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HomeMy WebLinkAbout2010-00907 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00907 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/08/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 200 WAYZATA BLVD W PIN : 36-118-23-43-0001 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 15,000.00 NOTE: ADVANCED PLAN REVIEW WAS PAID FOR THIS PERMIT ON 12/21/09 ON PERMIT#2009-00906 IN THE AMOUNT OF$172.58, BASED ON PERMIT VALUATION OF$15,000. THIS PERMIT IS FOR A TEMPORARY ADDITION AT 430 OLD LONG LAKE RD. SEPARATE PERMIT FOR ELECTRICAL IS REQUIRED. ELECTRICAL PERMITS ARE ISSUED THROUGH THE STATE OF MN. i APPLICANT PERMIT FEE SCHEDULE 265.50 Wayzata Country Club STATE SURCHARGE(VALUATION) 7.50 200 WAYZATA BLVD W WAYZATA, MN 55391- TOTAL 273.00 OWNER Wayzata Country Club 200 WAYZATA BLVD W WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate per is All provisions of laws and ordinances governing this type of work sh I b4 compied with whether or not specified herein.This permit will e ire hnd become null and void if construction authorized is not c mmenc d within days of the date of issuance,or if construction is suspende for a per od of 80 days at any time after work has commenced. The appli ant is res on ib for assuring all required inspections are reggeste 'n confor e 't the tate Building Code.This permit may be rev¢ked a any tinAf e.ca e. 7 / E; / ,-,zq /6 oe 671/1_,-x.- / / 7 /07z)./ ) Applicant Permitee Signature Date Iss :y ignature Date SEPARATE PERMITS REQUIRED FOR WORK I HER THAN DESCRIBED ABOVE. City of Orono $ ,v 3 at' Building Permit Application for New Structures or Additions Mailing Address: ; STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= 1 Number of bedrooms= 3Wood/Frame ❑ Masonry b.Width(ft.)= 12- Number of garage stalls: 0 Metal Attached= 0 Pole Bldg. Areas in square feet Detached= ❑ ICF -.On-site Prefab c. Basement= ❑ Off-site Prefab d. 1S`Story = ❑ Other(please specify): e. 2nd Story= f. '%Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable v ❑ Permit Application 0 Proposed Building Plans ❑ .. MN State Energy Code Calculations and Mechanical Code Requirements Form Com- 0 Survey(meeting all requirements) ❑ Stormwater Pollution Prevention Plan O Hardcover Calculation(s) O 0 Septic System Site Evaluation Report ❑ Access Permit ❑ Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: � � �)7)75-17 7)7} Date: i / i ` ' Last Updated: 9/29/2009 - 18- Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: '-x.30 dL, €>01V6 64-/GL /'LCA Description of work: TZ Q A-OD r 7-7 O Septic review by: Date Approved: Zoning review by: ,g Eff Date Approved: I – "..-' 1 0 Building review by: wealt L.. Date Approved: 1 -S- t 0 Grading review by: Date Approved: Zoning File#: V 3452 Resolution#: Resolution Date: 12-1 ` / Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: ❑ Yes ❑ No Date of Survey: Proposed Setbacks: - Front(Lake) Rear(Street) (ciSideW ) ( N Other Buildings Wetland Side `ti0i Le() Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existing grade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: I\I SF Shoreland District MCWD Permit Received Average Lakeshore S: back Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes o 0 Yes 0 No lie Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx • Fees to be Charged YES NO Pertriit_ �/' Plan Review 'State',-Surcharge t/' • Investigation Fee SAC :1Nurriberaf:SAC:Units Sewer Connection - 1WVater Connection Park Fee Site Inspection _ • Other(specify) MiscellaneousiFees Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing 0 Grading/ Filling ❑ Well ❑ Hardcover Removal 0 Mechanical 0 Fire Electrical ❑ Footing 0 Septic 0 Water Connection ❑ Poured Wall 0 Fireplace ❑ Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation ❑ Radon Rock Bed 0 Mfg. ❑ Framing 0 Other(specify) ❑ Insulation ❑ As-Built Survey /Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx a, F , i City of Orono Building Permit Application for New Structures or Additions �A ,c9C 7 Mailing Address: Permit number. 2-- y � � _ �� PO Box 66 Date received: �° Crystal Bay, MN 55323-0066 ( I I (' (�\\ Received by: �. Street Address:' # 7 2-°'---3g/ g a F 2750 Kelley Parkway ,..,'",;(‘Lc(-0C4/0(,.---- .>('Lc -0C4/0k Plan review fee: .�00'-�!d'', ��t '�.�;� ' Orono, MN 55356 Total Fee: �k'ESH�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed oin full ill be all r quir d information ase �must be submitted. Incomplete app ,� `;��L�zc�tC � \U� Vii? u-) C' Va. f:54,-)-5c7- , c c GENERAL INFORMATION: '`� � r z-c�-C - r � �-�1 f' "�n� J J � Job Site Address: ?� • I � "� Will this be a Parade of Homes, Remodeler- •howcase Home or other Disp ay Home? Yes No tf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: C. �.� `� . ( c CC't vc. �z Name: Z'ZExpiration Date: _c cell State License# office '/2 �'� Phone: 6 -q (f office . ZIP: �� -,i5C P�Iv „ , Cit : ' ConMailingtact Address: 0 W . WG '' Ar_, P>1 is: Contracto / Homeowner (circle one) Contact Person: 00 "D �^ -i-- "� - v 4., � ,, ".,-c"- Email and/or Fax: C'i-JYt,,.t Lid.. - , A PROPERTY OWNER INFORMATION: C' 1� kName: 1L �,�� VI- Miff ‘' --7-7 _, / /� ZIP: JJ<� Address: (day): , 1,41, WGc. , .� 1-u-- -( . Cit : -c(4- Address: Z OZ• �-G C �� Email and/or Fax - ARCHITECT I ENGINEER INFORMATION: Name: Phone (day): Cit : ZIP: Address: Email and/or Fax: PROJECT INFORMATION: 3. Structure Type 4.Sewage Disposal&1.Type of Project 2. Proposed Use Water Supply ❑ New Construction 0 Single Family with 0 Residence Garage/Accessory Bldg. 0 Public Sewer Access attached garage ❑ g❑ Single Family with ❑ Deck Private Sewer Accessory Building detached garage [.Office/Commercial ❑ Oeleca(ion ❑ Multiple Family/Condo 0 Warehouse ❑ public Water ❑ Other: (specify) 0 Public 0 Storage la Commercial 0 Other(specify) Private Well **Any earth movement may require ❑ Industrial MCWD review&permits. (specify)Creek Watershed District(MCWD) 0 Other: ( P fy) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or• $ ` 4 Estimated Construction Valuation (excluding land) Last Updated: 9/29/2009 - 17 - � ii -„ , \ / , ORONUcep ` CITY T l�"� ,. r /, i _\, INS 'E�:TO ,LltvvA,r , • . i — fit-k..:,vi 1]€ 1 H.u�{L R t-& 0o �- ) /4/v19 T7141'-41z- GHAN: e IrV 1-=-c e2^�:� - r�r5T i L I. \7, /f 1 4 - G i &N L = 1 o�� 1 +0 12 O N ,�� �"" =._. r . T1�? l O R J s (.tet 1 n A g t 5 e ./Yk9I2AF- 71/ r}t/ f �7 i —�' 1/47 / 79-x4 L 1 -d /c. 0/V• 4 �1-I s'16 LE 2 m-. • o �. ' 5 ' U)nr R.4-v.. t SN j c� ta r iLu'� o K 6--A-C,I-� s/rhe p I., 4 oo S — eIi, .5p(ZIN1ct_ Z r u1✓?,Z;vY' 'v'r,', /4tVe' IDVe ±r) (AC< U I= W A TUT— •s Y '4-`v•0 ae Cyi.."s--Q i9 L 06 (4-v D 757\1 cs .--L;141)°/ .511Y - --n-k-1.5. e.rv.(' 'n e..' w t L<- x P I X2-6 S y t✓ j►Z r2rw..-' D ;t o r ISS ,'_ Y 44' j✓ (A-e--(--(A-e--(-- (2( Gt I a- CAAF J Ar.-es L14nA 0 Y c-L 1 A . ,— City of Orono // Planning & Zoning P'I�r' Re.v;ew > Site Plan Revie.' Date. l 21, APPROVED ❑APPROVED WITH REVISIONS (see notes) CI DE E' Staff: 0 25 50 100 -- SCALE IN FEET: 1 INCH = 50 FEET Er enrg g • u S Wayzata Country Club oes;gneo: Exhibit Number il r r9W 2Bn.Lwwn e Nan Dram). "RA A,,,�, ""„�°, .co Temporary Structure �ccrove�: S.10 740 '1p^° i47s�'c Orono,MN Initiai Issue:3v_ 09 2 of 2 McCombs Freak Roos b 763/478.8632. @iI t768C32 Rev: .1) Assoc" "0 ^^" ^�� Proposed Structure Cate: �� Project No. WAY17892 . . . uoiiu irr,-,t4,..0,, 3 .'K MODULAR S------a—C-ag BUILDING The First /n Space SOLUTIONS r7i4-, . . ISI. ;° z � w // �. . t y Iwl J N r • t!e, 1 c•ii: pliaL::•:igiTiali._'74_13,:liliL 7 i • ,.. (!:: . i ri //, ..2:17-'., Ur' IlErri 4. * I�r t. . f 4 ; S F t if t y', f E 14 11€� , <rs�sri a �I t i ii,,I II A MODULAR BUILDINGS AVAILABLE IMMEDIATELY This readily available modular building is a cost-effective • 1/8"Vinyl tile flooring space solution for a wide range of uses.Originally • 24"x 54" Vertical slider,clear glass vinyl windows constructed to be a 5-plex modular building,the units can • EPDM rubber roof be put together or sold separately to meet your needs. • Electric HVAC System STANDARD SPECIFICATIONS RENT, LEASE OR PURCHASE •State seals:IA,IN,KS,MN,MO and OH We have rental,lease and purchase options available •Modular buildings in two sizes: to meet your needs. • 24'x44' • 12'x44' SATELLITE SHELTERS For over 35 years,Satellite Shelters has been a national • Reception window countertop provider of temporary and permanent space solutions • 7/16"LP smart panel siding including mobile offices,modular buildings,ground level • 1/2"Vinyl covered gypsum walls offices,containers and blast resistant modules. 46% FROM ® www.satelliteco.com �yll..�� MODULAR Contract H3 der 800-453-1299 ()I / � 9 J HG V4 I., Veteran-Owned,Small Business Proud Member Proud Member Proud Member GS-07F-6700R inquiry@satelliteco.com RECEIVED 300.4:;: 2953 ..,..;atcliite 0,_.ri SEP 2 3 2009 CITY OF ORONO • _ -- . r s t ___.— -- I LI, , ,, C.,- f cn 1 . c zr E c N • \ k EXISTING \. 1 --.-+ MAINTENANCE BUILDING l / ,. \ • UCTURE— MP. S� c,--_,.-:---, _.... — i � i I _ 1 i.. I 0 25 50 100 j IIIII■ I ! SCALE IN FEET: 1 INCH = 50 FEET M Engineering • nu,o • Surveying Wayzata Country Club Approved. Exhibit Number iFRA P r4600zena�uer�u, Pymouth. ,, , Temporary Structure DesignApproved: O� Pto�ne.763/4766010 Orono,MN Initial Issue:osr2lms 2 McCombs Frank Roos tee 73/476-8532 Rev.:n,lo Associales,lnc. veDs4e:w,wi.mha.ccm Proposed Structure Date: II/Ives Project No.WAY17892 - — ----- w\ s - ..,''-14'7'' --U—' a 1 i _ - , • v CP >p,--, ------ -- 1 f .' N} \', �l EXISTING _____3 —' MAINTENANCE 1 BUILDING } y i Y . /I ------- I 12' x 44' _ _ LMP. STRUCT _ - • I t I 1 _. ,_ _ 1_,:' I ,, . ,,, _ : ,I . . . i r / i 0 25 50 100 i , III NI 111111111111111•1•11111 / SCALE IN FEET: 1 INCH = 50 FEET ,ikEng ieerng . Canning • Surveying Designed: Exhibit Number 'b 148W28thA North, Wayzata Country Club Drawn: ,�..t, Py„,o,t,. 7 Temporary Structure pp 2 of 2 ��: f■pFRASuiteApproved: 1 core 70475-6010 Initial Issue:09/2i/09 - Orono.MN McCombs Frank Roos bc 783/4768532 Rev.:a.lo Associates,Inc. woosg.knVW.mba.con Proposed Structure Date: I1/W09 Project No. WAY17892 Item#07- Agenda-l0/1 File 9 3933PC(Total Pages Exhibit B r; r 1 �`' o w96X,4 I x \ \Ai{L�✓ • M(Sril 964.9 \ ow� ` _ �.- ` l I1 =�^ 11 \ 963.7 _'' X i — '; ' N 976.9 44. , I 1z '58.2 / co `,.? 0 fie cotzs _ _5.2 zao.2,-' `4J :: W �rR +1 '4: . -ii ' 967.4 r ( -— -NORSE TR/ . -.•.‘"7"'rroste135°gIVI '''' '''. ''''''.. ''.. x .60.6' / �o / �fK.., ; • a A..„, .4 24.1• � t / ____:- ".7-...\-',.--...-:'.,..',;,-'---,- -: 0 'L;-_;'�;: • = --' \ "r5i.l; 2i 0 r '`.,E k: :;: — — i +- ,80.5• / :U1 SING . / - 7 ANTENNA & LIGHT / 4 10 0 0 / __ l— , '- \ \------ x 7 :r / 983.3 / 0 0 0 003 / / 0 0 0 / / 0 x O 1 / 0 978.7 0 0 0 0 / / rZ 978 ) ) ,./-) /A -) / / t3 0/ 32 / .. 0 50 100 200 994,66 ■%MI ( / f� i / Z. 9f SCALE IN FEET: 1 INCH = 100 FEET Frog • Plaming • SuMoyin9 Designed: Exhibit Number FRA „ , ,, ayzataCountry Club Dawn: °"0 Temporary Structure Approved: 1 of 2 AA1710vtli•M1UirlsSola.66447 phme:763/476-6M Orono,WIN Initial Issue:armee McComas Frank Roos kw.7133/476-8532 Rev.: Project No.WAY17892 Association,Ino. wedge:wew.maaoom Existing Conditions Date: low eletli —Im� �.� .�.K E.idd -< FRAS -- L Y. ITIl a4r SEE SHEET 1 OF 3 O r' r.. 1lm _c XII"! 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' ---.-___ .._ ''' r ''' 7::' '‘ ''... . . .I......411lLt3....,:t:,''(7,::7 -gII',..r::;::::Lc....L - ,,,,'/I: � ^=� ~ ���� ./ . i, fr.'01.. _,-_- .�. , V / Summary' � �~— �~-� /' ~ ~~ ��� . ,/ | ":.. ,,,tic... ( `' ' ..------ �� " �-^^ ' ~ / � � ��. .� � ` __ � � /~ , I ,05 ~ - ''` . ' �~� '~- ' ' /`` -`. -~- . _ �_ —�~—_ — _' � ' --:-.1.1h..#402-6--- � - ~~' _— �`~ ,~ -�� ~'� `-~ ,.''"" ` t=== _ ~' |N 1_e -�| ' ,.� u « /o « W » r -___- ,-^` | _—_ . s- � .-, . ~~ .`` .�/ .. . ~.,~~ --| ' -~ | Sheetmm_~ xomx�mmw-- -_ __ _- -- '| D | | | TITLE SURVEY . / | Sheet Number Revision 3 /3 A | Project Ne earl 7892 3 - K Sn& TE TIME \/ CITY OF ORONO CALLED IN �� i� / INSPECTION JO I �, 7CHEDULED Gq//�//0 J , 4e PERMIT NO. '7 COMPLETED ADDRESS..., S i/! i rt. OWNER C-Ali' CO . TELEPHONE NO. �/ 7— DESCRIPTION \ • ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q7FINAL ❑ SEWER HOOK-UP ❑ PROGRESS • ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W 4L447 , /c S -fes r ( e c4 5 C� ` mac, F%re 1.coo z a L. LI WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ID CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor cm si Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �-7 SCHEDULED PERMIT NO. 7.-100c) - (WI O ( COMPLETED 9 '2-C1- < < Qrn ADDRESS ad `'°''P`-t g OWNER W Z. C-o- C..-G--q3 TELEPHONE NO. CONTRACTOR >; DESCRIPTION /4 06t-7vr---\ '1-‘5 OAA,('J-reg-.)1c 6u/G 4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q LI POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ' ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: CC W 0. C CC O Q. W W CCW WORK SATISFACTORY:PROCEED 'PROJECT COMPLETE WCC ❑CORRECT WORK&PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY q ✓ BEFORE COVERING )( PERMANENT 1"Zq- ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contracipr on s : Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. - COMPLETED 9 2 I 1 P/IA ADDRESS Z 49c, W a. I z.4 GJ �v OWNER '`^Jte..y2 C . ( TELEPHONE NO. CONTRACTOR DESCRIPTION (tr \ vvA_A, .- tc J rarticz (6l✓k 4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 1 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Cl FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc O cc 0 W cc W W cc WCC ORK SATISFACTORY:PROCEED OJECT COMPLETE W CDCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING ). PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. - _ - White Copy/Inspector's File Canary Copy/Site Notice