HomeMy WebLinkAbout2007 - P11233 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Pdrkway- PO Box 66 Permit Number: P11233
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
8/2/2007
SITE ADDRESS: 40 Wear La N Unit#
Long Lake,MN 55356
PID: 33-118-23-34-0010
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Finish of Existing Basement;Including Sectioning Off of Space Into Rooms
FEE SUMMARY: Permit Fee: $ 1,161.75
Valuation: $ 130,000.00
Plan Review Fee: $ 755.14
State Surcharge Fee: $ 65.00
TOTAL FEE: $ 1,981.89
APPLICANT: Waldenwood,LTD OWNER: Hugh&Susan Hoffman
6585 Edenvale Blvd 2935 Wear La N
Eden Prairie,MN 55346 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
J
''LICAN PRMITE SIGNATURE ISSUED U SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
, ii\ 6
\
°..,,tiN
n
.Total Fee: $ '`1� CO i V� Date Received: ,7 , 1 -1/0
Entered By: f bl C;�W1 l Permit#: t I 1 i 2-
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 O CONTRACTOR
JOB SITE ADDRESS: 1/6 We a( L-lf C W. Ciro o ZIP: 5 5Sc,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes - 4o Ifyes, 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.
i '' !�n /
NAME OF OWNER: USN t- S itSCUP,, t-i d�TN�co PHONE: (home)(6/2 J l 3 2S-77•30
(work)
MAILING ADDRESS: SAG JU.& CITY: ZIP:
CONTRACTOR: kVAL FA./wO o.b /;r d PHONE:(5.Z)9 let.2 072—
CONTACT PERSON: 1 i Mille,r MOBILE/PAG R:�(9�" ) . -• 3b
/ o(o
MAILING ADDRESS: !05�'5 Ede 'va Je �Qlv o) CITY: t-?r)Pat/h/ZIP: 5539C,
STATE LICENSE: # 30.2_ EXPIRATION DATE: 3. 3 1.o R
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ;V
PROP(,)SED WORK(describe in detail): if\rSK� oc t c L - ,�-e�— --
OA e U-L cii--vt.s •:,e_--i rrr‘v",i ' pc ce i oo rr1c
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ` W:::)/MO
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 wi the ordinances and codes of the City and with the State Building
Code;that I understand this is not a perm t and work is nogo start without a permit;and that the work will be
in accordance with the approved • an.
1r it
APPLICANT'S SIGNAT441k —7 DATE: i6—
31
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.
Fir-st Middle Last
6Pci\:\
Address
Ci-ty State Zip Phone
I un 40•tan y rights as stalk!I ;ve.
Sign4,
„RT.etPprm' 32
State of Minnesota Construction Codes and Licensing Division
Department of Labor and Industry Telephone: (651) 284-5065. � 443 Lafayette Road N. E-mail address: dli.contractor@state.mn.us
`�: V4,l_ St. Paul, MN 55155-4344 Website address: www.doli.state.mn.us
Residential Building Contractor License
Legal Name: WALDENWOOD LTD Business Structure:
DBA: CORPORATION
Address: 6585 EDENVALE BLVD
STE 170
EDEN PRAIRIE, MN 55346-2566
License Identification Number: 2302 Qualifying Person: WENDELL C ANDERSON
License Expiration Date: 3/31/2008 Continuing Education: 7 hours due by 3/31/2008
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY. A f .
ADDRESS OR LEGAL: (--(0L(0 ucA r b Prue /v
PID: r.
(-
DESCRIPTION OF WORK: i v1 l5� br'4-SvVike, t
W BY: ---- j4Q4- pg .61- DATE APPROVED: '1j /C7
ZONING DATE APPROVED: t I O- v�.
BUILD]NG REVIEW BY: .1 .. t.._.... -
-- r-___-- -- -- ,
FEES TO BE CHARGED: Misc. Fees Calculated By:PERNvLIT Yes V. No
SEWER CONNECTION
PLAN REVIEW ' . Yes No
STATE SURCHARGE Yes ././ No
✓ ARK FEE
SAC Yes WATER CONNECTION
INVESTIGATION FEE Yes No SITEINSPECTION
Number of SAC'Units
OTHER (specify)
ZON LNG CHECK LIST Zoaing District: v _ .e
•
Fire Department:
Post Office: School District:
Lot Area: Sq.ft.
Acres • Width Depth
.ate of Survey:
Survey Submitted: Yes No •
Proposed Setbacks': •
Right Side:
Front(Lake):
Rear (Street): Left Side:
Adjacent Structures: Wett d:
Building Height: Def. Hgt, Peak 'gt.
Lot Coverage:
Council Approval Date: '
Grading: Staff Approval Date: g y:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: RR= olution Date:
Shereland District: Lot Coverage:Avg. Setback: Eiuff Setback:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-10 `0'
,ice =e' u'.re,_. Yes .
P. IXRRS (M.hoase):
•
BUILDING REVIEW CHECK LIST
UBC: a -3 • CONSTRUCTION TYPE: VN
Sq Footage $ Per Sq Ftg
Basement • x
1st Floor x • _ •
2nd Floor x =
Garage z =
z _
TOTAL
Estimated Construction Value: $ 1"K COD o'1
Inspections Required: Work Requiring Separate Permits:
Site )( Plumbing Fire
Hardcover Removal K Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
4( Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
X Final Grading/Filling k Electrical (State Permit)
Other
REMARKS (IN HOUSE): • _.
REVIEW BY OTHERS: DATE:
Access: Existing New •
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
4
FROM WALDENWOOD FAX N0. :952974844 O ap(007 10:35AM P2
•
•
•
Koch ' s Soil Testing
Box 81
Loretto, Minn., ,55357
Tel; ( 763 ) ' 479-2637 —7
el
Walden Woods Ltm.
7/27/07 .. 0 °' v I
( Del Anderson )• r
'1 PiOj
Tel; 952-974-2882
Tel 952-221 -3763 1
e r AA. 6-
Job Site; 40 Wear Lane, Orono, Minn.
Work Done; Complaince Inspection of the present drainfield. Q ecfoo.t,,N
of drainfield; Mound System ( installed 8/8/96 Permit # 8231 ) '
Type
Size of mound system; 88 ft. long by 42 ft. wide
Size of rock bed; 10 ft. wide by 55 ft. long.
* This system is properly sized out for. a 4 bedroom home which] what'
the current residence has.
Size of Septic Tanks ; 2- 1000 gallon sealed tanks
Size of pump tank; 1 -1000 gallon sealed tank
* The above tanks are sealed tanks and have a solid concrete bottom
are consider to be water tight tanks.
Upon runninng the pump thru a pumping cycle there was not any signs
of 'effluent surfacing from the mound, also there was not any signs
of sewage backing up into bee house. IMMINENT HEALTH
Therefore this system IS ROI' CONSIDER TO BE AN I T THREAT.
•
• Two soi41 borings were done to detemmine where the mottled soil existed.
Soil boring # 1 was done on the north end of the mound system;
Mottled soil was at 2 ft.
Soil probe # 2 was done in the upslope dike of the mound system or
on the east side of the rock bed area.
Mottled soil also was encounter at 2 ft. below the originaltt6psdil
soil level.
•
Therefore with 1 ft. of sand below the rock bed there is a 3 ft.
speration distance from the bottom of the rock bed to the mottled
soil level at 2 ft.
•
With the above information this system A COMPLIANCE SYSTEM AND IS
PROPERLY INSTALLED ACCORDING TO THE CITY of ORONO CODES and
MINN. RULES 7080. , •
• Site Evaluator
•
gc,,D03-- eack,
•
•
• Robert A. Koch M.P.C.A. # 193/1429
•
• Robert' A. Koch. ' M. P. C.A. Cert. # 193/1429
FROM :,I,JALDENLIOOD FAX NO. :9529748446 Jul. 30 2007 10:35AM P3
..cr
• • 11/2001 Water/Wastewater-ISTS4.31
Compliance Inspection Form for Existing
4104 Individual Sewage Treatment Systems Minnesota Pollution
Control Agency
Completion of this form fulfills the minimal requirements of Minn, Stat. § 115.55(1999)and Minnesota R, ch. 7080(1999), Please
refer to local ordinances for other re•uirements or other re•ulred Information.
