HomeMy WebLinkAboutA09328 - building Total Fee: $ Date Received: /o'/9-OS
Entered By: Permit#: AO'932 8
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) WN I OR CONTRACTOR _ ~
JOB SITE ADDRESS: ✓ ?s v KI1I oL Z c ZIP: 53-2 6
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
Yes ® No If a special event permit is required with Police Department and City
Council approval 60 days prior to the event. Non permitted events will not
be allowed.
NAME OF OWNER: f' (ccr e 41;� )6)4 4Gers� PHONE: (home) 9S�
(work)
MAILING ADDRESS: S75 C)x4,J ,/ CITY: )r- c, ZIP: S-SJf
CONTRACTOR: 3' y&/ PHONE: ( cam 'Y7S ,26
CONTACT PERSON: l l." ;eve r- MOBILE/PAGER:
MAILING ADDRESS: 3,13 5 Ga.r, Jed-Ai 1 CITY: At- -kct ZIP: X533/
STATE LICENSE: # ,29 EXPIRATION DATE: //o
ARCHITECT/ENGINEER: Arit/c,c a ,rve y PHONE: 7<9Z Y7
MAILING ADDRESS: c3do l /L to( CITY: ,tit c ZIP: s-'
NAME: /tti/CP REGISTRATION#
TYPE OF WORK: New Accessory Structure _ k _
Addition _ Move Home
Remodel/Alteration
PROPOSED WORK(describe in detail): .S-i-a(-�)e_ S ke ci
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED 9'(0o sg. ft
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: /o - /Sj
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 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 o 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.
r1/L� LSeo: < A- ✓
First Middy Last
S 75 O
Address
rd L.> , ( 5 YS:>) 4/17 s"/s
City State Zip Phone
I understand my rights as stated above.
Signature
a= `,mow
SETBACK ZONE: (CIRCLE ONE) 0-75 ' 75-250' 250-500' 500-1000 '
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
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.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE S.F. A
TOTAL PROPERTY AREA IN ZONE 187 14 S.F. B
A 0 - B 18714 x 100 = 0 . 0
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length width
S.F.
S.F.
S.F.
B. Garage S.F.
C. Driveway S.F.
S.F.
D. Sidewalk S.F.
S.F.
E. Patio/Deck S.F.
S.F.
F. Landscape S.F.
Underlain S.F.
By Plastic S.F.
G. Other
TOTAL HARDCOVER IN ZONE 0 S.F. A
TOTAL PROPERTY AREA IN ZONE 18714 S.F. B
A 0 - B 18714 x 100 = 0. 0
SETBACK ZONE: (CIRCLE ONE) 0-75'1 75-250' I 250-500 ' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House X = S.F.
Length Width
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.
F. Landscape x = 703 S.F.
Underlain x = S.F.
By Plastic X = S.F.
G. Other X =
TOTAL HARDCOVER IN ZONE 703 S.F. A
TOTAL PROPERTY AREA IN ZONE 40726 S.F. B
A 703 - B 40726 x 100 = 1.7 0
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
S.F.
S.F.
S.F.
B. Garage S.F.
C. Driveway S.F.
S.F.
D. Sidewalk S.F.
S.F.
E. Patio/Deck S.F.
S.F.
F. Landscape 703 S.F.
Underlain S.F.
By Plastic S.F.
G. Other shed 960
TOTAL HARDCOVER IN ZONE 1663 S.F. A
TOTAL PROPERTY AREA IN ZONE 40726 S.F. B
A 1663 - B 40726 x loo = 4 . 1
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500 ' 500-1000 '
EXISTING HARDCOVER IN ZONE
A. House x = 3771 S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage shed x �r 133 S.F.
C. Driveway x _ �Y 2481 S.F.
x S.F.
D. Sidewalk x 2849 S.F.
pool x 2799 S.F.
E. Patio/Deck x ) 4i5' v j . / - 302 S.F.
x 230 S.F.
331
F. Landscape x = 1412 S.F.
Underlai ponds x = 394 S.F.
By Plastic x = S.F.
G. Other ret.Wall x = 410
TOTAL HARDCOVER IN ZONE 151 12 S.F. A
TOTAL PROPERTY AREA IN ZONE 48454 S.F. B
A 15112 - B 48454 x loo = 31.2
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
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.
pool 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.
G. Other x =
TOTAL HARDCOVER IN ZONE 0 S.F. A
TOTAL PROPERTY AREA IN ZONE 48454 S.F. B
A 0 - B 48454 x loo = 0 . 0 %
SETBACK ZONE: (CIRCLE ONE) 0-75 ' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = 762 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.
G. Other wall and pillars x =
TOTAL HARDCOVER IN ZONE 762 S.F. A
TOTAL PROPERTY AREA IN ZONE 8321 S.F. B
A 762 - B 8321 x loo = 9 .2
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
S.F.
S.F.
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.
G. Other wall and pillars x =
TOTAL HARDCOVER IN ZONE 0 S.F. A
TOTAL PROPERTY AREA IN ZONE 8321 S.F. B
A 0 - B 8321 x 100 = 0 . 0
ADVANCE SURVEYING & ENGINEERING CO.
RECAP OF HARDCOVER AT 575 OXFORD RD, OCTOBER 18, 2005
ZONE 0-75 75-250 250-500 500-1000 TOTAL
AREA IN ZONE SQUARE FEET 18714 40726 48454 8321 116215
ALLOWABLE HC 0 10182 14536 2912 27630
TOTAL HC EXISTING 0 703 15112 762 16577
TOTAL HC AFTER PROPOSAL 0 1663 15112 762 17537
UNDER OR (OVER) 0 8519 (576) 2150 10093
Attached are city worksheets for each zone, please review your survey
and these worksheets with the city to be sure they agree that the items
shown as hardcover are indeed hardcover under their interpretaion of
their ordinances.
I hereby certify that this report was prepared by me or under my direct
supervision and that I am a licensed Professional Surveyor and Professional
Engineer under the laws of the State of Minnesota.
Ya/q7ZRA, Ye. Oct ,
James H. Parker P.E. & P.S. No. 9235
S S bx (0 I4_zA8
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Customer: Joel )t)C k Job: S►k. 0: 'K. Date: 46-99
Simple Beam Calculations
Span(:.) Span 130 = Allow_ Det
Allowable Def 28 30 0.93
Span(L) x 1/2 Jst/trus$ x Load x Levels kips(P)
Uniform Load 28 8.5 90 1 21.42
40#!ive+50#dead -
Uniform Load We Dc
Constants 1040 1.6
Calculation kips(P) / (Wc/L) X (DcxLxL11000) = Deflection
21.42 37.14 1.25 0.72
USE W16 X 40
Concentrated Load Calculations
(BPab)/LxL
Conc Load kips/2(P) Span(L) a CL-b) b (L-a) Cone Load
At Any Point 10.71 0 0 0 #DIV/D!
Beam Calculations w/Concen Load
Span(L) Span 130 = Allow Def.
Allowable Del 0 30 0.00
Span(L) x?/2 Jstitruss x Load x L.evels kips(P) Conc Ld kips(P)
Uniform Load 0 0 60 1 0.00 #DIV10! #DMO!
Uniform Load We Dc
Constants Q 0
Calculation kips(P) / (Wc/L) X (DcxLxL/1000) = Deflection
#DIV/O! #DIV/0! 0.00 #DIVia
USE 0
Note These calculations are not certified by a structural engineer. .
Delivery:
Paint:
Comments:
Z0 3Oad S.H9I3 N2i3H1210N 96IZZ9t'ZI9 S£:80 666T/60/t,0
DATE TIME
CITY OF ORONO CALLED IN -7-6=-OS
INSPECTIONTILE SCHEDULED 7- 7-OS 3'•30044
PERMIT NO. vd a1/44S8 COMPLETED
ADDRESS ,5-75- CiX r
OWNER CONTR. "" "1 ,r .
TELEPHONE NO. ` � �7S �7Urt
DESCRIPTION C
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Owner/Contr to site:
Inspector.
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DA TIME
CITY OF ORONO CALLED IN
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OWNER CONTR. ��// /
TELEPHONE NO. %I 012 - 36 - !56 l
DESCRIPTION (fl1JJO21 6h - Lm't Level
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h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES NO
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con r o sit :
Inspector. i
White Copyllnspector's ile Canary Copy/Site Notice
!!!!1DC) DAA EE TIME
//// CITY OF ORONO CALLED IN
INSPECTION NQTI E/S� SCHEDULED 7 S' 7 02
PERMIT NO. fO AY- COMPLETED
ADDRESS X75 (SZXfd-
OWNER CONTR. 6 y&1'---7
TELEPHONE NO. CA4BIZ 363 /56 /
DESCRIPTION /-r3ti L,L
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES NO
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Owner/Contrac r sit .
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_6 9/e,E TIME
CITYOF ORONO C LLED IN
INSPECTION NOTI� G SCHEDULED � � /�Q��
PERMIT NO. O SS0 COMPLETED
ADDRESS 5 75 yFrci ,ed
OWNER CONTR. rL��
TELEPHONE NO.
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DESCRIPTION /61_11e-Y1
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• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: ' YES_NO
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INSPECTOR WILL RETURN
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STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex in ction 24 hours in advance. (952) 249-4600
Owner/Contract ,o sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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/1 TIME
JITY OF ORONO CALLED IN -���
INSPECTION NOTICE SCHEDULED Dpi -3.■tom/C�
PERMIT NO. ,cO "7'5t COMPLETED 17
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• 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
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LDpTF� TIME
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INSPECTION N T p SCHEDULED I a9—e). 3:3 v
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LLJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
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Call for the net inspection 24 hours in advance. (952) 249-4600
OwnerlContrat
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Inspector ��j
White Copy/Inspector's File ` Canary Copy/Site Notice
DATE TIME 1/
CITY OF ORONO CALLED IN
INSPECTION NOTICE (� , SCHEDULED S/fir✓ ?: 3^
PERMIT NO. ,T'( 5 / -A COMPLETED
ADDRESS 5-75- ()X /20
OWNER CONTR. / 'r 6 1
TELEPHONE NO. zs p �
DESCRIPTION ' ''e,7-7N
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: V YES_NO
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n•xt inspection 24 hours in advance. (952) 249-4600
Owner/Co. . • • ite:
Inspector. Lut
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN -/
INSPECTION
INSPECTION N TICS � SCHEDULED /6/9'-Cr 03=30
PERMIT NO. U'O e/`''j 8 COMPLETED
ADDRESS 575 6 .'}
OWNER CONTR.
TELEPHONE NO. 60 I a 363 I S(o I CIM.c.o
• DESCRIPTION - /e-0.-eleczcte.L,
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 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
4,4 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNE CONTRACTOR O MEET YO NO
o COMMENTS:
CC
Calk. c f' o- t .. o +ta - : 3 D
CC
CC
11/C
CC
W ❑WOR ATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
c BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑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/Contract e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice