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Home My WebLink About2003-P06909 - new townhomes 1TY F R N PERMIT C' O � � � Permit Number: 2750 Kelley Parkway - PO Box 66 P06909 . Crystal Bay, Minnesota 55323 Permit Type: NeW sr�u�c�re (952) 249-4600 Date Issued: loi3ii2oo3 SITE ADDRESS: 657 Sandstone Cr Long Lake,MN 55356 PID: 33-118-23-11-9930 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Perniit Class: Building Census Code 102 Permit Type: New Structure Permit Sub-type(s): New Townhomes-Multi Fa� DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai rirepiace vJaier i,onnecnon�ewer Conneciion irrigaiion Eiecmcai�siaiej NOTICES/REMARKS: i-.L_"_=�nt_.__nn r__i_ ` �"'__ ___ ...'»"b..::.......,. . :��:G C..:.YY'::�G FEE SUMMARY: Permit Fee: $ 1,721.75 Valuation: $ 230,000.00 Plan Review Fee: $ 1,119.23 State Surcharge Fee: $ 115.50 SAC Fee: $ 1,275.00 TOTAL FEE: $ 4,231.48 APPLICANT: John Terrance Homes OWNER: Dahlstrom Development LLC 5033 Xene Lane 7745 Polaris Lane Maple Grove,MN 55311 Maple Grove,MN 55311 CA�r�I�r �ra�r� 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 CODE REQUIREMENTS. y �-�_-�%�.'�-'�-- �E . -- - � P I ANT P ~ ITEE SIGNATURE -� ISSUED BY SIGNATURi��/�� /�j� � Conies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 � �g �k �o� i � ld� Total Fee: $ t �� y,, Date Received: � Entered By: ;�� C Permit#: �� '''`'i /C`�Zc� �� ,-� , ` CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full be€ore plan review will be started. (please print all inforntaiion) TI� APPLICANr IS: (circle one) ��WNER OR CONTRACTO , , JOB SITE ADDRFSS: ��Q� �� ;�;�, ��r ��. z�: �� NAME OF OWNER: ��l��n��rctint�� rn�s��HONE: (home) (work)�ja -�73 -� i�'-/ � I NIAII.ING A.DDRFSS: �tic�C.�Efc��l�y �a,-ku..-rt�., CITY: ��ro n u ZIP: �5'3�w � �-�--C'_ PHOYE: 9� a - �t73 -l9�� .'��t��R: � o�rl �c i�CL>>C t; �'�U r)1�] CONTACT PERSON:J�.E-ni U �T.-�c-f- MOBILE/PAGER: (�i�? - 3�c� �S��F P� MAILING ADDRESS: =��k � � - �_CITY: �ro rto �: �..��5� . STATE LICENSE: #�3C d C 3� b� ARCHITECT/ENGINEER: �-�C�.r r� S -�/'�.f,�-�-Q-c'�-i-S PHOl\TE: -33 � -�� O MAII.ING ADDRF.SS: 3 3� S�C��al /(� .�e �'�771,1C� CITY: ZIP:��C'�l__ NAME:��r i V. � �- �-)u h n �J a-:r ,s REGISTRATION 1f d1�(p p_=�_ ' TYPE OF WORK: New �(_ Addition Accessory Structure iLlove Remodel/Alteratian Land Alteration PROPOSED WORK(describe in detai�: Tw C ��r- `T- .�;� � OrY-�� STORIES: �_ SQ.FEET OF EACH FLOOR: rin u�n - ��l t —a1 r,d i��l -�{53^ NO. OF BEDROOMS: � GARAGE STALLS: ATT: �_ DET. . ESTI�i iATED CONSTRUCTION VALUATION (excluding land): � ��, G5� I hereby apply for a building pernut and I ac�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Buildina Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. ,�—�� ,,- � � -- APPLICANT'S SIGNATURE: i DATE: �U /S -�> � NOTE! rade Q�'Flomes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF StJB.[ECTS OF D�Ta _ Subd. i. Type o[data. Ibe righa of individual on whom�e data is stor:3 cr to b�uo�ed s�11 b�u set fonh in t6is secaou. Subd.2. Iafocmatioa req�red to be gi.m indi.idv�l. .in icdividoat aske3 co supplY Pmaoe or con5den6al daa ooaacning himseif shall be informed of: (a}the pu�pose wd intended use of t��quesmd dari v��ia thc caltecdng Sraoe agsxy.Pulidca!subdivisioa,or saoewide sysoem: N)whecher he may refusc oY is legalty requued co supply�he�eqaesoed dan:(c)anY I�oan�°a�4�°�°s from Itis sapplying or teCusinS��PP�Y privace or wnndrnaal dan:ued(d)the ideadry of oehe�pasons or enridu srdtoriud by snoe or fedenl law to�eceive the daa..Zbis ceqvirement slnil noc apply wlKn an icdi�iduat is uked oo wpQ1Y invesd;adve dia,putws�m scccoa 13.�.subdivision S.m a taw entotce�ae officer. The comrnissiot�r of eereaue caar olace the�dce eeaui�ed t.ader this subdivision in the individwi i�ome tax or otovercv ax cefund instcuccions insce=d of on those fomu. Subd.3. Aecess to data bv indiridual. Upoa teques�oo a asgoasibte ae�*oriiy,an individw�shatl be infocmed w�thei hs ts t�sublect of sooced daa on indiv�usls.and whet�r tt is clusified as public.Priva�or�nfid�r.dal. Upon his[u�her�equesc.an indiridual who is�e�bjat of soured pdvate ot public dan oa indi�iduals s6a11 be shown dte dan a•i�.ouc any ca3rge oo him and:if he daires.sLall be iAfocaud of the concenc and meaning of fiat daa. Afcer an iedividua[has been shown du Qriva:e rata aad izf.:rmed of its maain3.the da�aad noc be dis��os�o°�°�c suc mondu dieceafter unleu a dispute or udon pursuant ro ehis secdoa is F�ndia�or addiaonal data on the individual has been coqected or creaoed. ihe cesponsible au�hocuy shall pmvide copies of the private or public data c�on teqn-x.by the iadividua!subjcet of the daa. The respoasibk authocicY may cequir the cequestinS Persort oo pay the uwal wsts of making.cer Jirtg.ar.d compil'mg the copia. Tt►e responsibk authodcy shail comply immediuely,if possib?e.widi any r=quesc a�d�Putsuant m this subdivision,or within five days of the da�of the cequesc.exdud'mg 5aaudays.Sundays a�tegal holidays.if ir..�nediars complianee is�possible. If he ca�noc�mply with dte cequest wi[hin cha[titne.he shall so inform ehe i�ividua►.and may I�ave an addicec�l hve daps wi[hin which to eomply with[he cequest.exetuding SaaiedaYs. Sucdays aad ie8at hoiidays. Subd.4. Proeednre v►heu data is not accurate or eompiete. ?�►indivirual may conoeu du�curacY ar compkoeness of p�eblic or pm�aoe daa corncerning h'uasetf. To exercise this aghc,an i�ividua!shall�afy u wridng�e rssponsc�tk auddoricy desen'bie�du mtuee of dse disagtee�nc. The cesponsible aurhoriry shall withia 30 days etther. (a)correct the dae ic�nd tn be inaccucue or i�wmpleoe and aaempc to�tifY Pasc teciPieras of irmccunce o�i�ompleoe daa.iacluding cecipieots nuned by the individ�t:or(b)codfY die udividuai t6ac he believes t6e data ao be corcecc Daa ia dispu�e shsll be disclosed oaly if the indivudual's snoemenc of disagre�z�ac is i^.c*_3ed wid►the disctosed daa. The decenninadon of the rcspoasible audioriry may be agpeL:+pucwanc w the P�o°uions of die adminisaadve proceduce ut reladng o� conoested cases. . DATA PRIvatY ADi'ISORY In 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 licease from the Ciry of Orono or any of i�depar..�:encs may require you to fiunish cercain priva[e or confidentiat information. You are notified thac: I, 'I�e information you furnish will be used to de:ermine�our qualifrcation for the permit or license requested. 2. You may retuse to suppiy data, but refusal may rcquire tliat the City deny the permit or license. 3, The information may be shared with other loc�i,stace or federal agencies to the excent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become . . public. �. You have cer[ain ri,Phu under M.S. 13.44 (available epon request) to review private data on yout'self• fi, Your full name is required co process this an�ticacion or permit. -.--�' .,_� �� '" r.u� F�rsc `? ° ' � �,d ;�,1,�, 5��35(c c15��7�--19 �� r �r�(^ c�ry sa� z� r�o� I understand my riahu u stated above. � � � ,� �� `�7 � Signan►re CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY A.DDRESS OR LEGAL: �� ,SA/VOSTON(j C�2C.l.r 4 PID: DESCRIPTIOV OF WORK: ��i�f �5 % � 2 �,,.�r ZO�iING REVIEW BY: DATE APPROVED: r o-Zg -� BUII.DI�i 1G REVIEW BY: DATE APPROVED; �o� t,ti=o Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes c/' No PLAN REVIES� Yes v� No SEV�ER COTINECI'ION STATE SURCHARGE Yes _� No WATERCONNECITON INVESTIGATION FEE � Yes No � PARK FEE SAC Yes _� No SIT'EINSPECTION Number of SAC�Units �_ OTHER (specify) ZONING CH�CK LIST Zoning District: -. Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres � Width Depth Survey Submitted: Yes�_ No Date of Survey: (O •(6• 03 Proposed Setbacla: � Front(Lake): `/� Right Side: t9 Reaz(Street): �� Left Side: O Adjacent Structures: (� Wetland: N/p► Building Height: Def. Hgt. v•<< Pea�Hgt. Lot Coverage: �1 /f� Grading: Staff Approval Date: 10 • 2°��cr3 B}•: � �. Council Approval Date: Septic: Staff Approval Date: N (A gy: Zoning File: # — Resoludon: # — Resolution Date: Shoreland District: �tip Avg. Setback: Bluff Setback: Lot Coverage: Existino Proposed Hardco�er: 0-75' 75-250' 250-500' 500-1000' Hazdco�er Variance Required: Yes No Date of Council Approval: REMARKS fin house): _ 7 BUII,DING REVIEtiy CAECB LIST � �C' R'� CONSTRUCTION TYPE; �/� - �4 F0°�8e $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ a _ TOTAL Estimated Construction Value• $_ �30�00 � Inspections Required: Nork Requiring Separate Permits: Site �_pl�b�g Fire Hardcover Remo�-�l _�Mechanical _�Water Connecdon _ _1C Footing ' Septic _�Sewer Connection _ s�Framing ac Fireplace Lawn irci ation �_Insulation g _�Wall Board ��'� Other - � �MfB•) WeU(State Permit) " F� Grading/Filling _�Electrical(State Permit) Other —_, REMARK.S(Iti7 HOi�SE): . REVIEW BY OTHERS; DATE: ��-------- Access: Ezisting New . Access Approval: Date By. REMARF�.S (TO BE ti'OTED ON PERMII�; � � � � �� 8 CERTIFICAT� O� SU�VEY - �o�: �,�r��s r��oM ��v��.o�M�N r ��c = - xo�s: NORTH ,::<� I.7HE S7REE7 AND CURB ARE UNDER cor�srzuc7ioN. SCALE 1"=20" 2.BUq.DING DIhENSIONS ARE TO tFE � BRICK LEDGE. _ _ __.___: _ _;;:: ,__ ��+��Ci�q �,r � ;' � _ __ __--- ___ , � �,r ��q{� =, _�- � e.. �-"� � J��I p��O I V � � �� I � ___- --___---- r __----� Yc� � �r � __ �� ___ �_ ___- � - - -_-�, -- ' STREET UNDE2 CONST, - - __ t 01� _- - --�019.6 �__ - �--_ �- . - ------ -- --- � �_--- --- �"� �� IOIB.OX �-�=_� +\p��. ;,� -- -- "� �� PROPOSED PROPOSED ��\___ 1020.5 - -- i OWY. _�-_--- -- -- ___ _ � DWYS89� S��O��E 84. O PROPOSED _ 1 ' , � 9•8 '�� i �017.87 DWY. �0 �� 02�•� 1 I � �� m 18.13 10 .01 `.