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HomeMy WebLinkAbout2010 - 00680 - mechanical CITY OF ORONO PERMIT NO.: 2010-00680 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/09/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2875 WEAR CIR PIN : 33-118-23-34-0004 LEGAL DESC : UNPLATTED 33 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 21,000.00 NOTE: 1 TRANE NAT GAS FURNACE 1 BRYANT NAT GAS FURNACE 2 TRANE AC 4 BATH FANS 2 DRYER VENTS&AIR EXCHANGER MAIN GAS LINE PLUS 2 FURNACE GAS LINES APPLICANT MECHANICAL 262.50 KNIGHT HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 10.50 13535 89TH ST NE OTSEGO,MN 55330 MAIL-IN FEE 2.00 (763)274-9945 MISC FEE 0.00 TOTAL 275.00 OWNER GUIMOND ET AL, SHARON R 2875 WEAR CIR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause.' 6 l l Applicant Permitee Signature Date Issued By knature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO FOR CITY USE ONLY A\`, City of Orono 4O`r P.O.Box 66 Date Received: Permit# �„ 2750 Kelley Parkway if Crystal Bay,MN 55323 Approved By: Amount$: \\16 c Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) 0 Residential ❑Commercial(Approval Required) 0 New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 2875 Wear Circle Owner:Van Pattens Mailing Address: 2875 Wear Circle City: Zip:MN Zip: 55323 Home Phone: Alternate Phone: Contractor Information: Lien Heating and Air Conditioning,Inc. Jill Lie n Contractor: Contact Person: 13535-89th Street NE 24779984 Address: State Bond#: /� City: Otsego, MN Zip.55330 Expiration Date: . IrIJ IIl Phone: (763) 274-9945 Alternate Phone: n Insurance—Current: Secura Insurance 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑D No HEATING SYSTEMS Quantity: 1 1 Make: Trane Bryant Model: TUH2B100 Fuel: natural gas natural gas Flue Size: Input BTUs: 90,000 90,000 Output BTUs: 72,000p ` 72,000 CFM: 2- tU��V I COOLING SYSTEMS Quantity: 1 1 Make: Trane Trane Model: 4TTR3042 4TTR3024 Tons: 3.5 2 H.Power FIREPLACES IGas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfm n No. 4 Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations Two dryer vents and air exchanger cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY Main plus Two Furnace gas lines ri Outdoor Grill i Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 21 ,000.00 x.0125$ 262.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 21,000.00 x.0005 $ 10.50 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $275.00 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: / % / Date: 08-02-2010 Reset Form 3 Knight Heating and Air Conditioning 13535 89th st. NE -Otsego, MN 55330 763-274-9945 - Whole House Heat Loss/Gain System I Van Pattens Sales Consultant: Ken Lien Proposal#: Orono, Mn Date: 07/28/2010 Design Conditions: Winter Outdoor Temp. -20 Winter Indoor Design Temp: 70 Summer Outdoor Temp. 95 Summer Indoor Design Temp: 72 Loss/Gain Summary: Loss Gain Walls 21614 4391 Total BTUH Gain 39653 Windows 17257 10784 Capacity Multiplier 1.00 Doors 1738 516 A/C Unit BTUH Rating 39653 Ceilings 3794 1943 Skylights 2095 5047 Floors 3062 0 People/Kitchen 0 2700 Infiltration 35067 5121 Nominal A/C Unit Size* 3.5 Duct Loss/Gain Total Sensible 84627 30502 Gas Furnace Output BTUH 84627 Total Latent 0 9151 Total 84627 39653 Electric Furnace KW 24.8 Calculations are Estimated values based on a Whole House Heat Loss/Gain analysis for a typical application. Please refer to our Room by Room program for atypical applications. *Equipment Selection should match Manufacturers Performance Data. (Latent and Sensible) Knight Heating and Air Conditioning 13535 89th st. NE -Otsego, MN 55330 763-274-9945- Whole House Heat Loss/Gain System I Van Pattens Sales Consultant: Ken Lien Proposal#: Orono, Date: 07/28/2010 Design Conditions: Winter Outdoor Temp. -20 Winter Indoor Design Temp: 70 Summer Outdoor Temp. 95 Summer Indoor Design Temp: 72 Loss/Gain Summary: Loss Gain Walls 7073 2069 Total BTUH Gain 23563 Windows 7340 4198 Capacity Multiplier 1.00 Doors 0 0 A/C Unit BTUH Rating 23563 Ceilings 3308 1694 Skylights 1197 2884 Floors 6903 1406 People/Kitchen 0 1800 Infiltration 18984 2426 Nominal A/C Unit Size* 2.0 Duct Loss/Gain 4481 1648 Total Sensible 49286 18125 Gas Furnace Output BTUH 49286 Total Latent 0 5438 Total 49286 23563 Electric Furnace KW 14.4 Calculations are Estimated values based on a Whole House Heat Loss/Gain analysis for a typical application. Please refer to our Room by Room program for atypical applications. *Equipment Selection should match Manufacturers Performance Data. (Latent and Sensible) £ ORONO ACITY O CALLED IN ET 4 TIME INSPECTION NOTICE SCHEDULED / 8r PERMIT NO. AC.)/U7%�Y °Co PLETED ADDRESS 4Y/✓ ll) /J) ��(4 rJ0 OWNER _ TE.11, •HONE NO. ` CONTRACTOR 11. ��r >: DESCRIPTION s 1.4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR•DI / Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS t/ ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO / // col COMMENTS: 7(03— A754--/97"5 v/C L ccW Q.. cc cc 0 S--- . — A f — .5. — O c) u.. ,.. ......., cc ,c,,,, ,_ W z W cc 2• ///������ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ite: r Inspector. J White Copy/Inspector's File Canary Copy/Site Notice e _, .509- / J 8 D_T / TIME CITY OF OR NO CALLED IN di INSPECTION NQ,T,IC SCHEDULED ♦ MAW PERMIT NO. O�/I u'� 4L COMPLETED�EI � aAADDRESS J 7 5 WJLCrJ OWNER LEPHON NO. •1 `' 7 Z. w6 CONTRACTOR '�(_ 7 illi V Aiiii ~ I / �,/ _ >: DESCRIPTION / / v�/ I, W ❑ FOOTING ❑ PLUMBING FINAL E /GRADING/FILLING 4. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS .;c 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ‘4J.,_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v CIPLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC • W Q. CC No 6-As cC CC 0 W cc Q W Z W cc LUWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. c as White Copy/Inspector's File Canary Copy/Site Notice op; TIME I/ CITY OF ORONOC� ALLED IN INSPECTION NOTICE SCHEDULED /74-97---14‘) PERMIT NO. 016/0 -10660 COMPLETED� ADDRESS a0 75 Wdz0 , v, / OWNER ELEPHONE NO.7a3 Z7,7' 19 CONTRACTOR ' ✓ C� DESCRIPTION e�� ,eL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP IQ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMB s - 0 SE' A L 0 FOUNDATION/REMOVAL • OWNER/ ONTRACTOR TO MEET YOU: - YES NO • COMMENTS: CC W Q. C cc 0 W CC W CC Glu ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: q Inspector. (1.;A--) t 1J O$ White Copy/Inspector's File Canary Copy/Site Notice 13" DAJ E TIME V CITY OF ORONO CALLED IN 7D INSPECTION NOTICE SCHEDULED 3 - I r'-70 02 PERMIT NO.02O/O- COMPLETED ADDRESS .2875 luea-c_GL" OWNERTELEPHONE NO.763 4177 18E CONTRACTOR - ' g/ f- Cc I Z M /413 g >; DESCRIPTION 7-5 W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 4. ❑ POURED WALL ❑ MECHANICAL RI 10 /W LAKESHOREETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL I=1 TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP I ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Qcc. • /�.. S 0 r (0c0 / 107 & A (rix) cc r---7... it 5e-!--(OA-. 0 ---1-1.4,1 (4._s, 0 Lu cc k. t/,, 14 p 6-©vipv .% ( AA� W z 'rest) re k-: Q 'RAN ( L A-- Lu cc GA p'i ao(Ced' v p (�� W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 1=3CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El 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/Contractor on site: Zp_iire gs Inspector. cji White Copyllnspector's File Canary Copy/Site Notice B--. ) DATE/ TIME CITY OF ORONOCALLED IN iii=l INSPECTION NOTICE SCHEDULED 0 1o•30 PERMIT NO. of/D- Ob COMPLETED ADDRESS i33-7 S L4?/ W C 4 A cig.. OWNER TELEPHONE NO-2(.03-W-5511)7 CONTRACTOR Gt e./' �L(GL DESCRIPTION LIL ^ AtL 44z)03-c---- 1... Ste"I, LL. ❑ FOOTING ❑ PLUMBING FINAL 4 ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y e FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP st ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. CC O 1-4-lvetc 9kAA$ ' tAs cc b p S c .,�SS cacA 0 W z W cc d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ACORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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/Contractor on ite: Inspector. P E S" White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED /1-16 "IC> ADDRESS 44`G-'� < c e A 1 A AJ OWNER TELEPHONE NO. CONTRACTOR 1� �Uc.✓A l S K >; DESCRIPTION 1U ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc /7/5Svre � ; AJ e To o E--( C ee v j7 . (:",70E1 ''t?. O f b cc i K S D%Sa1/we7 r' : - 0 W it (<C C•-c), W cc � Lu ►OFlI.SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W IDCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 6,...,67E Inspector. 3 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I 1-1-Ci--1.C) ► z o o PERMIT NO. COMPLETED / 1-j'r Irl ADDRESS ?675 las l—yo,✓Z C,n<-4 — OWNER TELEPHONE NO. -76 3-Z26 -5'167 CONTRACTOR 5 t.rs 0r A- l' Arlt+4,, e-k >; DESCRIPTION I` 4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION UADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 111SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS:cc / `1 v 1 - ` o e . 4 cr1 br C rA c-te / -5o o .4. ,. cc Sk_ % 3 ( + AS go.. I -+ Foy' cc Q grePIAce 1Ca {+L, IY 'S to pg,... Lu Z ON 14-AJC 4, W cc d WQ ❑WORK SATISFACTORY:PROCEED lerROJECT COMPLETE W ❑CORRECT WORK&PROCEED I<SSUE CERT!EL TE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION ` TEMPORARY V 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/Contractor on site: Inspector. 16...7 rUIS White Copy/Inspector's File Canary Copy/Site Notice