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CITYOF ORONO CALLED IN
IN8PECTION NOTICE scHeou�En
PERMR NO. �1�'"�� coM�ErED
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O'WNER TELEPHONE NO.
CONfRACTOR
� DESCRIPTION
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1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
r 0 FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUIIT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL
v ❑DEMO-SITE ❑ SEPTIC INSTALL
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❑(�ORRECT UNSAFE OOND1T10N WITHIN HOUR3. O PHOTO TAKEN
INSPEC7OR WILL REII/RN
❑BTOP OfiDER PO�TED.CALL INSPECTOR O qTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARFiAN(3E ACCESS.
c.N 1or nie ne�ct�spection 24 nours�n sdvei,os. (952) 249-4600
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�n�pector:
Whib OopyAnsp�ebr'�FlN C�n�ry Cop�Nolle�
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��vo Hardcover Calculation Worksheet
�p , Property Address: S�+6',5 �,�,', t c�'r�.�°II��G�'�o�e�? �R Ev�j�o�.!�L`�/
* ,Mo•- Prepared by: GR���f�'+� � i Al�°�"�.� �,...b+�c. Date' 3_2 ea •i�
Stormwater Quality Qverlay District Tier: (Circle one) ier Tier 2 Tier 8 Tier 4 Tier 5
&teP ��EXI&III�.liBB�E?��t�
In the follvwing table iderrtify all items of e�asting harsicover on the property, keyed by letter to Certificate of
Survey (survey must acvom{mny this form). Use as many lines as nec:essary to accurately depict existing .
hardcover status of the property. For Tier 1 properties, identify any features by letter which are spiit at the
75'setback line and ca�ulate hardcover square foot�age separately for each portian.
Key to HaMcover IEem(DescNbe) Length x 1Mdth Total
Surve uare F
Exam le Gara 24'x 30' 20 S.F.
p S.F.
� g p S.F.
C ,�' S.F.
D t'K J'�"'t�'� 3 S.F.
E pw , S.F.
p S.F.
G T i� �Cos�r'I�` f S.F.
H ¢ I S.F.
I hJ T+P� +� S.F.
J �: 6 .� �.v 4 t S.F.
K S.F.
L ♦ /A"�r4 S.F.
M �' t S.F.
N S.F.
p S.f..
p S.F.
Q S.F.
R S.F.
g S.F.
T S.F.
U S.F.
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y� S.F.
X S.F.
Y S.F.
Z . S.F.
1 Total Eacistl Ha�dcover � 2 S.f.
6�I�IIM . _. ,. : �C�l. '9� , .
w �� O S.F.
, S.F.
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S.F.
2 Total Exdudable Hardoover ' O S.F.
3 Net E�dsti Harda4ver Subtracf line from line 1 � S.F.
4 Total LotArea O S.F.
Proposad Hardcovsr ParceM��a [(s)+{4)l 2./.7�f 'DL
(Proposed Ha►doover r�Q page)
Thts 1s��lortn�fon padcst ro�p Haraicov�sr. Evay�rt has besn made to Insuro ths axuracY d ihe�van�Mod heroM;
ho►as+ner,�w�y lnfbn►�iion ts rwt tao�►tslstent w�lf p�vvlslons of the Clty Code.the Code p�vlafans w�p�evaA.
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Christine Mattson
From: Adam Edwards
Sent: Thursday, March 29, 2018 4:35 PM
To: Christine Mattson
Subject: RE: 1065 Ferndale Road W/#2014-00513
Chris,
The as-built appears to conform to the intent of the approved plan.
An inspector should conduct a site visit and confirm the following:
1.The survey accurately depicts conditions on the ground.
2.The site is stabilized to the point the any remaining erosion control can be removed.
Adam
From:Christine Mattson
Sent:Thursday, March 29,2018 2:36 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject: 1065 Ferndale Road W/#2014-00513
Adam,
We received an as-built survey for additions at 1065 Ferndale Road W. Please review and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356(physical addressJ
PO Box 66 I Crystal Bay � MN I 55323-0066 (mailing addressJ
'� 952.249.4620 � g 952.249.4616 �
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
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