HomeMy WebLinkAbout2015-00952 (add./remod./repair) CITY OF ORONO * 2 0 1 5 - 0 0 9 5 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2015
' ORONO, MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 3759 CASCO AVE
PIN : 20-117-23-31-0010
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,000.00 �
NOTE: ADDIT[ON OF REAR LANDING�S��S&DOOR
NOTE: PRIOR TO RELEASE°t���> MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED
AND APPROVED. [NITIAL�� ".� ` — ' ^
� �_
APPLICANT PERMIT FEE SCHEDULE 77.44
STATE SURCHARGE(VALUATION) 1.00
Colson Custom Homes TOTAL 78.44
216 WATER STREET Payment(s)
EXCELSIOR, MN 55331- CREDIT CARD 6256 78.44
OWNER
Colson Custom Homes
216 WATER STREET
EXCELSIOR, MN 55331-
AGREEMENT AIYD SWORIv 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 onty 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 bewme null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of,r180 days at any time after work has commenced.
The applicant isies�¢risible for assuring all required inspections are
requested in conf�mnance with the State Building Code.This permit may be
revoked at an�'fime for due cause. �J!`�
,, . , _ - �� � � �J���
-, � , - __ __ _- � c� v
'�AppGcant ermitee Signature Date Issued By Signature Date
' CITY OF ORONO �
� �.
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
O�T Mailing Address: Permit number: ��J ��gJ oL
� 1 VO PO Box 66 �
/ Crystal Bay, MN 55323-0066 Date received: _�
� ,'� Street Address:' G r.- '
y�, G`'� ��� 2750 Kelley Parkway `�0��''j���'-�'"J Plan review fee: - �`�"
t�kESH04� Orono, MN 55356 �
Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us � t- t
This application form must be completed in full and all required information mus'Nbe submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: �
Job Site Address: j i S �i � �ti��t-`' ,�� c/�'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-sife parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: '
Name: �� «�''��
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: Cit :
Contact Person: Applicant is - Contractor / 'Homeowner (Circle One)
— �--- _
Email and/or Fax: ---����n,��f�, :?�L:;���
PROPERTY OWNER INFORMATION:
> >
Name: (1�l.S ��'�"1 �;�Sto�, ������r�
Phone (day): �/� -�7 .S�-� , 7/ , � _
Address: / t.✓ r - Cit : - �S i��� ZIP: -'
Email and/or Fax '"'� - � < � ; " rn, � n : �
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
� �,Q(,�� � C�-r'�C��i� � �C��� � �Udf
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
Water Supply
❑ New Construction �Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Public Sewer
❑Accessory Building ❑ Single Family with Off�ommercial
�
❑ Relocation � I detached garage Residence ❑ Private Sewer
Other. (specify) �c'r�7:��c'E' ❑ Multiple Family/Condo Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
'"Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other:(SpeCify) ❑ Other(SpeCify)
15320 Minnetonka Blvd Lc����, l�i , S l�2iClSc�V/�j�p��
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=
❑Wood/Frame
b.Width(ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached= ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 151 Story = ❑ On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. '/2 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 A licable
❑ ❑ 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'/�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 Poilution 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 generatly 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.
,/
%�� —_.
ApplicanYs Signature: `/ , Date: . ��C'l �� ��
------ ----- ---
Owner's Signature: -�"-- Date: ��I� � ,
Last Updated: January 2015
� PLA[� REVIEW �HECKLIST FOR
NEW STRUCTURES / ADDITIONS
Address: ���� �.�lJ l�J ��.I� Permit No.:_ G-��� '�q�jZ
Description of work: �� � Date Rec'd: � ' Z� ' ��
Septic review by: ���(! Date Approved: '�'
�oning review by: Date Approved: ��� ' j
Building review by: Date Approved: � �P l
Grading review by: — Date Approved:
� Zoning District: �-�r 0�- Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
urvey Submitted: �es ❑ No Date of Survey: l�'•�'�4" Revised date(?):
Proposed Setbacks:
Front (Lake) Rear(Street) ( � S E W ) ( N S E W ) Other Buildings Wetland
Side Side
r
Defined Height: Peak Height: FFE; FFE minus 6 feet= (Existing Contour;
Perimeter(linear feet) = 50% = L.F. belovv grade #of Stories
FOR A BUILDING VHITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
�� The distance between the lowest proposed The distance between the top of
START WITH f�oor(of the basement or crawl space)and START WITH si�ti^-'"�e highest point of the
the highest point of the roof.
If you have a... a...