` I _ � `0 � � � 18.58 i o o DECK o � 18.58 m \� � � � � o � oo DECK � DECK o � �070, o o/q, 15. 0 p •s/ �0 24.00 ? / ? 0 60 ? �.4g- -- - -- � o �99 O p o0 15.00 �9 ' J �i9� 30.00 1021.0 30.00 1021.0 �o,� -- --- ? Q 1021.0 C, o i 'o� 3= �O�o � �� 1 �� ,W ��9 - '- - I � o •� PROPOSED BLDG PROPOSED BLDG PROPOSED BLDG � `�s' w 1 I p � .A 8' POURED o 8' POURED � 8' POURED � O lr� `` , o � o FBWO � FBWO � FBWO o 0�, I �. .� a �p � co � .� t�+� , _ '. :: :: � ° 32 ' 1 � � o �� :::��:::.:;�:::: ,,<...::.�.�.,7 � 3 30 0 � I �5. _0 2.o,o � �.oo .o�.'``� �.oo w � 2.o � 1 ¢�o? � �''13.6 7 � 7.33 � .p � c.,7.33 a, c� 10_00�� i., 010.33c„ 2.0 . � 13.670 �io 0 1 I � S � �°v' PORCH � �" � � 011.67 o r � '�a� PORCH Q' �„�?6 �A�',� y, �o� op 00 21.00 � o � PORCH �-' �6 � 20.92 � p �l',os 1�c� � _ � 1028.6 1�� 18.92 � � 1028.6 � ��? � +% 5 �'` � - �.� 1p26� �%�� , i\ i �0��2� '6 ��\ AS, ��I � RA 8 eY�'- U 2S ��' 0"c f � 8 .G' --��'�� . i � PROPOSED WALK ; �; i -r ., i � ` a �l(�""}� T,,�"� -^'*�z �p. �. � '.'9 '�wY% T . � .. �� " �p � � 1 ��.�� Y�,� �� Permit Number REScheck Compliance Certificate ci�e�kea sy�ace 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release ld Data filename: C:�Program Files\Check�REScheck\2 story calcs.rck PROJECT TITLE: STONEBAY CONDOMINIUMS COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Multifamily DATE: 10/15/03 DATE OF PLANS: 8/4/03 PROJECT DESCRIPTION: TWO STORY TOWNHOMES DE SIGNER/CONTRACTOR: HARRISS ARCHITECTS JOHN TERRANCE HOMES COMPLIANCE: Passes Maximum UA= 1264 Your Home UA= 813 35.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Valuc R-Value U-Factor UA Wall 18: Wood Frame. 16"o.c. 439 18.2 2.5 16 Window 7: Above-Grade:Above Grade. Other 78 0.310 24 Door 6: Glass 64 0.140 9 Wall 17: Wood Frame, 16"o.c. 2�0 18.2 09 13 Door 5: Solid 21 0.140 3 Wall 16: Wood Frame, 16"o.c. 1096 18.2 2.5 43 Window 6: Above-Grade:Above Grade. Otlier 192 0.310 60 Door 4: Glass 128 0.140 18 Wall 15: Wood Frame, 16" o.a 6q0 18.2 0.9 33 Door 3: Solid 42 0.140 6 Wall 14: Wood Fraine, 16"o.c. 226 18.2 2.5 12 Wall 13: Wood Frame, 16"o.c. 118 18.2 2.5 6 Wall 12: Wood Frame, 16" o.c. 146 18.2 2.5 8 Wall 1 l: Wood Frame, 16"o.c. 48 18.2 2.5 3 Wall 10: Wood Frame, 16" o.c. fi6 18.2 2.5 4 Wall 9: Wood Frame, 16" o.c. 118 18.2 2.5 6 Wall 8: Wood Frame, 16" o.c. 1242 18.2 2.5 56 Window 5: Above-Grade:Above Grade, Other 232 0.310 72 Wall 7: Wood Frame, 16" o.c. 37 18.2 2.5 2 , � Wall 6: Wood Frame, 16"o.c. 229 18.2 2.5 8 Window 4: Above-Grade:Above Grade,Other 84 0.310 26 Wa115: Wood Frame, 16"o.c. 189 18.2 2.5 8 � Door 2: Glass 38 0.140 5 Window 3: Above-Grade:Above Grade, Other 8 0.310 2 Wall 4: Wood Frame, 16"o.c. 256 18.2 2.5 12 Window 2: Above-Grade:Above Grade,Other 34 0.310 11 Wall 3: Wood Frame, 16"o.c. 268 18.2 2.5 11 Door 1: Glass 76 0.140 ll Wall 2: Wood Frame, 16"o.c. 536 18.2 2.5 20 Window 1: Above-Grade:Above Grade,Other 180 0.310 56 Wall i: Wood Frame, 16"o.c. 74 18.2 2.5 4 Basement Wall 13: Wood Frame 60 11.6 4.3 3 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 12: Wood Frame SO 11.6 4.3 4 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 11: Wood Frame 26 11.6 4.3 1 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 10: Wood Frame 34 11.6 4.3 2 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa119: Wood Frame 60 11.6 43 3 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 8: Wood Frame 272 11.6 4.3 14 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa117: Wood Frame 20 11.6 4.3 1 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa116: Wood Frame 117 11.6 4.3 6 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa115: Wood Frame 103 11.6 4.3 5 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa114: Wood Frame 140 11.6 4.3 7 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 3: Wood Frame 146 11.6 4.3 8 Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wa112: Wood Frame 274 11.6 4.3 15 Wall height: 8.0' Depth below grade: 4.0' Tnc»lotinn�ia„th• R /l' Basement Wali 1: Wood Frame 40 11.6 4.3 2 Wail height: 8.0' Depth below grade: 4.0' ` Insulation depth: 8.0' Floor 2: All-Wood Joist/Truss,Over Unconditioned Space 219 29.7 1.4 7 Floor 1: Slab-On-Grade:Unheated 224 5.0 167 Insulation depth: 4.0' Furnace 1: Forced Hot Air, 92 AFUE Air Conditioner 1:Electric Central Air, 10 SEER Proposed and Maximum U-Factor Averages Proposed Ma�cimum Average U-Factor Aliowed U-Factor Above-Grade Windows and Glass Doors 0.263 0.370 Includes Foundation Windows>5.6 ft2 Floors Over Unconditioned Space 0.031 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit applicadon. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.5 Release ld (formerly MECchec/�and to comply with the mandatory requirements listed in the REScheckInspection Checklist. � Builder/Designer ��_ Date %0 �� 2EScheck Inspection Checklist 2000 Minnesota Energy Code � REScheckSoftware Version 3.5 Release ld DATE: 10/15/03 PROJECT TITLE: STONEBAY CONDOMINIUMS PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one-and two-family residential dwellings. The items marked with*apply only to detached one-and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [ ] foundation wall insulation R-5 minimum [ ] foundation insulation extends from top of wall down to top of the footing [ ] e�erior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [ ] slab on grade perimeter insulation R-5 minimum [ ] slab insulation extends from top of slab to design frost line or top of footing [ ] floors over unheated space R-30 minimum WINDOWS/DOORS/SKYLIGHTS [ ] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) [ ] window U-values consistent with building plan and RES check Certificate [ ] window and door areas consistent with building plan and RES check Certificate MECHANICAL VENTILATION ISSUES [ ) residential mechanical ventilation system provides adequate ventilation per code requirements* [ ] furna.ce efficiency is consistent with RES check Certificate or building plan [ ] protection against excessive depressuriza,tion is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [ ] interior basement insulation R-5 minimum(if no e�rterior insulation) [ ] ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate [ ] wall framing and insulation level is consistent with building design and RES check Certificate INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing [ ] wind wash barrier installed at attic edge [ ] exterior wall corners framed so that insulation can be installed after e�erior sheathing is installed [ ] intersections of interior partition walls and e�erior walls framed so that insulation can be installed between the partition and exterior shea.thing after e�erior sheathing is installed [ ] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * �. ] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * . Interior Air Barrier [ ] a11 fire stops are air sealed [ ] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [ ] a sealed continuous interiar air barrier is installed on the warm side of the building envelope at ceilings,wa11s, and floor rim joist areas * [ ] air barrier behind tub and shower is sealed and protected [ ] recessed light fi�ctures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [ ] wind wash barrier on wall separating house and garage is sealed [ ] loose fill insulation is prevented from entering the eaves [ ] insulation on skylight shafts and walls e�osed in attics is supported on the unconditioned side Attic Insudation [ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [ ] attic card attached to framing near access opening [ ] notification of attic R-value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710. 11/14/2003 FRI 17:09 FAX �J002/002 FIE �, D REPORT � .. � `� Cy�onstruct � on Technology Group N07E: The resporuibd{tlr�and autnodti o�9T8 ahd 8T8'Flohi Personnel Ineluds nalher d►v tsepons��es nor�ha au�horiry of the'Ccmpemnt Pe�on• For tl►e pmjact a��aa defined br OSHA Reg�latior�sC 29 CFR 1926�tt p �� Pro�eot s�M.• ��-. Repan Na. , � Projec� No, 989q9,4 _„ Day/Dala ,�.,'. /�/�/o� Locadibn -_ -- D/o�a � -��'h.� Wealhed'femp. clrLa. za'� Contracior L°�f•/!�rc.re r1e� Clienl r�L�r�i�+-. �.v. Equipment Pr�ject Corsipetent Pet�on por29 CFFi PaR 1926(3ubpart P) Rentel Arrive Joh ToTAL N�' Tolle $ CHARG2A9LE FIRM; Oeparl Job HOURS a nour r�ntnwm /�DDNE.Ss: P�rking $ Total Hour� on Job o� `� MlleagA 3Y PHONE: Travdl Tirr� /o Ji S Pr�esent oh Site pYHS D NO pro�eet Preparatien Timo Summaey of teehnical and/ar enginee�ing s��vicros porfom,ed,i�vlu�ng flold toat date� Loeallona, 91BVatlor'►9 and de Ih are esGmated. �r/� � �+..� t .i �.-9 i� os- o le.��f^r.'s.� �� jt�.iai' .�� nl CY �OG/i _ t G�GA�in GA �fo //r.�Y� l�jvvwtJ 1 � �� 6 S 7; �59 ,�,.�,/ 6�/ .��t.�o° ,� G.c C� _ O� o�sGn�ego �2..� �/.� t�/,ocl ��r %� �� ,.� 07 �i�f o.,.� dl 7'� re��I�..�1 � +S�C SRh� �.�i� �-�(� G�/r �L �i/O� d s'��+►-,c�C hr�!ls.... ' T, .�l�o�t,n � G 4•Sr.V� � �. �•!a(�t , CJ' �L+- �'�`(.Cr L 7cl /C�f� IVI� C�C6 SlG4-.�J , �/.�1 l6+9 G ."f. . ��C Go Sl;'Q�� . !,�. � . � . � . � � _ �.��.!<. s�,• f��/1 �•-.,.P S�'� A�,,Q/�< ��. . .t�+. �� ..t?./�v.'� . . . . . � . . , . .. � C'�. ,� !J o . � . . . � . . . . . . . . , . . . . . . . . . . . . . . . . . . � �. , .. �_ lb/ ?�.. ��a.� F�r..u�,.;...,i �.�.a..�. -S��G."�y�l. . c(1fc�r.;..J ��•. . .r!o.� . � 35�.��7 �/ JC� ��1 (9^�GcLA �i /�<P/Jyy .G�r��N). �.7_'_"�. .�� . . . .. . •. � / '0 Fie�7est Dard is�stlrnated-Pending F�r+al LaboratoryTa�Reoul�s . " ' . - . . . . . . .she 5eatah;Indlcem Nnnn•- - . . . . . . � , � . Field Represeniative Posidon By Company - Title .� sTs cot�s�tlian�LM, Whlla-Olfi�e White-Fiald Yellow-Time Card oai02 325K 6T9 Consultants I.td. Consuldng Engineer9 �'� 8Sb'ON LJd6b:Z E00Z'b�'AON � of3 � �� DAT�� TIME CITY OF ORONO CALLED IN ' INSPECTIONN TI E SCHEDULED - /1.'30 PERMIT NO. B COMPLETED ADDRESS b57 S�-�O��C��- OWNER CONTR. �J6�..n�L:(�l.t.,�t2 � TELEPHONE NO. 7�3- Z-�3 � OC7 $� I � DESCRIPTION d � �l � 07 FOOTING 11 MEC A CAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MEC ICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNEH/FIREPLACE 34 TREE REMOVAL Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a r � � 0 5 � � 0 � W � Q � W � W � � O W� �RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT UVORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContract �te: Inspector. � White Copyllnspectors FI Canary CopylSite Notice DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT N0. Po�9D 9 co P� o ADDRESS cr��.l ��.��t�.�° OWNER CONTR. TELEPHONE NO. � DESCRIPTION ��-�"n'�''L� � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q�MING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS O03 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a j 0 � � 0 � W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-46�� Owner/Contra n s te: inspector. White Copyllnspector's Fi Canary Copy/Site NoHce , of� / DATE TIME CITY OF ORONO CALLED IN 3- 3 a INSPECTION TICE SCHEDULED �I-O 3: d o PERMIT N0.�R d__�__ COMPLETED ADDRESS �5 7 ��1R GC� OWNER CONTR. �T TELEPHONE NO. �� 3 53 S� `�3 �� DESCRIPTION C�'`�� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q03 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 O6 PROGHESS � 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 v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a J O � � O � W � Q � W � W � � � �RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlCon r p�n site: Inspector. U White Copy/inspector'a File Canary Copy/Site Notfce ✓ DATE TIME CITY OF ORONO CALLED IN �' �'"Q INSPECTION NOTICE SCHEDULED -2 ' PERMIT NO. �,Qg�� COMPLETED ADDRESS �oJ�� c�l/1 �SJ�rI ��/'�� OWNER CONTR._,o�� '1�1�1 '��ditt TELEPHONE NO. CQ `� �� cS�Y Q � DESCRIPTION JV P�/ G�� -T� . ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINA�L, 14 SEWER HOOK-UP 06 PROGRESS � -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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM�TS: a i � � � � `—�S�� 0 � W � Q � z W � W � � a_ / W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE s � W ❑CORRECT WORK 8 PROCEED �SUE C TIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the n t inspection 24 hours in advance. (952) 249-46�� OwneNContra ite: Inspector. White CopyMspector's File Canary CopylSite Notice DATE TIME J CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED PERMIT NO. � � COMPLETED ADDRESS Cv S� S R�C� S-�OA,C C�� OWNER CONTR. �� TELEPHONE NO. � DESCRIPTION ��N A ( � O l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W Zc W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION �EMPORARY V BEFORECOVERING PERMANENT�f�� ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: r � Inspector._�. _��j� � White Copyllnspector's File Canary CopylSite Notice