HomeMy WebLinkAbout2017-00414 - in-ground pool Y,
CITY OF ORONO * 2 0 1 7 - 0 0 4 1 4
2750 KELLEY PARKWAY DATE ISSUED: 05/09/2017
ORONO,MN 55356-
(952)2494600 FAX: (952) 2494616
ADDRESS : 2535 OLD BEACH RD
PIN : 21-117-23-22-0019
LEGAL DESC : THE MARSH AT LAFAYETTE
: LOT 006 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL-IN GROUND
ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION : $ 25,738.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE)
IN-GROUND POOL
SEE BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERMIT FEE SCHEDULE 444.96
PLAN REVIEW 57.68
CUSTOM POOLS STATE SURCHARGE(VALUATION) 12.87
8960 EXCELSIOR BLVD
HOPKINS,MN 55343 TOTAL 515.51
(612)933-2255 Payment(s)
CHECK 29528 515.51
OWNER
CODUTE,TOM&ALICIA
2535 OLD BEACH RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus .
Cks,Appant Pertnitee Signature Date Issued ByNgnature Date
Builder Acknowledgement Form
Permit #2017-00414 / 2535 Old Beach Road
Builder Representative Name: A n M
Permit Conditions: Initials
Erosion control mechanisms must be installed and inspected by the City prior to any land
disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to
inspection.
Erosion control shall be installed and maintained throughout the entire project and must
remain until vegetation has been established.
A haul route shall be submitted to the City Engineer for approval and inspection prior to
commencement of hauling from the site.The property owner shall be responsible for cleaning
and repair of roadways for any adverse impacts.
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining
walls,etc. not currently shown on the approved survey and landscaping plan will require a
separate Zoning Permit application to be submitted and approved prior to the work
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
height of the lower wall require engineered plans and a building permit to be submitted and
approved prior to construction.
w:\street files\old beach road\2535\builder acknowledgement form 2017-00414.docx
. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS d
Address: 2.1543-5 - Permit� � Permit No.: M 1-7 - OC41 T
Description of work: ( 1 W Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved: /L
Building review by: Date Approved:
Grading review by: Date Approved: Z,S',4/,l /;
Zoning District: r Zoning File M
Resolution? Yes Reso M Reso Date: Signed: Yes No Resolutio,(5
Zoning: Lot Area: 115 1 M S /AC Width: Structural Coverage: c4c.SF %
Survey Submitted: ,�es ❑ No Date of Survey: - 4/*2-q*11 Revised date(?):
Landscape plan submitted? ❑ Yes Landscaper: � f✓��� ❑ No/ None proposed
Proposed Setbacks:
0'
l1a l0
Front�) Rear(St� S E W ) ( N E W ) Other Buildings Wetland
Side Side
Building Height Analysis:
Distance Between First Floor and 4afted Top of (a)
Roof* See "building height" d I ion :
First Floor Elevation (fro uildin plans): (b)
Highest Existi=nd
r nd level (per survey) or 10' (c)
above lowest level, whichever is lower:
Difference ween b and (c): (d)
Defined Building Height (a) - (d):
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: 1 -, _ 1,+q E3 Yes C3 No /A 13 Yes
�es 13 No No
❑ N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
I0.(p2,Cb ❑ Yes KNo ❑ Yes No
L
1 2 D 4 5 Type(s): Type(s):
1 Z34��'
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1� X $ Z5 73
2nd Floor X = $
Garage x _ $
Estimated Construction Value: $ Z
Orono Inspections Required Work Requiring Separate Permits
Footing ❑ Site ❑ Plumbing ❑ Grading/Filling
❑ Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire
❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection
❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection
❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation
❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping
❑ Framing
❑ Insulation
❑ As-Built Survey
Final
❑ Lathe Required State Permits
❑ Other(specify)
❑ Well Electrical
REMARKS (in-house):
acm
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
1
112
1ee Builder Acknowledgement Form
[3 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
CITY OF ORONO 1515- .51
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
OAj Mailing Address. Permit number:
PO Box 66
Crystal Bay, MN 553213-0066 Date received:
0 Received by.
Street Address:'
1 2750 Kelley Parkwa Plan review fee.-
e SHO Orono, MN 55356 5 AD 1-7 (It t3
Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us
Too,
GENERAL INFORMATION: -
' -
Job Site Address: 4 S2,S 7�,eC,_C-
Will this be a Parade of Homes, Remodelers Showcase Home oro her Display Home? ❑ Yes allo
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/AFLICA�T INFOR"TION
Name: _(As V-C VV\- t--c 0
State License# 50Q-2:1 Expiration Date: 037 -3) /IR
Phone: (cell) (office) C1 52- -q 3'--z, �D-
Mailing Address: S15'7 t,-;,) City: V Ic I r)-:.,
., ZIP: -3
Contact Person: Applicant is: (: ontractor Homeowner (circle one)
Email and/or Fax: VA r) e--LA S-hn I'V, 00 1,5�- 1 el C- - CO K11
I V
PROPERTY OWNER INFO7%TION.
=5 (
Name: I LI
CLe
Phone(day):
Address: �?-fc,- City: Dcupyin zip:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descrip ion of project: IA "r-) SfA 2
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
El New Construction El Single Family with El Accessory Bldg. Garage
El Addition attached garage El Deck El Public Sewer
El Accessory Building El Single Family with El Office/Commercial
El Relocation - detached garage El Residence El Private Sewer
El Other:(specify)Th�-�Q L/-,rl El Multiple Family/Condo El Retaining Wall(s)
SwtU
19OC2 D Public 4-feet or greater El Public Water
**Any earth movement may al require E]Commercial El Storage
MCWD review&permits. El Industrial E3 Warehouse El Private Well
Minnehaha Creek Watershed District(MCWD) El Other:(specify) El Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacmg"-Or
Estimated Construction Valuation (excluding land) coo
Last Updated: January 2016
1
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued)
a.Length(ft.)= Number of bedrooms= 2. Occupancy: CJ`� '
b.Width(ft.)= > Number of garage stalls:
3. Occupant Load:
Areas in square feet Attached=
c. Basement= Detached= 4. Type of Construction:
d. 1 st Story =
e.2nd Story= 5. Code Edition: G.®�✓ / 6 OL�1�
f. %2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Building Permit Escrow Agreement and Fees
®' ❑ Plan Review Fee
❑ Completed Application Form
❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑ or Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ Survey—2 full size,to scale(meeting ALL survey requirements)
® ❑ Hardcover Calculations
❑ ❑ Septic System Certification
❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD stating no permit is required
❑ is Landscape Walls and/or Retaining Wall Plans
❑ a Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs In excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to
reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
Applicant's Signature: Date: ,a I
Owner's Signature: Date:
Last Updated. January 2016
Reviewed for Code
%D Compliance City of Orono
Date s
- • 1
�
Reviewer
36'
A-FRAME DETAIL DECK SUPPORT DETAIL
S"T MACE
ARA ME
5' 4' DRAM
7777F 1 ( PlVET_ R PANEL
__'IrjL_ <70
LRI6BRACE
IB' 6• STAKE
RADIUS HoRIZENTAL
TYPICAL MACE
C4) PLACES NUTFJ HURLMiTAL NUKE CAN EE FASTEWA TU HOLT
5' 4' HOLE UM TO EASE PLHMOING INSTALLATM
MANDATORY ROPE AND
FLOAT 12 INCHES FROM
SLOPE CHANGE
AREAi 648 SQ. FT.
FINISHED 3,_4, 3'_G' PANEL PERIMETER: 108 FT.
DEPTH HEIGHT V❑LUMEi 24,600 GALS.
FINISHED �, _T
DEPTH
2' SAND ❑R
VERMICULITE NOTE; A MEANS OF EGRESS FOR BOTH THE DEEP
4' 6' 14' 12 END AND THE SHALLOW END OF THE POOL MUST
BE PROVIDED AS REQUIRED BY ANSI/NSPI-5
SECTION-6.
INTERNATIONAL SWIMMING POOLS NOTES SWIMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY, N T E R P D ❑ l�
NEVER DIVE IN THE SHALLOW END OF ANY POOL, CONSULT WITH THE DIVING BOARD AND SLIDE
MANUFACTURER(S) AND THE NATIONAL SPA AND POOL INSTITUTE (2111 EISENHOWER AVENUE
ALEXANDRIA, VA 22314 (703-838-0083)PRIOR TO INSTALLING DIVING BOARDS AND/OR SLIDES ON
THIS POOL TO ENSURE THE POOL MEETS THE EQUIPMENT MANUFACTURERS MINIMUM STANDARDS FOR 18'X36' RECTANGLE WITH 6' RADIUS
ALLOWABLE INSTALLATION OF THEIR PRODUCT(S) ON THIS POOL. INTERNATIONAL SWIMMING POOLS IS CORNERS & 8' FIBERGLASS STEP
NOT RESPONSIBLE FOR THE POOL'S INTERIOR DETAIL, RATHER THE LINER MANUFACTURER MUST ENSURE
TOWNINTERIOR MEETSS AND POOLPOWNERSDTO FOLLOW ALLSAFETYGUIDELINES OFIT IS THE PTTHEINISIP. I., POOL BUILDERS, DATE 2088 SCALE, NONE
ORDINANCES, AND EQUIPMENT MANUFACTURERS.
DRAWN BY,T.F. ACADREFi SDRT1836
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peace of,mind that the ECLIPSE safety cover system gives with a"horizontal fence."In less than a minute,your pool is
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IMERIMMIM
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Christine Mattson
From: Adam Edwards
Sent: Friday,April 28, 2017 10:58 AM
To: Christine Mattson
Subject: RE:2535 Old Beach Road/#2017-00414
Stamped Approved
From:Christine Mattson
Sent:Thursday,April 27,201711:24 AM
To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us>
Subject:2535 Old Beach Road/#2017-00414
We received a building permit application for an in-ground swimming pool. Please review and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono { MN 155356(physical address)
PO Box 66 1 Crystal Bay C MN 55323-0066(mailing address)
9 952.249.4620 8 952.249.4616
® cmattson@ci.orono.mn.us -2� www.ci.orono.mn.us
Office Hours: Monday-Friday 8 am to 4:30 pm
PLEASE NOTE. Summer Office Hours start Monday,May 22,2017
Monday-Thursday: 7:30 am to 5 pm/Friday 7:30 to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, May 29,2017(Memorial Day)
1
04-10-'17 14:07 FROM- T-009 P0001/0001 F-553
City of Orono .
Hardcover Calculation Worksheet
PropedyAddress:
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the.7 ';setbaa line and.cISxtlate.hrHcaver, uare footage sepeiatety for each portion:
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Page 19
03-13-"17 15:03 FROM- T-911 P0001/0001 F-442
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Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
Completed Application
Plan Review Fee Paid
Signed Escrow Agreement & Escrow Payment
ElBuilding Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
El
Hardcover Calculations (if applicable)
I am aware that Orono will not issue a building permit without a
Elcopy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regarding this oject.
Signed by: ^r,
Address: a S -a>S a CA
Permit #:
Last Updated: January 2016
WATER RESOURCE PERMIT APPLICATION FORM
Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD)of a proposed project or work which may fall within
their jurisdiction.Fill out this form completely and submit with your site plan,maps,etc.to the MCWD at:
15320 Minnetonka Blvd.Minnetonka,MN 55345.
Keep a copy for your records.
YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK.
1.Name of each property owner:Alica/Tom Codute
Mailing Address: 2535 Old Beach Rd. City: Orono State: MN Zip: 55392
Email Address: codutehome@gmaii.com Phone: 952-471-7559 Fax:
2. Property Owner Representative Information(not required) (licensed contractor, architect, engineer, etc...)
Business Name: Custom Pools Inc. Representative Name:Jan Blount
Business Address: 8960 Excelsior Blvd City: Hopkins State: MN Zip: 55343
Email Address:lan@custompoolsinc.com Phone: 952-933-2255 Fax:952-933-2259
3. Project Address: 2535 Old Beach Rd. City: Orono
State: MN Zip: 55343 Qtr Section(s): Section(s): Township(s): Range(s):
Lot: 6 Block: 1 Subdivision: The Marsh@LaFayette PID:
4. Size of project parcel (square feet or acres): 840
Area of disturbance (square feet): 840 Volume of excavation/fill (cubic yards):186
Area of existing impervious surface: 10,238 Area of proposed impervious surface: 12,234
Length of shoreline affected (feet): n/a Waterbody(&bay if applicable): n/a
5. Type of permit being applied for(Check all that apply):
2 EROSION CONTROL ❑ WATERBODY CROSSINGS/STRUCTURES
❑ FLOODPLAIN ALTERATION ❑ STORMWATER MANAGEMENT
❑ WETLAND PROTECTION ❑ APPROPRIATIONS
❑ DREDGING ❑ ILLICIT DISCHARGE
❑ SHORELINE/STREAMBANK STABILIZATION
6.Project purpose(Check all that apply):
* SINGLE FAMILY HOME ❑ MULTI FAMILY RESIDENTIAL(apartments)
❑ ROAD CONSTRUCTION ❑ COMMERCIAL or INSTITUTIONAL
❑ UTILITIES ❑ SUBDIVISIONS(include number of lots)
❑ DREDGING ❑ LANDSCAPING(pools,berms,etc.)
❑ SHORELINE/STREAMBANK STABILIZATION ❑ OTHER(DESCRIBE):
7.NPDES/SDS General Stormwater Permit Number(if applicable):
8. Waterbody receiving runoff from site:Lake Minnetonka
9. Project Timeline: Start Date: 5/15/17 Completion Date: 6/30
Permits have been applied for: City XCounty MN Pollution Control Agency DNR COE 13
Permits have been received: City �County--n MN Pollution Control Agency DNR COE
-70
By signing below,I hereby request a permit to authorize the activities described herein.I certify that I am familiar with MCWD
Rules and that the proposed activity will be conducted in compliance with these Rules.I am familiar with the information
contained in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. I
understand that proceeding with work before all required authorizations are obtained may be subject to federal,state and/or local
administrative,civil and/or 'minal penalties.
4 � (-1
Si afore of Each Property Owner Date
Revised 7/15/13 Page I of I
EROSION CONTROL SUPPLEMENTAL INFORMATION FORM
INSPECTION PLAN REQUIREMENTS
1. Routine Inspections:
• Once every seven days during active construction
• Within 24 hours of a half inch or more precipitation
2. Completed Field Inspection Reports:
• Reports available within 24 hours of request until MCWD determines project is complete&
stabilized
Failure to submit requested inspection information will result in a site inspection and may be subject to
reimbursement for MCWD staff time.
Who will inspect your site regularly?
NAME: Kevin Mulvaney ORGANIZATION• Custom Pools Q
PHONE: 952-933-2255 ALTERNATE PHONE:
EMAIL: L �' v1S- �pD�s)✓1C C.d"YVl
Where is the concrete washout location?
R OFF SITE OR CONTAINED ON TRUCK
❑ INDICATED ON SITE PLAN(with required impermeable liner)
❑ N/A
What is the final stabilization method?
(seed,sod,etc): Sod
6 inches of topsoil must be addedlreplaced prior to final stabilization
Will protective fencing for retained vegetation be installed?
❑ YES
8 NOT APPLICABLE
❑ OTHER(describe)
I certify that I am familiar with the requirements of the MCWD Erosion Control Rule and that the
proposed activity w' a conducted i compliance with this rule.
4/12/17
S' ature of Applicant or Authorized Agent Date
0 MINNEHAHA CREEK.
WATERSHED DISTRICT
QUALITY OF WATER,QUALITY OF LIFE
Jan Blount
From: Officeadministrator@ MINN EHAHACREEK.ORG
Sent: Wednesday,April 12,2017 3:16 PM
To: Jan Blount
Subject: Order Confirmation
Order Results
Profile Name: MINNEHAHA CREEK WATERSHED DIST
Transaction ID: 120417A14-E3A459FC-6F95-4CF1-9F35-C8D0136399A7
Daterrime: 04/12/2017 03:16:15 PM
Transaction Type: SALE
Approval Message: APPROVAL
Approval Code: 084785
Order Section
Card Number: '*****"••*"9406
Amount: $10.000SD
Department: Permitting
Billing Address
First Name: Jeanette
Last name: Blount
Email Address: ianCa�custom000lsinc.com
The information contained in this e-mail and in any attachments is intended only for the person or entity to which it is addressed and may contain
confidential and/or privileged material.Any review, retransmission,dissemination or other use of,or taking of any action in reliance upon,this information
by persons or entities other than the intended recipient is prohibited.This message has been scanned for known computer viruses.
1
SWIMMING POOLS AND HOT TUBS
6 Planning&Zoning Department 952-249-4620
www.ci.orono.mn.us
tlxEsxo�`�
LOCATION (` � `��'"`"�`^ LL
The hot tub or pool basin must be at least 10 feet from the house incl din a deck n
p ( g ) and 10 feet from any other
structure. It may not be placed in a drainage, utility or similar easement.
Non-lakeshore lots
A pool or hot tub may not be placed closer to the street than the house. On a comer lot this requirement applies
to the narrower street frontage regardless of which frontage the front of the house faces or the address of the
house.
Setbacks for a hot tub or ool with a basin of less than 750 square feet
Zoning District Interior Side Street Side* Rear
R-1A 10' 35' 10'
R-1 B 10' 15' 10'
LR-1A 10' 50' 10'
--� LR-1 B 10' 35' 10'
LR-1 C or LRA C-1 10' 15' 10'
RR-1A 10' 100' 10'
RRA B 10' 50' 10'
Setbacks fora pool with a basin of 750 to 1,000 square feet
Zoning District Interior Side Street Side* Rear
R-1A 15' 35' 15'
R-1 B 15' 15' 15'
LR-1A 15' 50' 15'
LR-1 B 15' 35' 15'
LR-1 C or LR-1 C-1 15' 15' 15'
RR-1A 15' 100' 15'
RR-1 B 15' 50' 15'
Setbacks for pool with a basin of more than 1,000 square feet
Zoning District Interior Side Street Side* Rear
R-1A 30' 35' 15'
R-1 B 30' 30' 15'
LR-1A 30' 50' 50'
LRA B 30' 1 35' 30
LR-1 C or LR-1 C-1 30' 30' 30'
RR-1A 50' 100' 100'
RR-113 30' 50' 50'
*This setback applies to unimproved street right of ways as well as to improved streets.
Special setbacks and approval apply to a "through lot" (a lot with a street to both the front and back.) Contact
the Planning and Zoning Department for more information.
Last Updated., January 2014
This is an information sheet. Every effort has been made to insure the accuracy of the information contained herein,
however, if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 1 of 4
DA / TIME
CITY OF ORONO C LED IN
INSPECTION CE �EDULED
PERMR NO. 7�� 777777co N-7 ADDRESS
OWNER TE H NO. 10-'7 7
CONTRACTOR S
DESCRIPTION
❑ FOOTING ❑ DEMO-FI L
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
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❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
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❑STOP ORDER POSTED.CALL INSPECTOR
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Call for the next inspection 24 hours In ativartm (952) 249-4600
Owner/Contrector on site:
Inspector:
White Copy linspeaWs File Canary CopyiSRe Notice
E- °
A TIME
CITY OF ORONO CALLED IN
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ADDRESS
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CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE [3 SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cad for the next Inspection 24 hours In advance. (952) 249-4600
OwneHContractor on site:
Inspector.
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