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Home My WebLink About2015-00034 - addn/remodel/repair CITY OF ORONO * Z 0 1 5 - Pl 0 0 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: O1/28/2015 , ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2617 CASCO POINT RD PIN : 20-117-23-24-0035 LEGAL DESC : WINSHIPS SUBD LOT 1 SPRING PK : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 200,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) SEOND STORY ADDITION APPLICANT PERMIT FEE SCHEDULE 1,739.59 STATE SURCHARGE(VALUATION) 100.00 AMEK CUSTOM BUILDERS 9340 JAMES AVE S TOTAL 1,839.59 BLOOMINGTON,MN 55431- Payment(s) (952)888-1200 CHECK 35276 1,839.59 Minnesota State License#: BUIL-20164402 �, .� OWNER ,�, . , _ .._. .,.012?0� Jan [8. �U15 MARQUARDT,GARY&JOAN AMEK Custom E�ui lders Inc. 2617 CASCO PT RD Previous Balance: .Gu WAYZATA,MN 55391- Permits 2_U15-000034 2617 Casco Pt 1,739.59 Rd 101-32510 Building Permits AGREEMENT AND SWORN STATEMENT Permits 2015-000034 2617 �asco Pt 100.00 The work for which this permit is issued shall be performed according to Rd the approved plans and specifications,applicable City approvals,and the I U 1-2080t 5tate Building Code. 7'his permit is for only the work described and does DUE tD govts-State not grant permission for additional or related work which requires separate Total: �-----1,839.59 permits. All provisions of laws and ordinances governing this type of work =____��_,___�___: shall be compied with whether or not specified herein.This permit will Check expire and become null and void if construction authorized is not Cfleck No: 35276 1,839.59 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 are requested in conformance with the State Building Code.This permit may be , revoked at any time for due c , �� .. „ � � �� _ .= - ,. < � : � ��,f''"i��z ��- C. � �� C_�r� � � � �� J Applicant Permitee Signature Date Issued By Signature Date � City of Orono a ,�g Building Permit Application � 1 � � for New Structures or Additions ' Mailing Address: �> < <- :,� � �Q A,O PO Box 66 Permit number. L� (•� < < � .� f V Crystal Bay, MN 55323-006 \�\�� Date received: � `� �z —!J StreetAddress:� _ Receivedby;_ __ 1 ""{✓' I�--f � ,� 2750 Kelley Parkwa , Plan review fee: � � _ �� ` �' L` Orono, MN 55356 �� ' �✓� / � !�'�fSHOR� Main: 952-259-4600 Total Fee: Fax: 952-249-4616 v✓��r.v.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: .lob Site Address: ��p � �� C O �01 v� ��- 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. Shuttle bus service will b required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I�OR�VI�ION3�. 1 1 Name: u� uil�Q r'S State License# L-J� �O Z Expiration Date: 3-��- J$' Phone: cell ��/rj�fSZ� office �'j2-$$FS-2va Mailing Address: � 0 J Avvt.�5 . S- Cit : W� ZIP: � Contact Person: G i Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: q WS c '�nC - C6 w� PROPERTY OWNER INFORMATION: Name: ��c✓y 1�J Q�. IMqP�UQ►'� Phone (day): Address: ZGo(� C43c o �p�v�-� �� City: �� o ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORM�4TION: Name: L-�ci.tc�tl� '�C I.��fC(S GLG Phone (day): i Z - G - �'o�S' Address: /`j�2 .�9� '�v �yvqGe, City: ��p�S • ZIP: S�{1!� Email and/or Fax: 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 ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water "`Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (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) $ 2�� l�� Packet Last Updated: January 2015 Page 20 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. 1 S`Story = ❑ On-site Prefab e. 2�d St°ry- ❑ 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 Applicable ❑ �" 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'/z x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ,0 Surve -2 full size,to scale meetin ALL surve requirements ❑ Hardcover Calculations ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation form MCWD statin no ermit is re uired ❑ Landsca e Walls and/or Retainin Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privac Adviso 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 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. Applicant's Signature: Date: � IZ /S Owner's Signature: Date: Packet Last Updated: January 2015 Page 21 1DATA PRIVACY ADVISORY - In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 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. 5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. r � �� irst Middle Last j'��(o J�a wt-es�--v�'°. � � Address �CeXJln.t tl/l°a� l�v� .