HomeMy WebLinkAbout1991-003803 (addition) PERMIT'
CITY OF ORONO PERMIT TYPE: �;�;I�i;Ih��
` 1335 Brown Rd. South • P.O. Box 66 {_i�f=«=j_!__
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: `-'' ' ����_'-' �'
(612) 473-7357 I
SITE ADDRESS: _ _ _ _ _ . ___ ___ __ _ _ I
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FEE SUMMARY: � � . .r;+� .F_}�_�
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APPLICANT/PERMIT IGNAT E ISSUED BY:SIGNATURE
. _ �a.�'�� /8`/9�
. CHECe OFFFCRSOFF�C'�'IUSU oNCSYOF PSF22�iITS
�,�� � � ���(��� lc�i , 5�1 r PID:;�7�� _�;/ `>'-` ;T i 1,2 ��j �2
ADDRES S OR I.EGAL s -, I�"
. .
r • -
DESCRIPT20N OF WORS: ��c'�������� � ,`
--------------------------------------------
ZONING RLVIEW BY: _ DATE APPROVED: '7- S -� {
BIIII,DING REVIEW BY: �� � DATE APPROVED: 7- S-�(
------------------ -
FEES TO BE CH.ARG�: Misc. Fees Calcul.ated By:
PERMIT Yes ✓ No
PLr'�N REVIEW Yes�No S�WER CONNECTION
STATE SURC3ARGE Yes No f P�K�FEENNECTION
INVESTIGATION FEE Yes No
SAC Yes No�/ SITL INSPECTION
Number of SAC Units OTHER (specify)
ZONING CflECR LIST Zoning Distric� L� � �— '
Fire Department• /vt„�vr��_ Pos� Qfi=ce: ilf�L School Dis�rict:
Lot Area: 9,(dU Width: �S � Depth: �`"f�
Survey Submit�ed: YesJ� No Date of Survev: (� ' L�7- r'1 J
Proposed Setbacks:
Fror.t (�� : /V�A Riant Side : i Z �
Rear ( �? � y �I•2� Left Side: Z8�
Ad�acent Structures : �¢ T7�gt%FF�� wet?and: N �'}-
3uilding Height: De�. Hgt. /V�l� Peak Hgt. ��j4
Avg. Setback: ��n Lot Coverage: lv�A-
Existing Proposed
iiardcover: 0-75 ' iV �
75-250 ' � �
250-500 ' z-b�� -�y��
500-I000 '
Hardcover Variance Required: Yes No D� Date of Council Approval:
Grading: Staff Approval Date: �/7' By: Council Approval. Date:
Septic: Staff Approval Date: �� BY=
Zoning File•� /� Reso.Iution �- Resolution Date:__
RBMARRS (in house) : �
- - - _.--- __ _ -__._ _ -� -�,
BIIII�DING RESTIEW CHEG� LIST .
�C: �� R '� CONST:tIICTION TYPE: �-
Sq Footage $ Per Sq Ftg
pase�:e.^.t X -
lst Floor X _
2nd Floor X
Garage X =
x
TOTAL
Estimated Construction Value: $ Z� O��
�
Worlc Reqniring Separate Pezmits:
Iaspections Required: pl�bin Grading/Filling
Site g
echanical Fire
Footing Septic Water Connection
:raming Sewer Connection
Insulaticn F�replace
Wall Board (Masonry} Other
(Mfg. ) Well ( State Pennit
inal p� Eiectrical (State Permit)
---Othe'-"----------------------------------------------------------------------•
RBI�IARRS (IN HOIISE) :
-----------------------------------
REVIEW BY OTHERS: DATE:
Access : Exis�inQ New
-----Access_Approval---Dat-------------------By--------------------------------
�_MARKS (TO BE NO2'SD ON PERMIT) :
_ f
. ,
�
� � CITY OF ORONO - BQILDING PERMIT APPLICATION
T,otal Fee : $ �� �� �� Date Received: j�- f� -r'
� Date Approved: �(� ���
i
Entered By: ������
Permit#:
ALL INFORMATION MDST BE SIIBMITTED IN F[TLL BEFORE PLAN REVI$`W i�IILL BB STARTED
(See Check-off List Enclosed)
----------------------------------------- -----�---------------------------
THE APPLICANT IS: (circle one ) OWNER r CONTRACTO
JOB SITE ADDR$SS: o�� J� 1 �`rw�CLv� J�. � O�'Vl� ZIP: 53 3� 3
(work) —
NAML OF OWNER: �Ci.11MGc.�(' ,�V"v _�P PHONE: (home ) -7�(� ' ���
MAILING ADDRESS: �W� c�.,� �i�1 c�-v�_ CITY: ZIP: �
CONTRACTOR: � � S PHONE: t �l( � I 30��
MAILING ADDRESS: ����j ���;i,���GlX7iC^'L1��CITY: �r ZIP: ��3�
TYPE OF WORR: New Addition � Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
f� ,` , 3
PROPOSED WORK (describe in detail) : �j�CX�Y�-�.-�,'�h�.�nr6-�wv� A 1�
STOR213S: 1 SQ. FEET OF EACH FLOOR: � �J� _
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. .
