HomeMy WebLinkAbout2001-P04455 (new structure) CITY ' F PERMIT
� O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04455
Crystal Bay, Minnesota 55323 Permit Type: New st�ucture
(952) 249-4600 Date Issued: 1o�16i2oo�
SITE ADDRESS: 2155 Carriage La
Long Lake,MN 55356
PID: io-ii�-23-2i-oo�o
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: tcesidentiai
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate perntits required: riumoing iviecnanicai �epiic rirepiace irrigaiion "weii�sraiej r,ieciricai�sraiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,953.75 Valuation: $ 450,000.00
Plan Review Fee: $ 1,920.03
State Surcharge Fee: $ 225.00
TOTA � � . $ 5,098.78
_ �e1
APPLICANT: co sTRucTioN&�aL OWNER:
600 S WY 169 155
MINNE POLIS, MN 55426
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.
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_ � � ,��--t-c_ � '��J?��r:��r �l� �L.
aPPLICANT PERMITEE 1 NATURE ISSLTED BY SIGNATURF,
.�e(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
, , - � "J
�' �'� � ' � ��-; Date Received: _ �C'� — �— <� /
Total Fee: $ `� , �
Entered By: -� (,� �,�;i � Permit#: �f � `/'/�'
�, ���:
�'��. �i_ � �
� � 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: o�/��.� � - ZIP: _�J`"-���f�'j
�,�e��� .
NAME OF OWNER: � � �jU PHONE: (home)/.�/a7 f1/�,�1/
work) �
MAILING ADDRESS:��� /�� � �,�J, CITY: ( S ZIP:_�vz'✓a�
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/CG¢�f0�'"�`t-, n, �
co�'TRACTOR: Pxo�: 9�� ��/ ��'�
CONTACT PERS N: MOBILE/PAGER: (�/�� �/Q ,�//J
MAILING ADDRESS. �/'E �� �j�� �/Wv //o/� �� CITY: �P�v ZIP: .�;7
STATE LICENSE: # ,��Q,�„z
ARCIIITECT/ENGINEER: ��L�6/I� �jM� ,�%�ySPHONE: ��,�/ �7����j�
MAILI\G ADDRESS: %f�✓6/ G��F,�i/L-�,q�a'L� /''L CITY: W�GOBUi2 i/ZIP: ,�j'-'�/�,7%--
NAME; �'�},vj�;S' ��,�$��/ REGISTRATION#
TYPE OF WORK: New ✓ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PRO OSED WORK (describe in detai�: ����i�i.L�:�� //�,����'`7�C�����
�oCY�'
STORIES: � SQ. FEET OF EACH FLOOR: � ��g� „j���
NO. OF BEDROOMS:�.� �:r_.�� GARAGE STALLS: ATT. DET.
ESTTiVIATED 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.
�
APPLICAl\TT'S SIGNATURE: �- '� ` �tC� DATE: /n�� /
NOTE! Parade of Homes events er quire separate permit approval by Police Department a
Ciry 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 srored 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 conceming 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 confidenaal 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 P1ace the notice required under this subdivision in the individual income tax or proper[V 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 ciassified as public,private or confidential. Upon his further request, an individual who is the subject of stored
pm�ate 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
thereafrer 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 responsib(e authority may require the
requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry 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 whe�data is not accurate or complete. An individual may contest the accuracy or compieteness 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 disc(osed only if the individual's statement of disagreement is included with the disclosed data.
The detercnination of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act re(ating 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 ri hts as stated above.
� C��
,
Signatu e
10
BUILDING REVIEW CHECK LIST
�C� /` ' 3 CONSTRUCTION TYPE: �//`�
Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x =
2nd Floor z _
Garage x _
R =
TOTAL
Estimated Construction Value: $ `"�5��O�a �
Inspections Required: �Vork Requiring Separate Permits:
Site p. Plumbing Fire
' Hazdcover Removal D� Mechanical Water Connection
�Footing = oc Septic Sewer Connection
_ps Framing _�Fireplace �,/�Lawn Inigation
�_Insulation (Masonry) Other
_�Wall Board _�c (Mfg,) _�Well (State Permit)
_�Final Grading/Filling �Electrical (State Permit)
Other
RE1�Z4RK.S (IN HOUSE):
-----------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
------------------------------------------------
RENIARKS (TO BE NOTED ON PERl�1IT�:
8
CHECK OFF LIST FOR ISSUAI�ICE OF PERl�iITS �
FOR OFFICE USE ONLY
A.DDRESSORLEGAL: 2tS5 C��2���� �N�
PID:
DESCRIPTION OF WORK: /V�l,J 2E5.
