HomeMy WebLinkAbout1997-009149 - addition/remodel . PERMIT
'CITY OF ORONO PERMIT TYPE: _ ;:�
2750 Kelley Parkway- P.O. Box 66 Permit Number: ��=��i`?��.-��u v
Crystal Bay, Minnesota 55323 - - - _
(612) 473-7357 Date Issued: „ , , „ .,
SITE ADDRESS:
.. _ . _... .;-i; =-�`Es
-.' : ;. _,-;_..:; ; - - -
. . . . . _ . .. _. . _..."� _"t:t_•''..._...
DESCRIPTION:
- -:r,:
_. _:! � ��Y — —--s=is�.�:�,:�;:;��•i,i}�+!_��
�i�_.{S. .i'..�._i�,��: ��_.'����E�i p :"'ei . _�
_ � ! �_,'!� t'iM ;ui.,:i., r".'�,F, r"_.�I)�"� i3_I�si
" � _�
;(_. �_{�-t�I 1 j�:;{j�=j` �'•°"'_
"�r��V:'�.}'i„f��;fi.i �,�1"i f-;Y:�: i�jh�
�F, . �,�
__ ?��.��'�i s i� L°..'_' �[ T
_::i 1�)L�I'� r.S�,i�,:F-_^ . �ili }.�Zi, � �`l,:^'�M� i �ii,i��V 1 F"�tL.
REMARKS:
_. -:- - -� ;::. -;_ , . .
,. . , ,:� . .__
�-� -- . - ,. . ., _ ;. �._. ._ . � .__ _ ._. __ _ .._... _ ..
, : - � ,, � � � ,
FEE SUMMARY:
. ._.�_:. �� '� l,��� - _ , ::�=�_.
��- �_,-,- �::=.��°T; -
.a��+= � __ - • • -
f"'��i,I i {':�,�_�w�7 I-^Ldl i.M1 i_.��y' ^ "
.��_�t t_ ?�l!~°-_i�-'_' �.._.�.._. " �!�'e
�tiE 7 _?E k—'�=-._ �`t i _ ��� '_'-i
CONTRACTOR: -- r;�:::::: w c�::,;_ __ �=;-: . ::� .OWNER:
- ; x E -_,�:�. c;= _ -,;�;
- . :, :_ . . . ._ _ . _. . _. ._ - - • � - - - - , . _ . . _ . .
� -� r:.-,..,-. ,�.:: - ._.. _.
• ..: ;„ } .°,:�� � '
�_,_�___.. ._ .
L,-:
_ ' ' — _.—i,�. ���j S .`.! #._'..�. ...: �
• .+. ' �
t';_:t��_ � f,� ',<;E.,; N. _.i� �� . ... _. _ .. r
� F - ' ..���.W;�,.� v t a. _ . .� . � ... . . .�
� i—..^.
, : 3 i T -�r i= - ;;'i ?�;;�=�:�. _ i�.__ . . _ .. !�_�i.,� �?� I:.�s �. 1�# $�.*-3;._ -��i�,It-r•7F;,
... ._. ._ _ _ .._ '��-' '�
Y � _..;��';5 i••'s,;+". t_� - l.i�:-:;.� - �-. ; "i �,t": _„.��_ ,!i_.�- l�7 �i . .__�. ... _� �?� _ +
n. ; :iy
. .� � ,. . r �•4�.;• . � i. �. _. . _ _ _ . _
_. ___ - �'�.:�'v.;. �=:1•�E`_ .,� . .. s_ .;T. . _}_ ,_. , ' ... _ . . . _�' _ _ _ _,_ °��r�i.,, ..� ._._. .._.�. , _ .
. t�,_ '#a.�:, t.._'-,s�€ : 3.�_Ll ' �:vr-: {-.t.,..
L ... ._. .._ J
C
� � (/- - C�:9�Z1-n ���ti
APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
Total Fee: $ .', /-� t; ` i Date Received: � ',_.-� � �j �
Entered By: r: Permit#: � i ��' -
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 OR�CONTRACTOR�
JOB SITE ADDRESS: '�I��J��' ��'-���� �Zc�c:Q cJl ZIP: �Ss���
NAME OF OWNER: 5U�V1 ,Jt�C�C PHONE: (home) LI�Z-�3�I f
(work)
MAILING ADDRESS: ��'�3 �-' �c��'�` 1 s�`-���ITY: �.r�►1c_, ZIP:—j�5`�" -�
CONTRACTOR: `)��o�•yc� C..�v�5��-..c � ..�•,�,�HONE: S�-1 --? `;�-`�I
CONTACT PERSON: �3��\\ 1,�c; \�.F- 1`+�IOBILE/PAGER:
MAILING ADDRESS: (,�"i ZZ `--i.Z"�'� 1��? 1� CITY: L-' �� r�l ZIP: `j`�U Z_.7
STATE LICENSE: # �`�`�I G
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition �/ Accessory Structure
Move Remodel/Alteration Land Alteration
�
PROPOSED WORK(describe in detain: 5 ���5 ��-- �">�=�r�L- �Z~�. ���-�'�
��JL-�i�E. L' {�_` �,�'C__ V�` ` '� �t'1�!���' �```�
STORIES: �_ SQ. FEET OF EACH FLOOR: 3 Z�� �� 3'�i��o 1�Z��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $��_f��• ��
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 accordance with the approved plan.
� � ����,
. APPLICANT'S SIGNATURE:�'��-��-�-•� ��'(�C! DAT`E: �G�-S .�
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
Sec.13.04 RIGHTS OF SLTBJECTS OF DATA
Subd. 1. Type of data. The rights 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 conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collectine"state agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested daca;(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 shalf
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 P�ace the notice required under this subdivision in the individual income tax or propertv 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 confidentiai. 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 ro 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 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
[he 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 complete. 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 authoriry describing the nature of the disagreement.
The responsible authoriry 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 disaereement is included with the disdosed data.
The determination of the responsible authority 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:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under 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.
io�� \�.�.��-. �vv ��, �1�
Firs�� �� , r��„('Q �V d� � Last
L� `-'�
Address
C.r�S IM I� 5Sy Z-^7 � I Z�-5 3 ����7�`6�}
C��y � State Zip Phone
I understand my rights as stated above.
/ � �
� � ��
Sienamre
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: '����,3 C� -��C�--{i���.-. ���.c�--��k'�
PID:
DESCRIPTION OF WORK: _ �n;'�, n���
---------------------------------------- ------ ----------------------------------------------:--------------------
ZONING REVIEW BY: � �, ��,�,��� DATE APPROVED• � - ( -4 7
BUILDING REVIEW BY: ;,�,�,�;�., DATE APPROVED: �- � -y��
----------------------------------------------- -� --------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes -�' No SEWER CONNECT'ION
STATE SUR`�ARGE Yes �' No WATERCONNECTTON
INVESTIGA'I'ION FEE Yes No PARK FEE
SAC Y�s No SITEINSPECTION
Number of SAC Units OTHER (specify)
-------------------=----------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: (r(�-(/�
Fire Departmenr. yY�;.;:ti�.1 Post Office: ��V(,�,��,��J School District: �,���vw,ti..
Lot Area: Sq.ft. 3�5��LS Acres �u� Width �ltXt,rGu cq-,� Depth
Survey Submitted: Yes o� No Date of Survey: G�S' `37
Proposed Setbacks:
F.+�ent (Lake): _ �'�� Right Side: ��� �-
�ear (Street): (aC)�=' Left Side: 3.S ��
Adjacent Structures: ,���t,N-z;� Wetland: �"�'�{r'�
Building Height: Def. Hgt. C-��-- Peak Hgt. �- k
Lot Coverage: �i< <L
Grading: Staff Approval Date: ,�% ��/�- By: Council Approval Date: --
Septic: Staff Approval Date: /�; 101 By: —
Zoning File: # �2y3 Resolution: # Resolution Date: (� � �3 �� �
Shoreland Disc:ict: T�
Avg. Setback: �,�,,%!,�{,t;� Bluff Setback: A,•��/1 LotCoverage: U.�
Existing Proposed
Hardcover: 0-75' 3 '� � ��
75-250' �� .?`� Zl �°t 1
250-500'
500-1000'
Hardcover Variance Required: Yes � No Date of Council Approval:
REMARKS (in house):
• 26
BUILDING REVIEW CHECK LIST
UBC: �� � � CONSTRUCTION TYPE: V�t
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x = �
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ ��?�����
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal ) Mechanical Water Connection
� Footing Septic Sewer Connection
�C Framing Fireplace Lawn Irrigation
_� Insulation (Masonry) Other
� Wall Board (Mfg.) Well (State Permit)
� 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
r
� •
Form for use with Minnesota Rules part 7670.0475, Subp.2
1 &2 Family Residential "Cookbook" Method
SITE ADDRESS CITY
DAHLROAD ORONO
BUILDER DATE
SUNDANCE CONSTRUCTION 5/19/97
Minimum Criteria:
Rim Joist:R-19 insulation Foundation Windows:Insufated glass,1!2"air space,wood or vinyl frame
Entry doors:1-3/4 inch solid wood with storm or better
STEP 1 Window� Door Area STEP 2 Calculate area as a percent of wall
Total Window& Door Area Sq. Feet Box A (window&door area)divided by Box B(total
WINDOWS (including foundation windows): wall area) times 100 equals the window and
Dimensions Qty Area door area as a percent of wall area (BoxC)
10.500 5.000 1.OQ0 52.500 Box A 172.501 x100= 32.671
8.000 5.000 2.000 80.000 Box B 528.000 Box C
2.000 5.000 2.000 20.000
0.000 STEP 3 Design Features
O.QQQ ASSEMBLY OPTION
0.000
0.000 FRAME WALL:
0.000 STANDARD FRAMING X
0.000 ADVANCED FRAMING
0.000
O.00Q CAVITY INSULATION R- 21.000
Total Window Area 152.500
SHEATHING:
DOORS: LESS THAN R-5 X
3.000 6.667 1.000 20.001 R-5 OR MORE
0.000
0.000 WINDOWS(EXCEPT FOUNDATION WINDOWS):
Total Doors Area 20.001 U-FACTOR U- 0.270
Total Area of Windows& Doors 172.501 From the table, determine the maximum percent
BOX A window&door area for the design options selected
Total Wall Area in Sq. Ft. and enter the value in box D below:
Wall Total Perimeter Height Area
66.000 1.000 8.000 528.000 22.000
0.000 BOX D
0.000
0.000
528.000
BOX B Box C must be less than or equal to Box D
Assembly R and U-Factor Forms
ASSEMBLY ROOF AT FRAMING ASSEMBLY ROOF AT INSULATION
Material (Describe) Thickness R-Value Material (Describe) Thickness R-Value
Interior Film Coefficient .610 Interior Film Coefficient .680
Sheet Rock 1.370 Sheet Rock 1.370
Ceiling Member 6.870 Insulation 44.000
Insufation 44.000
Exterior Film Coefficient .610 Exterior Film Coefficient .170
Total Assembly Thermal Resistance 53.460 Total Assembly Thermal Resistance 46.220
Assembly U-Factor(1/Total R) .019 Assembly U-Factor 1/Total R) .022
ASSEMBLY WALL AT FRAMING ASSEMBLY WALL AT INSULATION
Material (Describe) Thickness R-Value Material (Describe) Thickness R-Value
Interior Film Coefficient .680 Interior Film Coefficient .680
Sheet Rock 1.260 Sheet Rock 1.260
Stud 6.870 Insulation 21.000
Sheathing 2.060 Sheathing 2.060
Siding .810 Siding .810
Exterior Film Coefficient .170 Exterior Film Coefficient .170
Total Assembly Thermal Resistance 11.850 Total Assembly Thermal Resistance 25.980
Assembly U-Factor(1/Total R) .084 Assembly U-Factor(1/Total R} .038
ASSEMBLY RIM ASSEMBLY BLOCK
Material (Describe) Thickness R-Value Material (Describe) Thickness R-Value
Interior Film Coefficient .680 Interior Film Coefficient .680
Insulation 21.000 Concrete Block 1.280
Rim 3.780 Optionallnsulation 11.000
Sheathin 2.060 Stud 4.350
Siding .810
Exterior Film Coefficient .170 Exterior Film Coefficient .170
Total Assembly Thermal Resistance 28.500 Total Assembly Thermal Resistance 17.480
Assembly U-Factor(1/Total R) .035 Assembly U-Factor(1/Total R) .057
s �
Exterior Envelope Thermal Transmittance Worksheet
SITE ADDRESS CITY
DAHLROAD ORONO
NAME OF PERSON COMPELETING FORM DATE
JACK 5/19/97
ASSEMBLY FLOOR AREA U-Factor U-Factor
AREA S . Ft. x Area
,� Insulated Area 233 209.700 .022 4.537
o Framing Area 23.300 .019 .436
o Skylight .000
L Other .000
.000
� .000
� .000
- .000
- .000
T
otals
A
- 233.000-
.a�;�F���;`:�<
B 4.973
Avera e U-F
actor
B 4. 7
9 2836851
a� /A
233 ��_:�;:
9 C
.021 ;:;,H..,:;.
U
Re uired U-
Factor f
rom Ener
Code :
4 D
.026
�
9Y )
Insulated Area z 302.699 .038 11.651
Framing Area 2 52.800 .084 4.456
Windows ' 152.500 .270 41.175
_ Doors 20.001 .200 4.000
_ Rim Joist .035 .000
co Fireplace Wall .000
� Above Grade Foundation Wall .057 .000
Foundation Windows .000
-o Patio Doors .000
�, Other .000
N .000
a .000
�- .000
x .000
W .000
Totals ,.�i:��r.�.y.�,x.�ti,:,;,,,,�
E 528.000=::::::::�.>,.:;�..-:�::::::.:<;:: F 61.282
,:..,......,....:.,..,::.:,::.::.:.:
Avera e U-Factor
F
61.28212
792 /E
528::
;:G
9
.116:
Re -
uired U F
actor fr
om Ener
Code
H
q .110
�
9Y �:r��;���
)� �..
