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HomeMy WebLinkAbout2016-01027 - demo � CITY OF ORONO * 20 16 - PJ 1027 * 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3083 FARVIEW LA PIN : 04-117-23-33-0005 LEGAL DESC : FARVIEW : LOT 003 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENT[AL CONSTRUCT[ON TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE, PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO OF IN-GROUND POOL APPL[CANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 1.00 L& R SUBURBAN LANDSCAPING INC TOTAL 51.00 11421 W 4TH STREET MINNETONKA, MN 55343- Payment(s) CREDIT CARD 2971 51.00 OWNER FISCHER, SUSAN& BRENT 3083 FARVIEW LA LONG LAKE,MN 55356- 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 shali be compied with whether or not specified herein.This permit will expire and become nuli 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 afrer 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. C V�.�` l.f �V Dv � l l l I� Applicant Permitee Si ature Date Issu d y Signature Date O City of Orono FOR CITY USE ONLY � � P.O.Box 66 Date Received:��� Permit# �� vz� � 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $ �� SAC Credit:�� (952)249-4600 'j � Homeowner{s)Signed: ❑Yes � F �,� Resolutions(if any)Signed:0 Yes ❑None Required ��fKFSH��� Zonin Disclosure Si ned: ❑Yes ❑None Re uired CI�'���� CITY OF ORONO - DEMOLITION PERMIT . (All permits must be approved by the Building O�ciai and/or Zoning Department) � / `/' Job Site / Owner Information: �� Type: Residential ❑ Commercial Site Address: �� ����2� L�/Z� ���� • �G�.��� �-����f-�r`� s �D�� '��'�c��/G�� Owner: ailin Address: � City: �h`D�'?C1 Zip: ��.���SC� Phone:���-/C �-Q� ��/d �/� "` EmaiL• �Gf�������P���� � �"�� . �(I>�� Contractor/ Applicant Information: • �- �/�G���`����?C>' Contractor/App.: L�� ���L����� � Contact Person: / ���C�.. ����`� Address: `��r�� ����� ����� � State License #: �� �! �j 1�� City: ���/v7`7� �7� Zip: �-`��� Expiration Date: � '�"� ���� Phone: ��� ��� ��'.�� Email:���C(����fpGL/��Cl�'Ij(�/?�J���/��� ` � ��O�F�� SPECIAL CONDITIONS � 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 hour 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 � Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer yD�i�s�nnection ❑Well Abandonment#__� I "I Fi 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 copy of permit approval from the Minnehaha Creek Watershed District (MCWD). 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 150784 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 untii such time as demolition is complete. 6. Keep ail demolition debris off adjoining property andior 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 ali demviition debris off site in accordance with ali applicable PCA requirements. 9. Abando�water wells in accordance with State Heatth Depanment regulations. 10.'Cail for an inspection when ali debris has been removed, before backfifling. 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left clean and clear of all debris, with any excavabon filled with earth level with the adjacent ground elevatio� (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, induding attomey fees, against the City, its agents, employees and assigns arising out of or resutting 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 $ � $50,00—Accessory Stn,cture x � (how many) �C` �� � i r� q rr�c.�-,cti �o� 1 � 1. Subtotal 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 on this application are complete, true and co�rect. � �� ��-/ �, Applicant's Signature: Date: Owne�'s Signature: Date: � �'"� � � � ! Approved By: Date: � � (B ilding O icial) *Zoning Disclosure Requfred? ❑ YES NO 'This must be filled out by Zoning Department—For ei r wer,a Zoning Official must sign all applications. *Approved By: Date: (Zoning Official) Form Last Updated: July 2015 150784 . , , ' , _ �,��� ������ L'a la From: Layla <layla@Irsuburbanlandscaping.com> ��J��a� Sent: Tuesday,August 23, 2016 3:50 PM 'J� To: 'tchastan-davis@minnehahacreek.org' Subject: Residence at 3083 Farview Lane, Orono Attachments: Fischer Minnehaha C�eek doc 8-23-16.pdf Hi Terrence, Here is the attached documents for the address we discussed this morning. This is for the pool removal only that we will be performing. I am also forwarding you an email from the homeowner giving their approval for me to act as their agent. Please confirm you received my submission. Please (et me know if questions. Anything you can do to expedite review would be appreciated. Please have someone call me for my credit card information. Thank you! Layla L&R Suburban Landscaping, Inc. 11421 West 47`h Street Minnetonka, MN 55343 952-935-0389 www.lrsuburbanlandscaqin�.com From: Terrence Chastan-Davis [mailto:tchastan-davis@minnehahacreek.org] Sent: Tuesday, August 23, 2016 8:33 AM To: Layla Subject: RE: Residence at 3083 Farview Lane, Orono Good morning Layla, Per our recent conversation, attached you will find the required application materials for our Erosion Control application. When submitting the application please show where the proposed erosion control will be on a site plan. The $10 application fee can be paid with check or credit. Please feel free to contact me if you have any other questions or concerns. Thank you, Terrence From: Layla [mailto:lavla@Irsuburbanlandscapin�,com] Sent:Saturday,August 20, 2016 6:12 PM To: Permitting<permittinQ@minnehahacreek.or�> Subject: Residence at 3083 Farview Lane,Orono Good Evening, � a Our company has been contracted to remove the swimming pool located at this residence. I have been advised by the �ity of Orono Zoning department to contact you in order to ensure that our work at this location does not"trigger"any water shed permit requirements. If you could please advise me on this as soon as possible, I would appreciate it. Thank you. Layla L&R Suburban Landscaping, Inc. 11421 West 47`h Street Minnetonka, MN 55343 952-935-0389 www.lrsuburbanlandscapin�.com 2 Layla 8/24 Submission to City of Orono for pool demolition permit: 3083 Farview Lane, Orono Susan & Brent Fischer, Owners Attached: 1) application 2) site survey and corresponding pool location and erosion control (2 copies) 3) homeowner escrow agreement and $2500 check 4 )watershed emails showing appiication submitted for erosion control as discussed If you have any questions about the information submitted, please contact me directly. Thank you. Layla L&R Suburban Landscaping, Inc. 11421 West 47th Street Minnetonka, MN 55343 952-935-0389 www.lrsuburbanlandscapin�.com 1 , � `_ \ � 1 J o N �- .� v �� � � � � o `~ - _ . � r . - .-- � o � .� y, '�• ' ,�1 , tt� .��=:��::_-,- 3. , p �- C�: :� � w w � � - . o � = � � - -- �� _ � � ;�y � � --_____ c__ �� � � — � ` - �' .-�. - �, - :�.� - � � . . `� ,` � �_y� . J : � _ �` � � � y1� . . . . �M " � � � � - • ' �� \ ,:: / - -�_--__ _ _ ,�� � - � r �- � ���� � . - '� = � ( ..t �; s r� �e ` f � �� � � - i � � .. r � 9 � M � . _ (� �.. � _ i � � . ` _' � � _ _ � + \ �._ - ., i : _ : _ �-• - - - : . , _ _ _.._. , _ .. , _ _ -- .. , _ v \ � �: - ,�. ` . �" -4 _ � Z t � .'�j N_ '� � � _ ._ \� • •_ _ J .. ` _v. � � .. ` � . ' �i: ' ( �. � " �t W yl� � �� . �''_.=U .� � .�i� . ..� . I � V. i` '� ' � -'t `y .� �. . G � Q \� .�' 3 - . ;;, -- �t: � � `^'' = 7 �, '� t' � E— ' - _- s _ � � � � � �� _ : _ � a 8 � - �_ _ � - �{ � � � � _ - , � �: ,;� _._ � 4 � V 1 �^ • ' - . � :/, ,n �7 1� J �' - --�-*--- J :,.-� :Y - . _ _ . -- F Q � � � � � � � � � g ° s � -� �� � - �; - �� � � � -� �_ ����. ^��:n� MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek Watershed District. 20l(� -0 L� Issued to: Susan & Brent Fischer Permit No: 16-458 Location: 3083 Fairview Lane Orono Purpose: Erosion Control- Pool Removal Date of Issuance: 8/26/2016 Date of Ex iration: 8/26/2017 � l By O� f the Board f M agers � � -�i�� Rach Workin Perm ting Technician This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete the project, an application for renewal of the permit must be received by the District at least 30 days before expiration. The applicant is responsible for compliance with all District Rules and for the action of their representatives, contractors, and employees. Conditions: Project to be completed as described in plans submitted to the MCWD office on August 23�d, 2016 according to the provisions of this permit. • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized • Notify MCWD in writing upon completing installation of perimeter and sedimentation controls • When the site is re-stabilized and the MCWD staff has performed a final inspection, all perimeter control must be removed (Statement concerning fees for inspections, violations, etc... on following page) , �l We collaborate with public and private partners to protect and improve land and water for current and future generations. ........................................................................................................................... ......................................................... ........................................................................................................................................................................... ........... ...................................................................................................................................................................................... .................................... ................................................................................................................................................ 