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Home My WebLink About2000-P03105 - deck � PERMIT �CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P03105 Crystal Bay, Minnesota 55323 PePCYIIt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: ioii3i2o SITE ADDRESS: 3405 Crystal Bay Rd WAYZATA,MN 55391 PID: 17-117-23-44-0022 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit T e: Addition/Remodel/Re air Permit Sub-type(s): Deck yp p Single Family DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai Eiecu�icai�siaiej NOTICES/REMARKS: FEE SUIIIIMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00 Plan Review Fee: $ 117.78 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 304.03 APPLICANT: Plekkenpol Builders OWNER: ELIZABETH&DEREK WORTMAN 401 E 78th St 3405 CRYSTAL BAY RD Bloomington, MN 55420 WAYZATA, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �� ;/�'-P' ��'�� APPLI ANT P RMITE ' NATURE SSUED BY SIGNATURE � , Copies: City,Applicant,Assessor, Finance Page 1 1 �; • Total Fee: $ ;�%�fi •�-' �� Date Received: �� % ��`� Entered By: -�� Permit#: ,r�/;��C, �iz-Z�E? %C;-1 <3-C% "� . r S CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER�B�.QNTRACTOR � --� �� z�: Ss j�� JOB SITE ADDRESS: �, ��r S�� NAME OF OWNER: �U� C� - ��a�-�i�ru PHONE: (home) '�JJ -j�Y/ (work) MAILING ADDRESS: .`� �� CITY:��u u-�_ ZIP: CONTRACTOR: �I��'�'�E :�u��c:.t, S PHOi�1E: �'2��s' CONTACT PERSON:Jj� �z(� MOBILE/PAGER: 3�- ��c� MAILING ADDRESS: �{v i �� 7�� Sf CITY: ��u�: ZIP: 55 :�� STATE LICEI�'SE: # (��o�7y '7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �C._ Land Alteration s� PROPOSED WORK(describe in detain: � �- �� -�-�-�� ' I��L,p�ctc'��'�r , ;1 —�—� � 'tr�,� j�� L�J,i�,,� � �lL=�� b 4b'L� ��. L� STORIES: .� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: _�� GARAGE STALLS: ATT. DET. / ESTIMATED CONSTRUCTION VALUATION (excluding land): $ rL�c�<=:�' I hereby apply for a building permit and I acknowledge 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 accof nce wit� the approved plan. i' '� �' - APPLICA1�iT'S SIGNATURE: � DATE: �� Y� NOTE! Parade o�'Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non perntitted events will not be allowed. 5 ./' \ Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored sha►1 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,po(itical 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 identiry 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 ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice repuired under this subdivision in the individual income tax or proaertv 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 dassified 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. Afrer an individual has been shown the private data and informed of its meaning, the data need not be disdosed 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 authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry 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 compiete. 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 induded with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", 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: l. 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 M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. � J �, ��i 4_ First �. Middle Last '� L Jv� � •�� _�. � Ad � .,.,, '1� �s�� :�-�� __��-s= C��y � State Zip Phone I un�s d my rights as stated above. j. gnamre � 6 �' '�i. . - CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3`-1�S C�ts-n� �- �� PID: DESCRIPTION OF WORK: �(� � �-Wt,.� �L \ -------------------------------------- ------ --------------------------- ----------------- -- ZONING REVIEW BY: DATE APPROVED: �o- /� - C�� BUILDING REVIEW BY: DATE APPROVED: � �- 1 t -C7c� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes f/` No PLAN REVIEW Yes �� No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: C,JZ-/L Fire Department: ✓u,�.,,u/� Post Office: wlnyu,� School District: WPSTbNtc� Lot Area: Sq.ft. No Ct.