The URL can be used to link to this page

Home My WebLink About2015-01274 - interior remodel � CITY OF ORONO * 2 0 1 5 — 0 1 2 7 4 * 2750 KELLEY PARKWAY DATE [SSUED: 10/07/2015 ORONO, MN 55356— 952 249-4600 FAX: 952 249-4616 ADDRESS : 1629 BOHNS POINT RD PIN : 17-117-23-11-0005 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) INTERIOR STRUCTURAL CHANGES ONLY APPLICANT PERMIT FEE SCHEDULE 278.81 PLAN REVIEW 181.23 MATTSON SCHOSTER LLC STATE SURCHARGE(VALUATION) 7.50 332 2ND STREET EXCELSIOR,MN 55331- TOTAL 467.54 (612)751-0488 Payment(s) Minnesota State License#: BUIL-BC663107 CHECK 2711 467.54 OWNER AMPLATZ,CAROLINE 345 LEAF ST WAYZATA, MN 55391- 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 goveming 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 ace requested in confo ance with the State Building Code.This permit may be revoked at an ti for due c se. `�� D �—t:c�-� l � 7 � t_S App rmitee Signature Date [ssued B ignature Date I� � CITY OF ORONO 5� � /�{,�7� BUILDING PERMIT APPLICATION l `� FOR NEW STRUCTURES OR ADDITIONS �O� Mailing Address: Permit number. �L ��-- C� �� O PO Box 66 Crystai Bay, MN 55323-006�r/�.� Date received: � L ��i�`�S Street Address:� Received by: '> � c�� _ .._ � _ _- y�. G�'� 2750 Kelley Parkway �� Plan review fee: (' C�� ,� �4 ��_ l�kFsxa�`�` Orono, MN 55356 �p `_-__ ��_.� ,� ,Uc �• a % Main: 952-249-4600 Totaf�es: _------------- � Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: _ 1(��"1 � � � , Y �, .�__: ,r , r_��: ;. -. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP I A T INFORMATION: Name: � t)Y'J �;;;��. ` � i";' .. State License# '� Expiration qate: Phone: cell � s '��`- �' �� office ��'� �"x//-� � � Mailing Address: �� a � �-, Cit : `�' ,: ��, ; • , '•`ZIP: s��';'� Contact Person: p ,�} �yv Applicant is: ��hIf��a��ctor )/ Homeowner (Circle One) Email and/or Fax: _ ��j�� /�ftic c.,� O � ��m('� �' �,/t�E� , PROPERTY OWNER INFORM�4TION: Name: --L_j-�Q.^., �,N� ��'j��Fa- l�'Z Phone (day): Address: �� o �J s' F ,� � �� City: ' r'7 �',�y ; , ZIP: Email and/or Fax ARCHITECT/ENGINEER INFOR ATION: Name: �'�'� ��r! l Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� Water Supply ❑ New Construction �Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building �.��E�� ❑ Single Family with ❑ Office/Commercial ❑ Relocation / ' detached garage ❑ Residence ❑ Private Sewer ❑ Other.(specify) ��UC'�rJR� ( ❑ Multiple Family/Condo ❑ Retaining Wall(s) �h�r✓�;,� � . Public 4-feet or greater ❑ Public Water "'Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ pther:(speCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� (� � __ „ Last Updated: January 2015 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length(ft.)= Number of bedrooms= � �ood/Frame b.Width(ft.)= Number of garage stalis: ❑ Masonry � Areas in square feet Attached = `'� ❑ Metal y,� �� ❑ Pole Bldg. c. Basement= %� Detached = ❑ ICF d. 1 S`Story = ❑ On-site Prefab e.2"d StOry= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable ❑ O Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ 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 Certifcate 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. � j� /� '' .�. � -s- _� , .,r ApplicanYs Signature: nF'' ";��✓"� - � � � Date: � � `�� Owner's Signature: Date: Last Updated: January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTl1RES / /�DDITIONS Q►ddress: _ � � � ( ��!/� � /`"C� �{2�/l�`/(�(% Permit No.: Description of work: �L��e/'(67v /�� LC��1 Dafie Rec'd: i' Septic reveew by: �p�(/�� Q/(��°i I Date Approved: Zoning review by: � Date Approved: Building review by: Date Approved: l� / Grading review by: � Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % > Survey Submitted: Q Yes No Date of Survey: Revised date ? : Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E ) Other Buildings Wetland Side Side Defined Height: Peak eight: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 50%= L.F. below grade #of Stories FOR A BUILDING VIfITH A BASEMENT OR CRA L SPACE: FOR A BUILDING ON A SLA@ FOUNDATION: The distance be een the fowest propos The distance between the top of START WITH floor(of the base ent or crawl space)a d START WITH slab and the highest point of the the highest point the roof. roof. If you have a... If you have a._ • GABLE OR HI PED ROOF no • GABLE OR HIPPED ROOF (no windows): Subtract half windows): Sub act half t distance the distance between the between the hig st poi of the roof highest point of the roof to to the low point o the rresponding SUBTRACTION gable or hipped ro f the low point of the corresponding gable or (BASED ON . GABLE OR HIPPE ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtra alf the distance (BASED ON • GABLE OR HIPPED ROOF between the top th highest ROOF TYPE) (with windows): Subtract window and the ighe point of the ' half the distance between � ��f the top of the highest ALL OTHER OOF TYP S(flat, window and the highest • mansard,e ):No subtra ion. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the di nce between t (flat,mansard,etc):No (BASED ON basemenUcra I space floor and t e subtraction. EXISTING highest existi g grade adjacent to he ADDITION Add the distance between the top GRADES) foundation 10 feet(whichever i less). (BASED ON of slab and the highest existing EQUALS D�ned b ilding height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined builtling height Shoreland District MCWD Permit Average Lakeshore Setback g�uff A4et? a Yes � No P rmit Number: � Yes 0 No � N/A O Yes � No N/A—see attached Setback: Stormwater Quality Existin Hardcover �r�Posed � Overlay District (oo and s� �ardcaver Variance Required CUP Required Tier circle one %and s � Yes � No � Yes � No 1 2 3 4 5 T pe(s): Type(s): Updated: January 2015 z:lforms\plan review checklist 2015.docx _,� � -_-..c:�W.F.,F-,. .,._---..-�---��.�- --�. . .�,� _, . . __:_� �. ,,. .� , . �_ _. ._ �,. . _ _ _ � . . . . . .... ..-... _ _ _ ._� _. .,m.-.,._.,. . .._ .�, ,. ��_. .� '� REMARKS (in-house): Fees to be Char ed YES NO Perm it l� Plan Review State Surcharge Investigation Fee l�' SAC- Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e ' Basement X - $ 1St Floor X - $ ;' 2"d Floo� X - $ Garage X - $ / O e_- ` Estimated Construction Vatue: Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site ❑ Plumbing � Grading! Filling � Well !; 0 Silt Fence/ Erosion Control Mechanical � Fire Electrical �` 0 Hardcover Removal � Septic � Water Connection � Footing ❑ Fireplace 0 Sewer Connection ; ❑ Poured Wall � Masonry 0 Lawn Irrigation " 0 Foundation Survey � Mfg. � Landscaping ' ❑ Foundation Waterproofing � Other(specify) � Radon Rock Bed Framing Insulation 0 As-Built Survey Final � Other(specify) � REMARKS (in-house): Y Other Review: Reviewed by: Date Approved: � Access: Existing: 0 YES ❑ NO New: Q YES 0 NO ' OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <� Updated: January 2015 z:\forms\plan review checklist 2015.docx �.. . _ s , � _ � �/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ��7i�� SCHEDULED � PERMIT NO. � %� COMPLETED ADDRESS �- � . OWNER TELEPHONE NO. � 5� - CU C' CONTRACTOR � DESCRIPTION � � Fi ly ❑ FOOTING ❑ DEMO-FINAL � IC FINAL � ❑ POURED WALL ❑ PLUMBING RI ��r ' [� XCAV/ RADING/FILLING Q Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL T EMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI �� WSPECTION FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO MEET_� YES_NO � COMMENTS: a ��✓'l�C�'4 /4 � �✓�wt(KS �� dG�le /`, �— o �`i�� i rrt t - 11�G�.J er��K_� � �� s�6,K��ic� � � � �✓ � � l�.� � i•zs �t �sK, ° ��Ov t'1� � �2�,�-� t vts e��a�„ � W � Q zGar r �G6 -c �� 'or /'�c�,o��•t W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: InspecM..�� — / /�- � White Copyllnspector's Ffle Canary CopylSite Notice �/� � "v �. � DATE TIME CITY OF ORONO CALLED IN �(" iNSPECTION NO IC��w�12��1 SCHEDULED ?� PERMIT NO. � �� COMPLETE ADDRESS � � 2 � � `� �-� OWNER TELEPHONE NO. , �5��"C�� CONTRACTOR Gh ��Z-- � DESCRIPTION �-��C �� ty ❑ FOOTING ❑ DEMO-FINAL 1n ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �� ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL C �j/ ' ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI r-� ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ EV�/ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ ;TIC INSTALL 2 OWNERfCONTNACTOR TO MEET YOU: YES_NO v�, COMMENTS: � W C � � � O >. O '� ` � W � �-/� hli Q � ' � i , W r" :. _._ . ti. � W /� � � T/i�(� �-� /,.� J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑COR ECT UNSAFE CONDITION WITHIN HOURS. ❑ pf{OTO TAKEN INSPECTOR WILL REfURN �CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR ❑ PECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou 'n advance. � 2 6�0 OwnerlContractor on site: Inspector. White CopYflnspector's Flle l Cenary CopylSite Notiee � ✓ � �� DATE TIME CITY OF ORONO CALLED IN � �y��- INSPECTION NOTIC� ,�`a'� . SCHEDULED PERMIT NO. � '� �� COMPLETED ADDRESS �� ,� vG"i rI S /"�� OWNER TELEPHONE NO. (��"7��yg� COMRACTO �� i DESCRI�N `�ff��C`�urcz/ �''�"r�'' � ly ❑ FOOTING ❑ DEMO-FINAL �I/�/ � SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI % ( ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE �S PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO v�, COMMENTS: �I�. ��r �d''� vI��<<- !..-r�� /�� /'�OvuJ�- G �GC� � , �� OrGliL�G L�G� ��S✓ /J�� (!c'/_J `�` �� 0 `� � �� ,�GK9C�' ��' I dssZ` �rS �s�4sS�.� O �� G�ifl=/� W� S��4L�(L� CKC L,T �rLs�l� � /JCw�.� � ..- �as� �`1r (�.� �'o ma.�c�rb•�cS Q , � �� /Dt�lfcJe ,f1ar w�..fi' Cr.r� 6� S�Zi Z W � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-460� OwnerfContractor on site , Inspector._ White Copyllnspector's File Canary CopylSite Notice �-� �_`� � D TE TIME CITY OF ORONO CALLED IN — INSPECTION TI SCHEDULED � : � PERMIT NO. 0 �7 MPLETED ADDRESS OWNER LEP ONE NO. C��'-75�d �� CONTRACTOR � � DESCRIPTION 4� ❑ FOOTING ❑ DEMO-FIN L ❑ SEP IC FINAL Q ❑ POURED WALL ❑ PLUMBIN RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FI L ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �l�_�-� _ � l01 J r/�ie cX�.+�' �tG,Se_ {rr� L`r �_� -�l1ip — ,� (e��4�s �- o �) ��%�61�,� �a � �.,t'� �a' � � �i�� 6lc�(� fc� d� cla s�� -� ura�l f.w r�� o �� Q 1,..� �0�/rJ� S�.o.�o/L �l �!� r �y., �� `s ,dr..-�.� ` z � Frn,�s� /14t(,� �10�5� If.e�'�rl �:.� �.'�t�s�.�. W � � (s5 f�� a 1�j(� � //1S41 • � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ RECT WOHK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: `7�� Inspector. �=7 / � �� White Copylinspector's File Canary CopylSite Notice �� ATE TIM CITY OF ORONO CALLED IN INSPECTION NOT��E-��Z7 SCHEDULED .�r� - PERMIT NO. � �COMPLETED ADDRESS �% � OWNER TELEPH NE NO. � �� 7S�(�� CONTRACTOR � �S�� - � DESCRIPTION �� u r�-�� ;� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �('�jLSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q v❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTHACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: W . ` - _ � a ��r-v�rG• / z`� a ccf �cJ �_ o � � 5�4 / e% . ,�e��✓��o.�. �:-• o� ,-�.��s— �' ( Fi�o s�n Gv�t/ls �r�. � �. G i a/ ;� - � � � � /�t�. � '� G/f mc � ��• G�l�SG �o�' �'4��Sto/v- W �v � Q 2 �� Ir�G t �f �1L � �i U(i�/� W � W � ' � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � COR RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on site: Inspector. � Wh opyllnspector's File Canary CopyfSite Notice �/ � � � � � DATE TIME CITY OF ORONO _�z? CALLED IN - �a INSPECTION NO�I SCHEDULED �/—D/ —�.f /�.'6 tJ PERMIT NOu�U COMPL D ADDRESS � OWNER T LEPHONE NO.�a— � � � CONTRACTO � �� DESCRIPTION � lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL (, � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCOKTRACTOR TO MEET Y�OU:_YES_NO cn COMMENTS: � .�. n�r�� f��•-��l � o �1�. F�-�L - /�-a� -/� � � ° S /1�6!l�S, � �,sZ`��vs ,orv��,0 " W � ? `r k/or � Co n��e� -E-��s di� W � W � � J W O WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ERTIFICATE OF OCCUPANCY W O O CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call ror the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: �� /G'/ ` Inspector:_� � "��'- White CopyAnspector's Flls C�nary CopyfSfb Notks