$STIIKATED CONSTRUCTION VALIIATION (ezcluding land) : $ a�, L � �
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 a with the State Building Code; that I
understand this is not a permit and or is not to start without a permit; and
that the work will be in accordance wi h the ap rove plan.
APPLICANT'S SIGNATORE: C°�Z-1l� G DATE: �o ��
� '�::
�,,e ,R�-,��"�-��' �
�»` >�a��
w � ¢ �h , ,��'�1'�' O� ����T�
��� _ .�
a�•aU�',.�a�;f
�ux;:��
"� " � ° � "y``� Post Office Box 66•Crystal Bay, Minnesota 55323•Munici al Offices
����.*��k;,. P
� � � .
� � - �� �;_ On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense 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 Iicense 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 Iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii act�or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to rev�ew priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
� �
Yt ;t�;C'��'� �Y'�tW�� �� �S
First Middle � Last .
� �
'�� aS _L;z� � ���!��
Address
�����
` ►��1 ��l 3�
City State Zip
�� � � t3 ��
Phone
2 understand my rig s as te above. �
. / �
Sig t re �
BUILDING&ZONING—473-7357 • ADMINIS ATIOIV&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shell be as set forth in this section.
Subd. 2. Information required to be given in�n��" An.individual asked to
� supply private or confidenti8l data concer a a 8mwi�in the collect ng state agency,
purpose and intended use of the requeste
political subdivision, or statewide system; (b) whether he maV refuse or is legally
required to supQly the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentisl data; end (d) the identity of
other persons or entities authorized by staau��egskedlto supplyinvest gat ve data,
requirement shall not apply when an indiv
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma� ropertv tax reound instQuctionsu nsteadhos
subdivision in the individual incom� tax •r R
on those orms. -- -
Subd. 3.
Access to �ata by individual- Upon request to e responsible �
authority, an individual shall be informed whether h��gteeor confident al.e Upon his
individuels, and whether it is classified es public, p ublic data on
further request, an individuel who is the subjecc�ge to himrlande if he desires, shall
individuels shall be shown the data withou�fan�y t �ta. After an individual has been
�e informed of the ecntent and meaning the data need not be disclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the indivif�h h�ate or p blic dataruponarequest by
responsible authority sha31 provide copies o p
the individuel subject of the �ta• � of ma}cing,i certi yingyand c mPiling the
requesting person to pay the actuel cos
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lide e,�f Simmediate8t ompliance e��,su not
excluding Saturdays, Sundays end legal Y5
possible. If he cannot comply with the request within that time, he shell so inforth the
individuel, and maY ha�e an additional five days within which to comply
request, excluding Saturdays, SundaYs and legal holidays-
Subd. 4. Procedtiu'e when �e►ta is not accurate or complete. An individusl maY
contest the accuracy or completeness of public or private data concerning himself. To
ht an individuel shall notify in writing the responsible authority
exercise this rig , nsible authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found tcom lete dataeincluding reec pients nameat by
notify past recipients of ineccurate or in p
the individuel; or {b) notify the individ�h ind�tv dual's statementof dis8g�'eementci
Data in dispute shall be disclosed only if
• included with the �isclosed data. � g e�ed pursue�t to the
' The determination of the responsible authority may PP
provisions of the administrative procedure act relating to contested cases.
. �� ` �';;�'
. - -- �� ��:� � ��,� .
