HomeMy WebLinkAbout2017 - 00357 - attached deck CITY OF ORONO 1 1 11 1 1 111 1 1 5 1 11 1
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
•
ADDRESS : 1006 WILDHURST TR
PIN : 07-117-23-24-0045
LEGAL DESC : WILDHURST ESTATES
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 11,970.00
NOTE: PRIOR TO RELEASE OF ESCROW MONEY A FINAL INSPECTION MUST BE COMPLETED AND APPROVED. INITIAL
APPLICANT PERMIT FEE SCHEDULE 232.30
DNL BUILDERS STATE SURCHARGE(VALUATION) 5.99
8080 DANA PATH TOTAL 238.29
INVER GROVE HEIGHTS,MN 55077-
Payment(s)
Minnesota State License#: BUIL-BC639496 CREDIT CARD 6657 238.29
OWNER
CARTER, MATTHEW&ANA
1006 WILDHURST TR
MOUND,MN 55364-
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 he
revoked at any time for due cause. )71---/ / /e9 1 1 /
A pl ant Perm ee Signature Date Issued C,).ignature I)ate
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: a(7/7-d'357
0A, PO Box 66
!VD Crystal Bay, MN 55323-0066 Date received: Zi---/3—/7
Street Address:' Received by: 6/14 N il/t F
. ,* 2750 Kelley Parkway ('K l ,f f � )� 7—Dv���
Plan review lee: '
�� c? Orono, MN 55356 --___ _—__
4kESH04� Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. �'`i
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:. ,(J,,,� I
Job Site Address: d - P U 1z 5 (: A 1 1--- ` t f„r 7,/
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes o /2
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 e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: iDtJ t_ ) 11,-.PRS L-L (.
State License # 13G. Ce 3 `�Co Expiration Date:
Phone: cell)C(012-) ',010 •`,a1-.-- (office)
Mailing Address: CO. 1-Q A i Pi<ii- City: * file ZIP: •5070
Contact Person: \/ ' Applicant is: ontracfor / Homeowner (Circle one)
Email and/or Fax: .11,..'Rv 11,.9 EI2..S ►Vi 0 yg4co,co M
PROPERTY OWNER INFORMATION: //
Name: MA1—T !rt13 ec A.I,3 A C. R-- 12----
Phone (day): M L'/.0
Address: MeV VO ll--MALfk''"T -C--41-1 i-- City: ZIP: 55 *
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
'r Address: City: ZIP:
Email and/or Fax:
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: --(-_f Ct G- ` C1 LJ C C C
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
❑ New Construction fSin Ie FamilywithWater Supply
g ❑Accessory Bldg./Garage
❑Addition attached garage Weck 0 Public Sewer
❑Accessory Building 0 Single Family with 0 Office/Commercial
elocation detached garage 0 Residence
Other:(specify) ❑ Septic
❑ Multiple Family/Condo ❑ Retaining Walls) (Compliance certificate
0 Public 4-feet or greater may be required)
**Any earth movement may require 0 Commercial 0 Storage
MCWD review&permits. 0 Industrial 0 Warehouse 0 Public Water
Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 0 Other(specify)
15320 Minnetonka Blvd;Minnetonka,MN 55345 0 Private Well
Phone: 952-471-0590 / Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ i'I I , q 70 GC
Packet Last Updated: January 2016
Page 21
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued)
a. Length(ft.)= Number of bedrooms= 2. Occupancy:
b.Width(ft.)= Number of garage stalls:
3. Occupant Load:
Areas in square feet Attached=
c. Basement= Detached= 4. Type of Construcion:
d. 1st Story =
e.2nd Story= 5. Code Edition:
f. /s Story = ( `J e-E -k- -NED '� T"
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ 0 Building Permit Escrow Agreement and Fees
❑ 0 Plan Review Fee
❑ / 0 Completed Application Form
UP.7 0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8%x 11 set
❑ 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements
ta 0 Survey—2 full size,to scale(meeting ALL survey requirements)
Er 0 Hardcover Calculations
❑ 0 Septic System Certification
❑ 0 Minnehaha Creek Watershed District(MCWD)Permit or
_ Documentation from MCWD stating no permit is required
❑ -El Landscape Walls and/or Retaining Wall Plans
,r0' 0 Landscape Plan
❑ Q Stormwater Pollution Prevention Plan(SWPPP)
❑ p Access Permit
• ❑ Q Data Privacy Advisory Form
APPLICANT/OWNER 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 $10,000
escrow to ensure completion of the as-built survey and all site improvements.
