HomeMy WebLinkAbout2016-00196 - demo - CITY OF ORONO * Z 0 1 6 - 0 0 1 9 6 *
2750 KELLEY PARKWAY DATE ISSUED: 04/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4220 CHIPPEWA LA
PIN : 31-118-23-42-0012
LEGAL DESC : CHIPPEWA 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
NOTE: (SAC PD#3478 03/23/77)
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
M&M HOME CONTRACTORS TOTAL 76.00
205 WINKLER TRL Payment(s)
PO BOX 90 CREDIT CARD 9701 76.00
COLOGNE,MN 55322-
(612)797-3720
Minnesota State License#: BUIL-BC560376
OWNER
DBG,LLC
SCHRODER, SUSAN
4725 WEST LANE
MINNETRISTA,MN 55364-
AGREEMENT AIVD 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 governing 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 l80 days 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �!� `��-�
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Applicant Permitee Sign e Date Issued By Signature Date
�
,
�O� City of Orono FOR CITY USE ONLY � 7,,,
P.O.Box 66 Date Received: � ��- ��' Permit# 0�//l�p— '�110
� 2750 Kelley Parkway / �
Crystal Bay,MN 55323 ' qmount: $ �J cJ SAC Credit:
(952)249-460a �`..-.__..._
,�s, ,` Homeowncr(s)Signed: ❑Yes
E' ��,� p� Resolutions(if any)Signed:❑Yes ❑None Required
�'�KFS HQ� P' 7.,onin Disclosurc Signed: ❑Yes ❑None Re uired
'-- ��1� ._
v �1
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by tfie Building Official and/or Zoning Department)
Job Site l Own�r informatian: �T�
Type: �] Residential ❑ Commercial
Site Address. `, x -�_��_ ' �
� t�
Owner: ` +% t� ��._� Mailing Address: � y _i ;
City: ��,..a,. �i ��� � � � � Zip:
Phone: �5��' Z�S" �"�� Email: �USU'•n . ���0(�� lrt�t(�. C0�
Contractor/Appticant information:
Contractor/App.: � ' ; ' ` Contact Person: � � �
Address � r �;��� � �i State License#: �
City: � `�, + (` � ; '';� Zip: 1 r •', = Expiration Date:
Phone: ti � � Email: �
( SPECtAL CONDiTtONS � HOLD HARMLESS AGREEMENT
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24-48 haur notice is required for all inspections. Call (952)249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued.
Demolition by means of: ❑ Manual Disassembly �Weavy Equipment ❑ Other
Permit(s} Issued: ❑ Sewer Disconnection ❑ Well Abandonment#
, � , E
, , , � �.
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to:
1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are
to be demolished.
2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with
Chapter 79, Construction Site Runoff Control.
3. Submit a capy of permit approval from the Minnehaha Creek Watershed District {MCWDj. The City will
not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating
permit(s)are not required.
Form Last Updated: July 2015
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner(copy attached).
5. Keep all structure(s)enclosed and/or secured until such time as demolition is complete.
6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior
approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s)from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be
left clean and clear of aU debris, with any excavation filled with earth level with the adjacent ground
elevation (except when such excavation is to be used as part of a new building and such new building is
actually under construction).
12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed
and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are
crushed and filled.
13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents,
employees and assigns from and against all claims, damages, losses or expenses, including attorney
fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition
described herein as performed by the property owner, his employees, agents, subcontractors or assigns.
PERMIT TYPE AND FEE CALCULATION
� $75.00 - Principal Structure $ � �j• DO
❑ $50.00 -Accessory Structure x (how many}
1. Subtotai of above permit requested $
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do
all the work in a strict accordance with the ordinances of the City and the regulations of the State of
Minnesota> and certifies that all statements made �n tMis application are complete, true and correct.
;
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AppNcant's Signature: �"�� ' � _ Date: • �
'"'7`',. �.� _
�wner's Signature: � �- y��---`''��^' Date: � /
Approved By: Date: � �� � �
{ ilding Official} ,
'`Zoning Disclosure Required? 1�YES ❑ NO
*This must be filled out by Zoning Depa�fm�rrt-For either answer, a Zoning O�cial must sign all applications.
*Approved By: l.�Y 11 Y��� ��A.W V�- Date: 4''(L' � 1(�
(Zoning Official)
Form Last Updated: July 2015
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CERTIFICATE OF SURVEY for: M&M Home Contractors 95A--�- ,-�� i�'� `�� r '� ��� �'�� \
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CERTIFICATE OF SURVEY for: M&M Home Contractors
DESCRIB�:DAS: lot i Block 1 CHIPPEWA SECOND ADDITION Henne in Coun MN I
ADDRESS: 4220 Chippewa Lane Orono MN
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Print Form
WATER ItESOURCE PERMIT APPLICATION FORM
Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD}of a proposed project or work which may fai)within
their jurisdiction. Fill out this form completely and submit with your site plan,maps,etc.to the MCWD at:
15320 Minnetonka Blvd.Minnetonka,tiS?V 55345.
Keep a copy for your records.
YOU �1UST OBTAiN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK.
1. Name of each property owner: DBG, LLC
Mailing Address: 4725 West Lane C�ty: Minnetrista State: MN Zip:
Email Address: � � � � Yhone: 651-295-0472 Fax:
2. Property Owner Representative Information (not required) (licensed contractor, architect, engineer, etc...)
Business Name: M & M Home Contractors, Inc. Representative Name: Mike Fritz
Business Address: 413 Paul Ave S., PO Box 90 C�ty; Cologne State: MN Zip; 55322
Email Address: mfritr@mandmquality.com Phone: 612-554-2556 Fax:
3. Project Address: 4220 Chippewa Lane C�ty; Minnetrista
State: MN Zip: Qtr Section(s): Section(s): Township(s): Range(s):
Lot: 1 Block: � Subdivision: Chippewa 2nd Addtion p�p: 31-118-23-42-0012
4. Size of project parcel (square feet or acres): 86,759 sq ft
Area of disturbance (square feet): 6000 Volume of excavation/fill (cubic yards):
Area of existing impervious surface: 2300 Area of proposed impervious surface: 5000
Length of shoreline affected (feet): Waterbody(&bay if applicable):
5. Type of permit being applied for(Check all that apply):
� EROSION CONTROI. ❑ WATERBODY CROS5INGS/STRUCTURES
❑ FLOODPLAIN ALTERATION � S'CORMWATER MANAGEMEN"T
❑ WETLAND PROTECTION D APPROPRIATIUNS
❑ DREDGING ❑ ILLICI"T D[SCHARGE
❑ SIIORELINF,/STREAMBANK STAB(LIZATION
6. Project purpose (Check all that apply):
O SINGLE FAMILY HOME ❑ MUL'I'I FAMILY RESlDENTIAL (apartments)
O RUAD CONSTRUC'I'ION O COMMERCIAL or INSTITUTIONAL
❑ UTILITIES ❑ SUBDIVISIONS (include number of lots)
❑ DREDGING ❑ LANDSCAPING(pools, berms, etc.)
❑ SHORELINE/STREAMBANK STABlt.17.,ATION O OTHER(DESCRIBE):
7. NPUES/SDS General Stormwater f'ermit Number(if applicable):
8. Waterbody receiving runoff from site:
9. Project Timeline: Start Date: 3/15/16 Completion Date:1/1/16
Permits have been applied for: City �County �MN Pollution Control Agency ❑DNR ❑COE ❑
Permits have been received: City—�County—�MN Pollution Control Agency—�DNR—�COE—�
By signing below,I hereby request a permit to authorize the activities described herein. I certify that I am familiar with MCWD
Rules and that the proposed activity will be conducted in compliance with these Rules.I am familiar with the information
contained in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. t
understand that proceeding with work before aU required authori�ations are obtained may be subject to federal,state and/or local
administrative,civil and/or criminal penalties.
� - , .
Signature of Each Property Owner Date
_ .. _ !, ' . _,
EROSIi3N CONTR4L SUPPLEMENTAL INFORMATit]N FORM
INSPECTI�I�T PLAN REQUIR.EMENTS
1. Rautine Inspections:
• Once every seven days during active constructian
• Witt�in 24 hours of a�alf i�ch or more precipicatian
2. Campleted Ficid Insgection Reparts:
� Reports available within 24 hours ofreq��est until MCWD deferrr►ines praject is�otnplete 8;
stabilized
Failure to subinit f•equested inspectio�a Infor•mation x�ill r•esrslt in a site inspection and may be subject lo
reimbursemeni,for MCWD staff'time.
Who wi11 inspect your site regularl�?
NAME: Mike Fritz ORGANIZATION: �&M Horne Contractors,fnc.
PHUI�IE: �'�z"�`�'2��� ALTERNATE PHONE:
EMAIL• �fritz@mandmquality.com
Where is fhe concrete washout tocation?
❑ QF� SITE OR CONTA[NED ON TRUCI�
❑ fNDICATED 4N S ETE PLAN{with required irr►permeable liner}
❑ N/A
What�s#he final stabiiization method?
(seed,sud,etc.): seedlsod
6 irrches of tapsorl�f�ust be added/replaced p��ior to,�nal stabilization
Will protective fencing fnr retained veget�tiou be ins#alled?
� Y�.S
8 NOT APP1..[CASLE
Cl 4Tt-IE[t(describe)
I certify that I am familiar with the requirements af#he MCWD Erosion ControI Ruie and that the
�roposed activi#y witt bc canducted in eompl'rance with this rule.
Jennifer Storms Defce1i�90 0214•2236 00'W 3l2t16
Signature pf Applicant ar Authorized Agent Date
MlNNEHAHA CREEK
WATER5HED 015TRICT
pl1AlITY 6F WASER,OUAl1iY OF LIFE
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Christine Mattson
From: Christine Mattson
Sent: Tuesday, April 12, 2016 8:01 AM
To: 'Jennifer Storms'
Cc: Mike Fritz; Roger Peitso
Subject: RE:4220 Chippewa Lane
Attachments: 4220 Chippewa Lane/#2016-00196
Good Morning Jen,
I see we received the MCWD erosion control permit last night. I'm still waiting for Item Number 3 from our letter dated
March 1, 2016 (email attached). I need two copies of a survey, aerial photo or sketch showing the location of the
proposed erosion control measures to be installed. Copies of the documents submitted and approved by the MCWD will
meet the City's requirements.
We are still reviewing the building permit application.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356 (physica/addressJ
PO Box 66 � Crystal Bay ( MN � 55323-0066 (mailing addressJ
S' 952.249.4620 � 8 952.249.4616
'� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
From:lennifer Storms [mailto:jstorms@mandmquality.com]
Sent: Monday, April 11, 2016 2:01 PM
To: Christine Mattson <CMattson@ci.orono.mn.us>
Subject:4220 Chippewa Lane
HI Christina
Do you have an update for the permit applications that are in—we have submitted both Demo and Rebuild.
Thanks
Jen
,TP.W StdYWI�
Design/Project Management
M & M Home Contractors, Inc
952-381-7431
www.mandmquality.com
1
Christine Mattson
From: Jennifer Storms <jstorms@mandmquality.com>
Sent: Monday, March 28, 2016 927 AM
To: Christine Mattson
Subject: RE:4220 chippewa lane
Attachments: chippewa well.pdf
Attached is the well capping certification for your records. The Watershed has had the permit application for 2 weeks, I
checked in with them on Friday and they need some more info which I sent them this morning so that should be good
to go shortly.
I am planning to drop off the new build application this week.
,JP.�vStOYwt�
Design/Project Management
M & M Home Contractors, Inc
952-381-7431
www.mandmquality.com
2015
RC�1VlA --
: AWARD
WINkVER
���
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Tuesday, March 08, 2016 2:26 PM
To: 'Jennifer Storms' <jstorms@mandmquality.com>
Subject: RE: 4220 chippewa lane
Hi Jennifer,
I received the signed Zoning Disclosure Form last week, thank you. Before we can issue the demolition permit,we need
a copy of the issued erosion control permit from the MCWD and documentation from the State of Minnesota regarding
the well. If you are not going to abandon the well, I believe it must be capped. Please contact Doug Edson with the
State of Minnesota, he will be able to assist you with your well questions. He can be reached at 651-201-3659.
Christine�
From:Jennifer Storms [mail_to:jstorms@mandmqualitv.com]
Sent:Tuesday, March 08, 2016 11:58 AM
To: Christine Mattson<CMattson@ci.orono.mn.us>
Subject: FW:4220 chippewa lane
Hi Christine
1
I just wanted to touch base on the email I sent last week on this info. We have applied for our permit through the
watershed and we would like to reuse the well since it was new 2 years ago.
Please advise on the status.
Thanks
Jen
JP,w Starw�
Design/Project Management
M & M Home Contractors, Inc
952-381-7431
www.mandmquality.com
$��w': 2#�15
ROMA ��
AW�1RD '
wir�n���
�B�T�
From: Susie Schroder [mailto:susan.schroder@yahoo.com]
Sent:Thursday, March 03, 2016 1:45 PM
To:cmattson@ci.orono.mn.us
Cc: Istorms@mandmquality.com
Subject:4220 chippewa lane
2
Christine Mattson
From: Christine Mattson
Sent: Tuesday, March 01, 2016 1:44 PM
To: Mike Fritz
Cc: 'susan.schroder@yahoo.com'; Roger Peitso
Subject: 4220 Chippewa Lane/#2016-00196
Attachments: letter.pdf; zoning disclosure.pdf
Mike,
Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact us if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356 (physica/addressJ
PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing address)
I� 952.249.4620 � � 952.249.4616
'�' cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
� �°�o
C ITY OF ORONO
�, ,�, Street Address: Mailing Address: Telephone(952)249-4600
`y�, G1 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
1,9 �, Orono, MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kFSHOR
March 1, 2016
Mike Fritz
M & M Home Contractors
PO Box 90
Cologne, MN 55322
Re: Demolition Permit Application#2016-00196
4220 Chippewa Lane
On February 26, 2016 the City received a demolition permit application for removal of the house and attached garage.
Staff conducted a preliminary review based on the information provided and recommends the following items be
submitted or revised in order for your application to be considered complete and for the plan review to continue:
1. Zoning Disclosure Form. Please have the property owner sign the enclosed Zoning Disclosure form and return.
Please note,we will not issue the demolition permit until the form is signed and returned.
2. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed
District's(MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590. Please note,
the City of Orono will not issue a building permit without a copy of the MCWD permit or documentation stating
the proposed project does not trigger any of their permitting requirements.
3. Erosion Control. Please provide two copies of a survey, aerial photo or sketch showing the location of the
proposed erosion control measures to be installed. Copies of erosion control documentation submitted and
approved by the MCWD will also meet the City's requirements.
4. Separate permits required:
�/ a. Copy of permit pertaining to well abandonment
The above information is required in order for the plan review to continue. Please feel free to contact me at
952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements.
Sincerely,
CITY OF ORONO
VY 11W'�
Christine Mattson
Planning Assistant
c via email Mike Fritz
Susan Schroder, DBG, LLC
Roger Peitso, Building Official
enclosure
� " Hennepin County Property Map
_+� ?r1/2016
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PARCEL ID: 3111823420012 Comments:
OWNER NAME: Dbg Lic
PARCELADDRESS: 4220 Chippewa La, Orono MN 55359
PROPERTY TYPE: Residential
HOMESTEAD: Homestead
PARCELAREA: 1.99 acres, 86,759 sq ft
A-T B:Abstract
MARKET VALUE: $316,000 Tnis data(i)is turnisned'a,s�s'witn no
representation as to comple�ness or
TAX TOTAL: $3,635.84 accuracy;(ii)is furnished with no
warranty of any kind;and(iii)is notsuitable
for legal,engineering or surveying purposes.
SALE PRICE: $3,��� Hennepin County shall not beliable forany
damage,injury or loss resulting from this data.
SALE DATA: 11/2015
COPYRIGHT �OHENNEPIN
COUNTY 2016
SALE CODE:
Orono, MN Code of Ordinances Page 1 of 3
Sec. 78-72. - Lots of record.
(a) A lot of record is any lot for which a deed or registered land survey has been recorded in the office
of the register of deeds or the registrar of titles for Hennepin County prior to�anuary 1, 1975, and
after approval bythe council if required.
(b) A lot of record located within an R(Residential) or RR (Rural Residential) district but not within the
Shoreland Overlay district, RS Seasonal Recreational district, or any of the LR-Lakeshore
Residential districts, which does not meet the requirements of this chapter as to area or width may
be utilized for a single-family detached dwelling purpose, provided that in the judgment of the
council or administrative approval by the planning director, such use does not adversely affect
public health or safety and the following requirements are met:
�1) In R districts of one acre or less and served by public sanitary sewer. A lot of record existing
upon January 1, 1975, in any R district of the city of up to and including one acre, which lot is
serviced by public sanitary sewer and which does not meet the requirements of this chapter
as to area or width only, may be utilized for single-family detached dwelling purposes without
council approval if all other requirements of the underlying zoning district are met, including
but not limited to required yards, setbacks, lot coverage by structures, hardcover, etc.
However, the lot of record shall not be more intensely developed unless combined with one or
more abutting lots or portions so as to create a lot meeting the requirements of this chapter.
nm(2) In R or RR districts of greater than one acre and served by public sanitary sewer. A lot of
1 v��
record in any R or RR district in the city in excess of one acre which does not meet the
requirements of this chapter as to area or width only may be utilized for single-family
detached dwelling purposes by administrative approval if the planning director finds that the
following conditions are met:
a. It is at least one acre in size, and the average width of the lot is at least 100 feet;
b. It is served by public sanitary sewer; and
c. It otherwise meets the requirements of this chapter or other applicable Code
provisions.
��` (3) In R or RR districts not served by public sanitary sewer. A lot of record in any R or RR
�'� district in the city not served by public sanitary sewer must meet the area and width
requirements of this chapter and shall not be utilized for single-family detached dwelling
purposes without council approval. Administrative approval may be granted for a lot of
record not meeting the lot area and width requirements if the planning director finds that
the fo�lowing conditions are met:
a. The lot area and lot width each meet at least 50 percent of the district standard.
s ��
b. Suitable primary and alternate septic sites are identified on the property and are
protected from future development by execution of a covenant.
c. All other zoning ordinance requirements must be met, including but not limited to the
following:
1. Setbacks.
2. Hardcover.
3. Lot coverage by structures.
about:blank 3/1/2016
Orono, MN Code of Ordinances Page 3 of 3
(6) In all variance requests, zoning and building permit applications or conditional use requests,
the property owner shall address, when determined as appropriate by the city engineer or
city staff, stormwater runoff management, reduction of impervious surfaces, setback
increases, restoration of wetlands,vegetative buffers, sewage treatment and water supply
capabilities, and other conservation-designed actions.
(7) A portion of a conforming lot may be separated from an existing parcel as long as the
remainder of the existing parcel meets the lot size and sewage treatment requirements of the
zoning district for a new lot and the newly created parcel is combined with an adjacent parcel.
(Code 1984, § 10.03(6)(A); Ord. No. 9 3rd series, § 1, 5-24-2004; Ord. No. 92 3rd series, § 1, 3-26-2012;
Ord. No. 95 3rd series, § 1, 10-8-2012; Ord. No. 108 3rd series, § 1, 7-8-2013)
about:blank 3/1/2016
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--------------------��--- -- � --- �——-- ---�-- -�— �- ---�----- - ----� Thls draw ng is neither a legally recorded map nor a
vey and is not intended to 6e used as one.This
drawing is a<ompilation of remrds,information,and data
ci y,munry,an
0 79 FBBt located in various t d state offices,and other
es affecting the area shown,and is to he used for
refer e pufpo5es only.The Ciry of Orono is not
c0 Bolton&Menk,Inc-Web GIS 1/6/2016 1:04 PM ,P<���Ihlr for anv inarrurariac hrrcin ronrainad.
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DATE TI
CITY OF ORONO CALLED IN , " � /(f �O
INSPECTION N TICE ,/�SCHEDULED
PERMIT NO. ' '� �''�� �7�GOMPLETED
ADDRESS ����Ci ( �/1��,�`.c, �
OWNER TELEPHONE o.��o� ' 7�7�37�v
CONTRACTOR � �
� DESCRIPTION �U ��� ����
ll� ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S P IC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU: YES_NO
v�, COMMEN :
� �
a � l�"u G�t c��
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0
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� O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra n site:
Inspector. "
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 0016 -00/9‘, COMPLETED a ' L•/iS
ADDRESS '°ao-v C/, .pIJGuJ�e 14-
OWNER TELEPHONE NO.
CONTRACTOR /n¢ 14 AG e CIOot /etc t o✓ -
DESCRIPTION a.-rrte, ate-
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL
• ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
.47C 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP OtOLLOW-UP
Wct
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
0 DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES—NO
ce)• COMMENTS:
W
a 7X e r e. .s sE rLe.� S. P. d.
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tx "1"1 -s- jyalva be�•r clo �l/te Q .l
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r&_r in4. *'���/lop
W 0 WORK SATISFACTORY:PROCEED 017111S2JECT COMPLETE
• 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(..) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 3t--/
White Copy/Inspector's File Canary Copy/Site Notice