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Home My WebLink About2009-00860 - new structure �� City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: QD —�D8' � ��.� PO Box 66 � 0 Crystal Bay, MN 55323-0066 Date received: %`Q �a � �' �` ,� � StreetAddress:' Receivedby: `� Z�"'�� E� ? � ' '�0 �� 2750 Kelley Parkway Plan r i�e: � . �1 ''�� l9rt'� �� Orono, MN 55356 ` ESHo �DG 9- D��5 ,i Tofal ,� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us '�� " �� -� c,5 = �--' This application form must be completed in full and all required information must be submitted. Incompfete applications wilf be returned. (Please print) GENERAL INFORMATION: Job Site Address: 3 s�5 �,�.Se� `�op,��- �m,C,,� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a specral event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates sufficient on-site parkrng is avai/able. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Cl�l�-['Z-c...�S CuC�� I �E l�o�'c� State License# _ �� 3� z�5 Expiration Date: _3- 3 0- Zo►C� Phone: �8 2- 35'q— p�p�' (office) �6 z- �qo - � ��z (cell) Mailing Address: ��p�� 3 °t� o416E. �• City� pe��rjou�a f iy�ZIP s�� Contact Person: S7'E'�E �a c�T Applicant is: on racto / Homeowner (Circle One) Email and/or Fax: Sz r c�T(� �lze�scvn� �� X - �(Z (oo¢ �ZD� PROPERTY OWNER INFORMATION: Name: [:�7�!'� -� �uE I��Cr-�E.� Phone (day): ' Address: _ Cit � ZIP� Email and/or Fax . _ ENGINEER INFORMATION: Name: _ l.�e�`�"�BCa Phone (day): 7�� _ Z,7? _ �B a� Address: yr�� ,-�S� ��v�rt �o��, Szr e� �Q$ City� /4?�iu,c(�jqpuGBs ZIP� �S�-�,j Email and/or Fax: �r�� ,,,R��d,�� .T�/4 _ �o/vt 7C0 � �7N— �P le � PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal& � New Construction Water Supply � Single Family with Residence ❑ Addition attached garage �Garage/Accessory Bldg. � Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑Warehouse ❑ Public ❑ Storage � Public Water ""Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review& permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek orq Estimated Construction Valuation (excluding land) $ �� o ��; � Last Updated: 6/22/2009 - 19 - , CITY OF ORONO PERMIT NO.: 2009-00860 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3105 CASCO POINT RD PIN : 20-117-23-34-0006 LEGAL DESC : REG. LAND SURVEY NO. 1311 : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RES[DENTIAL COI�ISTRUCTION TYPE : S[NGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 523,000.00 NOTE: SEPERATE PERMITS REQUIRED: YLUMBING, MECHANICAL,FIREPLACE,GRADING, WATER CONNECTION, SEWER CONNECTION,LAWN IRRIGATION,ELECTRICAL(STATE) ADVANCED PLAN REVIEW PERMIT#2009-00859 PAID W/CHECK 007762-PAID$2,344.39 BASED ON HIGHER PERMIT VALUATION, TO BALANCE THE PERMI"1'FEE,WE HAD TO AD.IUST THE BASE PERMIT FEE. RECLA[M SAC CREDIT FROM 11/16/09 PERMIT#2009-00811. SAC PAID APPLICANT PERMIT FEE SCHEDULE 3,549.00 CHARLES CUDD LLC 15050 23RD AVENUE N STATE SURCHARGE(VALUATION) 261.50 PLYMOUTH, MN 55447- TOTAL 3,810.50 �) Minnesota State License#: 20635245 OWNER RiCHEY, KENT& SUE 3105 CASCO PT RD WAYZATA, MN 55391- 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 governing 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 no[ 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 confo n with the State Building Code.This permit may be revoked y or cause. l �Zo � � � Applican ermitee Signature Date Issue By ature t SEPARATE PERMITS REQU[RED FOR WORK OTHER HAN DESCRIBED AB � . ' City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: �� -dd� � O�j,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Q ��<, Received by: � � ;�,�;r' �, StreetAddress:' , .�, Gti 2750 Kelley Parkway Plan r ' w fee: . 