HomeMy WebLinkAbout2006-P10194 i I
� • PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p10194
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 8/29/2006
SITE ADDRESS: 4355 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-12-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Electrical(state)
NOTICES/REMARKS:
Expand Kitchen,Master BR, Garage Re-Side Re-Roof
FEE SUMMARY: Permit Fee: $ 3,471.25 Valuation: $ 550,000.00
Plan Review Fee: $ 2,256.31
State Surcharge Fee: $ 275.00
TOTAL FEE: $ 6,002.56
APPLICANT: The Danbury Company OWNER: Greg&Lynn White
4410 Shoreline Dr 4355 Bayside Rd
Spring Park,MN 55384 Maple Plain,MN 55359
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.
'� ,
AP LICANT P MITEE SI AT ISSUED BY SIGI�ATURE �
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� Lv� 3,��
�.�
/ � � �'��
Total Fee: $ �O��c�, � Date Received:
Entered By: Permit#: �
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: ���� � S� ZIP:
Will this be a Pa�ade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event pe�-mit is reguired with Police Department and Ciry Council approval
60 days p��ior to the event. Shuttle bus service will be requi��ed unless applicant demonstrates
suff cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: � i`ta� (jlI�1 ���� PHONE: (home)
(work)
MAILING ADDRESS: $'�� � �� Y: �r w-U- ZIP:
_ CONTRACTOR: a e � � PHONE: �����5�2
CONTACT PERSON: MOBILE/PAGER: �i '2_ Z S`o ?A�7
MAILING ADDRESS: '�'�/ .► ��..� �- CITY:�aO �� ZIP: ��'r�-{
STATE LICENSE: # � �! �' EXPIRATION DATE:
ARCHITECT/ENGINEER: � �"��- ��� I PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ��
Any earth movement may req ire MCWD review and permits !
PROPOSED WORK(describe in detuin: � �''�` J'V(e�c -�� r
•- �S 1 •o-f-"
STORIES: 2-- SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
o•
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .s�'� d0/
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 pennit and work is not to start without a permit;and that tlie work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: �
31
Scc.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is s[ored or to be stored shall be as set forth in this section.
Subd.2. ]nformation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be
informed o£ (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 Iaw 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 mayplace the notice required under this subdivision in the individual income tax or prooerty 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 publ ic,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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the acYual 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 ofthe request,excluding Saturdays,Sundays and legal holidays,ifimmediate complia��ce is not pessible. Ifhe 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
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 deterniine 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.
First Middlc Last
Address
City State Zip Phone
I understand my rights as s ted ve.
Sig
Reset Form 32
CHECJK OFF i1IST FOR ISSUANCE OF �E�'vIITS
FOR OFFICE USE ONLY
�,.I}DRESS OR LEirAL: �§` �f�-�t S , c+.2 i� �
PID:
I3ESCRIP`TXON OF WORK: �op �n o� ��`�'��Z—
--------------- _—____ --- -------
-----------------
ZO�NG REVIE�V BY: DATE APPROVED: g -23.-o c.
BUII�DING REVIEtiV BY: DATE APPROVED: FS -z3
------ - — ---------------------------=-----------------------—o----
�'EES TO BE CHAI2GED: Misc. Fees Calculated By:
pE�T Yes f No
PLAN REVIEtiV � Yes �/ No SE�VER CO�TNECTION
STATE SURCHARGE Yes __� No `VATERCONNECTIO�I'
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Uruts OTHER (specify)
ZpY'L,i IG CT:�E.CK LIST Zoning Districr. .
Fire Department: Post.Office: School District:
T nc Area: Sq.ft. l,LT 3�`��S Acres 2(..2-�- Widch Depch
Survey Submitted: Yes _�C _ No Date of Survey: (,• 5- 'b 2
Proposed Setbacks: � :
Froat(Lake): Right Side:
Left Side: S�C'Q�u� 6��T�`'�
Rear(Street): �`N ,
��c��c'9
���3CP�t Crni�h1r�5; �veflan�j:
Buil�lin� Hei�t: Def, Hgt. (�•k- Peal:Hgc. _
Ur.�s -�rJ C���n^'�
Lot Covera�e: Iv �n
Gradin Scaff A roval Date: /�J F1 By: — Council Approval Date: _ '
g: PP L
Septic: Staff Approv�l Dace: �- 1`7 -CU� BY. L�(S
Zoaing File: � — Resolutioa: � _ Resolution Date:
Shoreland Dist:icc: N O
Avg. Setback: B!ufi Setback: L.otCoverage:
Eusting Proposed
Harecover: G-7�'
7�-250'
2�0-500'
SOQ-lOC4'
H��Cco�er Va-�:aace Rzquirzd: Ye� `�o
Daie oi Cou�cil Appr�v�:
RE�L=�RI�S (inhouse):
BUII�DING REVIE`Y CHECK LIST
UBC: 12'3 CONSTRUCTION TYPE: �//�
Sq Footage $ Per Sq Ftg
Basement . x _ .
ls[ Floor x � _ � ,
2nd F1oor x _ .
Garage z _
x _
TOTAL
Estimated Construction Value: $_�50�(�O� °�
IBspections Required: `York Requiring Separate Permits:
S i[e _�Plumbing Fire
� Hardcover Removal r/fl�iechanical Water Coanection
�c Footing ` Septic Sewer Connectioa
� X Framing ✓Fireplace Lawn Irrigation
�C Insuiation asonry) Ocher
�_Wal1 Board �pg.) ��1 (Scate Pecmit)
d- F�� Grading/Filling ✓ Etectrical (State Permit)
Other
RENZARKS (1N HOUSE): ' - --
---------------------------------------------------------------------------------------------------------
REVIE`4V BX OTHERS: DA'I'JE:
Access: Ezisting New
Access Approval: Date By;
-------------------------
REI�IARKS (TO EE NOTED ON PERibiI'I�:
8
������ 2/25/02 Water/WastewatE�r-IS7S4.31
, , ��� �'
.������ ,�
� Compliance Inspection Form for Existing
Individual Sewage Treatment Systems Minnesota Pollution
�` Control Ac�ency
Completion of ihis form fulfills the minimal requiremenfs o(Minn. Stat. § 115.55(2001)and Minnesota R. ch. 7080(?999). Please refer
to local ordinances_for_olher requirements or information especially for complionce requirements for bedroom additions
— �
General:
Date of Inspection: 1 Reason for inspection: ����-\�
Property Owner(s) Telephone ( )
Person requesting inspectio O. � ✓���C p'(- Telephone ( )
Site Address 5.s S i City �'��1���_ Zip Code:�3�
Fire No,/ Parcei No. County �'f Yl i ✓1 Township
Legal Description
Locai Regulatory Authority C�
Date system constructed ��1$� System in �horeland Area: yes no System in Weilhead
Protection Area: yes no System serving a MDH iicensed facility: yes no Local Permit # (if any),_
Systems built prior to April 1, 1996 and not located in Systems located in Shoreiand or Wellhead Protectlon
Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage o�Lodging
Beverage or Lodging Establishment Establishment, or systems Built after
Mar�h 31 1996
s t e svstem an imminent threat to nublic health or Is the svstem an imminent t reat to publi�: health
_ safe � (a yes aaswe�is an ITPHS system) or safetv? (a yes answer is an ITPHS system)
-Discharge of sewage to the ground surface? YES 0 - Discharge of sewage to the ground surface? YES NO
-Dfscharge of sewage to draintile or surtace waters? YES - Discharge of sewage to draintile or surFace waters? YES NO
-Sewage backup into dwelling? YE5 O - Sewage backup into dwelling? YES N�
-Sltuation with the potential 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 � safety? YES NO
Is the svstem failinq� (a yes answer is a failing system) Is the system failing? (a yes answer is a failing 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 system bottom and saturated s�il or bedrock? YES NO
-A seepage pit, cesspool, drywell, or leaching pit? YES 0 -A seepage pit, cesspool, drywell, or leaching pit? YES NO
Is_the svstem non-com�liant� Is the svstem non-comaliant�
- 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 0 operating permit? (if no, go to pa,qe 2) YES NO
If yes, !f yes,
- Has the required monitoring taken place? YES NO - Has the required monitoring taken place? YES NO
(If no, ihe system is non-complying) (!F no, the system is non-complying)
- Does the monitoring indicate that the system meets - Does the monitoring indicate that the system meets
performance expectations? YES NO performance expectations? YES NO
(If no, the system is non-complying) (Il no, the sysfem is non-complying)
Page 1 of 2 wq-wwists4.31
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Site Sketch:
.. .. . ..,._ . ..... ..:.. ...; .. , .. . ._ . . . .. ; .