�d `7 3 ( Cp�Z--9/�"�^�Z� City State Zip Phone I understand my rights as stated above. Signature Packet Last Updated: January 2015 Page 7 � Permit Application: Self-Checklist for Completeness � Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. �,�I� Completed Application .�t • { � Plan Review Fee Paid ��,(,� ��'�Vl l��Ce Si ned Escrow A reement & Escrow Pa ment lU r�- ,�� ,�c�-� ��' 9 9 Y � �� Building Plans (to scale) x2 `'�,,..�' �='2� �, ��,��?Gt L��- f--" �� 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 ,nA ' the proposed project does not trigger their permitting 1�`' requirements). I will contact the MCWD at 952-471-0590 regar ' i Signed by: � �.��-�— Address: yo ,j r�,r�s _ 5'. �r.�,Ht�,� 3 Permit #: ZQ�G�— Q �j� Packet Last Updated: January 2015 Page 2 PL�►N R�VIEIlV CNECF(LIST FQR 111�W STRtJCTURES / /�DDITION� � 2�l� - 0 Address: � �� uC� ��'�� Permit No.: Description of work: � Date Rec'd: �"��, �� Septic review by: � �ate Approved: � Zoning review by: Date Approve�: / - �7_ � �� Building review by: Date Approved: (- Z� - Z� i 5 Grading review by: �� Date Approved: � Zoning District: L+ —0� Zoning File#: � "' � Reso#: Reso Date: t2-`a•?sol� ' r Zoning: Lot Area: SF/AC Width: Lot Coverage: �� SF � ��+ % Survey Submitted: Q Yes �o Date of Survey: Revised date(?): Proposed Setbacks: F t(Lake) R (Street) ( N S E W ) ( N S E W ) p�he�Buildings Wetland Side �p Side Q � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 50% = L.F. below grade #of Stories FOR A BUILDING WITH 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 W ITH floor(of the basement or crawl space)and STAf2T W ITH slab and the highest point of the the highest point of the roof. roof. ` If you have a... If you have a... � o GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(no (no windows): Subtract half windows): Subtract half the distance the distance between the between the highest point of the roof highest point of the roof to to the low point of the corresponding SUBTRACTION gable or hipped roof the low point of the corresponding gable or (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF between the top of the highest ROOF TYPE) (with windows): Subtract window and the highest point of the half the distance between roof the top of the highest • ALL OTHER ROOF TYPES(flat, window and the highest s° point of the roof mansard,e4c):No subtraction. . ALL OTHER ROOF TYPES �` SUBTRACTION Subtract the distance between the (flat,mansard,etc):No (BASED ON basemenUcrawl space floor and the subtraction. EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top GRADES) foundation OR 1�feet(whichever is less). (BASED ON of slab and the highest existing Y EQUALS Defined building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District MCWD Permit Average Lakeshore Setback g0uff Met? ' �Yes ❑ No Permit Number: Yes 0 No � N/A � Yes o N/A—see attached l�0�c��,,�e:-a Setback: �� Stormwater Quality Existing Hardcover Proposed � Overlay District a Hardcover Variance Required CUP Required Tier circle one (/o and sfl %and s . �,�.�� Yes Q No � Yes No � 1 2 3 4 5 , �� S� TYPe s): TYpe(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx � � � _� .�, � � � �n ..�.:, , � :; . <. �- .�_- �_ . REMARKS (in-house): s` _' Fees to be Char ed YES NO Peemit Plan Review r/ State Surcharge Investigation Fee ' S/8C-Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Z�`�� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing ❑ Grading/ Filling � Well �' � Silt Fence/ Erosion Control Mechanical � Fire C�Electrical � Hardcover Removai ❑ Septic � Water Connection � 0 Footing �'Fireplace � Sewer Connection � Poured Wall ❑ asonry 0 Lawn Irrigation � Foundati�n Survey �Mfg. 0 Landscaping 0 Foundation Waterproofing � Other(specify) � Radon Rock Bed �Framing � �nsulation � As-Built Survey �Final � Other(specify) REM�►RKS (in-house): �li U C�s�w �',�U° �� - � u �'c c�4✓� 0^J Other Review: Reviewed by: Date Approved: Access: Existing: Q YES � NO New: � YES 0 NO OFFICIAL REMARKS -TQ BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx . • . . • • 1 . emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: September 17, 2015 G/L: 101-22205 Re: Escrow Refund Building Permit#2015-00034&Land Use Application#14-3697 pertaining to 2617 Casco Point Road is complete. Please refund $2,500 to the property owner, Gary&Joan Marquardt. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Gary&Joan Marquardt 2617 Casco Point Road Wayzata, MN 55391 w:�street files\casco pt rd�2617�escrow refund memo 2015-00034.docx • . 