3 � ��kEsH�4� Orono, MN 55356 � �a��- — Total • , Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� -�j � - L-' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: .�lD5 Ca�� o►N`� �os�� 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 and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: C E�afz.t.�s Cypo � �f No�e� State License# Zo co 3� z c�5 Expiration Date: 3- 3 f- Zo�c� Phone: �12- 3Srl- l7oq (office) CoDZ- �qp - 'a j¢Z (cell) Mailing Address: �5�o S� Z3 �� 4VE. .'�0• City: p�y�jvu�1 �y�ZIP: SS�¢� Contact Person: S`TEvE Lr c�LT Applicant is: on rac o / Homeowner (Circle One) Email and/or Fax: 5��cuT� c�Ftc..�scvv� . �.oM �X = lv(Z- (oo�- /Zo� PROPERTY OWNER INFORMATION: Name: @C�NT � �uE 6��c�-(�E'`f Phone (day): � Address: City: ZIP: Email and/or Fax . . �NGINEER INFORMATION: Name: L.��T�ll� Phone (day): 7Co� - 277 � m4 CI 8 Address: .SZo o �ST R�v�rl �vfa-D , $u iT� ��$ City: Mv+�,cldq�vG05 ZIP: SS�¢-2..� Email and/or Fax: ��, /y,�,�so�O �Bt.TE/4 . C_�/�'� 7Co 3 - 571- 9/l0 8 PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply � New Construction � Single Family with Residence ❑ Addition attached garage �Garage/Accessory Bldg. �Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage $J Public Water "*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��,� , p�,-.--s Last Updated: 6/22/2009 - 19 - � STRUCTURE INFORMATION: 1.Structure Dirr�ensions 1. Structure Dimensions (continued) 2.Type of Construction r a. Length (ft.)= �_ Number of bedrooms=�_ �Wood/Frame ti Masonry b.Width (ft.)= �9 Number of garage stalls: ❑ Metal Attached= 3 ❑ Pole Bldg. Areas in square feet Detached =� ❑ ICF ❑ On-site Prefab c. Basement= G3�-4- ❑ Off-site Prefab d. 1S�Story - �.p {C� ❑ Other(please specify): e.2"d Story= P 871 f. '/2 Story = _� g.Total Area= � ZZ-S REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable �f ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Requirements Form � ❑ Surve meetin all re uirements ❑ `� Stormwater Pollution Prevention Plan ❑ Hardcover Calculation s o►s Sua-v� ❑ Se tic S stem Site Evaluation Re ort ❑ � Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ � Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. v � -� ApplicanYs Signature: �---��-^--� Q��''�%//d Date: o�' �J C� `D� Last Updated: 6/22/2009 -20 - � : E�" File Ticnsaction Main[ain ReDorts ,.�,_ ___.._»_ ..�..,...,....._._ ..._,.,,..,.... ,. ,.. .....s,. ..,.,,_,....,„.. .�....,.. �X r.a 3��,'-. �` ' ��a.� 'i�� 5,�'�'` { =d�{: , , . , ., . ��. m� � '� ^ ; �. , ir , * , .�.. .. . .�,u.��., 3 j ' , i � ��'�. � �. � ��) _ . �_—� ¢�. �� ,, �� rn� �E � �� , 3-- � _._ __ _____ _� __ . _.__- — � l y'�'��'" � � i� l�,�1(�i�'' Permi[tt �009-00660 � _ _ j � ��I�li il (�)i�� I� Y PermdAddreas �OS Casco Pant Rd� �� T Mam PIII AAUress � � �"Ad�itional Pltl Addrexs ---. , 3 General Fees �Inspections 161�Ibtes'�,..Applicarrt Detnfl I CCi DMail; '... ��. ; ( _ __.._ �..,..� _.,�.....��.� ,. ...... � __ I' � � { Sep�PCmitYFe 835Amourrt Ovr,523U00 VAL ATI N Ta6lettem .�._� /1C�1 uS� .�G �+�� ._...��.� .... . 1'1 � � . � 2 Plan Revi $2 321 64 � � -�--��, � �1��, . -� "' �i��w�� ,, I E �� - -` �� ,�-`j `� �; �e.v�- ; � � � 3`� � ,� � � �,, 3�1� � .,-/ -��1 U � � �, , , S ; .3��7 /�' O � � � " , � � f � l � �� t `� , ►�� '�. Add New Delete � .--""'-" � r�°- ., ,. �i�� - si��fr-�e-�,y ,€c� �'�. �.,1� :z;,�"�...,�,�. � vQ ��.l cL� V Y � �-, �� 3, C�C;C� ;� ,� ( PIN�. 20 117 23 34-OD06 3105CascoPoin `� � - � nts User��Rdod ��-=��i'r1��. : , � . . . , . � � ----_._ � �'�`�_`��7L_---�� __ _____. _ _ _- __-- r�—�, .��1-_c`,� � � �� 9 ___ _ __ -- �__:_ ��_ . s`' . � _-- .rt.._.. ._�_._w._._______ ,� � �, - ---____.___ �� — --___ --- ,' Sy__��i -- ____--� - __- � _ _ _ __ __ ----- � , � � / J ��.C'�. �— � __. __.._... — - -�✓` �____. _ --- �l + �j� _ r�, �i - -t�- - ---_ ..�_ .. -- ----- -- -- — ---___ _t __ �u�-� - �� -----_ _-- --- ---- ��u�� .�� `�c' — ----__--------_------- --- _ _ .� ��_�_ _ ---- ,.�-- - _ _�-�c�- ,-� _ _ _ -_ �'�(� -__ �-- _--_- _- -- ___-- _- _- ---__ � _ ____ _- � j,'1�� Fees to be Char ed YES NO ' Permit � Plan Review �' State Surcharge r/ Investigation Fee //-; � _ SAC-NumberofSACUnits Q � �13�y b.�b, ;�� "� � -"/tf5_" Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Misceilaneous Fees Calculated By: Square Foota e $ per S uare Foota e Basement X = � 15t Floor X = $ 2"d FIOOf X = $ Garage X = $ Estimated Construction Value: $ 523,c�cX� `�'�'" Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site �Plumbing � Grading / Filling ❑ Well � Hardcover Removal ,�Mechanical � Fire ,� Electrical Footing ❑ Septic � Water Connection ,�P ured Wall Fireplace ,�'Sewer Connection oundation Survey 0 Masonry �7'Lawn Irrigation Radon Rock Bed �Mfg. ,O�Framing ❑ Other(specify) lation s-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx Pian Review Checklist for New Structures / Additions - Address/ PID/ Legal: _ �� t C? S ��`� C cJ (�C-, , ., -T-- Description of work: `�� l'1i�1��j Septic review by: .,v Date Approved: �'� ��' ��-�`�' Zoning review by: Date Approved: � � Building review by: � �' �-�,.-- Date Approved: I 2-►'i- a S Grading review by: Date Approved: � u��/L�7 —� Zoning File#: " �J� Resolution #: Resolution Date: Zonin District Fire Department Post Office School District (�� Zoning: Lot Area: '�v �Q� S /AC Width:��OF�bVL Depth: �o i Survey Submitted: es � No Date ot-�u�y 5 ( � 2�-(� Cl Pro osed Setbacks: Front ake) Rea Stree ( N S E W ) ( N � E W ) Other Buildings Wetland Side ide l� � -�--1 � ' I� f ' ,� Building Defined Height: �� Building Peak Height: �� #of Stories Ok.. YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, j�.J� � the cornice of a flat roof, the deck line of a the deck line of a mansard roof,or the 6�' mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof � half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof � SU CT the distanc e en the basement floor/crawl ADD the distance between the slab and the highest ' /D space flo ig existin in existin rade within the foundation the foundati n r f�e�hichever i � EQUALS Defined buildin hei ht EQUA S Defined buildin hei ht ,�j ��,�r Lot Cove a . �'j� SF �d % Shoreland District MCWD Permit Received Ave a e Lakeshore Setback Bluff Yes 0 No ❑ N/A ❑ Yes Yes ❑ No � Permit Number: Gt� 7jGJ I es ❑ No ❑ N/A Setback: Hardcover Zones Existin Proposed V riance Required CUP Re uired 0-75' (Z$iF Z•5�/o Yes ❑ No � Yes No 75-250' �� Z�v Typ��;^ „ ,�� TYPe�S)� 250-500' g o Vvvv� 500-1000' REMARKS (in-house): U pdated: 09/11/2009 z:\forms�plan review checklist.docx � � � � . A� �� . Job Site Address: 3 V a� CASGD �011�!� � PLACE YOUR C]TY LOGO HERE � ' Provided for your use-counesy of the "CATEGORY 1" ALTERNATE FOR Ciry of Inver Grove Heights � ONE & TWO FAMILY DWELLINGS � 65�_�so_�sso � INSTRUCTIONS: This alternative may be used for one- and two-family d�i�ellings built to meet the Catego�y 1 requirements of Minnesota Ru1es,Chapter 7670. Complete Parts A,B,and C. Clearly mark plans with: insulation R-values; window and skylight U- va]ues; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed infom�ation can be found in the�14innesotn Ene��}�Corle summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE _ _ Check proposed envelope joivt sealing option -� ❑ Prescriptive(caulking,gaskets,etc.) ❑ Perforniance(test per 7670.0470 subp.7.C.) Check thennal energy calculation option used� ❑ "Cookbook" (complete worksheet below) � MnCheck method(attach report) ❑ Perfbm�ance (attach U-value calculations) ❑ Systems Analysis method(attach analysis) « �� M1NTMiJM REQUIREA'IENTS