HomeMy WebLinkAbout2005-P08409 - new structure �ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos4o9
Crystal Bay, Minnesota 55323 Permit Type: NeW sm���ure
(952) 249-4600 Date Issued: 3i2si2oos
SITE ADDRESS: 2618 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-24-003 8
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#: 3052
Separate permits required: Yiumoing iviecnanicai rirepiace �ewer Connecrion irrigation vJeii�siaie�Eieciricai�siaiej
NOTICES/REMARKS:
Tvv�w��a�vaAiv a. ...iva�av a./v✓ vaA�v T]�.nv� nn/.n/vv
FEE SUMMARY: Pern-ut Fee: $ 2,673.75 Valuation: $ 400,000.00
Plan Review Fee: $ 1,738.03
State Surcharge Fee: $ 200.50
TOTAL FEE: $ 4,612.28
APPLICANT: Owner/Self OWNER: Eric Vogstrom
MN 2618 Casco Point Rd
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PG TEE SIGNATURE [SS[JED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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� Total Fee: $ �'k � t _� `�' Date Received: � '�J '� >
Entered By: �� �'L. � � Permit#: ,� ; ��,' �� �,�`
, ��� �
CITY OF ORONO - BUIL ING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pri�zt all information)
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,.___
THE APPLICANT IS: (circle one)<OWNER O�CONTRACTOR
JOB SITE ADDRESS: �Col � �S�� ('ai�T IZ��D ZIP: �S�`� 1
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No If yes, a special event permit is required with Police Department ancl City
Council approval 60 days prior to the event. Non permitted events will not
be allowed.
NAME OF OWNER: ���- U�C�ST/Zo� PHONE: (home) G�S�- L/7`l- N�ti�
(work) �i�- .�5� -�So�
MAILING ADDRESS: ;�?���7a G�-t��vc� Diz CITY: �,�z`L�Lti�:�'v ZIP: SS3��
CONTRACTOR: � l � PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # �"�
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L�`
r`' �, l.�
ARCHITECT/ENGINEER: INI�} PHONE: � � :a��
MAILING ADDRESS: CITY: ZIP: ;)��
NAME: REGISTRATION # T ,�'����
TYPE OF WORK: New �C Accessory Structure
Addition Move
RemodeUAlteration Land Alteration
PROPOSED WORK(describe in detain: N C-(�� (-i aM i�
i sr rc�,�,,L �c��73
STORIES: � SQ. FEET OF EACH FLOOR: �tib �'LL��.;z I�11�� � (35��r-r l:�o�
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT.�_ DET. �lu�St���
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �-(oo, ooc�
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: .�' � �oS
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type at data. The rights oC individuat 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 retuse or is Iegaliy 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 olother 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 of�cer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or propertv 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 individuais shall be sho�vn the data without any charge to him and,if he desires,shall be informed o[the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data nced 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 o[the private or public data upon request by the individuai subject o[the data. The responsible authority may
require the requesting person to pay the actual costs of making,certi[ying,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 disagrecmcnt 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 noti�ed 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
SfYy�1 L� fa S �(ltiN l
Address
City Statc Zip Phone
I understand m ' ts a s ve,. ,
v�- 3 � �S
Signature
,
CHECK OFF LIST FOR ISSUANC.� OF PER�ti.tITS
FOR OFFICE USE ONL�
ADDRESS ORLEGAL: Z� �� C'r45�o .�o�"fT �
PID: '
DESCRIPTIO:Y OF Y�O,RK: Gv�=w �-S
-------------------------------
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ZOtYINGREVIEtiI�BY: D.ATEAPPROVED: 3-� - �S �
B LiILDI�VG RET�IEW B : DATEAPPR06'ED: �- � - 05"
----------------------------------- -
FEES TO BE CHARGED: hlisc. Fees Cc�lcccf�cred By:
PERttiIIT Yes ✓ No
PLAN REI/IEGV Yes r/' No SEWER GONNECTION
STATE SURCH.4RGE Yes � t�Io LVATER C0IWECTIOIV
It�IVESTIG.4TION FEE Yes t�Io� P�(RK FEE
Sr�G Y"es !Vo � SITE NSPECTIO�V
Niunber of SAC Units �rZ-'�-'� �''�'"— OTHEl.�Z (specify)�
----------------------------------------------------------='�=�"�-----------f�-�-L�:_.�---=-f-'�z1_E�----------
2'ONIIVG CHECh'LIST zauing Disc��icc: t_2 • r C
Fire Departrnerrt: Post Office: Sc(aool District: __..
�oo (�Arul�e{. � s(J-e�ut
Lot,�.r•ea: S r. 2d,Sb t Acres • y� ��idtli �io C� �5� Deptlt
�1�f� —
Sicrvey Subfititted: Yes�_ No Date af Scuvey: 7' 2-3'd`�
Propasect Setbacks: i N
F��orzt(Lalce): �11 � Rig1�t Side: � �•�
Rear(St�•eet): 3 a' Lefr Side: f 3 1 5
Adjncent Struct�u•es: /�)� G[�etland: � 5��
B«ildirrg Heigltt: Def. Ngt. 7-1 Peak Kgt. �3.S'
Lot CoverRge: U �
Gr•ncfing: Staff.4pprovccl Date: •�� � T� By: 3�Y-a5 Cotu2cil,�Lpp+�ovnl Date: '-
Sepric: Staff,�lppr•ova!Date: N �'� BY�
Zo�ziitg File: # D y- 3�5 Z- Resolc�tio�t: # Resoli�tia:Dnte: Z- Zg-b S
Sltot•eland Dish•ict:
Avg. Setback: o•1� _ Bluff 5etbacic: N�✓i Lot Cover•age:
Etiistin,� Praposecf
Hnr•cfcavel•: 0-7�' d b
7S'ZJO� ��.11
250-500' !
