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Home My WebLink About2016-00913 - addition to home . , CITY OF ORONO * Z 0 1 6 - PJ 0 9 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2760 COUNTRYS[DE DR W PIN : 04-117-23-12-0011 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 NO"I'E: ADDITION SEPARATE PERMITS REQUIRED: ELECTR[CAL(STATE) NOTE: SEE BUILDERS ACKNOWLEGEMENT FORM APPLICAIYT PERMIT FEE SCHEDULE 433.67 STATE SURCHARGE(VALUATION) 12.50 STERN,JON& MOLLY TOTAL 446.17 2760 COIJNTRYSIDE DR W Payment(s) LONG LAKE, MN 55356 CHECK 10596 446.17 OWNER STERN,JON&MOLLY 2760 COUNTRYSIDE DR W 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. 1'his permit is for only the work described and does not grant permission ror additional or relatcd 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 1 AO 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 Sig at e Date [ssued Signature Date City of Orono � I Building Permit Application � � �,,J � ��r for New Structures or Additions �-r�`�'�I ��° Mailing Address: Permit number: � '� '�f � �A, PO Box 66 � �v� Crystal Bay, MN 55323-0066 Date received: �� —�`O StreetAddress:' Received by: �'�"�' /(�/- � ,�- 2750 Kelley Parkway y�' �� Orono, MN 55356 Plan review fee: � lqkESH�� Main: 952-249-4600 Total Fee: �`��g� ' Fax: 952-249-4616 v��vvv.ci.oron;; mn.us ' r This application form must be completed in full and all required information must be submi ted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � �;�(.' (L:'�';`'� r'�' ' �� -,� � �^ �,� ��9C� Will this be a Parade of Homes, Remodelers Showcase" ome or other Display Home? Yes No lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT NFQRMATION: Name: � ��h��'3� State License# Expiration Date: Phone: cell -_� - S . office Mailing Address � ( "Lr1 �� r i,��' ' � Cit : ZIP: Contact Person: . �.,�� Applicant is: Contractor / Homeowner �c��ieo�e� Email and/or Fax: -- PROPERTY OWNER INFORMATION: Name: � C%'.�1 � ��1 C1 ��i .��C"-�ll Phone (day): — � .�_ a- 5�" �/� � � � Address: �.7 �L� C�l.`rr�il �� i�N �J��. U'�', City: �,��/1 �� ZIP: 5 �� Email and/or Fax - ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: }`' �� ` % 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction ❑ Single Family with � Accessory Bldg./Garage �Addition attached garage ❑ Deck ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer ❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water *"Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑ Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ - Packet Lasf Updated: August 2015 Page 21 STRUCTURE INFORIVIATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction � � a. Length(ft.)= '� � If Number of bedrooms= �Wood/Frame b.Width (ft.)= �� Number of garage stalls: ❑ Masonry Areas in spuare feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8%2 x 11 set ❑ C? Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCW D)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit � ❑ Data Privac Adviso Form APPLICANT/OWNER ACKIVOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review 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 generally cannot be given to the public but can be given to the subject of the data. Confidential data is information 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. ApplicanYs Signature: Date: / � G' �� . Owner's Signature: Date: �(/ G'1 I d-L�I 1�� J Packet Last Updated: August 2015 Page 22 � � I�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� JI ��' Permit No.: �� •�� Description of work: � Date Rec'd: O �Z-�� r Septic review by: Date Approved: �� Zoning review by: Date Approved: Q ' � V/ � �� Building review by: � �'" Date Approved: �� l �� Grading review by: m I�v1/�� Date Approved: �l • �'��Q Zoning District: ' Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF AC Width: Lot Coverage: SF ---� % Survey Submitted: �es � No Dat of Survey: �l 'Z' Revised date ? : �'Z'�5 har�-drawn ��n n, na t�'b�ot �urrw� Landscape plan submitted? �Yes ❑ No Landscaper: �,t �� . Proposed Setbacks: NOr�I � Q Z . I. � � Front (Lf�� Rear(S et)� ( � S E W ) ( N S E W Other Buildings Wetland Side Side - — ,�--- Defined Height: Peak Height: E: FFE mi eet= xis r' ._...� �.-.,�,�..._,.d , _y -__ _._ _ �_ �""�m� Pe ' ter(linear ,eet = 50% _ �'� ..__--� � �,------�'" L.F. below grade _� �.----- sement? � Yes�` � No, Stori FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from hiqhest existina the highest point of the roof. START WITH rade to the highest point of the roof even if fill was brou ht in to If you have a... � elevate home. %� �,v SUBTRACTION • GABLE HIPPED ROOF(no Slab bel grade—measure (BASED ON wind , �): Subtract half the distance from ' hest existing grade to the ROOF TYPE) b een the highest point of the roof h' est oint of the roof. o the low point of the corresponding 1f you have a... ' gable or hipped roof �"� • GABLE OR HIPPED ROOF �� SUBTRACTIyrv no windows: Subtract half GABLE OR HIPPED ROOF(with (BASED O� � � windows): Subtract half the distance ROOF-DfPE) the distance between the between the top of the highest / highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: May 2016 z:\forms\plan review checklist 5-2016.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? � Yes No Permit Number: � Yes 0 No N/A � Ye No N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes No � Yes o 1 2 3 4 5 ��(P� Type(s): Type(s): P` �'l Fees to be Char ed YES NO Permit � Plan Review State Surcharge (� Investigation Fee SAC-Number of SAC Units (/� Other(specify) . Square Foota e $ per Square Foota e Basement X = $ � 1 St Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ �- 1( Orono Inspections Required Work Requiring Separate Permits �Footing 0 Site � Plumbing 0 Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection 0 Framing � Other(specify) � Masonry 0 Sewer Connection 0 Waterproofing/Drain tile O Mfg. � Lawn Irrigation ❑,Foundation Waterproofing � Other(specify) 0 Landscaping Framing �Insulation As-Built Survey Y Final � Lathe Required State Permits ❑ Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �ee Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: May 2016 z:\forms\plan review checklist 5-2016.docx � � Builder Acknowledgement Form Permit #2016-00913 / 2760 Countryside Drive W Builder Representative Name: Permit Conditions: Initials Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to inspection. Erosion control shall be installed and maintained throughout the entire project and must �--•�,�� remain until vegetation has been established. A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning ��/]�� and repair of roadways for any adverse impacts. � �� Prior to refunding of the escrow money an as-built survey must be submitted and approved. � Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls, etc. not currently shown on the approved survey and landscaping plan will require a separate Zoning Permit application to be submitted and approved prior to the work �� commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and ��/�/ r approved prior to construction. 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J� y ��. � � � r� '� � � � '.� �� ' --_____._.____..._.__.___.._._...:�� _____�_ ` �...- �..� r -�- _,..�--- ` . _ a Y..—_�....._.._ 3 � P '7` ti, , 1 �.� � : ��+ v.- C�- C � � 4 ` � , � � a ! ; 0; y ;�.�. ' r� ' � � � `V � � � t �� j ' t �� P " j ' � � ! ; ; _, ��r�� _ �_ ��.� ,: ' , L � �. __. ___� _ _�. --- ___ __ --- ____ -- , , �_ . - �---�- � �- __�....� __ - _ ---- o�xZ-Z �.�_ - � r i E -� �cc� ��o� � � �'�al I , �v� ��,�,, � �, , � , , , � u �.�� ;< << , ,�� r�ef� �� p.0� o�� y � I � �� CEIVED � RE ( . / �� \ ; �� - _ . , � [-� _ _ SEP 1 2016 C/�� j .� a CITY OF ORONO �n G � �� G 1I 11 � �1� p��f r�� /�n� � � l� �U� y v �� (� ►'� ci l� 1 �l r� �� o�� 1� �� 5� - . _ �� leu� � .e� �� I I � � �c..r...._. �� ,,�� P� �a » a 7 �� I fl� S� C�' I� (`I U� �DIr� ��0 eX�st� � �(� � � � � w � � w � � � � 0 � � > � z � ,_�� .__ � �, � � � t� _�y� .�'�, £ � AJ � p _ � J p �** • � :T ,� L w �; f � � � `� � f�� t °� � � �ppY � � �� , � ORO�' �. � , �.� �- � ,° � *'- � t o � _ , r` oc 't, _�,_+y � ,� m��' � 1.r•r'��,�1 �. �� ' � r � � � � �' ' '� '- w � P;- � �� *s � �- �, ._� � '�' � � �i A T � � �� ' ' �'� �' F" — � � �� s'? ��— �� ti ,� � �r� � . � . � � � � �, � � �M ��.�.-r-''r � � � � � �� J � � . �;, � �;= �� "�.�- ,.��` �� +ti. � . _, . 1 �'� ��' � � " �-, �' ° ._ — ',�f � �, ��. �, �, O � v'�� .� �R �� --�- � �.''" � O; '��, � � . 4 � '� ' O 1 � �•� � °� �. }�. � �..�-'r "'Y ;� �; � � � � � � � -tisw � � � � � � 4 ,_ � � � � � � Z � � O M v F��,' U z �g zz � � z � � � �� s w � x E z 3 dUo° � .� G �o 3Z �c ' ¢ m �- z � c ,� w c7 — "f1�" � � � � O L � Q z �J � 2�1� C�unW�s�c(�.- i�r- w �l ` :� � z 2otco - ooq� . .;l �� pl�n f - Christine Mattson From: Adam Edwards Sent: Friday, September 09, 2016 11:58 AM To: Christine Mattson Subject: RE: 2760 Countryside Drive W/#2016-00913 Stamped approved From: Christine Mattson Sent:Thursday, September 08, 2016 11:23 AM To: Roger Peitso<rpeitso@ci.orono.mn.us>; Adam Edwards<aedwards@ci.orono.mn.us> Subject: 2760 Countryside Drive W/#2016-00913 We received a building permit for an addition to the existing house. During my first review the addition didn't meet the side yard setback. They recently submitted updated information. Adam you have a copy of the survey, building plans and landscape plan. Roger you have the same including the entire file. Please review and provide comments. Thank you!! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono ; MN ; 55356 (physical addressJ PO Box 66 ; Crystal Bay ; MN ; 55323-0066 (mailing addressJ S 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 OUR OFFICE WILL BE CLOSED: Friday, November 11, 2016 Thursday& Friday, November 24& 25,2016 1 . �0�� C ITY OF ORONO � �, Street Address: Mailing Address: Telephone(952)249-4600 y�. G� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 l.q F, Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us KESHOR August 15, 2016 Jon& Molly Stern 2760 Countryside Drive W Wayzata, MN 55391 Re: Building Permit Application#2016-00913 On August 2,2016 the City received a building permit application for a garage addition. 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. Setbacks. The property is located in the RR-16 zoning district. Setbacks are 50'from the front and rear and 30' on the sides. Your proposed addition is 27' from the north (side) property line where 30' is required and cannot be approved. Please modify and re-submit two copies of the building plans which meet the 30'side yard setback. 2. Certificate of Survey. A survey dated 9-2-15 was submitted with the proposed project hand-drawn on the survey. The survey does not meet all of our minimum survey requirements for permitting. Please provide two copies of an updated, full-size certificate of survey which meets all of the City's survey standards (enclosed) indicating the location of the proposed garage addition (and any proposed grading). Please note, our engineer has not reviewed your submittal,so additional comments may be forthcoming. 3. Landscape Plan. Will there be any changes to the landscaping with the proposed garage addition. If so, the City requires a landscape plan be submitted showing all the proposed exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc. The plan should include the name of the individual performing the work. Any proposed patios, grading, sidewaiks, retaining walls shown on the landscape plan should also be reflected on the survey. 