HomeMy WebLinkAbout1995-007411 - add 2nd floor PERMIT
- CITY OF ORONO PERMIT TYPE:
" 2750 Kelley Parkway- P.O. Box 66 - : -
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date issued: '
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: ��- - - -, -
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APPLICANT RMITEE SIGNATURE ISSUEO BY:SIGNATURE
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•` Total Fee: � �� �� � � � DateReceived: �����_��`'>��=�
� Date Approved: �d - �- %'
Entered Bv: '�� '�� Permit#: rJ U//
,
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL LVFOR1�iATI�N i�1UST BE SUBMITTED IN FULL BEFORE PLAl�t REVIEW WILL
BESTARTED
THE APPLIC��1T IS: (circle one) UWNER R CONTRACTOR
JOB SITE ADDRESS: �U�,� �� p�. � ZIP: rj�j- 3`��
NAi'�1E OF OWNER: �n ��.rc�-� PHONE: (home) �{11 ���01-
(work) i-(�i� ����
i�TAILINGADDRESS:305SS'� Cd►4Go P�- �- CITY:�_�,��ZIP: ,� Q
CONTRACTOR: �v�v�„�,r�,� �sr. �y PHONE:
M ILE PHO�TE/PAGER:
��TAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER:��.EN v�EI�T a►D PHONE: SZ.�1- 30�
MAILINGADDRESS: ��{�r �dr�lav�1�4�t �ITY� �1 PL'S ZIP: I�S�o
N�; REGISTRATION #
TYPE OF WORK: New Addition �(_ Accessory Structure
Move Remodel/Alteration Lar�d Alteration
PROPOSED WORK(describe indetail): �� 2"� -�(vo r `}�0 1�76 r�.s r�J� �Q,m_�sv i
�e�.�.s+� �.,�F i� .Lcu!d�. �,� l,� ,.� �..c� � � �T �
STORIES: ' SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �D�.U('U
I hereby apply for a building permit and I acknowled�e 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 permit and work is not to start
without a permit; and that the work will be in ac rdance with the approved plan.
APPLICANT'S SIGNATURE: , �-E: : - �� �_ ���- DATE: l—/`���`7:�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
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� O ' V
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� CITY of ORONO
�, ,, '�_ ,�+ at�;�t ot��
:; : ,� rost offiCe saX 66
�� '� Crr�stal Bay,�iinnesota 55323-0066
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DATA PRIVACY ADVISORY
In accordance ���ith �1.5. 13.04, Subd. 2, "Riahts of subjects of data , we would like to
,.
inform ��ou that your request ror a permit or license from �he 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 ��ou furnish will be used to determine your qualification for the
permit or license requested.
�. You mav refuse to suppl�� data, but refusal may require that the City deny the
pei,nit or license.
.;. The information may be shared with other local, state or federal agencies to the
extent necessar}� to p:ocess �he perm�t or license.
4. If vour requested permit or license requires Council action to approve, some
ini�ormation may becom� puolic.
5. You have cer�ain ri;hts under M.S. 13.04 (see followin� paQe) to review private
data on vourself.
6. Your full name is required to process this application or permit.
PLEASE PRLNT
I� 'I;?�` ���-�
First Nfidd:e Last
��� �� �� �
Address
l�� Z��� � SS ��� �l �� -1S �" � Z
Cirv State Zip Phone
I understand my riahts as stated above.
,
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� ' �y �� , �,,� � � �-� _ �-��-r�
Si_nature
� TEI.EPHO�V�-d73-73�7 • F�1Y--173-0510
10
i►-
Sec.13.04 RIGHTS OF SLBJECTS OF DATA
Subdivision l. Type of data. The riahts of individual on whom the data is stored or
to be stored shall be as set forth in this section.
Subd. 2. Information required to be given individual. An individual asked to supply
private or confidential data concerning himself shall be informed of: (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
law 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 mav place the notice reQuired under this subdivision in the
individual income tax or ro ertv 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 public, 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 of the private or public data upon request by the
individual subject of the data. T'he responsible authority may require the requesting person to
pay the actual 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 of the request, excluding Saturdays,
Sundays and legal holidays, if immediate compliance is not possible. If he 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 cornplete. An individual may
contest the accuracy or completeness of public or private data concerning himself. To exercise
this right, an individual shall notify in writing the responsible authority describing the nature of
the 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.
11
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E�TERIOR E�iVELOPE EYERGY' CODE COJIPUTATI0�1 ��'ORKSHE�T
To De�ermine Compliance with the Minnesota Energy Code
(Section �02 of the State Amended 1983 �fodel Energy Code)
Project Tide �ibT ZE N �1'Et I ��� ���
Site Address
I. EYPOSED WALL C�.I.CULATIONS
ARE� "U" VALUE AREA x "U"
A. Opaque Wall
1. MasonryiConcrete r
a. �x •� /� = Jf rr t.�—
�
b. x =
c. x —
2. Foundation Wall (Above Grade)
a. c =
b. x =
3. Wood Frame Wall
a. Insulated Area ?�c�'' x � '' �"! �s = '' ' � 1
b. Framing Area (Ave. 15% at 16" oc) '�.�.. x �_'�_ � = 1 O •�`�-�
c. Praming Area (Ave. 10% at 24" oc) � _
4. Peripheral Floor Edge/Rim Joist
a. � `,.��. x =
b. x =
B. Glazing
1. Windows
a. tnf t �'�!), 6�,�;� �;'r�=;_�' ' r '�� � — r; � ' � `�"
b. x =
2. Doors '�1.i-'-=; � _
C. Doors �
1. Wood
a. Solid X =
b. With storm door x =
2. Metal X —
3. Overhead x =
4. Other R =
D. TOTAL WALL AREA, sq. ft. `'`J� ��. �
�
E. TOTAL OF AREA x "U" ' =
II. ROOF/CEILING CAI,CULATIONS
�
A. Roof/Ceiling Insulated Area �� (l'� �'�� x > d '��� _ ��� �' �'_
B. Roof/Ceiling Framing (Ave. 15% at 16" oc) x =
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) �� .� _ ` �� � �r �
D. Skylight _x ——
E. TOTAL ROOF/CEILING AREA sq. ft.
F. TO"I'AL OF AREA x "U" '
15
Y_� ,
III. BUILDlitiG E�'ELOPE REQUIRE`IEN'TS
TOTAL REQUIRED ALLOWABLE
AREA "U"
(From I.D &II.E) (From V.j (Area x "U")
�t,� _ X , 1 l = �1 '��
A. Exposed Wall: � ' 1 y ,
B. RooT/Ceilin�: �—X '�� �'"' — � +
C. TOTAL ALLOWABLE BUILDING ENVELOPE (Total of A&B above) �- '
IV. ACT'UAL BUILDING ENVELOPE
ACTUAL
(Area x "U")
A. Exposed Wall (From I.E) �� `��' � �='
B. Roof/Ceiling (From II.F) �'�'' �'
C. TOTAL ACTUAL BUILDING ENVELOPE (Total of A & B) I ��� ��"�5 ✓
*(I�leets code requirements if less than III.C)
V. REQUIRED "U" VALUES
WALLS ROOF/CEILING
Detached one and [wo family dwellings .11 .026
*Multi-Family Residential Buildings .238 .033
(3 stories of less in height)
*All other Construction Types (3 stories or less) .238 .06
'�All Other Construction Types (More than 3 stories) .28 .06
*Based on 8007 heating degree days (1�1p1s/St. Paul)
Adjust "U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy
Code.
�C,v,, I z 96
Signature Date
BCSD 3-89
CC/SM6574
16
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, ;
� ' , , • CO�ISTnUCT I 0'I R VALUE
� 'nALL FRF�"I'!G SECTION ;
�' 1 incerior air film f?.S�
� a 2 � , � ��
I3 (nches soft wood t ,� '�
4 � f
�� . >
�
i
E� Exterior aIr film tl • 1�7
. TOTr",L R = I ' �'�
U = 1/R � � �����
� 1JAL� SECTION ( INSULATED)
- —(1 Interlor air f11m �,�R
i �� �2 ; , ;, r�, . .
�3 � , i
: ! ,� � �
� � � � E
--�5 r-
� E.�terior ai r �i lm �• 17
TOTAL R �
U = 1/R = . '
RIH JOlST ScCTICt;:
� � 1 Interior air ff lm �.6R
� .I � I Z
• 3 — "
`� I `' _ __
:ai'' ,5 .
6 Exterior ai r �i lm � • 17
iOTAL R = _ �
FOUNDATION INSULATIOP� REQUIRED: U ' �/R = .
Min. R-5 on entire wall OR
p; a ,, ,s. Min. R-10 down to frost depth
, _ ,;��; FOUNDATfOt� SECTION:
e,-- . •� 1 fnterior air `ilm n•�� ,
:� A � 3
6 - •: _ n. i7
', _ •,a = ,4 Exterior ai r r i im
� • n . .•, G, � � (S
: 4 '�0�.4 ��,; ��„ �%���� �� TOTAL R a
.�• ..
U = 1/R =
SLAft ON GRADE
' _ _ _4, � , " � , . .,�V:• : " �� .� `l' '' ' 4 ' Q_
� 4 � � � �. 'f
.d� . . , .'+ f � ,, t' - � ._ • � a - � , -
� � � i . '. ..d �'_
;- � ,Q,.; � . ', , . : A . �;. :. � � .' ' . q �• .� , �,. . '�- r
• G �Q ` �,� �� � Q Y � �4.
\.4�,, -� ..• ' ,a '•G' � l,';•• � ' .•,.; , • ' •• 'Q-
_ C], ► , � 4 , � . u � ,-• �1 `• �
' Heated S1 abs : ' �`- �'. ' d �
, . .
�� � . . .,1 .. � Minimum R = 8.5 ; 4� ; ; ' . Q . . .
y �a • - . , ,[.1, , � q.
�� U�nheated S1 abs : �q 4 ,. ,• a ; •
.. , ,U ��_ �4_ .Z : I � , � .�
�v � Mi nimum R = 6 �. . - q � �j
`• Q . . , ' •,
� , ' :
a�d 4 _` . � �d, •�`�� ..`+ q �.. 17 \.
,
� '_
� CONS7RUCT10N R VALUC � '
- � CE i L f NG SEC71 �N (f�rSU�A7ED) � n ��
� Interlor air filn
2 � � • ��5
,, �
3 �,, ;, ., _, � �-� � ?� �����e���.t�t���
� (stiil ) �.�t '�
4 Exterior 'ai r � I 1n
� r--��r� TOTAL R = '=�. ',. ;
I ��
� �' - t/R = � j'� 1 ��
� j� U
� �,T
\ C-ILING FRAHING SECTION:
� ` �.E�1
� 2 � � Interior air riln y
2 � + ���"�
.� � ,
3 ,�, � ,, , sl.�,.t�
AIR VENTED 4 Interior air film still �. 1
FLOW 5 Y, � � inches sor't woo�t
TOTAL R =
, U = 1/R =
� .
� . C� ILIIIG SECTiO�i (fNSULATED) : � �1
,h:r,;--+'ti�`"����'''z4�-t'" ��'`�'.:3.�?�,t.�`�,-��
�' Interior air rilm
2
� - 3 ..
4 Exterior air film stiil �•h�
TOTAL R =
,� n
� U = 1/R =
� � � `i�
� 2 3 4 5 ��� ��Nr, FRAHItl� SECTIOt�:
�• interior air film �•��
VENTED z
. 3 �.., �
4 Exterior air film still
• 5 tnches sort wood
TOTAL R =
U � 1/R =
3 4 5 .
,
•`'-��.';`�'',;.� - -`' Inside air film �.�1
.,,�•�._ 1
'` 1, ;''. .,; �_ 3 . . .
. � � n, 17
/ � � Outslde air film
� � 2 TOTAL R -
� U - 1/R -
� �
18
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E��RGI' CODE DESIGN BY ACCEPT�BLE PRACTICE
To Deternune Compliance with the Minnesota Energy Code
(Section 602 of the State Amended 1983 Model Energy Code)
This form is only applicable to detached one-and two-family dwellings. The requirements herein are based on Table
No. 6-11 in lieu of the criteria specified in Sections 602.2.1, .2 and .3.
Building r�ddress 3() �S� ��tf.7�� �� [�t'�
�- 1� ��--�--z.,e�.r��-�—J�
Contractor or'Owne
Buildin� Element "R" Values Area (sq ft) % of Ext. Walls
Ceilings Design`���7� Req'd 38
Walls (exteriorj Design22:�'� Req'd 20 qC0 �+ �;�
(w/o fd )
Floors (over unheated spaces) Design Req'd 20
"Windows (in bldgs w/o 1 `� =�`1'��" Design I "T Req'd 12
sliding glass door) (glass) �
"Windows (in bld,s with a Design _ Req'd 10
sliding glass door) (glass)
Foundation Walls Design Req'd 5 (when insulating full depth of foundation wall)
Design Req'd 10 (when insulating only to frost depth and
footings extend below)
Slab-on-grade floors Design Req'd _ (See Figure No. 3)
�"�Doors (i-3/4" metal faced) Design Req'd 3
* All windows shall be double glazed or have storm windows
'�* Conventionai doors other than metal require a storm door
CERTIFICATION
I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy
Code.
i
C �. � �
C �' ��
Signature %� � � Date �j '( � Z�
BCSD 3-89
CC/SM/6593
19
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GLZDELINE TO (R) FACTORS FRO`I ASHRAE MA1�1L?AL
OF TYPICAI,LY USED PRODUCTS
AIR FILMS � SHEATHING �
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94
Exterior Air Film (�Valls 0.17 1/2" Plywood Sheathing 0.62
Interior Air Film (Vented Ceiling) 0.61 1/2" Particle Board 0.66
Exterior Air Film(Vented Ceilingj 0.61 Gypsum or Plaster Board 3/8" 0.32
Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior Air Film (Non Vented) 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
BLOWING WOOLS Plywood 1/2" 0.62
Approx. 3" 9.00 Plywood 3/4" 0.93
Approx. 4 1/2" 13.00 Sheathing, Reg. Density 1/2" 1.32
Approx. 6 1/4" 19.00 Sheathing, Reg. Density 25/32" 2.06
Approx. 7 1/4" 24.00 Nail-Base Sheathing 1/2" 1.14
Approx. 14" 30.00
Approx. 18" 40.00 ROOFS
All other insulation materials Built-up Roofs 0.33
must be verified (R Factor) Asbestos-Cement Shingles 0.21
Asphalt Roll Roofing 0.13
INSULATION Asphalt Shingles 0.44
Insulation: 2-2 3/4" Fiberglass 7.00
Insulation: 3 1/2" Fiberglass 11.00 SIDING
Insulation" 6" Fiberglass 19.00 Aluminum Siding 0.61
Insulation: 3 5/8: Fiberglass 13.00 Aluminum with Backer 1.82
Insulation: 9" Fiberglass 30.00 Aluminum with Backer & Foiled 2.96
Insulation: 12" Fibergiass 38.00 1/2 x 8 Lap Siding (Wood) 0.81
Insulation: 8" Cellulose 29.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 10" Cellulose 37.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 12" Cellulose 44.00 Stucco (Brown and Finish Coat) ----
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS �
1 3/4" Solid Core Door .46
WOODS w/Storm, Wood .31
Fir, Pine & Similar Soft Woods w/5torm, Metal •26
1 1/2" 1.89 Pease Steel Door Insl/N/GL 7.45R .13
2 1�2�� 3.12 Sliding Glass Door, Wood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87
WINDOWS
CONCRETE BLOCK All Windows
8" Concrete Block (S & G Reg.) l.11 (w/Storms 1" to 4" Space) .56
(Filled with Vermiculite) 1.93 Removal Double Glazing (RDG) .55
12" Concrete Block (S & G Reg.) 1.28 Thermo or Welded 3/16" Air Space .69
(Filled with Vermiculite) 3.15 ll4" Air Space .65
8" Light Weight 2.18 1/2" Air Space •58
(Filled with Vemuculite� 5.03 (Other windows specifically tested
12" Light Weight 2.48 can use better ratings)
(Filled with Vermiculite) 5.82
20
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:� - CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3af3 S �s� Po...�-r- PID:
DESCRIP"TIO` OF �VORK: Zr�9 5-�-�2�+ �too� na�
------------------------------------------------------------------------------------------------------------------------
ZONTi�1G REVIEW BY: DATE APPROVED: �o •2- S S
BUILDING REVIEW BY: _�„� (� _ DATE APPROVED: r v •-Z..-4 S
-----------------
F`EES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓'� No
PLAN REVIEW Yes �� No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECI�ON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: L2-/L Shoreland District : cr�s
Fire Department: � st Office: /S;kt�g��st�'�
/ '_
Lot Area: Sq.ft. cres i th � Depth
Survey Submitted: Yes _� No Date of Survey: 6 -�f- 6`f
Proposed Setbacks: �;-�
Front (ba�e): (00 � Right Side: 3S � �J A L� �� �3Ti�
Rear (S�E�reet): �Z�S� Left Side: �� •Z �
Adjacent Structures: /y� Wetland: N��
Building Height: Def. Hgt. Z�- Peak Hgt. 3 d �
Avg. Setback: Bluff etback Lot Coverage:
Existin Proposed
Hardcover: 0- 5'
75 250'
25 -500'
5 -1000'
Hardcover Varianc Required: Yes N Date of Co ncil Approval:
Grading: Staff Ap roval Date: y: Cou cil Approval Date:
Septic: Staff App val Date: BY�
Zoning File: # Res u ion: 1# Resolut n Date:
REMARKS (' house):
26
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BLTLDING REVIE`V CHECK LIST
UBC; �Z• 3 CONSTRUCTION TYPE: V�
Sq Footage � Per Sq Ftg
Basement x =
1 st Floor X =
2nd Floor X =
Garage X =
x =
TOTAL
Estimated Construction Value: $ Zo�000`�'�
Inspections Required: �Vork Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal � Mechanical Water Connection
<--�aeing Septic Sewer Connection
K Framing Fireplace Lawn Irrigation
�C Insulation (Masonry) Other
� Wall Board (Mfg.) Well (State Permit)
v-� Final Grading/Filling _� Electrical (State Permit)
Other
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By�
---------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERMIT):
27
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DATE TIME
CITY OF ORONO CALLED IN
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DATE TIME
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❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
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Call for the next ins ction 24 hours in advance.473-7357
OwnerlContractor s' :
Inspector. ` -
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO cA��E�ir, -' % - ` �
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Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra i :
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
D_ ATE _� TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED � �
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Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract n site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CAL�ED IN .' 'a `'�
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Inspector.
White Copyllnspector' File Canary CopylSite Notice