HomeMy WebLinkAbout2009-00911 - addn/remodel/repair - - CITY OF ORONO PERMIT NO.: 2009-00911
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OV06/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3205 CRYSTAL BAY RD
PIN : 17-117-23-41-0011
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 175,000.00
NOTE: SEPERATE PERM[TS REQUIRED: YLUMBING,MECHANICAL, FIREPLACE. ELEC"I'RICAL(STATE)
ADV. PLAN REVIEW PD 12/21/09 2009-00910$979.39
-COLOR CODED SURVEY/HARDCOVER REMOVAL PLAN TO BE FOLLOWED L ��
-COMPLIANCG PRIOR TO C.O.VERIFIGD W/AS-BUIL'1'SURVEY �1�
APPLICANT PERMIT FEE SCHEDULE 1,506.75
ANDERSON, RICHARD STATE SURCHARGE(VALUATION) 87.50
3205 CRYSTAL BAY RD TOTAL 1,594.25
WAYZATA, MN 55391-
OWNER
ANDERSON, R[CHARD
3205 CRYSTAL BAY RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"I�he work ibr which this pennit is issued shall be periormed according to
thc approved plans and specifications,applicable City approvals,and thc
State F3uilding Code. "l�his permit is for only�the work dcscribed and does
not grant permission for additional or rclated work which requires separatc
permits. All provisions of la��s and ordinances govcrning this type ol�work
shall be compied with whether or not speciticd herein.This permit will
expire and become null and void if construction authorized is not
commenced within I 80 da��s 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 arc
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. � ��
'�-�a.�C��SJ�`�'`� � � i C' � i ( i1 " ' ��� / i �v i�7L�/l�
A plicant Permitee Signature Date �� �� G��C� �� �
Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, -
�
� � h � City of Orono � �, �� �
� � � 9
Building Permit Application �
for New Structures or Additions
�-���� Mailing Address: Q � I
g,�,��� PO Box 66 Permit number:
O �:, O�
Crystal Bay, MN 55323-0066 Date received: 2.- q
��} �,
'�� r�'�;��s-*'- �,� Street Address:' Received by:
���� '°t�p�:��,,� G��;, 2750 Kelley Parkway Plan review fee: �q'•�j �z�i��
9,kEs�j Orono, MN 55356 ^�� � °`�
I
Total Fee:
Main: 952-249-4600 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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: ,;1jt�(;� J�,���'� ;
Will this be a Parade of Homes, Remode rs Showcase ome or other Display Home? ❑ Yes ❑ No
!f yes, a specia!event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: '
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: _ City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNE NFORMATION: �
Name: �-. c. A<� - . A. ���:� `
Phone (day): � Z • Z�c� . �t},S �
Address: r City:�.�,��,�'�Q j.�q ZIP: '�3�\
Email and/or Fax _`�� ��� y������ C,t„u-�,
ARCHITECT/ ENC�II�EER (NFORMATION:
Name: �1,'�t c �,��,,�„�
Phone (day): -� ��y
Address: �1 g� Lp � City: C�,�- z� ZIP� �J�J3�`�
Email and/or Fax: C�y�,�� �� � r---k-i�-1�'�`l��, (�FJ-�
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
❑,New Construction Water Supply
❑ Single Family with �Residence
�Addition attached garage ❑ Gara e/Accesso Bld
❑ Accessory Building � Single Famity with ❑ Deckg ry g' � Public Sewer
❑ Relocation detached garage ❑ Office/Commercial
❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer
p y ❑ Warehouse
❑ Public ❑ Storage �Public Water
"Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review& permits. ❑ Industrial ❑ Private Wel�
Minnehaha Creek Watershed District(MCWD) ❑ Other. (specify) j
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ,� �',v
Last Updated: 9/29/2009
- 17 -
. . �
STRUCTURE INFORMATION:
1. Structure Dimensions 1`�, �K 1. Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= � �3 Number of bedrooms= , �Wood/Frame
Masonry
b. Width (ft.}= ��� 1�� Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in spuare feet v �etached = ❑ ICF
c. Basement- �� ❑ On-site Prefab
- ❑ Off-site Prefab
� �
d. 151 Story = �j� ❑ Other(please specify):
e. 2"d Story= L�_
f. '/2 Story = �
g. Total Are� /)��
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Permit Ap lication
� ❑ Pro osed Buildin Plans
� ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
� ❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation(s
❑ Se tic S stem Site Evaluation Re ort
❑ �3` Access Permit
� Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other
APPLICANT 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 knowtedge. 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;
• 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 p��blic 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.
ApplicanYs Signature: ��aQ � Date: �,� — �,� ���
Last Updated: 9/29/2009
- 18 -
� � Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: _ �j�,7L j � ���-�� f�s-"� 1 13r� �( T� ��
Description of work: A�,� � ,—�e,v g
�
Septic review by: Date Approved: D2 "�.� C��
Zoning review by: Date Approved: � G
Building review by: .,,�,C�, ,,._ Date Approved: � - �-i-t0
Grading review by: Date Approved:
Zoning File#: D I� 34'ZZ Resolution #: Resolution Date: �� � C� ��
Zonin District Fire Department Post Office School District
Zoning: Lot Area: V�� ��S� �� /AC Width: Depth:
Survey Submitted: Yes ❑ No Date of Survey: l(� — 7—U /
Pro osed Setb cks:
Front( ke) �(Street) ( N S E W ) ( N S E �V ) Other Buildings Wetland
Si e Side
l� (.a�! � r���� , � r
Building Defined Height: Building Peak Height: # of Stories O : YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof, the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: ��Q`�"v SF � • �6 %
S reland District MCWD Permit Received Avera e Lakeshore Setback Blu
� Yes ❑ No � N/A 0 Yes No
Yes 0 No ❑ Yes ❑ N/A
Permit Number: Setback:
Hardcover Zones Existin Propose V riance Required CUP Req 'red
0-75' Z�(� Yes ❑ No ❑ Yes No
75-250' 3(o -�j3 TYP �S)� ,���i� Type(s):
250-500'
500-1000'
REMARKS (� -house): ��i����U �� �G��it �� ��'���� �
Y�c ��[�
Updated: 09/11/2009
z:\forms�plan review checklist.docx
Fees to be Charged YES NO �
Permit �/'
Plan Review
State Surcharge �
Investigation Fee
SAC— Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site lnspection
Other (specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Footage
Basement X = $
1St Floor X = $
2nd FIoOI' X = $
Garage X = $
Estimated Construction Value: $ 11�,uc�U "''�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site O�Plumbing 0 Grading / Filling ❑ Well
0 Hardcover Removal ,0' Mechanical ❑ Fire � Electrical
�' Footing 0 Septic � Water Connection
,la" ured Wall �d'Fireplace ❑ Sewer Connection
Foundation Survey ❑ Masonry ❑ Lawn Irrigation
0 on Rock Bed ❑ Mfg.
� Framing 0 Other(specify)
�''Insulation
s-Built Survey
H�Fin I
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES 0 NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMI AND INITIALLED BY PERSON PULLING PERMIT)
— r c 1� i�, 1!
.- G . 0 . i � W - �` ���
Updated: 09/11/2009
z:\forms\pfan review checklist.docx
. ,�
' . : � .
� .
emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File / /
�.e
Date: July 2, 2013
G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit #2009-00911 pertaining to 3205 Crystal Bay Road is complete. The
Applicant, Richard & Leesa Anderson, has requested a refund of their$2,500 escrow.
As-built survey was reviewed in-house.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Richard & Leesa Anderson
3205 Crystal Bay Road
Wayzata, MN 55391
w:�.street files\crystal bay rd�3205\escrow refund memo for 2009-00911.doc
• BUILDING PERMIT ESCROW AGREEMENT /
Orono Building Permit#2009-00911
AGREEMENT made this 2� day of�����1���� 2Q�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Richard & Leesa Anderson ("Owner").
Recita Is
1. Building permit applications have been filed for an addition located at 3205 Crvstal Bav Road the
("Subject Property"), legally described as Attached as Exhibit A.
2. Owner requests the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes 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 Owner shall deposit $2,500 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 purn��� of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City ha� �- , iing planning, engineering, in excess of $500, or legal
consultant review or wili ��-
) �� �m ligible expenses shall be consistent with expenses the
Owner wo����' ` ���7t�� �ermit application. The escrow will also guarantee
reimburs� /'-`,�n� � `� � r rp��/ ��� ity has incurred to assure that the work is completed in
accordan�o���`� �l'� �u ��� � ,`�� n and the provisions of Orono City Code Chapter 79.
