HomeMy WebLinkAbout2013-00271 - mechanical � CITY OF ORONO * 2 0 1 3 - PJ 0 2 7 1 *
. 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 80 CREEK RIDGE PASS
PIN : 03-117-23-12-0018
LEGAL DESC : CREEKSIDE IN ORONO
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 21,600.00
NOTE: 2 CARRIER NAT GAS FURNACES
2 CARRIER 3 TON AC
1 GAS FP-PIPING ONLY
1 KITCHEN EXHAUST
5 BATH EXHAUST
GAS LINE TO OUTDOOR GRILL AND FP
APPLICANT MECHANICAL 270.00
FLARE HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) ]0.80
9309 PLYMOUTH AVE N
SUITE 104 MAIL-IN FEE 2.00
GOLDEN VALLEY, MN 55427 TOTAL 282.80
(763)542-1166
OWNER
Hometime Video Publishing Inc
4355 PEAVY RD
CHASKA, MN 55318-
AGREEMENT AND SWORN STATEMENT
The work for which[his 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[he work described and does
not grant permission for additional or related work which requires separa[e
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 not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime afrer work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with[he State Building Code.This permit may be
revoked at any time for�1ue cause.
�I�t-�� �iV'� / / �'✓L�-.'� l l
Applicant Permitee Signature Date Issued y nature ��Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
' FOR CITY USE ONLY
�O�O City of Orono ��s `
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: `
Phone(952)249-4600 Fax(952)249-4616
y� �
l�kESN�¢�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Maishall)
GENERAL INFORMATION _ . ,.
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour norice required)
7. House Heating Test Record must be submitted before fmal.
TYPE'OF PERMIT . , .
. .
Check All That A 1
� Residential ❑ Commercial(Approval Required)
� New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: �� Cr�e1��dg e �po,�5
Owner:� 1(�}����}'��i Mailing Address: JJ.� � .
City: �;hr�StiC�, Zip: ��� D
Home Phone: ��Z - 2�1 - ��q� Alternate Phone:
Contractor Information:' - _ -
Contractor: ���r�, ��.�h C1 � � � L Contact Person: ��� _
Address: �Jd_J�`� rYIUU�I �� State Bond#: f Yl� aU'�j L{Z,�
City: � 0��� Zip:��Z�"Expiration Date: 1 � �
Phone: ��D�J�� ",�`�1 Z � �� U' � Alternate Phone:
� Insurance—Current:
1
��� �.
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [�No
HEATING SYSTEMS
Quantity: � �
Make: C��'v�e�
S 1 r9N7Aom�
Model: �mnr7/�o4 0
Fuel: l��T'
Flue Size: Z`� P1r�-
�.v�toc
Input BT`LJs: loa�e o0
Output BTUs: $�� Z00
CFM: I ��'O
COOLING SYSTEMS
Quantity: � J
Make: �.,,�V�i�'
Model: (a� 25 UNAl9 �b
Tons: � ��s
H.Power
FIREPLACES
�, Gas Factory Fireplace �KkS�v I Pt� o�� � Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
' C F,�''�
[1� No. � Kitchen Exhaust �De� duct���recirculating cfm
�qf No. ,',� Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill f�] Other/List What&Where: r � ✓'C(� �c c�Q
2
� e , PERMIT FEE CALCULATIQN(S) . < �
t r� � �, y i r � t� . .>.i . wn".S� "f�Yy��,.s t.#.� .?��r� S .., s-;�h ,h {�, K �y'"� i a r..
*_� _ _ ' :' �`. k�'�BASE�DxO�F"_�2002��TATE S`I`ATIJE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
���. �O :.r�a � R, '.Q.
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�1,�D b O X.oi2s$ �� � -�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
2-� , � �v x.0005 $ ( O • ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �c�.�Z_ �G
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
�N� �,
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
A licant's Si nature: Date: � I2�I �
PP g
3
DATE TIM�/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �_
PERMIT NO. 0�313 -ddo27/ COMPLETED �''oZ -!.5
ADDRESS � ��'Gc-,� �� ��'�rS'
OWNER TELEPHONE NO.
CONTRACTOR �►'''�����-�
� DESCRIPTION G4� ���
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q � ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO
��., COMMENTS:
�
W
a
ol,�JQ�.� � ►�-.e�`�a5-� —
�.
�
0
�
W
�
Q
Z //�r i/v�
W
�
W
�
J
d
W� ❑WORKSATISFACTORY:PROCEED /B�ECT COMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractoronsite: QQ�/�-
Inspector. r�^'
White CopyAnspector's File Canary CopyfSite Notice
�� �
ZDA7TE IME
CITY O ORONO CALLED IN
INSPECTION NQTICE SCHEDULED �-_��
PERMR NO.�' � ��/COMPLETED �
ADDRESS
OWNER PHO N07��¢'���4�
CONTRACTOR
� DESCRIPTION ' �
W ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_HO
c��, COMMENTS:
� - �
� Ccf✓e�►�.�,s ,��ro v�d.�,o '
�
J
O . .
� - ��i�le� oZ 1��!/ u.�c�,S �' �nd•c,��o e rt
O I'���t� E�'lG/�f�1 ��Yc �c�v�d�it�c•�t�-e �6 �'�t —
W �
�
Q
� �f// �,� K �-�p�,�� -
z - -
� ��.u-�G r�.�c�l� �-
�
j
d
W� ❑WORK SATISFACTORY:PROCEED ��ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECO'VERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: ��J.G1k rI
�
Inspector: �
White Copyllnapector's File Cenary CopylSite Notice
S� DA E TIME �
CITY OF ORONO CALLED IN -
INSPECTION NO ICE SCHEDULED — — •3�
PERMIT NO����"�27� connP�ErE� i�
ADDRESS 1I�0 ��'�'�" �� ��/y4
OWNER TELEPHONE NO.gSZ Z37 3,��Q
CONTRACTOR
� DESCRIPTION - /- � � �/`S " "�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� O FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ IC FIN ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTORTOMEET OU: XYES NO
� COMMENTS:
�
W
a
�
J
O
>.
�
O
�
W
2
Q
�
2
W
�
W
�
j
O
W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP OFDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952� 249-46��
OwnerfContractor on site: '��°�
�- � �
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
�
5�� DAT TIME �
CITY OF ORONO �� � CALLED IN I
INSPECTION NOTICE SCHEDULED —� / 3 : ,�
PERMIT NO.�D/.�rDb� COMPLETED
ADDRESS l�� C����� �
OWNER TELEPHONE NO. ��'� ��Z����
CONTRACTOR ���G1�c-e-� � , � �
� DESCRIPTION � /�r /'`�� L�%�'� � ���
�
� ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� � I�
0
� ; L c/ S
0
�
W
�
Q
�
2
W
�
W
�
J
d
W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �7'�BRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. � .
White Copyllnspector's File Canary CopylSite Notice
(
��`� DATE C� TI �/
CITY OF ORONO CALLED IN � �<� I� i �
INSPECTIO NOTICE SCHEDULED �� .�--j e'�
�T
PERMIT NO.���, �I�, -L.(���1 I COMPLEfED
ADDRESS ��� �Ft�t%I� �,�{o,.a ��c;�
OWNER I-�fi� T��►���.G TELEPHONE Np�4=� ���' ����
CONTRACTOR �[��ai� I-�(:��l ��
� DESCRIPTION �`�l�- '��.�� �� �n ���:� ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
� Sf �
0
�
0
�
W
�
Q
�
Z
W
�
W
�
�
J
d
� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerfContractor on sjte:
Inspector. � �� w�J
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION SCHEDULED � S,�V
PERMIT NO. ��� � COMPLETED
ADDRESS�� ��� Q--�-�1�u, �
OWNER TELEPHONE NO.
CONTRACTOR ` I G--1 ��- �k� � ��' ��o
� DESCRIPTION ��� �-�`'� �� �I ��,���
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO .
� COMMENTS:�q� 1��r� A�l»Jo - �E5 I[����5
a� ��S��E�/ G y Sw�1/7 � ✓e�+.�rt 4,i q/'��6l
� � �r/ ��S /
0
� QO`v� Co� l�%� . E��r L'.�s C°or►t �s.�'-e�
° L'�.�:�.F�c�� '
W � _
Q /41 �d� rils� �c��5 �f�G �
�
2
W
�
W
�
J
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site: �l�'K Ll rv
Inspector. ��--• �
White Copyllnspector's File Canary CopylSite Notice
�� � �� �
TE TIME I
CITY OF ORONO CALLED IN 1��� — �
INSPECTION NOTICE SCHEDULED � �/-/S- 1 G=�
PERMIT NO.�C`/_3-�.�7� coMP�ErEo
ADDRESS �� ����-�,�� ��z�.�'
OWNER TELEPHONE NO� � `
CONTRACTOR r�
� DESCRIPTION � ��--
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FI L
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXC /GR ING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMB�NG FINAL ❑ TR E REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ S E INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ ATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE COMPLAINT
v ❑ FINAL ❑ WATER HOOK-UP FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�.
�
O
� -
W
�
Q �
�
2
W
�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V FORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 ours in a . 52) 249-46��
OwnerlCortVactor on site:
Inspector. G
White Copyllnspector's File Canary CopylSfte Notice
� ��+ DATE TIME ✓
� �7-/ /3
CITY OF ORONO CALLED IN /�
INSPECTION NOTICE SCHEDULED 7�—/� �
PERMIT NO. ��� 3 " COMPLETED
ADDRESS (/
OWNER TELEPHONE .9� �37�37`�
CONTRACTOR � � � �.w
>; DESCRIPTION �� � �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EX /GRA NG/F LING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE LANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �� �'���
White Copyllnspector's File Canary CopylSite Notice
DATE TIME `�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �� �1
PERMIT NO. COMPLETED ���-�'='� •,C�O
ADDRESS � �! �rCA 1� � � �,g e p�}SS
OWNER TELEPHO NO. ��3'' S`{4� "
CONTRACTOR t���'� �����" ����
[ � � , y ' /Lt A�;_1 s�rc
�; DESCRIPTIOIW�' � � � � ��c S'fi ,�=� F�T
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d /J
W G�"OVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i pection 24 hours in advance. (J52� 249-4600
OwnerlContracto t -
Inspector.
White Copyllnspector's File Canary CopylSite Notice