. , . . , . a . � .. .. . .. . , .. . .. . -. . � ..
.. . . . . .. , .. . . .. � . _ .. � ; .. � .. . .
:� : : : :. ��`�'��.: :: ' ��:4.� :;��� : :: -� .: � , ...,I ... .. ..
: . .. � -....�. ��� .� ...�_ . . � _. . .. : � . .,... � .
. . , � :. �� :. � ...-.-- � _ : �� : . -�° : :� �: : :� � : �: : = :� � : .:
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. . .. . . . . .. - - ., . N
. . , , .. .. � , .. . � .. . .. . .. . . �. we��---�'
.. . .. . . . � 100'
Plense indicatc th�lueation of; Wcll,«�e.11 setba�k tu sy�trm,d�ti�elling or pthz.r est�blishmcnt,ta�ik(s).c�i1 tr�:t��cnt system,
raseived c��i1 lrt��tmcnt arca,ctutain draiit,rri>perly linrs,watcrws��s,and buried lincs (thosc NOT ii�stF�lled by�thc utilin�).
Inelude s.izes<�nd Izngth��nd approximate distances from f�titd ref�:rcn�e poi�,ts suci�su sirccts and buildings, Pleasc attach as�
built dran•in�c,inspection rEports,Cefificat(s)of Compliance�tnd Noticc(sj ofNoncompli�m�e,ifal��ailable.
SoiI Borings (BR#); Locat.� each boring on tl�e map above, ind.icatz on the ri6ht of tl�e colliuuz the soil
_ tCxture gtriirfi�rF� rnl��r r�.�.,,tl, �f p��l, a:f+��ye�e--�v� � � , •
� 5 � '� ��a �r.
Also i.tzdicate if the tztaterial is lill.
BR# � �3R# BR# BR# - D�� BR#
10�� .
a 2 ��.w�
..
\�
y�� �a�
�0
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RT�bRn DEPTH��F A•IUTTLRvG,5E^SUNAI.,I-I(CT; WA'1-�R OR DEDROC1tiOh ADOVE LNI:$
Cnmment�•
��'hat nc�ds to h�com��leted ti�brinE t1�e<�hc�ve sy•te�n into cornplian�c if found not in compliance?
Z 'd z6zE—EGB (ZS�I Pu�iPamS 45OC e�b0 =90 90 ST ��d
1 � � ._ ..�. ..v�� • N�L.G� �\V.
.... ..........."'"..
Svstem Comnonents �P/ease describe the system components and attach site sketch showing system location):
� _�r / 4 C�1�rn? `�`a-✓1 l�Cs
� o-o � U� �a�t� - _.
R��c.1�C �✓�n� s� ewt-.
What methods were used to make the determinations for the comnliance insoectiott� (Note.•No standardprotoco/exlsts.