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Deter.nine Ca�liance with fihe Minnesota �ergy Code
(Section 502 of the State Amended I983 Model Energy Code)
Project Title
Site Address
I. EXPOSED WALL CALCULATIONS
ARFA "LT'� VALUE AREA X "LT°
A. Opaque Wall
1. Masonry/Concrete
a. X -
b, x =
c. x =
2. Foundaticn Wall (Above Grade)
a. _�$-D,2 x .07 = Z,BI
b. x =
3. Wood Frame Wall
a. Insulated Area ��5.77 X ,�`f' = I�.�`�
b. Framing Area (Ave. 15$ at 16" oc) �✓q.7*5 X . 0 9 = �•'�S
c. Framing Area (Ave. 10$ at 24" oc) �a x . oT_ _ _�o
4. Peripheral Floor Edge/Rim Joist
a. x =
b. X =
B. Glazing
I. Windaas
a. 2l,Oo X .� = Co.3o
b. ��.7� x .41 =
2. Doors �.70 x .3 t =
C. Doors
1. ti�ood
� a. Solid x =
b. With storm door x -
2. Metal X - �
3. Overhead X -
4. Other X '
D. To►rAr., wAr.L �, �- ft............... . .. ... �10,20
E. TO'I`AL of ARFA x "U". ................................. .. .............. . (o�.Q2
II. ROOF/CEILING CALCULATIONS
, U 2S
A. Roof/Ceiling Insulated Area ��.SD X ���` _ � • �1•1Z
B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) �}-�.Zo x .a� _ �_ l•`�'�
C. R�oof/Ceiling Framing (Ave. 10� at 24" oc) x •o =
D. Skylight X -
E. TOTAL ROOF/CEILII� AFtF� sq. ft...... ..... ... ��IZ•OD .
F. �o�, c� � x '�r" . ......... ....... .. . .......... .................... .t��"— !I.J�1
9
III. BUILDING ENVELOPE 1ZERUIREMENTS
�L � g�UgZID �" ALLO WABLE
(From I.D & II.E) (Fram V.) (Area x "U")
A. Exposed wall: /_o%ZO x , �� _ �o��!Z
B. Roof/Ceiling: 43?_.Do x , OZLo = 1 �• 2�
C. Tp,�I, ALL�WP�',E gUILDING IIVVEI,ppE (Total of A & B above) .. .
IV. ACTUAL BUILDING ENYELOPE
ACTUAL
(Ar es x "TJ")
A. E�osed Wall (From I.E)
B. Roof/Ceiling (From II.F)
C. TOTAL AG'I'iJAL BUII�DING IIQVIIAPE (Total of A & B) ............
*(Meets code requirements if less than III.C)
V. REAUII�ED "U" VALUES
� � �LI� I�OF/CEILING
Detached or� ar�d twv family c3w�ellings .lI .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* All Other Construction �ipes (3 stories or less) .238 .06
* AI1 Other Constructicn Types (More than 3 stories) .28 .06 "
* Based on 8007 heating degree days (Mpls/St. Paul)
Adjust 'U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have cc�leted the above information and that it cc�c�lies.with the
Minnesota State Energy Code.
' ,G / ,
�
Signature � ��"�6� Date (9 �2��9 �
�catJE( L-• L•...t N P
10
BCSD 3-89
�r��ena ia��s
F` � .
• ' . . ,.'�.'� ", �:�C��ISTRUCTIOt� R VALUE
WALL FRANING SECTION:
1 Interior ai � film Q.6R
2 u -� �-t�l� - .
3 S lnches soft wood .b
4 2 � �(�A-c'i��.-� 2•
� —{5 � . 6
F Exterior air film f1. 17
. TOTAL R = /O.9D
. U � ��R = .({ /
- 1JALL SECTION (INSULATED)
' �1 Interior air film �.�R
2 �'�'_�Y.,.��-+.c_ .�s.
3 =rz .�
4 ��Z �7l�-�t�i,�G Z•�'o.
� —{5 I+�a-p�,..�-� . _ .��
(� Exterior air f11m �. 17
� TOTAL R � �.d'.�
U = 1/R = .��'
RIH JOIST SECTION: �
� � ' 1 Interio� air film �.�R
2 �� ?(" s�f L. /°I•�
. 3 � u � ,o .
—�4 ��iZ hl�ff.A-�iwJC �r-���i�,7& Z O�
�j —�5 f-f��>• .�� " :_� .
6 Exterior ai r fi lm f). 17
� TOTAL R = Z A�7 .: .-
FOUNDATION INSULATIOP� REQUIRED: '
Mi n. R-5 on enti re wal l OR U - 1/R = � �
p, a .;.,o• Min. R-10 down to frost depth " .
� - ,.�A; FOUNDATION SECTION:
e,---. •• 1 tnterior air film �.(R .
� '_A • � Z �Z-Mrr°..-X /n/�L. l Z.00 .
'� 6 . 3 S" �nlG. �G�-� 1.��
; ��•a = 4 Exterior ai r f i im �. 17
� � � �• "� G A (S
.d,.
: Q;p•- � '��r; p� � (�i
�; ;`��'Q TOTAL R = 13��
' U a ��R = ��/
SLAB ON GRADE
.. ,.
. _ a , . - . ,- . ., �, . .4 •� `�. ,. ,a�. 4_
_;a� . � .1 � � �. �` .�1 _ .�; 'a`.:.`� �._
. . . � • . . •d ,c;-.
� ;Q ,a,;;� , , ,, , , : A �v ' ;,. � �- . Q ��. . . . � ,..- �
• a� ,• ,,, ,; ;;'. ,� d :t,.. 4:, Q,•
���Q .`'�•� ••, •• a •, ' � /J// I• • �� , • � • � • . • i .
, G. �, . . . ' .
_ • v •. q ' ' • •u � ;�• •{ � . '
.
� � - ' Heated Slabs: � �`-• ' p'. � �i
, ' , , �
� .�� _ ' , i . , ��,• .
� � � � �'' Minimum R - 8:5 . . ' •
� � � • d� � . 4 • • � � Q . .
� , � 9�
. �a •
.. Unheated 51 abs: q�. .' .' 4 �• '
- , , �. � q: _ � . .
' v Minimum R - 6.2 ' � '
,. . . .
�. 4 ��
4� .. . .d�• . . � •.
' 4•�•4 ..� d • ' � ��;. 4• ' Page 3
. �. ., .• �. . �`� . .� 1 1
CONSTRUCTION R VALUC
CEIII��r, SECTIQN (INSULA7ED) :
� Incerior air f11m �.Ft
2 �/�" T�-Yvc1A�.l, .�
' 3 �� �.� 38.00
3 4 4 Exterio� air film still ) �.�1
TOTAL R = ?�
U � 1/R � .Q�
,OZS
- \ .
■ / CEILING FRAHINf SECTION:
� 2 5 1 Interior air film �.f�l
2 � � 1��-�-[�L� � - ._Gilo
q�R VENTED 3 y '' Z°.��
4 Interior air fiim still �. 1
FLOW 5 ��z inches soft woo� !PS?,
TOTAL R = z-�,uo.
' U = T/R = .��
. .0 3�
' . CEILING SEf,T10N (I�lSULATED) :
,��T,�,��i�����Tj�,•Q __�„��` ciT�) 1' {n te r i or a i r f i 1 m �•F 1
2
� � 3 � ..
� 4 Exterior air film still �• 1
� TOTAL R =
;l •� �, U = 1/R =
i- �,
I 2 3 4 5 CEILINr, FRAMIN� SECTION:
1• Interior air film �.F1
VENTED 2
4 Exterior air film still �• 1
5 lnches soft wood
TOTAL R =
• U = 1/R =
3 4 5 � �
( ^':`�-;:`;" '.;�` `� :`' _
� ! .,-: •�:�<```Y���� 1 Inside ai� film _ �.�1
:; :%,:�',• .. � . 3 . -
. � 4 �
/ � I 2 5 Outside air fiim �• 17
� . TOTAL R �
/
,C� U � 1/R =
12 Page 4
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, ' HARDCOVER CALCULATION WORKSNEET �,%R� �,_' � .. ,� � �� ���-'
SETBACK ZONE: �CIRCL= ONE) 0-75' �5-�5�'� 250-500� 'S��-�����
EXISTING HARDCOVER IN ZONE �`�-----'/
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A� HOUSc ^ � X .��' _ �G� � S�F�
� LE:J6TH W IDTH
X = ' S�F�
X = S� F�
X = S�F�
X = S,F�
B. C7ARAGc l�c�-����� X = S�F�
C. DRIVEYJAY ��� — X � � _ ��' 0 S•�'
X = S� F�
D� SIDEWALK �� �I X � _ � � S�F�
��� 5 � X _r� _ `" S.F�
C��,�� � � X �� = I � �. S.F.
E� PATIO/
11E K
����1� ) �� X � = I � �; s.F.
F� LANDSCAPE ✓1��'�'�- X = S�F�
AREAS
UNDERLAIN .
BY X = S.F�
PLASTIC
SHEETING
X = S.F�
X = S�F�
G� OTHER �`� X � _ �� S�F�
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TOTAL NARDCOVER IN ZONE — •� 3 �1 S.F. �
TOTAL PROPERTY AREA IN ZONE — � ( U � S.F� �
-�Z � '�� �'� ; B �( 1�% �� x 100 ��' �
A '
is
HARDCOVFR CALCULATION WORKSHEET "
SETBACK ZONE: �CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000�
EXISTING ARDCOVER IN ZONE
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A. HOUSE �� 3 X �� _ ��1:�� S�F�
LENGTH WIDTH
��OS2� �����'� � ,�� X I � _ �'I��Z S�F�
X = S� F�
X = S�F�
X = S� F�
,
B. GARAGE ���-4--�' X = S�F�
C� DRIVEWAY ^ X � � _ � � S�F�
X = S� F�
D� SIDEWALK :�� X � _ � � S.F�
���� Cv X � _ � I S.F�
G
��F►-=.�� ,��� X = f � s,F,
E� ATIO/
�ECK
(�e�v�e-c�i-�r'�:K,' ��aX�9 � �:� X �' = I C�O S.F�
.� ������
F� LANDSCAPE l� ,'�'� X = S,F.
AREAS .
UNDERLAIN
BY X = S�F�
PLASTIC
SHEETING
X = S.F�
X = S�F�
Gh OTHER
�;�- X ( _ ?S C� S,F.
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TOTAL NARDCOVER IN ZONE - �C� � S�F� �
TOTAL PROPERTY AREA IN ZONE - 1 � � C� S�F� a
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A ��l 0 ,j : B c' C� x 100 = �
19
V DATE TIME ✓
CITY OF ORONO CALLED IN �G� � 7- ��
INSPECTION NOT , -, SCHEDULED —'r-'' "�"'iv/�� ,�`� i%b o
PERMIT NO. � ��C -� COMPLETED �.� L�
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� DESCRIPTION ���L��=-r�
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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03 INSULATION 24125''WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL,`$D. 12 WATER HOOK-UP 34 TREE REMOVAL
� "05 F�NA�` 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
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Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr r on ite•
Inspector. �
White Copyllnspector's F e Canary CopylSite Notice
DATE TIME
CITY OF ORONO /LLED IN ��
INS�ECTION NOTICE SCHEDULED � � �`' '� �
PERMIT NO. �� ��� � COMPLETED 'G-{1�I ��=-r�—
ADDRESS � u��� �- -�, '
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lu 01 FOOTING ti MECHANICAL RI 16 WELLTEST PUMP
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Z 04 WALL BD.f 12 WATER HOOK-UP 34 TREE REMOVA�
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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INSPECTOR WILI REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra r site:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
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. —DATE TIME
CITY OF ORONO cA��E�iN �" ' �' -=;', � ,' ' '-� ,�;,
INSPECTION NOTICE_ , scHE�u�Eo '�sz�.�'-`� � J �7
PERMIT NO. � '~` � COMPLETED N
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TELEPHONE NO. � ` ��-� - ' �����=��
� DESCRIPTION ��� � /�� - ' . � , � ,
� 01 FOOTI� 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra r site:
Inspector.
White Copyllnspecto s File Canary CopylSife Notice
v DATE TIME
CITY OF ORONO CALLED IN '�C�3/-�/
INSPECTION NOTIC SCHEDULED � �
PERMIT NO. ���-� COMPLETED `'�
ADDRESS � ��� �- �f'
OWNER �-t,�ivtl�J CONTR.� /'i 0�ST Gt C�
TELEPHONE NO. 7 �� ' �`���
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� DESCRIPTION
� FOOTIN4' 11 MECHANICAL RI 16 WELLTEST PUMP
Q ING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor o :� I
Inspector. -
White Copyllnspector's File Canary CopylSite Notice