ZOrNi G REVIEW BY: DATE APPROVED: !n- ��S ,oi
BUILDI�TG REVIEW BY: DATE APPROVED; � � -�5 -ot
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER��IIT Yes ✓ No
PLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes i/ No WATERCONNECTTON
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOiYING CH�CK LIST Zoning District: R.'��
Fire Department: lAN6(,4((,� Post O�ce: [.pr.�G lA-��-�= School District: �(l.pd.�J
Lot Area: Sq.ft. � 9 0 � i u �2. Acres `(•3b Width IR12�1.?suu-ti Dep[h
Survey Submitted: Yes ,� No Date of Survey: /�• `t -0 f
Proposed Setbacks:
Front (Lake): I 30•41.� Right Side: 3�•1�
Rear (Street): `'�l?0� fi Left Side: q Y •�$
Adjacent Structures: ^I l� Wedand: l2�
Building Hei�ht: Def. Hgt. 1 g Peak Hgt. 2's
Lot Coverage: i✓ ��'
Grading: Staff Approval Date: f o - i j -d 1 By: v�--V- Council Approval Date:
Septic: Staff A�proval Date: �O- I S- D 1 By: r�(�
Zoning File: # � Resolution: # Resolution Date:
Shoreland District: N U
Avg. Setback: Bluff Setback: L,ot Coverage:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
7
t�� �70 0� 53 .
�
�ON �p� G��'` r
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��NCr:cCk COMPLIANCE REI'ORT - -- - -- -
� Permit # I
��Minnesota Ene�gy Code I I
�MNcheck So€tware Version 3 .0 I I
� f �hecked by/Date (
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� - —
�COi3NTY: Hennepin
�,�STATE: MinnesQta
��ZONE: 2
w�CONSTRUCTTON TYPE: Single Family
Q DATE: 10-5-20�1
� COMPLIAI�CE: PASSES
0
_
zo Required IJA = �Q3
� Your Ho�ne = 64'
�
Q g , g�s BeLter Than Code
� Area or Cavity Cont . Glazing/Door
Perimeter R-Va��e R-Value U-Value t.JA
---------------------
------------
CEILINGS r 3296 45 . 0 � • � g�
WALLS: Wood Frame, 16" 4.C . 4529 19.0 2 - G 254
BSMT: Conc. 9 .0 ' ht/8 . 0' bg/9 . 0 ' insul 160 ?3 . 0 2 . 0 0 .290 235
GI.�AZING: Windows or poors, Above Grade �89 0 . 310 �8
I?OORS --------
°-' CflMPLIANCE STATEMENT '�he proposed building design described here is
0 cons�.stent wa.th the building plans� specifications, and other calcLlatior�s
0 submitted with the permit ap�licat ' 2he proposed building has been
o designed to meet the requirernent of •Y�e ' n�esata Energy Code.
� Date lar � ���
Builder/Designe ` --- �� -i" —
N -- _�
_
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0
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' 10/05/2061 11: 12 6515010194 CARLSON HOME DESIGNS PAGE 01
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DATE��'�'
coNT�cTo�t�.�0�1,. y � ,.,.._ JT}d N _PHONE ..-...
Uotamha workin��q���e of t�ch'
1. Tcx.�pcpc�d wall sx�.....--.���' �'� t41t.x,J,�,." � •�
2. Taal cootYaa}lini+rre'�.....,... ����a�0 7 sq.�t.x,Q�¢g ��
3. roaa noodaw.��res _,.. �1.�t,x,g,��' �..�1
rvt��eap�oo.d wslt�r...bova aoo�r'�.(v�•0
r. Tvtsi w�tl wiudaw+K+ur ...,....... � •
b. Tatsl cloor aca ........ ....... ... ............. .. —
a. Toul slida���M+�Ao�or�ar.. .............�. ,.,
d TotR{firepltoc w�ll I�ra►................. ... ...... p
e Tatal welt$eit►i,n�arar( 10'/�)......... .. .....
f. Td�►1 t►et w�►p�rer abava floor........... ...... . 'L
�, Tok�lri�o joirt�w+oa. ................................
Tnak�acyoeod tuunbtiae►+ra .,,,..., l�I�t? --
h. Totsl fauad�t�u window rw.,...........,....... �
i. Td�]n�t tb�uldat►c,�wr'ea tbove�adt............,, .