500-1000'
Hardcover Vm•iartce Req��irect: Yes No Ddte of Co�«ticil�pproval:
REMA.RKS(in liotcse):
31
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B UILDItVG.RE VIE YY CHECIi LIST
UBC: R' 3 CONSTKUCTIO+V'TYPE: V�
Sq Foota�e �Per•Sg Ft,;
Bnsenienr s =
!st Floor x =
?nd Flooi• .t =
Garc�e � _
.� _
TOT�IL
Estirrtated Coitsu•ccctio�i Y`alue: � �04,�O0 Q^
Inspectiores Required: 6�'ork Reguirir�;Separate P�riicits:
Si.te _,�Pluiribir�g Fire
Hardcover•R�movRl a Nlecl�a,�i.cai GYntei•Ca�iriectian
x Footr'ng Septic _�C Sewer Conriectiai
�Framiu,� ,� Fireplace it Law�z.Irrigatiai
_�lns�tlatioiz (iUfasonl}�) Ocher
�_ GY'all Boar�d _�(rl�lfg.) �` EVell(State Perrnit)
� Fiiial G�•acfi�tg/Filli��g �_ElectricRl(Stctte Perniit)
Other '
RE�YIARICS (,CN HO USE):
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RE f�IE YV B Y OTHERS: DATE:
,4ccess: Exisli�i,� �Ve���
.=(ccess�{ppr•ovc�l: Date Bt�;
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REttiI�Rh'S (TO BE tVOTED ONPERN.(IT):
32
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� ■11.Bonestroo Client: I'age:
0 Rosene Project: Proj.No:
� Anderlik&
Associates Calculations For:
Engineers&Architects Prepared By: Date: Reviewed By: Date:
��e,
� Pk�nS ne� -� be r�v� Q�� -��,e �c�
�rd� o� �e I-�o v� 4S �►b�.t� .
� ,,�,,r� r�,�--a�n�►� �I! � s' �� ����e� 1�►�.
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�-�- �v�-1 !� b�s� �-c �.(:,�;�4� -�e ,�1 ����1� ,
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�}�c��� ��- � ro�hr.d� oVes' -}-�c r��:�.,'
cxr�1 S{�dr�n So�-�-� e� �-� �omC. . ��ev;vr/3�IqnS
�� 4 ��l� ��-}-� o�' .�tie hm,�,p .�, � ��l
-f-�,;s ,,�u� .� �s-�.
` �4r►� �ou�� �`iOW �X-1�Ti �vi+,ee �c.���s � �'laC
� �►ne G�' �l c��ifu�c c�vr
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,�—
/�3-11�
� Aggregate Make-Up Air Alternative and Ventilation Documentation
� � . (Can be Used as a Supplement to Permit Application) , ,
,4 ;J ..' .:.� �.r� • ,i
. vnr y ..;1 y a:�t �,� ��.r
Bldg Address: 2618 Casco Point road Date: 2/1/05
City: Orono Zip Code: 55
Completed By: PAUL VOGSTROM Co. Name:VOGUE HOMES, INC.
Path 1, Aggregate Altemative Exhaust Devices CFM
Space Heater: Sealed Combustion Clothes Dryer 150
Water Heater: Direct Vented Kitchen Exhaust 0
Gas Hearth: Sealed Combustion 1st FI Bathroom 50
Solid Fuel Hearth: None 2nd FI Bathroom 50
CO Alarm: Not Required Master Bathroom 50
Laundry Room 50
Other 50
Make-Up Atr Requirements Central Vacuum ss
Exhaust Devices Dryer Kitchen �rgest Total
Other
Exhaust Capacity 150 0 50 200
Distribution CFM
Passive Infiltration 175
Passive Opening(sj Rigid Flex Direct
25 3 4 2
Powered Make-Up
0
Ventilati0� Minimum Required
Sq.Ft. Bedrms Total Ventilation People Ventilation *Supplemental Ventilation
3476 4 174 75 99
'People installed ventilation in excess of the required minimum people is deducted from the required minimum
supplemental. This is based on the Energy Code definition of Supplemental=Total minus People.
People Supplemental
HRV or ERV 1 180 cfm. HRV or ERV 1 0 cfm.
People: 180 cfm. Supplemental : 0 cfm. Total: 180 cfm.
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Pernut Number
REScheck Compliance Certi�cate Checked By/Date
1995 MEC
REScheckSoftware Version 3.5 Release lc
Data filename: C:�Program Files\Check�REScheck�DAD.rck
TITLE: Vogstrom
CITY:Minnetonka
STATE:Minnesota
HDD: 7626
CONSTRUCTION TYPE: Single Family
DATE: 02/02/OS
DATE OF PLANS: 2/O1/OS
PROJECT 1NFORMATION:
2618 Casco Point Road
COMPANY INFORMATION:
Vogue Homes,Inc.
COMPLIANCE: Passes
Maximum UA=851
Your Home UA= 503
40.9%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 2510 38.0 0.4 75
Wall 1: Insulated Concrete Forms 4584 32.0 121
Window 1: Vinyl Frame:Triple Pane with Low-E 785 0.310 243
Door 1: Solid 126 0.070 9
Wa112: Wood Frame, 16"o.c. 950 19.0 21.0 31
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 936 38.0 0.0 24
Furnace 1:Forced Hot Air, 90 AFLTE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the pernut application. The proposed building has been designed to meet the 1995 MEC
requirements in REScheckVersion 3.5 Release lc (formerly MECchecl�and to comply with the mandatory requirements listed in
the REScheckInspectio��h�cklist.
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,� � . �, � �
Builder/Designer �� � Date
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1. HORIZONTAL REINFURCING TO EXTEND 24" M1NIMUM PAST WALL �PENING EACH END.
2. 1NSTALL Cl) ADDITIDNAL VERTICAL BAR FULL HEIGHT EACH SIDE {IF ALL OPENINGS.
3. DOWELS INTO PRECAST ARE NOT SH�WN FDR CLARITY.
4. AT MAN-D�OR LDCATION ALONG PRECAST NON-BEARING WAL.L, BELOW PLANK MAY BE
�PEN, BLOCK FOR II��R AS REQUIRED, SUPP�RT WODD FRAMING WITH
WOQD FRAMED HEADER BY OTHERS.