The finan� ,�`� minate any hazardous conditions associated with the
work and i� ��� •ucture that is caused by the work (including planning,
engineerinc �,`` uilding permit #2009-00911 if compliance with the
approved b� � z
3• �� onsultant bills for incurred costs, the City will in turn
send a bill to � � ent to the City within 30 days of the Owner's receipt
of bill. ^e'� /
`v
� � � IT. In the event that the Owner does not make
4. G'� r i i � '/
payment to the � �-� �-� 1 `�� !e City may draw from the escrow account without
further approva �� ��_��..�'� expenses the City has incurred. The City shall
notify the Owne ��� ";(�`'�, `- ' � ex ense for which the reimbursement is bein
p g
made. If the Es ,, � ���� :row amount the Owner shall deposit additional
sums as directed �,{\;��.� __� nd post a Stop Work Order.
/
4. C �1� ��'��( � the escrow, if any, shall be returned to the
Owner when the r �:_�" 'i �n is received from the Owner requesting the
funds. `
;� �� �
5. CEI `--� �doned by Owner, or if the eligible expenses
incurred by the City , the right to certify the unpaid balance to the
subject property purs
CITY: CITY OF Q.RO =R;
By. ( �� � By:_F���lS1SZ�ClI � Sl � 9_�Y�
1�,-
Its: ��vv Uv.�i� . „ �J-�c�. By:
I Internal Use Only: 0 Original to Finance Department 0 Copy to Street File
ZONING FILE NO. 09-3422 EXHIBIT A RESOLUTION NO.
LEGAL DESCRIPTION OF PREMISES SURVEYED:
That part of Lot 1, Bic�ck 2, Townsite of Langdon Park including portion of Northern Avenue now
vacated, described as follows: Commencing at the point of intersection of the Northerly line of
the ri5ht-of-way �f thr: Great North��!� Ra'.I�h�ay ��mpany with.the S��therly exte�si.�n of the
dividing line between Lots 1 and 2 in said Biock 2, Townsite of Langdon Park; thence
Northwesterty along the dividing line between said Lots 1 and 2 and same extended, a distance
of 213.14 feet; thence Northeasterly deflecting right at an angle of 82 degrees 55 minutes from
last described course a distance of 240 feet; thence continuing Northeasterly deflecting right at an
angle of 12 degrees 12 minutes from iast-described course a distance of 60 feet to the actual
point of beginning of khe t�act of land to be described; thence continuing from said actual point of
beginning NortheastFrly on the e�ension of said last-described line a distance of 44.5 feet to
concrete monument meander corner; thence continuing Northeasterly a distance of 36 feet to a
point in the center(ine of platted street now vacated which abuts upon the Easterly line of said Lot
1 and which point is?_81.35 feet North of the intersection of the centerline of said vacated street
with the Northerly line of the right-of-way of the Great Northern Railway Company; thence
Southerly along the centerline of said vacated street to a point in the Northerly line of said right-
of-way which is 210.8 feet distance from the initial point of commencement measured along the
No�therly line of said right-of-way; thence Southwesterly along the Northerly line if said right-of-
way a distance of 35.8 feet; thence Northerly a distance of 268.6 feet to the actual point of
beginning of the tract of land described; excepting, however the easterly 7.5 feet thereof; also
including all that part of said Lot 1 lying between the Northwesterly and Northerly lines of the
premises hereinbefore described and the shore of Lake Minnetonka, and between the NorthErly
extension of the Easterly and Southwesterly side lines of the premises hereinbefore first
described, together with all riparian rights, accretions and relictions appurtenant thereto,
�ccording to the plat thereof on file and of record in the office of the Register of Deeds in and for
said county,
That part of Lot 1, Block 2, Townsite of Langdon Park including portion of Northern Avenue, now
vacated, described as follows: Commencing at the point of intersection of the Northerly line of
the right-of-way of the Great Northern Railway Company with the Southerly extension of the
dividing line between Lots 1 and 2 in said Block 2, Townsite of Langdon Park; thence
Northwesterly along the dividing line between Lots 1 and 2 and the same extended, a d'+stance of
213.14 fEet; thence Rortheasterl�deflecting right at an angle of 82 degrees 55 minutes from East
described course a d�stance of 240 feet to the actual point of beginning of the tract of land to be
described; thence Northeasterly deflecting right at an angle of 12 degrees 12 minutes from last
described course a d�stance of 60 feet; thence Southeasterly a distance of 268.6 feet to a point in
the Northerly line of said right-of-way of the Great Northern Railway Company, which point is 175
feet Northeasterly me�asured along the Northerly line of said railway right-of-way from the initial
point of commencement; thence Southwesterly along said Northerly right-of-way line 35 feet;
thence Northwesterty in a straight lins 263.2 feet to the actual point of beginning; also including all
that part of Lot 1 in said Block 2 lying befinreen the Northwesterly line of the premises hereinabove
described and the shore of Lake Minnetonka, and between the Northerly extension of the
Northeasterly and Southwesterly side lines of the premises hereinabove first described,
Together with all ripa��ian rights, accretions and relictions appurtenant to the above-described
tract of land;
That part of Tract C lying Southwesterly of a line drawn from a point in the Westerly line of said
Tract C, 44 feet North of the Southerly corner of Tract C, to a point in the Southeasterly fine of
said Tract C, 42 feet PVortheasterty of the Southerly corner of Tract C, Registered Land Survey
on. 429, Files of Registrar of Titles, County of Hennepin.
_,-t� T
. '�,'F y,• ` r�..a.E-. .
,F �� rri: �
ttr y,�� R�;� i` �� :.= e,,�.,_4h;�(;
�;'�r �.,.t:: ��cl. v„iJt ,v��_pl� ,):"{.." �{1�'i .
v�:_- � !_.,,-,_,.
T ... �;i�.:lt, ��:4! . �.
� L�}:;;�,' Pf-° i.'.'"�S r.�fi'::
,:'�., ?E�:'1� .,,._r'., �� ':r4;1 r� i�e;},�;�`�
��1 ���� ��.
?r. '
. �'t3 t t, a; '' .. �
�,� .-r �_; t-d�-=�_i.ri,.lr;f .1_,1�+:,,i� �
i;r«;F; ___.._.__.;'Y'=_rfl_�
'-+ .' __.._.._._.._..___
i ��Ci��.r`lt�. - ...... . ,
�'y4's ii':
' �^t!:;? �;rer!�: '
.....�� i }t;.�i .�._ . .. .. �
. :..f1:Si:1�n `rapl!;�.i`�t�' . . � �i
.�...... . . �.�i:.:..iAt'k ,,
, .
�—�
� �\\
�" � �
� \ CITY of ORONO
/ O O 1��' Municipal Offices
� I
` i
+� �i'��a```���� �_ � i Street Address: Mailing Address:
"�` ,����� ";�� ,�,�' 2750 Kelley Parkway P.O. Box 66
� a� ��is���� G
�� d5�`��y���,� Orono, MN 55356 Crystal Bay, MN 55323-0066
k'E��g���
November 2, 2011
Leesa & Richard Anderson
3205 Crystal Bay Road
Wayzata, MN 55391
RE: Building Permit#2009-00911
In the process of closing out completed building permit project files, it was noted we have not
received an as-built survey and hardcover calculations for the home addition at your property.
We continue to hold an escrow of $2,500 pertaining to the project. In order to begin the process
for the release of the escrow, submittal of an as-buiit survey and hardcover calculations are
required so we may verify conformance with approved permit plans. Once our engineer
determines the property conforms to the approved building permit plans, approved grading plan,
etc. your escrow can be refunded. Please see the attached code section regarding our survey
requirements.
Also noted was no final inspection performed for the home addition. Please call 952-249-4600
to schedule the final inspection as soon as possible.
I can be reached at 952-249-4620 or at cmattson(a�ci.orono.mn.us if you have any questions.
Sincerely,
CITY OF ORNO
�� N���
Christine Mattson
Planning Assistant
Telephone(952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
• � •...
� Y
November 2, 2011
3205 Crystal Bay Road
Page 2 of 2
Sec. 86-68. Permit application; information required.
(a) The application for a construction permit shall include such information as may be
required by the city, which may vary between types of construction projects.
(b) Surveys required:
(1) Initial survey. Any building or general permit application for construction of a new
structure or expansion of an existing structure shall be accompanied by a
certificate of survey prepared by a Minnesota Registered Land Surveyor unless
the building official determines the construction project is exempt from this
section. The certificate of survey shall conform to the standards on file in the
office of the building official.
(2) Foundation survey. A foundation survey shall be submitted to the city for review
and approval, unless exempted by the building official, upon completion of the
foundation work for all buildings and all additions to buildings. The foundation
survey, prepared by a Minnesota Registered Land Surveyor, shall certify the lot
dimensions; front, side, rear, lakeshore, and wetland setbacks; and foundation
elevation. A foundation survey must be submitted before proceeding with framing
or further construction. In lieu of a survey a letter prepared by a Minnesota
Registered Land Surveyor containing the same information as a foundation
survey may be submitted.
(3) As-built survey. An as-built survey, prepared by a Minnesota Registered Land
Surveyor, shall be submitted to the city for review and approval upon the
completion of all buildings and all additions to buildings, unless exempted by the
building official. The as-built survey shall certify the final topography of the site;
verify drainage patterns; and provide hardcover calculations for lots in the
Shoreland Overlay District. An as-built survey must be approved before the
issuance of a certificate of occupancy. 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, applicant shall provide a sufficient financial
guarantee and establish an escrow agreement to ensure completion of the as-
built survey.
(Code 1984, § 12.02; Ord. No. 49 3rd series, § 1, 9-8-2008)
� ` � C� TIME �
CITY OF ORONO CALLED IN
���/a
INSPECTION NOTICE s HE UIED �d a•��
PERMIT NO O� '���LETED ����
ADDRESS D
OWNER ` T HONE NC�O�� , �'3��
CONTRACTOR "
>'; DESCRIPTION � �Z���� N �` � �l��k-('
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PL MBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL
O RACTOR T MEEf YOU: YES_NO
� COMMENTS: ' O� � — a?SS
�
W
a
� — C��,�. � �� G �
0
a
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d /�
W i�'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�`��
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOtV REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContract r on '
Inspector.
White Copyllnspector's File Canary CopylSite Notice
C�(� � /�AT TIME ✓
OF ORONO CALLED IN �/ I � I��
INSPECTION OTICE SCHEDULED �� ��
PERMIT NO. �C� � II COMPLETED
ADDRESS �J a O S C�LP C� � I ��
OWNER �� c�a7'1 TELEPHONE No."'���la -7o�0'�v�
CONTRACTOR
����' �-2!�
>; DESCRIPTION �r� rn � '
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
MBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Q OWN�'�ICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW ; WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on site:
. r-
Inspector. � .�
White Copyllnspector's File Canary CopylSite Notice
� �� �- /
c� D E TIME
CITY OF ORONO CALLED IN �/��
INSPECTION NOTICE SCHEDULED !/-l�'// �
PERMIT N0.2009- DD 9� � COMPLETED °` "
ADDRESS 3�'OS �"yS-�Q-P SL�� �,✓
OWNER LP�4 �"nC�e/"��� TELEPHONE NO. ��Z Z7� 3�5�
CONTRACTOR
>; DESCRIPTION ��n� ^�����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
� ��-fl� 1�? j�--� ����"� �'u�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContra r n it�:
,
Inspecto
White Copy/lnspector's File Canary CopylSite Notice
� 1 �s D E TIME �
CITY OF ORONO CALLED IN ��/�
INSPECTION OTIC /�. SCHEDULED -� '� '� � �
PERMIT NO. -"DD7� �COMPLETED
ADDRESS o2D � � �'�''
OWNER �/� TELEPHO n,o. 6/Z 7Zo 3��a
CONTRACTOR / ' � ��
>; DESCRIPTION Z r
�
lV ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
j (�-t v r �'. C.c1 ,UQ C'I�C j� �.i� �`I?. S -�—
0
'' i-I �� �PI�.S ��G�-� no��" �
�
0
�
Q �b S� 1J (� l � F --r 5����ot -r-
� t�Z�e.�/ S� p����- � �
z
w
�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�THIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑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�0
OwnerlContractor on site:
Inspector. � / -�
White Copyllnspector's File Canary CopylSite Notice
�� ATE TIME v
� CITY OF ORONO CALLED IN ���
INSPECTION NOTI E SCHEDULED -;�2����7-!U �'
PERMIT NO.d�D —D��� COMPLETED
ADDRESS -3Z�S �
OWNER ����_�i1�-IJYL TELEPHO E NO.�lZ 7ZD -3��
CONTRACTOR ��
>; DESCRIPTION ��
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WAL� ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ 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
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� C � ; � S c�� 3� ��o�� ��
0
� C� �5 ��.:�5'� ri
0
�
W
�
Q
�
Z
W
�
W
�
�
W� �1C1pLORK SATISFACTORY:PROCEED ❑ PROJECT COMPLE7E
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WlLL RETURN
i�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECT�ON REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector. C��T/ �
White Copyllnspector's File Canary CopylSite Notice
. /
C/
D TE•' C TIME
�CITY OF ORONO �✓�>�CALLED I �
INSPECTION NOTICE ��� SCHEDU�� ( �
PERMIT NO. �f�����t//� COMPLETED � � `
ADDRESS ��✓�O .�J C e�'C./�,S t"C� l �j f� � F�
OWNER L 1 S I Pr TELEPHONE NO. �-'� I�'6—��
CONTRACTOR �y5�'
T�-�. /
>: DESCRIPTION � � L" �� T/ C'`� - ���� :
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: ���C'��: kZ�� c � .�' .t_✓�C-k'�
a '-�i n s��2S /4-�../D lC�141 �o-,✓�.� ��v Cv�..�-��
o �?c�-t� C�.��-
� - �=r/L�rA-c P ,qa�4�-�.� [��-C t� G� 5�
0
�
W
�
Q
�
Z
W
�
W
�
�
d
� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next ins e tion 24 hours in advance. (952� 249-4600
OwnerlContractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice
J
�_ DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE �j, SCHEDULED - �b /O�'�
PERMIT NO.���0 7`I COMPLETED
ADDRESS �aD
OWNER TEL PHONE NO. �O�z 7� .���
CONTRACTOR �VIC��J''�fS�'1 — (�-�YuQd�l.cT1�9—��
�; DESCRIPTION I I�ISLl,QGt�I �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON
Q ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
a '� �� � � � �� �
� � �C �
�
0
�
�
Q l (2�. ��-!�l f �c>n.� �'�-'.S'f �'
z �# �� ��c%�r-S
w
�
W
�
�
d
� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contractor on site: r
/��
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
1 _�f �/� ✓
--" '�,�-- Cj TIME
ITY OF ORONO CALLED IN � ��
INSPECTION OTI � �- �SCHEDULED U , f�
PERMIT NQ. r� /COMPLET
, � J
ADDRESS �
OWNER CON .
TELEPHONE NO. � � �� " O �— D
� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADWG/FI�LING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI O SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
� ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
W ❑C ECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
Q �CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
YI/ `� •� � DATE TIME ✓
CITY OF ORONO CALLED IN I I I � I I C`�
INSPECTION NOTICE SCHEDULED l I I �/ l C 1 '� 3�,
PERMIT NO. ��� �� ' �`� ��I� COMPLETED
_ �
ADDRESS � ��, �j C ` f� I-����I �"�('r .�_f�,-�
� , � 1 �`
OWNER `�(�'-�'1C`l�"C�� �j'��1 CONTR.
TELEPHONE NO. :L�,�.n � c.�- r ;' �,� -,a��� -�j��
'�
� DESCRIPTION ��C� ���-1-C c� L-L-�C�-�-�.
�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:-� YES_NO
Z /
� COMMENTS:
�
W
a
�
J
O
�
� /-
� +,� ' f �% G--�� .1.!
ti
�
Q
�
Z
W
�
W
�
�
d
W� ORKSATISFACTORY:PROCEED l-i PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site: �
Inspector.
��J �� �. \� j'.
White Copyllnspector's File Canary CopylSite Notice
� ��. �� DATE TIME �
� � 1
CITY OF ORONO CALLED IN I 31��
INSPECTION NOTIC SCHEDULED -1�� �
PERMIT NO.,�(�%���C II connP�ETEo
, �
ADDRESS �-��C�� ����f�-� � �-1
OWNER � CONTR. `�('��n �s=�,�1-�`�,
TELEPHONE N0. ��L�.-1,�'IrI. ( f,�,�,�� ��� ����—�5����
� DESCRIPTION ��'�' � � /�� ���� '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL 1 , ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�lYES_NO
v`
� COMMENTS:
�
W
0.
oj !�-� c' T � (� vt I�i.�t 1
a �
� r� � � > G � .� S P
�
�
W
�
Q
�
Z
W
�
W
�
�
GW LI�NORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECQNDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
�_—� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
/ - � /�'��� `
Inspector. ( � - _ � _ __
White Copyllnspector's File Canary CopylSite Notice