The fol%wing list is not eYhaush�ve, o�in sequentlaJ order nor indicates which combinations may necessary to make a determination)
Watertight tank(s) Hydraufic Functioning Vertical Separation Dlstance
❑ Probed tank bottom �Searched for surtace outlet � Conducted soil borings
�i
❑ Observed low liquid level ❑ Performed hydraulic test Depth to limiting layer ��� �
❑ Examined const. records ��
Searched for seeping in yard Depth to system bottom��
❑ Examined empty (pumped)tank ❑ Checked for back-up in home ❑ Examined records
0 Probed outslde tank for"black soil" D F�ccessive ponding in soil system/D-boxes ❑ LGU Limiting Layer Verification
❑ Pressure/vacuum check ❑ Homeowner testimony ❑ Other
� Other Now�.t nw►tic►�tvovlcl � Examined for surging in tank
�b} 0.11� ��ks � b�- � 0 "Black soil"above soil system
�JQ-k �1'�S�CC�td - Sq�5 �'� 0 Other
�'CcA�-�"
Status of the s ste�
Based on the compliance criteria, the system status is: (check one) ❑ failing (to protect groundwater) ❑ an
imminent threat to public health or safety (ITPHS), ❑ non-complianC (monitoring issue)�compliant(none of the 3
n✓��iiw� n .. ,q,..I:i.�__\ TL____!_. a• • . � _
� " , �is e i ica e o ornp iance ❑ Notice of Noncompliance
Is this system an EPA Class V Injection Well. ❑ yes _ no
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 during system construction, abuse of the system, inadequate maintenance, or future water usage.
Inspector's name (print) JOSH SWEDLUND Sa- 7 :�9 �--
Phone�_ � 3" 3
License and/or Registration umber 250z Address ������ ��D `f'� s . ��,o Q1y�
Employed by S��u r�� �1N IC� C, Address Sii ►'�-2�
Slgnature gl D�
Date
UpQt'dde ReAUI�eRte11�S jderived from Minnesota Staf�tes§115.55)
An ITP/-15 must be upgraded, rep/aced, or its use discontinued within ten months of receipt of this norice or within a shorter period if
required by loca/ordinance. If the system fails to p�ovide su�cient groundwater protection, then the system must be upgradc�d,
rep/aced, or its use discontinued within the time�equired by rule or the local ordinance. If an existing system is not falling as defined in
law, and has at least Iwo fe+et of design soi/separation, then the system need not be upgraded, repai�ed, rep/aced, or its use
discontinueo', notwithstanding any loca!o�dinance that is mo�e st�ict. This does not app/y to systems in shore/and areas, we/lhead
p�otection areas, oi those used in connedion with food, beverage, and/odging establishments as defined in 1aw.
Suqqested Attachments
1) Site sketch could also include: well, well setback to system, dwelling or other buildfngs, tank(s),reserved soil treatment area,
surface water and soil boring locations. Include as-built drawing if available.
2) Soil 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 of system performance, signed by the homeowner as being factual.
5) Monitoring data as appropriate.
Page z of 2
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y -- � 125a99'
,� 5/Qo' --" ��� 216.55' .' i,-' S93� '"" .
� � �o� � l�o. /�orPh Ilrie I�E�4
� ; 5`. af St.c#ion -117-23
.� ,\ae
Certificate of Survey
� " �.x�n f:o� . �eti for Greg White
� �° �►s' i n the NE 1/4 of Sec. 6-117-23
x� � Hennepin County, Minnesota
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; � SiT�. �`1.:�;�� _.__ �.��ia + ?3,, �"'._:�;^'� �
Scale: 1 " = 200'
� � ����'�3�� �'+�.s% Ao�o � -r�o� s Date : 6-5-82
; � ,� �,.� _ �,,;'_� �,,., r._��:r: � E 5t���� of�✓e�+rtof Proposed house staked:
� /}:r°t i<:;�. , . , . 4, N Y4 oF Sec��on 6-119-Z;
� �7 ����r�r��;x;,.,� 10-2-87
o . Iron marker
� > s�s`t -------- - Ew;�;>L9s o� : S�ot el evat i.on
V� 3� �' � � �roPorcd S,a
v� S,:?�,d� �' !2�'"'V(r_ � Q�r�u.n: a rrum�aI
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`v �?...°\. �. - /35�27�- - 3 8.oe� _ '
�^� ��y��'; '- �prf i3.35' "-'� I hereby certify th�$ this is a true
- � �o ,� and correct repres�llt�ation of a survey
; � �\ ,g0 , o�,`�c of the boundaries p�i
,�� �, ���`n PARCEL A All of th� �iest ha.lf of the
y `��� �3q ry`� �6I� �� Northeast quarter p� 5ection 6, Town-
� ���eP{ ' ship 117 North, Rangt� 23 West of the
5th Princi�.l P�r' ian, EXCEPT that nart thereof described t�s folloWs :
� ' ; Eeginning at the N rth�est corner of the Northeast quarter af said Section 6;
u ;ati� thence East along he I�orth line of said Northeast quartei° a distance of 51l�
�'ti� feet; thence South 7�30' West (assuming said North line as bearing E�st) a
�� t� distance of 5g9 fee to the centerline. of the County Fioad which ea-tends across ,
� `\ � b N said Nortneast quart r; thance Northwesterly along the centerline of said County
�`� � Road to the West lin of said Northeast ouarter; thence I�'ortherly along said
t✓esf��ne of IJfyd r � fb . ' .
-�-ors�f�on 6-�I7-Z3 �1 ' Llest line to point of beginning, accordin� to the Uni�ed St�tes Government Survey
thereof, Hennepin Co ty, Minnesota; ALSO EXCEPT that part of the w'est half' of
- the Pdortheast querter f s2id Section 6 described as follows : Beginning at the
..!\`J• , ``` '
�, � ,' .Southeast corner of th West half of the I�ortheast quarter;' thence on an asswned
�- � �:-s�'= bearing of Pdorth alon�- the East line of said 4Jest half of the Northeast quarter a
�, ' �"�-�. � � distance of 1167.98 fe t; thence on a bearing of West a distance of 513.35 feet;
� �,,,`,i-' trence South 39°17��30�� West a distance of 280.05 feet; thence South 11°56�30�� West
a distsnce of 345.�3 eet; tnence Southerly to the Southwest corner of the East
� half of the West half of said Northeast quarter; thenee Easterly along the South
o line of said P�orthea t quarter to point of beginning; �1LS0 EXCEPT that part of
_ �. � � the Nortlzwest quarte of the Northeast qua�ter of said Section 6 described as
�°_ follows : : Eegir.ning t the Northwest corner �of said I�ortheast quarter; thence
� � East along the Nort erly line of said section a distance of 514 feet to actual
,� �- " - point of beginning; thence deflecting right 117°30� a distance of 589 feet to
- the centerline of C unty Road ido. g4; thence deflecting left along said center-
line a distance of 180 feet; thence deflecting left 81°19' a distance of 662.1
,� feet to a point on the I�orth line of said Section 6;located 216.55 feet East
- of the point of' be inning; thence west alon� said-North :line a distance of�
216.55 feet to �oi t of beginning (For purposes of this survey, two points on
So�+hl;��afNE'/4 th centerline of travel, distant 180 feet apart, have been
of5cction6-���-Z3� '. SWcorh�rofE%zofwrz �s �:med to tnark the above-deseribed eenterline boundary) ;
� � �, ; r��ofN�r,.of SecFion 6-���-13 an th� ro osed 1 ocat i on of a
', � � ; p p propos�d building. It does
- 654.�' -- , i n�; purpor�t to show other imprqveme�`nts or encroachments_
�''•Con�Pr af ' �, 'S � ;:�:. _
. ��t
,�.r-6-,i�2� A;� , ���:, x�° ':`�4'� COFFIN� & GRO�dBERG, INC.
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"_' '� � Enigneers, : Land Surveyors & Planners _ '
� � . j Long Lake, Minnesota . �
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.
� � i�D%TE !, TIME �
� CITY OF ORONO � CALLED IN '�'�/v� �
INSPECTION NOTICE l/�L� SCHEDULED _Ty��� �
PERMIT NO. �f�1D�`�/ COMPLETED
ADDRESS �� �� /�2�� S l� �
OWNER CONTR.���,� Z�/r�
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� DESCRIPTION ��.��� � �u�-9�I
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l� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINL 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOI.LOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO . YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA��INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContracto te:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
�� ��( � DqT TIME
CITY OF ORONO CALLED IN /I� �---��
INSPECTION OTIC SCHEDULED � _-�-� "U
PERMIT NO. COMPLETED
ADDRESS
OWN ER CONTR.