Ddteru�ine"IJ"'vab�e of acl�wall�erlt:
�. x"l1" �, •
b x"11"`t" ,�.'"_�..
c. _ � j�._x`v"_�.1..�'...
d. — x"11" � —
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' 10/05/2001 11: 12 6515010194 CARLSON HOME DESIGNS PAGE 62
l0i�3!1E01 15:12
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'1"otal exposnd rvoD`xiling treA _
� ToU,►�,�I &�nGe�,ra�(ave�f�+) (�10� 1 G"dc)..... � -�
k. rOofrGO! � �•p��Z+4"fl�C)...,� 1 ' —,.
t. 'CotRl�et iu�aubtai roo0aeilin�wra�................................... 7i1�, �.
D�etarmioe"U"v�lua for ac�t rooflocilir�g se�m�►t:
l. x "U"
�, lo�,i2 x �u►� �a► - � '��oc� ,
1- yILS �� x `ZJ" ,Z� .�..,. ` ��--.
S. ... ................ ...... ........... ................. ......... ....... ........ .. Tutal « (c��ol
Ut�l vCk3 is tt�e s�ttte u,a'las�thar►M2.th�i�►ta�t ot' SBC 60Qb(t)1 t�boea met.
Total w�P�Aoor/cNnt.sar �---
m. T'aW tlao�'/o�M.8�onin�area (ava�ge .10'K).. ... . ... ..._�._.�—.--
n. Tdai nd insulwtod flvor/trtrt. u'eR ................... .. •-•-•• '---,.�.—~
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x "�J'" '
n. _.-_....�- �--------�-
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If tWal of�f6 i�the somo a�nr kN dfwtl��.tha iMa�t of 58C 6006 C a p h�s been m,t•
Al.'I'F.RNATE BU1LDlN(3 ENVEi�C3PB DEs[(3N
To utiti�x 1t�totrl envabpe system rneshod.lhe v�ltw�bli�od by the w�p 0�'itam�ff4, �fS�nd N6 eball
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' 10/05/2001 11: 12 6515010194 CARLSON HOME DESIGNS PAGE 63
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� '� DATE TIME
�
CITY OF ORONO CALLED IN �
INSPECTION . �IC � �' SCHEDULED
PERMIT NO. �' '�� COMPLETED �
ADDRESS ����� �.Ck l ��L�c G� _ l !�
OWNER CONTR. ��� /' �7`
TELEPHONE NO. O ( �- �� C� I � Q �'� C�
� DESCRIPTION �
� 01 FOOTING 11 MEC ANICAL RI 18 EXCAN/GRADING/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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 E TIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO . YES_NO
� COMMENTS:
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W���RIf,SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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. �95Z� 249-46Q�
OwnedContract r �t •
inspector.
White Copylinspector's File Canary Copy/Site Nofice
(�G� DATE TIM
CITY OF ORONO �i I"Y CALLED IN
INSPECTION NOTICE !� ��r � SCHEDULED
PERMIT NO.— I C COMPLETED /�'�`l���Z'
ADDRESS_ Z!S 5 G�/��-�^rlr�? G4�P
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILIING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q �INAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAiNT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
�
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O �—� PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contracto s' :
Inspector. �
White Copylinspector's File Canary Copy/Site Notfce
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION T� E. � SCHEDULED ��-��/ .� �J
PERMIT NO�� S� COMPLETED /��-��/ ` Z.��
ADDRESS � � �/�1•C�-� a�.,,.�.�
OWNEI�- ,��-=� ONTR. �--�
TELEF�iONE N0. lo� 4/ r c/
� DESCRIPTION �-LILP� l�b-c�
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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White Copyllnspector's File Canary Copy/Site Notice
�`� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N,QZICE SCHEDULED
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 E TIC FINAL 35 HARD COVEFi REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NnOTICE SCHEDULED � �O
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Q OS FI 14 SEWER HOOK-UP O6 PROGRESS
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J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E � SCHEDULED -� •3�
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DATE TIME
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INSPECTION NO CE SCHEDULED /��7 a7'o V M
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DATE TIME
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White Copyllnspector's File Canary Copy/Site Notice
� DATE TIME
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Inspector. .--� \
White Copy/lnspector's File Canary Copy/Site Notice
� L�� V DATE TIME
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Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
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White Copyll spector's File Canary Copy/Site Notfce