HomeMy WebLinkAbout2001-P03327 - new structure CITY OFOR N PERMIT
O O Permit Number:
2750 Kelley Parkway - PO Box 66 P03327
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(612) 249-4600 Date Issued: 1/22/2001
SITE ADDRESS: 1355 Tonkawa Rd
WAYZATA,MN 55391
PID: 08-117-23-42-0006
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai Construction Type VN
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Piumbing iviechanicai Firepiace irrigation Weii(state)Eiectricai(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 3,946.25 Valuation: $ 650,000.00
Plan Review Fee: $ 2,565.08
State Surcharge Fee: $ 325.00
TOTAL FEE: $ 6,836.33
APPLICANT: PARAGON DESIGN&BUILDERS OWNER: JAMES D RENDER
3550 FAIRWAY LANE 1355 TONKAWA RD
HUTCHINSON,MN 55305 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 ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
,•J
ePPLI AlT PERMI EE SIGNATURE IS EDBY SIGNATURE
Copies: City,Applicant, Assessor, Finance Pagel
Total Fee: $ r Date Received..
"Entered By: Permit#: ]
40,
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 O CONTRACTOR
JOB SITE ADDRESS: 13 S'S -To -f KA WA ZIP: q j
NAME OF OWNER: FA 5 C-�f 0-`&: PHONE: (home) �;-O 9—9 210 S
(work) q 20 -z Go 0
MAILING ADDRESS: 192- ,y cro 7'r-rG-e c,tJ CITY: W A 'rte 77+ ZIP: ss"3 g
CONTRACTOR: f Q✓ PHONE:
CONTACT PERSON: OV I l z t3 o V(c(4 MOBILE/PAGER:
MAILING ADDRESS: 3S�S-o r,'i�-ye vvA r (-j-4 CITY: ,i► ZIP: --4C7!S-3oS
13 STATE LICENSE: # 11 8 9
v �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): o/ s wG- I�-Y �A OA, :F
STORIES: 2 SQ. FEET OF EACH FLOOR: )3 oa/28q o,7 7 0
NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. 3 DET. Zi
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 acco ance with the a proved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade of Homes event require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SUBJECTS OF DATA - +
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,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 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 investigative data,pursuant to section 13.82, subdivision 5,to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions
instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,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 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 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. If 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
concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the 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)notify the individual that he believes 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 m the provisions of the 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 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 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERLtinTS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1-3>515- T b N ICA W A M10^,Q
PID:
DESCRIPTION OF WORK: NEuj tees
ZONENG REVIEW BY: DATE APPROVED: l-lI o l
BUILDING REVIEW BY: DATE APPROVED: I- 11=o I
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNII'T Yes ✓ No :.
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATERCONNECTiON
]j,,j'VESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTI
ON
Number of SAC-Units OTHER (specify)
ZO\"LN. G CHECK LIST Zoning District: L2- I L
Fire Department: LonMb LAIc.0 Post Office: W A1a 1AX4 School District: UR OND•
Lot Area: Sq.ft. 4 0,0 c11b.'»' Acres -1Z Width 1570.97 Depth 7 5 Z.4 Z A of
Survey Submitted: Yes Y. No Date of Survey: 11.22.-00
Proposed Setbacks:
FFeet(Lake): I bS ' ± Right Side: 2`l
Rem (Street): Left Side: 37.z
Adjacent Structures: NA Wetland: N A
Building Height: Def. Hot. 2(9' Peak Hot. 211
Lot Coverage: 13'1S*7o
Grading: Staff Approval Date: 1-11- 0 % By: Council Approval Date: --
Septic: Staff Approval Date: N (A By: —
Zoning File: # — Resolution: : — Resolution Date:
Shoreland District:
Avo. Setback: D•1, Bluff Setback: NI la! Lot Coverage: 1315 �1
Existing Proposed
Hardcover: 0 75' O
75-250' Z4'9 Is
250-500' —xs-.00
500-1000' -
Hardcover Variance Required: Yes No�C_ Date of Council Approval:
REINIARKS Cm house):
7
BUILDING REVIEW CHECK LIST
UBC: R 73 - CONSTRUCTION TYPE: VN
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ GSO,QpO
20
Inspections Required: Work Requiring Separate Permits:
Site X Plumbing Fire
Hardcover Removal oc Mechanical Water Connection
if Footing Septic Sewer Connection
y_Framing _ cK Fireplace _-Lawn Irrigation
_ y Insulation (Masonry) Other
X Wall Board (Mfg.) _ c Well(State Permit)
-A Final Grading/Filling x Electrical(State Permit)
Other
REivIARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
PARSON L)F51QNf(25 /— 9 — 0 /
HARDCOVEIZ CALCULATI N VV01ZKSHEE't
SETBACK ZONE: (CIRCLE ONE75
) 0-75' -250 250-SOU' 500-1000'
EXISTrNG HARI)COVT R IN ZONE
A. House x = _ S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage.. _ _ S.F.
C. Driveway x = _ S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x _ = S.F.
Underlain x _ _ __ S.F.
By Plastic x _ = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZOI,\IE _ S.F. Ail
TOTAL PROPERTY AREA IN ZONE S.F. B-
A - B x 100 = %
PROPOSED HARDCOVER IN ZONE' /r
A. House x . .. _ .4-76 7 S.F.
Length Width
S.F.
x – _ S.F.
x = S.F.
B. Garage (i!tr 'd C fr Fu) x = _"1S.F.
C. Driveway x 1142 S.F.
x = S.F..
D. Sidewalk x = _ ) 12 S.F.
. — x -- = S.F.
E. Patio/Deck _ x = _ S.F.
x — S.F.
F. Landscape x _ _ �q S.F.
Underlain x _ _ _ S.F.
By Plastic x – _ S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE u' / S.F. A
TOTAL PROPERTY AREA IN ZONF ZS 69/ _S.F. B
A – Bx 10!J _ _2 %
a/
+ ARA&0f4 iJE516,N�1Zs — �}
HARDCOVER CALCULATION WORKSLLEKT
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-5_00'7 500-1000'
EXISTING HARDCOVER IN ZONE
A. House _ x _ - S.F.
Length Widtl-
x — = S.F.�
x = S.F.
x = S.F.
B. Garage x --- S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk _ x = S.F.
x = S.F.
E. Patio/Deck x - S.F.
x = S.F.
= r
F. Landscape x S.F.-- _
i
Underlain x S.F.= S.F.
By Plastic x
Or Fabric
G. Other x — = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A - B _ x 100 =
PROPOSED HARDCOVER IN ZONE' _
A. House x S.F.
Length x Width
S.F.
— = i
S.F.
-S.F.
x = 34-1 S. .F
_B. Garage._ (U FT.;�f`eh'r.4 � i
C. Driveway _— x _ = S.F.
x = S.F. i
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x S.F.
--— = S.F.
x
F. Landscape _ x = S.F.
Underlain x — S.F.
By Plastic x __. = S.F.
Or Fabric -
_ = S.F. �
G. Other x — _. — i
TOTAL HARDCOVER IN ZONE 341 S.F. A
TOTAL PROPERTY AREA IN ZONE227-4--s.
S.F. B
A - B x 100 %
03/09/2001 FRI 14:29 FAX 952 939 0808 PARAGON DESIGNERS & BLDR 0002/002
rn r i r r > ,. • -r r ,' '.f"�1.�•rM �:rr r."{'t:;:�'1'IS .
BRAUNS"
INTERTEC
{Jy�All
3 Z 7 DAILY OBSERVATION REPORT
Project#: ' ! n Report#:
Location; Date.-
7
Regular
ate:7Regular Overtime
Personnel Classification Hours Hours
Areas and work performed this day:
tA i S /'fir Iry t / /��4
a�,yrf�j w�l �I� •l�i-e/V.( ice' L.�.IJ ��l(�j�-v��a rP�,��C�� G�T;�-'-'��
� v
r-
Ct
Weather: '� Sv,� lA Performed By:
Submittod Tb: A �� ? y ��S F: DAILY 1
DATE TIME V/
CITY OF ORONO LE IN
INSPECTION N TICE a� sSCHHEZ°LEb -ill
PERMIT N0. COMPLETED
ADDRESS 3 5 o r v_
OWNER CONTR. Pry naoxrm
TELEPHONE NO. fPl �� - q�Z �l 5�3- 39 - a RtR
D TION r
FOOTING l 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
a
0
cc
0
W
cc
Q
z
W
Z
W
cc
d
LUORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
LU )'T
LU WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN 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. (952) 249-4600
Owner/Contractor on si
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 3-/ 3 ` OD
INSPECTION N CE SCHEDULED -3-/3-,-)/
PERMIT NO. 40 53�7COMPLETED l 0
ADDRESS
OWNER °- CONTR.
TELEPHONE NO. �P —3 �D 21
SECHANICALRI
01 FOOTING 11 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
cc
OC%lfv'
O
cc
O
U_
W
CC
Q
Z
W
Sc
W
d
WORK SATISFACTORY:PROCEED PROJECT COMPLETE
❑CORRECT WORK&PROCEED F ISSUE CERTIFICATE OF OCCUPANCY
C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
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. 249-4600
Owner/Cont r ctor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED�IN' DTE TIME
INSPECTION NOTIq SCHEDULED
PERMIT NO. (J 331�1 COMPLETED f 0�0
ADDRESS
OWNER CC\ '60,Lb t.I:A CONTR.
TELEPHONE NO. C � �S9y�r_)��
DESCRIPTION Ccm
LL 01 FOOTING G 11 MECHA L RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHA C L FINAL 19 LAKESHORE/WETLANDS
TION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
�
MENTS:
o; ��
a r
C_ vaz Pe
C- S
0
W
yl�c r 2�1
Q _
z
cc
d
W ❑WORK SATISFACTORY:PROCEED 1-1PROJECT COMPLETE
)r5ZORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
Ll STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra or on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION 7T C SCHEDULED
PERMIT NO. p' � 7 COMPLETED
ADDRESS
OWNER CONTR. �--*
TELEPHONE NO.'
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q �FRId6r 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
QTIO 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
Z
COMMENTS:
az
LU
Q_
j
O
a
cc
O
LL
W
CC
Q
Z
W
z
W
j
O
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. — PHOTOTAKEN
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. 249-4600
OwnerlConttr ctor•o_n site:
Inspector) G,�DS
White Copylinspector's File Canary Copy/Site Notice
94�
DATE TIM*P
CITY OF ORONO CAL ED IN
INSPECTION N I _ SCHEDULED J _
PERMIT NO. COMPLETED
ADDRESS /355
OWNER C0NTR. �c
TELEPHONE NO.
DESCRIPTION 6W
_W/
1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CO03 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LUT 09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES—NO
COMMENTS: P"7— AoD� /k:3f AT-QC
CC - ACO(I
0
W
QcAr+
2 —�/Lb✓//N �o u.�t�!L4� D N /`'✓L.eN r S�-vd`"
W
W
CC
d
LAJ ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
rc
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 'CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Ca o i
Inspector,
White Copy/Inspector's File Canary Copy/Site Notice
V DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TTE SCHEDULED
PERMIT NO. Z T CO PLETED / D
ADDRESS T -
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
Uj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Cl) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZD 12 WATER HOOK-UP 17 SITE INSPECTION
5 FIN 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Q_
cc
J
O
cc O�
LL
W
cc
Q
Z
W
Z
W
cc
d ORK SATISFACTORY:PROCEED ROJECT COMPLETE
cc(1W
W
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY
OU BEFORE COVERING ;—]o PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO 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.473-7357
Owner/Contra or on site:
Inspector ZZQZ_e���
White Copylinspectoes File Canary Copy/Site Notice