If C is greater than D, or G is greater than H, revise the design as necessary to meet the envelope
criteria of the Energy Code.
1)U-factor for skylight and window must be determined by the National Fenectration Rating Council Standard t0Q91
or ASHRAE 19�i Handbook of Fundamentals,Chapter 27,table 5.
2)Thermal Transmittance of opaque components(including integrally insulated masonry and metal stud framing)-
use part 7670.0450,subpart 4.
DATE TIME
CITY OF ORONO CALLED W �D C7�s
INSPECTION NOTICE SCHEDULED /��//�'7 � �3C?
PERMIT N0. ���5 COMPL �_ �_
ADDRESS G��
OWNER � NTR.
TELEPHONE NO. _ �.� J - 7 SCn S�
� DESCRIPTION �_��..Ti-.—�-,
� Ot FOOT G it MECHANICALRI 18EXCAV/GFIADING/FIWNG
FRAMING 13 MECHANICAL FINAL 19 LAKESHORElWETL4NDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT • �
�
� �(.c.� L �
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
j
� �ORKSATISFACTORY PROCEED PROJECTCOMPLETE
W
� I ' CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CA�L INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCon o i e:
Inspector.
White Copyllnspeclor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /L ��/` `� �
INSPECTION NOTIC,�.� � SCHEDULED /�' ���-- `3��/_�'
PERMIT N0. ����� � COMPLETED
ADDRESS 0��� �lL-� ��C�
OWNER � � — ��;/ CONTR. � L-�'
TELEPHONE NO. ���J — �73.5 �
> DESCRIPTION �>���__�,,/�
� 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
INSULATfOTiG' 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION flEMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
Z
w
�
w
�
�
d �ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� ! CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O C' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �: pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor si e
Inspector. ��-
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �-��7 1� /I- 0�
INSPECTION NO� SCHEDULED ���
PERMIT NO. COMPLETED �' �)- �4� 1 S
ADDRESS � � �G ��
OWNER_���v�� �JZ� CONTR.
TELEPHON E NO. -��� � S �_n� _
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 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 DF,MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z �
� COMMENTS: Gt..c .t� �—
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
Wd WORK SATISFACTORY:PROCFED ROJECT COMPLETE
�'
� I l CORRECT WORK 8�PROCEED f l ISSUE CERTIFICATE OF OCCUPANCY
O L! CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�I CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
�NSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR ' '� CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContractor on site•
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE , TIME
CITY OF ORONO CALLED IN ���✓T_ �:��%Y1
INSPECTION NOTICE , � , scHEou�E� �'` ''" ' � '�''�
PERMIT N0. %' ' � �� ' cornP�ETE� � �'
,
ADDRESS �•-'� �.�: �-_-�r i�� � �'� %�
, � �-
OWNER r� ���� �� ��` CONTR�- - -� �-�.�� -�i;
TELEPHONE NO. '' " �'� � �
_: -� � /_;,l.� �-�
� DESCRIPTION x � ' ' ��
� - 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIHEPLACE 34 TREE REMOVAL
= 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 05 FINAL 14 SEWEFi HOOK-UP 06 PROGRESS
� 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
ti
�
Q
�
Z
W
�
w
�
�
Wd �.-WORK SATISFACTORY:PROCEED PROJECT COMPLETE
:
� ❑ CORRECT WORK 8 PROCEED i-. ISSUE CERTIFICATE OF OCCUPANCY
W
O u CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR
,^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract � site:`
Inspector. ' • �r �' +
White CopyllnspectoPs File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC'E/ SCHEDULED (3 /•` �C"
PERMIT NO. �% �'7 / COMPLETED
ADDRESS '�C_S �' ��1� c
,
OWNER ���, „�'� �� CONTR.fi��= ,�;��-�s�_-
. �
TELEPHONE NO. l��..�/ —_-��C 2 i
� DESCRIPTION _� _��f�.�� - �" ,
� i FOOTI_NG , 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
�
W
a
J V C�
O
�' i
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d . WORK SATISFACTORY:PROCEED
W PROJECT COMPLETE
� C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
� G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO AFRANGE ACCESS.
Call for the next in pection 24 hours in advance.4T3-7357
�
OwnerlContract�rp�sit :
Inspector. ,�. '
White Copy/lnspector's File I Canary Copy/Site Notice