Applicant's Signature: `katti,L e_te. v-A.) Date: `
Owner's Signature: Date:
Packet Last Updated: January 2016
Page 22
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: IOW W i ldhursI Trail Permit No.: 2o 7 - 0057
Description of work: T2€. Date Rec'd: 4 "k, '17
Septic review by: .Jw tt ' MA/ Date Approved:
Zoning review by: /� •• Date Approved: 4.13 7
Building review by: /'oui1 , Date Approved: -/ l�`T l7
1_
Grading review by: NA- _ Date Approved:
Zoning District: LR'I Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: YesNN No Resolutio1
Zoning: Lot Area: 7J'/ I3 /AC Width: Structural Cov'ieiL: 3l- SF (.40-5Z Bio
Survey Submitted: "ces 0 No Date of Survey: Revised date(?):
Landscape plan submitted? p'Y/es Landscaper: 3O V; t$( V1 0 No/None proposed
Proposed Setbacks: / VCf. .011 — lci(p
F nt(Lake) (Street
( N S W ) ( N S E W ) Other Buildings Wetland
Si a Side
1110' 1W # t3'
Building Height Analysis:
Distance Between First Floor and defined Top of (a)
LI**
Roof* (See "building height" defini ' :
First Floor Elevation (from b ' ing plans): (b) ril/ z-
Highest Existing ground-lvel (per survey) or 10' (c)
above lowest group level, whichever is lower:
Difference betty n (b) and (c): (d)
Defined ilding Height(a) -(d): (e)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: VINYes 0 No 0 N/A 0 Yes ,
es 0 No7(
No
/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
5.(ouzo tLe. 110 0 Yes Plo 0 Yes Te44,_
d 2 3 4 5 I� In L IZ` Type(s)• Type(s):
4055F
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Fees to be Charged YES, NO
Permit
Plan Review
State.SOrefiarge t/
Investigation Fee V
SAG Nmtier.of SAC Units [/
Other(specify) U
Square Footage $ per Square Footage
Basement . X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
00
Estimated Construction Value: $ /l 70
Orono Inspections Required Work Requiring Separate Permits
Footing O Site 0 Plumbing D Grading/Filling
D Poured Wall D Silt Fence/Erosion Control D Mechanical D Fire
D Foundation Survey D Hardcover Removal 0 Fireplace 0 Water Connection
D Framing 0. Other(specify) 0 Masonry 0 Sewer Connection
O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irritation
D Foundation Waterproofing 0 Other(specify) D Landscaping
Framing
D Insulation
D As-Built Survey
Final
O Lathe Required State Permits
O Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
O See Builder Acknowledgement Form a„C),1/401._ � C v ff Leil-eI.
O Prior to release of escrow money -• - _ _ . • - _ -- -;
. - . • •s . -•
1"- • .•• •
a , aov .
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
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than Schwartz
Mendota Heights,MN 55120
Scale Mathew & Ana Carter DESIGN ASST:Jona
Date:4/5/17 DESIGN/SALES REP:Josh Koller
Phone 651.203.3000
Fax 651.455.1734 SOUTH VIEW
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Revision Notes
This drc AnY.^
''''''''''' Date Released t_/ Date
Deck Detail Time:11:58:49 AM
isielii.60"
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Wildhurst Trail
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SUPPLEMENT to DECK Permit Application Worksheet
(MUST be included when applying for permit)
The following information is required to be included with a Deck permit application.
r,
1. Footing Diameter: / Depth: Z
2. Size of posts:
3. Size of beams: 2 >4/0 Number of plys: 2
4. Cantilever on beams: 0 (cantilevers over 12" require engineering)
5. Size of joists: 2 >> S? f�Spacing: 1
6. Cantilever on joists: (cantilevers over 24"require engineering)
7. Species of lumber(please check one): W-3outhern Yellow Pine 0 Ponderosa Pine
0 Spruce Pine Fir 0 Hemlock Fir 0 Douglas Fir❑Cedar 0 Composite 0 Unknown
8. Dimensions of floor boards: ��69V1Z Type: Cf..0
If using composite decking materials please indicate the manufacturer.
9. Height of deck from ground: /0`
�I
10.Height of guardrail:
11.Spacing of spindles: a.
12.Height of handrail: `'
13.Dimensions of deck: le)Y " ,OfCK- 3W SI"g b , yx /cAvo,m- rA fes,
G✓tl7*- 042 t.q-cc. 77 An f1A z&s Z 3
14.Distance to property lines (also identify on site plan):
a. Side 1:
b. Side 2: ! v
c. Rear: /14' oEtL)
d. Other: F,te Uti, r •
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
Completed Application
FAPlan Review Fee Paid 4- i
Signed Escrow Agreement & Escrow Payme l ! " /
Plans (to scale) x2
ElCertificate of Survey (to scale) showinthe proposed prct &
meeting all requirements x2
Hardcover Calculations (if applicable)
(IL.&"
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from tie MCWD stating-
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regarding this project.
Signed by:
Address: I G C' _5_:', 1 i ci A (or- f 7 2_
Permit #: ` -- c (-J- cc, -,-7 ,.3-7
W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx
City of Orono
°N Hardcover Calculation Worksheet
,*V. Property Address: /� LA)/7(4
/J 1 ( /y/ 1/� 1/
<.!!,toF. Prepared by: / Date:
S v+i /L ie pvi? (ct (EG P,mss( .Sc tz s ) 3/17 1 i 7
Mn) U'` S27�S r
Stormwater Quality Overlay District Tier: (Circle one) ier 17 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: HARDCOVER
In the following table identify aall items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the
75' setback line and calculate hardcover square footage separately for each portion.
Key to
Survey Hardcover Item (Describe) Length x Width Total
(Example) (Garage) (Square Feet)
(24' '
A x 30)
i4bd'Sg/C,,¢G�- (720 S.F.)
B ('oniG�{ETb' Pgty' +; ��' S.F.
C Biz�.vrr vc�S OPZf,/'Lvr9Y /aY 9 S.F.
D �iiv G�C'TE- Pr4✓EZ-I Zi 9 8 S.F.
E y'itt-77O C3Es.cc-✓ t)Ec-!c 2 ,' ,z�yS.F.
F -7�y�-b RA7 0 y26 S.F.
G .S�i oC-v✓�c-i`/Sren5 bf-- S.F.
H /tac,4 L.sivife,, /Nb (i 1/, ,�s•Tic a,✓ ,JF,ll o./9 S.F.
I w ,••• ,, i S.F.(�?'
J �Va/C- s efoREcirvE' — `r'7Y S.F.
K fRoAi.— PIc_.Gr¢RS Si Z S.F.
L /f3 S.F.
M
S.F.
N
S.F.
P a: sr yty/5,/e {V j S.F.
�" �3 v� S.F._
Q S.F.
R S.F.
S S.F.
T
S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
S.F.
(1) Total Existing Hardcover S.F.
Excludable Hardcover(See City Code Sec 78.1684): 05 S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover S.F.
(3) Net Existing Hardcover [Subtract line(2)from line(1)] S.F.
(4) Total Lot Area /u? ', / S.F.
77, X53 S.F.
Proposed Hardcover Percentage [(3)+(4)] /lf//,
•J
(Proposed Hardcover next page)
Sfvttcfr1aJ ( Paç . ZThis is an information packet regarding Hardcover. Eve effort hasbeen made to
however,if any information is not consistent with provisions of the CityCode,the p ovisions will rthe accuracpthe information contained herein;
Code provisions
Page 8 of 9
City of Orono
i \o Hardcover Calculation Worksheet
Property Address: ,, -i-
, ,' Prepared by: _ Date:
a)j,, �,c 77_ -S2 ,-
Stormwater Quality Overlay District Tier: (Circle one) /Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: MPa HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the
75' setback line and calculate hardcover square footage separately for each portion.
Key to Total
Survey Hardcover Item (Describe) Length x Width
(Square Feet)
(Example) (Garage) r (24'x 30') (720 S.F.)
A
Auf/- / ./7Yi Cz !/. 7,: . S.F.
B C a /� e/ Cr; S.F.
D 'I'/1,47q(..::76- i'r 4�isi I i i % %i' S.F.
E - _ �� - '= �� , /S.F.
17-7-7- r'L � t✓ 4)(---(--IS
F i i .�J;, S.F.
v;r-r:-----ref(t.)
G /6-/ S.F.
H ((� c_z lJlr
'/., . -r74)!
City of Orono
oA\ Hardcover Calculation Worksheet
Im _ Property Address:
' Prepared by: - Date:
L. f-i 7 /-
Stormwater Quality Overlay District Tier: (Circle one) (Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1• WG HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the
75' setback line and calculate hardcover square footage separately for each portion.
