HomeMy WebLinkAbout2003-P06747 - addn/remodel/repair - PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06747
Crystal Bay, Minnesota 55323 Pel'1711t Typ2: Addirion/RemodeURepair
(952) 249-�600 Date Issued: ioii�i2oo3
SITE ADDRESS: 951 Spring Hill Rd
Wayzata,M�1�1155391
PID: 26-118-23-44-0002
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residenrial
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Pemut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate pemuts required: riumoing iviecnanicai rirepiace irrigaiion Eiecuicai�siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,953.75 Valuation• $ 450,000.00
Plan Review Fee: $ 1,920.03
State Surcharge Fee: $ 225.50
TOTAL FEE: $ 5,099.28
APPLICANT: Vujovich Design-Build OWNER: Mr.&Mrs.Dunlap
275 Market St.#521 951 Spring Hill Rd
Minneapolis,MN 55405 Wayzata MN 55391
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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� •� y___
PLICANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures ReQuired), 1-Auplicant, 1-Monthlv Renorts, 1-Assessine,1-Finance Page 1
� C�� � �3�u�
' t� ���i�� ���
, � ,`'� �� (r-� ��-�
Total Fee: $ �� � Date Received:
Entered By: (�1j5 �ti� Permit #: / � / L���
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(p/ease prinf all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circ%one) OWNER OR�(`(ZNTRA('
JOB SITE ADDRESS: ��p��'/��1 I�I �(�_Z�P� ��
NAME OF OWNER: �� � (��St't10NE: (home) CQ l2 - �"��j � 2��'�j
(work) (p(Z" �l D -l5 3Co
MAILING ADDRESS: I7d ,��Q�lIL S��'�i� 5�C��: ��S ZIP:�
CONTRACTOR: PHONE: IpIZ'�J`7�LD
CONTACT PERSON: MOBILE/PAGER: (�/Z- 3UG- t rbS`j
MAILING ADDRESS:Z?S�C�� Sr #c�� CiTY: /`(p(,5 ZIP: S5q-(�S
STATE LICENSE: # �G- (�(�7�
ARCHITECT/ENGINEER: II����Vl� PHONE: (Q��3 3�- ��
MAILING ADDRESS: 2�5 M��!��- �T,'�521 C1T1'. I��� ZIP: �_
NAME: �(,�N�t LSOj�1 REGISTRATtON # J�(/r4
TYPE OF WORK: New Addition� Accessory Structure
--------
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detail}:�_ �,c,y� r s,C�ler�rr�'��Vt'„1� �S �
�t�f1 t�5 t i S�rt S�� 1�r�h�� �+a��s ►�`nod o� —!ct -�'IUcY � kAmQ .
STOR[ES: Z SQ. FEET OF EACH FLOOR: L.�' ZSD� M L` �C2l� �'
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. Z, DET.
�?Ctf• .E XST•
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �) , �00
I hereby apply for a building permit and 1 acknowledge 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 Building 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 lan.
APPLICANT'S SIGNATUF�E: DATE: �,� `�, �(,�U3
NOTE.� Parade ofHomes ev nts reqaire separate permit approva/by Po/ice Department and City
Counci/60 days prior to the event. Non permitted events wi//not be a//owed.
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 95l �P/l�N(,N�c.�- /1�•4� .
PID•
DESCRIPTION OF WORK: �qpp, �� 2�c..
Z0�1I�tG REVIEW BY: DATEAPPROVED: /�-/ -03
BUILDItii'G REVIEW BY: DATE APPROVED: �o-�=-a5
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes _� , No SEWER COTfNECTTON
STATE SURCHARGE Yes _� No WATERCONNECTION
INVESTIGATION FEE PARK FEE
SA SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: ti o C�fia►s�c,p
J
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. Acres � Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Froat(Lake): Right Side:
Rear(Street): I.eft Side:
Adjacent Structures: Wetl d:
Building Hei�ht: Def. Hgt. Peal: gt.
Lot Covera;e:
Grading: Staff Approval Date: B Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac : I,ot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REI�ZARI�S (in house):
7
�
BUII,DING REVIE� CgECg LIST
�C' �' 3 CONSTRUCTION TYpE: V�
_, Sq Footage $Per Sq Ftg
Basement . x _
lst Floor x _
2nd F1oor x _
Garage x _
x =
TOTAL � YSO OO(� �
F,stimated Coastruction`'alue: $
Inspections Required: Work Requiring Separate Permits:
Site _�pi�b�g Fire
Hardcover Removal _�Mechanical Water Connection
. _�Footing ' Septic Sewer Connection
_�Framing �_Fireplace _�Lawn Irrigaaon .
_a�Insulation (1Vlasonry) Other
�Wall Boazd _��gg,� Well(State Permit)
F�� Grading/Filling _�Electrical(State Permit)
Other
REMARKS(1N HOUS�;
REVIEW BY OTHERS: DATE:
Access: Existing New .
Access Approval; Date
By:
(TO BE NOTED ON PERivIIT�: � �--�� ��
� ��
. , . . . . . . a. . .._ � � . .. . .:s•. .. . ,. .. _ ` .,�i�:
Se�� 0'� 03 02: 39p JRMES H. PRRKER (9521 470-8854 p. 2
. �
�
1 H.�RDCOV-ER C�I.CLZ�`TIbN �i't)RKSI�E"T
-�" �Navzn cov�
S'wTB�CK ZO`�E- (CIRCLE ONE) 4-'a �7y-Z�fl' Z;0-�00' SUU-1060'
f�NY� LoT
E XI�TT�G Fi�RDCOVEFi F�`r ZO�E ���,05
„ x = 28 d g s.F.
.� r��t.�e �.XGI�uoE
icn,;�h Width
V z = SF. �o,�,p 1R�oW
,� x _ S_r. '['n'�
>
�`
��
B. Gara�e x = � S.F.
�� C. Drive�vav x = 2`�`7S S.F.
�� X = '1 2 S.F_
,,
St •
} D. SidevraLk x ` ��� S F
;) x = S.F.
�� .
. F.. ?�io/Deck x = 3a3 S-F-
x � S_F'
;� I. �an�scape x = l l�1 t� S.F.
��' L nderlain x = S.F.
�;' - S.F.
E�y Plastic x
O S.F.
�� tJ. Other x �
TOTAL HARDCOVER R3 ZONE - `1c.�1't S.F. A �E
TOTAL PROPERTY AREA IDt ZONE - S a -�� i S.F. B
p -1� �-� - g So'l4� x 100 = I S ,a %
PFiOPOS�D HARDC���I2 iN Z�EVE
A_ E-fouse x = 2g0� S.�.
L.cagth Width
X s S.F.
x = S.F.
x = S.F.
B. Garage _ x = O S.F.
C D�ive.�•ay x = Z?"7S S.F.
X = �2 S-F-
33 i �
1�. Sidewa3k x = '�35 S.F.
X - S.F.
E. PatiolDec}: x = -�62� S.F.
x = t'�n� S.F.
F. Landscag� X = o S.F.
Ur.deriain x = S_F.
By Plasac x = S.F.
G_ Othe- x = 2"�a S.F.
TOTAL F.ARDCOVER IN ZOI�IE - 1 o S�e� ' S_F_ A
TOT.�L PROPER7Y ARE.4 1N ZONE - � S `?4 ti S.�'. �
,a 1c�3� B So`14t x J,00 = 20�~� %
I1 •
l
.^ 'f'
. `
�� � � .
' ���
Total Fee: $ ���� Z��J"O Date Received: � � �' �
Entered By: ��P ' Permit#: � �('j (
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print a[I information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O�ONTRACTOR J
JOB SITE ADDRESS: ��� S' f�/�i�'��,- f�iG G /�p�� 7�p; s 5�3 5 /
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 approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: �i//D�N����-J�l���� �i 1> 's%.�`- PHONE: (home) 9s'2- y�G - �i3 0
�WOI'�C�(i/I-7Ie- 253�/
MAILING ADDRESS: �'�/ ,Sl�hrNG �i/l f?� CITY: !1.�f�rr-�'s ZIP: r's'3 9 /
CONTRACTOR: y�c�Jo v�c>/D�Sf�G N !-�-: �> PHONE: :," .�> - �x,�- -�� r�
CONTACT PERSON: �'"�,� �,��c,l � <,. MOBILE/PAGER: �-. . ���� � •
MAILING ADDRESS:�ys"�r`k!,.�,� � -' �,�:- , , CITY: l ;r'. . ZIP: ;�:>
STATE LICENSE: # � a 7 7 EXPIRATION DATE: 3/2//z o o �'
ARCHITECT/ENGINEER: /iJ�'�'� ;�/1 �� l�r -- '�'` PHONE . - ' {;%�
MAILING ADDRESS: ����/ v�N c!r� A.�� s� CITY: �,.-�;;,?-_5 ZIP: �•;' c'�
NAME: v�//�i>�' � �-;�r �'' i�, ',.'-::, -.t,. > ,;� ,' REGISTRATION: # ��3� c, ;.
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/Alteration(i.e.: Siding,Windows) �_
**Any ecrrth moven�ent may require MCWD Review and Permit!
PROPOSED WORK(describe in detai�:y���s�E� !.S�o�oo,� ,-��_r>- r ,,,,�< <_,���/
t f//',�c�_S,E.+,,s�;� J s�<��'�,�a., ..� , , � , �' � f�kir/�.
STORIES: � SQ.FEET OF EACH FLOOR: � G S�
NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $�� ;�1�� -'��'��• � `�
I hereby apply for a building permit and I acknowledge 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 Building
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: � DATE: D ,�O
31
'+� �
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZIp;
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 approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detain:
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
I hereby apply for a building permit and I acknowledge 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 Building
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: DATE:
31
i
ti
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. lnformation required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be
informed of. (a)tt�e purpose and intended use of the requested data within the collecting state agency,political subdivisioq or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusin�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 requiremen[shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or prooerty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. 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 that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant to this section is pending or additionai data on the individual has been collected or created. The
responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry
may require the requesting person to pay the actual costs of making certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreemenk 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)notify the individual that he bel ieves the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
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 license from the City of Orono or any of its departments may require you to furnish certain private ar
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 M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
���i L`
First Middle Last
Address
City State Zip Phone
I understand�rights as stated above.
�, '�� �� / ./�
/ cN
Signature
Reset Form 32
✓
�AT��^-` TIME
CITY OF ORONO CALLED IN ���t�
INSPECTION NO CE SCHEDULED '
PERMIT NO.��eZ� COMPLETED
ADDRESS ��� ���l
OWNER CONTR. /�/(.
/
TELEPHONE N0. �
� DESCRIPTION
� 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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 FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL J� 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTORTOMEETYOU:WES_NO
c��, COMMENTS:
a� `
� CA�� � �� f
j
0
a
�
0
�
W
o�
Q
�
2
W
�
W
�
j
O
W� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance. (952) 249-4600
�:
OwnedContract�r a1i�si�e
Inspector. � v �
White Copyllnspector's File l Canary Copy/Site Notice
�
TE TIME
CITY OF ORONO CALLED I � �
INSPECTION NOTICE SCHEDULED --���,�j
PERMIT N0. '��?tn•-7�� COMPLETED �Tl�
ADDRESS �`�� 1 ' =��i'l/''�R f/I ll 1�'�
OWNER CONTR. � �' /
TELEPHONE NO. 4 r/�` CG' �
� DESCRIPTION -�I'1 ��-� ��fi C�YI
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL ` 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
�
W
a
j � .
O
�
O
�
W
�
Q
�
Z
W
�
W
�
�
a
W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-46��
OwnerlConi's,�c on it •
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
�� V
�DAT a TIME
CITY OF ORONO CALLE IN � '��
INSPECTIONNOTI E l/ SCHEDULED � 1��-?�
PERMIT N0. �7 � COMPLETED �
ADDRESS � � ����� ��i ���-�`C�
OWNER CONTR. (� .%� !/i �C G�
TELEPHONE NO. _b � [� � � =��' d -" �v� CG' O
� DESCRIPTION ���� " ���L-� �'C'_(j
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAI
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
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:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFtCATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46��
r
Owner/Contractor c�n te•'
..�. .,,
Inspector. , � ��''�-�"t�'(
White Copy/lnspector's File Canary CopylSite Notice
�
T TIME
CITY OF ORONO CALLED IN I� L'y��
INSPECTION NO CE, -7 SCHEDULED � �
PERMIT NO. C• �i� l � � COMPLETED
ADDRESS ���� I ���/-i r�c� N�� /( ��./
OWNER CONTR. ��'Y� �'i C-Gti.
TELEPHONE N0. �' �`� ����� ��1`l �
� DESCRIPTION �� ���� � /�y � y�`��� l
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COM ENTS:
� .
a-� tJ r'� t
o � � �(`O c�
�.— ��t�l � �-- �2Q C/r�d
�-� . occ� tC�,��.v� � :
W � �.Q
� �
Q
�
z
W
�
W
�
�
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlCon r n site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice