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Home My WebLink About2011-01033 - addition ' ` CITY OF ORONO rERMiT No.: 2o1i-oio33 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 725 FERNDALE RD N PIN : 36-118-23-12-0002 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 150,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUM[31NG,MECHANICAL,ELECTRICAL(STATE) * AS-BUILT SURVEY SHOULD ALS REFLECT EXISTING AND SECONDARY SEPTIC TREATMENT SITES. (INITIAL) �� APPLICANT PERMIT FEE SCHEDULE 1,356.75 MEADOWCREEK BU[LDING CORP STATE SURCHARGE(VALUAT[ON) 75.00 6955 BAKER AVE NW BUFFALO, MN 55313- TOTAL 1,431.75 (612)616-2252 PA[D W[TH CC# 1687 Minnesota State License#: 20573604 OWNER SOWADA, MICHEAL& MARGARET 725 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT l�he�vork for which this permit is issued shall be performed according to the approved plans and specitications,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 speci�ied hercin."I'his permit will expire and become null and void if construction authorized is not commenced ti�ithin I 80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time atter work has commenced. The applicant is responsible for assuring all rcquired inspections are requested in conformance with the State I3uilding Code.This permit may be revoked at any time for due causc. �c , � , , - 9� � ��/ Appl' ant itee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� \� � Ci of Orono � � 31 ' � `� tY / Building Permit Application for New Structures or Additions /-=0-� MaifrPgO Bd�drss�s: Permit number. O` —0 d �''� �':. /�� Q\ Crystal Bay, MN 55323-0066 Date received: _ , �� s �', Received b !'�a '��,��:;�__ a��i Street Address:' Y� p `��',�, �'�,�-_��"�� G��` 2750 Kelley Parkway Plan review fee: (p�, O \��o¢jG' Orono, MN 55356 �p��_�/O� ,_ _._._. Total Fee: Main: 952-249-4600 Fax: 952-249-4616 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �a�" �Y„�C��Q� �d . N. Will this be a Parade of Homes, Remode(ers Showcase Home or other Dispfay Home? ❑ Yes �No If yes,a special event permit is required wrth Police Department and City Council approva160 days pnor to fhe event. Shuttle bus service will be required unless applicant demonstrates suffidenf on-site parking is available_ Non-permitted events wi/t not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: I�adou� � � �ldiv� State License# �pg-�3Lnp►-� Expiration Date: '3 � Phone: (�1a -��b-aatsa office cell Mailing Address: � e N � Cit :1�,�,�{� ZIP: 553► Contact Person: Na�.¢._ 'T�vr�nv� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: t1�u.r-vv�a�rraa�l��.��w:1di��G . C�w� ��c: 3�0�`��3-515� � - PROPERTY OWNER INFORMATION: Name: Yh�k�J �2V S9ux.�C� Phone (day): q�,2 �'f�4 - '7`Jy3 Address: 'jJS �,me�d..�.Q IZd � , City: �Q1r�4'1.� ZIP: S53`�/ Email and/or Fax �iv�;k�o�. SpWadct.�.Ow� ARCHITECT/ENGINEER INFORMATION: Name: �1� �C�i��3-�- �.�� ?�--�i Q� Phone (day): �� $�O - lc� Address: \0135 �"I�`�` /�V� N • City: Q(��pv� 1-� ziP: 5 Sy�/�2 Email and/or Fax: Y"S�r�i��n� c.pYY�CQ, ,t�j,Q�- PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� Water Supply ❑ New Construction Single Family with ❑Residence (�'Addition ttached garage �.C'arage/Accessory Bldg. ❑Public Sewer ��ccessory Building ❑ Single Family with ❑Deck . ❑ Relocation detached garage ❑Office/Commercial �Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑Public Water ""Any earth movement may require ❑ Commercial ❑Other(specify) MCWD review 8� permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952�71-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �j��0O0 Last Updated: 4/26/2011 - 19- STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction a. Length (ft.)= "J�� Number of bedrooms=� �Wood/Frame � ❑ Masonry b.Width (ft.)= �� Number of garage stalls: ❑ Metal Attached= `� ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF ❑ On-site Prefab c. Ba�ement= ❑Off-site Prefab d. �Stety� «�U � ❑Other(please specify): e. 2ntl Story = ��DO S'F f. '/2 Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit A lication ❑ Proposed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form �. ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevenfion Plan ❑ Hardcover Calculation s � Se tic S stem Site Evaluation Re ort ❑ 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 Cfty of Orono for englneering consultant rev(ew costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. 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; • Understands 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 generatly cannot be given to the public but can be given to the subject of the data. Confidential data is informafion 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. • Agrees that 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, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYsSignature: �NY� Date: �/��'/ Last Updated: 4l26/2011 -20 - , Hennepin County Property Map Print Hennepin County Property Map - Tax Year: 2011 The data mntained on this page is derived from a mmpilation of records and maps and may contain discrepancies that can only be disdosed by an accurate survey pertormed by a licensed land surveyor.The perimeter and area(square footage and acres)are approximates and may contain discrepancies.The information on this page should be used for reference purposes only. 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' �� 2335 Highway 36 W St. Paul,MN 55113 Tel 651-636-4600 Fax 651-636-1311 www.bonestroo.com September 21, 2011 � Bonestroo Melanie Curtis Planning and Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 725 Ferndale Road File No. 000139-11000-1 File No. 2011-01033 Dear Melanie: We have reviewed the plans for the proposed addition at 725 Ferndale Road. The plans are dated 9-14-11. We have the following comments with regards to engineering matters: • The plan is acceptable from an engineering standpoint. • This project will disturb more than 100 CY of material. Sediment and erosion control information meeting the requirements of Orono's City Code 79-7(c)(2) must be submitted. The minimum $2000 sediment and erosion control financial security should be required of the owner for this permit. If you have any questions, please call me at (651) 604-4894 or send an email to darren.amundsenCa�bonestroo.com. Sincerely, BONESTR00 %�.._,_.__---�`.��—�i_ Darren Amundsen cc: Chris Mattson MEMORANDUM Date: September 14, 2011 To: Darren Amundsen, City Engineer From: Christine Mattson, Planning Assistant c: Melanie Curtis, Planning & Zoning Coordinator RE: Building Permit Number 2011-01033 725 Ferndale Road North Attached is the survey dated September 14, 2011 for the proposed, new attached garage at 725 Ferndale Road North, along with a copy of the plans submitted. Please review the attached information and provide comments by Thursday, September 22, 2011. Please call Melanie Curtis at 952.249.4627 if you need additional information or if you have any questions on the attached information. Thank you, " '' . /�'11 C'/�/�4�"L ,.l G Gt.�it t1/� Address: ��S ��NQ,A,I..� ��4t� �t?�.�f-� � Date:�_�._�,?.�.��_... � u.�i�'ar �-r�-�+�' .o,.>�-s� :_,r..!��. . , Prepared by: �.�,�f�h#�;�"'� � �9S1c��t,�.%"�d�ING. HARDCOVER CALCULATION WORKSHEET SETBACK�ZONE: (CIRCLE ONE) -75' 75-250'250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length W idth X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underiain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - �� S.F. A TOTAL PROPERTY AREA IN ZONE - � °> �d S.F. B A + g x 100 = �', _% PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length W idth x = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walis x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A = B x100 = % - 21 - . � M � C�-1 A C` S 0 l.v�4 D �1 --7 � �"`'� � I Address: 1 � �'"E12�/(,�1l�I"� i�d��(: 1`�JDi'`±"r—! � Date: �� `�'"" f � � r✓r'n.^�,G� `z_ ,,>_ �, �' ,°' f't'rF.!at Prepared by: Vt��f)►�.�1'�ak s�� '4�:'�4;;�'�!�'�"1� �=� �rU�.� , . HARDCOVER CALCULATION WORKSHEET SETBACK�ZONE: (CIRCLE ONE) 0-75' 5-?,.�0 250-500' S00-1000' EXISTING HARDCOVER IN ZONE G� A. House x = �� / S.F. Length Width x = S.F. x = S.F. B. Ga�qe � ��- GU.,�C, x � ` ,�-fG ��:N�� _ `'�°� S.F.� �`+vC, -1.. /c �?,�r� C. Driveway x = S.F. X = S.F. ST�:(�P�:riC, D. Sidewalk x = �� S.F.- ,�T.71w�.� x = 62 S.F-S�t��k sx:��, E. Patio/Deck ?0� I - '�OU� J f'�T!Ox 2fi4 - S.,�f3y°c1.�- (��ir r; = 2Z.'��,. S.F.-'i'S�?1;�}{'^``'"';; x DECt<, = 42C7 S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. ��'�'-� G. RetainingWalis x = �- ..�'�jL� S.F.-.,;;�„�4.,.��:�,`_M X - 39 s.F.-��.��.,. � ; H. Other - TOTAL HARDCOVER IN ZONE - �� .�.'��'� S.F. A TOTAL PROPERTY AREA IN ZONE - 36� I Q��. S.F. B A ��7 nr: + B °:r�: x 100 = + c�, 't C _% PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width X = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B q = B x100 = % - 21 - ' ' /�t ! CN.4 C-'C f'G Lc�'.�C�/� Address: �2S ��341��C' �llr��ij !�� '�, Date: �f .,� r� � �"C�v c�' _/i�^'..,,/�t, Prepared by: ��i?c��'�M�3��. � ,�'i,�,�: .��'�' "�t� s „��: . HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 0-50Q. 500-1000' �.,_._�.,. EXISTING HARDCOVER IN ZONE A. House x = �i �'`� S.F. Length Width X = j�'�i' S.F. r,J.1t.'l,.i x = �a-2� S.F.-��w��,t.'�-'� B. G�ge x = � S.F. —�/G �F�1,�' C. Driveway x = �}-I�� S.F. x = S.F. 5��'t'`'.-�•�, D. Sidewalk x = 3� S.F._.,,....,.,.., ,: �.. x = 122 S.F: �.�,,n��.Gf� � E. Patio/Deck x = l2 S.F.—t��Ec�< x = S.F. F. Land pe x = �8 r� S.F.7�F�••: ; •r. Und in x = � t,�'.�� S.F. �:o�vC. By las ic x = �' <' S.F.srrr��.�. - , 5'��.-.. G. Retaining Walls x = �-f-� S.F.—:.�,.,sir.,r-�:.? X — -L�� S.F.�-i? 'au;f�:.:�� H. Other — TOTAL HARDCOVER IN ZONE - ��!(>'.�^� S.F. A TOTAL PROPERTY AREA IN ZONE _ - i , fIC'� S.F. B A !4� r 68 = B � �r, ��!�:�{ x 100 = =%.,�� l °/a � PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width X � `w• .i= �r r.� ;'�_- _ �- i'��i cl S.F. x = S.F. /Do c=�'��i c=�=' � ��T'6�t' B. Garage x ��D �'�i' ',' .�-;' _ ,� ` � -� S.F. C. Driveway x ,`��:� /�' , . , _ _ �'A S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls X — ��'� �"�d'` ; S.��;-'� �.;� � H. Other x = S.F. TOTAL HARDCOVER IN ZONE I �'� ��•F 3�S - ��,�'��..� S.F. A TOTAL PROPERTY AREA IN ZONE - ', �� '��-'�'� S.F. B A /�l `7`1.3 = B S�.�C�`� x 1�J0 = ZS. �i'"l % - 21 - � ht t c/�!4 G'� ..1"i%'t-�.�i�'e,�f,' Address: ! �� i�f�(�„t,..� �� `�!?3�3"t-t � Date:"��-"'"� � �g u.�i�n: g-i .ssr� �,�.�.��' Prepared by: �t"�,�P*��'`� � e'�'��t��t�"'��' , �NG. )Z-�-t( �, e, HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) -75' 75-250'250-500' S00-1000' EX{STING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - � S.F. A TOTAL PROPERTY AREA IN ZONE - � ��d S.F. B A + B x 100 = f`� % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Side�valk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A - B x 100 = n�r�rerir� * ��=9= - 2� - DEC 05 `t.��l CITY nF nRnnin , . M , c�� ;L Sow� � .� � j� Address: �� 'j �'�12�/(�J+ 1"� I� Q,�( D i��'I"'f� � Date: �� " � � ' r�rsR r f' �;� .'✓C� c^��,��G� Prepared by: ��f.a1..�t��°�w � ✓'��t��.k'"f �"�. E�,3G� 12-�-i� .. ., HARDCOVER CALCULATION WORKSHEET SETBACK`ZONE: (CIRCLE ONE) 0-75' 5-?�5: 250-500' S00-1000' EXISTING HARDCOVER IN ZONE A. House x = SCI S.F. Length Width X = S.F. x = S.F. B. Ga�qe � ��- GUr,�C, x � - .�4-�G �.ca@> _ �� S.F.,.CC>niC, �- �/c P,�� C. Driveway x = S.F. X = S.F. D. Sidewalk x = l'"1 S.F,-STr.(�P��✓� STOiy,ES x = 62 S.F-S-roar�5�tp E. Patio/Deck 2 D� I - 'PDU�_a P�T(px 2n► - 5..��.�.cl',. R�,it� = 2Z..�2. S.F.—��-`�'�a x DEc(C = 42D S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = 2��-{- S.F.—°�'�'°"�"� � ��t.�1��'C„P�qz� H. Other x = 39 S.F.—BvvL�� TOTAL HARDCOVER IN ZONE - ��?'�'��"� S.F. A TOTAL PROPERTY AREA IN ZONE - 36� I ��. S.F. B A =`.'"I:r:'' - B �:t��:;� x 100 = � o, �-�' % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width X = S.F. x = S.F. B. Garage x = S.F, C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A = B x100 = % - 21 - . • . /�C � C'l�`.�l e! .f'v C�cJ.�d.� Address: ��-� ��^��;'t..�' �C?/w�� E�°rf �i�Tr{ � Dat : � s�"�'k� ,� �'ev _/� Prepared by: (..:�1�;�;-�sr�i Rg�tf;� � ��,��.�"P.�� E°�.a C.. i2�-I- E ► HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 0-50 ' S00-1000' EXISTING HARDCOVER IN ZONc A. House x = Z�j�� S.F. Length W idth x = �Z I S.F. —`.�t-�r�-i� x = �f-Z( S.F.—I�nr"`�N B. G��ge x = � S.F. —��G Pi;D C. Driveway x = �i$�� S.F. x = S.F. S�.�E'Pr�� D. Sidewalk x = � S.F.—c-��,�,��,� x = 12Z S.F-wr.��..1� E. Patio/Deck x = IZ S.F.—D�U< x = S.F. F. Lands pe x = G8�8 S.F.TE.siti�r CT Und in x = / �6 S.F. Co�/C. By las ic x = 0�" S.F..��'EP�,,�csT S"Co,ef�' G. Retaining Walls x = �}-� S.F.—��y�� H. Other x � _ �� S�.F."I��u��l';,� TOTAL HARDCOVER IN ZONE - � �'�'�%� S.F. A TOTAL PROPERTY AREA IN ZONE - 7�� S.F. B q ;�-,;?�( = B `a�a,°�L�� x100 = 2S,S`t % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = _S.F. G. Retaining Walls x = _ S.F. H. Other x = _S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A = B _x100 = % - 21 - ,A � � . �: � e � . ' ��. �., , , , c"�.�' 9+ ��",�,.°�." New Construction Energy Code Compliance Certificate Per Nl 101.8 Building Certificate.A building ceRiiicate shall be posted in a pemtanently visible location inside the Date Certiticate Posted building. The certificate shall be completed by the builder and shal]list information and values of components � listed in Table Nl 101.8. 9/14/11 � Mailing Address of the Dweltlng or Dwelling Unit Way�ata,Mri � • Sowada Residence 725 Ferndale N Name of Residential Contractor MN Umnse Nmnber Meadow Creek Management THERMAL ENVELOPE RADON SYSTEM Type:Cheek All That Apply Passive(No Fan) o y c a T .�ctive(GVith fan und monometer or = F' � �, other system monitoring der•ice) RS U .-� b �O y G O G 5 � (; y O �p � a o � � � ? � W q �° V y � �, @ � vi O N � � Insulation Location '' o z � ;, u �, w W ,° � _o o �n a�n � � � ti ti :ti .�3 d � � � �a g o � o r, a o 0 on on F- � Z w w' w w z rx cC Other Please Describe Here 13elow Entire Slab )( Nowidation Wall X Peiimeter of Slab on Gmde X Itim Joist(Foundation) X RIItt.Toist�(lu F1oON-) R-19 X Inteiior wau R-19 X Ceiling,tlat R-44 X Ceiling,vaulted R-38 X f3a�N indows or cantilevered areas X Bonus room over garage R-38 X I)escribe other insulated amas Windows 8 Doors HeaTing or Cooling Ducts Outside Condifioned Spaces Average U-Factor(excludes skylights and one door)U_ O.32 X Not applicable,all ducts located in conditioned space Solar Heat Gain Coafliciant(SHGC): 0.29 R-value MECHANICAL SYSTEMS Make-up Air Select u Type Applianees Heating System Domestic Water Heater Cooling System Not required per meeh.code FuelTvpe Natural Gas Natural Gas Eleetric r�s��e M:tnufacturer Yowered Interlocked with ea�haust device. Model Describe: Input in Capacity in Output in Other,describe: Rating or Size F3TU5: Gallons- Tons: }Izat Loss: Haat Gain: Location of duct or system: St�vctum's Calculeted 90"o SE�R: c'alculated F;fficienc}� cooling load: Cfm's "round duct OR Meehanieal Ventilation SysTem "metal duct Describc any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a T�pe source heat pump with gas back-up fitmace): Not reyuired pzr mech.code Select Type Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe: Energy Recover V"entilator(ERV)Capacity in cfms: Low: High: I,ocation of duct or system: Continuous e�austing fan(s)rated capacity in cfms: Location offan(s),describc: Cfin's CapaciTy continuous ventilation rnta in clms: "round duct OR Total ventilation(intermittent*continuous)rate in cfms: "metal duct � . �i��.�� :�� New Const�uction Energy Code Compliance Certificate Per Nl 101.8 Building CeRificate-A building certificate shall be posted in a pzrmanently visible location inside the Date Certliirate Posted building. The certificate shall be comple[ed by the builder and shall list inlormation and values of components listedinTab1eN11�1.8. 9��4I�� ;�..,;:.,; Ma{Iing Address of the DweWng or Dweliing UNt Way�ata,AT,V Sowada Residence 725 Ferndale N � � tiame of Residmtlal Contractor MN License Number � Meadow Creek Management , HERMAL ENVELOPE RADON SYSTEM Type:Cheek All That Apply Passive(Nn Fan) o � a � Acti�=e(Gl'ith fan and monometer or E" � �, other system rnonitoring device) � = — 'ti o a� a ° a o � U � ° .o `�° � � !Y� R�1 a�i V A 'o c � T � O vi v," O N � i' U Insulation Location � o z � � � �E` w ` :�. � � %a o � � _' C � .o ti' � � ❑ a� a� �a �v � F�- : � w � w° w° z � x Other Please Describe Here Below Tntire Slab X Foundation Wall X Perimeter of Slab on C;rade X Rim Joist(Foundation) X Rim Joist(1�`F7our+) R-19 X Interior wRu R-19 X c'eiling,llat R-44 X Ceiling,vaulted R-38 X Bay W'indows or cantilevered ureas )( Bonus room over garage R-38 X Describe other bisulated areas Windows&Doors Heating or Cooling Duds Outside Conditioned Spaces Avarage li-Factor(excludes skylights and one door)U: 0.32 Not applicable,all ducts located in conditioned space Solar Heat Gain CceBiciznt(SHGC): 0.29 K-value MECHANICAL SYSTEMS Make-up Air Seleet a Type Applianees Heating System Domestic Water Heater Cooling System Not raquired per mech.code Fuel T�pe Natural Gas Natural Gas Electrie Passive Manufacturer Powered Inter(ocked with e�aust device. �T�e� Describe: Input in Gapaciry in Output in Othei,describe: Rating ot'Size BTUS: Gallons�. Tons: Heat Loss: Hzat Gain: L,ocation of duct or system: Stivcture's Calculated 90% SEER: Calculated T.fficienc' cooling load: Cfm's' "ruund du�t OR Meehanieal Ventilation System "metal duct Describe any additional or combined heating or cooling systems if installed:(e.g.two fumaces or air Combustion Air SelecC a Type source heat pump with gas back-up fumace): Not required per mech.code Se[ect Type Passive Heat Recover Ventilator(HR� Capacity in cfins: Low: Fligh: Other,describe: F,nergy Recover Vzntilator(ER�Capacity in chns: Low: fj�p��. Location of duot or s��stem: Continuous e��austing fan(s)rated capacity in cfins: I,ocation offan(s),describe: Cfnis Capacity continuous ventilation rate in cfms: "round duct OR 7'otal ventilation(intern�ittent+-continuous)rate in cfms: °metul duct { . , • . : • • � • emo To: Finance Depa►tment From: Christine Mattson, Planning Assistant CC: Street File � Date: 1/12/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit Numbers 2011-01033 & 201 1-01 054 pertaining to 725 Ferndale Road North are complete. The Contractor, Meadow Creek Building Corporation, has requested a refund of the escrow. The following is attached: • Escrow Refund Request • Email from Bonestroo indicating unbilied WIP on this project. The unbilled amount does not exceed the credit allowed. • Email from Campbell Knutson indicating no unbilled WIP on this project • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Meadow Creek Building Corp 6955 Baker Ave NW Buffalo, MN 55313 w:\street files\ferndale road n\725\escrow refund memo 2011-01033 8�2011-01054.doc i � � I � �- � i � �� I � �� ' . � I � � I � � � � �� I � � 3 � � � �- � s �I � a � � ` ,�' � � �' c� � � � � � � � 1 '� � � I l � ' �- � ; � S I � , � � - � � � � ,v � � � � � � I I � � � � � �: i � I � � ..� Ti , ,� � I ! � � � � 1 � i +� � ' I � �' � .� � � '`> � �'�! � , 1 � i � �' � � + �-� J 2 i, �I � � � � s � � I . ; ,�� ( J � � � I 1 � i � �- . s -� -� � � � � I ' � �- � � �- � � � � � � � �� f � �- � � � � � � � -� � r � � � � � � � � �� Q ' � v� I �I . .'� � '� � � � G, •� i � � � � �' p ,o{` 9' � .i! � - ; ' � � . ,�' � � � c�� ) � ! I � �I I f_� i � > S� � J � '�n � `J i � � � � � � ' � � � t?I �� 1 ! � I � M � � � � � � �� i� i � � � � � � � ' I � I � , � � � � I � �� ( � � ' ` I ' �' # �`�. , .� - J� .� - � , I � � � r � __ _�"�'i _� __� ___ . : _ - - � __- �- ._ _ _�- -`_�_-_---= - _ - _- ---- � -_-- _ _-_-- -_-- .-:-__---- __- __ _ _ _ _ ___. i - I ' f , ! . Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Monday, December 12, 2011 5:09 PM To: Christine Mattson Cc: Melanie Curtis Subject: RE: As-built 2011-01033/725 Ferndale Road N Attachments: 2011-01033 725 Ferndale Road 12-12-11 as-built.pdf $287 in WIP. This includes both the original plan and as-built reviews Darren Amundsen, PE Associate Stantec, formerly Bonestroo Tel 651-604-4894 Cell 651-775-5623 darren.amundsen(a�stantec.com stantec.com Bonestroo has joined Stantec, a professional services consulting firm recognized for its Ieadership in sustainability, depth and diversity of talent, and technical expertise. The content of this email is the confidential property of Stantec and should not be copied, modified, retransmitted, or used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately. �� Please consider the environment before printing this email. From: Christine Mattson [mailto;CMattson@ci.orono.mn.usl Sent: Tuesday, December 06, 2011 11:50 AM To: Darren Amundsen Cc: Melanie Curtis Subject: As-built 2011-01033 / 725 Ferndale Road N Darren, Please review the attached copy of the as-buitt survey for 725 Ferndale Road N / Bldg Permit#2011-01300 and provide comments by December 13, 2011. Thank you! Chris i Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Wednesday, January 18, 2012 3:17 PM To: Christine Mattson Subject: RE: Unbilled WIP A draft af our WIP shows that we have NO unbilfed tl1llP for this building permit. Hav� a good afternoon. 5herry L. Charboneau Legaf Assistant CAMPBELL KNUTSON P.A. 1380 Corporate Center Curve• Suite 317� Eagan, MN 55121 � (651)234-6230� Fax: (651)452-5550 �scharboneau(�ck-law.com .www.ck-law.com From: Christine Mattson ,[mailto;CMattson@ci.orono.mn.usl Sent: Tuesday, January 17, 2012 11:58 AM To: Sherry Charboneau Subject: Unbilled WIP Hi Sherry, Will you tell me if you have any unbilled WIP for building permit 2011-01033 at 725 Ferndale Road N? Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing address) `� 952.249.4620 6 952.249.4616 � cmattson@ci.orono.mn.us ; www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday,January 16, 2012 (in observance of MLKJr. 8irthdayJ Monday, February 20, 2012 (in observance of Presidents'DayJ 1 BUILDING PERMIT#2091-01033 & DEMOLITION PERMIT#2Q11- /D ESCRQW AGREEMEN� AGREEMENT mad¢this�day of_��_�20�, by and between the CI3Y OF ORClt�O: a Minnesota municipal corporation ( ity°} and Mike & Peg Sowada{"Ownnrs�). Recitals 1. A demolition and building permit appiication has been fiied for demoliti�n af garage and construction of an attached garage located at 725 Ferndafe Road North the (`�Subject Praperty"), legally described as, see E�ibit A. 2. Owners request the City fo review this application. 3. The City wili commence i�s review of the appfication and incur c�sts associated wikh said review oniy it the Owner establishes an escrow to ensure reimbursement ta fhe City of its costs. NOW THEREFCIRE,THE PARTIES AGREE AS FOLLflWS: 1. QEPOSIT OF ESCRUW FUAlDS. Contemporaneously with the execution of this �scrow Agreement, the Owners shall depasit$2,60Q witn the City. All accrued interest, if any, sha[I be paid to the City to reimburse the City for its cast in administering the escrow accc�unt. 2. PURPOSE OF ESCRf�W. The purpos� of the escrow is to guarant�e reimbursement to the City for ali out-of-pocket costs the City has incurred (including planning, engineering, in excess of $50Q, or legai consultant review} ar will incur in reviewing the ptan. Eligible expenses shall be cansistent wrth expenses the Owners would be responsible far under a bu�iding petmit applicaYion. �he escrow will alsv guarantee reimbursement to the City for all out-of-packet casts the City has incurred to assure that the work is completed in accordance with th� Stormwater Pollutian Prevention Plan and the pravisions of Orono City Cade Chapter 79. The financial security may also be used by the Cify to eliminate any hazardous conditions associated with the work and to repair any darnage to pubiic property or infrastructure that is caused by the work (including pEanning, engineering, or legal consult nt review) associated with building permit #2Q11-01033 & demolition permit#2011- /�S� if compliance with the approved demolition and buiEding permit is not accomplished. � 3. MaNTHLY BILLiMG. As the City receives cansultant bills#or incurred costs, the City will in turn send a bill ta the Owners. Owners shall be responsibie for payment to the City within 30 days of the Ow�ers' racaipt of bil1. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event fihat the Owners do not make payment ta the City within the timeframe autlined in#3 above, shall issue a Stop Worfc Order until the Owners pay all expenses invai�ed pursuant to #3. The City may draw from the escrow account without further approvaf of the Owners to reirnburse the Gity for eligible exp�nses the City has ir�curred_ 5. CLOSING ESCR�W. The Balance on deposit in th� escrow. if any, shalf be returned to the Owners when the review has been completed and written notificafion is receirred fr�m the Owne�s requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escmw,the City shall haue the right to certify t}ie unpaid bafance to the sub� perty pursuant to Minn. Stat. §§415.0'€ and 366_012. CITY: CI NO C}WNER: � � � �- �� q ' � � °��.- By: � .i ItS: i'i�� t. �L,�.'.��:> ,. . ��'�..��'�9�r�1��-�'l�i�►�~x__4>..�'�'��t��`_R��Y�'�+e±?'}'��..aa_ ��QP��a��rest�,.w�. �.. ..,�� r. � ,� `�i(e � �t�� - �� ' � � �� . �C�� LEGAL DESCE�If'TIOhJ CF PREhrfISES : i hat part of Governmertt Lot 3, Section 3Fi, Township 1 18 North, Range 23 West nf the Sth F'rincipal MeridiQn, described as €ollows : Commenciny �t a point in �he East line of said Section 36, distant �7:�i feet South af the idortheast corn�r thereof; thence West par allel with the N�rEh line of said Secfior,, a distance of 868_07 f�et; thence Narkhwesterly detlecting to the right at an angle of 19 de,grees 41 minutes, a distance af 233.65 ieet to the actuai point of beginninc� of the land to be described; ihence continuinU Northwesterly along last describ�d course a distance of 2Q2.58 feet; t!-sence Northwes�.erly and Northerfy aEnng a tangential curve to the right, with n rad;us of 93.76 feet, a distancc: of 106.75 feet; thence Northerly in c� straight (ine tanc�en� to Ic�st described curve a distance of 5� fee�- thence Nortt�erly on a tangentia� curve to the left, wich a radius of 272.18 feet, to an intersection with a line parailel wilh and 355 feet Sout�" of the tdorth line of said Covernment Lot 3; thence VJest along last said parc�ilel line to an intersection with a line paral�ef �vith and 1533.�7 fee.t 4Vest of the East line of said Sectien; thence South alonq last said parallel line to an intersectien wirh a Eine drawn West from the Initial point of comrn�ncerr�ent and porollel witn the North line of said GovernrnPnt Lot 3; then�e East along last said par-allei iine to a point 108$.07 feet 4"Jest o� trie !niticl point ef commencement; thence Nartherly to the �ctual point of begi=ir�ing. j �#� �ik ��u�r �� jt� r��,��Y��sf'��yy�4 ...:�:,,�': nr � i3 �F� na ^ Wr— .� ta. Su. 1�I1� :j,yi��}�'��; � .. �'{7.U.' . `��'° l..'�lv '�"i, � l�'�?�fi€F��tL.'Y"I�i`l; ' `'^.. ' t. �Sa�f p'* lpil�fl!' Kfii , '',:� �Qi'7�.,:ts: �4�.. �'t}l�G � ��L. F�Y� . n e., �,(',�.� � x�@�}Gn}�,.�-. ., a: .5�� ti,l n>> � f�.'�'.n��,., ��r�'3 t" �U�-�i; _ _ C're�r*u � cx;,i;°lr�n;y,; ,'"_�^ - _ . ., �f;��. f (:� � . . 1-/�.�1(j._r�i, � ... ,. kr�,� ,`�(tr � r � 1'.'!t 1 r.;�� re .R.,, r,.(i} � ;as.: t} ' n}�.. - '��'zf?�1 � ' � � �t ka�,� �, '�!f� `j� � Ni.�jM:+�f": _._Nti `11 �t: �'±L'^'' .{.ia.. � � �� __ . ��•' ' � CITY OF ORONO PERMIT NO.: 2011-01109 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUED: 09/26/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 9/26/2011 ADDRESS : 725 FERNDALE RD N pIN : 36-1 l 8-23-12-0002 LEGAL DESC : LJNPLATTED 36 l l8 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500.00�SCROW PAYMEN"I'WAS PAID BY MEADOWCREEK BLDG CORP.-CHECK#6151 THIS ESCROW PAYMENT IF TIED TO BUILDING PERMIT#2011-01033 AND#2011-01054 APPLICANT ESCROW FEE-BUILDING 2,500.00 SOWADA, MICHEAL&MARGARET TOTAL 2,500.00 725 FERNDALE RD N WAYZATA,MN 55391 OWNER SOWADA,MICHEAL&MARGARET 725 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shail be compied wi[h whether or not specified herein.This pemiit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j__...__ . . . (�,�i � _ .. .. ._ _. . . . � .....�..._ _.. ._. ......... .... . ._........ _____—,..__._`.___—__—_—__ .. . _�.___.___ ....�._.._._...,.v_._._.�r.. ,.._.._._. . .. a ' ! j� i ----� � � A � ♦ o � m. __ I t� _ �F � ` r �rs _ � � � I a �E —rt � �. � _ � � � :�_ � � �� , e�• ,� �� I � j-- I yd .v... , d..�. ,f k I �� ' I �� CS I C3 "�a � � � � � Z� ;�i.y_ � ^.v�� x � � -- - � r � , � ,, � b rli, . yfi�tL � �+ , ...._ _— i ��;: ; �_� � �� . ,d' ��?6 ' . Q �. �� --� �� °� _ I�� . '�0�� - ......�, .. Q. � e— s�� p � C � ': 6 — ;-- . 41 � ; Q �� .` �� _ aa' � ;CCl :iLl� � � .....'_ a � � w. U L7 i � � � ca r �{� � w !` w � �' � °i i � � 1 1� � w`'c�.� � c� � � � v] C �]f �j � � � ��"� S1.'� � � . � ��.. T7 O � �-�, � ' �` � s.�,��. � ,�, � � ; �� '�� t�� . I .. �. O. .. �. 45 C �. . � � . . lfi G' O'�� . a I�a� . � `_I � ' � ry p� :' �,' M � . Q1, I . ... n7. � (� �� C �'�, �� '[]. C % I.—�,' . . ' ..�,�� . _. . '— C : `.— � ,�.. ; � � Cl. E : od i(A � I . . m . �. � VJ C� • � �i �i C � �jj � E`s'.` ay LL I lL i LL Q ?r �,. ,� ,�� , � --- - -u � � � ._ _ ,� . � _ . � ' _ � � v,�_ �� i � � �y:, � ,� � r> ��r ��: ,� — — ~� -� � �� v �E � Q ` ' �� `d� 'd '� Q � ;� � m — .. � — . �r ` U a � a � � i �� ' .,_, ,� �, cs. �� f.- � ll �_ a �.�� n. v � � ,t��w�a, �► �' �` _ �,.` Checklist for Refunding Building Permit Escrows Building Permit # Z6��"d �� (�� Street Address: � � ��-- � ►v Applicant Name: Escrow request received Date: 'Z �� '�� nAn, Permit Type: �a�� \'��r� N� �`� Are all inspections completed? e No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: Was there a Final Certificate of Occupancy issued? Yes No Date: As-built survey required? Yes, approved on � z- ' � �" ( � NO NA � Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: (-(;� -1 L- ❑ Prepare memo for Finance Department z:\forms�zoning standard forms\checklist for refunding building permit escrows.doc Last Updated: 10-31-2011 � D TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED -� ��•� � PERMIT NO. °?D`!�� COMPLETED ADDRESS 7ZS ��'h�G�L2 /�� /� OWNER TELEPHONE NO.�� Zz'SZ CONTRACTOR ��a��v�� _ � �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � Z W � W � j � �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlConiractor on s'te: Inspector. White Copyllnspector's File Canary Copy/Site Notice � L�D TIME �/ CITY OF ORONO CALLED IN / �� INSPECTION NOTICE SCHEDULED � � � PERMIT NO.�Dl�- �� 3 � COMPLETED ADDRESS 725 Fe�'/1 da��' � l� OWNER TELEPHONEJVj.��Z ��C� ZLSZ- CONTRACTOR � ��"�W C��F- �� DESCRIPTION ��'�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � 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 v ❑ 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 � � � C��P�� (�f��l S �� CS C3`� � � �� g r�� , _. � Q � W 1� � a�� W � � � �/ GW �GIRKSATISFACTORY:PROCEED C7 PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice DAT TIME ✓ CITY OF ORONO CALLED IN .� � //�� INSPECTION NOTICE SCHEDULED � / ;/ -- '�' .,�f PERMIT NO.��.:,�,/ ��-��=�-�coMP�ETE� ADDRESS �,'-' `-� �-f_.��,/ )� / �r ( �: �� ✓ �� OWNER TELEPHONE NO. �'�� ='��'� ��` CONTRACTOR � l�'�� '��I�. r- � �� . ,-,, >; DESCRIPTION � L,�') �1 I ��-_�C-� E C�C ��: � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORENVETLANDS � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �L�.�.n l�2 �Q �A C�r s � Qvc�� `� r`t �c�e,f Y �Qcl �'n,o� ° �� C� , �Q � C �� C�eC-�u,'re�' Q �.�.1 J '�'k��1 Lf�' C� �F 1=(JeJ �.-! z � c��'cx�.v� ^-- � Gc� ti � �� c�r �O W r ,��r �� a � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. �952� 249-46QQ Owner/Contractor on sit Inspector. �L �� White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �'[0'l2 PERMITNO. ZO�� COMPLETED ADDRESS �� P.�.G��- I�.O� �V OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION TU" � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W 0. J Of� '� ��1 0 � � O � W � Q � Z w � w � � a W ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. (g52) 249-4600 Owner/Contractor n ite: Inspector. White Copylinspector's File Canary CopylSite Notice