SEE S2 FOR C�NNECTIDN
& STEM INFORMATIpN
4" MIN. BEARING
<i> "4 HORIZ�WTAL
BAR e TOP
OF STEM Q
<2) �4 HORIZONTAL
BARS C T�P
OF BEAM
a a z
'�3 STIRRUPS e � �
8" D,C. a -
tU �
•
i I
<3) "6 HORIZONTAL BARS �R � ���2.� �
C2> '�7 HORIZONTAL BARS ( MIN.
2 BOTT�M OF HEAM f---�
� / — J
1 ,,�
S3
PRECAST BEARING - 9'-6" MAX. CLEAR SPAN
1 / `�3 / �L� � ,� ,�. �^ ,�
�--�'V✓�/� (.:,:'1/�- �.� 7'��- ��''�'��`','7 � � ���::1� '
VOGSTROM �°�"'�'""�� LT I
204.465 NGINEERS INC. U�T£�� F.,��=
RESIDENGE UNDER C�NSTRUCTIpN �+� S - 3
T A East R+ver Road Su��Ee
for VOGUE HDMES, INC. `��"ED� �""e°pot=s, MN 55421
CO hone 763-371-2300 Fnx 763-571-1168
:;���"�'.���� I�a���x '
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NER-604
LEGACY REPORT Re-Issued November 1, 2003
ICC Evaluation Service, �11C. Business/Regional Office�5360 Workman Mill Road,Whitier,Califomia 90601 �(562)69�-0543
WWW.ICC-@S.O�g Regional Office■900 Montdair Road,Suite A,Birmingham,Alabama 35213 ■(205)599-9800
Regional Office�4051 West Fbssmoor Road,Country Club Hills,Illinois 60478�(708)79&2305
Legacy report on the 2000 International Building Code°, the 2000 Internationa/ Residentia/ Code°, the 2002
Accumulative Supplement to the International Codes`",the BOCA�National Building Code/1999,the 1999 Standard
Building Code°,the 1999 Uniform Building Code`",and the 1998 International One and Two Family Dwelling Code�,
SBCCI Standard for Hurricane Resistant Residential Construction SSTD 10-99
DIVISION 03-CONCRETE mm),and two standard widths of 9.25 and 11 inches(234.95
Section 03130-Permanent Forms and 279.4 mm). The 9.25 inch(234.95 mm)form has 6 inch
nominal (152.4 mm)cores and the 11 inch(279.4 mm)form
REWARD WALL SYSTEMS, INC. has 8 inch nominal(203.2 mm)cores. The cores of the forms
4115 SOUTH 87TH STREET are filled with concrete and reinforcing steel to construct a
OMAHA, NEBRASKA 68127 solid monolithic concrete wall. The concrete wall consists of
1-800-468-6344 vertical "columns" spaced 12 inches (304.8 mm) on center
www.rewardwalls.com and horizontal "beams" spaced 16 inches (406.4 mm) on
center. The top and bottom edge of the forms are provided
1.0 SUBJECT with lap joints for interlocking of units.
Reward Wall Systems0 3.1.2 iFORMT"' Flat ICF forms are hollow core forms of
1.1 eFORMT^^ expanded polystyrene face shells connected with plastic
1.2 iFORMT^^ bridge connectors that are also used to attach interior and
exteriorfinishes. The forms are available in a standard length
2.0 PROPERTIES FOR WHICH EVALUATION IS of 48 inches (1219.2 mm), height of 16 inches (406.4 mm)
SOUGHT and three standard widths of 9 inches(228.6 mm), 11 inches
(279.4 mm) and 13 inches (330.2 mm). The 9 inch (228.6
mm) from has a 4 inch (101.6 mm) nominal concrete core,
2.1 Formwork for structural concrete the 11 inch(279.4 mm)form has a 6 inch(152.4 mm)nominal
2.2 Surface burning characteristics concrete core and the 13 inch(330.2 mm)form has an 8 inch
2.3 Crawl space fire evaluation (203.2 mm) nominal concrete core. Vertical and Horizontal
2.4 Fire resistive rated wall assemblies Reinforcing Steel,when specified, is placed inside the forms
2.5 Installation in buildings of noncombustible and supported by the webs.The forms are filled with concrete
construction,see Section 4.6 to produce a solid monolithic flat concrete wall. The top and
bottom edge of the forms have a loose fit"tooth"design for
3.0 DESCRIPTION interlocking of units.
3.1 General 3.2 Materials
Reward Wall Systems0 forms are used as permanent 3.2.1 Polystyrene: Nominal density of 1.5 pcf (24.03
formwork for structural concrete load bearing and non-load kg/m3) and a maximum 2 pcf (32.04 kg/m3) density with
bearing residential and commercial, below grade and above flamespread index (FSI) of 25 or less and a smoke
grade walls. The forms are permitted to be used in buildings development index(SDI) of 450 or less when tested under
of noncombustible construction when installed in accordance ASTM E 84.
with Section 4.6 of this report. The forms are used in
construction of plain and reinforced concrete beams, lintels, 3.2.2 Bridge Inserts: Plastic connectors for attaching
exterior and interiorwalls,and foundation and retaining walls. interior and exterior finishes. The eFORM plastic connectors
The forms remain in place after setting of concrete and shall are located 12 inches (304.8 mm) on center and are
be protected by an approved interior and exterior finish embedded or recessed 1/4 inch (6.35 mm) into the foam
material. The Reward Wall System0 eFORMT"' forms are block. The iFORM plastic connectors are located 6 inches
classified as a waffle-grid ICF(insulating concrete form)wall (152.4 mm)on center and are embedded or recessed Yz inch
system. The Reward Wall System0 iFORMT"' forms are (12.7 mm)into the foam block. Both blocks have continuous
classified as a flat ICF(insulating concrete form)wall system. vertical ties.