TELEPHONE NO. ��� � 71 d 53 �'
� DESCRIPTION �
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
�
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Z 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
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
Owner/Contr site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
� r� qAT TIME �/
CIT OF ORONO CALLED IN / �3��Z'
INSPECTION NOTIC SCHEDULED o�
�� J���
PERMIT NO. COMPLETED
ADDRESS ���� � ��-M � � /�-E�'/
OWNER CONTR. � h�L/. ���C/
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� DESCRIPTION ���-��Y� �—(�_�`Yy1I f
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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Z 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�1 10 PLUMB�NG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor�ep t :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�-� � � , � � � e, �
DATE TIME
CITY OF ORONO CALLED IN `� I�I6� �v' �-
INSPECTION N�OTICE,a� SCHEDULED 1 ? /'D'.3c�
PERMIT NO. \ rU� / COMPLETED
ADDRESS �3�� �n�s��c�L�. t-�cl �
OWNER CONTR. -��-.Q►nl��'r r V CO rv��
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� DESCRIPTION � r1�..i LC.�'�'l6 i�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 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
J
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 19-PIUM�INE'i FINA� - - - - - 36 FOUNIIRTION/RENIOVAL
� OWNEii/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. ,� ��
White Copyllnspector's File Canary Copy/Site Notice
�1
�� D�T E TIME �
CITY OF ORONO CALLED I -�"l'��
INSPECTION N TICE SCHEDUL�3y �� -'�.��.3�
PERMIT NO. COMPLETED
ADDRESS �
OWNER CONTR. I(� .I'�2-�r�
TELEPHONE NO. �C��.I �.0 � a �SC��C7C��
� D PTION Nl.�'� U•.lG�-� ( �C — 'G � `1" G U uf�
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� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnerlCo n ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � 1 U� 4 DATE TIME �
� CITY OF ORONO CALLED IN � � �
� INSPECTION I�TICE SCHEDULED �� ��U�
PERMIT NO.3s`' COMPLETED
ADDRESS �S� ��-
OWNER CONTR. ✓ ���'`�"
TELEPHONE NO. � � � - �� �c
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� - — 011NDATIOlI/REMOVAL _ _
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� COMMENTS: - - - - - - - - - - - - - - - -
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❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952� 249-4600
OwnerlCo� site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �� ATE TIME �
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE1 [� SCHEDULED -'
PERMIT NO. ��! �� � / COMPLETED
ADDRESS �3 S� ��-/'S l c� �
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� DESCRIPTION ��� �l���J ���� •
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPlA1NT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �/ 36 FOUNDATION/REMOVAL
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 24J-4600
OwnerlC tr o i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � ✓
DA E TIME
CITY OF ORONO CALLED IN I U I �•�I
INSPECTION NOTICE SCHEDULED '� �-1 Uv
PERMIT NO. � COMPLETED
ADDRESS ��� � �=�5 id2 ��
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TELEPHONE NO. �o I c�.- ��00 - f�`� - C�u5�.�I.
� DESCRIPTION L_C1`�1�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
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Inspector_ � t �l �
White Copyllnspector's File Canary CopylSite Notice
c�� `D T Q/ � TIME �
ITY OF ORONO CALLED IN (• ��v l O �
INSPECTION N TICE SCHEDULED
PERMIT NO. � l�� COMP TED
ADDRESS �� `� � � �
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC�INAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
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Owner/Contrac r site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
� —� ��— ✓
7 �QQTEO� TIME
CITY OF ORONO CALLED IN /�
INSPECTIOI�.�VO�IC�� SCHEDULED � �
PERMIT Nd`�� � COMPLETED
ADDRESS ��55 ��(�!1 e��
OWNER CONTR. �
TELEPHONE NO. �Sa— 'T�7�—� �
� DESCRIPTION i�Z�y(.�.0 �`--�
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� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
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Call for the next inspection 24 hours in advance. �952� 24Q-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice