HomeMy WebLinkAbout1999-011484 - new residence PERMIT
- CI�-0� ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ;=��;_��vi;
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued: _
SITE ADDRESS: .
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — ;���€�:i i;_.=:.1-;=. — :_,i . �.._:;_: .OWNER:
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APPLICANT PER EE SIGNATURE ISSUED BY:SIGNATURE �� �
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Total Fee: $ 7. Date Received:
Entered By: �' Z Permit#: j/�d��—
CITY OF ORONO - BUILDING PERMIT 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
1I/ �
JOB SITE ADDRESS: ,-�,��� �,�77K Cij�' '�''� ��1 ZIP: �s �3��
NAME OF OWNER �/ (" ��'1 PHONE: (home)`-�7� - 3��7
c (work)�y 3-/J/ �
MAILING ADDRESS: f�� U�f�i'�r CITY: �"�l.Fc��n �. ZIP:t-S��
CONTRACTOR: I C1 (,c/�� -�2i�'"� PHONE: ��7,�- ;� ���
CONTACT PERSO :� p ��t',` I{ 1dIOBILE/PAGER:
MAII.ING ADDRESS: I ��y (�'1�}1�C� (3 I v� CITY:� ;�_ lu.���r� ZIP: �3� l
STATE LICENSE: # � c�(c,`Z
ARCHITECT/ENGINEER:�� ' r �} L�F�i � PHONE: `� �O-� �=�'�7�Cr
MAILING ADDRESS: ��1�'�;�.-{-Q� �-tY2ert _CITY:��C[L��,c,,-- ZIl':�5�,3 ]
NAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �� (,c.! ���/c�r� �? 4� _
STORIES: I SQ. FEET OF EACH FLOOR �k'���,���)
NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_'� DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� �C��-��—
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: �C. �e� DATE:���� -%�
, .
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
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Sec.13.04 RIGHTS OF S[JBJECTS 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 section.
Subd.2. Information required to be given iudividual. An individual asked to supply private or confidendal data conceming himself shall
be informed of; (a)the purpose and intended use of the requested data within the collecting§tate agency,polidcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusiag to supply
. private or confidential data;and(d)the idendry of other persons or entities authorized by state or federal law to receive ihe data. Ttris requirement shall
not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5,to a law enforeement officer. `
The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or propertv tax refund
instcuctions 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 whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed of the content
and meaning of that 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 thereafter unless a dispute or action pursuant to this secrion 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,cerdfying,and compiling the copies.
The responsible authority shall comply immediatety,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays 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 witUin which to comply with the request,excluding Satutdays,
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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipiena 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 disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze 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.
First Middle Last
�/.�=3� SrL `i��2,c.--�e� Q �"--�
Address
� -o � �i� �53� / �7lo-s9g4
C��y � State Zip Phone
I understand my rights as stated above.
Signatu
, CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�`�S c..�-r-,-cx'. O f 2c�-�e.,r'� l,v A H
PID:
DESCRIP'TION OF WORK: N�.c�1 r�.S
ZO�TING REVIEW BY: DATE APPROVED: � • � • g 9
BUILDING REV�W BY: DATE APPROVED; � • � -S 9
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes � No
PLAN REVIEW Yes � No SEWER CONNEC"ITON
STATE SURCHARGE Yes � No WATERCONNEC"I'ION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes � No STTEINSPECTION
Number of SAC�Units 1 OTHER (specify)
ZONING CH�CK LIST Zoning District: R 2-�6
Fire Department: � Post OfFice: �, - School District: pM nra
Lot Area: Sq.ft. 2 + Acres � Width �12.21:`bucJ��2 Depth --
Survey Submitted: Yes o� No Date of Survey: S'�S-g°7
Proposed Setbacks:
Front(Lake): (Ip' � Right Side: g Z� 'F
� -� � +
Rear(Sueet): -7 Z- — Left Side: �i L
Adjacent Structures: N(14 Wetland: nl I/a-
Building Height: Def. Hgt. Z9 ` Peak Hgt. 35 �
Lot Coverage: IJ (� ��,�, �R BC�✓r=�
/�ree� ac,��c.� P ���
Grading: Staff Approval Date: 6 -I-5 5 By: o�U• Council Approval Date:
Septic: Staff Approval Date: /U //� By: —
Zoning File: # — Resolution: # — Resolution Date: —
Shoreland District: ��e S
Avg. Setback: C9.1t Bluff Setback: C�•<< I,otCoverage:
Existing Proposed
Hazdcover: 0-75' '�
75-250' Z�t-S
250-500' Z
500-1000'
Hazdcover Variance Required: Yes No oL- Date of Council Approval:
REMARKS(in house):
7
, -_"_...I- �
BUII.,DING REVIEW CHECK LIST
�C� - R'3 CONSTRUCTION TYPE: �l,hl
Sq Footage $Per Sq Ftg
Basement . . x _
lst Floor x _
2nd Floor x =
Gazage x =
x =
TOTAL
J
Estimated Construction Value: $ yS7,V�Q"
Inspections Required: 1�York Requiring Separate Permits:
Site Plumbing Fire
Hudcover Removal �/ Mechanical Water Connection
. �S F���g � x Septic _�/ Sewer Connection
�o Framing _oS Fireplace �Lawn Irrigation
�Insulation (Masonry) Other
Wall Boazd _�(Mgg,� �_Well(State Permit)
F�� Grading/Filling _�Electrical(State Permit)
Other
REMARI�.S(IN HOUSE):
REVIEW BY OTHERS• DATE: ~--------------------- -______________
Access: Existing New
Access Approval: Date gy;
-------------------------------------------------------
REMARKS (TO BE NOTED ON PERMI�:
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. ' SXTBRIOH BNYBLOPB TsNBRGIY CODE COMPUTATiON. WORKSIiB�T � •
(� r ''''C.ir •., , , '
' '�b Dete�rm#.nA ,
(7a�tpl�,ance with the Ni�nnesota Energy Qode
, (Beo�ian 502 o�E ths 8kaba Amerxled 1983 Model Enerc� Code)
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Projea� Ti�le w�c.4��.1� ��� '
S i te Address .. .
I. 8XP088D WALL G'ALCULATIONB. , � � � � .
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b. F�am�[�y �ee� AVe� 15� e�.16" oa _, s}bt��I f�x . n c,►b r+ d2.l3.
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o. Freiming Ar�s Ava. 10� a� �4" oo; x •
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A. E�cp06eC1 W811.1 •' . � 707 9•7� X . I I,_,_„_ � -7-7I3 . �7 I
a. � Ftoo�/1Ceiling� ' . 4qt��. ov x •a`c.. � i 2q�,t�b
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•(Msats cod�'.hquirawenbs �it,'.l�s� than tIIiC� ' .' •
V. REQUIRED "U'� VALUES . ., � Y . . � . � . � .
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� • � Deh.ached �one�}etxi ,�o fami],�,clwell.inqs_. .11 .026 .
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* �u�.ti-sami.�'���.esiaen��.�.����ir�a �. . � . •� ,.z3a -. �.033 ,
(3 storiee a�;�;1es�,�in height� . ....� ... . . . ...... . . . � .
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* All Other,�t;uo�ion ;7y�es'. 43 sbories or less) .2�8 .06 .
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* A11 Othex ,Gyaie�ri�ati�cn� Types ',"",(More than 3 s�o�ies) .� :28 � :06 �
' , '' sas�d on 8007`h�at�no.dprti daYs.(Mpis/S!. Paul�.......«... .. . , . .... � ' . ...,,
M1,1us! •tl';.va1w�.;aacord/n�ly toN oeMr toc�tlons , , . . .
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, , . CBRTIFICATIOI� ,
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I hereby cer�ify 'tha�r�� have 'ca�let�ed the above inforn�ation ar�d tha� i� ca�plies.with th
Minnesota Stabe Enerc,� Code. , ,��., � . �
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Signature �: . � Date • 5.�20� 99
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, �� ,' , � . , , < . ,.. . : , . . ..: .. . . . � ... � � . .
.. , . . ... . . . : . .. . .. .. . ., �: .
� BCSD 3-89 � . , 11 . � ,
��/SnT/r,574
• . _ � • .
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� ' � • Lco�isTaucT�ofi. a vA�uE
, NALL FRNIINC SECTIONs .. .
' ' � 1 In�erlo� alr Flim q.6A
, Z �/ GsYP t��-�.- �CtO 4.4
--{� nc es so t woq �:5,�
�j .--(4 �„ g.���.-c_ F+,�-c� 2.0 6 '.
J�i► 5 ri s. � ��..� • 79
� xter or a r m A.
. • TOTAL R � l(L'7)
. . U � 1/R . ,oq
, . • NALL SECTION (INSULAT6D) •
1 Interlor elr f11m ' 11.fiA .
2 '/z 'G�r ca. .w� �s cio v..et S
' j � -r Lz. ' i 9,vc�
4 32" f3v1�,.,--t- R�Tt= 2.0l�;
B --�5 �s s�o�►.a .7q •
. • h E:�ter or a r m • 0. 7
TOTAL R � 23. I
, . . � � ��R � 'p�-3
. �
, ,. ,
' , RIM JOIST SECTIOtI: ' ,'
' ' 1 Interlor alr film (1,6A
Z �Q.« ���c �3 �t� 0�0
' , :3 L/z�"5oF-c •�vooD ', 1.1lr1 ��'
� � ' • W ��82: 8���-� R.��ct¢ Z.O�. _ .. —
5 �..� . . .
, 6 .�xter or a r m �. 7 � :
� ,. TOjAL.R •. •24._ Sq, ., ' ° �
FOUNDATION INSULATIOP� REQUIREO: ' ' 7 . . . . .
Min. R-5 on entire wal l OR ' U � 1/R � , , 040 ' . .
p A .;•,e Min� R-10 down to frost cTe'pth � � � �
., ,
� ' � � FOUNDATIOtI SECTION: '
a. .
� �'� '` . 1 � Interlor alr fllm � �.GB �, ,
' �•A =� • Z � Z 'FQ.\G_'K �"�T 13 00
r s- •'�' -{3 2" co�cr. � o
� � ' ' �'' r � b xter or a r m
• d. • �5 �. 7
a, . e:`�; , G t� '
, q A �,
d' e•�:q TOTA�. R � I �I
.,
' U � 1/R � •067
SLAB ON GRAOE
. •'a`d. �.�i ., • � �, . . .4 1 .• �. �' r a_. ,
• � � � � • � � � • 1� . / . � • ��� ,��-
►i� �(�;����� �• �� ����� � . r�� .A ! �, • .,q � � • a�� •d'��•�
. I �.�� � �1' a a, � � /� � � �� ��� • � ~ ' d �I•.!��, �� �1 1 �• •'f�y` ' .
. , � • 1� � ' �� `a�'�• /i� � ,� �� + .• . � �• • � �
. � � 1 • • ♦ • QI
. . . . . '• � Neated Slabss ��� •�' . : p , • �� , ,• '� + • ' r
• � �a
� . _. . ` ' .i '''` �Minimum R, ■ 8.5 ' `+`� ' , �•' •'• �•� ' . � .. ,
y • e ; , . a . , , � � , d . .�
; � � � � + ` •• J9 ..
. . .
" -� . . .�; �••q: Unheated Slabs: ' � , i .Q, . ,•,' 4 ; '�� ' - . .
� r' �'� �', Minimum R � 6.2 ' • . � ' . �� . - . . .
.
4� .� . . • Q ' .
. . � � ,0� , , • �� , • � ,•, �
a,��I�'��,�.• ,a, : •.',�•+ `� ' � 12 Fage 3
•. .�
�.. . . •
. w - � .
i '
� � - , CONSTRUCTiOH R VALUC• "
. . ._._._
C�ILI�J� SECTIAt� (INSULATED) : •
. I� Interlo� alr fllm O.h1
. • �2 t�" C�-.w.C3 0.4,5 �
, , 3 � .�.ow .
� 3 4 4 Exterlo� alr fllm still �.�1
TOTA� R � �S_67 ',
• � � ��a � .�o_22 ,
�.. . .
r.. ' .
. I 2 5 CEILINC FRAMING SECTIONs � �
, 1 Inte�lor alr f11m p,�,�
. � . � 2 6' v-.w O•
AIR � VENTED � 3 .�����►-� �-n ,cb
FLOW • , 4 nte� or a r m st �—`7. •T
5 �r%L nches, so t wood 4. 3S
. . '. , � TQTAL ft � �O.OZ
, . ' . �
� U � 1/R � .Ol�.
'. '. . � � . , ' .
. ' ;� � '� CEILING 5EfT10N (I�ISULATED) :
' .... . 1• I�tarlo� atr film ' �.F1
� 2 -s- v o
1 . . , . 3 3, �� wc�cz 's.�*�r�.a. q� ,,
� 4 Exter or a r m st �. '
TOTAL'R � .�1.66
U � 1/R � . ��
... . . . ._.__
. ., . :.,., �� , •
� . 2 3 4 5 � � cEi��Nr,� FaAF11Nr, SECTION.s ' �
VENTED � �• �nterlor alr f11m A.F1
. ' 3 J/ " Fw as . 4
. ' • � . . • -.. 4 Exter or a � m st n. �
. ' S nches so t wood �� ,
• ' � ' TOT L R � I 3•Z2
• • • ' . , U � 1/R • ,d
3 4 � .
.
. _ . . . , . ��. � ���; , •
� . ` � .
� � '"`` � ; . , . � .
� ..:.•:t•t;:+"i%Sr�r'"'
. � �' y�,'�,�:*t��:`; ��� �L ' �' '. ', 1 .Inslde sTr ftlm �.�1 • '
�;••:. •�;;. • • --
� � ;.r:lt; ���♦ , A
1� r,:}.I .� • � . L
�;�i... . � .. . . , �
.. , . .3; . , . :r
. • ' 4'' • � .�i
/,�� � I 2 ' . ,r, Outs de al� m �. 7 .
��/l//L' . TOTAL R •
I / . .�. . . � ... � ' . :F.�..� /. +�� � • . . ... •• • .. .... � . .
,[ . .,. j . �� _. . u - �/a - ____
13 Page 4
CITY OF ORONO CALLED IN 7�� �'>'�PM
INSPECTION NOTICE SCHEDULED �� R� �
PERMIT NO. COMPLETED
ADDRESS ,���J`� �TT(.�' �/Yl��� ����'�1i
OWNER /,4,'i �'�2?1L CONTR. `� ��t�.s-
TELEPHONENO. �7�� ��c/�/ `
� D TION 9L��
lL 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM NTS:
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� ❑ ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN
�� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7 57
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�_
DATE TIME
CITY OF ORONO cALLED IN '�—�`� �' C� n
INSPECTION NOTICE SCHEDULED 7 -�-7 4' 3d
PERMIT NO. _4l1`�tt3y COMPLETED
ADDRESS `���� L-t���"I� G��hc�v�� ��
OWNER W��-�f.✓ CONTR. 11-�12-(-}U'1�' � �a���s
TELEPHONE NO. ���� 3� a�
� DESCRIPTION 1 GuV�C�' �iU�I
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� CO N S:
a'� � a iJ r
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0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
i: CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
OwnedContr or o i :
Inspector. �
ite Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ' �a-�
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
� INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for th x " s ction 24 urs in advance.473-7357
OwnerlContra it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� � �Dg� TIME
CITY OF ORONO � � �f r/L� CALLED IN `����v� . O`��
I N S P E C T I O N N O T I C � I �b S C H E D U L E D 6{ ���
PERMIT NO. COMPLETED -��'--'�—` � ��OC�
ADDRESS �� � �i�f �C' C�<'"C'.�� �
OWNER CONTR. �5�� �
�
TELEPHONE NO. ,�Y�✓��'�' c��.� - -7�G�- ���a C��
� DESCRIPTIOf1��J� �n.�"�--��� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 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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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
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