HomeMy WebLinkAbout2005 - P08650 - attached garage CITY OF ORONO PERMIT
,2750 Kelley Parkway - PO Box 66 Permit Number: P08650
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 4/29/2005
SITE ADDRESS: 1005 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0006
DESCRIPTION:
Proposed Use: Residential
BuildingCensus Code 438,„-
Permit Class: (
Permit Type: Addition/Remodel/Repair Permit Sub-tySpe(s): Garage Attached
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 209.25
Valuation: $ 12,000.00
Plan Review Fee: $ 135.98
State Surcharge Fee: $ 6.50
TOTAL FEE: $ 351.73
APPLICANT: LeGran Homes OWNER: LeGran Homes
1521 94th Lane NE 1521 94th Lane NE
Blaine,MN 55449 Blaine,MN 55449
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siinitures Required), 1-Applicant. 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
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PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P08650
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 4/29/2005
SITE ADDRESS: 1005 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0006
DESCRIPTION:
Proposed Use: Residential
BuildingCensus Code 437
Permit Class:
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Garage Attached
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00
Plan Review Fee: $ 135.98
State Surcharge Fee: $ 6.50
TOTAL FEE: $ 351.73
APPLICANT: LeGran Homes OWNER: LeGran Homes
1521 94th Lane NE 1521 94th Lane NE
Blaine,MN 55449 Blaine,MN 55449
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.
111101
U/M COO
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required), 1-Applicant. 1-Monthly Reports. 1-Assessin2, 1-Finance Page 1
Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.001/002 F-611
syn
Total Fee: $
1 -75 Date Received: 'C2.5- 4
Entered By: ��� �"� (4)---)kc, Permit#: 1._r _
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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: l4('S GJi/IDIJ ZIP: 5.S' 3 S<—
�elt�
ray-• nn v PHONE: gitif -1�3-780-5Zse.
NAME OF OWNER: L (w, 1 CotZ-590 41965
MAILING ADDRESS: 15a1 cm LA). )O, . CITY: ZIP: 5541Ky
CONTRACTOR: ' l,e.Lvak. trv.e.5 Cove. PHONE: ?4,3-?$D- 5750
CONTACT PERSON: h't.Lka KoP<stL� l MOBILE/PAGER: - 5o- 75
IvIAIL)NG ADDRESS: I.N. NEr CITY: \3\a ti ZIP: 55'1119
STATE LICENSE: # 1357_
ARCHITECT/ENGINEER: t?Iahni DeSI4. PHONE: 743 .780' 8 '
MAILLNG ADDRESS: gtbo li•tvwcve. 6 ,CITY: (31a4 # ZIP': vis
NAME:
REGISTRATION
TYPE OF WORK: New Addition )( Accessory Structure,
Move Remodel/Alteration Land Alteration
PROPOSED WORD(describe in detail): ADD 64beilee&
STORIES: SQ.FEET OF EACH FLOOR: c>96
NO. OF BEDROOMS:• _ GARAGE STALLS: ATT. 1ET...._�. 4 .
TEA CONSTRUCTION VALUATION (excluding land): $ 444M,EST�A.
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.
'S SIGNATURE: W ,� DATE: -I )11405 —.
APPLICANT ..
NOTE! parade of Homme events require separate permit approval by Police .Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
, , I
Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.002/002 F-611
•
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 ask d to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested dash wig the collecting itatc agency,political subdi i i n,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any ixowo consequence arising from his supplying or refusing to supply
private or conndcctiai data;and(d)the identity of other persons or entities zcthorized by state or federal law to receive the data."This requirement shall
not apply when art individual is asked to supply investigative dans,pursuant to section 13.112,subdivision 5, to a law enforcement officer.
The co ssimmt over of revenue may place[he notice rouired under this svbdivisio in the individual ' come tax o ro em!tax refund
instructions instead of on hose orms.
Subd-3. Access to data by individual. Upon request to a res-„nonsible 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 confiderdnl. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown she data wi-out any charge to hint 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 in armed of its meaning,the dant need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is rending or additional dam on the individual has been collected or creased.
The responsible authority shall provide copies of the private or public data upon reques:by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,ccf;ing,and compiling the copies.
The responsible authority shall comply immediately,if possible,with may 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. U he cannot comply with the request
within that rime,he shall so inform the individual,and may have an addidor-al 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
dam concerning bi:nself. To exercise this right.an individual shall notify is 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 disagree-enc is included with the disclosed data.
Tru determination of the responsible authority may be appealed pursuant to the provisions of the adminisaative procedure ace relating to
contested cases. .
DATA PRY'VACY 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 is depa.r.encs may require you to furnish certain private or
confidential information.
You are notified that;
I_ 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. ••
$. 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.
First 1l./ Middle Last
Er7
AddressL!� �5/�1 z6.3 !dS7s
State Zip Phone
City
I understand any rights as stated above. •
Signator. •
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /oos to-oc. v,c w
PID:
DESCRIPTION OF WORK: C. Lad e /Loa, n o.•J
ZONING REVIEW BY: C/ ' DATE APPROVED: y- 2?- o s
BUILDING REVIEW BY: 2 ��...._ DATE APPROVED: Y-Z 7- 65
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes r/ 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:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. N-c. Acres Width Depth
Survey Submitted: Yes v No Date of Survey: ' 5-0 5
Proposed Setbacks:
Front(Lake): 312 Right Side: /.
Rear (Street): 530` Left Side: (,)
Adjacent Structures: ,¢rna cry Wetland: ,std
Building Height: Def. Hgt. o.1'- Peak Hgt. -
Lot Coverage: t1/41 1 11-
Grading:
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: Al J
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
•
BUILDING REVIEW CHECK LIST
UBC: ( 3 CONSTRUCTION TYPE: \1,i
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x
Garage x =
TOTAL
Estimated Construction Value: $ Z 0 0* pO
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
y Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_24 Final Grading/Filling 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
I023.80
present edge of pond-...,..
1024. 71
1027.05
pond '�( '
//
_Building Pad pe � \
/ I grading plan i 1027.05
of WILLOW
///�• // / VIEWEry x 52
1026.
^ h' /
/ ^�,•� x 1023. X16. +
WO yam'
;?;�p :it- x 1026.78
Y
1025.85
/ 10�1t/38 �P\ o 0 •oo
/ / / ' �� % •�fa 103 67
l/ proposed �1� 5 �s / o� q6 24.76 1
l / oining
11�1 32.
0
3Z 5g/ /
/ 72t.30 10 9 1023.06
16.5 foot wetland -
j buffer
Building
Survey
x 1026.83
0
ru
0 1.30 7- ` 1 �� i we an
U
0
gg "\y. ' �0 / x 1024.39
02 8 !.
8 I 16.5 foot wetland---.....hijffPr
Permit
/ 42
0
X 1031.08 /
BENCHMARK
1032 ,l ~_ SW corner on /
% base of transformer
l/ Llev. = IOJJ.90
Area = 2.31 Acres
b /
r� \ x 1024. \ Gi I �•i /� r 1035.12
i
rU 44
drainage 6r utility
eacernen#
a / t birurninous
1029.82
�► \ x 1024.99'
� x 1024.32 ' /J
l^ t03
x 1022.82 \ \x 1025.02 \ x 710
1024.55
\ \ \ 10111 x 1024. 71
\ /0?6 R=10 1977,49 • l �.
'Otto
•,, l 1`, .may •- - �' `..,
1
x 102316
t
• denotes iron monument found
0 denotes iron pipe set OTTO.14W
and marked as shown: o'rro
om
6i denotes soil boring
D denotes percolation test hole
/034.15 /
Note:
No grading to occur in
l / 16.5 foot wetland buffer.
Proposed ®evat/ons:
Garage Floor - 1034.38
x 102 .9f SO / Top of Foundation - 1034.71
h Basement floor = 1026.00
/ 1033.79 /
�•- e ` `�"`- x 1026.5 �'� 1�'- .. .\O ,� N ` 1
` M Denotes electrical transformer
- - - - Denotes drainage & Utl/lty easement
per the record plot of WLLOW VIEW
Denotes buAding Setback Line
x 1025.10 x 1026.78�� " / Front = 35'
1 Side = 10
/ Rear = 30'
x 1026.59e \ - -1026- Denotes existing contours
S���s3y 1028;X1026-- denotes. proposed contours
' *` 1' 1 �.�¢.14 x t QJJ, 79 Qonotes #x4t9ng spot oftygtton
., Denotes pnoposad spat e/avdtlon
1033.04
i6 i i } rifat-,IG PLAN
i s 10
x 1839.89
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Z"y � Property Desafption:
1p31. 56 50Lot 11, Block 1, Willow View, Hennepin County,
x 103.4)
_ Minnesota, according to the record plot thereof.
{
/ 1032.57
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Building Permit Survey
on Lot 11, Block 1,
W/LLOW WEW,
Hennepin County, Minnesota
Requested By: I he eby certify that this survey, Revised:
plan; or report was prepared by me weld Site.
or t,nder my direct supervision and WWW.Ottoasswistes.COn1
eGran Homes that I am a duly Licensed Land
Surveyor under the lows of the � 9 West Dhrislon $ta
State f Minnesota. Buffalo, NN W313
Date: Drawn BY: Scale: Checked By: %� E Phi 1713)611:4717 Job No.
12-28-04 B.A.I. 1 " = 30' T.A.B. Paul E. Otto ssoclAr s x,, �re3
F,�sez�a,�
Engineers and Land Surveyors, Inc. 1-04-0728
Date: /" 5'License # 40062
TIME
CITY
t s�'
CITY OF ONO of CALLED IN 23.4T
INSPECTION N ICE SCHEDULED g/-vr5 9 .30
PERMIT NO. VQ � COMPLETED / /
ADDRESS ! OC)�J C�� / // C�c.�3/ v-.:(--(--k—J
OWNER CONTR. dipr
TELEPHONE NO. l� (a 59
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• DESCRIPTION (pa_ C7Y)
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cz 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
LIJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:4 YES_NO
oco) COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑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
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
Owner/Cons te•
Inspector. a
White Copy/Inspector's File Canary Copy/Site Notice
TE TIME
CI1'Y OF ORONO CALLED IN
INSPECTION N /I SCHEDULED Ya'3//tS ��!`t�,�
IC •
PERMIT NO. (5'5C COMPLETED
ADDRESS 7 n(;J &-t_.-), //C'; t.t (//-etc '
OWNER CONTR. 11,.(G?/'?IkJCr-
TELEPHONENO. 7`�- 3�4' _1q�i CC`Y►e- Lc.:
DESCRIPTION 627c-r /) iq-1 Cy\
k.
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
V,• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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
LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
‹.--- OWNERICONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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citi AINORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W RRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ EFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
111 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952) 249-4600
OwnerlContrac#s � .
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE ---- TIME
CITY OF ORONO CALLED IN - /'R d
INSPECTION NOTICE SCHEDULEDb2/ e:034,
PERMIT NO.P U COMPLTED
ADDRESS lOO %- (at) v/ez, '
OWNER CONTR. "LILA CF — Le C!-
/
TELEPHONE NO. �r' /A ``�`90 Ifi5 /5 ItIcL 1 Cpt(Jut
DESCRIPTION Glc-/C. '- c4 CA-)
W 01 FOOTING V 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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❑CP'RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 F; .•RRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BE IRE 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 th next inspection 24 hours in advance. (952) 249-4600
Owner/Co on site:
Inspector.
White Copy/Ins ctor's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN TIME
INSPECTION T�T Isf#C� 1 SCHEDULED O I9) �.
PERMIT NO. /11Cj`�� COMPLETED
ADDRESS 7.000-5- CjJ t ll tn,d Vie y Z�
OWNER CONTR. /�lj '
TELEPHONE NO. b/2- V9C) ‘'S-/S�
DESCRIPTION W""`-'{
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
fa) 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
• 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
ct OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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❑CORRECT WORK&PROCEED H ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT 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.CALL TO ARRANGE ACCESS.
Call for the next insp: tion 24 hours in advance. (952) 249-4600
Owner/Contractor rte:
Inspector.
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White Copy/Inspector's File Canary Copy/Site Notice
GO.I I l Jel. ATE TIME
CITY OF ORONO �`�� CLLED IN _� /
/�
INSPECTION NO E / r'S CHEDULED (V/7/(25 g'-?10
PERMIT NO. COMPLETED
ADDRESS /Uo Es Lv///OLCJ (1-t-LLL2) A AC
OWNER CONTR.
TELEPHONE NO. Gla 5-90 `igab
DESCRIPTION .-1-4--e (5)-1
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
Z
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOUY YES_NO
• COMMENTS: i, '• .0.--/e- U', �4P
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
DISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/Con�r o ite:
r_
Inspecto •
White Copylinspector's F'a Canary Copy/Site Notice