Cookbook Worksheet (for"Cookbook"o tion only) ❑ Ceiling Insulation: Minimum R-38 with 7%"energy heel; or INSTRUCTIONS Minimum R-44 with low truss heel; or Step 1. Check item(s)that design meets on A�ininnnn Reqi�irements list Minimum R-38 with R-5 sheathin when no attic. to the right.Must meet all items to use"Cookbook"option. ❑ Ent Doors: Max.U-value of 030 or 1'/a"solid wood with storm Step 2. Indicate proposed wall rype on tabie be]ow. ❑ Rim Joist Insulation: Minimum R-19 Step 3. Indicate Window U-value and source. ❑ Floors over unconditioned s aces: Minimum R-24 Step 4. Verify total window(including area of all foundation windows) ❑ Foundation Insulation: Minimum R-]0 and door area is equal or less than allowable percentage. ❑ Foundation�a�indows: '/"insulated lass,wood or vinyl frame TABLE FOR DETERMINING MAaTMUM WINDOW AND DOOR AREA Maximum A]lowaUle Total Window and Door Area as a Percentage of Exposed Wall ]2% l4% 16% 18% 20% 22% 24% 26% 28% Wall T e (Standard Framin ): Maximum Avera e Window U-value(exce t foundation windows): ❑ 2x4,R-13 insulation, R-7 sheatliing 0.55 0.47 0.41 036 033 0.30 0.27 0.25 0.23 ❑ 2x4,R-IS insulation, R-5 sheatliing 0.52 0.45 039 0.35 0.31 0.28 0.26 0.24 0.22 O 2x6,R-19 insulation,<R-5 slieatl�in 0.48 0.41 036 032 0.29 0.26 0.24 0.22 0.21 ❑ 2x6,R-19 insulation, R-5 sheat]�ing 0.56 0.48 0.42 037 034 031 0.28 0.26 0.24 ❑ 2x6,R-21 insulation,<R-5 sheathin 0.51 0.43 038 034 030 0.28 0.25 0.23 0.22 O 2x6,R-2l insulation, R-5 sheathing 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 Wall T e (Advanced Framin ): M�ximum Avera e Window U-value(exce t foundation windows): ❑ 2x6,R-]9 insulation.<R-5 sheathin 0.52 0.45 0.39 0.35 03] 0.28 0.26 0.24 0.22 ❑ 2x6,R-19 insulation, R-5 sheatl�ing 0.58 0.50 0.44 0.39 035 032 0.29 0.27 0.25 ❑ 2x6,R-21 insulation,<R-5 sheatl�in 0.55 0.47 0.41 0.36 033 030 0.27 0.25 0.23 ❑ 2x6,R-21 insulation, R-5 sheathing 0.60 0.52 0.46 0.41 036 0.33 0.30 0.28 0.26 ,__,_._...._-.__., _.._ _.._ _ _ . . . T - __ __.. _ .. Window U-value: ! ; Source: ❑NFRC ❑ ASHRAE 1993 Handbook - ----___.......-- --------..._.-----________----.._..__...._____-------_.._.�� ;--------_�_ ---_---- r��_.._.�._------- ;- --_-.------....___-, - ---l �o o X �__ __ .._ ._ __----._. ...J = i. .. __._ .._____.._ ____ _ �____.__ __._.__.__°�o__ < i__ _ _.. . °�o__.� _ window&door area gross exposed wall area DESIGN ALLOWABL� (from taUle above) MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ? TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES Detached R-3 occupancy l-and 2-family dwellings Chapter 7672; or Examples: sin le fami] ,twin homes,duplexes Chapter 7G70"Catego 1" witli statutory depressurization and ventilation requirements Attached R-3 occupancy dwellings Chapter 7674; or Exam ]es: tri )ex townhouses and row houses Cha ter 7670 with either"Cate o 1" or "Cate o 2" rovisions R-1 occupancy buildings of 3 stories or less Chapter 7674; or Exam les: condominiums or a artments. Cha ter 7670 with either"Cate o 1" or "CateQo 2" rovisions R-1 occupancy buildings over 3 stories high Chapter 7676 L•xamples: hi h rise condos or apartments ��.,�»�, ' _ ,� Part B. DEPRESSURIZATION PROTECTION Cl:eck optiqn used: � Fuel bui7�ing equipment (complete schedules below) ❑ No fuel burning equipment INSTxucTtoNs EXHAUST L MAKE-UP A1R SCHEDULE* Step 1. Complete tl�e Combtrstio�t Eqtripnre�tt Schedt�le below. Only equipment Exhaust devices over 300 cfi�t _ Flow with a Y(Yes)may be selected under the"Category 1"alternate. cfin Step 2. Complete EYhaz�st/Mnke-up Air Schedule on the right if direct or power cfm vented or solid fuel atmospheric vent space heating equipment is cfin selected. • COMBUSTION EQUIPMENT SCHEDULE (check all types proposed) Space heatiiig—nonsolid fuel Sealed combustion Hearth - nonsolid fiiel Sealed combustion ❑ Direct or power vented ❑ Direct or power vented Y Y* ' Afmos liericall veiited N Afinos liericall vented N Water heating—nonsolid fue] ❑ Sealed combustion Y Space heating-:solid fuel ❑ Atmospherically vented Y* Direct • ower vente� Y Waterlieatin -solid fuel ❑ Atmos herically vented Y : Atmosplienca �iited N Heartli=solid fiiel ❑ Atmospherically vented Y * If atmospherically venfed solid fuel or direct or power vented iionsolid fuel space heating is installed, then make-up air to'matcli flow is required for each individual exhaust device which exceeds 300 cubic_feet per minute. �2i�i'� �1. ��+ ��1-��'�i�� VENTILATION QUANTITY `_' (Mechanical veritilation must be provided per the larger quantity calculated below) �ZZ(v .cubic feet s 0.00583/minute-= LPj E cfm ( ��-� x 15 cfm/bedrootn)+15 cfm= �,� cfm` volume of habitable rooms ` number of bedroon�s , ' '. ' VENTILATION FAN SCHEDULE ` Check method s ro osed'� ❑ Exhaust only � Balanced (heat recovery ventilator,air exchanger, etc.) � )P p Fan descri tion or location -� p. � 4 S • 3 G�( 'TOTALS VENTILATION Intake' ' cfm- cfm cfm` cfin` ' cfrn AS DESIGNED `Exhaust 3 3 0 cfin; L,d 0 cfiii "cfin' cfin : ' cfin Statement of Compliance: The proposed building design represented in these documents is consistent with the bui]ding plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of tlie Mim�esota Energy Code. v ��1>E. �t r F4-`�" -- ��' B I - 3 U -�q �n I 2- 3�9 —/�0� Applicant(print name) Signature Date Te]ephone number Part C2. VENTILATION (Submit Part C2 upon completion of system verification�) 4/ G� --------------------------------------------------------------------- Job Site Address: Permit Number Fan descri tion or location TOTALS MEASURED Intake cfrii cfn� cfin cfm cfin PERFORMANCE�' Exhaust cfm cfm cfin cfin cfm j` '_Ventilation rate must be ineasw-ed aiid verified when the perfonnance option is used in lieu of the prescriptive option for the sealing of joints in the building conditioned e�ivelope(fronrParf A): Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant(print name) Signature Date Telephone number �:�� :�"��r ...�:; .±.. Y�W., ._ ,+,�.�� . �. III!�stration #5 Version 1 .0: May 2009 � New Construction Energy Code Compliance Certificate Per N 1 I 01.8 Building�Ceitificate.A building certificatz shall be postcd in a�nnanendy visihle location inside the building• ' BUILDERS I'he certificate shall be completed hy the builder and shall list inCormation and values of components�isted in"fablz N110 LR. w�waATioN oF rniNNesorn For detuled infoitna�ion on how to coiTecdy complete this 1'um�go to wn�u:Gamn.urg/enerp,ycnrle Dr E'eluped hp rhr[3nild�-�sAaroclnri��n ojAO;nnecora fr,� se bv�hr recidenrial cnn.slnicriun indmn,v. 3 I o S--Cpsco �o►n[�-- -- _--- .._..--_ __ __...- ------ DRonIO - - __ __. _ ._.-__ -- _ -- - - ____._. ...__ MailingAddrzss of Dwelling o�Da�elling Llnit City Date Certificate Posted C E-�aR�� '�'_�o o DE /l!01ro �o cv_3��_�-�__u�_v_ N�me of Kesidential Contractor � MN License Number THERMAL ENVELOPE RADON SYSTEM e Type:Check All That Apply � Passivc(No Fan) 0 C Activc(\�'ith(on and monometer or nther z � � � systcm monitoring dcvicc) � � o~ � u � c � �. � U � � � G V � � Q V W IZ G � � � � � G � C pa ^, � � � ` � :� z �; �; ; � � � � 4 � v a � � � `o � L° E c � 3 � � � u u q � � . . lnsulation Loeation :° Z 'w 'w � U'. � %—Y, x Otheq Please Describe Herc t3elo�r GnHre Slnb � �� 5 L Foundation Wiill Ci�rle I.oc•c��ion.•bverior/F�-terior�Lrtegra! � � Pcrimetcr of Slab on Crodc � Rim Joist(Fotrndntion)Circle Lncntl�n:Interior/Ext�rioriLntegra! �,"� Riro Joist(Is!Flnor+)Circle Loca�ion:lnrerionG.r�eriar7irle��a1 � �1�a I I Z� ,� Cciling,flat � J � " � � '� . Ccilin�,vaulted 5� � � •�" W5� .�L� 0•� [3ay wi�do�rs or othcr cantilcrcrcd arces 3'7 � _/ i v lionus ruom ovcr�aragc �.�. Describe othcrinsulated arcas Windows & Doors Heating or Cooling Ducts Outside Conditioned Spoces Average U-�ac[pr(e.cch�des 1)ery.n.,skplighls und one door)U: • 3 D [�/�Not applicable,all in conditioned space Solar Hcat Gain Coclficicnr. . � [ ]R= ME�HANICAL SYSTEMS Make-up Air Applianees Nexting System Domestic Water Herter Cooling System Se%rct a T�pe Fue17)�pc �at3 a, �(i�L"T]z�L. ['✓I Not required per mechanical code �[anutucturer �y�/j}{ IJI'�YaN-r [ ]Passive [ ]Powered Model � e,>!�r SQ � A�a ( ]Interlocked with exhaust device, describe Rati��;or Size Input in B'I 11S: Z Capacity in Gallons: Output in 7'ons: [ ]Oiher,describe: Slruclure's Culculvled I�eat Loss: --Not Applicable-- Heat Gain: Z Locution ofd.u/ct or.s��stetn: Efficicncy AFUEorHSPF°/r --NotApplicaUle— SEER: J3 1�•� - 9�.. Calculated cooling loed: Cfur's I- - -] Size ofdrtct[ )inch round Mechanical Ventilation System orz�__��„�nn,ecai Desc'rrl c nny nclrliGanrd nr comhine[f heuting nr cnoli�rg s}•slems if irrstalle :(e.q.two fin�nares or air source hent �ombustion Air f7!l/tl(7 N'!!It,{'C!S GUCIi'll�)J�ll'flllCC'f 2 �-t,►►LuQ.eE 3�7��''l � O� �7L�r1S F��L� Select a Tipe Seles�f n T�,pe [ ]Not rcquircd per mechanical code (�/�k-Ieat Recover Ventilator(HRV) Capacity in cfmx Low_ ��/1�i�h 0 � O [�/j Yacsi�-e [ J F.ner�y Recover Ventilator(GRV) Capacit��in cfms:I.ow_ _ _/High_ __ [ ]Other,describe: [ J Continuously cxhaustin�fan(s)ratcd capaciry in cfins:_ _ _ Lorntion ojdrrct ors��srenc Location of'tan(s)check all that apply;[ ]Master badiroom( ]Hallway[ ]ocl,e�describ�: �ELN • RoOM Cnpacrty Cj�u's[—— —] Continuous ventilation r:ttc= - - -cfin Size ofduc![_��inch round Tolul aenfilntion(intermittent+continuous)rate= _ _ __cfin OR[__]inch metal 42 Builders Association of Minnesola 525 Park St, Ste 1 SO I St. Paul,MN 55103 800-654-7783 or 651-646-7959 wv�nv.bamn.org . ''y� .� C ��,� . l��S +Y��S�� i -. r �!'.'�`•:1�a l�'�+. c ;, ; �.ki' . REScheck Software Version 4.3.0 Compliance Certificate Project Title: Job #9411 / Richey Job Energy Code: 2006 IRC Location: Orono, Minnesota Construction Type: Single Family Glazing Area Percentage: 18% Heating Degree Days: 8037 Climate Zone: 6 Construction Site: Owner/Agent: Designer/Contractor: 3105 Casco Point Steve Licht Orono, MN Charles Cudd Company LLC Permit Date: 11-30-09 15050 23rd Ave.N. Plymouth,MN 55447 612-359-1709 slicht@charlescudd.com • . . Compliance: Maximum UA:871 Your UA:846 . . . . . � . . Attic:Raised or Energy Truss 2112 44.0 0.0 57 Upper Level Walls:Wood Frame, 16"o.c. 1600 19.0 0.0 77 Upper Level Windows:Above Grade,Wood Frame, Double Pane 318 0.300 95 with Low-E Upper Level Bays:All-Wood JoisUTruss,Over Outside Air 102 38.0 7.5 2 Upper Level Rim:Wood Frame, 16"o.c. 267 0.0 9.4 29 Main Level Framed Walls:Wood Frame, 16"o.c. 2300 19.0 0.0 103 Main Level Windows:Above Grade,Wood Frame,Double Pane 419 0.300 126 with Low-E Main Level Doors:Solid 69 0.070 5 Main Level Doors:Glass 88 0.300 26 Main Level Bays:All-Wood JoisUTruss,Over Outside Air 224 38.0 7.5 5 Main Level Rim:Wood Frame, 16"o.c. 384 0.0 9.4 42 Lower Level Framed Walls:Wood Frame, 16"o.c. 1206 19.0 0.0 57 Lower Level Windows:Above Grade,Wood Frame, Double Pane 167 0.300 50 with Low-E Lower Level Doors:Glass 64 0.280 18 Lower Level Doors:Solid 21 0.070 1 Full Height Foundation:Solid Concrete or Masonry 740 0.0 5.0 60 Wall height:8.7' Depth below grade:8.2' Insulation depth:8.7' Garden Walls:Solid Concrete or Masonry 44 0.0 5.0 5 Wall height:3.2' Depth below grade:2.7' Insulation depth:3.2' Walk-out Foundation:Slab-On-Grade:Unheated 118 5.0 88 Insulation depth:4.0' Furnace 1:Forced Hot Air 92 AFUE Air Conditioner 1:Electric Central Air 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IRC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Project Title: Job#9411 /Richey Job Report date: 11/30/09 Data filename:F:\Drafting\Signature Developments\Off site\9411-RicheyWrchive\9411-Richey-Heatloss calc-113009.rck Page 1 of 2 ., . � � � r�vE ��c�r .. .