�ruE,,Acres — Width — Depth — Survey Submitted: Yes pc, No Date of Survey: b-�'Z' �� rv ��.� Proposed Setbacks: F�e�t (Lake): �(O Right Side: �{2- Rear (Street): � 00 Left Side: ,3 f Adjacent Structures: �`��"�=� Wetland: r-> >� Building Height: Def. Hgt. N 1� Peal:Hgt. — Lot Coverage: p ,!L Grading: Staff Approval Date: — By: Council Approval Date: Sep�ic: Staff Approval Date: � By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: ��S ,.rS� p�� Avg. Setback: �,�� s�� Bluff Setback: N (�'1— LotCoverage: �/� Existing Proposed Hardcover: 0-75' 75-250' D. (� 250-500' 500-1000' Hardcover Variance Required: Yes No� Date of Council Approval: REMARKS (in house): 7 � l� BUILDING REVIEW CHECK LIST UBC: ►� -3 CONSTRUCTION TYPE: �((� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL ov Estimated Construction Value: $ �(�� l9v e� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �Mechanical Water Connection k Footing Septic Sewer Connection o< Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �_Wall Board (Mfg.) Well (State Permit) r� 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 PERi�IIT): 8 �_ - " ,r' °� �r., .. - , _ 3 u �S C,,�s-��:�r. �,w -;:. .Y__, _ ; , _ _ , ___ _"_. . ._.. __ '_ _ _. ...__ _'. . ...� . . . Te-q..�T,:Rv�-•. �..._ _ _._. . . , .. .. - Ral( J. HANSEN . ��3907 S�rinY L�ka Rcad J . _ C.s�d Sunreyor `. �L�T O OF S�J R V EY �p�ione 93a-55T3 _ ' - ANO ' � . . �'iiVl� Eft�l/1Ml • . ^ . ,:. - OF PROPER.TY.��'_' �J08 il. i'}3T'i'.�T2� ' ' _ 4DCATtON� 3�� Y Raad, Oronc, �i.znesota _ _ . DESCR�HED`AS fOLLOVrS ��-�- �f iot 1�1 seve Ar:d exCeptin� ��est 20 Seet of said Iot 1�, s�d_ _ - �. , � , .';ti.{r�.ing� i`rc� thP ``or`�h �,o South �ine o� �aid I�t �9 hereto�ore t&k�n for �trr� ��s��. . � �-�`.�.so a �trip� of 2and 20 �ee� �de f�rnerl� 1�3.ng bet�cen ?.ots 1� �nd 19 and Ls�d �or stre�t�� ;.��rr�oses �ch sai3 st:eet hQs been cac�xted and said strip of �an� h�s by L�ecree or ?istriot ' �ourt, �:er.reain �County, decZared to be pert of saiG ',at 1�. � Also a c.�rt, o:' T.o� 1� �egir.n- • ' �;.g at t;�e A'ortrv.est cori.er of said Tot 1�, thence �as�,erlp 10 fee�� the.,Ee South �o re�r � -�� 1� o.`' said l.ot 1�, ;�:c'�tC@ �.'t?5 v ?0 feet to Scutr_�7e�t cor^er of said Let 1F�, t,hencr '�ort�n ` -;✓ i�o po�nt o�' be�Tin:.ino. ��.1? :.r, ��:�llace's =:d�ition to tha z;311a�e of t�inr.etor:ka =e3c::, - ��aceordinz :to �he �I3t t�erao� cn f�1� nr.d af recerd �n tl�e o`'fice r„' the Ke�ister of �ee�� v.�.t!-_in a,� fcr saic. :our.t,. , ` , �„��NNE T°NKA - _ - — ' � � �AK� _ - __- � \ �apD r _ ..._ fi� �``. ' ysT� L �Ry`` _ (' ,- �- ` � G R . � B`��:cV �, � _ �.- . . ' ' ' - _ ! ' �i� 1 �� . � � 2n ,F }� -'� � � h �) , '^� ` b � �'� \ , � ,` ! , r " ,� ` � `,� 1 ,'�� '{,�,''J 1� .� .. . �� \ - 't - �n �\ . )„�� / � 1� : � . ,� � � r l ' �) , -� �, : ' n 11 . � � � ' � ' lt.,l.'��i1 ?�i� '��'i � . .J J � �. ' �11 f '-.—�----}-. � . �. � � ; � c i . • � ' e ` � ' � : _ '� a •' . _�` � �' ' � � ' CITY Of OR4�10 , � ° �f �<� --a�.l�- Ui.S �.� � � . � �;� - ; � ; � _� siT� �ur� � G�ADiNG r�AN , �i a � ' V " � : � i Q9-�:r�'{�UV�D t,M/�_+hitis t s-t��2s ! . . \- ' --�� , lpD '�� i �_� J��(�f1�4V�� W��fl FtEV`1'V�� . --�:5 _ .1 Z� ��1�� i ✓W/1rT � 1�/ � � � .. •. . . tri07cfr,vre.� D.G� ': I" A�•Q o� �, �� . : f � I ��4 � y �,', � �� 0-12 O� � i .. � ; : `.-�, - i �,�.r . -•"r�v � � ,o. • _ i 10�lT•llCr EArl,wfvT � � � � _ . ��}_ I.D 1 .� ` � / _.. .. . � � � `' �0- � , y//�y' p -�i " /� . � � �. � ll � G ,^ � �� _ • �1,' . _ ; . 1� — f y ¢/G• - '�� . . . ; �,. '�.. � �f . � � � . ��,' � .. � � � / _lnch = ^ . ..5� tPet: ," 'r � - Scale: -----— _. ,.; . F ` � ~CfR7'IF1CA'TE`OF LOC�ZTOti OF BUILDItiG , . CERT7F1G17E OF SURVEY ,_�� ',_._ � '�.; . , ' . - ! � . 'i� . `,- ;., t..�`. '. .. . . . � �,�ereby eestity that on�_ _/� n . 19J� ' I hc�cby cenify that ou : -_-- .` � `tg- � I� jl ,�:myde a wrvey of thc {ocatian of � buil�iinF(sl on.the above ; 1 surveycd the propert}' dauibcd ab�i�e and [hat the ab�'e Fi»� •M : '�` a.: describtd'property and that the_to4ation of said buAding(s) u„ is a eor�cct rcpccstnt�1ion of said Survey:� � �':4 � _ � F �cos;c:tly �howr�onthe aborc plat. ' ,: ." ' . , =, ` r`� ' • �a;� ,r�r .�,~ , .. . � �� . - ' � . � .. • - . - ` . • . . . Y' �1�.5',;. �.�Y�3 'r' - a ,�• ROY•:l.HANSEN.RE�IST�R�D SURVEYOR�t�tO,6274 �, ,.� � „ , _ ",. � °' . _ ' . _ ., _ . ,_ , _.. . , . . ,. . ,� • - . , ,. .. , ,, • , . , ��. _ . - �;�•. , - _ ,. - ;i. . a ._ .. . . � � DATE TIME CITY OF ORONO CALLED IN � � vD � INSPECTION NOTICE .��. SCHEDULED � / � �`' PERMIT NO. L�L� � i �'-� COMPLETED � �� ADDRESS ��LO� '�l/S��'�'-/ �� `' OWNER �,�C'/"-f�Yl--�f7 CONTR.�/ :: ,��c.'/��.�/ �h� TELEPHONE NO. ��- Z-Z- Z�� DESCRIPTION �� T� �� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � • Z s.' v �- �!� yt S `'" �-�YL : � � ZS✓G 1 �� - � � ��t�-�t� 0 � � 0 � w � Q � z w � w � � d �IORKSATISFACTORY:PROCEED — PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED " ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ! CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR f.; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. �� D r White Copyllnspector's File Canary CopylSite Notice DATE TItM�;E CITY OF ORONO CALLED IN LO—ZLn'C� �' 7� I N S P E C T I O N N I C E/ S C H E D U L E D %O`�.7z� � ' 3� PERMIT NO. COMPLETED Il� �2-7'�� '� ADDRESS �3LIU,� C�'�-j �� .�'�--t�-. OWNER CONTR. ��'j�t��1,1 TELEPHONE NO. ��'�LZ� � � DESCRIPTION Ly� 01 G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING MINr� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRAC TO MEET YO :_YES NO ° co MENTS:C� ��(� ��c/�-�re� �lc�.ss � � U �G2 S ��" 1,��- s . � ,� � � -Z ' i� ��• �;��- o . � � � �.-�l/ 5-� � �s;'� Y o W c� c�:. W _ � h n. Q z l O N W � W � � d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � �CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.,�v��-�� White Copyllnspector's File Canary CopylSite Notice DATE n� CITY OF ORONO CALLED IN � � �� ' INSPECTION NOTICE SCHEDULED b' '�" ' PERMIT N0.`��C�S COMPLETED � �p / ADDRESS 3�dr �.',�� -� � — OWNER CONTR._ I-e��Yl�h� TELEPHONE NO. ��"ZZ2=5 � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO O CQ � j �� O � W � Q � Z W � W � � d W �VORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT L', CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice i DATE TIME CITY OF ORONO CALLED IN G �U U ' � /F INSPECTION NOTICE SCHEDULEd�i �:� PERMtT NO. �/n 5 COMPLETED �� ADDRESS � �G J ��!%S� / �A � ,t�� OWNER I.l � �1f�Mr� CONTR.�IVGj/� �j� �C� � TELEPHONE NO. 1/I o� - �� ZZZ� ��53`JL� � DESCRIPTION � �1�E'1 ��- —4-P'15,�- LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DtMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL �.I Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � C M � G � J O '� � �� , � ��-- � � � Cer ��1� c � i �. W � Q � Z W � W � j � ❑WORK SATISFACTORY:PROCEED ' pROJECT COMPLETE W � �CORRECT WORK 8�PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. _, pHOTOTAKEN INSPECTOR WILL REfURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED �:, INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cali for the next inspection 24 hours in advance. 249-460� OwnerlContract r on site: Inspector. //�� r��L� White Copyllnspector's File Canary CopylSite Notice / DATE TiME CITY OF ORONO CALLED IN �'�- a INSPECTION NO CE SCHEDULED 4 ��y� PERMIT NO. ��/U5� COMPLETED _� ADDRESS c.-� OWNER L�z l,�curT�ln c�� CONTR. �<�- � , a TELEPHONE N0. ��S�j �� :��7 I ��<<�� DESCRIPTIO� �. � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION OS FI 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT '� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COM `TS: a -- "T� - 1M< <� ; rC�. � ` 0 '� -- u,�� P� 2�3 � ° � - � G�3110 W Q .--- ' � , PO 31 d� � z W � W � � � � ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE(/ W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORFECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next i spection 24 hours in advance. (g52) 249-4600 OwnerlContr� te Inspector. White Copy/inspector's File Canary Copy/Site Notice