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Home My WebLink About2016-00812 - addn/remodel/repair, �, CITY OF ORONO * 2 0 1 s — 0 0 e 1 2 * 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 333 HOLLANDER RD PIN : 25-118-23-43-0005 LEGAL DESC : REG.LAND SURVEY NO. 1281 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 55,420.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) NOTE: PRIOR TO RELEASE OF ESCROW MONEY ALL PERMITS ASSOCIATED WITH THE ADDITIN MUST BE COMPLETED AND RECENE FINAL INSPECTION. INITIAL`/"` (J� �,. _- -� APPLICANT PERMIT FEE SCHEDULE 763.20 STATE SURCHARGE(VALUATION) 27.71 CRAIG JANSMA TOTAL 790.91 14848 KRAL ROAD Payment(s) MINNETONKA,MN 55345- CREDIT CARD 4742 790.91 Minnesota State License#:BUIL-BC431870 OWNER TANNER,JOHN&DONNETTE 333 HOLLANDER RD 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 rype 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 after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � r�� c � 7 ��,� � � Ap ' e ee Signature Date Issued By gnature Date 7 �� a l CITY OF ORONO � '� BUILDING PERMIT APPLICATION � � � � FOR NEW STRUCTURES OR ADDITIONS %c�� MailingAddress: Permit number: ��ll� QZ� .�/ / T�O�� PO Box 66 • � O Crystal Bay, MN 55323-0066 Date received: 7-` � 't—� � �,� � �C \�Y Street Address:' ceived by: '`rF C, / 1,� 2750 Kelley Parkway � %l� ,� P1 review fee: , � ��9'�F s ti��R�`� Orono, MN 55356 � ��, �� Q/� ��` J \�__i Main: 952-249-4600 Tota�Fee: ' Fax: 952-249-4616 www.ci.orono.mn.us ��C br,( _ 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: 333 Hollander Road Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If 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 requir�d ur,!ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �`T�. Name: Craig Jansma ,' —� (�� C�C��c� �j �j�� `� ��"�� State License# BC 431870 Expiration Date: 2oie Phore: (cell) 320-290-4333 (office) Mailing Address: 14848 Kral Rd Cit : Minnetonka ZIP: 55345 Contact Person: Craig Jansma Applicant is: ontract / Homeowner (Circle One) Email and/or Fax: craigj�a thelegacybuildingco com PROPERTY OWNER INFORMATION: �` ��` l� Name: John and Donnette Tanner �/�� Q C�q 1 C Phone (day): 612-747-0814 � ��'" J Address: 333 Hollander Road Q��Q vi -�d�� Email and/or Fax tannerfamily333@gmail.com �`�� _ ��t �� ARCHITECT/ENGINEER INFORMATION: /� / Name: Charles Levin Architects � � ��h � �� `C"m�� ; '— _ Phone (day): 612-729-5333 � Address: �300 MilwaukeeAve -�� /� �� '? 7 �� — Email and/or Fax: Chuck@clevin.com ,_ J' �r PROJECT INFORMATION: Description of project: 9u4►/ �t � � r�• 1.Type of Project 2.Proposed Use . ,� ---- ❑ New Construction [�Single Family with [ [[�Addition attached garage [ ❑Accessory Building ❑ Single Family with [ ❑ Relocation detached garage L,._...,,....�� U Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) � ❑ Public 4-feet or greater ❑ Public Water � "*Any earth movement may also require ❑ Commercial ❑ Storage f 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.orq / f Estimated Construction Valuation (excluding land) $ 55,420.00 ,�= , , � _ . , , , , . - � , l � .. <'�.�ct� , s C r! G' ��v y�n r�-�,��-��n ��,� (�°i9°�� --- A ( . , � � �. . �^..�f��I^�� G'[/ �'� �� +4�j/ � V � Last Updated. January 2016 Y � \ ,�1 3 + STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length (ft.)= Number of bedrooms= 2. Occupancy: ��" / b.Width (ft.)= Number of garage stalls: 11 � � � �'3. Occupant Load: Q5i �-��'oL'�ld� Areas in square feet Attached = ' 1� c. Basement= Delac ed� �l 4. Type of Construction: �Y��` d. 1 St Sto = � � / e.2nd gt ry- � ��?�' �;�� 5. Code Edition:��0(� �� f. '/z Story = � � � � g.Total Area= �;� � REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed Ap 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'/�x 1 1 set ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ' ❑ ❑ Survey-2 full size,to scale(meeting ALL survey requirements) ❑ Hardcover Calculations ❑ Septic S stem Certification ❑ Minnehaha Creek Watershed District(MCWD) 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 Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • 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. Applicant's Signature: Date: 7/14/2016 Owner's Signature: �-- -;�� 1�- -� Date: 7`�ylzu�6 Last Updated: January 2E716 L PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: G�;1J �CJI�� ' Permit No.: ��Y ' ��0 �� Description of work: �( ()(� Date Rec'd: � �r"� � `7 � � -� � ; � • ��Septic review by: (�� ;� Date Approved: '��'�,�� i Zoning review by: Date Approved: Building review by: Date Approved: %( l Grading review by: H�et� �wQlW Date Approved: �' 2� • � �Q Zoning District: ��,� Zoning File#: Reso#: Reso Date: Zoning: Lot Area: �2� �+ S� AC Width: Lot Coverage: SF % Survey Submitted: �es � No Date of Survey: c6 �� t`� Revised date(?): Landscape plan submitted? � Yes II"No Landscaper: �V�-��` � i.-� ��; i�` -� / Proposed Setbacks: Front ( e Rear(S e ( N S E W ) ( N S E Other Buildings Wetland /�� Side Side �� '� efined Heigh�;.��``��.Peak Hei ., mifius 6'fee�.�.,_ ,�Existirr�"�on#our' ___._...�.--. ��..----~...,�, , µ�` / 'Pe�+�et�-(�'trre�r�et) _`._...__._.____ ,. _.-SQ%o= -- -M L.F. b��r,��a�,e_ �,. -_._..,._......_--�' - . �a�.ement?,_,.Q�e�-,_,._.C1l�a;��-__ ' s FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING t�N A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START W ITH floor(of the basement or crawl space)and measure from hiqhest existinq the highest point of the roof. START WITH rq ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED F(no Slab below grade—measure (BASED ON windows): Subtra alf the distance from highest exi ing grade to the ROOF TYPE) between the hi est point of the roof hi hest oi the roof. to the low nt of the corresponding If you h a... gable o ipped roof • ,,� ABLE OR HIPPED ROOF SUBTRACTION • G E OR HIPPED ROOF(with (BASED ON r'�r (no windows): Subtract half indows): Subtract half the distance ROOF TYPE) the distance between the highest point of the roof to between the top of the highest the low point of the window and the highest point of the corresponding gable or roof hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBT CTION Subtract the distance between the half the distance between (B ED ON basemenUcrawl space floor and the the top of the highest ISTING 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 ' Average Lakeshore Setback Shoreland District MCWD Permit Met? B�uff Yes � No Permit Number: 0 Yes � 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 '' �,�� i�'� ��(p(��(� � Yes No � Yes ,No 1 2 3 � 4 5 Type(s): Type(s): �q��.i k��4 ��- Fees to be Char ed YES NO Permit Lr Plan Review �,' State Surcharge I,•^- Investigation Fee i/` SAC-Number of SAC Units V Other(specify) (�-- Square Footage $ per Square Foota e Basement X = $ 1 S' Floor X = $ Znd FIOor X = $ Garage X = $ v - Estimated Construction Value: Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing 0 Grading/Filling ��,�Poured Wall Silt Fence/Erosion Control Mechanical � Fire � Foundation Survey 0 ardcover Removal � Fireplace ❑ Water Connection 0 Framing � Other(specify) � Masonry ❑ Sewer Connection � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation 0 Foundation Waterproofing 0 Other(specify) � Landscaping �Framing �Insulation 0 As-Built Survey Final � Lathe Required State Permits 0 Other(specify) � Well Electrical �'� C�l ��(�` /� � 1 REMARKS (in-house): d lS f''✓� � T 1 ✓1 � �o�-�n r� ►�,�� o v�rmv� s�2 u � ca� � p �t,�m r� l� a f�0��'12 �2�' /`�° s�l3�'�i s�d l� m✓' �"�s OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INllf`IALLED: � See Builder Acknowledgement Form �Prior to release of escrow money , . Ol�ul.. cl� ! ' J�.� . Updated: May 016 z:\forms\plan review checklist 5-2 1 .�,^n . � �v , Christine Mattson From: Adam Edwards Sent: Thursday,July 21, 201610:52 AM To: Christine Mattson Subject: RE: 333 Hollander Road/#2016-00812 Approved From:Christine Mattson Sent: Monday,July 18, 2016 1:10 PM To: Roger Peitso<rpeitso@ci.orono.mn.us>;Adam Edwards<aedwards@ci.orono.mn.us> Subject:333 Hollander Road/#2016-00812 We received a building permit application for an addition. Ptease review and provide comments. Adam, Roger has the entire file in case you need some history on this property. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ' Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay I MN I 55323-0066(mailing addressJ '�' 952.249.4620 ( 8 952.249.4616 � cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFF/CE WILL BE CLOSED: Monday,September 5,2016 1 Christine Mattson From: Christine Mattson Sent: Monday,July 18, 2016 9:56 AM To: 'Craig Jansma' Cc: Monica Fadness; Rachel Dodge; Roger Peitso Subject: 333 Hollander Road/#2016-00812 Craig, During my review of the building permit application, I see the proposed addition is not shown on the survey. Please stop by our office and show on the survey(to scale)the proposed addition. Our review will continue once this has been shown. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN I 55356(physical address) PO Box 66 � Crystal Bay I MN I 55323-0066(mailing address) '� 952.249.4620 I 8 952.249.4616 �cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 1130 am OUR OFFICE WILL BE CLOSED: Monday,September 5, 2016 From:Craig Jansma [mailto:craigj@thelegacybuildingco.com] Sent: Friday,July 15,2016 10:29 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Cc:Craig Jansma<craigj@thelegacybuildingco.com> Subject: Permit app 333 hollander road Hi Christine Just curious what sort of turn around time I could plan on for this application. It was submitted this morning. Thanks and have a nice weekend i Christine Mattson From: Lauren Sampedro <Isampedro@minnehahacre�k.org> Sent: Thursday,July 14, 20161:15 PM To: Melanie Curtis; Christine Mattson Cc: craigj@thelegacybuildingco.com Subject: No MCWD Permit Needed: 333 Hollander Road Good Afternoon, I spoke with Craig Jansma about a proposed addition to a home located at 333 Hollander Road.The addition will involve less than 50 cubic yards of soil and is not in proximity to any wetlands. No MCWD permit will be required for this project as proposed. Please let me know if you have any questions. Best, Lauren Sampedro Lead District Representative Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnetonka, MN 55345 952-641-4580 AMNWEMAMA CRRlK v�rwc[nNxo aasrn�� 1 ��C'EIVED � ' City of Orono ,�� 15 2016 '�'�`�� Hardcover Calculation Worksheet ��-� pF ORONO r Property Address: 333 Ho�{ander Rd �.� � _ � 8/24/2015 ' lohn 7anner Date: ''��4.'�i.;R `� PreparedFor: 58 Job Number: 89155-001 Prepared by: Jared Averbeck ,,,� ptormwater Quality Overlay Oistrict Tier:(Circle One) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 / Step L•WN5if��ARDCOVER In the following table,identify all items of exi Stia�n cra sary to accurately plict ex ning h rdcover status of the pr perty.For must accompany this form).Use as many Ime Tier 1 properties,Identify any features by letter which are split at the 75'setback line and caicutate hardcover square footage separately for each portion. T�a� uare Feet) Hardcover Item(Describe) Length x�dth « Key to Survey (24'x 30') (720 S.F.) (Example) (Garage) 3,431 S.f. House misc A 12.2'x8.1' 101 S.F. B Shed 1�q S.F. Concrete Stoop 29'8�X � misc 388 S.F. p &ick Paver Walk 512 S.F. Brick Paver Patio misc E misc 58 S.F. F Brick Paver Walkout Slab Z�836 S.F. Bituminous Driveway misc � misc 67 S.F. H Keystone Retaining Wall 16 S.f. Keystone Retaining Wall misc I 24 S.F. Keystone Retaining Wall misc 1 38 S.F. K Stone Retaining Wall misc misc 85 S.F. � Boulder Retaining Wall lZ S.F. M Stone Retaining Wall misc misc 42 S.F. N Stone Retaining Wall 149 S.F. p Stone Retaining Wall misc � S.F. P �;,.. ' ' �� '� S.F. Q S.F. R S.f. S S.F. T 5.F. � S.F. V S.F. W S.F. X S.F. Y Z S.F. (1)Total Existing Hardcover -g033 ' S.F. Excludable Hardcover(See City Code Sec 7&1684): S.F. S.F. S.F. S.F. 5.F. (2)Total Excludable Hardcover 100 S.F. (3)Net Existing Hardcover[Subtract line(2)from line(1)] __-�933—f S.F. �(��' (4)Total Lot Area 92,450 S.F. Proposed Hardcover Percentage[(3)+�4�] 8.58% % � ,�� (b (Proposed Hardcovernextpage) This is an information packet regording Hardcover.Every effort has been made to insure the accuracy oj the information corrtroined herein;however,if any information is not consistent with City Code,ihe Code provisions will prevail. • ' City of Orono RECEI�'�D '� Hardcover Calculation Worksheet JUL 15 2016 x� � : pfoperty qddress: 333 Hollander Rd p�e. g/�4/�41�1( OF ORONO .� � �< Prepared For: John Tanner � �� lared Averbeck ' 89155-001 Prepared by: SB Job Number: Stormwater Quality Overlay District Tier.(Circ.le One) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step i:EXISTING FIARDCO�R In the following table,identify ail items of existing hardc.over on the propertY,keyed by letter to Certficate of Survey(survey must aaompany this form).Use as many lines as necessary to accurately depict existing hardc�ver status of the property For TEer 1 properties,ldentify any features bY�etter which are spl'd at the 75'setbadc�ine and qlculate hardcover square footage separately for each portion. � x�� Tota�(Square Feet) �to�, Ha�aco�n:m lo�aiee) �Za�x 30 (no s.F.� (Exam le) (Gara e) 3.431 S.f. House misc A 12.2'x8.1' 101 S.F. B Shed 174 S.F. Concrete Stoop 29'8� � misc 388 S.F. p gri�k paver Walk 6u S.F. E Bridc Paver Patio m� misc 58 S.F. F Brick Paver Walkout Slab Z,836 S.F. � Bituminous Drivewa misc misc 67 S.F. H Ke one Retaining Wall 16 S.F. � Keystone Retaini Wali misc m� 24 S.F. � Ke ne Retaining Wafi 38 S.F. K Stone Retaining Wali misc misc 85 S.F. � Boulder Retaining Wall � S.F. M Stone Retaining Wali m�� Stone Retainin Wall misc 42 S.F. N 149 S.F. p Stone Retainin Wall m� S.F. P S.F. 4 S.F. R S.F. 5 S.F. T S.F. U S.F. V S.F. W S.F. X S.F. Y Z S.F. (1�Total Existing Hardcover 8033 S.F. Exdudable Hardcover(See Ctt�t Code Sec 7&1684): S.F. S.F. S.F. S.F. S.F. (2)Total Exdudable Hardcover 100 S.F. (3)Net Existin Harcicover[Subtract�ne(2)from Iine(1 j 79� S•F• (4)Total Lot Area 92,450 S.F. Proposed Fi�rd�ver PerceMaBe I131+14)J 8.5896 96 (Proposed Hardcove�next page) TAis is on inJbrmat�n Pvdcet reparding Hordcover.Every e�rt has been mode to ir�ure du aacurocy of the hiformotlon controined herein:howrevrr!f enY ir�fwmallon is not rnnsJsterrt wld�CJty Code,thr Code piovlsions wil!pnvoii. , Permit A�plication: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the a�plication will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. � ' Completed Application �;��'� ; �', Plan Review Fee Paid ��-�� ` ,,� ��t . . �l�` � Signed Escrow Agreement & Escrow Payment ( q ti�� ; '�� 1 �� Building Plans (to scale) x2 �,I� ��' I`� ' ,, � ��,�Gr' �;�. \ Certificate of Survey (to scale) showing the proposed project & - meeting all requirements x2 � . �i�' ` I�`� Hardcover Calculations (if applicable) �l1 ��`� ,x- `� I am aware that Orono will not issue a building permit without a � `�y�``�� copy of MCWD permits (or documentation from the MCWD stating ',;��`,,,,�` � the proposed project does not trigger their permitting � requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed by: ��r�� 1 -, � _. Address: � � > � y� !�� t�`��r c� �� /� r� Permit #: ? r I (Q.. (��'J.� Last Updated: January 2016 �r N � � DATE TIME CITY OF ORONO CALLED IN � � INSPECTIO�,N,,O`��E�� SCHEDULED PERMR NOi� COMPLETED ADDRESS 3 3 3 �� OWNER TELEPHONE NO. �� L 2-��J CONTRACTOR C�-• � DE TION � FOOTIN ❑ DEMO-FINAL ❑ SEPTIC FINAL QRED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � _�1��s - oK �- Sa.G - �/��, � � �- - - 0 � � C6 �rt`C ✓ �`L� � I►4u✓� '� �.�� O � lS� r�b4'r �- ��G Ql1� �tb��t� � � Q Z Go r�rcct-.c 1�'K � �ou� � �,p�av��-� evbs��►�. c�x�daL� o� 3 0 W� ❑WOIiKSA FACTORY:PROCEED ❑PROJECT COMPLETE CT VMORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERiNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCartractor on site• inspector:�/�� YVhite CopyAnspecM�'s File Canary Copy/SMe Notice G. - 1 :�..$-' , � � �TE TIME CITY OF ORONO CALLED IN � INSPECTION� E��HEDULED — � PERMIT NO. MPLETED ADDRESS � � OWNER TELEPHONE NO. �''Z 6 �3 CONTRACTOR � DESCRIPTiON • ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y �UNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL � "�„J RADON SLAB ❑ MECHANICAL RI Z ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTNACTOR TO MEET Y�OU:_YES_NO � COMMENTS: _ �,c3�� F�,�o�� '�� bw�►,�-o4t q%-�.�-�y D � 0 �,��;Q�CoP- ex�s��S �o�/�!lt�a�-�, s�•i/ �.., �' 1�(tG c - o? " r�y • oP ��w�^ 6rc �RscJ �i�.c•�,,� �O �_I�4GL� ��<l�� b�t �.x�.� n�., ,r �.x�S't�KS . � 1/� �f � i Q -• V��6C��✓�.. � 2 � W � J �,/ ��RK SATISFACTORY:PROCEED ❑PROJ ECT COM PLEfE � ❑CORRECT W'ORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑ pHOTO TAKEN INSPECTOR NfILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector:��- White Copydnspector's File Canary Copyl3fte Notiee / _� �� . \� !�. CCJ�!/' TIME " CITY OF ORONO cnLLED IN " � INSPECTION N TIC SC EDULEDI — �C2�Z PERMfT NO. � /�C MPL ED ADDRESS � OWNER TELE N . �2' CONTRACTO �. DESCRIPTIO� — t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERI�CONTRACTOR TO MEET Y�OU:_YES_NO y C MMENT'� � , 4 �� .� s� � � � j �,' �- — ,n „ . � 7 �� `� O t C? � `� ✓ �-' O �.�L r , ia ..n�� /Le/`r�I�t � ✓V� � � '� i � � � � s . S�- ��, �-'��;.,� >� �5 t3 � s. Q , � � �-- , �, � � b � 3 " OC . n.�•' i.',� W �/ I /y ) � 1`"/c�/.J ' �.✓/`s�l (.✓l�.G�t.,./i 1.G"c i K.G � W i j �, �c/� � �L(.n � •E'� ,.� �.1�!�/'/�� , 4�j ❑WORK SATISFACTORY:P1iOCEED ❑PROJECT COMPLEfE � ❑CORRECT W'ORK 3 PfiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY o�COftRECT YMORK,CALL FOR REINSPECTION TEMPORARY �j� �EFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS• ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQl11RED.CALL TO ARRANGE ACCESS. Cafl forthe next inspection 24 hours in advanoe. (952) 249-4600 OwnerlCattractor site: Inspector: /�� ' White CapyMnspector's Flla Canary CopylSib Notiee