HomeMy WebLinkAbout2000-P02786 - addn/remodel/repair � PERMIT
C I�Y O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2�s6
Crystal Bay, Minnesota 55323 P2Cllllt Type: Addition/Remodel/Repair
(612) 249-4600
Date Issued: s�28ioo
SITE ADDRESS: 1368 North Arm Dr
MOUND,MN 55364
PID: 07-117-23-41-0054
DESCRIPTION: UBC occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate pertnits required: riumoing iviecnanic;ai Eiecu�icai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,368.95 Valuation: $ 166,700.00
Plan Review Fee: $ 900.83
State Surcharge Fee: $ 85.00
TOTAL FEE: $ 2,354.78
APPLICANT: ARROWHEAD HOMES& REMODELI OWNER: L A&L L JAKUBIEC
915 K[NGSVIEW Ln N 1368 NORTH ARM DR
PLYMOUTH,MN 55447 MOUND MN 55364
THE UN IGNED HEREBY REQUESTS PERMISSION TO MAKE TI� REAL IMPROVEMENTS SPECIFIED
AND REE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
ST OF SOTA BUiLDING CODE REQUTREMENTS.
� ��
APPLI ANT PERMITEE IGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
� . , � 3 �--�j "7�'� �/"�- /��D (�<r t' �' <-�'�' �r%c<>�F�� ;
. � �, � i
� Total Fee: $ .�, �j �� ������ Date Received: � � �' °�
Entered By: ��'a�� Permit#: �}-p �-7 g�_
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 O CONTRACTOR
JOB SITE ADDRESS: ��j(q�j pQ,'( ��j,� ���� ZIP: �?����j
NAME OF OWNER: � p PHONE: (home �, ( — ��
(work)
MAILINGADDRESS: ��j�U C;� .4C,� CITY: (�(�t�t0 ZIP:'y�J�
CONTRACTOR:� � ONE: 22 �'
CONTACT PERSON: r,� MOBILE/P GER: (ol ZZ���_
MAILING ADDRESS E� C, ,t� . CITY: ZIP:�
STATE LICENSE: # z0 22,
ARCHIT`ECT/ENGINEER: �M� �j ��(�. . PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition ✓ Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK (describe in detai�: o � t � ���L �
t��iJ 1� n o
STORIES: 7i SQ. FEET OF EACH FLOOR: (� �
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���,C�
I hereby apply for a building pemut and I acknowledge that the information above is complete and
accurat�; �hat 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 c rdance w' h he a roved plan.
APPLICANT'S SIGNATURE: � ATE:
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.
S
� Y
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 section.
Subd.2. Information required to be given individual. An udividual asked to supply private or co�dential data concerning himself
shall be informed of: (a)the pucpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the idenaty of other persons or entiaes authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement officer.
The cocamissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or nronem tax refund
inctn�cpnns instead of on Ihose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as�public,private or co�dential. 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 him 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 m him for six months thereafter unless a dispute or action pursuant to dus secuon 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 tequest by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursaant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays at�legal holidays,if immediate compliance is not possible. If he cannot comply with
t6e request within dtat time,he shall so inform the iixlividual,and may have an additional five days within which to comply with the request,
ezcluding Saturdays,Sundays and legal holidays.
Subd.4. Prdcedure when data is not accurate o�complete. An individual may contest the accuraey or completeness of public or
private data conceming hinuelf. To exercise this right,an individual shall noti�y in wriNng the responsible authotiry describing the nature of the
disagreement. The responsible authority shall within 30 days either. (a)corr8ct the data#ound to be inaccurate or uicomplete and attempt to notify
p�st recipienu of inaccurate or.i�omplete data,ic�luding recipients named by the individual;or @)nodfy the individual that he believes the data
co be correct. Data in disputd shall be 8isclosed only if the iixlividual's statement of disag;eement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the ptovisions.of the administrative procedure act relaring
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 �ity 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.
�z�o�o �. ��o,�
First �ddle �s�
q ts �L�N J t�,J l.n� �I•
Ad SS I�rtl�.� 'I �o�Z 22 -
C��y State Zip hone
I unders my rights as ted ve.
.
Signa re
6
. CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ���� �)(�(Z t�-4 iQc2(N� �(ZI�J�
PID:
DESCRIPTION OF WORK: i Ty�n/ /�7?�il�L
ZONING REVIEW BY: DATE APPROVED: '� -C9�
BUII.DING REVIEW BY: _ DATE APPROVED: Y •?�f -d-�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes c� No SEWER CONNECTION
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: LQ • !�
Fire Department: �Vl�u n/�� Post Office: W��v rv� School District: w-c S%���
Lot Area: Sq.ft.�T�(�b, L�Acres . �'L. Width J S� Depth Z�S•3�
Survey Submitted: Yes pC No Date of Survey: V- L 5-�
Proposed Setbacks:
Front(Lake): 12l� � Right Side: 3S� °=
Rear(Street): 39� '� Left Side: 86� t
Adjacent Structures: /l���L�ya�� Wetland: N (�A
Building Height: Def. Hgt. 0.1� Peak Hgt. O.Me-
Lot Coverage: c�.C.
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: L.ot Coverage:
�,�� Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: IZ' 3 CONSTRUCTION TYPE: \(/J
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
00 ��rrJS
Estimated Construction Value: $ I b�,2d� � �����
' � S °� ' ��p����n i b�noo �
Inspections Required: Work Requiring Separate Permits: ��2� �"�'}
Site Plumbing ' Fire ��
Hazdcover Removal Mechanical Water Connection n,�v �
�_Footing Septic Sewer Connection ,�7 �u�``'Q
�F r a m i n g F u e p l a c e L a w n I n i g a t i o n V�
_p�Insulation (Masonry) Other
�Wall Boazd (Mfg.) Well (State Permit)
Final Grading/Filling �Electrical (State Pemut)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REl�ZARKS (TO BE NOTED ON PERMIT�:
8
�'o�-fti% V!/�iL/�� 9-Z s-oo
� gARDCOVER CALCULAT SHEET
0-75` 7� 25 500-1000' .
SETBACK ZONE: (CIltCLE ZONE ���
��rrc�rT►v�:HA,RDCOVER IN = f 3� _ S.F.
A House X
�� w�d�, /Z S.F.
Chimn�� ,6.2 X Z = 7 S.F.
x 3,2 �
3 sr���c� G-7 3 3 = i2 S.F.
3-� . '� ,¢.2 34
g.� � 2 x 3 = 23 s.F.
yi�.+s�'�S B. �8e 3, S . �
= 404/ S.F. •
C. Driveway x - (c S_F:
llo�_c: �'i��/� 7
x
- i Z 3 s.F.
D. Sideweflt � = lo S __S.F.
�r-.k N'��5.—..�-�-=—'C x /.D
A/� ✓c� 2• o = 8 _S.F. _
E. Patio�ck �.0 x = /� S.F.
���r;�,��! ¢.�
,� ¢,o
0o r�,-��,�� `r X �. � = 38 S.F.
F. Landscape�`fO �� X Z x � _ /Z S.F.
Underlains:F� sro.�.Es Z = 9 S.F.
By Plastic '—��5 � ���' x �
Or Fabric "
S.F.
G. Ocher Y --
573Z S.F. A
TOTAL HARDCOVER IN ZONE " �1305 S.F. B
TOTAL PROPERTY AREA IN ZONE B a/✓�5, x i 00 = /g,3/ %
� S73z
g�tOPOSED�iARDCOVER IN Z�NE� _ S.F.
x
p, Housc Width
L.ength = S.F.
Y — S.F.
x = . _S.F.
x
S.F.
- Y
$. Gnragc S.F.
X S.F. _ .
C. Driveway � _
S.F.
X S.F.
D. Sidewatk x =
—' S.F. . •
'� S.F. .
E. Patio/Deck _. -- Y = "`
S.F.
X S.F.
F. Landscape Y =
Underlain = S.F.
By Ptastic x
Or Fnbric S.F.
• x
G. Othcr S.F. A
TOTAL HARDCOVER IN ZOi�1E - S.F. B
TOTAL PROPERTY AREA IN ZONE x 100 = %
- B � --�
A
13
-.:..;.�...
�'o%/�.- V(/g L��,�. 9-2 s-o 0
gA,RDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIFtCLE ONE) U-75' 75-250' 250-500' S00-1000' �-:
FYTC'TTNCIHA,RDCOVFR�� - 13/2 S.F.
A House x �
W idth
t.e+,geh Z — /Z S.F.
Ch�mnc� 6.y X = � S.F.
3 5 rot�G� G-� x 3'2 =
3 � 3,3 �Z $.F. ,,. ,
� � �r
g�� � 2 x 3 � = Z3 s.F.
y,�s��s s. �e 3, 8 �
= 404/ s.F. �
C. i�riveway x = (o S:F:
QU�C. :�i�(;�� T x _
- i Z 3 s.F.
D. Sidewal�c '� _ �5 __S.F.
. �k u���� —•—�—'c, � /.D
A/� �^v✓c� �, 2. o = 8_ _S.F.� _ ._
E. Patio/Deck U X = /� S.F:—
��or:�.��% .�.�
,� 4-,o
/;nr��./S l� �, � = 3� S.F.
F. LandscapeUJ000 �` X = /2 S.F.
Underlainsreo sroNes z X Z '` � = 9 S.F.
By Plastic —���' x ���' x ¢
Or Fnbnc -•-
S.F.
x
G. Other 573Z S.F. A
TOT�,L xARDcovER rN ZONE ' 3/305 S.F. B
TOTAL PROPERTY AREA IN ZONE B J/�n5 x i00 = �8'3/ %
r� S73z
OPOSED HARUCOVER IN ZONE� = S.F.
A. Housc �
L.ength W idth _ �.F.
� — S.F.
x = . _S.F.
x —
S.F.
$. Gflragc Y
S.F.
C. Driveway x = S.F. . _ �
x
S.F.
D. Sidewalk X = S.F.
x •
— S.F. . �
E. Patio/Deck _.�__— '� = S.F. ._...
X
S.F.
x S.F.
F. t,nndscapc � _
Underlain = S.F.
gy Plascic '�
Or Fubric
S.F.
• X
G. Othcr S.F. A
TOTAL HARDCOVER IN ZO�IE - S.F. B
TOTAL PROPERTY AREP+IN ZONE B x 100 = _ %
A
13
_ ...,.,.,,.,,.
DATE TIME
CITY OF ORONO CALLED IN �� "�"�� �. �ni9'/'"
INSPECTION NOTICE / SCHEDULED _rO' �
PERMIT N0.�'��� ��y� COMPLETED
ADDRESS 13loff /L� �11-m �2-
OWNER CONTR. ����7�`'l��`� ���'`S
TELEPHONE NO. 'f5 � � /�j ��
� DESCRIP ON ��nS � /�07i�� �C,(s
l� 01 FOOTING 11 Mf=CHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� CO M •
�
� � , 'j�� h cc U��
� '
� ' � d� 5�
0
a C -
� -
° � Yav�c S �- �
W
Q � � � �
�
z
w
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� �❑ CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
W
O �1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN r= CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. /(// �� R.�l-�
/ `'
White Copyllnspector's File Canary Copy/Site Notice
DATE IME
CITY OF ORONO CALLED IN l�����—,��,� �
INSPECTION NO ICE SCHEDULED �� •
PERMIT NO. , �� COMPLETED �� � ` �
ADDRESS /�Cr' � / � 1�`�C /YI ��� �
OWNER CONTR. ���j ' ���'��'�' B'��
TELEPHONENO. `�`�� � � �
�
� DESCRIPTION `--L r��L` 1�� � �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
j ` .
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d �
W� ORK SATISFACTORY:PROCEED L PROJECT COMPLETE
W ❑ CORRECT WORK R PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITAT�ON ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac r on site:
inspector. � G�
White Copyllnspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN ,.�/ �^!Y`c�I �'33' P✓Vl
INSPECTION NOTI � SCHEDULE9�I/�� ' � ��D,v�r
PERMITNO. a COMPLETED '���=��SL�� , Q ���
ADDRESS__ ,ls�1J � �7ieN1 !�le .
OWNER CONTR. �S, I�!?�<�m lS Ic�i"S
TELEPHONE NO. �� � y ( �
� DESCRIPTION � C'� l�C� !-�'' ✓i� i`
l� 01 FOOTING NIECHANICAL 1 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANI 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
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� �ORK SATISFACTORY:PROCEED i ROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac r on site:
Inspector. ' �/�- f
White Copyllnspector's File Canary CopylSite Notice
E .ZIME
CITY OF ORONO CALLED IN � U� � ��
INSPECTION NO CE SCHEDULED — —� ��, � a
PERMIT NO. � a � COMPLETED ^� ��
ADDRESS � • w�- ��^"�-�
OWNER CONTR. C��-c� C�p��
TELEPHONE NO. � � ��'S 7
� DESCRIPTION
1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
� _.- _-
W _-----� _
�
. �.. -
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d '�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
I l INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �3-3 � g� COMPLETED a',� ��—
ADDRESS 3
OWNER 1���'-� CONTR. '�~s ��P�� �/li�;
TELEPHONE NO. ��2'� ���-' .3�� �
� DESCRIPTION
l� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q I L 14 SEWER HOOK-UP 06 PROGRESS
� O-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
� OWNERICONTRACTO T ET YOU: YES_NO
� COMMENTS: � / ��� �i / �'1
a ��/1�✓ �' " /"� ✓��,
� � fU 15 ck � �i1�
0
�.
�
0
�
W
�
Q
�
Z
W
�
W
�
j
d
W ❑WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
� f_7 CORRECT WORK&PROCEED [: ISSUE CERTIFICATE OF OCCUPANCY
W
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra tor on site:
Inspector.���'(,����j�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE SCHEDULED � �_
PERMIT NO. �� COMPLETED �_ L��G�
ADDRESS
OWNER CONTR. - � ,.tix c�i` .
TELEPHONE NO. �t%' �� ��� j �� ��d
� DESCRIPTION ,���'�i�i�'C�
� 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 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
? 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:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
�u
�
�
� �/VORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
W�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR fiEiNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlCon tor on site:
Inspector., ��Ul- � �
White Copy/lnspector's File Canary CopylSite Notfce
� S 16`�8'm8" E 21�.92' MEASUR�L�
� 215' SAC�A I�I�.L REYISED --�
I ' _ .,•
� ' - - -- - - - - - - - - `.
I % ��
, �
, , �
� �
' I i
�
�
� a � �
� w
�
� n
� Q �
w }
�--- .� W � 38'-6"t 39'-5"+ �
� � �
N
O � -1 22'-0" 8' t 33'-5"t
�l- _ �
� W ` NEW DECK tH18 �j
0 AREA BUILT TO W
� � � `� PORGN t FlJ1Uf� Y +� _
\l� u `t, m
� ���j�j�6,, 3
� � r
w `" '�
�� � _ �� ii; �� � 0'� � � � ��
l�l � � �.:��►lt
f-' � i T-
�• �, � �Ro�oSE� D� �r� n �ti o U �
ADDI'ION -�6,�- � �"1
�/ ,:�i/; n
L�- ' - O OLD WELL I �-A1VInr�i� ?' � G" 0 Z7�
. ..
O � � � �
V �
i w PROPOSED EXI9TINCs l 2-1 �j - G�U
NOIJSE
l � B ADD-ON �
� ; ; JOB #�m-m��
I � �
I ��, ¢.�� ,�� J0�4N � �'AT UJA�.K�R
13�8 NOR�4� Ai�M pi�.
�� � --- S 1�1 �3'2�" UJ 2m3.88' M�ASURED ` -- � Oi20N0, MN
� 2ID3.�5' SAC�,4 +�ILL REVISEp
9�2-4�1-�fl�il CNOME)
9�2-4�1-�9m3 C�AX)
AUG.4,2mmm