HomeMy WebLinkAbout2007-P10938 - new structure PERMIT
CIT,�' OF ORONO
27;50 Kelley Parkway- PO Box 66 Permit Number: P10938
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued:
5/15/2007
SITE ADDRESS: 543 Park La Unit#
Long Lake,MN 55356
PID: 06-117-23-41-0043
DESCRIPTION: UBC Occupancy R3
Consriuction Type VN
Proposed Use: Residential
Census Code 101
Permit Class: Building
Permit Type: New Structure Permit Sub-type(s): New Home- Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection Irrigation Electrical
(state)
NOTICES/REMARKS:
SAC Paid#4443 -06/02/1976
FEE SUMMARY: Permit Fee: $ 2,326.55
Valuation: $ 337,196.00
Plan Review Fee: $ 1,512.26
State Surcharge Fee: $ 170.00
TOTAL FEE: $ 4,008.81
APPLICANT: Owner/Self OWNER: Terry 7ohnson
� 543 Park La
Long Lake MN 55356
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 COqE REQUIREMENTS.
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APPL[C T PER TEE SIGNATURE ISSUED BY SIGNATURE
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Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Totat Fee: � ��`'� Date Received: 7"�a����
Entered By: _ Permit#: /Q �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
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(please pri�zt all i�zformatron ��-�� ����-�
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TH� APPLICANT IS: (circle o�ae) OWNE OR CONTRACTOR
JOB SITE ADDRESS: �J' �'I�j ���(\ to,�Yl� ZIP: SJ J���
Will this be a Pa►•ade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS � P10 If yes, a special event per���it Is regiri��ed tivith Police Depai•tment arid City Council appr•ovct/
60 days pr•ior to the event. Sl�zrttle bus service 1>>ill be requif ed�rnless applicant demc�nstr•ates
szrfficient on-site parking is avccilable. iVo��-permitted ever�ls lvill not be allorved.
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NAME OF OWNER � C� �p�✓�� � PHONE: (home) �l 7�-'a7 S°
(work)6/ 30 _�07�?�-
MAILING ADDRESS: `v�3 Gf� C..C,r CITY: ��+�`_ c,(� ZIP: �"�°'��'
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CONTRACTOR: � � �� PHONE: i� ��U�-
CONTACTPERSON: MOBILE/PAGER: (�/a- �30Q-�jo�a77�
MAILING ADDItESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT NGINEE : CJI�'��'{ `�•1y�✓J�`'r5 PHONE: �C��"��7�`a5��
MAILINC ADDRESS: Saoi ��s-I- R�v�t (�_CITY: �pl S ZIP: �'yd/
NAME: �/P:L �r�� REGISTRATION: # yy��y
'I'�'PE OF WORK: New Home � Addition Accessory Structuce -
Move Home RemodeUAlteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PlZOi'OS�D WORK(clesc�•ibe isl detrri�: bc��� c.,. f�v� ���'N4�' ��! 4�c.��Gc.�h C P
�,�.,����n r4 a�1�`�z� ��ULUt, nC�—
S'TORIES: � SQ.FEET OF EACH F'LOOR; �`�� J`'I6� 07 I�I.3
Io10. OF BCDROOMS: � GARAGE STALI.S: A'A'TACHEI) x I)E'TACHED_
�S�'Il!'If1ri'ED�ONS"T12UCTION VALUAT'IOl�t(excluding land): � C���� C��
I herebv apply for a buildin;permit and I acknowledge that the information above is complete and accurate;
that the work�vill 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 nd�vork is not to start�vithout a permit;and that the��-ork will be
in accordance���ith the aprroved plan. � �
AYYLICAI�'TiS SIGNA'�iJ1�: !l��r'�AT�,: ��',=�
31
Sec.13.0a RIG}I7'S OF SUBJECTS OF DATA
Subd.'1. Type of data. The ri�hts of individual on whom the data is stored or to be stored shall be as set foRh in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or contidential data concerning himselfshall be
informed o£ (a)the purpose and inlended use of d�e requested data within die collecting state agency,political subdivision,or statewide system;(b)
�vhether he may refuse or is legally required to supply the requested data;(c)any kno�wi consequence arising from his supplying or refusing to supply
private or confidential 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 investiga[ive data,pursuant to section 13.82,subdivision�,to a law eni'orcement officer.
The commissioner of revenue ma�allce the notice required under this subdivision in the individual income tax or oroaertv tax refimd
instruc[ions instead of on those fonns.
Subd.3. Access to data by individual. Upon request to a responsiUle authority,an individual shall be infonned whether he is the subject of
stored data on individuals,and whether it is classitied as public,private or contidential. 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 tha[data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed to him for si�
months thereatler 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
map require d�e requesting person to pay the actual costs of making,certitying,and compiling the copies.
The responsible authority shal I comply immediately,if possible,�vith any request made pursuant to this subdivision,or within tive days of
the date of the request,exduding 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 indi�idual,and may have an additional five days���ithin which to comply ti ith the request,e�cluding Saturde�s.
Sundays and le�al holidays.
Subd.4. Procedure when data is notaccurare or complete. An individual may contestthe accuracy or completeness of public or private data
concernin�himself. To exercise this right,an individual shall notity in writing the responsible authority describing the nafure of[he 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)notity the individual that he believes the data to be correct Dafa in
dispute shall be disclosed only if the individual's statement of disaareement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrahve procedure act relatin�to
contested cases.
DATA PRIVACY ADVISORY
ln 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 infonnatioi�. .
You are notified tliat:
1. The infonnation you furnish �vill 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 necessaiy to
process the permit or license.
4. If your requested pennit or license requires Council action to approve, some infor�nation may become
public.
5, You have certain rights under NLS. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or pennit. ,
�t��` � �o h►'� so �
First �'liddlc L:�st
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�ddress
C� �o no � r� .s.�-��6 ��a�.3o��-�aa �-
Cih, ' Statc Zip Phone
1 unde�stand n v rights as st�ted above. ��
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Signa[urc
Reset Fom> >'—
' CHECK OFF LIST FOR ISS UANCE OF PERMITS
FOR OFFICE IISE ONL Y
ADDRESS OR LEGAL: � �'3 ��G�-'���V
PID:
DESCRIPTION OF WORK l�
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ZONING REVIEW BY.• DATEAPPROTjED: �� I U
BUILDINGREVIEWBY: u DATEAPPROT�ED: S-��{-o�
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 �/ PARK F�E
SAC Yes No SITE INSPECTION
Numbe�'Of SAC UY1l1S pqip yay3 �.Z.,` OTHER (spec�)
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ZONING CHECK LIST Zoning Distr•ict: � �
Fire Departi�7ent: Post Office: School District.•
/
Lot Area: Sq.ft. � � Aci�es � �� tiVidth Depth
Sauvev Saibrnitted: Yes� No Date of Sair•vey: '' (J1,0
Pr•oposed Setbac : , ��� � ��` �'r� � C y�`,�����
Front(Lake): ��V 1 Side:C� �� � �
S /l , �U r ��5�
Rear Street)• 3 �• � L�Side: �V
Adjacent Strircti�res: Wetland: � /'�
/ /�/�� � �
l3trilding Height: Def Hgt. i Peczk flgt. "! V
Lot Covernge: ��'D V L'�/
Gradrng: Staff'App��ova(Date: By: Cozrncil.4pproval Uate: � 2 � ��/U(p
• Septic: StaffApproval Date: �� —���"C��'""�
7vnirrg File: # � � Resolution: � Resolution Date: � Z���/v�
S1�or•elar�d District: ��� � NI Gi�D Permit:
�1vg. Setback. t 7 ��Gj�(,�',(Gl^�lzrffSetbac%: N� LotCoverage: � -�, p
Existing Pr•o,pos,e� �
Hardcover: 0-7.i' l��-/ = Lv• /�1 n
7S-?50' � _ �7,l `7e
250-.i 00'
soo-�oon�
Hai•cicovei� [�"ariance Rey�tri�•ed: Yes� rV�o Date of Coarncil f9ppi�ova/: ��� � � ���
REMARKS(i�r house):
33
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B UILDING RE vIEW CHECK LIST
UBC: 17-3 CONSTRUCTIONTYPE: V�V
Sq Footage $Per Sq Ftg
Basenient � 9�'O x $2.S$ _ ?�,,'-tS,r I
IstFloor• �`i(s'"1 r 8�— = 121, �4Y
2nd Floor 1`{13 ,r 8Z•S$ = 11(, . 1,'�S
Garage �n�� C 3 l.g6 = ao,���,
i =
TOTAL 337. ��1 �
Estimated Catstructiofr Vnlue: $ 337.1�7(o
Inspections Require�i: Work Rec�cririirg Separate Permits:
Site �_Plti�nibing Fif•e
Hardcover Removal ^�Alecha�zica/ _� Yt�ater Cor�nectio��
�_Footing • Seplic _�Se�ver Ca�nection
�Franung _ (�Fireplace �Lmvn b�rigation
�_Insa�lation ([Yfasonr•y) Other•
__� Gt�all Board _�(�Ifg.) Wel!(Stnte Per�mit)
�_Final Grading/Filling t Electrical(State Pe�•isiit)
Othe��
REMARKS(INHOUSE):
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REVIEW BY OTHERS: DATE:
f1 ccess: Existing Nerv
Access.4pprova(: Date 13y:
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REMARKS (TO BE NOTED ONPERMIT):
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543 Park Lane Long Lake � ;
- - _ _____ ___ _._._. _�_
- _ Path a r Ratit•'C Rath 2 t2) ' I'afh 3� S�
� C�t�ikiusti�ntA�plianc�s
-Spa.ce Fleater-•� � I Sea�ed Combustion Director Pawer Afmospherically Atrnosphericaliy
1'TYater.*H'ea�er`�•:- i Sealed Cambustio� Direct or Pawer birect or Pawer Atmosphencally
= �aSHe��tfi�� 5ealed Combustion Direct or Pawe� Afmaspherically Direct Vent
Clased Contralfed Closed Controlled or
5alid"FUeI�He� - None Allowed None Allowed
��.. _ ��?�-- -_ (1} Oecorati�e �
�JEa�e:Up�Air�(?����.420; '
c�'m:� �A9gt�e�at��'(,�ble - I
;R�ssive.�InfiltL,a�on (efrr+} 420 175 None Allawed None Allowed
i P�ssive�O�niqg.(cfi�n) 0 245 duct size:8 in. � 175 duct size:l0 in. None Apowed
-_� � _.
__. _...
: PbW��M�kc�U���c�rra) 0 0 — , 245 420
�..�,y. _
F raw+ YMd. ""M�rZ -. . ..-_ ._ . .
uer��i��ion:Totat 1!BT 45
.:�: =.,,
; f�r���1P���: � -� Balanced ar Extiaust Satanced or Exhaust Balanced Only Balanced Or�ly
--- - - ---- -- - _ . . _. __ _
' Su��lem�nta(�{1.12.9�- Balanced arExhaust 9alanctd or F�chaust'Balanced orExhaust Balanced Only
_I - __ ___ .w_.. _ _ _.
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i�;�o�istio�5��rr� . (5} {6� Required Rec�uired
: CO Al�rrn a= - . - � Nat Required tvat rtequired{1} _: _ Required _ _____ Required _--
(1) !f a clased controlJed combustion solid-fuel buming appliance is installed in Path 1, then the clothes dryer and any r.eRhal vacuum Ihet exhausts to
ihe outside mc�st be provided witf� make-up air by passl�e opening to match flo+,v,and a CO a[arm rnust be installed.
(2) Only one atrr�ospherically vented a�pliance is alloweti under Path 2_
(3) Passiue infiltratian must nof be used to provide ma�Ce-up air for supp[ementaE verrtilatian in excess af 0.05 cfmisf.
(4) Passive inGlt�ation or passove apenings musE not be used fo provide rr�ake-up air for supplemental ventilation in excess of 0.05 cfrn/sf.
{5) Check with local code o�cials.
(G} If power vented comaustion air will be requ�red. if direct vented o�seiaed combustion,check with lacal code vFficials
(7)A cenfra! vacuum that exhausts ta#he 4utside is nOt a mechanica!exhausting aevice for Prescriptive Paths 0 and 1 but is in Paths 2 and 3.
{8) Check wi[h local code officia!concerning installation of pawer vented gas hearth in�afh 3.
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CITY OF ORONO CALLED IN �J
INSPECTION NO SCHEDULED --��
PERMIT NO. �MPLE�
ADDRESS •
OWNER � O R.
TELEPHONE N0. ��`� � 7� r � �J (J
� DESCRIPTION ����� / " `'Q� J�/I"/
� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 OEMO-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
� COMMENTS: �
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� ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
t:7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next i spection 24 hours in advance. (J52� 24J-4600
Owner/Contract s t
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�/� DATE TIME V
CITY OF ORONO CALLED IN S� Z��°
INSPECTION NOTICE SCHEDULED ' z- /L: °'� �
PERMIT NO. P�� g 3� COMPLETED
ADDRESS J��3 ��- ��.�.�
OWNER CONTR. ��.r'�E�� �/�coC.�-
TELEPH E NO. � ��-�'� �o�� �5��- Q� � �1
� DESCRIPTION �.�r.�JuaC �-w
� 01 FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q I 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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 MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractqr.�o ite:
Inspector.
White Copyll�spector's File Canary Copy/Site Notice
�� � D T TIME
CITY OF ORONO cALLED IN
INSPECTION NOTICE SCHEDULED ' �.�.Ob
PERMIT NO. /d9 3 COMPLETED
ADDRESS '��`3 �` ���
OWNER � CONTR. eTT L�Gc�J`C��
TELEPHONE N0. ��'��IS7 7 �'�- lO/� `-3D1�" g LZ�
� DESCRIPTION�/�GC�1Y�/N�
l� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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:
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor th next inspection 2a hours in advance. (952� 249-4600
OwnerlCo n site:
Inspector.
White Copyllnspe or's File Canary CopylSite Notice
�
�� pA TIME
CITY OF ORONO ���?3 ca ED IN a .
�� INSPECTION NOTICE ���r � SCHEDULED � � •�
PERMIT N0.� COMPLETED
ADDRESS �'�� ����- l-�
OWNER� �,�� CONTR. � ���
TELEPHONE NO. j � — ,�(�c1"���
� DESCRIPTION La'�� d� ���
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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
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INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e next inspection 24 hours in advance. (J52� 249-46��
OwnerlCon t on site:
Inspector.
Whiie Copyllnspector's File Canary Copy/Site Notice
v- � `�— � � DA E TIME "
�/��3� ld-��
CITY OF ORONO � CALLED IN
INSPECTION NO ICE SCHEDULED /d -07 �
PERMIT NO. COMPLETE� _
ADDRESS � ��- ���J
OWNER � ONTR.
TELEPHONE N � l Z �� l�`�`�
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� DESCRIPTION � ��n�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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q DATE TIME ✓
CITY OF ORONO �« /-3� CALLED IN
INSPECTION N�TICE SCHEDULED
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� DESCRIPTION
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❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL 0 SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTpACTOR TO MEET YOU:_YES_NO
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