I Key to
Survey ( Hardcover Item (Describe) Length x Width Total
Y (Square Feet)
(Example) (Garage) (24'x 30') (720 S.F.)
A a'� �- f`',`-'r'�z-. j! >. S.F.
B e.,. /'i��� j i � 4r S.F.
C />7,T ,C( -) I>/ ,;./C.--1/`-,T j 1 --/ / �/ S.F.
D . '/,. i .:-'7-z= .'•.tL-�K .— (,- S.F.
E += _ L_ _ ,..)c _ K .':'_ S.F.
F t:, S.F.
G �� xc F'. j S.F.
H f r-,,, - S.F._,n _ ':.i �
I ,: S.F.
J ;aU ,. >;- EEe.,/✓6 . -2- S.F.
K r,.. , %i 4-.ift's /!- S.F.
L 1 S.F.
M S.F.
N S.F.
O I S.F.
P S.F.y
R S.F.
S.F.
S S.F.
S.F.
U S.F.
✓ S.F.
t
W X S.F.
S.F.
Y
� I S.F.
Z
S.F.
(1) Total Existing Hardcover ; 7, :
i
S.F.
Excludable Hardcover(See City Code Sec 78-1684):
S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover N S.F.
(3) Net Existing Hardcover [Subtract line(2)from line (1)] // I '9 S.F.
(4) Total Lot Area _;`/5 3 S.F.
Proposed Hardcover Percentage [(3)_(4)] %
(Proposed Hardcover next page)
This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contained herein;
however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 8 of 9
Karen Filloon
From: Jack Distel <Jdistel@minnehahacreek.org>
Sent: Monday, April 03, 2017 12:01 PM
To: Christine Mattson (Orono); mcurtis@ci.orono.mn.us
Cc: Karen Filloon
Subject: MCWD no permit needed: 1006 Wildhurst Trail, Orono
Attachments: Site Plans for 1006 Wildhurst Trail, Orono.pdf
Good morning,
After reviewing the site plans for the proposed landscaping project at 1006 Wildhurst Trail,Orono it has been concluded
that they do not trigger any necessary permits from MCWD. Their threshold of disturbance is below our trigger for an
erosion control permit and the work is outside of the nearby floodplain. Plans submitted to the district as evidence for
this are attached.
Best regards,
Jack Distel
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka BLVD
Minnetonka, MN 55345
952-641-4581
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MINNEHAHA CREEK
WATERSHED DISTRICT
1
‘131(il
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T? ESCHEDULED _ k.Z , ( ;3C-
PERMIT NO. -CAi- -� � COMPLETED
ADDRESS ( CX Li)1 I C kUI u
OWNER TELEPHONE NO.C4L 1O 'd--43
CONTRACTOR PL u i d-0-43-
DESCRIPTION '---DS L- i l
Ly TING 0 DEMO-FINAL SEPTIC FINAL
Q 0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
9 COMMENTS:_ 3 �f1 i c✓ f �a le- e a'r 6 d f-
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LU
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W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
O 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
OwnerlContractor on site: -71. ---------
Inspector: �/ham- 7�
White Copyllnspector's FIIe Canary Copy/Site Notice
A r7
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 6- till I •• v
PERMIT NO. ZU 1 1 - 00351 COMPLETED
ADDRESS 100 CO OA �Ah" 11 s-\- 4-1----
OWNER
rOWNER TELEPHONE NO. Er' I _2(03-76,ZD
CONTRACTOR
/6. / Z
DESCRIPTION (� � 17(k-01.105
to ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
11.
❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ❑ TREE REMOVAL
0
• ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
XFRAMING El MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
ti COMMENTS:
arkw<<ks — 7r /401
0 ,5 S6ca,rs� yu4d 5 / "4C 445 I' ��
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CC CC NeC-e J614 f
W ❑WORK SATISFACTORY:PROCEEDOJECT COMPLETE
L RRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
W
❑CO ECT WORK,CALL FOR REINSPECTION TEMPORARY
t BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
LI 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:
Inspector. 91 k,..
White Copy/Inspector's File Canary Copy/Site Notice
) j
' '' f /
11 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /-,/`/ - )
PERMIT NO. 2[1/7
ADDRESS /!1 76/77
OWNER
/c-7./)CCf" 7_
OWNER TELEPHO ANO. }_ -2/ -7'
CONTRACTOR ---) - `'/h,'i ,)C2 7 c :9 7
E DESCRIPTION ¢`G T///r