4. Escrow& Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out- of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is $2,500. The escrow agreement is enclosed. The property owner must sign the enclosed agreement and submit a check for$2,500. 5. 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 regarding your project. 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. 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 C��h wV w� Christine Mattson Planning Assistant c Roger Peitso, Building Official enclosures Page 1 of 1 Molly From: "Rachel Workin" <rworkin@minnehahacreek.org> To: "Christine Mattson (Orono)" <cmattson@ci.orono.mn.us>; "Jeremy Barnhart" <jbarnhart@ci.orono.mn.us> Cc: "Molly" <mgstern@msn.com> Sent: Wednesday, September 07, 2016 7:54 AM Attach: Temp03962.pdf Subject: 2760 Countryside Dr W, proposed garage addition- no permit needed Good morning, The proposed garage addition at 2760 Countryside Dr W, Orono will not need an MCWD permit. Please let me know if you have any questions. Kind regards, Rachel Workin Permitting Technician Minnehaha Creek Watershed District 15320 Minnetonka Boulevard,Minnetonka, MN 55345 952.641.4518 www.m innehahacreek.orq 9/8/2016 � i DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. .�o,� Lo�:� S�t�� First Middle Last �1 (� o c d�,.�-�,�s :�-� 0� c� Address (`�raKv �'1 IU SS3 s(P C�r z. 3 �3 -as�� Ci y State Zip Phone I understand my rights as stated above. Signature , Packet Last Updated: August 2015 Page 7 � � V � D T TIME C F ORONO CALLED IN /P� SPECTION N TI E SCHEDULED � - - � PERMIT NO. � / OMPLEfED ' ADDRESS �� OWNER T LEPHONE NO. '7 2 CONTRACTOR '' DESCRIPTION �� S — �C� � �FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q�❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO O ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNERICONTRACTOR TO MEET YWI:_YES_NO � COMMENTS: �C'� �4c �5 - F1e✓ �u�✓c�rs 6��*�'ES 4 �y. �IDr GrcC/��o �, - �aaw�.�y - �� . o ` D W e!s - p K - �nzo �,5�.� f'�s. � " �%� ` o � 0 � � _ . 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OWNER TELEPHONE NO. � 3 S��Z/� CONTRACTOR �/ �� S � DESCRIPTION � �'7S c.t ll �`�C ' �-- ty ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � Q INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 O'MfNERICONTfiACTOR TO MEET YW�E$_NO y COMMENTS: W =C �� G�.G( S�r�r r! GcJ�t/l�_ � �L�r t�t d o -�- A�► �/cb ►�nv-F - � a� , ° (� � ✓e�t� !�` �Sk�a.�� r W �/1 � /' � ✓ �� 0 n�l. Du� .d� a / Q � (,� Pra,.rb� �g'' s�►-�c,�u�aL s�ra,os on � �'vP �/Q�'e. GcrraSs /'lD��i�s -�r va.��- —r � A��res � �at rc�� d �� '�s�vc✓ , 4�j ❑WORK SATISFACTORY:PFlOCEED ❑ PROJECT COMPLEfE ��CORRECT WORK 6 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY OD ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPOfiARY V BEFORE CdNERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HWRS. ❑ pHOTO TAKEN INSPECTOR WILI RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (g52) 249-4600 ownedcontractor on site: Nd NE Inspector: � White Copyllnspector's Fil� C�nary CopylSN�Notfc� ,�If ✓ 'y 1 �� DATE TIME CITY OF ORONO CAL E�D Ir� INSPECTION NOTI E SCHEDULED �� _�as� �EAMIT NO. I COM�LETED � � ��J ADDRESS '� � � OWNER TELEPHONE NO. - '��- CONTRACTOR /� / � DESCRIPTION �'��a ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 W ❑ AS BUILT-SURVEY ❑ SE�IER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ TIC INSTALL ? OWNENCOI�ITRACTOR TO MEET Y'OU: YES_NO y COMMENTS: �" � W � j ' �� - 'c..� � + � `�/' � �7 �`� � � h � Q - ,�-k 1� l � ` � �- , r-�.�/y �-,�.� ��- i '�`�' . � — '�--' " .� n l� O�YC ) � �' /' � G'� ✓ G I� J � �RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CpRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COHERIN(i PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HWRS. ppHpTOTAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspectfon 24 hours in sdvance. (g52) 249-46�0 OwnedContra��s�te: Inspector: ` VYhlts CopyAnspector's FIN C�nary CopyfSlb Notlee