HomeMy WebLinkAbout2010-00433 - addn/remodel/repair � � CITY OF ORONO PERMIT NO.: 2010-00433
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEv: 06/17/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1415 PARK DR
PIN : 07-117-23-42-0017
LEGAL DESC : SAGA HILL REVISED
: LOT 002 BLOCK O15
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVTTY : 434-RESIDENTIAL
VALUATION : $ 20,705.77
NOTE: WATER DAMAGE REPAIR
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APPLICANT pERMIT FEE SCHEDULE 354.00
LINDSTROM RESTORATION STATE SURCHARGE(VALUATION) 10.35
9621 l OTH AVE N TOTAL 364.35
PLYMOUTH,MN 55441-
(763)5448761
Minnesota State License#: 1087
OWNER
FETTERS,JEFF&MARCIA
1185 RIDGE ROAD NE
OWATONNA,MN 55060
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 sepazate
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 aze
requested in conformance with the State Building Code.This permit may be
re a any U e cause.
Ro/ t� l ! o � lol/7 / /U
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� City of Orono (o�b��
Building Permit Application for Internal Work ����l��
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: ����� � �
�0,�. PO Box 66
0 � O Crystal Bay, MN 55323-0066 Date received: � 7 �� �b
���'"'- Received by:
� ,� � �. �, Street Address:
'�',�, � �� ������� �ti 2750 Kelley Parkway Plan review fee: �
L9kESH0�`� Orono, MN 55356 �����
—_— Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: /y�-5 ��,r l�; r)�-i ✓� C��c�rr c
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��No
If yes, a special event permit is required with Police Department and City Council approva160 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/APPLICANT INFORMATION:
Name: Li.�c sf��� �'�s`F�r�; �
State License# /O 7 Expiration Date: 3 .� o
Phone: �6 � –.Sy 76/ office �c«-��–�,F,Z3 cell
MailingAddress: S�6a1 /07� ��n,,�� �c�7X Cit : rr, �c: � ZIP: 'SYS�/
Contact Person: /�'j,� G� ���:,� Applicant is: ontra / Homeowner �c�r�ie o�e�
Email and/or Fax: �j,,cI:CN �,r�r�r��+,r, co� �c�� - sYy - S�E•6 fi�
PROPERTY OWNER INFORMATION: C
Name: ����c�� G�c�' ���,Q !–�'�r�s
Phone (day): �p 7 y y 6 �?7 b' T
Address: fyis -��L. ,(��-,�.t City: ��o�,o ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description: '���:,rtr: � c:•�,r,< ,r ��� . r :�c r- S c�� - �'
Estimated Construction Valuation of Project(excluding land) ,�C ��� S`� '—'
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• 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;
• 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
re uired b law. If ou refuse to su I the information,the a li ation ma not be issued.
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ApplicanYs Signature: �� � � - Date: Q
Last Updated: 05-04-2009 (', � �j �S��,�Q //L�.SlJ�/! ���/ �NA'� /NSBs,
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. v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763) 544-8761,(877)544-8761 Fax(763)544-8766
Al�wys,eerxly MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Client: Fetters,Marcia&Jeff Home: (507)446-8788
Property: 1415 Park Drive Cellular: (507)213-3727
Orono, MN
Operator Info:
Operator: M 1 KE
Estimator: Bateman,Mike Business: (763)544-8761
Business: 9621 l Oth Avenue North
Plymouth,MN 55441
Reference:
Company: Federated Ins- Pete Martin
Type of Estimate: Water Damage Services
Date Entered: 6/2/2010 Date Assigned: 5/28/2010
Date Est. Completed: 6/2/2010 Date Job Completed: 6/2/2010
Price List: MNMNSB MAR10
Restoration/Service/Remodel
Estimate: FETTERS-MARCIA-JEFF
, v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-876] Fax(763) 544-8766
.a/�ysRaody MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
FETTERS-MARCIA-JEFF
Main Level
Kitchen Ceiling Height: Sloped
Missing Wall: 1 -3'0"X 6'8" Opens into dininghall Goes to Floor
Missing Wall: l -l l'S"X 8'0" Opens into offset Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Dehumidifier(per 24 hour period)-XLarge-No monitoring 3.00 EA @ 101.25= 303.75
Air mover(per 24 hour period)-No monitoring 6.00 EA @ 25.00= 150.00
Apply anti-microbial agent 146.51 SF @ 0.19= 27.84
Equipment setup,take down,and monitoring(hourly charge) 2.00 HR @ 42.44= 84.88
Emergency service call-during business hours 1.00 EA @ 118.85= I 18.85
Tear out non-salvageable vinyl,cut&bag for disposal 146.51 SF @ 0.84= 123.07
Tear out non-salv underlayment&bag for disposal 293.03 SF @ 0.94= 275.45
Two Layers of underlayment
DRYWALL 1.00 EA @ 0.00
Mask and prep for paint-plastic,paper,tape(per LF) 37.31 LF @ 0.84= 3134
Seal then paint part of the walls(2 coats) 159.67 SF @ 0.58= 92.61
Dishwasher-Detach&reset 1.00 EA @ 222.98= 222.98
Detach&Reset Refrigerator-side by side-22 to 25 cf 1.00 EA @ 52.94= 52.94
Refrig. water line- Disconnect&reconnect-with repairs 1.00 EA @ 64.25= 64.25
Range-drop in-Detach&reset 1.00 EA @ 1 15.76= 115.76
Sink-double-Detach&reset 1.00 EA @ 129.74= 129.74
Detach& Reset Sink faucet-Kitchen I.00 EA @ 98.07= 98.07
Remove Water filtration system-under sink 1.00 EA @ 21.02= 21.02
(Install)Water filtration system-under sink 1.00 EA @ 63.74= 63.74
Remove 4"backsplash for flat laid countertop 24.30 LF @ 0.76= 18.47
Remove Countertop-post formed plastic laminate 24.30 LF @ 3.49= 84.81
Remove Cabinetry-lower(base)units 12.80 LF @ 6.32= 80.90
Cabinetry-lower(base)units 12.80 LF @ 154.16= 1,973.25
Stain& finish cabinetry-lower-inside and out 12.80 LF @ 36.88= 472.06
Countertop-post formed plastic laminate 24.30 LF @ 42.99= 1,044.66
4"backsplash for flat laid countertop 12.80 LF @ 6.97= 89.22
Sheathing-plywood- I/2" CDX 146.51 SF @ 1.35= 197.79
Underlayment- l/4" S ply 146.5] SF @ 2.23 = 326.72
Vinyl floor covering(sheet goods) ]68.49 SF @ 3.27= 550.96
Eval.pack& invent.bric-a-brac-per Med box-high density 5.00 EA @ 19.08= 95.40
R&R Re-skin toe kick 17.00 LF @ 8.14= 138.38
Stain& finish toe-kick 17.00 LF @ 0.98= 16.66
Base shoe 34.08 LF @ 1.11 = 37.83
Stain& finish base shoe or quarter round 34.08 LF @ 0.81 = 27.60
FETTERS-MARCIA-JEFF 6/4/2010 Page:2
� v LINDSTROM RESTORATION
1��� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763) 544-8761, (877) 544-8761 Fax(763)544-8766
,al,wysRe,Qey MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
offset Ceiling Height: Sloped
Missing Wall: 1 -5'10" X 6'8" Opens into dininghall Goes to Floor
Missing Wall: l -11'S" X 8'0" Opens into Kitchen Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Baseboard- Detach 20.58 LF @ 0.76= 15.64
Tear out non-salv wood flr&bag for disposal 85.63 SF @ 2.15 = 184.10
Tear out non-salv underlayment&bag for disposal 85.63 SF @ 0.94= 80.49
Air mover(per 24 hour period)-No monitoring 6.00 EA @ 25.00= }50.00
Remove wet ceiling tile&drywall and bag for disposal 1 1.40 SF @ 0.71 = 8.09
1/2"drywall-hung,taped,floated,ready for paint 11.40 SF @ 1.44= 16.42
Mask and prep for paint-plastic,paper,tape (per LF) 26.65 LF @ 0.84= 22.39
Seal then paint the walis(2 coats) 202.85 SF @ 0.58= l 17.65
Baseboard-2 1/4"stain grade 20.58 LF @ 2.50= 51.45
Seal&paint baseboard, oversized-two coats 20.58 LF @ 0.93= 19.14
Oak floor planked w/plugs 85.63 SF @ ]0.50= 899.12
Sand,stain,and finish wood floor 85.63 SF @ 4.02= 344.23
Add for dustless floor sanding 85.63 SF @ 1.00= 85.63
Base shoe 20.58 LF @ 1.11 = 22.84
Stain&finish base shoe or quarter round 20.58 LF @ 0.81 = 16.67
dininghall Ceiling Height: Sloped
Missing Wall: l -5'l0" X 6'8" Opens into offset Goes to Floor
Missing Wall: l -l6'0" X S'0" Opens into Living Rm Goes to Floor/Ceiling
Missing Wall: 1 -3'0" X 8'0" Opens into Stairl Goes to Floor/Ceiling
Missing Wall: 1 -3'0" X 6'8" Opens into Kitchen Goes to Floor
DESCRIPTION QNTY UNIT COST TOTAL
Oak floor planked w/plugs ]0.00 SF @ ]0.50= 105.00
Sand,stain, and finish wood floor 318.82 SF @ 4.02= 1,281.66
Contents-move out then reset-Large room 1.00 EA @ 72.66= 72.66
Dust control barrier per square foot 705.46 SF @ 0.53 = 373.89
Add for dustless floor sanding 318.82 SF @ 1.00= 318.82
Mask and prep for paint-plastic,paper,tape(per LF) 13.10 LF @ 0.84= 1 I.00
Seal then paint the surface area(2 coats) 141.79 SF @ 0.58= 82.24
Detach&Reset Baseboard-2 1/4" stain grade 69.67 LF @ 1.87= 130.28
Seal&paint baseboard,oversized-two coats 69.67 LF @ 0.93 = 64.79
Base shoe 69.67 LF @ 1.11 = 7733
Stain&finish base shoe or quarter round 69.67 LF @ 0.81 = 56.43
FETTERS-MARCIA-JEFF 6/4/2010 Page: 3
� v LINDSTROM RESTORATION
11�� 962] TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-8761 Fax(763) 544-8766
AlwvySR�ody MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Living Rm Ceiling Height: l3' 6"
Missing Wall: 1 -3'0"X 13'6" Opens into Stairl Goes to Floor/Ceiling
Missing Wall: 1 -3'7"X 13'6" Opens into Exterior Goes to Floor/Ceiling
Missing Wall: l -16'0" X l3'6" Opens into dininghall Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Mask and prep for paint-plastic,paper,tape(per LF) 86.58 LF @ 0.84= 72.73
Seal then paint the surface area(2 coats) 300.19 SF @ 0.58= 174.11
lower Level
familyrml Ceiling Height: 8'
Missing Wall: l -28'l" X S'0" Opens into familyrm2 Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Tear out wet drywall, cleanup,bag for disposal 216.42 SF @ 0.64= 138.51
Contents-move out then reset-Extra large room 1.00 EA @ 145.34= 14534
Dehumidifier(per 24 hour period)-XLarge-No monitoring 3.00 EA @ 101.25= 303.75
Apply anti-microbial agent 288.56 SF @ 0.19= 54.83
Air mover(per 24 hour period)-No monitoring 6.00 EA @ 25.00= 150.00
Equipment setup,take down,and monitoring(hourly charge) 2.00 HR @ 42.44= 84.88
5/8"drywall -hung,taped, floated,ready for paint 216.42 SF @ 1.56= 337.62
Mask and cover light fixture 3.00 EA @ 8.80= 26.40
Mask and prep for paint-plastic,paper,tape(per LF) 52.25 LF @ 0.84= 43.89
Seal/prime the ceiling-one coat 288.56 SF @ 0.33 = 95.22
Acoustic ceiling(popcorn)texture 288.56 SF @ OJ4= 213.53
Seal then paint part of the walls(2 coats) 209.00 SF @ 0.58= 121.22
Clean and deodorize carpet 288.56 SF @ 0.32= 9234
Floor protection-plastic and tape- ]0 mil 288.56 SF @ 0.22= 63.48
Clean exterior masonry-acid wash 160.00 SF @ 0.40= 64.00
familyrm2 Ceiling Height: 8'
Missing Wall: 1 -3'1" X 8'0" Opens into hall Goes to Floor/Ceiling
Missing Wall: 1 -3'10" X 8'0" Opens into Stairl Goes to Floor/Ceiling
Missing Wall: l -28'l" X 8'0" Opens into familyrml Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Clean and deodorize carpet 324.15 SF @ 032= 103.73
Contents-move out then reset-Extra large room 1.00 EA @ 14534= 145.34
FETTERS-MARCIA-JEFF 6/4/2010 Page:4
�� v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-8761 Fax(763) 544-8766
A/+wySRe�ady MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
CONTINUED-familyrm2
DESCRIPTION QNTY UNIT COST TOTAL
Seal then paint part of the walls(2 coats) 180.00 SF @ 0.58= ]04.40
Mask and prep for paint-plastic,paper,tape(per LF) 45.00 LF @ 0.84= 37.80
Floor protection-plastic and tape- ]0 mil 324.15 SF @ 0.22= 7131
Remove Acoustic ceiling(popcorn)texture 324.15 SF @ 0.38= 123.18
SeaUprime the ceiling-one coat 324.15 SF @ 0.33 = ]06.97
Acoustic ceiling(popcorn)texture �� 324.15 SF @ 0.74= 239.87
Mask and cover light fixture 3.00 EA @ 8.80= 26.40
hall Ceiling Height: 8'
Missing Wall: 1 -3'1" X 8'0" Opens intofamilyrm2 Goes to Floor/Ceiling
DESCRIPTION QNTY UNIT COST TOTAL
Floor protection-plastic and tape- 10 mil 47.91 SF @ 0.22= ]0.54
Mask and prep for paint-plastic,paper,tape(per LF) 34.92 LF @ 0.84= 2933
Mask and cover light fixture 1.00 EA @ 8.80= 8.80
Remove Acoustic ceiling(popcorn)texture 47.91 SF @ 0.38= 18.21
SeaUprime the ceiling-one coat 47.91 SF @ 0.33= 15.81
Acoustic ceiling(popcorn)texture 47.91 SF @ 0.74= 35.45
Clean and deodorize carpet 47.91 SF @ 0.32= 1533
Miscellaneous
DESCRIPTION QNTY UN1T COST TOTAL
Single axle dump truck-per load- including dump fees 1.00 EA @ 249.87= 249.87
ELECTRICAL 1.00 EA @ Electrical
PLUMBING 1.00 EA @ Plumbing
Taxes, insurance,permits&fees(Bid item) 1.00 EA @ 0.00
Adjustments for Base Service Charges Adjustment
FETTERS-MARCIA-JEFF 6/4/2010 Page: S
� v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTN,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-8761 Fax(763) 544-8766
A/wvysR�ady MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Adjustments for Base Service Charges Adjustment
Carpenter-Finish,Trim/Cabinet 124.66
Carpenter-General Framer 122.98
Cleaning Technician 60.14
Floor Cleaning Technician 72.80
Cleaning Remediation Technician 84.88
Cleaning-Supervisory/Administrative 89.14
Drywall Installer/Finisher 259.88
Electrician 192.42
Flooring Installer 155.96
Wood Flooring Installer 140.56
General Laborer 58.66
Plumber 217.88
Painter 96.70
Total Adjustments for Base Service Charges: 1,676.66
Line Item Totals: FETTERS-MARCIA-JEFF 16,939.81
Grand Total Areas:
3,720.56 SF Walls 1,758.53 SF Ceiling 5,479.09 SF Walls and Ceiling
1,821.46 SF Floor 202.38 SY Flooring 372.87 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 396.26 LF Ceil. Perimeter
1,821.46 Floor Area 1,872.56 Total Area 3,254.52 lnterior Wall Area
2,915.10 Exterior Wall Area 305.58 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
FETTERS-MARCIA-JEFF 6/4/2010 Page: 6
� v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-8761 Fax(763) 544-8766
,a�,wysR«,dy MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Summary
Line Item Total 15,263.15
Total Adjustments for Base Service Charges l,676.66
Matl Sales Tax Reimb @ 7.275% x 5,087.96 370.15
Subtotal 17,309.96
Overhead @ ]0.0% x 16,144.96 1,614.50
Profit @ 10.0% x 16,144.96 1,614.50
Cleaning Sales Tax @ 7.275% x 2,292.94 166.81
Replacement Cost Value $20,705.77
Net Claim $20,705.77
Bateman, Mike
FETTERS-MARCIA-JEFF 6/4/2010 Page: 7
� v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761, (877)544-8761 Fax(763) 544-8766
A/wnysR«aey MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Recap by Room
Estimate: FETTERS-MARCIA-JEFF
Area: Main Level
Kitchen 7,131.00 42.10%
offset 2,033.86 12.01%
dininghall 2,574.10 15Z0%
Living Rm 24b.84 1.46%
Area Subtotal: Main Level 11,985.80 70.76%
Area: lower Level
familyrml 1,935.01 11.42%
familyrm2 959.00 5.66%
hall 133.47 0.79%
Area Subtotal: lower Level 3,027.48 17.87%
Miscellaneous 249.87 1.48%
Subtotal of Areas 15,263.15 90.10%
Base Service Charges 1,676.66 9.90%
Total 16,939.81 100.00%
FETTERS-MARCIA-JEFF 6/4/2010 Page: 8
� v LINDSTROM RESTORATION
,1�� 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098
Phone(763)544-8761,(877)544-8761 Fax(763) 544-8766
.a/wtrysRer�dy MN 0001087,FL CGC1509130,LA 44547 Building Construction
Fed TIN 41-0847540
Recap by Category
O&P Items Total Dollars %
APPLIANCES 455.93 2.20%
CABINETRY 3,218.82 l 5.55%
CLEANING 275.40 1.33%
CONTENT MANIPULATION 363.34 1.75%
CONT: PACKING,HANDLNG,STORAGE -- - -- - 95.40 - -0.46"/e--
GENERAL DEMOLITION 1,403.65 6.78%
DRYWALL 842.89 4.07%
FLOOR COVERING-VINYL 877.68 4Z4%
FLOOR COVERING-WOOD 3,034.46 14.66%
FINISH CARPENTRY/TRIMWORK 319.73 1.54%
FRAMING& ROUGH CARPENTRY 197.79 0.96%
PLUMBING 291.55 1.41%
PAINTING 2,038.99 9.85%
WATER EXTRACTION & REMEDIATION 685.32 3.31%
Subtotal 14,100.95 68.10%
Base Service Charges 1,676.66 8.10%
Matl Sales Tax Reimb @ 7.275% 370.15 1.79%
Overhead @ 10.0% 1,614.50 7.80%
Profit @ 10.0% 1,614.50 7.80%
O&P Items Subtotal 19,376.76 93.58%
Non-O&P Items Total Dollars %
GENERAL DEMOLITION 403.10 1.95%
WATER EXTRACTION & REMEDIATION 759.10 3.67%
Non-O&P Items Subtotal 1,162.20 5.61%
O&P Items Subtotal 19,376.76 93.58%
Cleaning Sales Tax @ 7.275% 166.81 0.81%
Total 20,705.77 100.00%
FETTERS-MARCIA-JEFF 6/4/2010 Page: 9
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� � ��� D E TIME ✓
CITY OF ORONO CALLED IN �v
INSPECTION NOTICE SCHEDULED
PERMIT NO.aO/d-vO � MPLEfED '
ADDRESS I��� GG�—�---��
OWNER - ELE HONE N0.��3� �'8���
CONTRACTO -
� DESCRIPTION ��
� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y��RAMING � MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector.
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