HomeMy WebLinkAbout1990-003457 - vaulted ceiling, PERMIT
�ITY OF ORONO PERMIT TYPE:
�:?35 Brown Rd. South • P.O. Box 66 Permit Number:
c'rystal Bay, Minnesota 55323 Date Issued: E�i;��,�j i��t�
iiiy_;t�S�
;:�12) 473-7357 �������,,���
___ . _
.�� �-�q �=��:�DRESS:
_;��.� �.:f.�;�°_�;��_ �=a� :�;-.
�.,
L_._�
DE�C�fP�TI N: ��-:�� .:- _ y.�_
'�'t:,t ii_���? C:�T�.I h�c; L_F;
r�:i.�il��ir��� r='r�rr��:t• T���� :=;F—i��.;f�i(�`f:ti►�i��L
�'I � �_� �' VF _. .t�t:�F[� � �'r_hr i ,�lr��
�_�_.�il�lii�,a 4?':i�►:. T, �� n�:_i�t..�YH. G.�!?�"_!"t_�E..�L_
f S�-:(: I��=t=t_�i','=c'I ll'-`/ - - tt` _'
"Y '-.'i.i"�i�i'i.i.a � 1 '
i.:;_=.�•_.. _'t i y�°�J 1��i
-;s� ;,�' ")t�.f'riif
i,i t t L�� 'u:�unu
r
.�=3;+r1�!'i- t'i�z'f�
I 1:t^:iL.i� i!1 ! 14L
". " -:°tid! n
tJl.+.J.l.�.'�:'VYV
7f.7. LRLlL �.!'7+VY
I } '�'!7e'�}f�ti6rH! �'
.!i'JV1�f�'LNV �
' ' i!� �� Til
.,.. .."_ '_'....._. _..._._..__�._._.__'_____`_�_
j,i.l. iJL't etV
��2'��fy �^"Re •i::':•'� ri:e:`�•6t} n
�3`,s,! t�... ?� .�. _ 1LL�i+1'VVV1f
i!.i. IJL!� d e 1 V
� +�OL�f�'� i •''' :5't
l.:1}LLd1 1 L :�1.`�LV
-.---in-- • r•;
__.._ _. _-_ _r__fk. .._.... ____.__.___.—__'.'_ . ._._..'__.__---_'_ ::ii'�
. i....���Lni'.�� i u
. _'_.__,_ ••• •
�"�� �.Jl.ilYlIVIP'iS-1 �. ,te_= :".,.'S•i u�i •ii:a''1
.T!!. ........ i.:1.'1'l. 11V2 –1.t.L'�L?
��_. .. .. :�t:
1 I { �\ � �r�}1��
i TI _fa �._
__f�
V� .
I ��d•�r� �CF° `�':,t;. . i)'•�'
' t='I�c�� R�:vi�w i =
�::� , i 4_�
'_:urcl-�•�r�-�� _______ _'�i.��{�
I T�_�t�I F�� ��`�c=y .��i1
I�
CONTRACTOR: OWNER:
-- Fi�°�`�. 1!ctilt- _'
�1t��;T i��! �i�i��
:�:��.;' C:�Y:�;Tr`�L E�A`r` �i�t
��ll;�=i[a�=t Mi�� �,:;°�1
i'�-!� !afi��i�t��t°=��!:�t�l�.�� ;is:_�;�;�;`'�` F;�=_�;=3;�'.:;�T'.;; ���:�Fii°f.�:r�:���.i�it� �i;�� i'�Fir�::c ;�i�. �;Ei�t!__ I t1;={���'JE�'1�����T°=�
L :�:�'�t:T='i c►_.� r`=�P�i�i r��_�+ii.c:_: ��'s_i [3�_� 'r"�i�..L '+�1's�:F;�::: a.[� =��'��i.:� ��::i.E�1F-`i._:i rii��.��_ �i��N �L.L G I T'r'� i�F
�;it�;i=;���;:� �=�;�°i�i t�i�t�����r=`: ���;?� ==3��TE ;=t� t°1I#�1��+�::'_��=�T�. F:�!I I__C�i#+��.� �_i���� �'��5��.=I�i�t;�!`aT:=: _�
, � �
�,�-�>� �.----_.
�i���/` ��c�"'�� �
7 APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��,,.,
� �� �{,�iQo
CITY OF ORONO - BDILDING PERMIT APPLICATION
Total Fee : $ ��L� Date Received:
�
Date Approved: ����Qj)
Entered By: ��
Permit#: _��rj`�
AT•T• INFORMATION MIIST BE SIIBMITTED IN FOLL BEFORE PLAN REVIEW i�TILL� S3A�T�
(See Check-off List Enclosed)
- - - � - - -
------------------------------------- -----------------------------------------
THE APPLICANT IS: (circle one ) OWNER r CONTRACTOR
JOB SITE ADDRESS: y ''f �-{ � � v�Y`St'�� �:>�1 �� �.'� ZIP: � � ���' �
(work) /'v'�6'��
x� oF owN�x: T}�l� �/�1�r#r�, rHor�: (home) �' �7� - ?4 7 i
1�3[iIL11VG FiLLt(�.SS: �3��y � C`W�S�ta� �ut� /�� �zTx: j�J���;�� za�: �� �3� 1
CONTRACTOR: PHONE:
HAILING ADDRESS : CITY: ZIP:
TYP$ OF WORR: New Addition Accessory Structure Move
Demo Remodel/Al.teration� Renovate Land Alteration
(L. P,ou�t�
PROPOSED WORR (describe in detail) : ���«,.r,� �,���is5z; ;•1�tai1 (�eo�c✓1 � i� S�rlr.�'�'�
�
�� 11 � ��v� Z C'��I;�� ;ri��all FN✓���it'e /�-I��- �;,.�c+Rl' �� t-� � � S �'� � : �ec..l.'�'e, � . %?r��r:�_
- - �
��,�t��~1-f'��� l.�l�ll �. rr�,�/�;/�� �r���+t Led�rC��'r,�a°,/y �aj l 'r�;nl� 1n1+:�'ld"�S
STORIES:�_ SQ. FEET OF EACH FLOOR: � � �, _
IU'J tU t'_
NO. OF BBDROOMS: � GARAGE STALLS:
ESTIMATED CONSTRQCTION VALIIATION (egcluding land) : $ �:�� ���
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
�rdinances 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
�hat the work will be in accordance with the approved plan.
a� :� ,
- � , ;. ,
; �
?�PPLICANT'S SIGNATQRE: �:�-� ��'��"%� ' ` DATE: 1/ {'c;E;/�f�
_..�—�
�
I i
r4
� �� �,�ks� ���: x
.���':a _.�. �;;.
�.
�i ��: `� ` CITY o� O�ONO
i s a .�� -:
n� �a",;��^ ..v:
_s...__+��.
E{n.e s.u��:++ '
•;"4a':�'S�_.�:3tl'. :
, �,�, Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
:;��.
;. '
"`� ,� - ,� ,� On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. �T�ne informazion you furnisn will be used to determine your
qualification for the permit or Iicense 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 iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to apprave, some information may become public.
5. You have certain rights under M.S. 13.04 to review pricat�
data on yourself.
6. Your full name is required to process this application or
permit.
��� ��� � 1; e� I���i ��'�"�r� --
First Middle Last
� � � � C � �Sfi� � P� ��_(��
Address
�+.i�%t 1/ �t�.�`n �"✓� b�; � � � � �
City T State Zip
'� � I �? `� �7 1
Phone
I understand my rights as stated above.
�����
Signat e
i
BUILDING&ZONING—473-7357 • ADMIN[STRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 �
ASSESSING �
�
573.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision 1. 'I`ppe of data- The rights of individusls on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be g��e� ����' An.individuel asked to
� supply private or confidentiel data conct a d tam i hin the collect g state agency,
purpose and intended use of the reques
political subdivision, or statewide aa 8e��� an�y�oWnrconsequence aris ng from h s
require d t o s u p p l y t h e r e q u e s t e d ,
supQlying or refusing to supply private or confidenti e l da te; e n d (d) t h e i d e n t i t y o
other persons or en ti ti e s a u t h o r i zed b y state or federal law to receive the data. This.
when an individual is asked to supply inves ti g a t i v e d a t a,
rPquirement shall not apply ro a law enforcement officer.
pursuant to section 1�.82, sucdivision �,
The commissioner of revenue ma rolertv tgX re°und instQucti nsu nsteadhos
subdivision in the individual income tax •r �
on those orms. . -- -
Subd. 3.
Access to c�ata by indiviciuei- Upon request to e responsible �
authority, an individusl shall be informed whether h rivateeor confident al.e Upon his
individuels, and whether it is classified es public, p ublic data on
further request, an individusl who is the subject��ge to himrlande if he desires, shall
individuels shall be shown the date withou�f��Y t �ta. After an individual has been
�e informed of the content end meaning the data need not be �sclosed to
shown the private data and informed of its mesning,
him for six months thereafter unless g �S u�e h� b enn collected o� crreatedtioT��s
, pending or additional data on the individ ublic data upon request by
responsible authority shall provide copies of the private or p require the
the individu8l subject oftrie g���'�os h of mak ng,l c�rt fyingyand compiling the
requesting person to pay _
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or �th lid8ys,�f Simmediateatcompliance ei9.su not
excluding Saturdays, Sundays and leg
possible. li hc car.not �am�,:y w:th t�e ^equest withi wrthintw ch toh o-npiynf�i m t�e
individual, and maY ��� 5��� �legalaho idaYS•
request, exeluding Sat _ ,
Subd. 4. Procediae when �a�o f ublic o�p iv te data lconcerning himself• To
contest the accuracy or completeness p
exercise this right, an individusl shall notify in writing the responsible authori y
describing the nature of the disagreeme ot beTnacctu�a e or incomplete and att mpt to
days either: (a) correct the data found t
notify past recipients of inaccurate or iauamP�t he believesdthe datalto be correct
the individuel; or {b) notify the indivi
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. � 8Qpe81ed pursua�t to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
e _ i
�; � ,J� �• 1 �r�Ci�;:��' m�.ei ��b�&Jja'�:�r.J�
. ���� ����'��►�� .��_ �,;y . ���v��� �►rn� �c.ar�� ��s�t��`
r.-:; �;��roved Addrassps S,��li Se Gispiay�d, 1��soTH �►rnC ����. IF saqa oR _
., :. MORE 1S FROYIDED IN U�P�R P�R'!'flN
° F��inly Visible And Legible From T�e
� �-_ S�r�et Frontirg�he Prop�fi�l oF Roo� ��vo R�i1+iAaVD�R !S P��'l1QED __ __.
__.' . .._._ _ _ . _ G� �
!N 50r�riT �EPVTS, 97 t'�iAY B� R��t1C�D
_ _ Oi� j�x�9 H.+�,'d/�C7�us��s. . _ ..
,�. ,
� � I�Ca� �
,
i � ' � � : �� , i�� � ' � � � / � � �
.____.�.___._.._ __..,__.__.�..._...__._ .__ _._�..._._, .�., . _ _ / _ -
_.. . /o 1 -� T =
j ' i ; . . . �'X ,, `�r �/` � F
_.:.'_.._..:_._..�.��:1.:.�y_�-�`�sH1afi;a�-, �._,.- ....._ _ � �-s. P�aw� (� ���i�iln._c�Kr�l
�__ _ _. ____ .. __.-.�._ . _.._. _. _ ._. _
„r»;e,_..�._...._... �.�r'_/�{'e'r F/oGJ._. ___�__.. /.. _ :._ } _ ` � 1 �. S.'�r_��. ��9�j► ,... � _ ..
' ' j%z"_F.�aN�t 1 n s K(u�',•nn_. � �
-_-- - .._ - -.. _. _,.u_ _._._.. , _ _�.
, , . „ ; , � .
'.__. 3/ /Z-// + �N S H/a t.'o:-r ` _ ,
, ; �
._ __ _._.__ ----. ___:. _ ._�_ , . _ � . , .�
. -
• . ; : ;
_....__�..._ _�� _ _.�. ,a.:, _ �._ -._ _.. ._
. �1
__ _..�.
, : � ��
_,_ _
. , � , � `c�"�(1 c� �,� :
_._.._i.;�,...�.�3.,.�.�.�w.�.�..i _�..' .,..�N.a.�}..�_'._.._'_..,._. � ' ..., i 3 ' � . ! - • __,__�.,_,_.r_t j i
f 4
1 1 L_.�..._..�__.
j ! � i - � i I �. i '_ ,. � _.i_ � , I ! } �:_ j� �
� , t , � i �
�,.._. . _`_..�. _ __-_----- ' __
?.:_..... .. ,.. _, _.. . ,.,_
, i , "
J �
� �J;n a�� � .
"
- .. _ e.a �-- � -
,.
�������� �.��� � i,�:��°"� �� Su�J°v�f' f�t , .
__ _ ..,_. ._., , .
; ,
-...- .-.-
__ �OR FiNTIRE BUIL IP1G Fo�' B�a�t _ . _._.. .�; ,�.
__. ;.�Jq I 1 -;n S K(a t'o.� � ; , s � �*�
.�.�. ._. _._y _.._._ � � �__
' .__. __ _._ ..�.._ _._._
, :
_ _ 3r�2 �� iQ Il o _ � . �.. .., _-,
�_. ---- - — _. _-- - - - _ _ - _ -- ..� _______.�
:t
: ��,'it SuYat•'a� � I : -- ' _
�
--___ . ... _ _ ___ __. _ _ __ t
_R. _._ ... _ . -,-- ._... ._..__ .�_ _.._. �_..�..
�
.
t �-' - . _ _ � '' � _._. ___ ._., __ �_ �.._.. �....
_. ._ _ _ _
� _ - _..� _
__ . __ _ ... .. _
'�`� Zx y
Sc,Ppt,r�t- 5.,'Ppo�t 2x�f �ky S'"fP���
' _ '�k� S�IP/.�t : _ __. ._. _ _
: S��P��
_. ..._ --__._------ �---- .._._____ . . _ --- _-- ____. ._. _ �.__ --.�. __ :;�_. _�,. ,_.m...i.
._.�,-�.. _ .__. _ �_ �._ _
'
.
. , � � .: . . , , ��Q o e i 3 ! � a
. ` '
._._..__... ___._ __�.____.�w'.___�_�_`__._..�_...�__ __ ____._ __. ____ o ,�t _ S�2 __ 7`__x .1_3.''�_'__�'�'..........�
� Be q d-� C.t'»�1�1� %S /7 � � • ......�
, , , ,
, , , , �
: , —
._. �.� ... .. �r_��_�_�y_ ..�____.. _._..�...�._.__..,_ ._.__ _.__ ,�c�odct _- __lo� K__ _�r�t__T'uss�s._'_..��.��.._ _.....
,______.. ��_ ' ., ' �....___� ._._�. . _ _s._._�.4r!l��__'�u�",�__��?_o_�awr._ ���SuP��'fi"' �
.M. ._.. �.o. ._�___._ ____. ..�._._..�
. . , ,
' y?1 ` ' ' �
_
� ? �1 ? 1 ' � , . , , . . �. .�_ _
_
, � ; ; .
:
�..._..__�._ � �__r _ ,__�. �_ �..�__v_�:..._.
� � os7`�
._... _�._. ___ _ ._ ___._�- --- _ ...._ .�___,_ _ . -- ,.... e�..�._._.
T_ , . , � , s , r.� i
.
f e � 1 f 7 1
. r od� _�/1i(av'�f--:n _ _ _ _� '._ �- --_ _..__ __ __. .._ _ _._.' _ _ �_. �..�__.._.1 '�.l_...�
.r �, .
, . , i . � , � i �
_.__, 3�r� � _�._c�ry_St-ar_���_._ r�. ' '�..�'_-__ -u�� .._- -- __ _o �'� _ OR-ONO ,� ��.�..,-
i 1 i�� + + � ' DINCY E � ± , �
� _C�0.y 20.'�'a_._����__�"�5_.3 �'1.,,_.�.,�.�.= ��. ' 'B=�. �; - - - �`,�iT t'LA I� REVl'E'ylt;- j =
;
�_ _._ w /�/�
i � � ' ' I i � � "f1VSPEQTOR� lX'L�.�c.�' � 3� ..� ' i�'�I
�;
I � ' , ; � ! i , �
� � i 1 i I i , �
�l '� ���� i .11� —�.DATE I(- 30– Cf C7�' PERMIT __ � : t ��� :
._.;-.,:�_ �.,_ 1 /1� `1�.. ' .��_ _��a _:4 _�_ ,��'_A�P�O ;.-�.,�� SC13 v?�T�'EVi �..._...4 rvo. __...�.;---t—`
� p �� 1 �J�• � �
- ;e.._- _ _ �. .
a;� , � � ; , � �,
._�n� . � ._ . i. � i � .�...._..�_ �-.,..�' - .._.! ^d.~J_ Lr.Y..i �'Y�l .. N ��i_ �
_� __ ____ '_._ .__� _ : � . � �i� TH..CJRR�.CTIONS AS OT�D
...,..,_......-
_ ; ' ; ; , ' �^.�� F,�cRGV�D •
� � � , � � — COR�ECT;& RESUBMIT '
` � ' ' �_�_._ '..�. .�_�.�...�____.J__.�. � _ .._--�f!�e:,p ccmr;pn*w , , _„ _�
..,_ $
_._. _ _._ � _...._.:�._ . ._ '
. .. ara for yourinformation 'Alf work shall be dpn� �
' • i � : ' If1 tull cce-r�tl�r�e wim ali aq-�I,;able build�r� 3C yp�ing pp�a �. ,,,�,,�.,,,,,,��' ;
. _ _._�. �._. .____ .�. ---�. ._ __'__,. _.__.... quire�r:ie^#s rrc'Ld;r,g items nat apectficeily noted fn thls rovfi'�
' ` � KEc? THIS Pi.qN SEf t�f�! �IT£AT.1�LL T1M�. ---�
CHECR OFF LIST FOR ISSIIANCE OF Pffi2MITS
FOR OFFICE USE ONLY
n
�iDDRESS OR LEGAL: 3 LI`�i � �(1�.�s �-y�L_ �-4 V� PID:
DESCRIPTI ON OF WORR: AO!� ��:J c-r�� �-<<-�r"� 7� �--' t/�'�S �'-"v"--�
----------- --------------------------------�
------------- ------------------
ZONING REVIEW BY: � �� DATE APPROVED:
BIIILDING REVIEW BY: �•,� ;��G���___ DATE APPROVED: l l-3�' ' S�
-------------------�--------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
YEi4i1m 5.'2S '� NO
PLAN REVIEW Yes_� Nv SE�AER CONNECTION
STATE SURCHARGE Yes ✓ No • WATER CONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No�� SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------�
ZONING CHECR ZIST Zoning District:
Fire Department: Post Off�ice: Sch,qol District:
; ,
Lot Area: Width: Depth:
Survey Submiltted: Yes ' No Date of Survey:
Proposed Set��acks :
Front (Lake) : Right Side:
Rear ( Street ) : Left Side:
Adjacent Structures : Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
}
500-1000 ' s '
�
3cover Variance Required: Yes No Date of Council Approval: �
C
ing: Staff Approval Date: By: Council Approval Date: �
3
I �
'.c: Staff Approval Date: By: f
t
�� � File: # Resolution #: Resolution Date: �
i �
1 �S (in house) : �
, �
�' �
'
_ _ _.._ _ , � _�,-- _ .. �..,� ,
BDILDING REVIEW CHECR LIST
�—�__-
QgC; S5f5" �- 3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
Bstimated Construction �al���: $ 2, Z-��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
�Wall Board (Masonry) Other
�Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
-------------------------------------------------------------
RSMARRS (�N H07SR) :
----------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
----------------------------------------------------------------
RSMARRS (TO BE NOTED ON PERMIT) :
✓
DATE , ,� TIME
CITY OF ORONO CALLED IN .r � �� " �� �
INSPECTION NOTICE scHEou�Eo ? - �� /%�
PERMIT NO. ����S � COMPLETED ��� � _
ADDRESS ��y 7 ��.�,�-t�-C' ���c .; ����
OWNER % �7 C=4��--� CONTR. �
TELEPHONE NO. '`7�7�— � �� ���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMII�Ifi_� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y��SULATION J 24125'WOOD BURNER/FIREPLACE 19 LAKESHOFiE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENT�
� �
� E D
� `
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d WORK SATISFACTORY:PROCEED ;; PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED �` ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL iNSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next'nspection 24 hours in advance.473-73�J7
OwnerlContracto n�i� :
Inspector.� - �./`�J����
White Copyllnspector's File Canary Copy/Site Notice
GDATE TIME
CITY OF ORONO CALLED IN ��' `/-5'U
INSPECTION NOTI E �-7 SCHEDULED !�//-9d /�
PERMIT NO. ���'�/ COMPLETED � �
ADDRESS 3� �
OWNER ��� �li�� CONTR.
TELEPHONE NO. �7�� �`f��
� DESCRIPTION ��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 1NSULATION 24I25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
W ,
a
�
�
0
� �- ft�en,(.� l��
0
�
W
�
Q
�
Z
W
c�
W
�
�
d j$'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� L�CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr tqrbn site:
Inspector. �_ U
White Copyllnspector's File Canary CopylSite Notice