General:
Date of Inspection: ?ftI' Reason for inspection;
Property Owner(s) ^ (� (� h Telephone ( )
Person requesting Inspection �JQQ Airt&A..cc .(06-CIOLA/N 0o4.,o0 1-7M)Teiephone (96?--. 11V-IS q 7.--
Site
Z
Site Address 40 & � i.ff i� 6 City O C) Zip Code
Fire No./ Parcel No. Township Name
Legal Description (to LJJ E.p C4_, LA 0 E • 02006 1110,
Regulatory Authority Gay O f D(�! _- -
it:
r.Q.,(4,14}(-................ ...2 .../
System CI@
ssificatiort .<ye-,,t1,&) „,„-,,-„iwv,,
Systems built prior to April 1, 1996 and not located in Systems located.in Shoreland or Wellhead Protection
Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging
Beverage or Lodging Establishment Establishment, or systems Built after
March 31996
= • 7 - it =.i 1' , I II , _• •ublic - - . or Is the system an imminent threat to public health
safety? (a yes answer is an ITPHS system) gr safety? (a yes answer Is an 1TPHS system)
-Discharge of sewage to the ground surface? ZS NO - Discharge of sewage to the ground surface? YES Rt@
- Discharge of sewage to draintile or surface waters? ES NO - Discharge of sewage to draintile or surface waters? YES darf
-Sewage backup Into dwelling? YES NO - Sewage backup into dwelling? YES IC
-:Situation with the potentia) to Immediately and - Situation with the potential to immediately and
adversely impact or threaten public health or adversely impact or threaten public health or
safety? YES NO safety? YES(NO
Is the system failing? (a yes answer is a falling system) Is the system failing? (a yes answer is a falling system
-Less than TWO feet of vertical separation between - Less than THREE feet of vertical separation between
. system bottom and saturated soil or bedrock? YES NO system bottom and saturated soil or bedrock? YES NO-
-A seepage pit, cesspool, drywell, or leaching pit? YES NO -A seepage pit, cesspool, drywell, or leaching pit? YES 0,
Is the sntem non-comliant? Is the system non-comp ant? ,
- Is the system regulated under a monitoring plan,or - Is the system regulated under a monitoring plan or
operating permit? (if no, go to page 2) YES NO operating permit? (if no, go to page 2) YES NO
If yes, • , If yes,
- Has the'required monitoring taken place? YES NO - Has the required monitoring taken place? YES NO
(Itno, the system Is non-complying) (If no, the system is non-complying)
-The monitoring Indicate that the system meets -The monitoring indicate that the system meets
performance expectations? . YES NO performance expectations? YES NO
(If no, the system is non-complying) (If no, the system Is non-complying)
•
Page 1 of 2 wq-wwists4.31
FROM :WALDENWOOD FPX NO. :9529748446 Jul. 30 2007 10:35RM P4
1/
Property Owner(s) ._ Fire No./ Parcel No, _
system Components (Please describe the system components): 2/�eiZ13 ��Z� �� y ,�u�
Mlle Ns Sy5I I= Da C�, r ,�
� � oar � � ' PL T k2 / - /00aq _ 7.-
What methods were used to make the determinations for the compliance Inspection?(Note: No standard protocol exists.
The following list is not exhaustive, not in sequential order nor Indicates which combinations are necessary to make a determination)
Watertight tank(s) Yydrauiic FugcciQninq Separation Distance
gc Probed tank bottom *,Searched for surface outlet l' Conducted soli borings .�(/y/
❑ Observed low liquid level ❑ Performed hydraulic test 0 Depth to redox `�7
4
X Examined const. records X. Searched for seeping in yard 0 Depth to system bottom 7-4- C/ !r\)
✓ Examined empty(pumped) tank Checked for back-up In home 0 Examined records S a,.,
yk Probed outside tank for black soils 0 Excessive ponding in soil system ❑ County Verification Records (/,
❑ Pressure/vaccum check Homeowner testimony 0 Other 1t. n
• ❑ Other U Examined for surging in tankn n `
DUl a-L-4"-J
G "Black soli"above soil system / ���� �)
G Other /!° 1°!(�
STATUS OF THE SYSTEM y._� r S
Based on the compliance criteria above the system status Is (check one) in compliance (functioning) D failing
(to protect groundwater) Elan imminent threat to public health or safety(1TPHS),j� non-compliant (monitoring issue).
0 compliant(non of the 3 previous conditions). or O insufficient information to make determination.
; Therefore, this document Is a,Certificate of Compliance 0 Notice of Noncompliance 0 Unknown compliance
SUGGESTED ATTACHMENTS:
1) Site sketch. Suggested Items for sketch Include: well, well setback to system, dwelling or other buildings, tank(s), soil treatment
system, reserved sill.treatment area, property lines, surface water and soli boring locations.
2) Soli boring logs, showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock, standing water and
whether the material is fill. •
3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form.
4) A homeowner survey, signed by the homeowner as being factual.
5) Monitoring data as appropriate.
•
CERTIFICATION
I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee
Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded
observations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to
unknown conditions Burin. - stem construction, abuse of the system, inadequate maintenance, or future water usage.i
T A. 60._,Ti 7�3-47 .- Z63 7Inspector's name (print) A D , Phonnee n ro _
License and/or gistration Number Address ..0 Ul A. /A. f - 4 1.1 �S.-3`1(7
Employed by km's b 5o rL 71s7fAddress Al��,, e/ // /i 1/
/
Signature _ Date �( Z Co( &J
Upgrade Reaulrements (derived from Minnesota Statutes§115.55) IIIIII
An ITPHS must be upgraded, replaced, or Its use discontinued within ten months of receipt of this notice or within a shorter period if
required by local ordinance. If the system fails to provide sufficient groundwater protection, then the system must be upgraded,
rep/aced, or its use discontinued with/n the time required by rule or the local ordinance. If an existing system is not falling as defined in
law,and has at least two fcct of design so//separation, then the system need not be upgraded, repaired, rep/aced, or its rise
rli.,rn... ... -.,,1 ...ti..:/-...r,...i.'_. . .... i.., ,1 r.r. -.. .ti- .. _.. -i. ... , 4--- --• n,,-,I,,�n .�...., u, -h. ..ice..., , ..-- „tri.
protection areas, or['nose useC/ur connection with rood, oeverage, dnd lodging estaurrsnmcncs as tenet in law.
Page 2 of 2
FROM :WALDENWOOD FAX NO. :9529748446 Jul. 30 2007 10:36AM P5
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FROM :WALDENWOOD FAX NO. :9529748446 Jul. 30 2007 10:36AM P6
SEPTIC SYSTEM INVENTORY
Address: 40 Wear Ln. N.
PID: 33-]18-23 34 0010
BuildingType residence BRs Installed for: 4 In Musa: No
•
Permit#: 8231 Date of Permit: 8/8/96 Installer: J. B. Diggers
System Type: mound Performance: no Tank Filter:
SYSTEM CONDITION
Conformity:1 Tank Condition: 5 DF condition: 8 Failure Pot: low
SEPTIC TANKS Capacity: 1000, 1000, 1000
Material: precast concrete p y
Setback to Bldg: 25 Cesspool:
DRAINFIELD Trench Width: 10
Length of Lines: 55 #Lines: 3
Treatment Area: 88'042 Type of Filter: rock.,clean sand Soil Boring: yes
Tile Size: 1.5 Under Tile: 9 Perc Rate: 35.1
Setback DF-Bldg: 55 DF lit above Wt: 3
Soil Type: loam, clay loam Limitations: water table
WELL DATA Well-DF: Report in File no
Setbacks - Well-Tanks:
Depth: Diameter: Method:
Pump Type: PUMPOUT RECORD
NRECORD COMPLIANCE DATE GALLONS
DATE DESCRIPTION1 7/31/98 2000
9/10/96 installation 10/02/00 2000
11/19/99 no surfacing 1
10/03/01 code system, no surfacing 1 9/20/02 2000� � OSI .2. -01.D
10/27/03 no surfacing,look at floats code system Ce 'OSsock
fr I avVr-r) aw, ).11 rrrry
FROM :WALDENWOOD FAX NO. :9529748446 Jul. 38 2887 10:36AM P7
, a 7
Logs //of_��Soil Borings `
Location or Pro j ec // , ' !
Borings made by
CAA, Dace ?l -IC. (O '
Classification System: AASHO ; USDA-SCS $1.,,,,; Unified ; other
Auger used (check two) : Hand,,� or Power ; Flight , 'or Bucket ‘le...,: ocher
± P4 p la r ac
-
Depth, Boring number / 1 Depth, Boring nu.mber2eyobAL I a ,
in in
feet Surface elevation feet ,Surface elevation _
c,
flI - U r3 �p� ryJ°
1 Q 2 LO-0-•W‘.., - 0 /G� cQn
2 -- 2 — x'.20 is C X� U Z Z
� o y12,42/ T � �� l y�
/ et
3 — ,1 3
l02 7. -zwo0., S4 ")0
' 0Q 220,AJ p) C.R 4 — -044,r,dP co &P . joyiz- 4C4
8/7 ---------
5 (r1i0j13) ,.� d 'L �l
C Q .C.c,�-Y►^-
a
6.1_,,,,. )fr'c'-') c c"-' 4-/
8 — 8 — ---0,Aa, sx
End of boring at feet. End of boring at -3i (1 feet.
Standing water cable: Standing water cable;
Present at feet of depth, Present at feet of depth,
hours after, boring. hours after boring.
Not present in boring hole \l,.. . Noc present in boring hole K ln/
L,,p .. U a
Mottled soil: ��'� fe Mottled soil : /...-g -% "�
Observed at 4g feet of depth. Observed at feet of depth.
Not present in boring hole • Not present in boring hole .
Obs;,rvations and comments: Obaervationa and commenca:
m . 110, _ -.,sy5i 1. �,. m -- .7, sy6% 2--
, i 7 Y / 6
FROM FWALDENWOOD FAX NO. :9529748446 Jul. 30 2007 10:35AM P1
Statement `7 •
KOCH'S SOIL TESTING
P.O. BOX 81 No. '7
110 RAILWAY STREET E.
LORETTO, MN 55357
PHONEVlenerT 7�. ba7 ija)/ V 7
7c,3- DATE
Sold To: W^g- -
95a9141 - 2" 7- 3�
rte eDA � � � Gs� � .(
----� ITEMS Price
o � � CWFOff WO YrlP�
to
�_ 3E Co -� r✓e `` �/'' 7 •
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Thank You! --B.08
CITY OF ORONO CALLED IN
1 fi TIM/
INSPECTION NQTICE SCHEDULED (2
PERMIT NO. //a : COMPLETED /
ADDRESS HCI (Jul/La"— Lk A)
OWNER CONTR. . I I A
TELEPHONE NO. q63 I 7";:: &
DESCRIPTION 42/� i l� /�/tea/
4 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
IL ❑ PLUMBING RI ❑ SEPTIC INAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: ES_NO
o COMMENTS:
cc
W
CC
O
CC
O
LL
LU
CC
W
CC
2)
d
LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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/Contra` j Site:
Inspector. C
MAI
White Copyllnspector's File Canary Copy/Site Notice
0 A TIME V
CITY OF ORONO CALLED IN f
INSPECTION N999E SCHEDULED 9:30
PERMIT NO. a„ COMPLETED ' 1
ADDRESS Wea,- L i J /v
OWNER CONTR. UkiL
TELEPHONE NO. l5 2'-' 22 1 37( 4
DESCRIPTION tro rl(V1q
k.
W '1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Lcii O••MING 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
• 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
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
C
cc
0
a
CC
0
4.
W
Q
W
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ti/WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.C LL TO ARRANGE ACCESS.
Call for • - ne t spection 24 hours in advance. (952) 249-4600
Owner/Coq tra • on s A
lip 'wig,
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
EAT.$ TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICESCHEDULED -1: � ' 1E'34f,
PERMIT NO.
COMPLETED r . •7
ADDRESS 171.0 �P & -i.. ' 6
OWNER CONTR.W
TELEPHONE NO. 95 Z 22. /
DESCRIPTION J/lSG Laf t d✓t
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
Ili 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
a
CC
O
CC
O
W
W
W
C
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
LI CORRECT UNSAFE CONDITION WITHIN HOURS. C, PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the e t inspection 24 hours in advance. (952) 249-4600
Owner/C. Jon r o s e-
Inspector. 4� dr"
White Copy/Inspector's File Canary Copy/Site Notice