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HomeMy WebLinkAbout2005-P08338 - new structure � � ' PERMIT C ITY -C�F O RO N O Permit Number: 275G Kelley Parkway - PO Box 66 P08338 �� Crystal Bay, Minnesota 55323 Permit Type: NeW sc�u��ure �'`.� (952j 249-4600 Date Issued: ii24i2oos�h,, �R ,, ,<.a �``�. t: SITE ADDRESS: 3970 North Shore Dr �``�-� ��' � Mound,MN 55364 � PID: 08-117-23-33-0068 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 101 Permit Type: New Structure Permit Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: Separate permits required: i'iumoing iviecnanicai vJaier i.onnecnon�ewer C.onnection nieciricai(siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,833.75 Valuation: $ 250,000.00 Plan Review Fee: $ 1,192.03 State Surcharge Fee: $ 125.50 TOTAL FEE: $ 3,151.28 APPLICANT: OWNER: Timothy Zwart 3970 North Shore Dr 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. �- .2�� ����� � � ��� � APPLICANT PERMITEE SIGNATURE 1 �SUED BY S NATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 , . L.fy/ �- /g D� - �����. _ - •,��� 'Yr t '«"'� Total Fee: $ 3151. 28 Date Received: ja"�-� �'� � � ��, u,,, � Entered By: Permit#: ,�Q�� �� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pr�i�it all info��nzation) ------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (ci�•cle one) OWNER R CONTRACTOR JOB SITE ADDRESS: � � �() i1/jiry-�_ .S��r �� ��, ZIP: ��` ��</^ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If>>es, a special event permit is required with Po/ice Department mzd Cih�Counci!approval 60 da>>s prior to the event. Sltuttle bus service yvil/be required un/ess applicant clemonstrates su�cient on-site parkirtg is�ivailable. Non pe��mitted events will not be c�llowed. NAME OF OWNER: ��;",�,,, j Gv�1 /�' PHONE: (hoine) �t< `�� ���� (work) ���� -31���I c:Q MAILING ADDRESS: ��17��,/�/art�`�l�.r,n-e�;�l CITY��r��/ ZIP: � � R: � - ��a�r,�� i7- PHONE: %��<; �-.�Z� �71d�'J CONTACT PERSON: ��,,.,., -� �� �U,�„b�/ MOBILE/PAGER: MAILINGADDRESS: �,�S�L�cl�l�� '�zl�-i CITY: J� �� � ZIP:J�`3�� STATE LICENSE: # EXPIRATION DAT�- ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New � Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe�n detain: STORIES: .L SQ.FEET OF EACH FLOOR: /.�, �,�,� NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DE'�'�CHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �L �C/ C� v0 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: ti,,. � DATE: ��-� '� � 31 Sec.13.04 RIGH'tS OF SUBJECTS OF DATA y Subd. l. Type of data. The rights of individuat 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 individual asked to supply private or confidential data conceming himself shall be infomied of: (a)the purpose and intended use of the requested data within the coilecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidentiat data;and(d)the identity 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 may place the notice reauired under this subdivision in the individual income tax or pro�e y tax refund instructions instead of on those fortns. Subd.3. Access to data by individual. Upon raquest to a responsible authoriry,an individual shall be infortned 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. 'i'he responsible authoriry 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,certifying,and compiling the copies. The responsble authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,e�ccluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infonn the individuat,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 individual may contest th�accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing ffie 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 recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be cotrect. 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 fiunish certain private or confidential information. You are notified that: 1. The infonnation 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 pemut 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 pecmit. First Middle Last Address City Statc Zip Phone I understand my rights as stated above. /.�� �� Signature 32 , � _ � ...�'�eea„� ,.��� CHECK OFF LIST FOR ISSUANCE OF PERctiIITS �';`;� FOR OFFICE USE ONL Y ADDRESS OR LEGAL: 35�� 1'v�RM ���u- `�R. PID: DESCRIPTIO.V OF YVOR.£f: NCI� 2�,5 — -------- ------- ------------------ ---------------------------------------------- ------------------------------------ ^(� - ZONI�VG RE vIE GF�B Y: (SLw.�-- D.�.TE APPROVED: !-��r-os BUILDIIVG REVIEYi�BY: DATEAPPRO�'ED: i- i�i-05 --------------------------- - FEES TO BE CHARGED: IL'Iisc. Fees Calctclated By: PERII�IIT Yes �/ No PLAtV RET/IE6V Yes _�� �Vo SEYVER CON�VEGTIOtV STATE SURCH,4RGE Yes � No tiVATER GO�Wt FCTI0IV ItVVESTIG,4TIO�V FEE Yes 1Vo ✓ P�tRK FEE SAC Yes �Vo � SITE NSPECTIOtV Number• of SAC Units ?2'�s�SFe/t Fitarti D�..� OTHER (specify) " --------------------- ----------��R_w�_=--�--5�'83--[�_��_?�--------------------------------------------------- 2'OrVING CHECh'LIST Zo,«,��otsr,�tcc: �2-r�- Fi1•e Departlrterrt: Post Office: Scltool Districf: __.. Lot.�ren: 5q.f't. 1 �,DO c� Aa�es .23 G�idtli SD Deptl� Zp� S�uvey Subfuitted: Yes DC No Date af Scuvey: Proposed Setbacl;s: Frait(Gake): I 1 Z Right Side: 10 Ren�•(Sh•eet): `'1 1 Left 5ide: � � Adjacent Str•uctures: Z.o G�etland: N/I� Building Height: Def. Hgt. _�� 2V Peak Kgt. — L�.� Lot Coverage: i5 0� � Gi•ading: Staff.4pprovctl Date: I- I'�-c�s By:�_ Coc�nci!rlppr•oval Date: ' Septic: Stnff.�{pp�•ot�af Date: ��� BY� Zating File: # H_30�4 Resolutiat: # Resolutio�i Dnte: �1-� '�� Shoreland Dish•ict: Avg. Setbac : �,t9 Bluff Setbncic: �1� Lot Coverage: �J� Existing Proposed Hardcover•: 0-7.i' 75-2�0' ZS°'T6 � °�° 250-500' 30 ' 500-1000' Hardcover T/a�•iarice Reqti�ir•ed: Yes�_ No Date of Cocuacil Approval: /!- -0 RE1I�IARKS(i�t house): 31 �� ,:.. '�,, �� ii ;��' ,'1, '.��� H'I iii' i�i �Id. -1i1 li ,� � � t � �� s �� � i� �� If '�i ,o^� , ;�ri �b t�.�; �u� i�i ��i � �U�r� Uf4�i ��i�l� ?� * � B UILDI�YG RE VIE tt�CHECh'LIST UBC: (Z -3 CO�tiSTRUCTIO�V TYPE: 'V� Sg Foota;� .�Pe�•Sg FtJ Basenie�tt x = 1 st Floa� x = 2nd Floor � _ Gc�rcge .r = x = TOT�[L - Estimated Constructioic Yalue: .S 250,�00 `� Lispectio�ts Required: 6York Requiri�e�Separatc Per�,tits: Site �o _Plumbing Fire Hardcover Remova( .� Mechanica! _� GYater Ca�tnection OS Footing Septic _�Setiver Conrtection _�a _F�•amin� Fireplace Lativri h•rigatio�i _�lnst�lntion (��[nsonr}�} Other• � 6Yal!Board (A�Ifg.) FYell(Stnte Perinit) Final Gradi�tg/Filli��g _�Elech-ical(Stce�e Pern►it) Other ' 12EtYi�lR1'iS(.INHOUSE): � RE fflE�V B Y OTHERS: DATE: .�tccess: Existing New .Qccess�lpprov«l: Date By: 1tE�tiiARh'S (TO BE NOTED O[vPERNIIT): 32 . . �. „�..,:., T, _ :�,� • • :.:. '.1�� }4 R��tl y�� r V�'_.� - . � . , .. .. .... r' . _ � �.�;��. � MNcheck COMPLIANCE REPORT I I •��"��<, Minnesota Energy Code I Permit # I � �� MNcheck Software Version 3.0 I I I I � � Checked by/Date � i I COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 11-30-2004 COMPLIANCE: PASSES , Required UA = 516 Your Home = 403 21.90 Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1320 44.0 2.0 34 WALLS: Wood Frame, 16" O.C. 2400 19.0 2.0 134" WALLS: Wood Frame, 24" O.C. 592 10.0 2.0 46 BSMT: Conc. 7.7' ht/7.0' bg/7.7' insul 68 11.0 0.0 4 GLAZING: Windows or poors, Above Grade 365 0.350 128 DOORS 21 0.350 7 FLOORS: Over Unconditioned Space 750 10.0 2.0 50 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer Date ✓ D9T TIME CITY OF ORONO CALLED IN � ` INSPECTION CE SCHEDULED -a -4:�... __�i�=� PERMIT NO. 33g COMPLETED ` `*^-�q� ADDRESS 3g7o N�''� S� � --�� OWNER !/y! Z��rt CONTR. TELEPHONE NO. � DESCRIPTION �n � 01 FOOTING 11 MECHANI L R 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANI INAL 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 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: � W � � O �. d` 0 � � 0 � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 24J-4600 Owner/Contrac� it� Inspector._� White Copyllnspector's File Canary CopylSite Notice ( `� � DATE TIME � CITY OFORONO CALLED IN ��^2� ��� INSPECTION NOTICE SCHEDULED ���3 -c.�� %(,J•'s�A/�l PERMIT NO. G�d �-3� Sl COMPLETED �I � ADDRESS���d �s� . OWNER � G i✓`'r'T CONTR. l�Gtl/2L�' ���'�°� TELEPHONE NO. Lf'�� O,�.1 �/il ���J�� �'�'�- /� (�1 Fi�'� � DESCRIPTION ,�C�L/�'ec:1/ ��L��'�c�'�,c>h � 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 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 Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � j d _l WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING 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. (J52� 249-46�� OwnerlContra o it . Inspect —� White Copy/lnspector's File Canary CopylSite Notice �� ���O' � D TE TIME V CiTY OFORONO �CALLED IN 3� � �� INSPECTION NOTICE SCHEDULED ` S s�� PERMIT NO.����3�� COMPLETED ;;�-c -,4 �-�i�.,: ADDRESS �� �v ,IV . c SV'�,?��, �� OWNER_�)yyl �`� 'r'��'�" CONTR. TELEPHONE NO. C.� f a - �O� - �(n� � DESCRIPTION ���� ��js � lL 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 Rl 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTOTAKEN INSPECTOR W�LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -r1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�0 OwnerlCo�tr site: Inspector. � White Copyllnspector's File Canary CopylSite Notice ��. /� TIM E � aITY OF ORONO CALLED IN `� � INSPECTION N�j TICE SCHEDULED - _�� PERMIT NO. /O �33� COMPLETED ADDR S ��7D �L7�'�� S��� O E CONTR.�IYI���� TELEPHONE NO. ��o� ��T �z � DESCRIPTION � ly� 01 FOOTING 11 MECHANICAL RI 18 EX V/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CONJMENTS a ! �1�' � � � O � � O � W � Q � Z W � W � � d W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next'nspection 24 hours in advance. (g52) 249-46�� Owner/Co a on it : Inspector. White Copyllnspector's File Canary CopylSite Notice �%�� DAT TIME � " CITY OF ORONO CALLED IN �� '� INSPECTION N /C' SCHEDULED ����.`f-O� :--� PERMIT NO. ��/ COMPLETED ADDRESS �� � „�a27"�% .>�6/aP_ 1.��: OWNER � ���c`�'t CONTR. �D� TELEPHONE NO. �p��- ���� �33 9 �U���!" � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z L D. 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: � W C J � O � � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in ection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor ite Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME � / CITY OF ORONO CALLED IN "�' �'' �y V INSPECTION NOTIGE �� -, SCHEDULED '-�'� � `��s����— PERMIT NO. U 2 �MP TED " ., _.,...,�_, ADDRESS ���U C�f` 0d�� � OWNER Z� CONTR. TELEPHONE NO. � ��- �v�� ��� � i � DESCRIPTION "�`'ta� �` l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 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 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/CONTRACTQR TO MEET YOU:_YES_NO t � COM NTS: il � �(.0 ��Q �L i►^ � r � �vl S f � , c�' 1 Si J— t �� O � � -- �'� � e� ��` O �� Q � ` � s r � +�. � � � z W . � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � .,�CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUiRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-4600 Owner/Contrac ite: Inspector. White Copyllnspector's File Canary CopylSite Notice DAT6, TIME �/ CITY OF ORONO CALLED IN '� � � � INSPECTION NOT,L�E .1(J SCHEDULED '"� '-�� PERMIT NO. �'G Jd COMPLETED ADDRESS 3`� 7O � ��lD J'E �f; _..,,,,� OWNER Z�Q� CONTR. TELEPHONENO. �L� —S�7` ��o��' � DESCRIPTION �i�a� � 1 G4� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 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 M ET YOU:_YES_NO � COMMENTS: � � ` � a --� . � � � �� �� o � �t �f t ve W � Q z Po�33� ardg,r , w no 8��3 �( � o r� g?i�F �.c�et_-� � p g 5 �3�� � a W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED SSUE C TIFICATE OF OCCUPANCY / � ❑CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY 2/�/Q r_ V V BEFORECOVERING PERMANENT X� ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlCont r site: Inspector. White Copyllnspect r's File Canary CopylSite Notice �;; �,�. ---- AST 50.00-------..., � �M T CERTIFICATE OF SURVEY FOR � � � :o . � � �`� � TIM � THY L . ZWART :, : � PROPOSED : � : \ � � HED _..10.2_._ :, �`� � �s$, 12�� �� OF LOT 1 1 , HICKORY HILL . � ' � _ _ _ �' : \ APPROXIMATE LOCATION � HENNEPIN COUNTY, MINNESOTA � � ?0�50' SETBACK UNE /� >1 \ $� �` / � ;: �� � � l� ;o.o: � — r --��. � � — -�•- / / ' � o.o � i o.o / '1 '1 �.� ��� � ` _ � (J �\ � � � ` � PROPOS� PROPOSED GARAGE FLOOR=946.2 � PROPOSED TOP OF FOUNDATION=955.2 � � ` � , � O � o � - - _ o O � p �� � \ � \ � .p� _..,. p — ����J� � p � � N � � �3��0 � \N� � - C7 C'� � �� � � 30.0 ��\ .-.: . _. •-- -•-- \ �j \ \ ��\ � � �� � � \ � w � ORI�VEWAY\ \ \�� _ � � � �� N � �— o \\ \ j� LEGAL DESCRIPTION OF PREMISES : 1 0 � � I O Lot 1 1 , HICKORY HILL / � � z � I � � I o : denotes iron marker / � I � I - - 917— — • denotes existing contour line, from city maps � � / '� _ � s44 : denotes proposed contour line / ( Bearings shown are based upon an assumed datum. 1 � � � � � This survey shows the boundaries of the -' above described property, and the proposed EX� �N� � location of a proposed house and shed DRIV WA W � \ thereon. It does not purport to show any `� �� � other improvements or encroachments� .� y��- � _ _ _ _ , . . _ ,.,.--��.._,�,.'F ��g� �tP�� � '�', � � � ti;,l i���,�� ':.i`!¢��---� ,�S'?t�t'ld'�`�� �I�f�iV Ii ----WEST 50.oa-- - � %� ;..� , :���i :a -ti� � i � ,, ;,t-, �^�r�i'��? _. ;; � . .. � i". ., . E ,.:+.: ; _ ;� t� .�....._ _ 2 ' � -^ i....:`�.i�_�._.___._!'/9-os � 1 1 . V . � . 1 1 . 1 1 . 1 \ � . 1 V � �" �o�se t�c.fn..� Mrrs i !�+ ..Sn4�=� (j y ( l``�2-`'-�,��z'2- N�RTH SHORE DRIVE , a� ����'��� ���"_ �, SCALE GRONBERG AND I hereby certify that this survey was prepared by me or under my ��'-20' ASSOCIATES, �NC. direct supervision, and that I am a duly registered Civil Engineer and Land Surveyor under the laws of the State of Minnesota. �ATE CONSULTING ENGINEERS, 9-21-04 LAND SURVEYORS, AND SITE PLANNERS �`�i����--�—� �oe Na ' . �co 445 N.WILLOW D 52� 3�14�AKE, MN.5535 Mark S. Gronberg Minnesota Lic�nse Number 12755 04-383 � � PR PR P A i 4 04-383