• GABLE OR HIPPED ROOF(no ���� ��I� -E OR H D ROOF
-1 indo�+s`�.�Subtract half
windows): Subtr alf the distance ���'/ � nce between the
between the ' est point of the roof t�point of the roof to
to the low"point of the corresponding �
SUBTRACTION gable or hipped roof '' point of the
onding gable or
(BASED ON . GABLE OR HIPPED ROOF(with C ^^ m(�. oof
ROOF TYPE) windows): Subtract half the distance �I�u� � OR HIPPED ROOF
between the top of the highest � dows): Subtract
window and the highest point of the istance between
roof ���fff �/� the highest
• ALL OTHER ROOF TYPES(flat, —1 1/1(��1 ,��� nd the highest
�l91 ��� he roof
' mansard,etc):No subtraction. 1 r �R ROOF TYPES
;SUBTRACTION Subtract the distance between the _..kard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTWG highest existing grade adjacent to the ADDITION Add the distance between the top
��'� GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Defined building height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: O Yes 0 No �N/A 0 Yes �lo
Yes 0 No
0 N/A—see attached Setback:
Stormwater Quality Existing Hardcover Proposeri
Overlay District o Hardcover Variance Required CUP Requ6red
Tier circle one (�o and s� % and s
� Yes No Q Yes No
1 Q 3 4 5 Type(s): Type(s):
Updated: January 2015
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�
s REMARKS (in-house):
;
Fees to be Char ed YES NO
Perm it
Plan Review
' State Surcharge
Investigation Fee
SAC-Number of SAC Units
Other(specify)
` S uare Foota e $ er S uare Foota e
Basement X - $
15�Floor X - $
a 2nd FIOOr X = �
Garage X - $
Estimated Construction Vaiue: � �"` �/
Orono Inspections Required Work Requiring Separate Permits Required State Permits
+� � Site � Plumbing a Grading/ Filling � Well
0 Silt Fence/ Erosion Control 0 Mechanical � Fire � Electrical
� Hardcover Removal � Septic � Water Connection
Footing 0 Fireplace 0 Sewer Connection
0 Poured Wall � Masonry � Lawn Irrigation
� Faundation Survey O Mfg. � Landscaping
. 0 Foundation Waterproofing 0 Other(specify)
� Radon Rock Bed
Framing
� nsulation
As-Built Survey
Final
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: ❑ YES Q NO New: � YES 0 NO
OFFICIAL REMARKS -TO BE OTED ON PERMIT AND INITIALLED
1':: .� B a p�( � {�'� 0 Yl � _ S(�i`t/
,
ar�� f����`E� � ��c�.c cu��o� �,�� �ubm� �-at�rov�°.
�
�:
�
�
�
a Updated: January 2015
z:\forms\plan review checklist 2015.docx
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� Permit Application: Self-Checklist for Com�leteness
Please r�ote, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the a�plication will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements.
\, .
; _ Completed Application G
� �
, �� G�c_.
� ��
Plan Review Fee Paid �
, .
�;��,
-� ��a�
Si Escrow A reement & Escrow Pa ment I�'
��; 9� 9 Y �
,.
Building Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
; ; Hardcover Calculations (if applicable)
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
� the proposed project does not trigger their permitting
requirements). I will contact the MCWD at -471-0590
regardin�,this project. ' �
9 Y � „�� ,` �-_._ �
Si ned b : ,� ��: � �� � � �,-��' -
Address: " S`�' cL C� /-� ✓�-
Permit #: �d� � - �(j� ��,
Packet Last Updated: January 2015
Page 2
w ��1��� G���
�
REa/IEVN�ID fc�r C��� C��APLi�►I+�CE
pLAN CHECKED B DAT-E � �� ;
HAN�LS .
Continuous grsppable handrails
�eq'd. 34" - 38" high. 1-114" - 2" dia.
No claser than 1-112"to H+a��
Retum end�to waii or post.
S aiN+rav Risers
Open risers are permitted, provided
the opening between treads does not
permit passage of a 4"dia. sphe�e.
�. .^r..---
ST,�f�``J
7 3/4� M�U(. P{SER 10„ MII�. TREAD
6'-8T (�lN. HEADROQM
AT LEAST ONE HANDRAfL REl]UIRED
GUARDRAiL OPEN SIDES
MAINTAIN MINlMUiy! OF 36" W(pTH
QF HALLWAYS AND STAtRWAYS
. �� �� C�=�� Cn '� � �
, • r
, ' �
' '' RECEIVED �
C�,�f� �(;��� ( �
��
�u� � $ zo�5
C� �
CITY OF ORONO
�
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dtn9
� � ��� ���d ��� `vU�;tGK;tZe�sides of 3�a�ove
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K�= " r►r9� ��ch um
oe wh ;�im ental
tloor and rO�cks�s P°rch Ua�d�y;th a n` or a�orna�g�.
