HomeMy WebLinkAbout2006-P09562 - addn/remodel/repair PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09562
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
2/14/2006
SITE ADDRESS: 1377 North Arm Dr Unit#
Mound,MN 55364
P��� 07-117-23-41-0094
DESCRIPTION: UBC Occupancy R3
Consri-uction Type VN .`�
Proposed Use: Residential �'�j`'�
Census Code �
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 1,553.75 valuation: $ 200,000.00
Plan Review Fee: $ 1,009.94
State Surcharge Fee: $ 100.00
TOTAL FEE: $ 2,663.69
APPLICANT: KTB Homes Inc. OWNER: Martha Williams
12777 Kingsview Lane N 1377 North Arm Dr
Dayton,MN 55327 Mound,MN 55364
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
MINNESOTA BUILDING CODE REQUIREMENTS.
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P CANT PE TE GNA E —�SSUED BY SIGNAT'URE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page 1
u�' ��
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Total Fee: $ ��0�0�.6� DateReceived: '�7�'�'
Entered By:,�``'�'}�.,. Permit#: C' ��? �':�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infornzation)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: )� '�`� �l�(7�1���1 ����'� -��"-1�-'�- ��ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �NO If yes, a special event pe�•mit is required with Police Department and Ciry Council app�roval
60 days prior to the event. Shz�ttle bus servtce will be required unless u�plicant dernonstrates
sarfficient on-si7e pm�ktng is available. Non permitted events will not be allowecl.
NAME OF OWNER: �a.b"�'t� �:U i � �I c�t�►�S PHONE: (hoine) �,��>t - ��!`z -�1> I�
(work) ��u.Ur.Q,
MAILING ADDRESS: J�j7'� l�,�Dt'f�1_ ��'�� �►�'CITY: G�6?�6�0 ZIP:
CONTRACTOR: ri � ,�1�� �i�C� - PHON��7��- —%S'��f- .��v�-
CONTACT PERSON: �i�� c���1-- MOBILE/PAGER: �yl Z �5���-��(DS
MAILING ADDRESS: i�, 7�7 � t �I;FcC� �� � TY: _�c ZIP: �s�;�Z�J
STATE LICENSE: # ` � — EXPIRATION TE: '�,—?,L c.'���
�Zi�,b1 �� � GU^c� �<��/Cl'�'S � �' ��� ��� ��7)'Z
ARCHITECT/ENGINEER: p�1 � PHONE:
MAILING ADDRESS: �� _ f� . CITY: (�S�C% ZIP: �/
NAME: �3b�:,-6 �-,��. REGISTRATION: #
�d��e.r`LC�' �.Il�c��j'��� �' � �rie�4�� ' ���� �� �-t�� �-`-f%�-f-7�lc�f -����uP; C�vk��-
TYPE OF"�RK: �ew Ho�e Addition L�"� Accessory Structure �� �� �L�'
Move Home Remodel/Alteration(ie: Siding,Windows) ir-
PROPOSED WORK(describe i detai�:%Y/ �/�t��� '�'lill�'z-�� Q��� � � "il�l.�/f�ytiJ,�
/t�'17 ��`� >� ��� � 7= � -- R, 1� ' f L- ol C'
-����� t � ���7� � � x�6 bDll/d
STORIES: _� SQ.FEET OF EACH FLOOR: y9 DD1Ti0�� t� a� r oZx � , -��`�"�-� 6��{�
NO. OF BEDROOMS: C� GARAGE STALLS: ATTACHED �-�- DETACHED
�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �D� C�C� ' °
I hereby apply for a building pennit 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.
1
APPLICANT'S SIGNATU . � -� �� � � - 2 0 DATE: ��-7 L���
/
31
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 storod shall be as set forth in this sectioa.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming himself shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is]egally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mavplace the notice required under this subdivision in the individual income tax or nrouerlv tax refund
instructions instead of on those 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 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 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 to him for six
months thereafter unless a dispute or action pursuant to 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 actua]costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of
the date of the roquest,excluding Saturdays,Sundays and legal holidays,ifimmediate 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 irtdividual may contest the accuracy or completeness of public or private data
concerning hitnself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authoriry shall within 30 days either: (a)coaect the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccucate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be coaect.Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority 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 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.
First Middle Last
Address
C�h, State Zip Phone
I understand my rights as stated above.
Signature
32
Ci�CK OFF LIST FOR iSSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �3'1� rVo2rH i42n✓l !�R
PID:
DESCRIPTION OF WORK: �pp�77 c�J �;-y�o��,
ZOVPi TG REV�W BY: �.,. DATE APPROVED: Z-�-D6
BUII.DING REVIEW BY: DATE APPROVED; Z-g- 0,6
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ,/ No
PLAN REVIEW � Yes —� No SEWER CONNECITON
STATE SURCHARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE Yes No _/� PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOYING CH�CK LIST Zoaing District:
Fire Department: Post OfFce: School District: �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes�_ No Date of Survey: J(�2'a�
Proposed Setbacks: �
Front(Lake): s6•� Right Side: Q 6
Rear(Street): 3 g, l Left Side: �T fl
Adjacent Structures: � � Wetland: JV
Building Heiaht: Def. Hgt. D•�G Peal:Hgt. �"
Lot Coverage: 6��
Grading: Staff Approvai Date: Z��-d(o By: •a � Council Approval Date: �
Septic: Staff Approval Date: N (�t By:
Zoning File: !#� Resolution: # � Resolution Date: �
Shoreland District: �S
Avg. Setbac . __. /V j�4 Bluff Setback: /�/ (�) Lot Covenge: �•k
Eusting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' /—).�v /—��
Hardcover Vaziance Required: Yes No_ �C Date of Council Approval:
REMARKS (in house): _
7
BUII�DING RE'VIEW CHECK LIST
UBC: 2- � CONSTRUCTIONTYPE: �N
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x _
x =
TOTAL
Estimated Construction Value: $ z�tl�ppp �
Inspections Required: `York Requiring Separate Permits:
Site �_Plumbing Fire
Hazdcover Removai _�Mechanical Water Connection
_�Footing ' Septic Sewer Connection
_�Framing _�C_Fireplace Lawn Irrigation
Insulation _�(Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
� F�� Grading/FIlling �Electrical (State Permit)
Other
REMARKS(IN HOUSE): .
--------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
- -----------------
REI�IARKS (TO BE NOTED O�T PERiVII'I�:
8
� ���� � ��
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SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = 1147 S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garaqe x = 334 S.F.
C. Driveway x = 2455 S.F.
Gravel Driveway x = 1135 S.F.
D. Sidewalk x = 515 S.F.
x = S.F.
E. Patio/Deck x = 520 S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE 610 6 S.F. A
TOTAL PROPERTY AREA IN ZONE 523 64 S.F. B
A 6106 = s 52364 x 100 = 11.7 0
PROPOSED HARDCOVER IN ZONE
A. House x = 2339 S.F.
Length Width
S.F.
S.F.
S.F.
B. Garage 334 S.F.
C. Driveway x = 3122 S.F.
Gravel Driveway x = 914 S.F.
D. Sidewalk x = -515 S.F.
x = S.F.
E. Patio/Deck x = 100 S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE 6294 S.F. A
TOTAL PROPERTY AREA IN ZONE 52364 S.F. B
A 6294 - B 52364 x 10 0 = 12.0 0
. �
s' cw., �
�
-�����i��� ��J�. ,
AD VANCE S UR VEYING & ENG�NEERING CO.
HARDCOVER AT 1377 NORTH ARM DRIVE,JANUARY 27,2006
ZONE 0-75 75-250 250-500 500-1000 TOTAL
AREA IN ZONE SQUARE FEET 0 0 0 52364 52364
ALLOWABLE HC 0 0 0 18327 18327
TOTAL HC EXISTING Q 0 6106 6106
TOTAL HC AFTER PROPOSAL 0 0 0 6294 6294
UNDER OR (OVER) 0 0 0 12033 12033
Attached are city worksheets for each zone, please review your survey
and these worksheets with the city to be sure they agree that the items
shown as hardcover are indeed hardcover under their interpretaion of
their ordinances.
I hereby certify that this report was prepared by me or under my direct
supervision and that I am a licensed Professional Surveyor and Professional
Engineer under the laws of the State of Minnesota.
Qcvrrze�s. .� �at�i�
�'
James H. Parker P.E. & P.S. No. 9235
' Minnesota Commerce �,��:; Pa e 1 of 1
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Services Services Certification
License Detail
Here are the details for the license you are currently looking for:
Licensee Name: KTB HOMES INC
Licensee Address: 12777 KINGSVIEW LANE N
City State Zip: DAYTON , MN 553270000
License Number: 20455083
License Type: Residential Building Contractor
License Status: ACTIVE
License Effective Date: Jun 8, 2004
License Expiration/Renewal Date: Mar 31, 2006
Qualifying Person: KRISTINE HOFFMAN
Number of hours of continuing education required to renew license: 7.0
Enforcement Action: No
�'��11�="�:"�y.��`�Il"�C���J��rW�l`
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https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NUM=20455083&LIC ... 1/27/2006
„ 01/19/2006 09:09 B884249772 JOHN PRIBYL PAGE 01
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Punait N�umbar
RFScheck Complxance Certi�cate
Chxked BY�D�e
2000 NB.nnesota �ne�rgy Cude
�i.ESchec�e Soiwa+e Va�sian 3.6 Release l.a
Data�lao.ame: Untided.rck
PRUJ�C'S' '�'IT'tE: 06-0O1 I,.)�7� / ��C�i� I C�� Tl��11�� '�"����__
COlJ�T1'Y: (iennePin
STA'��: Minnesota
ZONF.: Z
I.;QI'dSTRUCTIUN TY�'E: Simglc Family
wnvnow �wAt,c.�Ar��: o.��
DAl'E: O 1/17/06
UAT�!�F PLANS: U�-12-0G
PROJEC'1' DESCRII'TION:
Lug addidoa
DE51UT1F,RlCONT RACT OR:
iC�iscy Sprett 1��tfinen/ I.B. tIo9�Zao�
<:OMPLT.ANCE: Passes
Maximum UA,-Z60
Xow Home UA= !94
25.4%Bcltar 1'han Cude(LJA)
Gimss Glazing
Airea or �av�iry Cont. ur Aoor
Qt�Ml3� $.Y�1�� 8-�311L4 � �d
Cdling l: xtaisod ar Enar$y'�cuss l 824 44.0 30.0 24
Wall 1: Log:16” Nominal Width
702 �8,0 19
wa1!Z: woud rrame, 16��o.c. 784 19.0 0.0 29
Window t: Abuvo-Grre�de:Wood FnQnc.Double par�e with Law-E 25� 0.3)0 80
Duor. 1: Suli� 37 0.310 1 J,
Hasemem Wall 1: Maso�nu'y�lodc with Empty Cca�s 850 �0.0 IO.0 3�
W all hcighL: 7.5'
Lkpth below gridc. 7.p'
Iz�sulacion dcpth: 7.5'
Proposed suxd 1►�ax9mum U-F'c�or Avexsges
Proposctl Mauimum
Average U-Petctar A.11owad U-Fador
Above-(iaade Windows and Glass l�oors 4.310 0.370
Inoludea�oundatao�a Windawa� 5,6 Y2
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�AIE� TIME
CITY OF ORONO CALLED IN L'b
INSPECTION NOTICE SCHEDULED 3/-D(o �`
PERMIT NO.���Z COMPLETED
ADDRESS ��77 /� I � r� �
OWNER CONTR.�� i1
TELEPHONE NO. ��J a�� � � �'�
� DESCRIPTION ���
l� 01 FOOTING 11 MECHANICAL 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
= 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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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next nspection 24 hours in advance. (952� 249-460�
OwnerlCont on ' e:
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice
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AT TIME
�CITY OF ORONOQO`15/v2 CALLED IN '�
INSPECTION N IC SCHEDULED � "� �—
PERMIT N0. COMPLETED
ADDRESS I ��7 /VC1`✓�I'Yl Idf'
OWNER CONTR. �C-T� ���
TELEPHONE NO. 76 3 J�ai J? 7�� D
� DESCRIPTION �/tv�Gl�T��CTYI
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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 INSPECT�ON
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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMM��TS: `
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. Cj pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractor op�i
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White Copyllnspector's File Canary CopylSite Notice
//�� O�'V DATE TIME ✓
J 1 CITY OF ORONO CALLED IN 7�
INSPECTION N ICE SCHEDULED �7�1�0� oJ:30
PERMIT NO. D COMPLETED
ADDRESS ���7� �'�'Yl ��
OWNER CONTR. �
TELEPHONE NO. L�/o� lP��� l3/IO.S �
� DESCRIPTION ^
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR W4LL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContr ite:
Inspector. E
Whiie Copyllnspector's File Canary CopylSite Notice
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D E TIME
CITY OF ORONO CALLED IN 7 % "a
INSPECTION NO�CE SCHEDULED`l�'�7 :0 v
PERMIT NO. U�15�0� COMPLETED
ADDRESS f���� ��dr�i'l �/^/Y� /�iP �
OWNER CONTR. ���5
TELEPHONE NO. C�'�a ����{ �{(p�
� DESCRIPTION ��l�I 5��� �i2C1/L�oD. �
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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� 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
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nez inspection 24 hours in advance. (952� 249-4600
OwnerlCo a o si e:
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White Copylinspector's File Canary CopylSite Notice
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W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
� 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
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❑ INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContra i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE tNSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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OwnerlCo r site:
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED —
ADDRESS j��� �� �'r�.
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 E 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContract�qn��te:
Inspector. `��UQ�d
White Copyllnspector's Flle Canary CopylSite Notice