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Home My WebLink About2016-00001 - basement finish CITY OF ORONO * 2 0 1 6 - 0 0 0 0 1 * � 2750 KELLEY PARKWAY DATE ISSUED: OU05/2016 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPA[R PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICA,AND ELECTRICAL(STATE) BASEMENT FINISH APPLICANT PERMIT FEE SCHEDULE 278.77 PLAN REVIEW 18120 EVERLAST ENTERPRISES [NC. STATE SURCHARGE(VALUAT[ON) 7.50 4109 NORTH SHORE DR MOUND, MN 55364- TOTAL 467.47 (952)472-7287 Payment(s) Minnesota State License#: BUIL-BC591566 CHECK 6762 467.47 OWNER Everlast Enterprises, Inc. CLEARY,JAMES 4109 NORTH SHORE DR MOUND, MN 55364- 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 separatc permi[s. 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 au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be n revoked at any time for due cause. �i.� 1 ::`--�--�� -�'�`.�. 1 - �> ((,� ��-�(,; � � �j � I�', Applicant Permitee Signature Date Issued By Signature � Date � RECEIVED CITY OF ORONO ��kC ; � 7 p15 BUILDING PERMIT APPLICATION C►TYOFORONO FOR NEW STRUCTURES OR ADDITIONS �O` ` Mailing Address: Permit number: � � C/� 6 ��0 PO Box 66 , Crystal Bay, MN 55323-0066 1,, Date received: l "' (� — � y � ! Street Address:' , I�'Y Received by: , � 2750 Kelle y Parkwa y ��C P l a n r e v i e w f e e: F �, lqkESHv�� Orono, MN 55356 � Total Fee: � �(P�� L�7 M a i n: 9 5 2-2 4 9-4 6 0 0 Fax: 952-24 9-4 6 1 6 w w w.c i.o r o n o.m n.u s This appiication form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: 2755 Ethel Ave, Orono, MN 55391 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: EVERLAST ENTERPRISES INC State License# BC591566 Expiration Date: Phone: (cell) 612-868-0748 (office) Mailing Address: 41 9 NORTH HORE DR. Ci : ORONO MN ZIP: 55364 Contact Person: JAMES CLEARY Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: I_IM(�FVER A�T NT RPRI� � .OM PROPERTY OWNER INFORMATION: Name: SAME AS CONTRACTOR Phone(day): Address: Ciry: ZIP� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: NONE Phone(day): Address: Citv: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: We decided to finish the basement on this ro�ect. 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply � New Constructio Have permit for this. �Single Family with � Residence ❑Addition #.�C�S('(i �-�S attached garage ❑Garage/Accessory B�dg. � Public Sewer ❑Accessory Buildi ❑ Single Family with ❑ Deck ❑ Relocation FINISHING BASEMENT detached garage ❑Office/Commercial ❑ Private Sewer �Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage � Public Water "'Any earth movement may also 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) $ � � � ��L - � � -� . �� ,� � ' Jim Cleary 952-472-5870 Dec-29-2�15 9:17PM . , • • Job Date Time Type Identification Duration Pages Result 7003 12/ 7/2015 7:07:47PM Receive 0:39 0 No fax detected 7004 12/ 8/2015 11:45:46AM Receive 0:38 0 No fax detected 7005 12/ 8/2015 10:53:32PM Receive 0:38 0 No fax detected 7006 12/ 8/2015 11:13:04PM Receive 0:38 0 No fax detected 7007 12/ 9/2015 12:54:35PM Receive 0:38 0 No fax detected 7008 12/ 9/2015 2:36:53PM Send 7636584002 