HomeMy WebLinkAbout1997-009268 - additions PERMIT
CITY OF ORONO PERMIT TYPE: c:H T;rl✓),•tyf�
2750 Kelley Parkway- P.O. Box 66 ti ;: �:-I
Crystal Bay, Minnesota 55323 Permit Number: _ _Date Issued: f,
�
(612)473-7357 _;` , _ ,
SITE ADDRESS:
'.1 sTE=moij! ki,;N RD
i"` .j1 . ti. . .. _—# ;— .- 1—tit}1'
DESCRIPTION:
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REMARKS:
S; f�i;?Ts :`'.r'!_ ! •_ IO%& i:: ``Le '_.;_+iNG C'1!_ •_ tNa 3L i#N(1 ELI :Ti11C1_ (STATE)
FEE SUMMARY: T d:{
VALLICST ON
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CONTRACTOR: OW IER: — `' ''' '`-='''# —
i t`�.I.�(FL
WATE�FWN RD
T e �+ ?F T fi�D HERESY' REAIJE�T: F I*�# 4 V� 4
�E I Efl�'� AsREE Ct '= t COM� A►d
: � OBD CES AND TA E`` . I,NNI $Q
APPLICANT/ EAPPLICAN4E SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ DateReceived:
Date Approved:
Entered By: Permit#: c e6.
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
----------------------------------------------------- ---- ----------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 40j�� 0J ATyrnug/') 4 ZIP: SSSS 4
NAME OF OWNER: &a oKtf FPATrzt" ec.[L:- PHONE: (home) 3- j4L
(work) �3 32-J
MAILING ADDRESS: 4-0 ITY: ZIP: ,S'
CONTRACTOR: P,ac PHONE: y--�3 --?&z 3
1 /PAGER: 6jj 6 cj(.&
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail): i)1 tl l to(e kpo M "ftj tzNT-,Lr
f
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 �000
(Ien Ph-, Rc:t
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: 7/1 (0 / 1-7
NOTE! Parade of Homes events 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 ar 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 collect g§tate agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known onsequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by s to 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 lace the notich required under this subdi rision 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 authori ,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 charg 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 inform d 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 add tional 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 com fling the copies.
The responsible authority shall comply immediately,if possible,with any requ st made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate com fiance 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 wi bin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual ff.iy contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the res onsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found to be inac Durate 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 includec with the disclosed data.
The determination of the responsible authority may be appealed pursuant to tt e provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVIS RY
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 departmen s may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine youi qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require i hat the City deny the permit or license.
3. The information may be shared with other local, state or f eral agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council act on to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upc n request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First �... Middle / Last
�T � N I
Address _
City State Zip Phone
I understand my rims as stated above.
It
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: . X10 Z5 wAT6R i OwN iUA40
PID:
DESCRIPTION OF WORK: A w n o�S
ZONING REVIEW BY: NDATE APPROVED: S- d
BUILDING REVIEW BY: DATE APPROVED: 9 - $ 4
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERIVHT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURC HARGE Yes r/ No WATER CONNECTION
