HomeMy WebLinkAboutResolution, permits and misc. . . r ���
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\�'C�� �G~'�� ` RESOLUTION OF THE CITY COUNCIL
\9kESH�4 � N0. � � `,�
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A RESOLUTION APPROVING INSTALLATION
OF A HOLDING TANK FOR OUTLOT A,
FRENCH CREEK
- `VHEREAS, the French Creek Homeowners Association has requested to install a
1,650 gallon holding tank on Outlot A, French Creek; and
�'•�VHEREAS, Outlot A was created as common recreation lot containing rivo tennis
courts and an enclosed gazebo building; and
`VHEREAS, Municipal Code Section 12.30,Subdivision E requires all new holding
tank installations to be reviewed by the City Council; and
NOW, THEREFORE, BE IT RESOLVED by the City Council of Orono,
Minnesota that the request to install one 1,650 gallon holding tank on Outlot A,French Creek for use
with one toilet and one sink is hereby approved subject to the following conditions:
A. The holding tank is subject to all ISTS standards as specified in the Municipal Code.
B. The undersigned owners have read,understand and hereby agree to the terms of this
resolution and on behalf of the French Creek Homeowners Association, their heirs,
successors and assigns,hereby agree to the recording of th.is resolution in the Chain
of Title of the property. �
Adopted by the City Council of the City of Orono, Minnesota at a regular meeting
held on the 13th day of May, 2002.
ATTEST:
.� ' '' (/��
�
�Linda S. ee, City Cler Barbara A. Peterson, Mayor
� .
R presentat' e s) of
French Creek Homeowners Association
Page i of 3
-_-_�
:
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s - lI CITY of ORONO
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� �,~�� RESOLUTION OF THE CITY COUNCIL
t`9�gH0j NO. � � � �
STATE OF MINNESOTA
COUNTY OF HENNEPIN
17
-The foregoing instrument was acknowledged before me on this k3�th day of May, 2002 by
Barbara A. Peterson, Mayor of the City of Orono, a Minnesota municipal corporation and said
instrument was executed on behalf of the City.
3
-_�, � UNDA S.VEE ;%���� iJ • (��._
,_ `�;�;;, ��UC•MINNESOTA Notary Public
���P�es Jan.31,2()ps
STATE OF MINi�1ESOTA
COUNTY OF HENNEPIN
The foregoing instrument was acknowledged before me on this �,�?/ �''� day of
/ `- 'c� -j , 200� by Linda S. Vee, City Clerk of the City of Orono, a Minnesota
municipal corporation and said instrument was executed on behalf of the City.
�`� _' RACN_L pOD�E `/`��-.� �.,_,�-1,: %l' ��
�, PJOT;•.".Y f'U�LIC-h?;'���:�^QTA <'--/�"���
'-• _ M%Cc^.^i�;icn Expires J�n.31,2005 Notary Public "
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.�....�:..__:_.�:''�._„_.t��,":�,J,. ,�
STATE OF MINNESOTA
COUNTY OF HENNEPIN
�
On this 15� ,day of `� , 20�2 , S+�vE�� 1� � vti1`;11e1- � v��N�e�e v�ict-'t'sL�
personally appeared before me, '
�vho is personally known to me
w•hose identity I proved on the basis of
✓ whose identity I proved on the oath/affirmation /�a��� �.�c.n ;�,lx�;a credible
witness
and who executed the foregoing instrument, and acknowledged that he/she/they executed the
same as his/her/their free act and deed.
rw�ses �-�G�.� L�-���' �coC�C.
'�:�t�t,, RACHEL DODGE Notary Public
NOTARY PUBIlC-MINN�^OTA
� My Ccmmission Expires Jan.31,2005
�--,,;�,!_... .._�:-�:.�.r�..:�:."�.- -
Page 2 of 3
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' CITY of ORONO
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"�, c�' �i�
� G'�' / RESOLUTION OF THE CITY COUNCIL
�\kESH� NO. _ � � � �
�
STATE OF MINNESOTA
COUNTY OF HENNEPN
On this day of , 20_,
personally appeared before me,
who is personally known to me
w�-�ose identity I proved on the basis of
whose identity I proved on the oath/affirmation , a credible
witness
and who executed the foregoing instrument, and acknowledged that he/she/they executed the
same as his/her/their free act and deed.
Notary Public
Page 3 of 3
.� ,
PERMIT
CITY OF ORONO Perm�t Number:
2750 Kelley Parkway - PO Box 66 Pos329
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 6�is�2oo2
SITE ADDRESS: outiot c
,Nriv o0000
PID: 10-117-23-32-0018
DESCRIPTION:
Proposed Use: c�ther
Permit Class: Plumbing
Pemut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required: Other-O
NOTICES/REMARKS:
�r�-Z e.6o — �c.�-� C��k._ %eNN rS /-�So� ,
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 35.60
APPLICANT: Standard Plumbing&Applicance OWNER: Clark& Sharon Winslow
8015 Minnetonka Blvd 1205 French Creek Cr
St. Louis Park,MN 55426 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
J �
CITY OF ORONO APPLICATION FOR PLUl�1BING PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
GENERAL INFOR11�fATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permiu may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600. _ �
,.�t
Please check one: New Addition Repair Replace :yr�
_,
Residential Commercial
�4 �..e.�j� �=�--Q..v-.r�r` �-�t�z-�.t� `�-v`�� J ��� ,
JOB SITE: ' 3(�t7 �2/2�vr�-+ C,����� Dn- Zip:
Owner's Name: S'7'��� �'�-i.Z��.2 Telephone Number:
Niailing Address: City: Zip:
Contractor's Name: s�eq�v�}�, `u��,•sNv,, a .�� ����elephone I�umber: 9Sa-�3 8-35�;
Mailing Address: �o�,r �►r�va,�-7o<a� 6 L v✓� City: �^/.�v, I�� Zip: S�'�1d(.
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS1�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet j Floor Drains
Lavatory � Sewer Ejector
Bath[ub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener � 1
Dishwasher Wet Bar
Sillcocks Misc (list) ;;fi s
. ti
PERMIT I�EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��oo x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or esti.mated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenan[ or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Depar[ment of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certi�es that all statements made on this application are complete, true and
correct.
-�
Applicant's Signature: k��•'�G.-- � Date:
' � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos269
Crystal Bay, Minnesota 55323 Permit Type: A��essory snu��ures
(952) 249-4600 Date Issued: 6i1��2o02
SITE ADDRESS: outtot c
,Nnv o0000
PID: 10-117-23-32-0018
DESCRIPTION:
Proposed Use: Other
Permit Class: Building Census Code O/S-Building
Pernut Type: Accessory Structures Pernut Sub-type(s): Entrance Monuments
DETAILS:
Approved per resolution#:
Separate permits required: �«mcai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25
Valuation: $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 304.53
APPLICANT: Windsor Companies Inc. OWNER: Clark&Sharon Winslow
1175 Hwy 36 1205 French Creek Cr
St. Paul,MN 55109 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESO A BUILDING CODE REQUIREMENTS.
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� APPLICANT PERMITEE SIGNATURE ! ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
� e +
Total Fee: $ ���l ��' � Date Received: 4�—�o��_
Entered By: ��_.' Permit#: C'=�(:� `� z(,- �";
1 �'���r�` % �T� /�-� �C,' �}-
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � / ��, l�
�'L-���'c: �FG����-4 G�,�� �/ �[, f�1��
JOB SITE ADDRESS: P�D jt+.�1►�z� �'Z OOlB ZIP:
NAME OF OWNER: C�����I`� �'��'� PHONE: (home)
t��-'1'C`��'�' ��� (work)
MAILING ADDRESS: CITY: C`� (�''tvC� ZIP:
CONTRACTOR: �'���pr��'- C��'1�'r� PHONE:C.��l -� —L�'Zc':�
CONTACT PERSON: ��. �`�7'�"'�1���� MOBILE/PAGER:Cvf2- �C"�, - �j?�
MAILING ADDRESS:� 1 �-�-r, � , b-�ti ��v CITY: [ j�i,�'�p ZIP: SS t CJ
STATE LICENSE: # �j�- � �3 7
ARCffiTECT/ENGINEER: ���►��'��—�'�'I��'���"%'� PHONE: C''�����'�`�
MAILING ADDRESS: �1�-, �, +�"�'•� 3�: CITY:�t'����V ZIP: �,�j t
NAME: �,'i.�'r�,��p�"�- REGISTRATION# 2�2 �
TYPE OF WO1tK: NPw Addition Accessory Structure �
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �H`�`� �'t�t'�'v�''1�S
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �G' �
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in ac rdance with the approved plan.
APPLICANT'S SIGNATURE: � • DATE: �' ` �` e�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the evertt. Non permitted events will not be allowed.
5
� i
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2. Informalion required to be given indi�idual. An individual asked to supply private or co�dential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide
sysiem;(b)whether he may refuse or is legally required to supply the requested data; (c)any known consequence arising from his supplying or
refusing to suppty private or confidenqal data;and(d)the idendry of other persons or entities authorized by state or federal law ro receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav place the notice reouired under this subdivision in the individual income tax or oropertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be informed whether he is the
subject of stored data on individuals, and whe[her it is classified as public,private or confidential. Upon his further request,an individua(who
is the subject of srored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed
of the content and meaning of tha[data. After an individual has been shown the private data and informed of its meaning, the data need not be
disclosed to him for six months thereafrer unless a dispute or acdon pursuant ro this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request, excluding Saturdays,5undays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,�Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disa�reement. The responsible authority shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to no[ify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data.
The detemunadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
ro contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the City of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�,�'�ti'�D ��-1��� �Tv����'
Firs � Middle Las��
I � �� �� 6-h�.;� �C�
Address 'r'�`�1 � l�, C� C.��j(�_ l �l_ l_.; G(,'rj
�� `� Y i V V[i��l/
Ciry State Zip Phone
I understand m ghts as stated above.
j' � � ,.� ��. �
Signatur �
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: P� r� �u - ��� -z 3 3� o o i �b
PID:
DESCRIPTION OF WORK: C-NT�r,a..�c� �vLo�.v,,...,,�s
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: �P�,,{� �Qr,�„� DATE APPROVED: _ �,. �z•��
BUILDING REVIEW BY: �,,,,,,� (Q�„�,y DATE APPROVED: �- r z -o L.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _�/' No
PLAN REVIEW Yes �/' No SEWER CONNECT'ION
STATE SURCHARGE Yes ,/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No ✓ Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side: ,,,�
pn� (Jtl-�v.wn: YlA
Rear (Street): Left Side: �rJ �'�' �"� • ���� �r`�'"'�"
Ly,1�e OF- TA�2
Adjacent Structures: Wetland:
r
Building Height: Def. Hgt. Peak Hgt. c�
Lot Coverage: --
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: —" By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: �l/�
Avg. Setback: Bluff Setback: I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: — CONSTRUCTION TYPE: —"
• Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ � 0,�c�c�
o�v.
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
� _�Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling �_Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
8
✓ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE /_ SCHEDULED � ��
PERMIT NO. O S�(RC COMPLETEO '��- �-Sa �
ADDRESS � NC ��� ✓ '� �'�s/�
Q' OWNER CONTR. t . u/' . s,
:J
� TELEPHONE NO. �S� a �I � 7tS,� � ��,v;'�:(� T,Gpr+
�
M � DESCRIPTION �� � � �G
01 FOOTING 11 MECHA ICAL RI 18 EXCAV/GRADING/FILLING
� � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE(WETLANDS
� y
� O 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
' Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
O = OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
\ � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�J�B�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
O STOP ORDER POSTED.GALL INSPEC70R
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: �
,
Inspecto��,���- �,,!/�
White Copyllnspector's File Canary Copy/SNe Notice
FRENCH CREEK OWNERS' ASSOCIATION
BOARD OF DIRECTORS MEETING MINUTES
March 3, 2002
The French Creek Board met at Harlan & Marcia Hanson's house on Sunday, March
3�, 2002. President Brad Jones called the meeting to order at 7:10pm. The entire
Board was present: Brad Jones, Steve Kennedy, Bob Lux, Pam Sagan and Marcia
Hanson. Interested members present were Steve Miller and Harlan Hanson. A quorum
being present, the meeting proceeded and the Board discussed the following items and
took the following actions:
1. Elections were held. Marcia Hanson was elected President/Secretary/Treasurer and
Steve Kennedy was elected Vice-President.
2. Brad Jones turned the meeting, the association records and checkbooks over to
Marcia Hanson.
3. It is time to review our insurance policy. State Farm insures us an un-incorporated
association with a policy covering the common areas. Marcia Hanson will investigate
obtaining higher limits from State Farm and any other coverage necessary or
recommended.
4. The cost for the landscape proposal that Steve Miller presented at the annual
meeting is approximately $50,000. This includes both East and West entrances and
the tennis court/Gazebo area. The plan does not include changes to signing,
sprinkler system or fighting. It includes removal of the fence that runs between the
entrances along CR 51. So that we can compare ideas and pricing, it was agreed
that we would get a second plan, as soon as possible. The board's proposal will be
presented to the membership as soon as practical.
5. Abha Kopp has agreed to continue as co-chair of the Social committee, with Andrea
Siegert. One of them will begin to attend Board Meetings.
6. Steve Miller agreed to chair the Landscape Committee. Current members are the
Petersons, Kopps, and Kennedys.
7. Everyone is encouraged to take part in the committees. Anyone, who is interested
in serving on any of the committees, is welcome. Please contact a board member
as soon as possible.
8. The next board meetinct is Sundav, April 7th, at 7:00 p.m. at the Hansons. The
date of the meeting might be changed, if the second landscape proposal is not
available for review at that time.
9. There being no other business, the meeting was adjourned at 9:05 p.m.
Respectfully submitted:
/y��J'(,P.�-�����t�'L-
Ma,v�c,i,a��-f av�aw
President/Secretary-Treasurer
March 6, 2002
f
DATE TIME ✓
CITY OF ORONO CALLED IN 7` Z
INSPECTION NOTICE SCHEDULED � �
PERMIT NOoZ4��i'Q��Z� COMPLETED
.�-
ADDRESS
OWNE � a�� �� TELEPHONE NO. ��Z" i3�S����
CONTRACT
>; DESCRIPTION �� h� ���
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
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:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED _i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on site:
Inspector. � .(�� ���' �'J � �
White Copyllnspector's File Canary Copy/Site Notice