3.1.1 eFORMT^' Waffle-Grid ICF forms are hollow core 3.2.3 Concrete: Normal-weight concrete,complying with
forms of expanded polystyrene face shells connected with the applicable Code, with a maximum 3/4 inch (19 mm)
plastic bridge connectors that are also used to attach interior aggregate and a minimum compressive strength of 2500 psi
and exterior finishes. The forms are available in a standard (17250 kPa) at 28 days, except as noted in Table 1 of this
length of 48 inches(1219.2 mm), height of 16 inches(406.4
/CGES legacy reporls are ria!to be construed as representing aesthelics or any orher anributes nor speci�cally addressed,nor are they to be construeJ as
un endorsemen!�f the e�ubject af the reyart or u recommendatian for i�e•ue•e.There is na warrunry by!CC Eva6�ution Service,lne.,e.rpree�e•or imylied,us to �
uny finding ar other mutter in this revort,or us to uny product covered by the repart. � „qr
�"'w�+e u.r..�^
Page 1 of 6
CopyrightOO 2003
Page 2 of 6 NER-604
report for fire-resistive-rated assemblies. concrete is prepared in accordance with the manufacturer's
recommended design procedure,ACI 318 and the applicable
3.2.4 Reinforcement: Deformed steel reinforcing bars, Code;see Section 4.3 of this report.
complying with the applicable Code, with a minimum yield
stress of either 40 ksi (275 kPa) or 60 ksi (413 kPa), The Reward Wall System0 shall be finished on the interior of
depending on the structural design. the building with an approved 15 minute thermal barrier,such
as minimum '/2 inch thick (12.7 mm) regular gypsum
3.2.5 Other components:Wood members in contactwith wallboard attached to the plastic cross tie fastener strips. The
concrete for plates or windows and door framing shall be minimum Y2 inch thick(12.7)regular gypsum wallboard shall
preservative treated with an approved wood preservative,or be installed vertically and attached to the plastic cross-tie
naturatly durable species and shall be attached with fastener strips with 0.152 inch diameter by 1.5 inch long(3.9
galvanized steel anchor bolts complying with the applicable mm by 38 mm) coarse thread gypsum wailboard screws
Code.Materials other than wood,such as vinyl,are permitted spaced 12 inches(305 mm)on center in the field of the board
for window and door framing if approved by the code official. and 8 inches on center at the perimeter. Crawl space
installation is discussed in Section 4.2 below.
3.3 Standard and Accessory Forms
Reward Wall Systems0 forms shall be covered on the
3.3.1 eFORMS exterior with a weather-resistive barrier and an approved wall
• Standard Forms 9-1/4 and 11 inch covering complying with the applicable Code or listed in an
•Right Hand 9-1/4 and 11 Inch Corner Forms(long NES, SBCCI PST & ESI or BOCA International, Inc.
leg 36 inches, short leg 12 inches) Evaluation Report.The wall covering shall be attached to the
• Left Hand 9-1/4 and 11 Inch Corner Forms(long plastic cross-tie fastener strips with coarse thread drywall
leg 36 inches,short leg 12 inches) screws. The screws shall be corrosion resistant and have
.45°corner unit 9-1/4 inch sufficient length to penetrate the plastic cross-tie fastener
strips a minimum of 1/4 inch (6.4 mm). The screws shali
3.3.2 iFORMS have an allowable pullout and lateral capacity of 70 pounds
• Standard Forms 9, 11 and 13 inch universal(No (311 N). Negative wind pressure capacity of the exterior
top, bottom, left or right) finish material shall be the same as that recognized in the
• One universal 9 inch 90 degree corner form for applicable Code for the generic finish material or as listed in
both left and right hand corners(Long leg 25 inches, the current NES,SBCCI PST&ESI or BOCA International,
short leg 13 inches)(No top, bottom, left or right). �nc. Evaluation Report.
• One universal 11 inch 90 degree corner form for
both left and right hand corners(long leg 27 inches, For basement wall installations Reward Wall System form
short leg 15 inches)(No top, bottom, left or right). surfaces shall be waterproofed in accordance with the
• One universal 13 inch 90 degree corner form for applicable Code. The waterproofing materials shall be
both left and right hand corners(long leg 29 inches, approved by Reward Wall Systems,Inc.and the code official,
short leg 17 inches). (No top, bottom, left or right) and shall be free of solvents, hydrocarbons, ketones and
• 45 degree corner form for the 9, 11 and 13 inch esters that will adversely affect the EPS foam. No backfill is
forms. (No top, bottom, left or right) permitted to be applied against the wall until the complete
flooring system is in piace.
3.4 Surface Burning Characteristics
The manufacturer's published instailation instructions and this
The polystyrene foam plastic used in the manufacture of the report shall be strictly adhered to and a copy of these
Reward Wall Systems0 forms was tested for surface burning instructions shall be available at all times on the job site
characteristics under ASTM E 84 to a maximum thickness of during installation. The instructions within this report govern
2.5 inches(63.5 mm)and demonstrated a flamespread index �f there are any conflicts between the manufacturer's
FSI of 25 or less and a smoke development index SDI of 450 Published installation instructions and this report.
or less. 4.2 Crawl Space Installation
3.5 Crawl Space Fire Evaluation
The Reward Wall Systems0 forms are permitted to be
The polystyrene foam plastic by BASF Corporation, �nstalled exposed in a crawl space without a thermal barrier
Huntsman Corporation and NOVA Chemicals,Inc.used in the under the following conditions:
manufacture of the Reward Wail Systems0 forms was fire
tested in a full scale crawl space construction. The crawl 4.2.1 Entry to the crawl space is limited to service of
space was constructed with masonry block walls covered with utilities;
3 inch(76.2 mm)thickness of polystyrene and a wood framed 4.2.2 There are no interconnected basement areas;
floor construction. A 22 Ib (11 kg) crib was ignited in the 4.2.3 Air in the crawl space is not circulated to other parts
crawl space. Installation in crawl spaces shall be in of the building;
accordance with Section 4.2 of this report. 4.2.4 Ventilation of the crawl space is provided in
accordance with the applicable Code.
4.0 INSTALLATION 4.2.5 Crawl space installation shall be limited to forms
expanded from beads manufactured by BASF
4.1 Generat Corporation, Huntsman Chemical Corporation and
NOVA Chemicals, Inc.
Reward Wall Systems0 forms are installed in accordance
with the manufacturer's published installation instructions and 4.3 Design
this report.
4.3.1 General The Reward Wall System forms are
The Reward Wall Systems0 forms are installed as formwork installed as formwork for foundation and basement load
for either load bearing or non-load bearing walls for bearing and non-load bearing walls and exterior load bearing
residential and commercial construction. These walls include and non-load bearing walls for residential and commercial
foundations, basements and above grade walls and interior construction.
or exterior walls. Structural analysis and design of the
, Page 3 of 6. NER-604
Design calculations and details for specific applications shall 4.4 Wood Construction in Areas of Very Heavy
be furnished to the code official verifying compliance with this Termite Infestation
report and the applicable Code. The individual preparing
such documents shail possess the necessary credentials In jurisdictions that have adopted the Standard Building
regarding competency and qualifications as required by the CodeO International One and Two Family Dwelling Code,
applicable Code and the professional registration laws of the and the International Residential CodeT"', where foam
state where the construction is uncfertaken. plastic insulation is used with wood construction in areas of
very heavy termite infestation, the foam plastic shall be
4.3.2 Reward Wall System eFORMT""forms are defined installed in accordance with sections 1916.7.5 and 2603.3
as Waffle-Grid insulating concrete form wall systems and are of the Standard Building CodeO, Section 323.4 of the
designed and reinforced using the load tables for Waffle-Grid International One and Two Family Dwelling Code and
ICF forms in sections 1916 and 1804.6.2 of the Standard Section R324.4 of the International Residential CodeT"^
Building CodeO(SBC) or sections R404.4 and R611 of the Areas of very heavy termite infestation shall be determined in
International Residential CodeO(IRC) provided the building accordance with Figure 2304.1.4 SBC, Figure 301.2(6)
conforms to the applicability limits defined in Sections 1916.2 11&2FDC and Figure R301.2(6)IRC.
and 1804.6.2.1 of the SBC or Sections R404.4.1 and R611.2
of the IRC.When using this prescriptive design method,the 4.5 Fire Resistive Rated Wall Assemblies
wall thickness is limited as noted in the applicable code
sections referenced above. Reward Wall System forms were fire tested under ASTM E
119 as fire resistance rated bearing and non-bearing wall
When the Waffle-Grid ICF forms are installed on buildings assemblies. The assemblies shall have the hourly fire
that do not conform to the applicability limits of Sections resistance ratings and shall be installed as shown in the
1916.2 and 1804.6.2.1 of the SBC or Sections R404.4.1 and Table 1 of this report.
R611.2 of the IRC, the structural analysis and design of the
concrete shall be prepared in accordance with ACI 318 and Walls exposed to the e�erior shall be finished with a weather
Chapter 19 of the Standard Building CodeO, International resistive barrier such as stucco or brick veneer or other
Building CodeO, BOCA National Building Code,or Uniform approved siding or veneer installed in accordance with the
Building Code or Section R611 of the International appiicable Code.
Residential CodeO,as applicable.
4.6 Installation in Buildings of Noncombustible
eFORMS are also permitted to be designed and reinforced Construction
in accordance with Section 6 of the Reward Walls Installation,
Structural Technical Manual,referred to in Section 6.2 of this The forms are permitted to be used in buildings of
report. noncombustible construction when installed as follows:
4.3.3 Reward Wall System iFORMT"" forms are defined 4.6.1 Exterior Walls of Buildings of Any Height: The
as Flat insulating concrete form wall systems and are following conditions shall appty:
designed and reinforced using the load tables for Flat ICF
forms in Sections 1916 and 1804.6.2 of the Standard Building 4.6.1.1 EIFS and One Coat Stucco-Exterior Finish:The
CodeO or Sections R404.4 and R611 of the International following EIFS and One Coat Stucco Wall Finishes are
Residential CodeO provided the building conforms to the installed over the exterior of the forms using the Reinforcing
applicability limits defined in Sections 1916.2 and 1804.6.2.1 Fabric, base coat and finish coat materials described in their
of the SBC or sections R404.4.1 and R611.2 of the IRC. Code evaluation reports.
When using this prescriptive design method, the wall
thickness is limited as noted in the applicable code sections • W,R. Bonsal Company, Flex Surewall System
referenced above. EIFS as described in SBCCI PST&ESI Evaluation
When the Flat ICF forms are installed on buildin s that do not Report #95606 and BOCA ES Research Report
9 #98-47.
conform to the applicability limits of Sections 1916.2 and • RETRO TEK Soft Coat System PB and Hard Coat
1804.6.2.1 of the SBC or Sections R404.4.1 and R611.2 of System PM EIFS as described in SBCCI PST&ESI
the IRC, the structural analysis and design of the concrete Evaluation Report#96386 and BOCA ES Research
shall be prepared in accordance with ACI 318 and Chapter Report#97-28.
19 of the Standard Building CodeO, International Building • Dryvit Systems, Inc., Outsulation System as
CodeO,BOCA National8uilding Code,or Uniform Building described in SBCCI PST & ESI Evaluation Report
Code or Section R611 of the International Residential #94176A and BOCA ES Research Report#96-38-
CodeO,as applicable. p�
• Senergy Inc., Senerflex EIFS as described in
iFORMS are also permitted to be designed and reinforced SBCCI PST & ESI Evaluation Report#9630A and
in accordance with Section 6 of the Reward Walls Installation, BOCA ES Research Report#97-86.
Structural Technical Manual,referred to in Section 6.2 of this • Sto Corp., Sto EIF Classic System Class PB
report system as described in SBCCI PST & ESI
Evaluation Report #94150C and BOCA ES
4.3.4 Prescriptive Design of ICF by PCA Pub. EB118: Research Report#97-14.
The eFORMS and iFORMS are also permitted to be designed • Sonneborn/ChemRex Inc., Sonneborn Flex Wall
and reinforced in accordance with Prescriptive Method for Stucco System EIFS as described in SBCCI PST&
Insulating Concrete Forms in Residential Construction, PCA ESI Evaluation Report#2028.
publication EB118 provided the building conforms to the • W.R. Bonsal Company, One Coat Stucco
applicability limits defined in Table 1.1 of the Prescriptive Systems,Surewall FRP as described in SBCCI PST
Method. & ESI Evaluation Report #9908 and BOCA
Research Report#98-48.
• Omega Products International, Inc., Omega
Akroflex as described in BOCA Research Report
#98-49
, Page 4 of 6, NER-604
• Omega Products International, Inc., One Coat 6.3.1 Manufactured by Airlite Plastics Company,Omaha,
Stucco, Omega Diamond Wall as described in NE, OPL Document No. 15622-1, Revision e, May
SBCCI PST&ESI Evaluation Report#2221. 2002.
6.3.2 Manufactured byTuscarora,Inc.,NewBrighton,PA,
4.6.1.2 Brick Veneer- Exterior Finish: The brick veneer OPL Document No.16029-1,Revision b,May 2002.
shall be installed in accordance with the applicable Code. 6.3.3 Manufactured by Tuscarora,Inc.,Colorado Springs,
CO, OPL Document No. 16217-1, Revision b,May
4.6.1.3 Stucco Veneer-Exterior Finish:The stucco shall 2002.
be a minimum 7/8 inch(22 mm)thick and shall be installed in 6.3.4 Manufactured by Tri State Foam Products, Inc.,
accordance with the applicable Code. Ridgeway, VA, OPL Document No. 16406-1,
Revision a, May 2002.
4.6.1.4 Interior Finish: The forms shall be finished on the
interior with an approved 15 minute thermal barrier such as'/z 6.4 Surface burning characteristics testing under ASTM
inch (12.7 mm) thick gypsum wallboard as required by the E 84 of EPS bead suppiiers is covered under NER-
applicable Code.The gypsum wallboard shall be installed and 236, NOVA Chemicals, Inc.; NER-479, BASF
attached as described in Section 4.1 above. Corporation; NER-384 and SBCCI PST & ESI
#9498,Huntsman Chemical Corporation;NER-238,
4.6.1.5 Fireblocking: Foam plastic on the interior shall be Styrochem International, Inc.
fireblocked at ceilings and floors using materials specified by 6.5 Engineering analysis and testing for pour rates,
the applicable Code.
Alpha-Omega Geotech, Inc., August 23, 1996,
4.6.2 One Story Buildings: The following conditions signed by Roy J. Leonard, Ph.D., P.E.
app�Y� 6.6 Pull tests on fasteners attached to plastic strips,
4.6.2.1 The building is equipped throughout with an Alpha-Omega Geotech, Inc., September 6, 1996,
automatic sprinkler system in accordance with the applicable signed by Roy J. Leonard, Ph.D., P.E.
Code. 6.7 Test reports on crawl space fire testing of EPS,
4.6.2.2 The exterior of the foam wall is covered with metal of Southwest Research Institute,
6.7.1 BASF Corporation,SwRI Project No.01-788-205[2],
a thickness of not less than 0.032 inch(0.81 mm),aluminum Revised February 1996,signed by Joseph P. Dylla
or corrosion-resistant steel having a base metal thickness of and Alex B.Wenzel.
0.0160 inch(0.41 mm). 6.7.2 Nova chemicals, Inc., (formerly ARCO Chemical
4.6.2.3 Interior Finish: The forms shall be finished on the Co.) SwRI Project No. 01-2602-207, April 1989,
interior with an a roved 15 minute thermal barrier such as'/z signed by Alex B. Wenzel.
PP 6.7.3 Huntsman chemical corporation, SwRI Project No.
inch (12.7 mm) thick gypsum wallboard as required by the 01-7522-405, June 1996, signed by Charles c.
applicable Code.The gypsum wallboard shall be installed and Bailey and Alex B.Wenzel.
attached as described in Section 4.1 above.
4.6.2.4 Fireblocking: Foam plastic on the interior shall be 6.8 Engineering calculations, Reward Wall Systems,
fireblocked at ceilings and floors using materials specified by December 7,1999,prepared by,signed,and sealed
by Karen A. Bexton,P.E.,SE. Detailed engineering
the applicable Code. calculations for prescriptive steel reinforcement
4.7 Special Inspections tables for Reward eFORMS as shown in Technical
Manual (item 6.2 referenced above), Tadros
Special inspection is required as noted in Chapter 17 of the Associates, LLC, signed and sealed by Karen A.
applicable Code, for placement of reinforcing steel and Bexton, P.E.,S.E.,2/7/01.
concrete, concrete cylinder testing, form installation and 6.9 Test report on fire restive wall assemblies under
bracing, and concrete operations. Special inspectors shall ASTM E 119, Omega Point Laboratories Inc.:
comply with the applicable Code. 6.9.1 Three Hour wall assembly, Project No. 15622-
5.0 IDENTIFICATION 100710, July 7, 1997, signed by Herbert W.
Stansberry II and William E. Fitch, P.E.
Each pallet of Reward Wall Systems0 forms covered by this 6.9.2 Four hour walf assembly, Project No. 15622-
report shall be labeled with the manufacturer's name and/or 101883, July 12, 1999, signed by Michael E. Dey
trademark,the third party agencies name and/or trademark and William E. Fitch, P.E.
(Omega Point Laboratories NER-QA337) and this ICC-ES 6.9.3 Two Hour, letter report, Project No. 15622-100710,
Legacy report number NER-604 for field identification. March 19, 1999, signed by John D. Nicholas.
6.9.4 Letter report, clarification of 2 and 4 hour wall
6.0 EVIDENCE SUBMITTED assembly testing,April 20,2000,signed by Deggary
N. Priest, President, Omega Point Laboratories.
6.1 Manufacturer's descriptive literature,specifications, 6.9.5 Letter report,engineering evaluation of 9 inch thick
installation instructions,and Training Program. iForm with 4 inch thick concrete core, March 19,
2002. Signed by Tim M. Mattox.
6.2 Reward Wall Systems0,Inc.,Installation,Structural 6.9.6 Letter report,engineering evaluation of 9 inch iForm
and Technical Manual for Reward Walls, Issued with 4 inch concrete core load-bearing assembly,
January 1, 2000. Includes structural design April 3,2002, signed by Tim M. Mattox.
procedure and tables, signed and sealed by Karen
A. Bexten, P.E.,SE, December 7, 1999. 6.10 Test report surface burning characteristics under
ASTM E 84 of Reward forms cut in half, Omega
6.3 EPS Quality Manuals prepared by Omega Point Point Laboratories Inc., Report No. 15622-102084,
Laboratories for Reward Wall Systems forms: December 4, 1997, signed by Ernst L.Schmidt and
William E. Fitch, P.E.
, Page 5 of 6 NER-604
6.11 Test data for noncombustible use of EIFS was 7.1 Design calculations and details for specific
submitted for the following companies and products: applications are required in accordance with section
6.11.1 W.R.Bonsal Company,Flex Surewall System EIFS 4.3 of this report.
as described in SBCCI PST&ESI Evaluation Report
#9560B and BOCA ES Research Report#98-47. 7.2 The Reward Wall Systems0 forms shall be
6.11.2 RETRO TEK Soft Coat System PB and Hard Coat separated from the interior of the building with an
System PM EIFS as described in SBCCI PST&ESI approved 15 minute thermal barrier,except for crawl
Evaluation Report#96386 and BOCA ES Research space construction as described in section 4.2 of
Report#97-28. this report.
6.11.3 Dryvit Systems, Inc.,Outsulation System as
described in SBCCI PST& ESI Evaluation Report Penetrations of the 15 minute thermal barriers for
#94176A and BOCA ES Research Report#96-38- electrical outlets and device boxes are limited to
p� steel boxes not exceeding 16 sq. in(0.010 m2)and
6.11.4 Senergy Inc.,Senerflex EIFS as described in SBCCI total openings of 100 sq. in. (0.06 m2)for any 100
PST&ESI Evaluation Report#9630A and BOCA ES sq.ft. (9 m2)of wall area. The steel boxes shall be
Research Report#97-86. installed with steel cover and face plates.
6.11.5 Sto Corp.,Sto EIF Classic System Class PB system
as described in SBCCI PST&ESI Evaluation Report Penetrations of the 15 minute thermal barriers for
#94150C and BOCA IES Research Report#97-14. piping,conduit,and ducts is limited to steel pipes or
6.11.6 Sonneborn/ChemRex Inc., Sonneborn Flex Wall steel sleeves encasing non-metallic pipe and
Stucco System EIFS as described in SBCCI PST& conduit and steel ducts.
ESI Evaluation Report#2028. Documentation shall be submitted to the code
6.11.7 W.R. Bonsal Company,One Coat Stucco Systems,
Surewall FRP as described in SBCCI PST & ESI official for approval of inethods of protecting
Evaluation Report #9908 and BOCA Research penetrations of foam plastic other than those listed
Report#98-48. above.
6.11.8 Omega Products International,Inc.,Omega Akroflex �3 Reward Wall Systems0 forms shall be limited to
as described in BOCA Research Report#98-49. buildings of combustible construction, except as
6.11.9 Omega Products International, Inc., One Coat permitted in Section 4.6 of this report.
Stucco, Omega Diamond Wall as described in
SBCCI PST&ESI Evaluation Report#2221. 7,4 Reward Wall Systems0 forms have only been
6.12 Engineering fire risk analysis of Reward Wall system evaluated as formwork for structural concrete. For
with Brick veneer, Hughes Associates, Inc., Fire structural design see section 4.3 of this report.
Science & engineering, HAI Project No. 5224, 7.5 When the foam plastic forms are used with wood
February 26,2002,signed by Jesse J. Beitel. construction,see Section 4.4 of this report.
7.0 CONDITIONS OF USE 7.6 A maximum lift height of 4 feet (1.2 m) with
The ICC-ES Subcommittee for the National Evaluation continuous placement around the perimeter of the
Service finds that the Reward Wall Systems0 forms as foundation until the full height is attained shall be
described in this report comply with or are suitable alternates performed. The minimum ambient temperature
to that specified in the 2000 International8uilding Code°,the during placement shall be in accordance with ACI
2000 International Residential Code°,the 2002Accumulative 306.
Supplement to the International CodesT" the BOCA°Naoional �� Special inspection shall be required as covered in
Building Code/1999,the 1999 Standard Building Code`,the Section 4.7 of this report.
1999 Uniform Building Code`",and the 1998 International One
and Two Family Dwelling Code°, SBCCI Standard for �g When used as part of a fire resistance rated
Hurricane Resistant Residential Construction SSTD 10-99 assembly Section 4.5 of this report shall apply.
subject to the following conditions:
7.9 This report is subject to periodic re-examination.For
information on the current status of this report,
consult the ICC-ES website.
Table 1 Notes:
1. Design numbers refer to Omega Point Laboratories design numbers for fire resistance ratings as they appear in the current
Omega Point Laboratories Listing.
2. Steel reinforcement is the minimum required for the design loads given.
3. Concrete shall be normal weight concrete[(150- 155 Ib/ft3 ) (2402.78-2482.87 kg/m3)]with a 3000 psi (20,684.28 kPa)
compressive strength.
4. See Section 4.1 for type of fastener.
5. Exterior Finishes: Not required to achieve assembly rating. The following are permitted to be applied to the exterior side
of the wall assembly without diminishing the assembly rating;any exterior insulation and finish system(EIFS),any exterior
stucco, brick or brick veneer,stone or stone veneer,cultured stone and siding made from vinyl,aluminum,wood or steel.
Exterior finishes shall be applied in accordance with the appiicable Code and the manufacturer's published installation
instructions.When the wall is required to be of noncombustible construction then exterior finishes are limited to those listed
in Section 4.6 of this report.
6. The wall assembly is permitted to be used as either an interior or exterior wall. W hen used as interior walls then both sides
of the form shall be protected with the interior wall sheathing as noted in the Table.
7. Concrete shali be Sand-Lightweight or Lightweight Concrete.
8. Interior walls only.
9. SI Units conversion: 1 in=25.4 mm, 1 Ibf/ft= 14.59 N/m.
Page 6 of 6 NER-604
TABLE 1
REWARD WALL SYSTEMS IN FIRE-RESISTANT RA7ED ASSEMBLIES
Design No.' Type-Rating' Form Type Interior Wall Sheathing Steel Reinforcement2
Minimum
BW 500 Bearing Wall-4 hr. eFORM '/2 in. gypsum wallboard, Vertical—#5, 12 in. o.c.
Design Load 5,000 11"width fasten 12 in.o.c. in field and 8 Horizontal-#5 16 in. o.c.
Ib./ft. in. o.c. at perimeter"
BW 501 Bearing Wall-3 hr. eFORM 5/8 type X gypsum wallboard, Vertical—#5,24 in. o.c.
Design Load 3,000 9.25"width fasten 12 in.o.c. in field and 8 Horizontal-#5 24 in. o.c.
Ib./ft. in. o.c. at perimeter°
NBW 500 Non-Bearing Wall-4hr. eFORM '/z in. gypsum wallboard, Not required for fire-resistant
11"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter°
NBW 501 Non-bearing Wall-3 hr. eFORM 5/8 type X gypsum wallboard, Not required for fire-resistant
9.25"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter°
BW 502 Bearing Wall-4hr. iFORM 'h in. gypsum wallboard, Vertical—#5, 12 in. o.c.
Design Load 5,000 13"width fasten 12 in.o.c. in field and 8 Horizontal-#5 16 in.o.c.
Ib./ft. in. o.c.at perimeter°
BW 503 Bearing Wall-3hr. iFORM '/z in.gypsum wallboard, Vertical�#5,24 in.o.c.
Design Load 3,000 11"width fasten 12 in.o.c. in field and 8 Horizontal-#5 24 in. o.c.
Ib./ft. in. o.c. at perimeter°
NBW 502 Non-bearing Wall-4 hr. iFORM '/z in. gypsum wallboard, Not required for fire-resistant
13"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter�
NBW 503 Non-bearing Wall-3 hr. iFORM '/z in. gypsum waliboard, Not required for fire-resistant
11"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter'
BW 504 Bearing Wall-1 hr. iFORM '/z in. gypsum wallboard, Vertical-#5,24 in.o.c.
Design Load 2,250 Ib/ft 9"width fasten 12 in.o.c. in field and 8 Horizontal-#5,24 in.o.c.
in.o.c. at perimeter°
BW 505' Bearing Wall-2 hr. iFORM YZ in. gypsum wallboard, Vertical-#5,24 in. o.c.
Design Load 2,250 Ib/ft 9"width fasten 12 in.o.c. in field and 8 Horizontal-#5, 24 in. o.c.
in. o.c. at perimeter°
BW 5068 Bearing Wall-2 hr. iFORM 1/2 type X gypsum wallboard, Vertical-#5,24 in.o.c.
Design Load 2,250 Ib/ft 9"width fasten 12 in.o.c. in field and 8 Horizontal-#5,24 in.o.c.
in.o.c. at perimeter°-Both
Sides
NBW 507 Non-bearing Wall-1 hr iFORM '/z in. gypsum wallboard, Not required for fire-resistant
9"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter°
NBW 508' Non-bearing Wall-2 hr. iFORM 'h in. gypsum wallboard, Not required for fire-resistant
9"width fasten 12 in.o.c. in field and 8 rating
in. o.c. at perimeter°
NBW 5098 Non-bearing Wall-2 hr. iFORM 1/2 type X gypsum wallboard, Not required for fire-resistant
9"width fasten 12 in.o.c. in field and 8 rating
in.o.c.at perimeter^-Both
Sides
For Table Notes see previous page.
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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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46�0
OwnerlContra ite:
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Inspector.
White Copyllnspector's ile Canary CopylSite Notice
� � " DATE�/ TIME ✓
i CITY OF ORONO CALLED IN S�"�l '�
INSPECTION N TIC SCHEDULED v ~ � • O
PERMIT NO. G COMPLETED __2� /��tJO�(�
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� DESCRIPTION /"',_,1� .�) � l�)�n S�"�r� C"'�!(f/�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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y ,.63'11Q LATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z L 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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Call for the next inspection 24 hours in advance. �95Z� Z49-46��
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Inspector. �L� �t� �-i
White Copyllnspector's File Canary CopylSite Notice
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DATE � TIME
CITY OF ORONO CALLED IN ����-DS
INSPECTION NQ,TIC�� scHEou�E� � �/��OS -f�U .NI
PERMIT NO. ��;i����C�I cornP�E1E�
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� DESCRIPTION �r' '`�Cz/�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 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
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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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContra�t6� ite:
Inspector. ��
White Copyllnspector's ile Canary CopylSite Notice
�/`� � L� � DATE ��/� TIME �
" CITY OF ORONO CALLED IN �s�S-'v�
INSPECTION NOT CE SCHEDULED �"��'� I'��
PERMIT NO. D O _ COMPLETED
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TELEPHONENO. l�'lc� c�S—C� ��OC�
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01 FOOTING .-� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULAT 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne�Ct inspection 24 hours in advance. (952� 249-46��
Owner/Contr e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� :�� �- �
�,,DAT .,��� TIME
CITY OF ORONO CALLED IN �/����
INSPECTION N TICE` � > SCHEDULED S�'--�-�-�— T�., � `
PERMIT NO. /�C� ���7 L(/ COMPLETED
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� DESCRIPT O�� � `� C' � _ —' �-�'�� (, '�1�
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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OwnerlContrac�or on si�e:
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
/ � .�� � DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTION NO SCHEDULED � �
PERMIT NO. �p� COMP ETED
ADDRESS '�� ld ��� �,`l /—�'L- f�
OWNER��'� U fY�NTR.
TELEPHONE NO. [p�4� 'o�� " �S�
� DESCRIPTION _ �r[�iX ' �L��'� `
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YO : YES_NO
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C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contr site:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice
CQ— J DATE TIME
CITY OF ORONO CALLED IN /�—�
INSPECTION NOT E SCHEDULED ld-//-OS �;6 t7
PERMIT NO. O O COMPLETED
ADDRESS a��O C�� � ��
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� DESCRIPTION ��""�'� — / v «'" ��"���
W 01 FOOTIh� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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03 INSULATION 24/25 WOOD BURNcR/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPtAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (J52� 249-4600
OwnerlCon#racf � si e:
Inspector. �--
White Copyllnspector's Fi Canary CopylSite Notice