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Home My WebLink About2016-01336 - addn/remodel/repair , CITY OF ORONO * z 0 1 6 — 0 1 3 3 6 * ' � 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2695 PHEASANT RD PIN : 21-117-23-23-0012 LEGAL DESC : PHEASANT LAWN ; LOT 008 BLOCK 000 PERMIT TYPE ; ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 95,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE NOTE: PR(OR TO RELEASE OF ESCROW MONEY AN AS-BUIL'I'SURVEY AND HARDCOVER CALCULATIONS ;v1UST BF,SUBMITTED AND P VED. ALL DISTURBED AREA MUST BE ES"I'ABLISHED WITH VEGE"CATION AND PASSED A PINAL INSPECTION, INITIAL APPLICANT PERMIT FEE SCHEDULE 1,070.52 STATE SURCHARGE(VALUATION) 47.50 Danberry Building Corp. TOTAL i,us.o2 Payment(s) 5413 Manitou Rd cxEcx saos i,i is.o2 Tonka Bay, MN 55331 952-474-5990 OWNER MARTIN& STEPHANIE SARANTOPOULOUS, ROBERT 2695 PHEASANT RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for�hich 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 die work described and docs not grant pcnnission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit will expire and become mdl 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 c�se. � � � � /' � ' /'�-c�c_�� (1 �'� / C� j/ l r Ca � `�/ � '�x�`"�� i _ r /l� App ' nt ; - it Signature at Issued By Signature Date � �� . City of Orono � � Building Permi� Application for New Structures or Additions Mailing Address: �A,. PO Box 66 Permit number. ,- �`.;'� – L: ?j - � l vQ � Crystal Bay, MN 55323-0066 n � Date received: �� 1 –/b � h 0.� i Streef Address:' � Ig •�� Received by: � �v/u.C. y ,�' � /� 2750 Kelle y Parkwa y I P l a n r eview fee: �0 9 S � �' �` \� Orono, MN 55356 � ��k f s x o�`` ` M a i n: 9 5 2-2 4 9-4 6 0 0 Total Fee: ��r O� 3 Fax: 952-249-4616 wwv�,�.ci.orono.mn.us ��>��'v � 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: �� .�� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes ❑ No /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATI Name: n � � �s r State License# Expiration Date: Z p�� Phone: cell �. s office � N� b`'�'i1d Mailing Address: 3 ; e Cit : ZIP: S� Contact Person: (�� Applicant is: ntractor / Homeowner (Circle One) Email and/or Fax: /� ` `T��„�� '�.��,�, PROPERTY OWNER INF RMATI N: Name: � � � h�.e� Phone (day): 'Z • 3 � — S�4 S � Address: Cit : ZIP: S�3 9 1 Email and/or Fax SSQI'Qi'lt'QP�U�OS �A�►i leY', C.OM ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP� Email and/or Fax: ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: _ Cit : ZIP� Email and/or Fax: PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & ❑ New Construction Sin le Famil with �Nater Supply g y ❑Accessory Bldg./Garage 0'Addition attached garage ❑ Deck �ublic Sewer ❑Accessory Building ❑ Single Family with ❑ O�ce/Commercial ❑ Relocation detached garage �esidence ❑ Septic ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) "Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) ❑ Other:(specify) ❑ Other(specify) 15320 Minnetonka Blvd; Minnetonka, MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.minnehahacreek.ora Estimated Construction Valuation (excluding land) $ Packet Last Updated.� January 2016 Page 21 STRUCTURE INFORMATION: R 1. Structure Dimensions 1. Structure Dimensions(continued) , � a. Length (ft.)= Number of bedrooms= 2. Occupancy: b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in spuare feet Attached = c. Basement= Detached= 4. Type of Construcion: d. 15t Story = e.2"d Story= 5. Code Edition: f. 'h Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/�x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL sufve requirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Landsca e Plan ❑ O Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit � ❑ Data Privac Adviso 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 STRUCTURE INFORMATION: � 1.Structure Dimensions' �� 1.Structure Dimensions(continued) - , r' a.Length(ft.)= �� Number of bedrooms=� 2. Occupancy: �/�C� " I 1 b.Width(ft.)= Z� � � Number of garage stails: �� 3. Occupant Load: Areas in sauare feet Attached= � c.Basement= �yya Detached= �,�� 2v 4. Type of Construcion: __-,�yL d. 1g'Story = 1 `�0+ e.2"d Story= �t� � N�� 5. Code Edition: z � 6'� � .L__ f. '/Story = 1�1 , g.Total Area= b NO REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclo ed A licable — � -8u+lcJin Pertrrit Escrow- �emerrt-and-Fe�s ��--^�- - � ❑ Plan Review Fee � Com leted A lication Form 0 Pro osed Buildin Plans—2 fuil size sets,to scale and 1 reduced 11 x 17 or 8%z x 11 set � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements • V�C- � Surve —2 full size,to scale meetin ALL surve re uirements �r � D� Hardcover Cafculations r � Se tic S stem Certification 0 Minnehaha Creek Watershed District(MC D)Pennit or ,4 Documentation from MCWD statin no ermit is re uired � � Landsca e Walls and/or Retainin Wall Plans � Landsca e Plan � Stormwater Pollution Prevention Plan SWPPP � Access Permit � ❑ Data Privac Adviso 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 consuitant 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 the� solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative b reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the inforrnation that you are asked to provide on this application is classified by State law as e private or confidential. Private data is information which generally cannot be given to the public but can be given to the subje the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. purpose and intended use of this information is to annually update our records and records of other governmental ager required by law. If you refuse to supply the information,the application may not be issued. • 'Agrees that�n the event that weather or other contlitions prevent the completion.of an as`built'survey at the time Certifcate of Occupancy is;:requested, a:temporary Certificatelof Occupancy may;be issue;d upon:receipt of a,$1p escrow to ensure completion of the as-6uilt survey and all sit".e improxements'. Applicant's Signature: Date; �� /� �(� Owner's Signature: - Date: /Q Packet Last Updated: January 2016 PanP�9 � 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 � f Signed Escrow Agreement & Escrow Payment �j y au�� Building Plans (to scale) x2 � Certificate of Survey (to scale) showing t pr posed project & ' meeting all requirements x2 � �,� �x i S T' T��`�JG��h�, � �j� Hardcover Calculations (if applicable) �l� G I am aware that Orono will not issue a building permit without a �, )` copy of MCWD permits (or documentation from the MCWD stating t�" the proposed project does not trigger their permitting �a ,�X�,�4�.� requirements). I will contact the MCWD at 952-471-0590 regarding his proje � . r /J /� Signed by: '' �aU 6�r r (3j d C.-'`r Jp Address: sy�' "� 33 t Permit #: �0!(P —D/ 3 3�o , Packet Last Updated: January 2015 Page 2 �I , � � . DATA PRIVACY ADVISORY in accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 information. You are notified that: 1. The information 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 permit 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 Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. e� 0'1�� vr r �rri �� tl�� First Middle Last ��3 ��. � Address �� SS3� 1 (,�/Z ?�'v �/0 0 City State Zip Phone I understand my rights as stated a ove. Signature � Packet Last Updated: January 2016 Page 7 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: L..�(!"LJ ��.1��t�1�T �� Permit No.: �1 YW • 0�� Description of work: 2'"' ST UrU �'TGl11�� Date Rec'd: � ��'1•!�!/ Septic review by: ✓W V� �- W�TVY Date Approved: '-"—"" Zoning review by: Date Approved: � ( ' 0 ��Y� Building review by: Date Approved: ��'�� v Grading review by: � � Date Approved: -'—� Zoning District: �� Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: �y'��' /AC Width: Structurai Coverage: SF % Survey Submitted: � Ye�� IV�o .� Date of Survey: Revised date(?): � �I On f�1e- dAkd 5-l'7 - S'q Landscape plan submitted? � Yes Landscaper: � No/None proposed Pro osed Setbacks: Front(L,�ti�) Rear(S et) ( N S E W`O 0 � � � � ) ( N SO E W � Other Buildings Wetland Side Side �, 3L, Buildinct Heipht Analvsis: Distance Between First Floor and defined Top of �a� � Roofi` See "buildin hei hY' definition : � First Floor Elevation from buildin plans : (b) Highest Existing ground level (per survey) or 10' �� above lowest round level, whichever is lower: Difference between b and c : (d) Defined Building Hei ht(a) - d : �e� Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? Permit Number: 0 Yes � No �N/A 0 Yes �es 0 No No N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s �Z. .� Q 0 Yes No � Yes ,0''No 1 O 3 4 5 Type(s): Type(s): 313�.5� � I qg`el S urvv�/ Updated: October 2016 v:\forms�plan review checklist 10-2016.docx ' Fees to be Char ed YES NO Permit � Plan Review (/ State Surcharge (i-- Investigation Fee � SAC—Number of SAC Units � Other(specify) � S uare Foota e $ er S uare Foota e Basement r X = $ 1� Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ G `�,�� Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site �,Plumbing 0 Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control �Mechanical � Fire 0 Foundation Survey � Hardcover Removal Fireplace � Water Connection 0 Framing � Other(specify) � Masonry � Sewer Connection � Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation � Foundation Waterproofing � Dther(specify) � Landscaping Framing Insulation 0 As-Built Survey Final 0 Lathe Required State Permits � Other(specify) 0 Well � Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form �Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Q Il � �kZQ01 GY1�0�.- �bl i fY1 ' q- �� , �I�Se�, Updated: October 2016 v:\forms�plan review checklist 10-2016.docx Christine Mattson From: Christine Mattson Sent: Friday, October 28, 2016 11:34 AM To: 'Jeff Danberry' Cc: 'ssarantopoulos@littler.com' Subject: RE:2695 Pheasant Road/#2016-01336 Attachments: SKM_C654e16102710290.pdf Jeff, The City's policy for all proposed projects is to have a copy of a permit from the MCWD or documentation from them stating a permit is not required. It is for your protection against potential sanctioning from the MCWD during the project. Perhaps a simple phone call to them or an email will satisfy this requirement. Attached is a copy of the survey on file from 1989. If you are proposing any erosion control measures please indicate and return. Thank you. From:Jeff Danberry[mailto:jeffdanberry@gmail.com] Sent: Friday, October 28, 201610:22 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject: Re: 2695 Pheasant Road/#2016-01336 Hl C11T1S, Owner is sending in Escrow. Do you really need me to go the Minnihaha to get a letter from them that a 2nd story won't involve them? If you are looking for a silt fence plan can you email me a copy of the survey you have on file? Thanks Jeff On Thu, Oct 27, 2016 at 11:24 AM, Christine Mattson<CMattson�u,ci.orono.mn.us>wrote: i Jeff, ' s � � Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact me if you i have any questions. � € Christine Mattson ; Planning Assistant � i i City of Orono j 2750 Kelley Parkway � Orono ( MN � 55356 (physical address) , � PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing address) i � 1 i '� 952.249.4620 ( 8 952.249.4616 ; � cmattson(a�ci.orono.mn.us � � www.ci.orono.mn.us 1 j Office Hours: Monday -Friday 8 am to 4:30 pm [ � i = OUR OFFICE WILL BE CLOSED: Friday, November I1, 2016 Thursday &Friday, November 24 & 25, 2016 � � � Jeff Danberry Danberry Building Corp & Excelsior Design Group 5413 Manitou Road Tonka Bay, MN 55331 cell: 612-250-7100 2 .office: 952=474-5990 f�:�952-474-5992 j effdanberry(a��nai l.com www.buildwithed .g com i ' �r �. - • ■ .�� 3 , �o�o C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 G1 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 �q t�, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us kFsxo� October 27,2016 Jeff Danberry Danberry Building Corp 5413 Manitou Road Tonka Bay, MN 55331 Re: Building Permit Application#2016-01336 2695 PheasantRoad On October 19, 2016 the City received a building permit application for a second story addition. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Landscape Plan. Will there be any changes to the landscaping with the proposed second story addition? If so, the City requires a landscape plan be submitted showing all the proposed exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc. The plan should include the name of the individual perForming the work. Any proposed patios, grading, sidewalks, retaining walls shown on the �andscape plan should also be reflected on the survey. 2. Escrow&Escrow Agreement. Permits involving grading and/or review by the Cit�s en�ineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is$700. A blank, signed escrow agreement was submitted with the application. I've completed filling out the escrow agreement and have enclosed a copy. Please submit a check for$700 at your earliest convenience. 3. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed District's (MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO ristine Mattson Planning Assistant c via email Jeff Danberry Stephanie Sarantopoulos Roger Peitso, Building Official enclosure Christine Mattson From: Luke Menden <Imenden@minnehahacreek.org> Sent: Monday, October 31, 2016 11:13 AM To: Christine Mattson Cc: Jeff Danberry Subjec� MCWD 2695 Pheasant Road,Orono No Permit Needed Good afternoon, After reviewing the information sent by Jeff Danberry for his second story house addition at 2695 Pheasant Road, Orono, no permit is needed from the MCWD. Please feel free to contact me with any questions you may have. Thank you, Luke Menden District Representative Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnetonka, MN 55345 952-641-4586 �ut�t��w�►e�k w�►t�es�to n�stn�Cx 1 New ConsVuctlon Energy Code Compliance Certificate o�c��P�e ��ONo Per R401.3 CertlEcale.A huadag aMiAcate shaY be Dos�ed m a n Q+e dec�ice!bsfwron pa�rl ' -. � MaUi�g Address of thet DwblNnq or DweNing Unft �a �� Yl�.a1. G..�-- {� ' .,�-�`s� `�� Nirna ef Residentiid COoO'actar NN Liaer�ae Nunber \'�I)N V�'� '' . -__/ ��E�� CONTROL SYSTEM T�e=Checfc AA 71+at Apply Paesive(No Fan) 0 � �i � Arfiva(WEdi fW►srld manometer or H � �: ad�ersYste+�►mo�ori�9 de+aoe) : � � � E a � �� o np � m v � � � � � � $ � m � c� � j i, ion(a tuturg locatior+)oi Fs�: Insulatian Loc�on } � 2 .! V � �` W s � � o � � � — . E E p °� z $ � u a � a� o�c otne.�oase oesa,te r,ere Bdow E�qke SVb Foundation Waq Perimeler of Sleb on Gtade Rim Joist(1st Floor Rlm Joist 2nd Floon V t'Y..�. �"1,ol.i�i— WaU l�' � �fs47' G' � .� 7- CCI ,YaURsd Bay windwys a wrMie�rared areas Floors over umm�dtiv�ed aea Describe oU�er insdaled areas Bulfding enretope air tightr�ess: Duct sysbem air tightrress: Winaowa a 000rs o� oue�s ouf9iee c�o.bftloMd s�zwss AVerage Lfactor(exCludsB skylights and one doar)U- Nol appira6le.aY ducts bcated in oondkioned Spacs SWar Fleet Gain Goetit3ent(SHGC): R-ralue ECN IC SYSTEMS • ilaksupAir .Seleae7ype APPlisnc+s hlea�ting Systun �W'� coolhg gyatM„ �j �� /� Not tequirad pc mech_eode 4rr Fuel T �,'(L �( �F�4iT��- P�n,e Manufecturer �9�4m4h ��p,.� p� Interbcked witl�e�ai devlce. Model �7�s°)V ��C 3 deav�be: ��" �h'h Q�9�+� OU�er.deacri6e: Reb �S� �s s-I t� �: :,T�: � .� °r �F_ �R t � LocaGon of duct or syaErm: Efiiaen ►�x V ��9�s �+�8�► Coollty Load Rest�entiat�oad Calculsti . 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M.No. `l0(ab 1 n �30 . . � ,v - . . . � ., 6� �� g.-.� � � � �� [— � � � �, � �- �� DA TIME � CITY OF ORONO �� CALLED IN �� INSPECTION NO HEDULED �`� fl /7 � PERMIT NO. �� co�Ere�.��JGtz ADORESS [ p�WNER T LEPHONE NO.��a�S�� CONTRACTOR � DESCRIPTION � �Q`��'�' ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ''�FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMINEIII�CONTRACTOR TO MEET YWl:_YES._NO �� b � COMMENTS: �l�: l/5.� � � � � o �/^!�S v-!'p�� ,m ro v�d G/J' '- �. � ° /�'rs.�,r� - ,pe.✓ �,�,r -- � '� !�/�/Y��OvrJ 7� �c ��S�`t�� c ✓ Q Zu�/f�e�i�'G� .f!�.t�a0 - � �� K ^ � a�C �s ��tS.�c/gz`c J ��OJ�F KSAT�SFACTORY`.PROCEED ❑PROJECi COMPLETE W ❑CORRECT WORK 6 PROCEED O ISSUE CEFiTIFlCATE OF OCCUPANCY OO ❑CORRECT W'OFIIC,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERINO PERMANENT ❑CaFiRECT UNSAFE OONOITION WITHIN HOURS• ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OADER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRAN(3E ACCESS. c•aN ror the next insPectlon 2a taurs�n advanoe. (952) 249-4600 stte: , �nspector: WhiN CcPy��taPs FlN C�nary CoPyf81N NoUa 1 � � � { C� ,�� DATE TIME CITY OF ORONO �/�j��CALLED IN '� iNSPECTION NOTIC �HEDULED � - ^ � 7 'x ' ` � PERMIT NO. � � �� COMPLETED �.�c-. C` -- � ADDRESS l `..:� �._ � �i �� t j�� -( ��c_-1 OWNER TELEPHONE NO. (i"�� y� `��-� CONTRACTOR � f�"�� / � / � '' DESCRIPTION �� ..�_ f'i ��( � ��` 7�l �`�� (��i' /7 inh 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR TO MEET YiOU:�YES_NO � COMMENTS: � � �' �/L s�) � j O �" c7 aZ/'� r�'r'�, � �O � W � Q � �-�L--�, W � W � � J W KSATiSFACTORY:PROCEED ❑PROJECT COMPLETE ❑ RRECT NfORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O �CORRECTY1fORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHiN HOURS. ❑pHOTOTAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. 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