0:48 1 OK 7009 12/ 9/2015 7:55:57PM Receive 0:40 0 No fax detected 7010 12/11/2015 9:51:26PM Receive 0:39 0 No fax detected 7011 12/12/2015 5:52:07PM Receive 0:39 0 No fax detected 7012 12/13/2015 10:55:30AM Receive 0:28 2 OK 7013 12/14/2015 10:46:22AM Receive 0:38 0 No fax detected 7014 12/14/2015 1:36:26PM Receive 0:36 1 OK 7015 12/14/2015 4:21:07PM Receive 0:39 0 No fax detected 7016 12/14/2015 7:23:49PM Receive 0:39 0 No fax detected 7017 12/14/2015 7:32:49PM Receive 0:39 0 No fax detected 7018 12/14/2015 10:16:38PM Receive 0:38 0 No fax detected 7019 12/15/2015 12:33:42AM Receive 1:14 1 OK 7020 12/15/2015 1:24:22PM Receive 0:39 0 No fax detected 7021 12/15/2015 3:33:55PM Receive 0:38 0 No fax detected 7022 12/15/2015 4:37:35PM Receive 0:38 0 No fax detected 7023 12/16/2015 12:18:30PM Receive 0:39 0 No fax detected 7024 12/18/2015 12:55:08PM Receive 0:39 0 No fax detected 7025 12/18/2015 5:25:46PM Receive 0:38 0 No fax detected 7026 12/19/2015 1:27:44PM Receive 0:39 0 No fax detected 7027 12/20/2015 10:38:22AM Receive 0:29 2 OK 7028 12/21/2015 3:02:07PM Receive 0:38 0 No fax detected 7029 12/21/2015 7:19:50PM Receive 0:39 0 No fax detected 7030 12/22/2015 2:21:07PM Receive 0:39 0 No fax detected 7031 12/22/2015 9:07:56PM Receive 0:38 0 No fax detected 7032 12/22/2015 10:41:04PM Receive 0:39 0 No fax detected 7033 12/23/2015 5:30:11PM Receive 0:39 0 No fax detected 7034 12/26/2015 4:40:09PM Receive 0:39 0 No fax detected 7035 12/27/2015 3:38:31PM Receive 0:38 0 No fax detected 7036 12/27/2015 9:07:1OPM Receive 0:25 2 OK 7037 12/28/2015 5:49:53PM Send 16516626439 0:46 1 OK 7038 12/28/2015 10:24:12PM Rece�ve 0:39 0 No fax detected 7039 12/29/2015 2:03:29PM Send 18665204129 11:13 10 OK 7040 12/29/2015 5:12:44PM Send 16305442641 14:10 10 OK 7041 12/29/2015 6:59:13PM Send 17634893241 1:35 4 OK 7042 12/29/2015 9:17:1OPM Receive 0:39 0 No fax detected . STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= 4 �x Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in sauare feet Attached = 2 ❑ Metal c. Basement= ❑ Pole Bldg. ��„� Detached = ❑ ICF d. 1 S`Story = ❑On-site Prefab e. 2"d Story = ❑ Off-site Prefab f. YZ Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ '8'- Surve meetin all re uirements ❑ � Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ � Se tic S stem Site Evaluation Re ort ❑ � Access Permit ❑ -8— Wetland Buffer Im rovement Plan ❑ -� En ineered Plans for Retainin Walls 4 feet or above ❑ $— Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement � ❑ Other: APPLICANT/OWNER 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; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. li ApplicanYs Signature: ° �t-� Date: 12.30.15 Owner's Signature: Date: 12.30.15 , � , ,- . , � _. ,�� -�, _ ,' ;. ��U� ��%�� .� ��;-� �� ; - �� .�� s o l -' � ��.�4N I�EViEW CHECKLlST FOR I�EW STRt�CTURES / 14DD�TIONS Address: � ��,� �� '�� Permit No. ,/� �r Description of work: ��f��,��a.�� 'ua � �'�vC F�� Date Rec'd: �' � G�/' f.� ,� .�°.�, Septic review by: .� Date Approveel: f. ` ._._.�� s�_ � Zoning review by: Date Approved: , • ;�` � ,� f'��'` �� `� � ' y ��,�- Building revieHa by: " ' � f ��✓�i-' Date�►pproveci: ` � 7'`� /��,, ��I� t' �' ; t Grading review by: Qate�tpproved: 4 Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC lMidth: Lot Coverage:� SF % Survey�ubmitted: 0 Yes L7 No Date of Survey: � Revised date(?): p� Landscape plan submitted? � Yes � No Landscaper. E� Pro osed Setbacks: Front (Lak�) Resr(Street) ( I� S E W ) ( N E W ) Other Buildings Wetlanc! Side Side z Defined Height: �eak t#eight: FFE�' FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ •� L.F. below grade Basement? Q Yes Q No, Stories ,� � � ', !` FOR A BUILDING WITH A BASERAENT OR CRAW'L SPACE; �`� FOR A BUILDING ON A SLAB FOUNDATION: The distance between thedowest proposed Slab at or above grade— START W ITH floor(of the basement or.crawl space)and measure from hiahest existinq the highest point of thQ roof. ' ra ade to the highest point of the � START W ITH roof even if fill was brought in to elevate home. If you have a... �`' SUBTRACTION � GABLE 0�2 HIPPED ROOF`(no Slats below grade—measure (BASED ON window,�}: Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of tFte roof hi hest oint of the roof. to 4he low point of the corresponding If you have a... gatile or hipped roof • GABLE OR HIPPED ROOF SUBTRACTION (no windows): Subtract half • GABLE OR HIPPED ROOF(with' (BASED ON the distance between the windows): Subtract half the distande ROOF TYPE) highest point of the roof to between the top of the highest window and the highest point of the `. the low point of the roof corresponding gable or hipped roof �• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON i basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) ' foundation OR 10 feet(whichever is less). point of the roof ` • ALL OThiER ROOF TYPES {flat,mansard,etc):No EQUALS Defined building height subtraction. Deflned building height � EQUALS � � Updated: October 2015 z:\forms\plan review checklist 10-2015.docx _,.,�.,.�._.-�-..-�.<.� .�....�� ..,..--�-r-;�:-��.-�--�-�-�- ,-�- �; - �-� _- - _- Shoreland District MCWD Permit � _� Average Lakr�eet ore Setback ��uff _�,-�, „., ❑ Yes ❑ 0 Yes � No Permit Number: "�� `� 0 Yes � No 0 N/A No 0 N/A—see attached Setback: Stormwater Quality Existing Prop��ecf Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes 0 No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): $ 5;; Fees to be Char ed YES NO Permit " Plar� Redie�nr `�/ ; State Surcharge �< Investigation Fee SAC—Number of SAC Units �` � Other(specify) �/ 4 �quare Footage $ per Square Footage Basement X = $ 1 S' Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: � �� Orono Inspections Required Work Requiring Separate Permits ❑ Footing � Site Plumbing � Grading/Filling 0 Poured Wall ❑ Silt Fence/Erosion Control Mechanical 0 Fire „ O Foundation Survey 0 Hardcover Removal � Septic � Water Connection � Foundation Waterproofing 0 Other(specify) ❑ Fireplace � Sewer Connection ` Framing 0 Masonry � Lawn Irrigation �Insulation ❑ Mfg. ❑ Landscaping ❑ As-Built Survey ❑ Other(specify) Final � ❑ Lathe Required State Permits ❑ Other(specify) 0 Well Electrical REMARKS (in-house): OF�ICIAL R�lVI�lRKS -TO �E NOTED ON PERMIT AND INITI�4LLED: � See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 ��\fnrmc\nlan rcvic�ni�harklict 9(1_9f11F rinrv .¢c'a�,w'T'(�4o�n it� �� ...aia.w p...,a G.�i�r�',,, ►,ew Construction Energy Code Compliance Certificate ,; �;�P� Fer N1101 8 Iiupding Certificate.A building certificate shall be posted in a permanently visible location inside Date Cenifinte Ported 4 the building. The certificate shall be com pleted by t he oui l deran d shall list infortnation and vatues of components listed in Table N1101.8, /'� r-��, � Mailing Addras of the Dwelling or Dwdling Uoi1 v'��jyZp./�O City 1-��r � �v' C ( /�-� �(,�y �� logo here Name of Aaidrn6al Comnctor � �� p S� . MN Licmae Number �/. �r -}��r i s Qs ; )r�L. HERMAL ENVELOPE RADON SYSTEM Typo:Ghock All TF�w APP�Y ,,,, � Passive(No Fan) �lol S'b FI . ° � � d � Active(With fan and monometer or 3 �Ar - � � _ ,o 0 olhersystem monitoringdevice) a� '�d n. °' `o a 3 — _ _ ¢ o � � y ,np � c� CC 0� � V e� a c ` � � � N ° ° � � � RECEIVED Insulation Location ��, � .o z � � v d, w W o l � $ `,o `n O � — �_ '.. `/ Q V=f p � L ld td C OL � ��V L/GJ flll�� F" � z c,- ". c,��. c° � cG x Other r�ease c re Below Entire Slab — Foundation Wall �_ �5 Perimeter of Slab on Grade x TyPe in I � a r r integrel Rim Joist(Foundation) � �{ r�`"'��"��' " r intepral Rim Joist(1"Floor+) _ � "•"" WB�� Type in locati �.intenor �Rerior or intepral Ceiling,Oat _ D � � Ceiling,vaulted R_� Bay Windows or cantilevered areas ',j D � Bonus room over garage �Q va or gar � � Wt �� Describe other insulated areas 3 h ��b d C _ _.__ .--- — _ �. --- _ _ _ - wndows 3 Doors oafin or Coolin Duch Outsido Condi�ionod 5 cos Aver e U-Factor(excludes skylights and one door)U ' 3 oZ k Not a licable,all ducts located in conditioned space Solar Heat Gain Ccefficient(SHGC): a�} R-value � ECHANICAL SYSTEMS Mako-up A�r Selec�a TYpe iancos Heating System Domestic Water Heater Coolin S stem g Y Not required er mech.code Fue1Ty e n�,�'U1Gl� �G� (i�L'Cfiyll� ��eC�'+'iC,� Manufacture��hrs �" Passive 1 �-�l. Y�G�l� g rad-�or d �h,�, (�Ll X Gi,�^-P, Powered Jo�nsor `i ra q yD�p�) � Interlocked with exhaust device. Model C nfivo I S n�°�;��,Z, M"�aoTc�DS CAP= ,?��-f'8co0� Describe: po t bDo Input in Capacity in Output in RaHng or Size � BTUS: �� a,iJ-� Other,describe: Gallons: Tons: i Hea�Loss: Hea�Gain: ' Location of duct or system: �_ Structure's Calculated AFUE or SEER: � HSPF% �JC �� ='� EHicienc Calculated coolin load: Cfm's "round duct OR Mochanieol Ventilation Srstom "metal duct Describe any additional or combined heating or cooling systems if installed:(e.g.two fumaces or air Combustioe Air Select a Type ource heat pump with gas back-up fumace): ' Select Type Not required per mech.code � Passive �G Heaz Recover Ventilator(HRV) Capaciry in cfms: Low: f p�D [-[��; D� Other,describe: Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system: Continuous exhausting fan(s)rated capaciry in cfms: (0�� Yv1�Ch�n ie�,C�.- Location of fan(s),describe: Cfm's Capaciry continuous ventilation rate in cfms: "round duct OR Total ventilation(intermitter.t+continuous)ratc in cfms: "metal duct r Created by BAM version 0520Q9 : _ ,, _� , ,_ ,.� _...,_ __. _ -- ------.__.__ ---- � ` OA CONNECTED TO A SOUND- , �@Yt@Wed�Ot'�Od@ -- (t�G DEVICE OR OTNER DEfECTOR AUDIBLE IN � R s��EPiN��a�.as._t��-B€u�r+�€a------ --- - - ___ _ __---- 3s'-o" Complrance City of Orono _ . �EH�ttJ�fiFAN_ _ __ _ _--- -------- ,�- -- --:— --- --- ---- - _---- ---- ,- - - -- — --_ -- - - -- - _ -- VEt�tr t�t€crt�-ot�stt� - - -9a�� 3� l� _� - - . . . . � � . , . , . , . . . . . . . . _ . � . . . -- - --- _ - -_ __ - + , .. _� ---- _ . .� _ - � — . _ - ---- ,- -- --. -- �. � _ ' � � � � { SUMP r i i i _ �,. _� W.H. , - - _- - , �� - U TU R E � � �� I �� w/ cR vi TY ; ; ' ' � �-T-, I I I �B A TH �`-; � FURN. RADON T ; , , ; ,I o; I I� Rp,GH IN ONLY �� pF.D�I , ,I — _� I I ' � i �I � � -r ' - 3-2X4 COLUMNS �� FUTURE BEDROOM #4 �� ; � � � �; � o�� , ; iI � '� oN za" w��E x �o" oEEP � �� x CONC FOOTINGS � `� C O N C. I � �, � I � I; I �f' I �, � �� I I I ( /� I I '\ i - . .. . �p i � __'J L � � , . � '__' _ � . �� ,� i � '� �__ - SL �� . �'- - '_ -'� ' - F _ _ � � : '. ,�� _ �-zx�o HDR_ , MECH ; _ w m � : L_r- -- - -- -- _ � � / I CONC. i�o ,' �j / I � �� / i ', , �' I t--—_ ; - - _ � ; - - - - -- --- -7-i- - - - - -- - -- - -- - - -- - - - -- - - - - . � - - -- - - -- - -- _ - -- - -- -- - - - - - -- - - - _ _J C �; r�bon monoxide detector � �` ' � J I �, lo° _ -- -------- ' r ��ired within 10 ft. o �� l�� -�`E-.k% � �� i � , ; Q ; � n �. � �_ �lEeYing rooms. �, � � ; � o � , � ' w � " � ' ; m NOTE: FLOOR �� _ ! - ! �� - — -- ' • I ' o C) j � _ _ _ _ _ ._ �� „ :� m ' '� TRUSS LENGTH: R- `� � �"`-� `�'Y � , � � v < � ,� c� ; 25 -5 . o0 0 , I ' ; ', Z o m �� o ' i � 0 _ �� SHEATHING TO �N �i � � ; , ---_ . � , o FUTURE REC ROOM ; w � � F UTURE ., � i ; � FLUSH OUT WITH coNc. �' a � � I w ; � ; STORAGE ' �� --- , ' , � � � ' coNc. i � i �►t��i��l 1��s�f DOWS - � _ ; `° ii � � � � , . . FI;�� EXiT ��tlJIR�D � � � � � � f i � � - - -- - , >, 2C�„ iV!liV. C!_��,'�� !NlDTH I -- - 4-o ; , ; -,�___ � � -_ _ 2�'Y" i�i�. ` "s;='. �-.��#��-iT � � g" � �� ' _ ;� �; :�� , ' r � �� r� ''' �.Sc8' CONC. FTG. � ' � ,. � i � ; i �i, J.� ._�_. � � ��, i � I �i �;�-r� !'��%��Q�"� �� g :�P��URED CONC WALL � ��2' THERMjAX RIGID INSUL. � i r—� �X18-#D&-----�g�${.E L P�ATE i � � ' n � . , . , . -' � . , . � , , . , , 1 : � a. . . . . -- --- I . 4 _ _-- -_ _ _-- -- --- ---- -- __- - - -- -- - - --- . . .. --- .. . -- - - ; - � - _ _! 5'-4" I 6'-8" 17'-11 1/2 � . _ __ > , � - ----- ------ � ,_ /2„ ------- — ---- - — ---- -- -- ---- --—-- - O1 _, --------- �] -- , �--- - - 3 4 �� - - - - - - - - -- — - - -- - ��2„ -.. _ ��,� Cantilever - ' _n.� � - Above - -------�- - __ �__,,� ._ \.. _, � L � �� , DATE TIME CITY OF O�ONO CALLED IN INSPECTION NOTICE � SCHEDULED ---7 -�� C� PERMIT N0.2��e'C connP�ErE� ADDRESS �� I� �` � -�-�'�,�' ` ��-- OWNER TELEPHONE�O. �� C�`�� CONTRACTOR � `'-�� ,7�� rlC� ' �(� � DESCRIPTION ,� / ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING �GCtT•/�� ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOU TION/REMOVAL _ v ❑ DEMO-SITE ❑�, /�EPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOI�YES_NO /— c��, COMMENTS: � • W a � � O � � O W � Q � Z W � W � J W �"WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice