HomeMy WebLinkAbout2007-P11035 - new structure PERMIT
CITY OF ORONO
2750 Kelley Ijarkway - PO Box 66 Permit Number: P11035
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 6/20/2007
SITE ADDRESS: 1140 Townline Rd Unit#
Maple Plain,MN 55359
PID: 30-118-23-32-9999
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 101
Permit Class: Building
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Septic Fireplace Irrigation Well(state)Electrical(state)Other-
(Septic Area)
NOTICES/REMARKS:
Escrow for wetland buffer required at time of Temp CO-amt to be determined
FEE SUMMARY: Permit Fee: $ 1,553.75 Valuation: $ 200,000.00
Plan Review Fee: $ 1,009.94
State Surcharge Fee: $ 100.00
TOTAL FEE: $ 2,663.69
APPLICANT: Owner/Self OWNER: Christopher H Diesen
MN 1100 Town Line Rd.
Maple Plain,MN 55359
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.
r
APPLICANT PERMIT NATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Pagc 1
Total Fee: Date Received:
Entered By: Permit#: 2
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: (eirclle��one) OWNER R CONTRACTOR
JOB SITE ADDRES V N IP: 653 59
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes No If yes, a special event permit is regzrired with Police Department and City Cozrncil approval
60 days prior to the event. Shzrttle bzrs service will be regzrired zrnless applicant demonstrates
sz ff tient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: C� r)5 �cr b i eSe_vN PHONE: (home) r $ $X2104
(work)
MAILING ADDRESS: Iloa CITY: {AaV\e +,�r ZIP: 55354
CONTRACTOR: Brij PHONE: G1 �2 i
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS:/lop * •ri 1, ra CITY: My*\.-_tkjWVs ZIP: 555524
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: A\N\ SPHONE: '7to3 q-79-Ag5 t
MAILING ADDRESS: q5 sk ,,,,� CITY: ZIP:
NAME: REGISTRATION: #
l
TYPE OF WORK: New Home Addition Accessory Structure �_
Move Home Remodel/Alteration (ie: Siding, Windows) 9-
Any earth movement may require MCWD review and permits! t\A
PROPOSED WORK(describe in detain: A C%A..P
t_
STORIES: _ t SQ.FEET OF EACH FLOOR: >;7cxD
NO. OF BEDROOMS: _3� — GARAGE STALLS: ATTACHED a_ DET HEDe;ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Oil I hereby apply for a building permmit and I acknowledge that the information above is copleteaacc
that the work will be in conformance with the ordinanc and codes o ie City and with the State Building
Code;that I understand this is not a permit an ofXostart/tho t a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATUR DATE: I /d
31
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 Prooerty 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 to 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. ii Your full name is required` to process this application or permit.
�I�YIC, i�14Yco`c �S�V1
First Middle Last
11 bo -k-c);
Address
e— 4,� lu 5535 9' ��� ���� gC�
City / State Zip Phone
I unders d my . is as stated a ve.
Sig e
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _ #/�Q xt/o L i h e—
PID:
DESCRIPTION OF WORK t4) P 7CU 4e-, OVI
ZONING REVIEW BY.• DATEAPPROVED: Q
BUILDING REVIEW BY: _ DATEAPPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By.-
PERMIT
y.PERMIT Yes No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes_�� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units — A,i,-,-„ OTHER (specify)
ZONING CHECK/LIST Zoning District: r16
Fire Department: -61l 1ca."Post Office: Nia School District: GY C416
Lot Area: Sgft. Acres qc-4-- Width Z Z( Depth Z
Survey Submitted: Yes No Date of Survey: Z y/0(0
Proposed Setbacks: p Nc"IA '
Front 4aka4: �U Z MghWSide: —�(
Rear 4 Slow#: Cv 44 Side:
Adjacent Structures: Weiland.-
Building
etland.Building Height: Def. Hgt. Peak Hgt.
Lot Coverage: h
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By;
Zoning File: # Resolution: # Resolution Date:
Shoreland District: N1CWD Permit:
Avg. Setback: Bl ff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-?50'
150-500'
500-1000'
Hardcover Variance Required.- Yes // No Date of Council Approval:
REMARKS(in house): �vdt&gcl LL a rOV4*rA c/S- P"/- (,I 021AM-- gal 1,eme
G� aza
c/S
33 6,CP1,X d �
C4 (Ope ori
I �
BUILDING REVIEW CHECKLIST
UBC: Q -3 CONSTRUCTION TYPE: V N
Sq Footage $Per Sq Fig
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: S Z,0 00 0 0 0 0
Inspections Required: Work Requiring Separate Permits:
Site X _Plumbing Fire
Hardcover Removal cc Mechanical Water Connection
__24 Footing K Septic Sewer Connection
Framing oc Fireplace C Lawn Irrigation
Insulation (Masonry) Other
_ ( Wall Board �C(Mfg.) Well(State Permit)
oC Final Grading/Filling _�Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
--------------------_--------------------------------------------------j� _""_r_� ____ b _ -----------
REMARKS(TO BE NOTED ON PERMIT): Gl c J �f U/K,r/mrd
r v lre , C,o. w,,/
�u"K r14WAlnln4
34
� REScheck Software Version 4.0.1
' II`fo ��iti�x,�-tom
Compliance Certificate
Project Title: Diesen
Report Date:04/16/07
Data filename:C:\Program Files\Check\REScheck\Dieson.rck
Energy Code: 2000 Minnesota Energy Code
Location: Hennepin County,Minnesota
Construction Type: Single Family
Glazing Area Percentage: 12%
Climate Zone: 2
Construction Site: Owner/Agent: Designer/Contractor:
1100 Town Line Rd. Christopher Dieson Robert Ahlstrom
Maple Plain,MN 55359 1100 Townline Rd
Maple Plain,MN 55359
612 868 2692
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or D..
Perimeter LI-Factor
Ceiling 1:Fiat Ceiling or Scissor Truss: 1700 0.0 44.0 37
Wall 1:Wood Frame, 16"o.c.: 416 0.0 21.0 27
Window 2:Above-Grade:Vinyi Frame:Double Pane with Low-E: 16 0.370 6
Window 1:Above-Grade:Vinyl Frame:Double Pane: 16 0.370 6
Window 8:Above-Grade:Vinyl Frame:Double Pane: 25 0.370 9
Door 1:Solid: 21 0.260 5
Basement Wall 1:Masonry Block with Integral Insulation: 416 0.0 13.0 21
Wall height:8.0'
Depth below grade:7.0'
Insulation depth:8.0'
Wall 2:Wood Frame,16"o.c.: 368 0.0 21.0 28
Window 3:Above-Grade:Vinyi Frame:Double Pane: 6 0.370 2
Window 4:Above-Grade:Vinyi Frame:Double Pane: 16 0.370 6
Window 5:Above-Grade:Vinyl Frame:Double Pane: 5 0.370 2
Basement Wall 2:Solid Concrete or Masonry: 368 0.0 13.0 19
Wail height:8.0'
Depth below grade:7.0'
Insulation depth:8.0'
Wall 3:Wood Frame, 16'o.c.: 416 0.0 21.0 28
Window 6:Above-Grade:Vinyl Frame:Double Pane: 11 0.370 4
Window 7:Above-Grade:Vinyl Frame:Double Pane: 20 0.370 7
Door 2:Glass: 42 0.350 15
Basement Wall 3:Solid Concrete or Masonry: 416 0.0 13.0 28
Wall height:8.0'
Depth below grade:0.0'
Insulation depth:8.0'
Wall 4:Wood Frame,16"o.c.: 192 0.0 21.0 15
Window 10:Above-Grade:Vinyi Frame:Double Pane: 5 0.370 2
Basement Wali 4:Solid Concrete or Masonry: 192 0.0 21.0 7
Wall height:8.0'
Depth below grade:7.0'
Insulation depth:8.0'
Window 9:Above-Grade:Vinyi Frame:Double Pane: 5 0.370 2
Furnace 1:Forced Hot Air:92 AFUE
Air Conditioner 1:Electric Central Air:13 SEER
Diesen Page 1.of 4
Comp►lance Statement: The proposed building design described here is consistent with the building plans.specifications,and other
calculations submitted with the permit application.The proposed building has been designed to most the 2000 Minnesota Energy Code
rements i E Verson 4. .1 and to omnply with the mend requ In the REScheck I Checklist.
y �
Name-rift re
Diesen Page 2 of 4
REScheck Software Version 4.0.1
REScheck Inspection Checklist
Date: 04/16/07
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.
Exterior 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.
Cj Floors over unheated space R-30 minimum.
Windows/Doors/Skylights:
Lj Average U-value is 0.37 maximum for windows and glass doors(excludes foundation windows).
Ll Window U-values consistent with building plan and REScheck Certificate.
u Window and door areas consistent with building plan and REScheck Certificate.
Mechanical Ventilation Issues:
Ej Residential mechanical ventilation system provides adequate ventilation per code requirements`.
Furnace efficiency is consistent with REScheck Certificate or building plan.
Protection against excessive depressurization is installed per code requirements`.
Envelope Insulation for Plan Review:
Interior basement insulation R-5 minimum(if no exterior insulation).
F-1 Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate.
Cj Wall framing and insulation level is consistent with building design and REScheck Certificate.
Inspection Issues
Concealed Insulation
Framing and Sheathing:
Wind wash barrier installed at attic edge.
Exterior wall comers framed so that insulation can be installed after exterior sheathing is installed.
Intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and
exterior sheathing after exterior 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:
Page 3 of 4
AN fire stops are air sealed.
Pipes,duds,wires,equipment and flues and chimneys through the Interior air baffler are sealed.
A sued continuous interior air barrier Is installed on the warm side of the building envelope at clings,walls,and floor rim joist
areas'.
Air barrier behind tub and shower Is sealed and protected.
O Recessed tight fixtures are sued.
Envelope kaWation:
Basement insulation R-5 minimum.
L] Wind wash barrier on wall separating house and garage is sealed.
0 Loose fill insulation Is prevented from entering the eaves.
C] Insulation on skylight shafts and wells exposed In attics Is supported on the unconditioned side.
Attic Insulation:
0 Attic access panel insulated to R-38 for calling panel'and R-19 for wall panel.
Attic card attached to framing near access opening.
Notification of attle 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?Cal the Department of Public
Service Information Center at 651-296-5175 or 14800.657-3710.
_-----------_. LL4
Diesen Page 4 of 4
RIGHT-J SHORT FORM
6 Entire House
Goodin Company Job: H060919 DIESEN
09-19-06
285 Como Ave.,St.Paul,MN 55103-1862 Phone:651-489-8831 Fax:651-489-8837 Email:john.alberg@goodinco.com Web:www.goodinco.com
Project • •
For: SCOTT UNDERWOOD
Design Information
Htg Clg Infiltration
Outside db(°F) -11 88 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD(°F) 81 13 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Moisture difference(gr/Ib) - 22
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
qa+
Efficiency •89:9=13E Efficiency 0.0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Heating temperature rise 0 °F Total cooling 0 Btuh
Actual heating fan 1318 cfm Actual cooling fan 1318 cfm
Heating air flow factor 0.026 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh
Space thermostat Load sensible heat ratio 88 %
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
BASEMENT 1794 21819 8590 567 459
MASTER BEDROOM 169 2998 1621 78 87
BEDROOM 2 127 2919 1585 76 85
BEDROOM 3 150 2510 1503 65 80
KITCHEN 173 2695 5692 70 304
DINING ROOM 456 10071 3326 262 178
LIVING ROOM 243 4586 1623 119 87
FOYER 68 1870 274 49 15
BATHS 176 1291 442 34 24
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wrightsoft Right-Suite Residential' 5.0.64 RSR30011 2006-Sep-19 11:44:08
,BCCA C:\My Documents\Wrightsoft HVAC\H060919 DIESEN.rsr Page 1
RIGHT-J BUILDING ANALYSIS REPORT
0 Entire House
Goodin Company Job: H060919 DIESEN
09-19-06
285 Como Ave.,St.Paul,MN 55103-1862 Phone:651-489-8831 Fax:651-489-8837 Email:john.alberg@goodinco.com Web:www.goodinco.com
Project • •
For: SCOTT UNDERWOOD
Design Information
Htg Clg Infiltration
Outside db(°F) -11 88 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD(°F) 81 13 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Moisture difference(gr/Ib) - 22
Heating
W
Component Btuh/ft2 Btuh %of load
Walls 4.8 12406 24.4
Windows 32.3 9760 19.2
Doors 15.4 646 1.3
Ceilings 1.9 2906 5.7
Floors 4.7 4567 9.0 vvhft-
Infiltration 59.5 20473 40.3
Ducts 0 0.0 lk
Total 50759 100.0
Component Btuh/ft2 Btuh % of load wail
Walls 0.7 1876 7.6
Windows 30.6 9241 37.5
IM-1 Geiro
Doors 3.2 132 0.5
Ceilings 0.9 1328 5.4 WI-' ._
Floors 0.0 0 0.0
Infiltration 5.5 1878 7.6
Ducts 0 0.0
Internal gains 10200 41.4 °18W.5iqa �lvaiw
Total 24655 100.0
Cooling at 88% SHR=2.2 ton Cooling air flow=602 cfm/ton
Cooling at 70% SHR=2.7 ton Cooling at 400 cfm/ton=3.3 ton
Overall U-Value=0.069 Btuh/ft?°F
WARNING:window to floor area ratio=9.0%-less than 10%.
Rightsuite ResidentialTM 5.0.64 RSR3o011 2006-Sep-19 11:44:08
wrjghtsoft
,�(;� C:\My Documents\Wrightsoft HVAC\H060919 DIESEN.rsr Page 1
15"
Entire House d 3354 50759 24655 1318 1318
Ventilation air 0 0
Equip. @ 0.93 RSM 22929
Latent cooling 3355
TOTALS 3354 50759 26285 1318 1318
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
Wrlght50ft Right-Suite Residential^"5.0.64 RSR30011 2006-Sep-19 11:44:08
/ {� C:1My Documentswrightsoft HVACUi060919 DIESEN.rsr Page 2
RIGHT-J CALCULATION PROCEDURES A, B, C, D
Entire House
Goodin Company Job: H060919 DIESEN
09-19-06
285 Como Ave.,St.Paul,MN 55103-1862 Phone:651-489-8831 Fax:651-489-8837 Email:john.alberg@goodinco.com Web:www.goodinco.com
Procedure A-Winter Infiltration HTM Calculation*
1. Winter infiltration AVF
0.70 ach x 19656 W x 0.0167 = 230 cfm
2. Winter infiltration load
1.1 x230 cfm x 81 °F Winter TD = 20473 Btuh
3. Winter infiltration HTM
20473 Btuh / 344 ft2 Total window = 59.5 Btuh/ft2
and door area
Procedure B- Summer Infiltration HTM Calculation
1. Summer infiltration AVF
0.40 ach x 19656 W x 0.0167 = 131 cfm
2. Summer infiltration load
1.1 x 131 cfm x 13 °F Summer TD = 1878 Btuh
3. Summer infiltration HTM
1878 Btuh / 344 ft2 Total window = 5.5 Btuh/ft2
and door area
Procedure C - Latent Infiltration Gain
0.68 x22 gr/Ib moist.diff. x 131 cfm = 1975 Btuh
Procedure D - Equipment Sizing Loads
1. Sensible sizing load
Sensible ventilation load
1.1 x 0 cfm vent. x 13 °F Summer TD = 0 Btuh
Sensible load for structure(Line 19) + 24655 Btuh
Sum of ventilation and structure loads = 24655 Btuh
Rating and temperature swing multiplier x 0.93
Equipment sizing load-sensible = 22929 Btuh
2. Latent sizing load
Latent ventilation load
0.68 x 0 cfm vent. x 22 gr/Ib moist.diff. = 0 Btuh
Internal loads = 230 Btuh x 6 people + 1380 Btuh
Infiltration load from Procedure C + 1975 Btuh
Equipment sizing load-latent = 3355 Btuh
*Construction Quality is: a No. of Fireplaces is: 0
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wrig htsoft Right-Suite ResidentialTM 5.0.64 RSR30011 2006 Sep 19 11:44:08
XOC C:\My Documents\Wrightsoft HVAC\H060919 DIESEN.rsr Page 1
1
DATE ¢TIME
j CITY OF ORONO CALLED IN t� y' i5/1"
INSPECTION NOT C,E SCHEDULED g'OAM
PERMIT NO. 1-' CCOOM�PLSET D
ADDRESS
OWNERCONTR.
TELEPHONE NO. (0( Z - L a DIC) I
DESCRIPTION Pmfqj-
01
FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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
j 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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
Cc
W
a
o ', iSlrt �� �� AA K
cc - 6U
0
U_
W
Cc
Q
a
W
W
ECS
/WORK SATISFACTORY:PROCEED 1:1 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contractor on site
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
A� DATE TIME
CITY OF ORONO CALLED IN ta-LI 120
INSPECTION N I� [SCHEDULED 12'ZZ- -7 t6z OVA
PERMIT NO. 1/1��, COMPLETED n
ADDRESS `f� lit
Tow✓ A_�-
OWNER CONTR./ ,IaiV.��t1�
TELEPHONE NO. (I?(L J5 COQ Vl1 b 1
DESCRIPTION
01 FOOTING 11 MECHANIC RI 18 EXCAWGRADING/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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
ac
W
C
cc
JuAil
O
cc
O
W
W
CC
Q
ti
2
W
z
W
CC
O
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Z ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN 1-1
CITATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/Cont He:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
! sct_ /�D T TIME U
CITY OF ORONO CALLED IN v
INSPECTION NO IC SCHEDULED - - dfl
PERMIT NO. COMPLETED
ADDRESS
OWNER CX/_:0I/L�SCiiIOQ�CONTR.
TELEPHONE NO. �oZ b g 0769 "4—
DESCRIPTION d n gram ( ✓t
W 01 FOOTING 11 MECHANI RI 18 E)@V/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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DATE TIME
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit .
Inspector.
White Copy/inspector's File Canary Copy/Site Notice