°T� "�.r�2tCrt (�/ 'T'�'�' "�..
l .i S F
F. Lwdscape — _ x _ Q S.F.
Underlain x S.F.
it By Plastic ---
S.F.
Or Fabric-
G. Other x S.F.
— - '�
TOTAL HARDCOVM IN ZONE - z'Z4 6 S.F.
TOTAL PROPERTY AREA IN ZONE - S.F.
A + B x 100 w d %
R P S D HARDQOVEIR
Y i
A. House A c
? Length Width 1
X : S.F.
x S.F.
•.x
S.F.
B. Garage _ . X
C. Driveway x 5.F.
r x .. S.F.
D. Sidewalk x S.F.
x S.F.
E. Patio/Deck _ _. . .. •. _. S.F.
_ S.F.
x
.f
F. Landscape x • - S.F.
'S.F.
Underlain x
By Plastic X r S.P.
i Or Fabric
x
G. Othcr - S.P.
S.F.
TOTAL HARDCOVER 1N ZONE - S.F.
70TAL PROPERTY AREA IN ZONE lop qy
A — + B
• .. ��. ..•. •, ' . .may.•, , r•
Lr5caTGNR
HARDCOVER CALCU Yvithb11:lE:,
SETBACK ZONE: (CIRCLE ONE)_ 0-75' ZS-500' Soo-1400'
;
EYISTLYG FIARDCOVER IN ZONE
A. House x _ _ S.F.
' Width
1• (r e�SfoN
WA' t. ) .�Sn Ch �,. x (.IC.I f; = 4(J 'T"r 4- S.F.
h-Yio ►'c,:�� 5et.{T. + _L...,��• S.F.
S.F.
t - �
B. Garage x = 0 S.F.
C. Driveway x S.F.
;GD�,IG. pPt; :ar.t x ( S,�— Sd S.F.
n ,
D. Sidewalk + }TRPS x _ S.
x S.F.
E. Patio/peck' � .� S.F.
x S.F.
F. Landscape x 672 S.F.
Underlain x • S.F.
it
$y Plastic- x S.F.
Or Fabric
r� G. other x S.F.
TOTAL, HARDCOVER IN ZONE - 30206 _ S.F.
TOTAL PROPERTY AREA 1N ZONE 12. 8-rLQ S.F.
A . 4 / _ + B 2 k.50T x 100 q �fi-Y-7►+ %
PROPOSED HARPgQyER IN ZONE
A. House x .� O S,F.
Lsolth Width
SF%u y�frn x S.F.
x r S.F.
•i x S.F.
B. Garage X S.F.
C. Driveway x . 4Z FO S.F.
Cone/etc Jpgoj �, x I�, = S.F.
D, Sidewalk 5 X • SO S.F.
w x S.F.
I✓. Patio/Deck .a� . S.F.
x w S.F.
4 F. Landscape x • 41,,;2— S.F.
i Underlain x . 5.F.
By Plastic x
i Or Fabric
G. Other x r S.F.
TOTAL HARDCOVER IN ZONE 3 �a S.F.
TOTAL PROPERTY AREA IN ZONEs.F.
A * B �r� x 100 9.
22 Chan yG� no�cal ir) rtal . • .. . 1
I j �
f _
C CERTIFICATE OF SURVEY FOR
�y
W LEE BUTCHER AND LYNN KOENIG
IN QDT 9. AUD* SUB. NO. 217
HENNEPIN COUNTY, MINNESOTA
Avd S e Na 217
20 1{�
LL
LL wd aaTa o 6 d LQ e
29 CL oa04 o�ap /MSS,. o
Ainnefiooka
1 r� ' 1p4r (matxwe)I Bay)
- 19
XtiS-019
b 4 a
� �, grrf�Y { ♦� � ll r
LL' ako-` �k
" 1, N •� ' Z m C9�
cp
t 4 ,D QZriv�.,
s -75'Sefbet,
u Pi 1
, r
T g
O
i�
LEGAL DESCR3P710t1 Of PREMISES SURVEYED:
:t That part of Lot 9. Auditor's SubdivisioA Number 217, described as
a► 1 follows: Commencing it• a point on the East right of way line
1V �, of Hennepin County Road No. 135, distant 1141.25 feet Southeasterly
measured along said right of way line from the intersectio• of the
North line of Lot 10 siid Auditor's Subdivision and said right of
way line; thence 'Northeasterly 143.2 feet to a point which is
distant 1004.29 feet perpendicularly distant from the North lint
of said Lot 111, and continuing on said line a distance of 36.2
feet, pore or less to the shore line of Maxwell Say; thence
Southeasterly along the shore litre of Maxwell Bay to a point
distant 125 feet perpendicularly distant from the above described
line; thence Southwesterly parallel to the above described line
&
distance of 196.6 feet more or Less to LNe East riybt of way
line
of County Road No. 115; thence Northwesterly along said right of
way line a distance of 125.04 feet to the point of begianisg.