1 LAND USE APPLICATION ESCROW AGREEMENT Application#�- � �v 4 7 AGREEMENT made this�_day of , 20 , by and between the CITY_�?F ORONO, a Minnesota municipal corporation ("Cit�') and Y6 C.�1- [a corporation—optionaQ ("Owners"). Recitals 1. Owners have filed Zoning Application# /`7 - �(097 formally requestin the City to review plans for a� A�� c't`r c NA� �.�/'�+�r� ��1 zN� G��r4 ��;��i4%d..e, � ��'�2�`'�.:�}�l located at the property addressed: P c�c.. (the"Subject Property') legally described as � I.D� 2-��-- 1 —z-3 �-�z.-�— ��t" 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the appiication and incur costs associated with said review only if the Owners establish an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $ o�SOt�•°O with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, or legal consultant review) or will incur in meeting with the O�y�ners, reviewing the plans, and preparing agenda packet material for City Council review of application # /`f - �3�9 7 . Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall cease all reviews until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§ 415.01 and 366.012. CITY: CITY OF R � OWNERS: gy; � By: Its: Its: Internal Use Only: 0 Original to Finance Department ❑ Copy to Zoning File � Copy to 5tceet File Packet Last Updated.• March 2014 Page 10 of 27 GARY L MARQUARDT n-ea�/s�o 5 0 6 5 JOAN M MARQUARDT �i�cAsco roiiv�r�. %�—��Z o/ �� DATE WAYZATA,MN 55391 � .�� }��- � 32 ao ..-�,�a�� _ = reY To G �`v � . �. � �. , , o THE O DR OF � '� •a�, ' ; .Q O LLARS � � �� ry � t �� , � 9 222 South Ninth Strest � ��,a�.`' _ ° �BANK __ x�:, . _ Suite 3800 Minneapolii,Minneaota 55402 Minnesota PH:612-921-0997 __�Np MEMO �� ] 5�6 � ��r�. �„�..>._....�..�__� . _ I Cr I v C'�'� " D TIME 3--�� '�� CITY OF ORONO CALLED IN �� .� INSPECTION�� SCHEDULED —I� !_J PERMIT NO. cOMP�ETED ADDRESS��,�� -, ,,�1 OWNER LE NE NO� g�� v CONTRACTOR � �"L� � S ` �; DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FR ING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FI L ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O �. _ .. � O � W � Q � 2 W � W � j d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CO ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfUAN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in adv� 9 2a 249-4600 OwnerlConVactor on site: Inspector. ' White Copyllnspector's File Canary CopylSfte Notice n /I V ��<J✓� �/ DATE TIME CITY OF ORONO CALLED IN � - S �� INSPECTION N I � SCHEDULED - //- PERMIT NO. cOMPLETED ADDRESS��I� �� OWNER T L P ONE NO.�S - S 7�p7 � CONTRACTOR `� a DESCRIPTION <��'l � ly ❑ FOOTING ❑ DEMO F AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMB G RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATIO WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON B ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR NG ❑ MECHANICAL FINAL ❑ RATED WALLS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN O STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice ��O CGi�� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. ��n./5�.3� COMPLETED ADDRESS �� S C D I`� �CI OWNER TELEPHONE NO.��a �-I a� CONTRACTOR ��i=� � i,t�-� . � � DESCRIPTION �� C�� b�'1 W ❑ 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 Q FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO J � COMM ENTS: �l+eG. �� ,,�� I a 'I� W a J /' O �rit.�rt � K S �o r jyt4��-•✓ �!4•ri� �' �P�s � �K c - Tr�acs so¢cf -� ��to�� o _ f� � Q - I'I a ��6� ✓'u.��. �a.�7�.�� .G z (� iD�`��E�n �' Kc��rr.� sP�� ha�w«..`, W ��S�'►kr Gr a��k'.� �F.�,E f'lGzs♦ J a,sG .tiS j ��usst� - l�-�S'd o� ' d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ,I�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlC ctor on site: � r � � Inspecto . Whi e Copyllnspector's File Canary CopylSite Notiee ��/ DATE TIME ✓ CITY OF ORONO CALLED IN � _�� INSPECTION NOTICE SCHEDULED PERMIT NO. ?.D�S�OC�?v'� COMPLETED ADDRESS �� y � OWNER TELEPHO �NO�r��Z��`7k�/�? CONTRACTOR l7'1.�1'S ��C,(-�� `S.f " � � DESCRIPTION ��_ ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 7 Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ F NDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FO�LOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS: �—' � W � J , p ` � — � O /L�,G.Y W � Q � 2 W � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHpTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance ) l49-4600 n OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice