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HomeMy WebLinkAbout2011-00505 - new structure CITY OF ORONO PERMIT NO.: 2011-00505 • 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/14/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ASSISTED LIVING ACTIVITY : 323-HOPSITAL&INSTITUTIONAL VALUATION : $ 4,190,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,FIRE/SPRINKLER,WATER CONNECTION,SEWER CONNECTION,LAWN IRRIGATION,ELECTRICAL(STATE) ADV PLAN REVIEW PAID-PERMIT#2011-00495 $14,765.89 FOOTING&FOUNDATION PERMIT WAS ISSUED BASED ON$1,000,000 VALUE WHICH WAS DEDUCTED FROM THE ORIGINAL VALUE. CONSISTENT WITH PUD#7 DEVELOPMENT AGREEMENT 6/27/2011. APPLICANT PERMIT FEE SCHEDULE 18,716.75 KRAUS ANDERSON CONSTRUCTION CO STATE SURCHARGE(VALUATION) 1,419.00 525 S.EIGHTH STREET MINNEAPOLIS,MN 55404- PLAN REVIEW 1,271.89 (612)332-7281 TOTAL 21,407.64 OWNER KA Reality 4210 W. SHAKOPEE RD BLOOMINGTON,MN 55437- 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 24 ;1e7e/ 7/ /4 / Applicant Permitee Si aturc Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i Vv f' . . #co�� , � •�� `' ��� � SC. d SPi' + Oif oblo i- City of Orono ce.we__4-z__ c Building Permit Application -.-\ ` r- for New Structures or Additions c °n ct1is Mailing Address: Permit number �O 5 (Vv 0 PO Box 66 o�r'�.Crystal Bay, MN 55323-0066 Date received �p 1 7 ' e it a l'')/ ,I, Street Address:' Received by �®® ` ti/ 2750 KelleyParkway7 v OA! \^l�ix s Plan revlev✓fee - z/ RgEst-to- Orono, MN 55356 m S� 1 Total Fee: o1oJ4n' `{� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us `` ' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 875 Wayzata Blvd,Orono,MN 55391 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No if yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Kraus-Anderson Construction Company State License# Expiration Date: Phone: (612)332-7281 (office) (cell) Mailing Address: 525 S.Eighth Street City: Minneapolis ZIP: 55404 Contact Person: Jim Beckwith Applicant is: gontrac / Homeowner (Circle one) Email and/or Fax: Jim.Beckwith@krausanderson.com PROPERTY OWNER INFORMATION: Name: CPE Exchange 33968,LLC Phone (day): (612)643-1031 Address: 200 South Sixth Street,#1300 City: Minneapolis ZIP: 55402 Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Pope Architects Phone(day): (651)642-9200 Address: 1255 Energy Drive City: St.Paul ZIP: 55108 Email and/or Fax: (651)642-1100 PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply E New Construction ❑Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ®Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer ❑ Other: (specify) ®Multiple Family/Condo ❑Warehouse E Public ❑ Storage E Public Water "`Any earth movement may require ❑Commercial ® Other(specify) MCWD review&permits. ❑ Industrial Wood Frame Assisted living ❑ Private Well Minnehaha Creek Watershed District(MCWD) ®Other: (specify) 2-story 18202 Minnetonka Blvd Assisted living Deephaven,MN 55391 Phone: 952-471-0590 • Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ / 9 0 01=9I J STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= 259 Number of bedrooms= al Wood/Frame 0 Masonry b.Width(ft.)= 54 Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 1st Story = 24.048 0 Other(please specify): e. 2"d Story= 23,472 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 ❑ 0 Permit Application O 0 Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form O 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan O 0 Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report ❑ 0 Access Permit ❑ ❑ Wetland Buffer Improvement Plan O 0 Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee O 0 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; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. 000,-0/ Applicant's Signature: -'_�4111WS! Date: MI i-,etrnit'iNorks l'..:1.61 ILXI File Transactol Plantan P-er,or - la Geobasp Ploperly Recant - X 1211erniii 1....,,i :>5. tfik1 ti41k1 ,11 -01 -ittil l'i)i _I 21 Eil'.. , ,,I , _ I ''''' ''..: I -----1 ,. Peimitft I Update Address I , 0 i 1 15 Perrillt Address: 12180 Abingdon Way ("4*Main Pill Address + , r Additional PIN Address General Fees I Inspections(II)I Notes I Applkant Detail I CO Detail I ' 31 1 7i Sect Fee Type',Fee Amount 10Vr I Yerlebie Prompt Text ..• -,, , c II I ll• # 1 Pertnt Fe 11.:3,"If•.,7`; ill ,410000,I..,LLIATICt cutcutetiutt Rule 2 t.. * 2 stPleanR:vt 1$112:165.10 189 3teiir9 419 l 41 0 HE SACUNITS ' ;;.... , . 1 'Quantity: eil,„1„.....0 1 (...c.,..„) ,-,. I11 gl , . ii- , ,., j/t(-C ,0 ,... I ,,l' hi I J t2J2- AddNew Delete Swett -Set :PIN: 03117-2324-0112 12180Abingdonka'ay : iDalsbase: PerrnitWodts , ' Aprr.:Petfrit - - , lUsec'fldod -., staii i fa ' E ri:1 ,,, fa i Di ,:,, 21., Oz,c_i. iCi-P'- . L-IIACt-j-t-e- ( C)--L)61/(1' ;' -11-1 ) kJ SfoL-tk C,Y1 -1i/4U - k-1 )1ii),vi I—7)-e-- 6-' 0/( c-f`• 6°- (1 . PermitWorks J lJ Fib Transection :Maintain Reports , ,©GPobnsP Pr rs pe.r i y Rsac:tsrd X ®Permit ,. IX I' Ai N 4 / ii D I I PI�I I CI o.H w I ilk,I Permit Update Address { Permit Address: Olen Abingdon Way T'Main Pill Address I C Additional PIN Address General Fees I Inspections(8)`g:Notes Applicant DetailI Co Detail _„Seq[Fee Type Fee Amount Ow Variable Prompt Text Table Item ►..1 tPennf FT1. 1$5,95675 tttill !1550001. VALLI?,TI:J4 2 Plan Rev A3,871.85 ..7 __._.. It iStete SLY LVALUATION! � I .. 4 A.G.SjS 00 ^1 0 SAC UNITS-1— 15 Misc Fee 1$00 !..) 10 JADDITIONA I T+I ►• x O Add New Delete S�Set — a ,FIN:03-11723-24-0012 i2180AbnpdonWa6, IDatabase:PemilWakc'' App:Peimits''. User.i'Rdod ' start c ' `=© :4•" € Ou!Idmg pci... Perm,- 'od @4 09-1,.-11 fri2 Micro„r... j:�h1!crassf . • < ”:f d:431.11 ®Permit Works �I � 1'_1U File Transaction 4leintain Reports ,. 12Geabase Property Fuacaard X ®Permit �) . M, I I � F I H I J PM i'.':',.".,,..,� RN _.!.._.1....!_l Permit Permit 9: Update Address l Permit Addr- : 180 Abingdon Way (;`Main PIN Address: (.......1 t`Additional PIN Address Ge .rat Fees I Inspections(I) Notes I Applicant Detail I CO Detail ....!Seri I Fee Type,1 Fee Amount I Ow,Variable Prompt-fest Table Fan ►:1 Pertnd Fe 1522 156.75 Ili 15190005 LL TI"N 12 Plan Rev 814 765 89 !..i � " 13 State Sur 1$150950 I15191:1000I �51000 VALUATION: 4 ISA.C. IVO Ii 10 SAC UMTS 15 IMisc Fee 18.00 'Iii_ 10 _ JADOITIONA i J gi .0 Add'New .Delete I Save Set ;PIN:03.117.23.24.01112 I2180Abingdon lWay Database:PertWaks •.Perris lUse;'Rdod - _J start 6 _ ® .. .t y E,,,d,j,,,aoe... 2Pe1n,,14, I t.�-lz-il p:I ao.or... • �jr ,.,.:,;er... - <,....IL.] s:azPM Building permit surcharge report Page 1 of 1 Step 4- Confirm building permit surcharge data Don't stop now,you're Confirm the information displayed.If correct,read the certification notice and provide your contact information.Then click the almost done!Just one more button Submit this report(near the bottom of the page)to send the report to the department.Click Edit to make changes. step to submit this report to the Click Cancel to quit and delete the report.An asterisk(*)indicates it's a required field. agency(online payment is optional). Quarterly Building Surcharge Report Review the report,enter your Population of jurisdiction is under 20,000 contact information and click —_- Quarter ending:September I Year:2011 "Submit this report"at the bottom of this page. Reporting Unit/Municipality County Telephone On the following page you'll be City of Orono Hennepin 952.249.4600 provided with an option to print Address City State ZIP code and save this report.You'll also 2750 Kelley Pkwy Orono MN 55356 be given instructions for mailing I Building Official Certification number Telephone a payment to the agency or Oman,Lyle Edward 1280 952.249.4625 make an online payment(if an amount is owed). Building permits based on valuation Construction value range No.of permits Total valuation Surcharge amount • 1,000,000 or less 1 $1,000,000 $500.00 1,000,001 to 2,000,000 0 $0 $0.00 2,000,001 to 3,000,000 0 $0 $0.00 3,000,001 to 4,000,000 0 $0 $0.00 4,000,001 to 5,000,000 1 $4,190,000 $1,419.00 5,000,001 or more 1 $5,190,000 $1,509.50 Building permit charge: $3,428.50 Total surcharges: $3,428.50 Less retention: -$137.14 AdJustment/amendment: $0.00 Total payment owed to state: $3,291.38 Adiustment/amendment explanation Contact name Contact title• Date form was completed* September 12,2011 Contact e-mail address' __- _- -- - --- Confirm e-mail address• - __.. ___.. ___ ........-- ........-...--__ Contact phone•E I certify that I am authorized by the municipality/reporting unit to submit this information on its behalf,and the information contained is true,correct and complete to the best of my knowledge and belief.A person submitting a building permit surcharge report online,by completing the report,agrees to conduct the submission of the agreement electronically. https://secure.doli.state.mn.us/mnbps/review.php? 9/12/2011 . Plan Review Checklist for New Structures / Additions Address/ PID/Legal: g 1'c w 6-42A-Th 13 Ly 6 n Description of work: St;iv tOR. \--(--o Qst,.acQ C Q u t I 1 A j Septic review by: A)/A Date Approved: Zoning review by: 14/t%'tttj/J ?. Date Approved: j J Building review by: o (0,,,,,,,,,_ Date Approved: e- 7- z_o t 1 Grading review by: 17-e,i14?U D '/I� Qate Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Ai--: SF/AC Width: Depth: Survey Submitted: ■i ❑ No Date of Survey: Proposed Setbacks: 10/1/144) aar••( treet) (0 S E W ) ( N( S� E W ) Other Buildings Wetland Side ide 12s5` —' (.0C/' t 0 i=0 ` (91,(--✓ , Building Defined Height: Z- Building Peak Height: #of Stories Ok.. ES 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: SF Shoreland District MCWD Permit Received Average Lakeshore -- back Bluff ❑ Yes ❑ No ❑ N/A Cl Yes ❑ No ❑ Yes No ❑ Yes ❑ No � /A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' ❑ Yes ❑ No ❑ Yes ❑ No 75.250' Type(s): Type(s): 250-500' 500-1000' II�� "" n nr REMARKS (in-house): I)-CVt ( v�,�rgel �v 1) PA, -7 427/ 1/ Updated: 09/11/2009 z:lforms\plan review checklist.docx Fees to be Char•ed YES NO ' 0 4y�T'•: v S W ' T, Ni D t£--"!v... r-`--ate iA _"T"' .; e ' _... c Ftr@ r+F,� �{ 7 e.%..v�"b vswr , t �.:1z� L .'t^A.,� �'� � 'ke�`T"5.�`�y'hu`. ,' � u-'�+',��3g1���.,a�l Plan Review IIIIMIIII ; . , dYc\''4 t` x';77 >? ; ` -;ia V^Z,4 i a a..' :;•t� c-'k>T��ti'P,.P N"si °rte t F 4.,r....wj yy I 4 Yl m.t ��:1..1 U '4�v�'�' ��F YS �.. tt�...�y�..yiiY�rlY),y, InvestigationgyFee IMII ?4141 .�.. 1 '.' F � _ , � ''�r �.�. 3.. U.,1 � 0 i Liir, '� � '' ,r77--,7. =t r Sewer Connection PA-10 s r' -w' ''' mm ��7� 1.7 4r - ,e ,,,.,'w77.777. —' 9„ „e. "gym'-"P�' ---'�- ' iz F' o 3!11,41,4 .,�."t ..,,,._aKy...` ,. :a .s h, , `r F-4,.I�._ ..F I ra €; �,s 'k a .I Park Fee ,. .. ..._. I T..•° �,'"'� "7yn ,sem. ,c iD a ,i 7 '� ,a;o-� .,(,‘,..,2:;v , r r 1, a 4,;. 'talo .c.�uwF� ..� v M 5 n�;. ,.of ""...`-:� �' X3`9.,'�v:-; Other(specify) MM.. ,771 ,r l 5-;:i _L'1I t W�h 1 C°Y� a� -�� 17+ 1 f fr,*ti a r' �:.,F7 �..,w y�.;6 ..�,�, � sys, v2n j�t+,s Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2"d Floor X = $ Garage X = $ Estimated Construction Value: $ S 1 et 01000 -- i,000, o o b 44- (-"'T6+ Fov,v44170.--i = 1,1go,aoo - Orono Inspections Required Work Requiring Separate Permits Required State Permits O Site Plumbing 0 Grading /Filling 0 pen O Hardcover Removal Mechanical 'FireJS(7R ww-cLa Electrical Footing 0 Septic Water Connection O Poured Wall ,Fireplace ,ErSewer Connection 4)3"Foundation Survey (Masonry ,H' Lawn Irrigation O Radon Rock Bed 0 Mfg. O Framing 0 Other(specify) 0 I sulation As-Built Survey O 'nal O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing/YES 0 NO New: 0 YES NO REMARKS (To BE NOTED ON PERMIT AND INITIALLED BY PERS PULLING PERMIT) CEng' Je -t- tti kcal PDP 7 d -vie - tel -77-771 Updated: 09/11/2009 z:\forms\plan review checklist.docx DAT TIME ‘./ CITY OF ORONO CALLED IN L --bL 7 INSPECTION NOTICE 45o5SCHEDULED —3—/A. PERMIT NO. cs2D/I0COMPLETED ADDRESS S75 ‘ agtea OWNER TELEPHONE NO. '/ .307r 6501 CONTRACTOR kir-al-14 DESCRIPTION 6 a`'`'e ` OrX W LI FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ,;z ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP • 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a C n o A iajr (r` J 11._ 0 d ccc 0 cc Q z cc d � W• / �/�B WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 sit•: Inspector. r/ White Copy/Inspector's File Canary Copy/Site Notice set DATE TIME CITY OF ORONO CALLED IN -a a-- INSPECTION NOTICE SCHEDULED off-oZ 7- I( q'o-V PERMIT NO.c20//— 2O 5o5 COMPLETED ADDRESS 6 75 GOtut 1/( OWNER TELEPHONE NO. b/2- 32& 056`f CONTRACTOR I�-JI.IJ ". DESCRIPTION r 'n Lu ❑ FOOTING ❑ PLUMBIN NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Cl) 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • El FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W CC O CC O W CC W W CC O IQ ❑WORK SATISFACTORY:PROCEED 1ROJECT COMPLETE W LICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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:Ct �� Inspector. V White Copy/Inspector's File Canary Copy/Site Notice 5e-� D E TIME J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED - � PERMIT NO. n2 b I t-Dos:65 COMPLETED I ADDRESS g 7 5 w7�.�a 6!V(V w OWNER TELEPHONE NO. CONTRACTOR 17Vaf45 ili \d e4- DESCRIPTION / n.S tda O-i lu k ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc cc cJ(( C O cc W z W cc CI NQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 -.2) (-- - -- -" DATE TIME CITY OF ORONO CALLED IN L �C� ' INSPECTION NOTICE SCHEDULED L �—i(j q (, PERMIT NO.,---- 0(( 17`)C 'i-� COMPLETED ADDRESS '15 NCI,-._( 7 Gd C I _--t) 1 V-4 (`,J OWNER ( , TELEPHONE/ NO.Lc t - ;- ' L y CONTRACTOR . �E�`LiCC 1 l y�CI.k_l c-C I) OCk% 1SCY) � 1 DESCRIPTIO t__ I �I I 4rC.r �v1��_ .�, . L I=1 FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS ti 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION C 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 4. v 0 PLUMBING RI ❑ SEP i9 FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:f�/�YES_NO oy COMMENTS: CC W Q. ct 0 OC C(....) PA A. c_' -4 -- cX 4- , k\ A cc o tee_ 'F, r. 4 1 © 1C, Lu E tAub? five P1 4)4 1 oce.- Q 14Q,vV • EAU . 14 e4 1a-t 0 (4 Lu r re (ter r- Q re, w cc GW ❑WORK SATISFACTORY:PROCEED XeROJECT COMP E .+ ccW ❑CORRECT WORK&PROCEED ISSUE CE CATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 4-27-1.' " C.) 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 sit : Inspector. White Copy/Inspector's File Canary Copy/Site Notice `�512D E TIME k/ CITY OF ORONO CALLED IN i- i INSPECTION N I 4—SCHEDULED / /g1— PERMIT NO. - -i COMPLETED / ADDRESS 75 / / , # // dlvd OWNER L •' :NE NO. 2 �� ,,o^ x. 67CONTRACTOR i t(-S � /Y t >: DESCRIPTION / _____ a --/-7,, 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILIC ING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION .4t ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP LLI ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: a .— 1 x 1,•.1"°v,,,S 7f- /=AAS .. 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I— VU COMrP'LFTED ADDRESS 75 compo OWNER : T EP NO., a Zg/615•6 CONTRACTOR h/. 4 �11A !: ../ ,ARra11 >; DESCRIPTION Jt/v W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 4. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ? ElDEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC W C CC 0 0 J A O W Q F4--,e ?eA- eiv_. S Z re 04&VI-CIR-1---- 4.1 cc 0 Lct D W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY 0 CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT LI 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. (952) 249-4600 Owner/Contractor on site: ,01 2.s., Inspector. White Copy/Inspector's File Canary Copy/Site Notice