HomeMy WebLinkAbout2014-00507 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - 0 0 5 0 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/18/2014
ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 2980 CASCO PO[NT RD
PIIV : 20-117-23-31-0061
LEGAL DESC : REG. LAND SURVEY NO. 1423
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
COI�STRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 15,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, MEC}IANICAL,FIREPLACE,ELECTRICAL(STATE)
*APPL[CANT AGREES TO REMOVE PLASTIC IJNDER ROCK TO BRING HARDCOVER LEVEL INTO COMPLIANCE OF 25%
INITIAL:
* PRIOR TO RELEASE OF ESCROW AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED AND
APPROVED[NIT:
FRONTENTRY
APPLICANT PERMIT FEE SCHEDULE 265.50
STATE SURCHARGE(VALUATION) 7.50
M[LLER,JONATHAN&AMY TOTAL 273.00
2980 CASCO POINT RD.
WAYZATA, MN 55391- Payment(s)
CREDIT CARD 2230 273.00
OWNER
MILLER,JONATHAN&AMY
2980 CASCO POINT RD.
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 cons[ruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� - �,�'1�(/b <O / �8/
A plicant Permitee ignatur Da e Iss By Signature Date
PL�N F�E\/{EVII CHEC�LIST �OR �1IEW �TRlJCTIJRES / /�1DDITIOI�S
Address/Permit Number: ��� Vd,S� �
Description of work: ��� �
Septic review by: �c�IE/(J� Date Approved:
4 Zoning review b�: '�� Date Approved:�•(�' d`�
Building review by: Date Approved: �- ��.- �y
Grading review by: -- Date Approved: —�
'''' Zoning District: ��m�� Zoning File#: Reso#: Reso Date:
�
Zoning: Lot Area: SF/AC Width: Lot Coverag�: SF _%
t;
Survey Submittect: �es 0 No Date of Survey: ��•�-� � Revised date(?):
Pro osed Setbacks:
Front(L e� Rear(Street) � �� E V19 ) ( N S E W ) Other Building� 1l�etland
Side Si�e
��` ` ,:-,���,F l`
�(/�
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 5Q% _ #of Stories Ok? � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATtON:
START WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH The distance between the top of slab and
the highest point of ihe roof.
If you have a... If you have a...
; • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highest point between the highest poinY of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
{; (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
" • ALL OTHER ROOF TYPES(flat,
ALL OTHER ROOF TYPES(flat,
� � mansard,etc):No subtraction. mansard,etc:No subtraction.
ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the GRADES
t: foundation OR 10 feet(whichever is less). EQUALS De£ned building height
EQUALS Defined building height
Shoreland District 11�CV1/� Fermit Received A�era e Lakeshore Setb�ck flfiet? �luff
� Yes � No 0 N/A � Yes No
Yes � No � Yes � fVo �I/A
Permit Number: Setback: �
Stormwater Q�alit�r Existing Proposed ��riance Rec{uired CUP Required
Overia Qistr�ct Tier Hardcover Harc�cover �� ,
�� 5 ��� � Yes � No � Ye� E�: o
� °��•�a�� �`�'•�� TYPe(S)� TYPe(S)�
Updated: January 2013
v:\formslplan review checklist 2013.docx
REMARKS (in-house):
�
Fee�to be Char ed YES NO
Pennit �
Plan Review �
State �urcharge �
Investigation Fee �
SAC—Number of SAC Units �
Other(specify) �
S uare Foota e $ per S uare Foota e
Basement X - $
15�Floor X � $
2nd FI0o1' X - $
Garage X - $
Estimated Consteuction Value: $ ������ ��
Orono Inspections Required VIlork Requiring Separate Permits Required State Permits
0 Site 0 Plumbing 0 Grading/ Filling � Well
Q Hardcover Removal 0 Mechanical � Fire � Electrical
' �'Footing 0 Septic 0 Water Connection
- � Poured Wall � Fireplace 0 Sewer Connection
❑ Foundation Survey � Masonry � Lawn Irrigation
�� adon Rock Bed � Mfg.
raming � Other(specify)
0 Insulation
� s-Built Survey
�inal
❑ Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Acces�: Existing: � YES � NO New: � YES � NO
;;
OFFfCIAL REMe4RKS -TO BE NOTED ON PERMIIT AND INITIALLED
� � �� � ' � � 6a �
�� �
' � �c� �� ��v �--- ���,
�- .� t�lll�cd �- v
Updated: January 2013
v:\forms\plan review checklist 2013.docx
. �� �a73 -
Buiiding Permit Application fa MainteOnance/ Replacement/
(No structural expansion.Only windows, doors,siding, re-roof�, etc.vation
�QNO MalAinp Addrssa• `
PO Box B6 Pertnit nurr�bs�: / 7
Crystal Bay,MN 55323�Upg8 Date roeeived: - -�
� ; SGeat Aa4y�ess: Recaivsd by; �
� G n50 Ke98y P.rkw.y �7�.S�
�KFSNOA�' ��,MN 55358 Plan reviewtse:
Main: 952-249-�800 Fax: 952-249-4818 v�N y d oro� Tofal Fee: ��C� .,� Q l�
This ePplication tortn must be completed'n(ull and a11 required infortnaUon must be wbmined, v
GENERAL INFORMA71ptd: Incompleb app�icaBons will be retumed_ r �y� rinq �
� (� •
Job 31te Addresa: J �J �cti 5 C�i �� ` /�. ' f
Will thls be a Puade of Homes,Remodelers S►iowcase Home or other Display No� � J�� /v
nY�+.a spscid mrit Prmif k nquind w�P o l i a O�p a rt m e n t w M C l ty C o un d/approvd 80 da Y@ f
+e4 u h e d uM�st app�6cent d�na�ahaha+uRkkrM on-alfs Pe�+n9 b avapebfe. Non-ri A�'fo t�s evenl. Shuffk bus+wics wRf bs
COMTRACTOR I APPLlCANT INFORMATION; P1""��s`'°^h w�l7notbr a,7owsd,
Name:
State Licenee N
Lead Certifk.ation Number: Expiratlon Dafe:
(1'��wor*on homet thn w�A���p�or to 1978 �PRation Date:
Phona: (ceA)
Mailinp Address: {otfice)
CoMact Person: �dY� ZIP:
Emall and/or Fax: APPI�nt is: Contractor / Nomeowner �c�N�
PROPERTY pWNER INFORINATI :
Mame �1 ' / �.���SS'1 ' ZT'i�D
Phone(dAy): 'Z.1 �r-�l
Aa��B: — �•y � t'T l�.l
Email and/or Fax: Cc co City: ���a.a ZJP: ��3'j�
4.,
PROJECT INFORMATtON: Overat! 'ect des�r' �
Typa of Proj�ek
���°) ❑Remodel ❑Fke Damape Any MCVW nvlew�also nqulre
❑Re-roof,nphalt P�rmkr.
❑Rep�ir ���p�98 Min�rohahe Creek Waferehed Oistrio((►�ICyyp)
❑Re-rmf.eadar ❑Reatoratlon ❑Waler Damape 18202 MinneloMc�Blvd
❑Rs-ropf.ofMr(sp�esy� ❑Sidinp ❑py�r(�pedfy) �°�en'� �391
Phona: 952-471-OSgp , )
dow(e) : 652-471-0662 I/
Eatlmated Conatruetio�Valwtlo�of Project(exelu�ne land) j /�I�
APPUCANT AGKNOWLEDGElWENT;
• �9f°°s�°ProMde NI informalian requfred or requested by the BuNdinp Departmen�
• CeNfiea Ciat the iMom�eyo�a�ppp��������o the Dest ot hia/her knwdedpe. Ths appCqM�nizes that they are
kcl i un���tu��a��ete appBptton beiny awero that upon fallure to do so,the staff has no���bW b
f° con+pete;
• 9ortro or all of Ihs h�ort�yon yut you aro a�ked tO p�vlde on Ihis aPP�atien b classifbd by 8tate law as either private or
��e��. P�B1e����°d°^wh��h pm�eraly annot be piven to ihe piblic bul cen be piven to the aubjeq p{��te.
��������On^�HO^���h O��sYy annot be pNen b ekher Ihs p�61k or Iha subjeU c{Iha data. Our purpcse and
aMended we of thia informalion is to armuallyr update our rscotds and nwrds of ot►br pove���l��poa roqu{red py I�w. If
a+rshns b s 1 icaUon m� not be isy��.
APP��ent's Si�atu , `'�„_
Date: � l
ow�era sbnsr�e: Z -' /y
Date: _ (��_
tasi updqed:o�oerzm a --T--
`�t� � � �
STRUCTURE INFORMATION: �7ype of Construction
- 1.Structure Dimenslons ,/ 1.Structure Dimensions(continued)
�1 /
�' Number of bedrooms= ❑Wood 1 Frame
a.Length(ft-)= []pAasonry
b.Widlh(fl.)� Number ot garage stalls. �Metal
qreas in sauare teet
Attached=_._ �Pole Bldg.
Detached=__ ❑ICF
c.Basement= �p�_�}�e Prefab
� �a 1
d•1'�Sl°ry " �Off-slle Pretab �
e.2'�Story= ❑Other(please specify)� r �
f. %Story = .
g.Tolal Area=
REQUIRED SUBMITTALS:
Ail of the information Nu��t be submitted in order for our a lication to be rocesse '
Enclos A Ilcable
p Permit A lication
p Pro osed Buikl�n P�ans
� ❑ MN 31ate Ene Code Calculatio�s end Mechanical Code Re uirements orm
� ❑ Surve meeti� ell re uiroments
� p Stortnwaler PolluCron PrevenGo�Plan
� ❑ HardcoverCalwlation s
� p Sa tic S stem Site Evaluetfon Re ort
� p Access Pertnit
� p Wetland Bufier Im rovement Plan
� ❑ En ineered Plans for Relainin Walls 4 feel or above
O p Minnehahe Creek Wetershed District Pertnit s
� ❑ Plan Review Fee
� qpp�icatlon Esuow&Agreement
0
� p Othec
qppLICANTIOWNER ACKNOWLEDGEMENT:
Agrees to provide all intortnation required or requested by lhe Building Department;
. Aprees to pay ths City of Orono for englneering eonsulUnt review costs In excess of 5500;
. CertiOes ihat the Information supplled is true and��i��'on being aware'hal upon ai u9re loTdo so,Pthe staN ha nno el emal ve
are solely responsible For submflling a wmpleta app
but to reject il unGl it Is complete; leted and signed,
Acknowladges the Escrow Agreement is comp ����ion is dassi8ed by Slate law as eilher
blic hul can be given lo lhe subject
• Understands some or ell af Ihe infortnaGon thet you are asked to provide en to'elher the public w the subject of the dala. O��
• privale or confidenUal. Privale deta is in(ormalion which generelly cannot 6e given lo the P� o�mmenlal agencies
ate our records and records of other g
of the dala. Confidential deta is infortnation which penerally cannot be g
1 lhe in(ortnalian,we applicalion may not be issued.
purpose end intended use of lhls infortnation is ta anrwally u
required by lew. I(you refuse lo suPP Y
revent the comptetion be iss Qd uipon rsceipt of atS10,000
Y
. qgrees that in the event that weather or othar�c��d Certiflcata of Occupanoy maY
CeAificate of Occupancy is requasted,a temP N
escrow to ensure completion of the as-buflt survey and alI cite improvementa.
�j---Z G - / �-/
� — Date'.
ppplicant's Signature: !— ,__.� � Date: � � U _ r y
pwners Signa u�t r '
—�_
, , � u� c�� Z��
City of Orono O�OHO COP�
-�o- o,, Hardcover Calculation Worksheet
! Property Address: � S,�r� C��C p fl,�r,�-�i R f�.f!1 lr.�'''.�/�l I�it G�'�t,�
�',,��' ��, C,l
r � � fSMORf,� Prepared by: Date: 6-6-�Y CF�'�,� S-2�iij4,�va
-- GR�1,1ft�E'��' f if�fD Cf.�7E�",/�C.
�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the fallowing table identify all items af existing hardcwer on the property,keyed by letter to Certficate
of Starvey(survey must accompany this form). Use as many lines as necessary ta accurately depict
existing hardcover status of the properry. For Tier 1 properties,identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately for each portion.
Key to Total
Surve Hardcover Item (Describe) Length x Width �S uare Feet)
Exam le G�a e 24'x 30' 720 S.F.
A pu S.F.
B "'fk. S.F.
c s�� �.. �F i 9 s.F.
p �, 5 r F �� 2 S.F.
E C�r..1� '�� - :1� 5 S.F.
F o � O � - �.s � c u 7 S.F.
G � J � S.F.
H o �tp • - S.F.
I Cf �
rir o�' u S.F.
� i. ., ii ,v eFr P4r.a .,L�'D" S.F.
K �• �d *� C.rE aF�YU4fF� S.F.
� „ .� .� .rck S.F.
M S-F-
N ��� �' ,�9���s� , �fC S.F.
0 S.F.
P S.F.
� S.F.
R S.F.
S S.F.
T S.F.
U - S.F.
U S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Existin Hardcover 652 S.F. 5�{(��'
Excludable Hardcover See Cit Code Sec 78 1684 :
:�l��rLL � c� S.F.
S.F.
S.F.
S.F.
S.F.
"2 Total Excludable Hardcover S.F. ��
3) Net Exisbn Hardcover Subtract line{2 from line 1 6 y6o �-F•
4 Total Lot Area �t/oT i.✓ce�.�c'�� AR�'� a�F c.�rro PT �Q- BUt.rrx�P 22 9� S.F.
Existing Hardcover Percentage [(3}_(4) ] 28. I'9 %
(Proposed Hardcover next page} �
2���1
January 8,2U13
'T .-- �. � � �a r;.. c M:�r- s >> s j
r.;t;'G,'f F� �� � . ; �Q,."��� :...o . ...� +. �:...r.j lf';�.f .r f�c::�}���"
., c ,J e
` '��? 1�TARDCOVER CALCULATION WOI2KSHEET
SET13:\CTC ZONE: (CIRCLr �N�.) 0-75' 75-250� 250-500' 500-1000'
EXISTING H.�RDCOY�R IN ZONE '
A. House x = .=�:� S.F.
Length Width
x = S.F.
� = S.F.
x = S.F.
B. Garlge ____ x = S.F,
C. Driveway x = ' `�, ~, S.F.
,. �, �.;: ,.,>'�— x = "_,-'� S.F.
D, Sidewalk Fi��.a f x = �-� ,'"� S.F.
� ,�:, �C X = - -�,
-, S.F.
Ei Pat o%lleck x = �= � S.F:
... ��'�� x = .�' (} S.F.
F. Landscape 2 g8� lZUf":����':� _ ,>' /� S.F.
Underlain v�ooL; `�� a�,�";�.-<� x = i "ci_ S.F.
By Plastic x = S.F.
Or Fabric �
G. Other 'r1�L?� __ ;� _ �i� S.F.
TUTAI.HARDCOVER IN ZONE - ��=-� S.F. A
TOTAL PR�P�RTY AREA IN ZONE �°T �a�U��►�'`� �`���'•� i 7 Z 7 1 S.F. B
� �.��/ = B /7zZ; Xioo = . �;�.�'? �io
PROPOS�ll HARDCOVT:IZ IN ZON�
A. I-Iouse x = S.F.
Len�;th Width
X = S.F.
— X = S.F.
_ X = S.F.
B. Garage x = S.P.
C. Driv�way x = S.F.
X = S.F.
D. Side�valk x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape ____ x:•. = S.F.
Underiain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other X =
S.F.
TOTAL HARllCOVER IN ZONB - S.F. A
TOTAL PROPERTY.412EA IN ZONE - S.F. B
� = B X ioo = atECEI!!'EC1
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INSPECTION NOTICE %�) SCHEDULED . j�`J' __z'�
PERMIT NO. �-� COMPLETED
ADDRESS� � ��' [3Q �C2.�'J f'G� �7'� I�c�
OWNER � i��l 1'�l`fYG�{'I�I`�l II��LEPHONE NO.�/`� ` (!'���-7�/�,
CONTRACTOR
�—. � •.
� DESCRIPTION 7r"/L�C�/ G t--%/lc�i,''T1'K=�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL��-��1
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI G/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMB�NG 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
v ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACT�$�N4EE�1�9U�YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ ROJECT COMPLEfE
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advan 49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�,`O DATE TJnAE/
�� CIN OF ORONO CALLED IN V
INSPECTION/N�OTI�E SCHEDULED �
PERMIT NO. L���!�`��_7 COMPLETED
ADDRESS 2 -1 � �
OWNER � e� TELEPHONE NO. 2������ ��
CONTRACTOR I�� C�Z��'�7�CJ�G�FZ
� DESCRIPTION �� /��. ( ��G�
ly ❑ 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
= LT-SURVEY ❑ S ER HOOK-UP ❑ HARD COVER REMOVAL
� DEMO SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNE ONTRACTOR TO MEET YOU• YES_NO
� MMENTS:
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V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pf{OTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
i� �
Call forthe next inspection 24 hours in advance. (952� 249-4600
Ownerl ntractor on site: �'��"�
Inspector. �""
White Copyllnspector's File Canary CopylSite Notice
�_�O �� DATE TIME V
CITY OF ORONO CAL�ED IN �.�� �
INSPECTION N T CE /JC�J SCHEDULED �� —
PERMIT NO. D"'"�� COMPLETED
ADDRESS
OWNER LEPHONE NO �� 6� � 1�
CONTRACTOR
� DESCRIPTION '`� r�
�
W ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
�
Q � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours'n advance.�,Q52��2�4600
OwnerlContractor on site:
Inspector.
�1 ; a.f�,,
White Copyflnspector's File � Canary CopylSite Notice
=` E TIME
CIN OF ORONO CALLED IN � �
INSPECTION N TIC � CHEDULED � e
PERMIT NO. �G� ��� � PLETED
ADDRESS � � C�
OWNER LEPHONE NO.
CONTRACTO �
� DESCRIPTION ^��/�
�
� ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING O MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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O CO ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan 249-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TIME /
CITY OF ORONO CALLED IN V
INSPECTION NOTI E G4ti�7 SCHEDULED
PERMIT NO. � COMPLETED ��
ADDRESS ��`�� CF-x G ��- �
OWNER �1��� ��l�✓ TELEPHONE NO.
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j; DESCRIPTION �`�'o �t �nL�o �/N �cw ,f' ��
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y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
��►EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J O DEMO-SITE ❑ SEPTIC MAINT. ��OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in adva . (952) 249-4600
OwnerfContractor on site:
Inspector. �i---� �-
White Copyflnspector's File Canary CopylSite Notice