INVESTIGATION-FEE Yes No ✓ PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: RIZ-JA
Fire Department: /m pt a A4,vy Post Office: A 4XA1 School District: OR ONO
Lot Area: Sq.ft. /ru c th� Acres Width Depth
Survey Submitted: Yes Y� No Date of Survey: 5- 1 57
Proposed Setbacks:
Front(L-ehe): t oo' -+ Right Side: 11 V, 1:-
Rear
Rear(Sheet): !1')0' t. Left Side: `91 i
Adjacent Structures: A-rm 1c if c o Wetland: n/%/--
Building Height: Def. Hgt. 3 c> Peak Hgt. 3 5
Lot Coverage: AJ h4
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: tj 1a' By:
Zoning File: # N Resolution:# Resolution Date:
Shoreland DisL-ict: 64-
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 045'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
26
BUILDING REVIEW CHECK LIST
USC: 2-3 CONSTRUCTION TYPEYN
Sq Footage $ Per Sq Ftg
Basement x _
1st Floor x _
2nd Floor x
Garage x =
x =
TOTAL
Estimated Construction Value: $ 1 OO Y
Inspections Required: Work Requiring Separate Permits:
Site _c� Plumbing Fire
Hardcover Removal X Mechanical Water Connection
_o!,Footing Septic Sewer Connection
,Framing Fireplace Lawn Irrigation
:4 Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
Final Greg/Fling o< Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERTNUT):
_ 27 __
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502 of the State Amended 1983 Model Energy Code)
Project Title d C E 4JD(.T�,o `. V
Site Address Z�0 �-S �JAT C (LTO
I. EXPOSED WALL CALCULATIONS
AREA "U" VALUE AREA x "U"
A. Opaque Wall
1. Masonry/Concrete
a. x =
b. X x =
x =
2. Foundation Wall (Above Grade)
b. — x =
3. Wood Frame Wall
a. Insulated Area
b. Framing Area (Ave. 15% at 16" oc) X83• 9 Q R = 19,0-7
c. Framing Area (Ave. 10% at 24" oc) x =
4. Peripheral Floor Edge/Rim Joist
a. /� LPL 9 �'.(���x , d3S = .�•
b. x =
B. Glazing
1. Windows
a. s .3 x •a q = /7 -It
b. x =
2. Doors ,3°!•9,� x as = a,
-73
C. Doors
1. Wood
a. Solid 3! SC x 3� _ �a • g
b. With storm door x =
2. Metal x =
3. Overhead x =
4. Other x =
D. TOTAL WALL AREA, sq. ft.
E. TOTAL OF AREA x "U" 1
II. ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area L 9le x
B. Roof/Ceiling Framing (Ave. 15% at 16" oc) x =
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) .4 x 117 =
D. Skylight x = _
E. TOTAL ROOF/CEILING AREA sq. ft. `
F. TOTAL OF AREA x "U" 7
15
in. BUILDING ENVELOPE REQUIREMENTS
TOTAL REQUIRED ALLOWABLE
AREA "U"
(Fro I.D''//& II.E) (From V.) (Area x "U")
A. Exposed Wall: a4Z.35 x
B. Roof/Ceiling: 7�-,L x
C. TOTAL ALLOWABLE BUILDING ENVELOPE(Total of A&B above) 7
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x "U")
A. Exposed Wall (From I.E) -7
B. Roof/Ceiling (From II.F)
C. TOTAL ACTUAL BUILDING ENVELOPE (Total of A & B)
*(fleets code requirements if less than III.C)
V. REQUIRED "U" VALUES
WALLS ROOF/CEILING
Detached one and two family dwellings .11 .026
`Multi-Family Residential Buildings .238 .033
(3 stories of less in height)
*All other Construction Types (3 stories or less) .238 .06
*All Other Construction Types (More than 3 stories) .28 .06
*Based on 8007 heating degree days (NIpls/St. Paul)
Adjust "U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have completed the above information and that t complies with the Minnesota State Energy
Code.
i
Signature C Date
BCSD 3-89
CC/SM6574
16
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502 of the State Amended 1983 Model Energy Code)
ID
Project Title "Z1 ADD 1"i(Dr"
Site Address `�o a-�* W A(E lam- 7-0('N! i�(^l I VAR {�l R r(1 , V r I� S S E S`l
I. EXPOSED WALL CALCULATIONS
AREA "U" VALUE AREA x "U"
A. Opaque Wall
1. Masonry/Concrete
a. _ x =
b. x =
C. x =
2. Foundation Wall (Above Grade)
a. y r uL— 9�x
b. x =
3. Wood Frame Wall
a. Insulated Area o S6, �x , 03-7
b. Framing Area (Ave. 15% at 16" oc) 1 G (,� x
c. Framing Area (Ave. 10% at 24" oc) x =
4. Peripheral Floor Edge/Rim Joist
b.