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Inspection/Analvsis/Monitorinq Fees A site inspection and monitoring by District staff will be performed where the activity involves: • a commercial/industrial/multi-family residential development • a single family residential development greater than 5 acres or of any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within the beds, banks or shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least $35. Standard Fee Schedule District professional staff $ 65.51* District interns $ 40.35'` District clerical staff $ 46.69* Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $ contracted rate District Counsel $ contracted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaborate with public and privare partners to protect and improve land and water for current and future generations. ...................................................................................................................................................................................... 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org . , � � r� : �k � � . � , ; � �n r�, � � r , - _ ;�- t _�-: - � t __._� , � - - -- _� � � f � 1 . 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OWNER l�LE HONE O. � �'�35�� � CONTRACTOR � ry � O � �'' DESCRIPTION � ❑ FOOTING ❑ DEMO-FINALG�,�//� ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLINQ Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � ❑ TREE REMOVAL Z ❑ RAOON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOILOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICOUfTRACTOR TO MEET Y�Otl:_YES_NO � COMMENTS: 4 �l I�t�er,ac� re �oded� �io.�.� .exc.c��t,�.� O �- {c r[O U C'� �rO r✓� �r�P — ). � � � -� ,����/ ' W � Q � � W OC J / � �qA�A�FACTORY:PFiOCEED ❑ PROJECT COMPLETE W O CORRECT VMORK�PROCEED ❑ISSUE CEFiTIFIC/1TE OF OCCUR�NCY O ❑OORRECT WORK,CALL FOR REINSPECTION TEMIPORARY V BEFORE CdNERINd PERMANENT ❑WRRECT UNSAFE CONDiT10N WffHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRAN(3E ACCESS. CaN ior the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: InsPector�--'��_. i YYhib CopYAnspector's FIN C�nary CopylSN�NoNa ' . : • • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant � CC: Street File Date: October 3, 2016 G/L: 101-22205 Re: Escrow Refund Demolition Permit#2016-01027 pertaining to 3083 Farview Lane is complete. Please refund $2,500 to the property owner, Brent& Susan Fischer. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Brent& Susan Fischer 3083 Farview Lane Long Lake, MN 55356 w:�.street files\faroiew In\3083\escrow refund form 2016-01027.docx DEMOLITIDN PERMIT �D I lo -O I D Z � ESCROW AGREEMENT �, AGREEMENT made this 2S�day of /��9�t Sf , 20�, by and between the CIT1f OF ORONO, a Minnesota municipal corporation("Cit�')and� - ("Owners"). �csa.i� ,c, ��i�i� e i!a 8 1. An application for a demolition permit has been filed for �d0/ /.��o located at 3 D g� �iy<-i�iP� �-� ("Subject Property") legally desc�bed as 2. I� conjunction with the demolition, erosion control measures are required as shown on attached Exhibit"B". NOW,THEREOFRE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporan�ousiy with the execution of this Escrow Agreement, the Owners shall deposit$2,500 with the City. Alt accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarentee reimbursement to the City for all out-of-pocket costs(induding planning,enginesring,or Isgal consultant�eview)the City has incurred to assure that the erosion control measures are installsd and maintained so the property complies with the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous oonditions associated with the work and to repair any damage to public property or infrastructure that is caused by the woric. If compliance with the approved Land Disturbance Permii is not accomplished within the a{lowable time period, the City may bring the project into compliance by use of tt�e securiry. 3. R1GHT OF ENTRY. The Owners hereby grant the City, its ageMs, employees, officers and contractors the right to enter the property to perform all work and inspedians deemed app�opriate by the City in conjunction with the required erosion control measures,including but not limited to constructing or completing any and a(I of the agreed upon improvements should tfie Owners' contracfor not complete those improvements by the date specified herein. 3. MONTHLY BILIING. As the City receives consultant bills for incurred costs, the City will in tum send a bill to the Owners. Owners shal! be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above,shal)issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners io reimburse the Ciry for eligible expenses the City has incurred. , 5. CLOSING E8CROW. My remaining amount of the finanaal security deposited with the City for faithful performance of the plans and specfica�ons and any related remedial work will be released after the , ; wmpletion and inspection of all such measures and the establishment of final stabilization for the Subject Property. i City Staff shall review the terms of this escrow agreement two times per year to determine v►fiether the requirements of the projed have been sucxessfully completed and whether it is appropriate to retum the funds. Owner may also requast the release of the funds, and such funds shall be released upo� City Staff receiving the appropriate verification that all requirements of#he project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the proJect is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject properiy pursuaM to Minn.Stat.§§415.01 and 366.012. CITY• CITY OF ORONO O : By:����l�d,.�i'f`-� � � � . �cs: YI1�'�0 � � Ieteraal Uce Only: Originzt to nce De rtment O Copy to Strcet Fiie Form Last Updated: Ja�uary 2015 150784 WELLS �'ARGC� BANK �595 WAY7ATA;900 WAY2ATA BLVD E W�Y ,MN�5399 �� ��.�109'ID ;, ;;: 'DATE ' ' " � _____ __.—,_�""`"'- , $ , ��D���,.� PAY TO THE ORDER OF �'- ' r ���� ` .A�LLARS �/�' L ls� SUSAN FISCHER ; : BRENT J FISCHE�2 3790 YELLOWSTONE LN N PLYMOUTH MN 55446-2874 Ta City of Orono 2750 Kelley Parkway Orono MN 55356 • 952-249-4600 Receipt No: 3.016269 Aug 25, 2016 Brent & Susan Fischer Planning and Zoning 2016-01028 3083 Farview 2,500.OU La 101-22205 Deferred Rev-Developer Deposit Total: -------------- 2,500.00 Check -"__-______=_ Check No: 1595 Payor: 2.500.00 Brent & Susan Fischer Total Applied: 2,500.00 Change Tendered: ----' .00 08/25/2016 08:31AM=====____�__ � � • � CITY OF ORONO * 2 0 1 6 - PJ 1 0 2 8 * 2'750 KELLEY PARKWAY DATE ISSUED: 08/25/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3083 FARVIEW LA PIN : 04-117-23-33-0005 LEGAL DESC : FARVIEW : LOT 003 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FOR DEMO PERMIT#2016-01027-PAID BY: SUSAN&BRENT FISCHER-CK#1595 -$2,500.00 APPLICANT ESCROW FEE-BUILDING 2,500.00 FISCHER, SUSAN&BRENT TOTAL 2,500.00 3083 FARVIEW LA Payment(s) LONG LAKE,MN 55356- CHECK 1595 2,500.00 OWNER FISCHER, SUSAN&BRENT 3083 FARVIEW LA LONG LAKE,MN 55356- 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 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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. � L p . (�''J [���-�� ��-�� b�t� �S / zS/ I� Applicant Permitee Signature Date Issued By Signature Date , � �(� i �� 2�2 ; . ' o � � a � ' �lo(o d T N N F� �- N N � d d O I ; d � � � �,Q�� � � 3� to C� ( + �,��E N�a�:m Wio;Q --- -- __ a � ' i I--T ( iC � 10 T I C.C�C ( � m:m d � * v+-a�v_ i � i aNi m m 4. �Ll'k�' � �€� r I � j i � � � m ; . j ' �i ( �; � I T � LLI Ok O � ! ��O O � � f ��E � d� Ni d d a wio ❑ + ���f� � � i i • _°�'[.°�-'4.°�-' N i . �I��� � � �-��-!� v ' �i�l� O,C b Q ['�7`:,("7 j c+'] ...i �.'.~;~. ' N�NIN � i O O�O � ; " �i� � � ! o:o 0 CL � N N:N .. ...'.� _:-_ 2 � 1?-fr ... — f _f � m � (f�`;a —� E - �L � ! �O7 t/J � � � ���' � a a �j�: T � ` f � O ' �I�' � � 3ia'i y ' QIO; a I U��'� � � N y N ,C � w Q:�� `_I -_-_ I i d � ���� a i ���� --� -��(� � 1 ' �ala d ( 'o;o ��� ��?T. ► '���(� T�� N�N d� E��� iq i '-�r- �i m Q� D T�� CITY OF ORONO �LLED IN � __�� iNSPECTION NQT�C �HEDULED PERMIT NO.o�U� � MPLETED ADDRESS 3b g �J ���-�l e OWNER TEL PHONE NO. 9� -93s—D� CONTRACTOR N �- '' DESCRIPTION -���`^' 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO �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 v�AL ❑ WATER HOOK-UP ❑ FOLLOW-UP i W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMfNEA�COKTRACTOR TO MEET YW:_YES_NO � COMMENTS: 4 �� �i�av4tro�, -��o� raw�cuaG o� o �X�.��Ik�� �o� /� �4c lL -� ��eD � �. � � e���� �i0 n�'i r a L �.,, � ��C� W � Q � 2 � � /� ��i�`ec/ � � ❑WORK SATiSFACTORY:PFiOCEED �PROJECT COMIPLETE W ❑OORRECT VMORK a PROCEED ❑ISSUE CEFiTIFICATE OF OCG/PANCY O ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERINO PERMANENT O CORRECT UNSAFE CONDITION WITMIN HOURS. p p f{pT0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIREO.CALL TO ARRANGE ACCESS. CsN for the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector:� /�--- c�-- wn�»covrn�.Qe�tor.FiM c.�.ry copy�sra Noek.