-� — �f.�t � � - 30- 09 Name-Title Signature Date . S�n��orL Dr�Frsr�,�ti/ Project Title: Job#9411 / Richey Job Report date: 11/30/09 Data filename:F:\Drafting\Signature Developments\Off site\9411-RicheyWrchive\9411-Richey-Heatloss calc-113009.rck Page 2 of 2 Melanie Curtis From: ' Melanie Curtis Sent: Tuesday, December 15, 2009 3:56 PM To: 'Richey, Kent E.' Cc: John Sonnek; 'Steve Licht'; Lyle Oman Subject: Building Permit Review& Revised Escrow Agreement Attachments: C ACTION NOTICE.doc; Escrow Agreement- Building Permit w Erosion Control REVISED.pdf Kent The building permit review for 3105 Casco Point Road is not yet complete. We will contact you upon finalizing our review and provide you with a building permit fee amount. Please sign the attached escrow agreement. It should be submitted with the building permit fee at the time the permit is issued. This agreement will replace the one currently on file associated with your demolition permit. Changing the agreement will avoid having to close out the existing escrow account and submittal of a building permit escrow. I have also attached the Council Action Notice documenting the City Council's actions at last night's meeting. Please contact me if you have any questions. Melanie Melanie Curtis Planning &Zoning Coordinator City of Orono 2750 Kelley Parkway Orono, MN 55356 Direct Dial: 952.249.4627 Fax: 952.249.4616 Planning &Zoning Office 952.249.4620 Email: mcurtisCi�ci.orono.mn.us Website: www.ci.orono.mn.us 1 � 2335 Highway 36 W SL Paul,MN 55113 Te1651-636-4600 Fax 651-636-1311 www.bonestroo.com December 4, 2009 �Bonestroo Ms. Melanie Curtis Planning and Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 3105 Casco Point Road File No. 000139-09000-1 File No. 09-3437 Dear Melanie: We have reviewed the plans for the proposed new home construction at 3105 Casco Point Road. The plans are dated 11-24-09. We have the following comments with regards to engineering matters: • It is our understanding that the retaining wall along the north side of the house is a cast- in-place concrete wall integral to the house foundation and its design will be reviewed by the City Building Official. • The grading plan appears acceptable from an engineering standpoint. • This project will disturb more than 100 CY of material. Sediment and erosion control information meeting the requirements of Orono's City Code 79-7(c)(2) must be submitted. The minimum $2000 sediment and erosion control financial security should be required of the owner for this permit. If you have any questions, please call me at(651) 604-4894 or send an email to darren.amundsenCalbonestroo.com. Yours very truly, � ,i�'—%�--_ Darren Amundsen Cc: Tom Kellogg Lyle Oman . Melanie Curtis From: ' Amundsen, Darren T [Darren.Amundsen@bonestroo.com] Sent: Friday, December 04, 2009 10:24 AM To: Melanie Curtis Cc: Tom Kellogg; Lyle Oman Subject: 09-3437 3105 Casco Point Road 12-4-09 Attachments: image001.jpg; 09-3437 3105 Casco Point Road 12-4-09.pdf Just a note - the small (11x17) building plan set that we have contains the old grading plan dated 1i-20-09. The house plans are current in this set with the cast-in-place retaining wall on the north side. Darren Amundsen, PE Associate Direct 651-604-4894 Cell 651-775-5623 darren.amundsenC�bonestroo.com �Bonestroo 2335 Highway 36 W St. Paul, MN 55113 Tel 651-636-4600 Fax 651-636-1311 www.bonestroo.com Northern Environmental is now part of Bonestroo. 1 � � �v � TIME � CITY OF ORONO -�CCED IN � � INSPECTION NOTIC CHEDULED Z- /U �� PERMIT NO. �U��OMPLETED ADDRESS � �� L�� — OWNER ��TE PHON NO. ll�al��J- SOJ� CONTRACTOR ��i��C4L/�i1.�� ✓//Ll �: DESCRIPTION �/"�-w/ � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h O ❑ 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 J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J v+3�,�, � �- S f3 v i -�- -- � o ' _ - 1,� � � . j�/ �� . n �� icv � � 1`- /�l.C� < Cr�/)G1f� �il S�'�l''tiU� Q � Q�0 fQ 1 i � - � • rC� � z `J't^ � �l W � W � � GW ❑WORKSATISFACTORY:PROCEED L�K�iOJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. T� � White Copyllnspector's File Canary Copy/Site Notice �� - � ATE TIME CITY OF ORONO �—CALLED IN / �G INSPECTION NC�� .��B�SCHEDULED 'r'( _c��f� PERMIT N MPLETED ADDRESS D� �� OWNER CONTR. TELEPHONE NO. C !� —�� 1 �� DESCRIPTION �_ �'�'FaOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � ��, C� l� l� �.../' 0 a � � S'T A ,.K.�e c� �, �. f,l�� ? t' W Q0,� 5 . -f-2 --' � z w � W � j a— � �lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �l-! ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� Z49-460� Owner/Contractor on site: Inspector. � .S� � White Copy/lnspector's File Canary CopylSite Notice � —" � � ATE TIME � CITY OF ORONO � " "�ttttED IN �� INSPECTION �C —DD p�/ �HEDULED � /d �• � PERMIT N . �� PLETED ADDRESS 3 �� OWNER TELE�PH E NO. — `s�D�� CONTRACTOR � Cs� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS O �'"'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 J ❑ PLUMBING RI ❑ S TI FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU• YES_NO � COMMENTS: � W a � J O � � O � W � Q ti 2 w � W � � d � W '�QWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W `�CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY � ❑ 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. Cail forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on si�e: _ Inspector. � I�� o � White Copyllnspector's File Canary CopylSite Notice C r/ � � AT TIME ✓ CITY OF ORONO CALLED IN �v INSPECTION NOTICE CHEDULED o �� PERMIT NO. a��dg��OMPLETED ADDRESS � ` �,aj4�� T OWNER TE PHO E 0.�� "`5��Fl,y CONTRACTOR ��/�� ` �; DESCRIPTION `"-� '"`-'r "�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �ULATION ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � 1 j� � W � Q � Z W � W � � O W� ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-4600 � OwnerlContractor o si : Inspector. White Copylinspector's File Canary Copy/Site Notice C I� � (� r\Q TIME " (CJ � 1��/V / CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT NO.,�,�� D�� COMPLETED ADDRESS �� C� C CA C C� �� OWNER CONTR.��. TELEPHONE NO. � �3 " �L� � I � lN�f. �� e� +�. � DESCRIPTIO� ��% �� ,l.i�'1'C l��l n-Y� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANfCAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOl.�.YES_NO � COMMENTS: � W � � J O a � O ' � � � W °� A� � e o� Q � z W � W � � O W� SATISFACTORY:PROCEED C-i PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHtN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: _ .. Inspector. � ,� � White Copyllnspector's File Canary Copy/Site Notice c�� / DA TIME CITY OF ORONO CALLED IN INSPECTION NOT E ^ SCHEDULED "� � PERMIT NQa7�� —Q� �v COMPLETED ADDRESS �3i� 5 C�-�-�� <T r _ OWNER TELEPHONE NO.�5Z ��S l3� 7 CONTRACTOR ��.�G�� >; DESCRIPTION 1��1� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C O *-� �� C� � � � � � TZ� Ca C f�' W � Q ti Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑COR ECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. .% , /,�—� ✓��,� White Copyllnspector's File Canary CopylSite Notice