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HomeMy WebLinkAbout2001-P04273 - mechanical CITY �F ORONO PERMIT 275�Kelley Parkway - PO Box 66 Permit Number: Poa2�3 Crystal Bay, Minnesota 55323 Permit Type: Me�han��al Per►��ts (952) 249-4600 Date Issued: g�3oi2ool SITE ADDRESS: 575 Ferndale Rd N Wayzata,MN 55391 PID: 36-118-23-14-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 218.13 Valuation: $ 17,450.00 State Surcharge Fee: $ 8.73 TOTAL FEE: $ 226.86 APPLICANT: Watertown Sheet Metal QN/NER: James&Megan Dayton 14730 Hwy 7 575 Ferndale Rd N. Mayer,MN 55360 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �.�v-�-` , ��/�•it.,_J ' �--� t ' _C�.r'� /�.-�'.� APPLICANTPERMIT SIGNATURE I SUEDB' SIGNATURE Copies: 1-File(SiQnitures Reauired), I-Applicant, 1-Monthlv Reoor[s, 1-Assessine, 1-Finance Page 1 T CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 2 working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UIVTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns - 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. Identification of and specifications for water heating equipment shall also be 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 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New �Addition Repair Replace k Residential Commercial ' JOB SITE: �`7� �,p�-r��/t; /',l Zip: Owner's Name: �%/a� �,r�,��•g,t/ Telephone Number: ��.�- ��.yti-� 1�`S'.3 Mailing Address: S`��" ;��,���, �i City: �'> � Zip: Contractor's Name: i:tJAf�-,���r�n, S',S/��f��tc/ Telephone Number: ��j� •�J J��;j-� Mailing Address: /'r���C) �{��> `7 City: ��t-� Zip: SS.�G� � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: LEnn�� Model: G';32 a�y-i�� FueL• � �Y, �, � Flue Size: �•-Q�C Input BTUs: ��f .�� t� Output BTUs: �':���� CFM: �?oop COOLING SYSTEMS Quantity: /` Make: Lt;�,z�,a- Model: ir'S,2 T--gl� Tons: �/.� H. Power '�,;, . � FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. _L Kitchen Exhaust � ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal � Q Fuel oil: gallons underground inside outside r� LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ' %���;�, -� x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. % 7 y.�✓�, f x .0005 $ or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * 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 installation 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. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - ��•hichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � • � �• ' Applicant's Signature:� ,l'-t�-.� , -- � Date: � Approved By: Date: . L�ENHOX RESIDENTIAL HEATING DATA SHEET JOB NAME: � o DATE ADDRESS: OUTDOOR TEMP: �� O INDOOR TEMP: TEMP. DIFFERENCE: Q DESIGN TEMPERATURE DIFFERENCE MOVABLE GLASS WINDOWS SaE TRE 30 35 40 45 50 55 60 65 70 75 80 85 90 95 HEAT LOSS HEAT TRANSFER MULTIPLIER SINGLE GLASS 39 45 52 58 65 71 78 84 90 97 103 110 116 123 SINGLE GLASS W/STORM 21 25 28 31 35 38 42 45 49 52 56 59 63 66 DOU B LE G LAS S 28 32 37 41 46 50 55 60 64 69 73 78 82 87 ,�Q DOUBLE GLASS W/STORM 16 19 21 24 27 29 32 35 37 40 42 45 48 50 DESIGN TEMPERATURE DIFFERENCE SLIDING GLASS DOORS S�E TRE 30 35 40 45 50 55 60 65 70 75 80 85 90 � HEAT LOSS HEAT TRANSFER MULTIPLIER S I N G LE G LAS S 42 48 55 62 69 76 83 90 97 104 110 117 124 131 SINGLE GLASS W/STORM 22 26 29 33 37 40 44 48 51 55 59 62 66 70 DO U B LE G LASS 29 34 39 43 48 53 58 63 67 72 77 82 87 91 DESIGN TEMPERATURE DIFFERENCE DOORS SQUARE � � � � � � � � �� � � � � � BTUH FEET HEAT TRANSFER MULTIPLIER HEAT LOSS SO LI D WOO D 31 36 41 46 51 56 62 67 72 77 82 87 92 97 � SOLID WOOD*• 18 21 24 27 30 33 36 39 42 45 47 50 53 56 M ETA L U R ETHAN E 23 27 30 34 38 42 45 49 53 57 60 64 68 72 METAL URETHANE** 13 16 18 20 22 25 27 29 31 33 36 38 40 42 **Weatherstripped or Storm RUNNING FEET �7 CEILING HEIGHT X WALLS GROSS WALL �� WINDOWS & DOOR AREAS ---'7�r NET WALL AREA � DESIGN TEMPERATURE DIFFERENCE FRAME WALL S�E TRE 30 35 40 4b 50 55 6p 65 70 75 80 85 90 � HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 8 10 11 12 14 15 17 18 19 21 22 23 25 26 R-11, 3" INSULATION 2.7 3.1 3.6 4.0 4.5 4.9 5.4 5.8 6.3 6.7 7.2 7.6 8.1 8.5 R-13, 3-1/2" INSULATION 2.1 2.4 2.8 3.2 3.5 3.8 4.2 4.6 4.9 5.3 5.6 5.9 6.3 6.6 R-13 + 1" POLYSTYRENE 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.4 5.7 R-19 + 1/2" POLYSTYRENE � , "�- 1.6 1.9 2.2 2.5 2.8 3.0 3.3 3.6 3.8 4.1 4.4 4.7 4.9 5.2 0�2� '� DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH ABOVE GRADE FEET � �' � � � � � �'' �� �' � � � � HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 16 18 21 23 26 28 31 33 36 38 41 44 46 49 R-5, 1" INSULATION 4.3 5.0 5.8 6.5 7.2 7.9 8.6 9.4 10.1 10.8 11.5 12.2 13.0 13.7 �/ R-11, 3" INSULATION 2.3 2.7 3.1 3.5 3.8 4.2 4.6 5.0 5.4 5.8 6.2 6.5 6.9 7.3 R-19, 6" INSULATION 1.4 1.7 1.9 2.2 2.4 2.6 2.9 3.1 3.4 3.6 3.8 4.1 4.3 4.6 DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH BELOW GRADE FEET � 3' 40 45 `'�0 55 60 65 70 75 80 85 90 � HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 4.4 5.1 5.9 6.6 7.3 8.1 8.8 9.6 10.3 11.011.812.513.214.0 R-5, 1" INSULATION 2.6 3.0 3.5 3.9 4.3 4.8 5.2 5.7 6.1 6.5 7.0 7.4 7.8 8.3 R-11, 3" INSULATION 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.4 5.7 / R-19, 6" INSULATION 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 3.6 3.8 HEATLOSS SUBTOTAL Heat Loss Subtotal from Page 1 �/�7 � DESIGN TEMPERATURE DIFFERENCE CEILING SnE TRE � � � �' � � � � �� �' � &' � � HEAT LOSS HEAT TRANSFER MULTIPLIER NO I N SU LATI O N 18 21 24 27 30 33 36 39 42 45 48 51 54 57 R-11, 3" INSULATION 2.6 3.1 3.5 4.0 4.4 4.8 5.3 5.7 6.2 6.6 7.0 7.5 7.9 8.4 R-19, 6" INSULATION 1.6 1.9 2.1 2.4 2.6 2.9 3.2 3.4 3.7 4.0 4.2 4.5 4.8 5.0 R-30, 10" INSULATION 1.0 1.2 1.3 1.5 1.6 1.8 2.0 2.1 2.3 2.5 2.6 2.8 3.0 3.1 R-38, 12" INSULATION / 0.8 0.9 1.0 1.2 1.3 1.4 1.6 1.7 1.8 2.0 2.1 2.2 2.3 2.5 DESIGN TEMPERATURE DIFFERENCE FLOOR OVER AN SQUARE BTUH UNCONDITIONED SPACE FEET � � � �' � � � � �� � � � � � HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 10 11 13 14 16 17 19 21 22 24 25 27 28 30 R-11, 3" INSULATION 2.4 2.8 3.2 3.6 4.0 4.4 4.8 5.2 5.6 6.0 6.4 6.8 7.2 7.6 R-19, 6"INSULATION 1.6 1.8 2.1 2.3 2.6 2.9 3.1 3.4 3.6 3.9 4.2 4.4 4.7 4.9 R-30, 10"INSULATION � 1.1 1.3 1.5 1.7 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.1 3.3 3.5 DESIGN TEMPERATURE DIFFERENCE BASEMENT FLOOR S�E TRE � � � � � � � � �� � � � � � HEAT LOSS HEAT TRANSFER MULTIPLIER BASEMENT FLOOR 0.8 1.0 1.1 1.3 1.4 1.5 1.7 1.8 2.0 2.1 2.2 2.4 2.5 2.7 DESIGN TEMPERATURE DIFFERENCE CONCRETE SLAB WITHOUT LINEAR BTUH PERIMETER SYSTEM FOOT � � � � `� `�` � � �0 75 80 85 90 95 HEAT LOSS HEAT TRANSFER MULTIPLIER NO EDGE INSULATION 25 29 33 37 41 45 49 53 57 61 65 69 73 77 1" EDGE INSULATION 13 15 17 19 21 23 25 27 29 31 33 35 37 39 2" INSULATION 6.3 7.4 8.4 9.4 10.5 11.5 12.6 13.6 14.7 15.8 16.8 17.8 18.9 20.0 DESIGN TEMPERATURE DIFFERENCE CONCRETE SLAB LINEAR � � � � � � � � �� � � � � � BTUH WITH PERIMETER SYSTEM FOOT HEAT TRANSFER MULTIPLIER HEAT LOSS NO EDGE INSULATION 57 67 76 86 95 105 114 124 133 143 152 162 171 181 1" EDGE INSULATION 34 40 46 52 57 63 69 74 80 86 91 97 103 109 2" EDGE INSULATION 28 33 37 42 47 51 56 61 65 70 75 79 84 89 An additional infiltration load is calculated only if the home is loosely constructed or when window infiltration is greater than .5 CFM per linear foot of crack. Z���FLOOR SQ Ff. x�CEILING HEIGHT =/����BIC Ff INFILTRATION/ VENTILATION 0.40 x CUBIC Ff = 60 =`.��CFM MECHANICAL VENTILATION CFM = FRESH AIR INTAKE DESIGN TEMPERATURE DIFFERENCE BTUH CFM 30 35 40 45 50 55 60 65 7U 75 80 �` � � HEAT LOSS HEAT TRANSFER MULTIPLIER INFILTRATION /3 33 39 44 50 55 61 66 72 77 83 88 94 99 105 MECHANICAL VENTII.ATION 33 39 44 50 55 61 66 72 77 83 88 94 99 105 HEAT LOSS SUBTOTAL g DUCT LOSS BTUH HEAT LOSS R-4, 1" Flexible Blanket Insulation: ADD 15% (.15) R-7, 2" Flexible Blanket Insulation: ADQ.189fs (.101 TOTALHEATLOSS NOTE: All Heat Transfer Multipliers from ACCA Manual "J" Sixth Edition. HL-841-L7 002344 Litho U.S.A. �E�NOX RESIDENTIAL COOLING DATA SHEET JOB NAME: p DATE ADDRESS: OUTDOOR TEMP: INDOOR TEMP: TEMP DIFFERENCE: p SENSIBLE LOAD CALCULATIONS GLASS SINGLE DOUBLE TRIPLE NOSHADE DESIGN TEMPERATURE DIFFERENCE COMPASS GLASS AREA �0 15 20 25 30 35 10 15 20 25 30 35 10 15 20 25 30 35 BTUH POINT SQ. FEET HEAT TRANSFER MULTIPLIER HEAT GAIN N �, 25 29 33 37 41 45 20 22 24 26 28 30 15 16 18 19 20 21 NE& NW 55 60 65 70 75 80 50 52 54 56 58 60 37 38 40 41 42 44 E& W 80 85 90 95 100 105 70 72 74 76 78 80 55 56 58 59 60 62 S E& S W 70 74 78 82 86 90 60 62 64 66 68 70 47 49 51 52 53 54 S 40 44 48 52 56 60 35 37 39 41 43 45 26 27 29 31 32 33 GLASS SINGLE DOUBLE TRIPLE INSIDE SHADE DESIGN TEMPERATURE DIFFERENCE COMPASS GLASS AREA �0 15 20 25 30 35 10 15 20 25 30 35 10 15 20 25 30 35 BTUH POINT SQ. FEET HEAT TRANSFER MULTIPLIER HEAT GAIN N 15 19 23 27 31 35 15 17 19 21 23 25 10 12 14 16 17 19 NE& NW 35 39 43 47 51 55 30 32 34 36 38 40 22 24 26 28 30 31 E& W 50 54 58 62 66 70 45 47 49 51 53 55 35 36 38 40 42 44 SE& SW 40 44 48 52 56 60 35 37 39 41 43 45 29 30 32 34 36 38 S 25 29 33 37 41 45 20 22 24 26 28 30 16 18 20 22 24 26 DESIGN TEMPERATURE DIFFERENCE DOORS SaEETRE 10 15 20 25 30 35 HEAT GAIN HEAT TRANSFER MULTIPLIER SOLID WOOD 6.3 8.6 10.9 13.2 14.4 15.5 SOLID WOOD *" 4.2 5.7 7.3 8.8 9.6 10.4 METAL URETHANE 2.6 3.5 4.5 5.4 5.9 6.4 METAL URETHANE *" 2.2 3.0 3.8 4.6 5.0 5.4 *' Weatherstripped or Storm RUNNING FEET 3�/ CEILING HEIGHT X �� WALLS GROSS WALL WINDOWS & DOOR AREAS - NET WALL AREA � DESIGN TEMPERATURE DIFFERENCE FRAME WALL S�E TRE 10 15 20 25 30 �` HEAT GAIN HEAT TRANSFER MULTIPLIER NO INSULATION 3.7 5.0 6.4 7.8 8.5 9.1 R-11, 3" INSULATION 1.2 1.7 2.1 2.6 2.8 3.0 R-13, 3-1/2" INSULAT�ON 1.1 1.5 1.9 2.3 2.5 2.7 R-13 + 1" POLYSTYRENE 0.8 1.1 1.4 1.7 1.8 2.0 R-19 + 1/2" POLYSTYRENE 0.7 1.0 1.3 1.6 1.7 1.8 MASONRY WALL SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH ABOVE GRADE FEET 10 HEAT TRANSFER MULTIPLI R � HEAT GAIN NOINSULATION 3.2 5.8 8.3 10.9 12.2 13.4 R-5, 1" INSULATION 0.9 1.6 2.3 3.1 3.5 3.8 Q R-11, 3" INSULATION 0.5 0.9 1.3 1.6 1.8 2.0 R-19, 6" INSULATION 0.3 0.5 0.8 1.0 1.2 1.3 SENSIBLE HEAT GAIN SUBTOTAL ,20 .►�� Sensible Heat Gain Subtotal from Page 1 �a'��/� O SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH CEILING FEET �0 15 20 25 � �` HEAT GAIN HEAT TRANSFER MULTIPLIER No Insulation 14.9 17.0 19.2 21.4 22.5 23.6 R-11, 3" Insulation 2.8 3.2 3.7 4.1 4.3 4.5 R-19, 6" Insulation 1.8 2.1 2.3 2.6 2.8 2.9 R-30, 10" Insulation 1.1 1.3 1.5 1.6 1.7 1.8 R-38, 12" Insulation 0.9 1.0 1.1 1.3 1.3 1.4 FLOOR OVER SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH UNCONDITIONED SPACE FEET �� HEAT TRANSFER ULTIPLI R � HEAT GAIN No Insulation 1.9 3.9 5.8 7.7 8.7 9.6 CARPET FLOOR-NO INSULATION 1.3 2.5 3.8 5.1 5.7 6.3 R-11, 3" INSULATION 0.4 0.8 1.3 1.7 1.9 2.1 R-19, 6" INSULATION 0.3 0.5 0.8 1.1 1.2 1.3 R-30, 10" INSULATION 0.2 0.4 0.6 0.7 0.8 0.9 /Z,�.�_ FLOOR Sn Ff. x�CEILING HEIGHT -/���CUBIC FT INFILTRATION/ VENTILATION 0.40 x CUBIC FT - 60 = �CFM MECHANICAL VENTILATION CFM = FRESH AIR INTAKE DESIGN TEMPERATURE DIFFERENCE BTUH CFM 10 15 20 25 � �` HEAT GAIN HEAT TRANSFER MULTIPLIER INFILTRATION / � 11.0 16.5 22.0 27.0 32.0 38.0 MECHANICAL VENTILATION /p 11.0 16.5 22.0 27.0 32.0 38.0 .,�c '� INTERNAL HEAT GAi BTUH HEAT GAIN Number of People x 300 3 Kitchen Allowance 1,200 SENSIBLE HEAT GAIN SUBTOTAL DUCT GAIN BTUH HEAT GAIN R-4, t" Fiexible Blanket Insulation: ADD 15% (.15) R-7, 2" Flexible Blanket Insulation: ADD 10% (.10) TOTAL SENSIBLE HEAT GAIN 3.2 9 LATENT LOAD CALCULATIONS Conditions Outdoor Wet Bulb Indoor Wet Bulb Grains Wet 80 62.5 50 Medium 75 62.5 35 Medium Dry 70 62.5 20 Dry 65 62.5 0 Based on 75°F Indoor Dry Bulb at 50% RH. LATENT LOAD-INFILTRATION 0.68 x � Grains x Infiltration CFM �7� �� LATENT LOAD-VENTILATION 0.68 x Grains x Ventilation CFM 3 4 LATENT LOAD-PEOPLE /� Number of People�x 230 �(/ TOTAL LATENT HEAT GAIN /� "^' TOTAL SENSIBLE AND LATENT HEAT GAIN �Z,%D NOTE: All Heat Transfer Multipliers from ACCA Manual "J" Sixth Edition and for a medium outdoor daily temperature range. CL-841-U 002345 Litho U.S.A. DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED ' . PERMIT N0. I�U ��-73 COMPLETED — �/U ' L` , ADDRESS OWNER �n CONTR. Gt.C,�-it2 a� � �fi�( TELEPHONE NO. �S� �J�� �.S_�� � DESCRIPTION /�._T J`�'I.�_C/'I . � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEiLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEfi REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � 0 M NTS: � . a ' � � J 0 � Ct�� - 0 `� �" - � �t Q C.� ��-� s 4�Qr� ��C�.�e l � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY ��ORRECT WORK,CALL FOR REINSPECTION TEMPQRARY V ���BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedCon ctor on site: Inspector� ��� White Copyllnspector's File Canary Copy/Site Notice � �/�� DATE TIME CITY OF ORONO �i CALLED IN INSPECTION OTI SCHEDULED " -U� I. v n PERMIT N0. � COMPLETED '� �1- r•` �C� ADDRESS �� 7 `J .� c� OWNER � CONTR. G l��'2��'�'' �� TELEPHONE NO�_ i �/��� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINA- L—�� 19 LAKESHORE/WETLANDS _� O 03 INSULATION ''�'1d72 `ER/FIREPLACE 34 TREE REMOVAL Z 0 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FIN�F'_ 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO ME�7 YOU:_YES NO � M NTS: �iCti��� "'�� �5' " ��-� � ' � a . �'1�� , �, o ' u✓��`� a if �, � � `' v l° ti'ytL=,D'�C:c- 4%'C;-`-�' O � � "` �`� � r�� C.-c-/�Y W Q /�'2 L�'L . ; � �'� �' �r2�.'� , � � � �LZ- y��Q ��'�' -" i ci � � CC' � p�,�-�c'�" �-y� i.c��'Y.� W � �y�,�� � e � . �� ���� � v�� � r r�. o G �� W� ❑WORK SATISFACTORY:PROCEED �' ) � ❑ PROJECT COMPLEfE W RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z4J-46�� Owner/Con ctor on site: Inspector. � ��g White Copyllnspector's File Canary CopylSite Notice