o: Ceootes Iran marker- set
): i:r•. cirker f uuno
5i'a: ;I: ir•;til a`l i7d�F•I .=�,•.r- .ai n ...lm:•.l •5.:1.l77
r,,, r: hn}e nn h:..i�r!.iria ;'i F!n? il•or lvt,rlbed
.. , •• •1 �•.. ': .. ,Ir r.l ... .1., :.ri .f inq trca: •5 hr. :� dl IOT :•1
all r...I SLIny ,n.jriLruvr-r Cheri•. r. iL due`. .' t•t rl ur ;:c:r : .:r •.haw ilel
father ImpruvementS cif, encroakninei0s.
5C Aif
r1w`{rurfIXM: I hi•n•ht reri*%Chit thn-ur-N a�.n fts-Im lis ft.•i:r YlMii7 m}d:rn'I
DAM; slin
r.4Sk:irEl,U1 Pt ctvcif: DA ' - -
s� .and I�aI I am a dulti ieRnfrrpJ l i.�l l nlQrwYr arwltariJ 440rnx u r tA7E
tbie taws of 11w SUM 01 Mrnwirwta M-N-95
nluwnvn
Mark! (:nrttbr'wK M�nwlrx"Lrvnee Nwmisw 12/Ati ��
LEE BUTCHER & LYNN KOENIG
'IE AbDRESS: 1200 TONIGAWA, ROOD ORONo, MN
KSI da$ZC- DATE : 12 12 '15 5
�►� �: t��CNa2YFlt Itt�FfT,61RGH L f ,/9S PHONE: 939-0
�Rc I�IrEcr
DETERMINE VORKINC, SQUARE FOOTAGE OF EACH:
�.. TOTAL EXPOSED WALL AREA, , , , ,, , , A92 sq f t x "U" 0.11 54.12 l
2, TOTAL ROOF/CEILING AREA, , ,, , , , , 364 sq f t x "U" 6.2G = 99.8�T, .
TOTAL EXPOSED WALL AREA CALCULATIONS :
Jotal exposed wall
area above floor, , , , , , , , 492 sq ft
a) Total will window area:
i►JyuL.'6iI- , 4lazed. . . . . . ( sq ft x gluts 0.G5
glazed. . . . . sq ft x gluts s
b) Total door area . . . . . . . . . 20 sq ft x U 0. 3
c) Total sliding glass door area:
►usu�. U�. _ glazed. . . . . . 6G sq f t x "U" 0.58
gla-zed. . . . . . sq ft x „ill .� _....
d) Total fireplace wall area — sq ft x "U"
e) Total wall framirg area .
(Average 109.),. . . . . . . . . . .. 3G.5 sq ft x "U" 0.092 = 3.3G
f) Total net wall area above
floor (Insulatf.d) . . . . . . 365 sq ft x "U"
FNf�IZR FL, lAJ5U1-.
g) Total rim joist area. . . . . ., u/(o "F/OFFR +G. sq ft x "U" IM
Total foundation
area (Expos•_d) . . . . .. . . . . sq ft
h) Total foundat on
window are... . . . . . . . . . . . . sq ft x "U"
1) Total net. fo indation
area above grade. . . . . . . . sq ft x "U" _
3: TOTAL a) thru 1) a
f ,
tf ttem :Y3 is the saiie as, or less than item C1 , you have met the Intent of
S.R.C. Section 6006 (c) 2.
CEILIIIG, SECTION (IIISULATEn) :
I Interior air film
2 _�2" G`!P. eD 0.45
3 _2 LAKF2S G" FlDey4L, INIUL. -A"
3 4 4 Exterior air film (still ) n,61
TOTAL R = 39.G7
U 1/R = 0,025 •
CEILING FRAMING SECTION:
I 2 5 1 Interior air film 0.61
2
AIR VENTED 3
FLOW 4 Interior air file still ]
5 9 " inches soft wood I I :55
TOTAL R == X2.'77.
U = 1/it -- 0,08
CEILING SECTIOU (INSULATED) :
Tom;.ri 1' Interior air film n.61
3
4 Fxterior •air film still O.. 1
TOTAL R =
U 1/11
2 3 4 5 CEILING FRAMING, SECTION:
1• Interior air film 4.61
VENTED 2
3
4 Exterior air film still
5 inches soft wood
TOTAL R =
U = 1/R -
3 4 5
: s .% -�'-`>t='%`� f� 1 Inside air film 0.61
Outside air fila x. 17
�/h I ? TOTAL R =
11 - 1/R =
• CONSTRUCT IOt? R VALUE
VALL FRAMING SECTION:
I Interior air film n.6$1
2 ',t-Z " GYP, ev 0,45•
—(3 _ 5%2 inches soft Brood 6,87
1; ?s/92" 151LT-r2lTP- 2,06
Exterior air film n- 17
TOTAL R = ioz&
U
- WALL SECTION (INSULATED)
--%I Interior air film n R
2 GYP, 8D 0, 45
3 G" F(vet?GL, 19.00
111s3Z l5,Lr at-re 2,o&
-l5 _ l'1" PLYw000 0163
Exterior air film n, 17'
TOTAL R = 42.99
U -- 1/R = o,043
RIM JOIST SECTION:
1 Interior air film * ft,AR
2
Oil4
S —
6 Exterior air film 0, 17
TOTAL R =
U
•' ,�:• FOUNDATION SECTION:
1 Interior air film
.' VA ' 4 Exterior air film 0. 17
Qs
: q
•o' TOTAL R =
U 1/R =
SLAB ON GRADE
�- -'a• [�• U, 1- IQ • •-. tom~~
A.
4 d
;TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
► ' Total exposed
7
roof/telling arca. . . . . . . 3A sq ft
)) Total skylIalit arca. . . . . . 4 %(1 ft x "U" 0.5G ..
2.24.
k) Total roof/ccillnq framing
area (Averano r, "U" O,Qg w 3,07
1) Total net Insulated
roof/cei 1 inq area. . . . . . . 34t,& sq f t x "U" 0.025
t�• TOTAL j) thru 1) C•95
If total of Ph Is the sam* as , or less titan r2. you have met the intent of
n.B. C. Section WC, (e) 1 .
ALTERHATE [WILDING EIIVELOPE DESIGN
To utilize the total envelope system, method, the val„cs established by the sum
c•f items P3 and !'4 shall not he greater than the sure of Items P1 and 02.
1 . 54•.12 + 2 . 99.84 153.9
3• E3. 95 + r., 72,da C BG.dI
C E R T I F I C A T I 0 11
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the buildinn here described meets or exceeds the State
of 11inne%ota Energy Conservation Act .
TSiyn;,turc)
ZZ,0298
DATE TIME
CITY OF ORONO CALLED IN8 /5,INSPECTION NOTICE SCHEDULED YL9 8. c0z
PERMIT NO. ZZO W1 COMPLETED
ADDRESS 11
OWNER CONTR.
TELEPHONE NO. 4179 L 161 E
D ION
0LIZ 1 FOOTI 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
2 FRAMING 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-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
UJI 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
COMMENTS:
W
a
cc
J
O
a
cc
O
W
cc
Q
1
Z
W
W
`Qc
O
Wrr- ORKSATISFACTORY:PROCEED 11PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 11 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR I, CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forth .n tion 24 hours in advance.473-7357
Owner/Contract t e:
Inspector. 4��j
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN - S
INSPECTION NOTICE C SCHEDULE
PERMIT NO. C COMPLETED
ADDRESS )
OWNER CONTR.
TELEPHONE NO. 2
DESCRIPTION e!2
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
W 02 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
W
a
O
O
ac
O
W
W
CC
Q
Z
W
z
W
CC
O ORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac o si
Inspector.
White4/inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN d'- 1 Z:S o
INSPECTION NOTICE ii SCHEDULED ' 13d
PERMIT NO. I , b � COMPLETED
ADDRESS
OWNER CONTR. D�•h
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z BD. 12 WATER HOOK-UP 17 SITE INSPECTION
"T 5 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
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Call for the next inspection 24 hours in advance.473-73557
Owner/Contractor on site:
Inspector.
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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L 14 SEWER HOOK-UP 06 PROGRESS
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector g_- r�l i//'�
White Copy/Inspector's File Canary Copy/Site Notice