HomeMy WebLinkAbout1996-008133 - addition/remodel . � PERMIT
� C��Y OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
Crystal Bay, Minnesota 55323 Permit Number: ��t_j�i�t�.��{.�
Date Issued: `'"�'`�`Z'=''='
(612) 473-7357 ii;,f�,i;:'���=.
SITE ADDRESS:
_����� r���,���r� :����{_�� ��
��_.v
�'. r . fa. . c_y,;—�. i 7—�_:=;—�.:�:—�,��_,��
DESCRIPTION:
F��f�}� E �I�l� L! FiE.I`'t1.,ffjEL..
E���t i l i�i rna F`�t�r��i t. T�p� °_��—�.�il�I�;EhtEl�3EL
E�+�il��it-�� `������:: �yc,�: G�t���►T�'I��+:�
t��;i: ijr_r�a��c�i"IC y �{—�;
�:�_��-,��.,��.;�t.i<<,� i y���� �,�r�
{.::�n�.us �':{�,��� .4:�;4 Ai_T . fiE:�I GEtt1T I HL
i
�
REMARKS:
'���F'�F;RT�. F'��;h�IT'�: �i�c;11IF�EC� �'�:lf; F'�€l�E�IN� ��N�:1 MEi:l�ht�ii:�:�i . �=;-.,_....- -,,-�.�.,;� .E
�'Et;���I REQ F��ii�; ELEC=T�;`I�:r=�L .
FEE SUMMARY:
v��.t��'���.� = - -
�as� F3�� �4:��`�. +-
i.;
�`1 Gtl i �=f�y i t�4V _
�',L::�,. �=�:1
��;t�t,c F�r�r��� ��1_:.c s-,
T�-�t..�;a. �=;��. _______�_.� -
CONTRACTOR: -�� �;r;:��; � r,�;t-;�, _ OWNER:
Tr i�'fiY °�Tt��r��L�1 i:i it�i'JT�,t li:T i i±i� i�.74:_'74� E�f;�i�iT'iNC�f �°�t li
�._=;:w;c_� fi=�:tF;�':�:T i:.:I�; :�;d�;=;
E��:�L:�;I��+r� tit� .5�?:�;� Nt��;��H '�:i-fis_e�E CF�'
E!}�l�i��i�t �'���� .��_�'_i i I
t�,���'� ,���.—'�7�.:: �;��j.���:,�.-j_�_�;=c�:; � �
Tf-fE z tt��,.:t�h'=�I i�i�1�� �-��;=+:��,'r' i;°��,�:?�_';�i'_� F`N�'t1 I���:;:�a�€�,� �`��� � L �- Ty� � T!� i t
i'?iti#"�•.=- i t .� �:�:�r��_. J.1•�;-`�''•.i_?zf�t'F?::Y� f '-
:.:�'�:t;j;=T�.�.7 ���+�i.t HC;�'F:F��; l"t:� �3i�! F'L..� 4�I;iF;F::: i!� ��i�`T C:T t;.:;�+�1��i I�::.t`�f:::�: ����F: F:; � {: �
,+��iE4��f_i i�l,..� t L.` ��`: !,;�
L t�_ r,C�I i�t�tdc=:�c� t�t�i� '=;T�i� i��i= �i�.i�it�t:�������� �;E;I Lu�t��,� �_�_El:;� �°�i:t}_;i�°����►�i� .
� / �
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APP ICANT/PERMITEE SIGNATURE ISSUEU P,Y SIGNATURE
` �' Total Fee: � '; �_^�, " �/ DateReceived:
Date Approved:
Entered By: �,�.�' Permit#: y� '� '�
CITY OF ORONO - BUII..DING PERNIIT APPLICATION
ALL INFOR1vIATION l�1UST BE SLBMITTED IN FULL BEFORE PLAi�t REVIEW�VII.,L
BE STARTED
------------------------------------------------------------------------------ ----------------------------
THE APPLIC��1T IS: (circle one) OWNER O�NTR.ACTOR�
JOB SITE ADDRESS: �J �s g /�4�T�1 J(�tc��� ��. ZIP: S S` 3 �l/
NAiv1E OF OWNER: �(��.l a-�P'�-b I.�O W M►�� PHONE: (home) 4 7 / C� Q 5�
(work)
VIAII.P�V'G ADDRESS: 3 4�d /U. S�o�`E. D� CITY: �I(ZO�O Z�:S'S-3 5/
CONTRACTOR 1 L►��`� S Td Oo��1 CO�ST PHONE: �7�( ���8 �1��Z�3
VIOBILE PH0�1E/PAGER:
MAILINGADDRESS: �o33C� Fc��D�ST C.► vL CITY: FxC�.�S�bvt ZIP: ,$�5'33I
STATE LICENSE: # 3 � $Z
ARCHITECT/ENGI�i TEER: r1�1 T�I�-�1 ��-S /�i � PHO�TE: / 3 �{ ����
MAILPIGADDRESS: �d w 78T" ST. CITY: �j�ti�i�s�/-�ZIP:�
�T��,-�: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration ,}C Land Alteration
PROPOSEDWORK(describeindetail):-Sc.i2�ztE9U I`"d��C.�t I U ►'JiNiti-� /�oe�c
�� (t� i3��1 �2vvt c.�-p r'��U-r T�7'x y
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: _j_ GARAGE STAI.LS: ATT. DET.
�
EST�IATED CONSTRUCTIONVALUATION(escludingland): $ 3�i �aD
I hereby applv 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:
f=-- DATE: � z�-G �
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.
",�" r
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is s[ored or to be stored shall be as set forth in this secaon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requesced dara wirhia the collecting State agency,polidcal subdivision,or sta[ewide system;
(b)whether he may refuse or is legally required to supply the�equested data;(c)any lmown consequence arising from his supplying or refusing to supply
privace or confidentia!data;and(d)[he idendry of other pecsoas or entides aurhorized by state or federal law to receive the data. This roquirement shall
not appiy when an individual is asked to suppiy invesagaave dara,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place [he nodce reauired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsibie authoriry,an individuai shall be informed whethec he is the subject
of stored data on individuals,and whether it is classified as pubiic, privaEe or confidendal. Upoa his further request,an individual who is the subject
of stored private or public data on individuals shall be shown[he data without any charge to him and,-if he desires, shall be informed of the content
and meaning of that dara. Afur an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to}um for
six months thereafter unless a dispute or acaon pursuant to this secdon is pending or addidonal data on the individuai has been collected or created.
The responsible authority shall provide copies of the privace or public data upon request by the individual subject of the dara. The responsible authoriry
may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry sha11 comply immediacely, if possible, with any request made pursuanc 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 addidonal 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 norify in writing the responsible authority describing the nature of the disagreement.
The rosponsible authoriry shatl within 30 days either: (a)correct rhe data found to be inaccurate or incomplete and attempt to nodfy past recipienu 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 oniy if the individual's statemenc 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 wouid like to inform you that your request
for a pernut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you fumish will be used to determine your qualification for the pemut or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pemut or license.
3. The information may be shared wich 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.
g��� Middle Last
Address .
���, State Zip Phone
I understand my rights as stated above.
Signature
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3y SCd NOR77f �,�f'�R� OR
PID:
DESCRIPTION OF WORK: ArJD�noiu -t l:r�LoD�Z
-------------------------------------------------- ------------------------------------------------------------------
ZONING REVIE� BY: DATE APPROVED: 'j-8-��
BUILDING REVIEW BY: DATE APPROVED: '�--$ •`t�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No c�- PARK FEE
SAC Yes No �� SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post Offce: School District:
� Lot Area: Sq.ft. Acres Width Depth
G
Survey Submitted: Yes_� . No Date of Survey: BN F�GC.�
Proposed Setbacks: 2cA2����-N
r
�(Lake): N/13 Right Side: Zb r
B�ea� (Street): g� Left Side: t Z� �'
Adjacent Structures: 14-�T7�Gft� Wetland: /t/�/.�
Building Height: Def. Hgt. � ��G Peak Hgt.
Lot Coverage: (7•�L
Grading: Staff Approval Date: By: Council Approval Date:
N,� Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: y��j
Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75
75-250' ZY- $ ZY•L
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
10
,. • .
BiIII.DING REVIEW CHECK LIST
usc: R•3 co�rsTxuc�ox �E: vrv
Sq Foota�e � Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $_�S;(�DU�
Inspections Required: Work Requiring Separate Permits:
Site D� Plumbing Fire
Hardcover Removal /� Ivlechanical Water Connection
( Footing Septic Sewer Connection
_�( Framing Fireplace Lawn Irrigation
D� Insulation (Masonry) Other
�_ Wall Board (Mfg.) Well (State Pemut)
_� Final Grading/Filling � Electrical (State Permit)
Other
REMARKS (Pi 1 HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
REVIARKS(TO BE NOTED ON PER.�'�1IT):
27
� � , i
' � �� EXTERiOR E'I'/ELOPE_A'/ER11GE "U" COMPIITII�(ION
OwNER; L- �C� ._ _ nni�r _��—� ��- �C�
� �-� � � � � ��
S ITE ADDRESS : ` � - � � �� � PF!ONE :
._t
CONTRACTOR: �Z?� �T�G�� PLAN # I � Zf �
Determine working square foota�e of each
1. Total exposed wall area. .�. . . ��� I sq. �ft. x .11 = .33�c , q �
2. Total roof/ceiling area. . . . . � 8� sq. ft. x .026 = Z,j
Total exposed ��rall area above .floor=_
a. Total wall window area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z.Z�
b.� Total door area. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '�� _
c. Total sliding glass door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �—
d. Total fireplace wall area. . . .. . . . . • • • • • - • • • • • • • • • • • - • • • • • • • • • • • • • �f�
e. Total wall framing area (average 10%). . . . . . . . . . . . . . . . . . . . . . . . . . . . - 3 0 5 .
f. Total rim joist area. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q t . _
g. net wall area a6ove floor.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z� � � �
h. wall area a6ove floor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. i . wall area a6ove floor.. . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . .
j frame wall area at foundation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total exposed foundatian area= G � .
k. Total foundation window area. . . . . . . . . . . . . . . . . . . . . . f
l . Total net foundation area a�ove grade. . . . . . . . . . . . . . G,6
Determine "u" value of each wall segment ��
(e.g. window, door, each separate wail section) � �
a. -Z.ZZ X ����� � ,�z = �� •O . -
• b. ?� X "u" , 3 I = �I , -
�. � � .,��, ._— _ �---
� d. 9�, r „�„ � � _ � , � ;
e. �,s,y^ X �,��, , ( � _ �8��
f, l-{ I'� . - X ����� � �� _ ��o, (�
�9� a � r
g. Z.dZ�3 , � z „�„ , _ � Z, ,
h. X ����� _
� � ����� _
. � ����� _ .
�•
If item �3 is the szc
k, C ����� = as , or less than ite�-
#1 , you have met the
� , �', Y ����, , ( � _ � �� intent of SBC 6006 (�
3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total = Z �� �� �
•� 4.' � TOTaL, ExPASEo RAOF/CE I L I�!G CALCULATlO�lS: •
Total exp�sed '
roof/ceillnc� area. . . . . . . . O sq ft
J) 7ota) skylight area. . .. . . . � sq ft x "U" �
k) Total roof/ceilinq framinq �
area (Averaae 109:) . . . . . .� sq ft x "U" .oZ¢�- a �, �
� 1) Total net insulated
. . roof/cei 1 inq area. . . . . . . � $2 sq ft x "U" •0 Z = /7�° . �
4. TOTAL j) thru 1) 2 v
If total of dtt is the same as, or less than /�2. you have met the intent of
• 2 �iC�;Z 1.16008 A ar.d 0.
� ALTER?IATE BU I LD I PIG ENVELOPE DES I GN ' ,
To utilize the total envelope system �*ethod, the vaiues estabiished by the sum
. of items u3 and �4 shall not be �reater than the sum of iter�s I�1 and �2.
. , . ��:�q _ .� �. 2� = 3-C-�r•4�
.. 3. . �� �. .� 4. '� � _ .::�-�a•-�'� �:�
. � -� - � _ . - �-
. _ � _ �.. �
y ' � �._
, W4u- sec,�zxls
, �,,,.tbe ��q, of opoque wnt 1 ar¢a fvr R- VAi�lE
fv'a� Cc.�trutb i�n CONSTRUCTI01��- FRAMINf� - -
� � 1. IN'I'ERIOR AIP. FIIM 0.68
Q 2.
3. 0 .
4. .
! 5. .
g�►SzC 6. R R 0.1
W►�L = .e
U= .09
�zG. �,tz ToPv�Er� cF �,
pf�ar�e w�►cc T-
�.
1. INrERIOR AIR FI�LM - 0.68
� 2. � i 2 BD .4 5
3.
� 4. 2 32 SHEAZ�-ZIJG 2.06
5. SIDING .62
�G. #1 3 6. R 0.
� = U= .04
rn
-� .
v / --�
_._.. _ . _ ..�_______ 1. INTEFSOR AIP. FILM 0.68
� 0 2. 6 IN 19.00
S�t� SEh�R 3. x �JOI
/ �' 4. 3
� � _� 5. SIDIItiG .62
� " � � 6. OR AIR FILM 0.17
.
� '� V�. c' ^ U= .04
� d +i --v
� � C�
fd..,NOJ�T�cx�l � n � " ...._._...._._ .v BLOCK
►
W�G�' �bi; �V` ~-' 1. INTERIOR AI� FILM 0.68
+ 0 , r � 2. 1.
tr.�• • ' ./ �•► ._� .
' ��� G� -�. � 3. 0 5. 0
.� 4. PROTECTIVE &'�RRIER
�� ti 5.
� 6. R F 0.
TOTAL R= 7.13
, _ . U= .14
i � SLAB OK GRADE X � _ -� ,'---'�_.._4_...
i . ; � �, � i
1 _ ,
E . �S3 � - t� . t � c ,
„ „� o s, ,
' r \ � �'i� : , 1 � � • ,-
.� o , �" _._. : � j��
� �. � , , , , �, � . Il l -- ' :xf ; � � ' a � r;�=�,
4� D� , ~ • � � �, -
� � - // �- D � � �
' ' D =/t i �- i , � , ' , , --- ; i
' ' . /11
._ . , � ,►; , � :
D: � s t��( _ � ► ' • � 7;'� �((
..-
. ,
: r� �-�' A`� �� : S• - r D C: �
. � �; � r
`:�� ^ + '
�2� �3 � , . � � ,', ' _k__.�- '�� � j�,
._.,...... . - y ' a �
� � ,
' ' �"' � . ' �• �Q , rro�: IrIDICAT'E TYPE, ,►R�� v�. D�rx ArrD
' ' ' ' ' � PLACL`�VT 0�' INSULATION.
� ,r _i _ � �,� �.
NOTE.. USE 10$ OF OPAQUE WALL ARFA FOR FRAME R-VAI,UE
OI�ST'RU N
� 0 .1, �IIVTER�pR R�LM . . .,. A ��
� 2. ' '1/2" GYP. 'BD. `�` • ..T=-=��e-�.45-�...�
�� � 3. � 2 �SOFT W'OOD � � � ' �4.3 5
�, 4. EL�OT't�{ 6.0
, ;� ; --- -� 5. 2. 6
� __.�---9n 6. . 2
�ASI� i, 7. '�I�' IOR AIR FILM 0.1
WAI�L i � . AL 4. 3
j �+-"� '�c U = .069
)�
IN5UTATION
� FIG. �1 TOPVIbW OF FRAME
WA.LL 1. IN�:'ERIOR AIR FILM 0.68 •
2. 1 2 GYP:BD. ' .45
3. .
;� '� 4. 0
j� S. BUILTRITE . 2.06
:� `6. SIDING .62
:f I
t� � �. � .
� . ( . � �ra� 2z.9
FIG. #2 U = .04
: � o � -
�._�
�I� I � 1. ; INTERIOR AIR FII�i 0.68
SFAL�R � ,-I -- r.� 2.
! - � ' Y�� 3. TION � � 13.0
�� � i4. .� .� . � 1.89
! m 5. " '$U2LTRI 2.06
� �'� ' � ; � 6. G .62
� ' U'. o , 7. RIOR AIR FILM 0.17
Y , � � D T�AL 24.4
' � { ', _ � U � _ .040
� / u '' `�
0 ' n: •' BIACK ,
/ ' -•--�- . .
1� � r � p, � 1. INTERIOR AIR FIIM 0.68
„��� � ' 2.
' . `. o f�/ /i � 3. 2 CONC. BIACK 1.28
��-'1 ' 4•
s.
6. EXTERIOR AIR FILM 0.17
�`�w SLAB ON GRADE U = .4?
; �
1 S �
� � ' ' ��
_ , .._,� 2 � \ ` �
' � ' � :
� ' 1 1 �'�►� \ '�/ � f � .� \
� a� V • � � )tl.�^ f�' 1 .
t , , (f f � '� K
t r � 'r �I �� � ~ /!� 1 ' v v �� ` � �` � -
� D i ., _ . t� _.
. 0 J� �;� ' . � `' - =�1
� � /Il � l�� 1 � � y - jl
� /
' � � ` � , � � . � {:� �.
� � '�' � � '' �• �t t
�1� :� � � � /
� �
�IG. �3 ` , b � FIG. #4 �II � I'��
� �• ' �, rroz�: INDIA �TYI�� '�" VA�}E;DEP'!'H AND PLACEZ-fIIdT .
` � ' v � � � < <<� � j OF INSUI.�ATION
ROOF—CEILING
� � � ��� ..
�,... ' C�NSTRUCTION R—=
��• � � 1• INTERIOR IR FTf_M n��
2. 5/8" GYP. BQ_ S$
�-- � 3• INSULAT ON �� �0
4• EX
� � U 45.80
�\ — .0 2
� �
FRAME
� � �T �y� 1. INTERIOR AIR FILM 0.61
! I I � 2. ��
U 3. ULATION
4. . R AIR FILM _0�1_—
� 40.a.5
FIG. #5 . U = 0.024
_ C0�ISTRUCTION
„ � ,. .�,,.� . 1. INSIDE AIR FILM ' 0.61
•.flII�V • . "'� ! l •iW ,j
...,.._. .�.- •_. . _ ..... .._.. ... . ......-•---- �
3.
4.
/ 5. DE AIR FILM 0. 17
TO'TAL.
�i U =
�,.+:._:,.-- FRA►�IE
� � 2 � O 2: IIVSIDE AIR FIL�1 0.61
1�'..cAT FIAW UP �,� 3•
4.
5. 0
FIG. #6 ' U =
4 5 1. INSIDE AI� FILM �•��
2.
.. ���':� 3.
, � , , � , �" 4.
. . ' v:••�. t;��� � ''�� 5' � R FIL�1 0. 17
., � ", � ���'`,z�—==^�" �w TOTAL
�. .• :' �' ,v . .v , , _
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FIG. #7
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6(.00K: I 3 �
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FU(.L 2: ��o '� � I�� .
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�
FiREPLACE: lo x �_ �� �
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SQUARE FEET ERPOSED CEZI.ING ���
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t _ 3v� = IS �
. Z� ��� _ � . .
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. �'
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� ' � A. Hou � _ '' ; �, X i`� - ':��^�� S.F.
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2 18 3� e.��
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L X r 2 - S.F.
. a
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x = S.F.
F. Landscape (� x � = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - 2 ���i •� S.F. A
TOTAL PROPERTY AREA IN ZONE - �SO S.F. B
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PROPOSED�IARDCOVER IN ZONE �
,,
Ho ! ��'��� x ��f = �C� S.F.
Length Width
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t�G>�� �'`�'E� 5rtt^-' '/� � R = .`�"� , J S.F.
x = S.F.
B. Garage �D�"L �`-! _ �O��`.. S.F.
�
C. Driveway �y-- x ,��. _ � � S.F.
x
_
� 2� �,� f�8�
D. Sidewalk � x I Z = 2 .�: ".
',: x �n = (00 S.F.
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x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - 2 J S� S.F. A
TOTAL PROPERTY AREA IN ZONE - '�� � S.F. B
a _ ,_ �� = B 7�p X ioo = 2y. {2_%
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DATE TIME "/
CITY OF ORONO CALLED IN �b���
INSPECTION NOTICE �/�� scHe�u�eo S �
PERMIT N0. COMPLETED
ADDRESS -��5� D-t�T�i s/�`u,iEJ-�
OWNER CONTR. S��d-e�
TELEPHONE NO. �� o�S�3
� DESCRIPTI �/1�24"�
� Ot OOTIN� S S 1 11 MECHANICAL R� 18IXCAVKiRADINO/FIWNO
�Q 02 FRAMINO �N�( 13 MECFUWICAL FlNAL 19 LAI�SHORF/VVETLANDS
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Z WALL B . . 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEVVER HOOK-UO O6 PROORESS
�
� 0�DEM�--SITE 27 SEP'TiC MAINT. 21 COMPLAINT
�Q 07 DEMO-FlNAL 1 S SEPTIC INSTALL. 22 FpLLOW-UP
= 08 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR M YQU: YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL�NSPECTOR �CITATtON ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next' spection 24 hours in advance.473-7357
OwnedContra n s t
Inspector:
wn�te coPyno�c�ors�b c.�.ry copy��.ria�
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OAT TIME
CITY OF ORONO CALLED IN
INSPECTION NO C SCHEDULED � ��
PERMIT N0. ���=� coM LETED
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TELEPHONE NO.
� DESCRIPTI�
� 01 FOOTINO 11 MECMANICALRI 18IXCAV/(�RADIN(3/FIWNQ
�Q INQ L 73 MECHANICAL FlNAL 19 LAI�SFIOREJWETLANDS
03 SULATION 24/25 WOOD BURNEFUFlREPLACE 34 TREE REMOVAL
Q WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO O6 PROQRESS
~ 07 DEMd--SfTE 27 SEPTIC MPJNT. 21 COMPLAINT
J
�Q 07 DEM�FlNAL 15 SEPTIC INSTALL 22 FOLLOWUP
= 08 PIUMBIN(3 AI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINa FINAL 36 FOUNDATION REMOVAL
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❑INSPECTION REQUIRED.CALL TO RANGE ACCESS.
Call fo ne i tion 24 hours in advance.473-7357
Owner/Cont site•
Inspector. �
White Copyq�spector's File Caeary CopylSite Notks
DATE TIME
CITY OF ORONO CALLED IN 0" ' '�
INSPECTION NOTICE SCHEDULED l � o ' '�c_� � -.��
PERMIT NO. �� COMPLETED �
ADDRESS �� r�v
OWNER �,_ CONT .
TELEPHONE NO. 7 77"'o�7 `7'�
� DESCRIPTION ^/���,�;�Q�!
� 01 FOOTINQ 11 MECHANICAL RI 18 D(CAV/(iHADIN(�/FlWNO
�Q 02 FRAMINO 13 MECFUWICAI FlNAL 18 LAI�SHOREIVUETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z p 12 WATER HOOK-UP 17 SITE INSPECTION
ps� 14 SEWER HOOK-UO O6 PROQRESS
J 07 DEMO--SITE 27 SEP11C MAINT. 21 COMPWNT
� 07 DEM�FINAL 15 SEPTIC INSTALL ?2 FOLLOW-UP
= 08 PLUMBINO RI 23 SEP71C FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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