Unen �3�co w,�eq ; e�ia �Is�t Pass
closed , nies,�� u re a g te ra thro
rama��ot f1���a�1s must ttae�����e��r��t2� ���'�.
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10�.6n patte�� 8�_ou
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�" % �iii �i� PANEL= �� �
= P/�►.1 �
The Gregory Group iNvui�c NO. 82564/82640
d.b.a. F.B.NO. 1067-60
LOT SURVEYS COMPANY, INCRECEIVED SCALE: 1��= 20�
Establisbed in 1962
LAND SURVEYORS • Denotes Found Iron Monument
JUL 2 8 2015 O De�oteslronMonument
REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA x000.0 Denotes Existing Elevation
7601 73td Avenue North (763)560-3093
Minneapolis,Minnesota 55428 Fax No.560-3522 CITY OF ORONO 000:0 Denotes Proposed Elevation
�u r u P��-r� `Y�t �j f t r��P _�-Denotes Surtace Drainage
�� ---- Denotes Existing Contour
SITE PLAN SURVEY FOR: .�-��__-Denotes Proposed Contour
Basis for COLSON CUSTOM HOMES 954.2 Proposed Top of Block
bearings is
assUmed 953.9 Proposed Garage Floor
Property located in Section 20,Township 117,Range 23, 946.2 Proposed Lowest Floor
Hennepin County,Minnesota.
Type of Building
Property Address:3759 Casco Ave.,Wayzata,MN Fullbasement Walkout
PID No.20-117-23-31-0010 Benchmark:Invert of manhole at Casco Ave.&Ethel Ave.
� Of �r�h� _ _ _ _ _ _ Elevation=938.79 feet
lanning&Zoning Plan Review - -- - - - - - - - - - - - - -
ite Plan Review Date: � � ��� 3 - - - � - - - - -^
�
APPROVEO -°-a- E--_- C � S C O
APPROVED WITH F�EVISIGNS se�notes ° s = � $ `-`-`-`-•- V
� -�_� ��y.__�__�_�__Wy_�-,a-_ L y \\ s�a__�_�__c-a�e.�s__g Sinitarysewe�_�_Y_f_`
� DENIED � .�-.�-�
,/ � V � Rock�trance� � `� ""-a--��e�m� ���_
�� � � \ 952.! � �-�-�
�� Power Po%�W w- 95 952J bitummous curb �
W-w-w_ WbiWuminous
_wLanchor _��- W-w-w;-W-W � I
Y1yd�an� �� to be �emoved - T 953.!
W-W_ 9��A.! Po
_ _ _ _ _ - - ��\\ � i � ove�ad wiresW W-W-"'-w-w-�-W-W�
�
- - - - .- _ `��- Serv S 88°01'3'9" E 100.14 Meas l oo.�?�lat�� \\ �
s inv l5"rc� � / ,�4�x-x-x-x-x_x_x_ __ _ �riser
947.4 � I � � � � C� v -x-x-x-x- ��� -- _. I
I � � � I \ I� I i- �- ��J51x �� I
a�j I �° I \� ��''�� '=��,9---�-� �SJtPence ' I � \�
N ��--__� 3 1 0 , --�_--� 2�� �� 'so'\ � ��\ � \\
� � \� I� ` i � 95 � I� I � �� ��� �
/90. � �\ I � � 95L�p � p m � ��\ I � �n
� � I h0 � � I m � �� � t e l B" � �'
949.5 /'/I ��� �m\ \\\ �\�� 948�a1/ � � � �i\ 9 /A � I m
- , � � 0 , � ,
,� 9�6 !,� � �\ \._..1�:����?---�------- _ � 953.6 I �� � �
�� � ` �[ i 22'z" --- T\-. ._.1.......t...
�� /������ ' �\ ��\\ I% / 'i � j j 14'4"W Qo�ph ��g��--___ r�\11,0" � 20.3���I i
� �� � I � 952.9
� , s}4�-� � � �Jw o i� i•� �� N I
�' �� 9 Pro osed ��-L I 950 N 8��� �I � h I � I
�� ��� f' Wall I \I --J_, � _L �j i /Q topfoun
i /� _1��� �( b�"i^ 5.�.. i ��, io I � � ` °� 956.l
�' � �
�i �� i ' �J •� �,\ ` ��\'.- I `yy6� N � ,��� � � �
/ �i p'L \ ,b�-�--��- I ��� � h� � I �� 11
946.� City of,t�rono �9 ` � �� � � �° Proposed � � �, � � i �
i
�' \�� '� �� i � Res�dence'��,, 10�g�� . i � � `�i i
Plannin�&Zoning Plan Review � �� �i � o �9 --- � � a �
�/ {7 W (�J � � 1 �,�. o I gF�\ :� /� � � " � 1
/ . � l� O I Sal 6armg, m � � � � / � � �
Site Plan Review Date� � _� � x 942.0 i� � _ � � -�so-;-t\ i , - -,
i � `� h �� �, �1 -----�, �� : ,k' � ' I
�PPROVED �GY�� r S�'GpS, d�00✓� �� � !-� 14.98�-� �'�,\94 � -948-�-�,C-\\ � � -� � �i
❑APPROVED WIT#���ISIGN�(s�notes) . _`}- �.. .....j. �.... . ao�o� 2�� :,-`79.94 �� �� 95/.7
,��� • ----' . � �, f -
O DENIED � �3 °Cantdeu � �94 ,�'-.-....�.......�.. `
938.6 N N �, 945. -o,-- I 1 i� �' -, r '�ro v� i �
j/�/((] W� / s� i I � ^ � b � �Qj . 94�.4
St�f: �IyG_"�c // � ��\til,, \�� d��F� \ I / � `� � � \\
I ` �� __ � , /� � I �\ �
� � -�� / �CD � ` \ �
Wetland Buffer Post to - --'--- ' __ -
be installed(typ�cal) � x \� � ��� �_ �- _ I 9 4-- --• �� • � �� I 3 ��
93d.0 N I ��1�__ - '942-- -__ --_�V� I �1� I � ���
° x /O � ��.� - I x t- 1
� -__--- _L ` _94p -I-_ M m I ��° ��
I-fa�dcover � I j i i i \
x 940- ------ -----t'""-�-x v � \
� �� 3 etland etback '� I �� I �
Lot area = l 5,489 sq ft Z �"-'�-x-X-X-x-x x_ _ '� :: I I `-� �
6udd�ng = 2,273 5y ft �� �� j X X�x-" "-X-x-x-x x-�-x� ��I I 945.0��
� Delineated Wetla
Driveway = 823 sq ft /�� �� �located 5-l 4- 4 I Proposed Erosion � (p �I � ` `9g�\
PaGo = l 00 sq ft � � � � wdlow 2 ° C ntrol Pence � � � �
S�dewalk = 45 sq ft� �938.�\ 938.So I ash /5� � o ���
Porch = 50 sq ft I �� 938.$ cottonwood 36" RF
942.3 �
Total = 3,29/ sq ft � �� • I •� ° � � �\
Percentage = 2/.25% _ ��, \ , ��
i �
_____ _��_ _ I I / \
o \ l ash�"'� ' �Iv,l 5" � �`9 2
maple B" �9.�$.3 -��3Z,�` J I ��\
`,e��.,��07 ��,��'U�`� 3�. � �_ , �
4 I \
sh lO" \\g4� ___,
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� � � I, 936.9 I ash / " � �
37. �
��- x 936.8 I \�
Lots 9 and 10 Block 4 CASCO HEIGHTS �
Hennepin County, Minnesota. � N 8�°45'p2�� Vy 90.05 Meds. .90.oo i' 9se__-------
p/at
The only easements shown are from plats of record or information 937.6 - ��EIVED
provided by client. -
I ceRify that this plan,specification,or report was prepared by me or �U N 3 O Z O�Y
under my direct supervision and that I am a duly Licensed land
Surveyor under the laws of the State of Minnesota. CITY OF ORON
Surveyed this 18th day of September 2013.
Rev I I-I g-I 3 delineated wetland Drawn By ��,�/,Q,,,t
5-I 4-I 4 delineated wetland, new house Signed
6-4-I 4 new house Fiie Name
Ch-9-10-4inv82640 Site Plan.dw Grego R Pra h,Min�.Reg.No.24992
6-I 7-I 4 new house, uty comments 9
6-30-I 4 proposed contours, retamm9 wall
3759 G/a,Sco �cre�ue�
�.�,��r.� Z.��IS- C�oqSZ
�� � i � /
DATE TIM�✓
CITY OF ORONO CALLED IN �l6 -lS _-
INSPECTION N T C SCHEDULED �� / -/S �D:3 U
PERMIT NO. ������yS�COMPLETED
ADDRESS 37 5� ��n(.-�.�
OWNER �PHONE NO.�! .2 �7S ���1
CONTAACT�A �� ���
� DESCRIPTION �"`�"'� ������ ry ���
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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2
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2
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� ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i advance. (95 - 6��
OwnerlContractor on site:
Inspector.
White Copyllnapector's File Canary CopylSite Notice
' 'u ' ��``� I I� � I DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �{' Z I - 15
PERMIT NO. �15-�-�Z COMPLEfED
ADDRESS � l5 v' �� r-�u �
OWNER TELEPHONE NO.
CONTFiACTOR
� DESCRIPTION � ����'� �� � 'J� ��
l~i� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTFiACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W
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2
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerfContra on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notiee