B. Glazing
1. Windows
a. LJ I-E IL (o x
b. l_t 2r.t a+' _x _ L
2. Doors x =
C. D�s
I. Wood
a. Solid x =
b. With storm door x =
2. Metal x =
3. Overhead x =
4. Other
D. TOTAL WALL AREA, sq. ft. (� 7"
E. TOTAL OF AREA x "U" – Q
II. ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area ` 0 x
B. Roof/Ceiling Framing (Ave. 15% at 16" oc) _ x =
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) x 7S
D. Skylight x =
E. TOTAL ROOF/CEILING AREA sq. ft. �o
F. TOTAL OF AREA x "U" -1-7 1
15
M. BUILDING ENVELOPE REQUIREMENTS
TOTAL REQUIRED ALLOWABLE
AREA "U"
(From I.D &II.E) (From V.) (Area x "U")
A. Exposed Wall: –x = D,0
B. Roof/Ceiling: – r —x
C. TOTAL ALLOWABLE BUILDING ENVELOPE( otal of A&B above)
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x "U")
A. Exposed Wall (From I.E) 0S,7cr
B. Roof/Ceiling (From II.F) 7 /�
C. TOTAL ACTUAL BUILDING ENVELOPE (Total of A & B) a
*(Meets code requirements if less than IH.C)
V. REQUIRED "U" VALUES
WALLS ROOF/CEILING
Detached one and two family dwellings .11 .026
*Multi-Family Residential Buildings .238 .033
(3 stories of less in height)
*All other Construction Types (3 stories or less) .238 .06
*All Other Construction Types (More than 3 stories) .28 .06
*Based on 8007 heating degree days (Mpls/St. Paul)
Adjust "U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have completed the above information and that t complies with the Minnesota State Energy
Code.
Signatures �-`` Date //Y l
BCSD 3-89
CC/SM6574
16
p DATE TIME
CITY OF ORONO CALLED IN l ' `'2 �Uct�j
INSPECTION NOTICE SCHEDULED -1A -9;7- 00Q
PERMIT NO. COMPLETED if
ADDRESS
OWNER CONTR. LC
TELEPHONE NO. 7 3
DESCRIPTION lL11C�1C�C -CC`7�
W `01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
------------
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0 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP D6 PROGRESS
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07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� .�W C PROJECTCOMPLETE
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection hours in advance.473-7357
OwnedContractor on site
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
D TE TIME
CITY OF ORONO CALLED IN ��9�7
INSPECTION NOTICESCHEDULED S/ /U:071
PERMIT NO. /Awl COMPLETED _
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 EXCAV/GRADING/FILLING
y 02 F AING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
p SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali forth exWinspection 24 hours in advance.473•-7357
OwnerlContract on s
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE, 4 Tli6 E
- '
INSPECTION NOTICE SCHEDULED 7 ��
PERMIT NO. COMPLETED �-
ADDRESS U
OWNER CONTR.
TELEPHONE NO. _ 73 " 7a 9ro
DESCRIPTION
L4 01 FOOTI 11 MECHANICAL RI 18 IXCAV/GRADING/FILLING
Q FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
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07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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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.
f
Call for the ne t inspection 24 hours in advance.4
Owned a�tdr o ' e:
Inspector.
White Copy/Inspector's File Canary Copy/S
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED
PERMIT N0. Va&ff COMPLETED J 1' 1 -04�
ADDRESS 410Z.5 w4 rz n nk-�y/llj SZo AIn
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
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H 04vowo 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q W6AT PF- 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q/ 0WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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OTEMPORARYCiBEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 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/Contracto n site•
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO r I� CALLED IN 5-
"1��40
INSPECTION NOTICE I� SCHEDULED — 14 a Z
PERMIT NO. COMPLETED
ADDRESS tai(,/f
OWNER CONTR.
TELEPHONE NO.
DES
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tc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t s ction 24 hours in advance.473-7357
Owner/Con act site: Al
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE p TIME
CITY OF ORONO CALLED IN �- Z2- l� '
INSPECTION NOTICE SCHEDULED (0-23-9Sr Im.`o e
PERMIT NO. ,, ,� //COMPLETED _
ADDRESS �.�5 W
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DESCRIPTION
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Z04 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL14 SEWER HOOK-UP 06 PROGRESS
-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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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BEFORE COVERING
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next is
24 hours in advance.473-7357
Owner/Co ntr ct n s e
Inspector.
White CopylInspector's File Canary Copy/Site Notice
6