HomeMy WebLinkAbout2005-P08462 - addn/remodel/repair � PERMIT
CI�Y OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos462
Crystal Bay, Minnesota 55323 Permit Type: aaa�c�o�RemoaevRepa�r
(952) 249-4600 Date Issued: 3iti2oos
SITE ADDRESS: 765 Ferndale Rd N
Wayzata,MN 55391
PID: 36-118-23-11-0014
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: i'iumoing iviecnanicai Eiecinca�i�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 713.75 Valuation• $ 60,000.00
Plan Review Fee:
State Surcharge Fee: $ 30.50
TOTAL FEE: $ 744.25
APPLICANT: Owner/Self OWNER: Joseph&Deborah Norgaarden
MN 765 Ferndale Rd N
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE 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.
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PPLI AN PER SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ Date Received: �
Entered By: Permit#: � ; `r"�f�.- ; "
CITY OF ORONO - BUILDINC PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOBSITEADDRESS: �7(�j 1�L-�o�N�iC�:. �hr`;> /� ZIP: `;��;;�j/
Will this be a arade of Homes, Remodelers Showcase Home or other Display Home?
❑ YCS 1V0 /f yrs, u special event permr/is reyzrired wilh l'olice!)epuriment and C'iry('o��ncvl upprovul
60 ctuys prior�o the evenl. ShzrUle hu.r service will he reyi�ired unless upplicunt demons�trutrs
sz�f�icient on-sile purking is availuhle. Non perrniited evenls will nol be allowed.
NAME OF OWNER: lIOS��/-i /vo7�l�Al���D�.�/ PHONE: (home) (�/�--N�`�'�/(�,
(WOrk) ��
MAILINGADDRESS: 7�C�� ���2,�lI�A(,,E i7b /�.CIT�': (�_;-�t/�%��ii ZIP: ��
CONTRACTOR: �t�iG�vvs�ADrS�-G'�'G� flir�r� �y L'c-'�J�'�HONE•
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXP[RATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY': ZIP:
NAME: REGISTRATION: #
TYPE OF WORI�: New Addition Accessory Structure
Move E{ome Remodel/Alteration
PROPOSED WORti(describe in�tetai�: �F�- �,�}G/-f�� �lS i
�i lH,� c,
STORIES: <_c,�:�� SQ.FEET OF EACH FLOOR: �c"�G���
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED .3 DETACHED p
�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �x���' (�0,060�
1 hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; � 0
that the work will be in conformance with the ordinances and eodes of the Ciry and with the State Building
Code;that I understand this is not a permit and work is not to�Start without a permit;and that the work will be
in accordance with the approved plan. ��__„
__,.....__ �
APPLICANT'S SIGN�`F�RE:___.. �. �-c�--- DATE: c��or?�' G�S
31
Sec.t3.04 RIGHTS OF SI;BJEC"�S OF DATA
Subd. I Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to begi�en individual.An individual askedto supply privateorconfidential data concerning himselfshall be
informed of: (a)the purpose and intended use of the requested data���ithin the collecting state agency,political subdivision,or statewide system;(b)
whether he ma��refuse or is leaal ly required to supply the requested data;(c)am�known consequence arising from his supplyi ng or refusing to supply
pn vate or contidential data;and(d)the identity of other persons or entifies authorized by state or federal law to receive the data. This requirement shal I
not appl} ��hen an indi�idual is asked to supply investigative data,pursuant to section 13.82.subdivision 5,ro a la�>enforcement officer.
The commissioner of re�enue ma�olace the nofice required under this subdivision in the individual income tax orpropertv tas refund
instructions instead of on those forms
Subd.3. Access to data b�individual. Upon request to a responsible authority,an individual shall be informed�ihether he is the subject of
stored data on individuals,and�uhether it is classified as public,private or contidential Upon his further request.an individual who is the subject of
stored private or public data on individuals shall be sho�vn the data without any charge to him and,if he desires,shall be informed of the content and
meanine of that data After an individual has been shotin the private data and informed of its meaning.the data need not be disclosed to him for sis
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected or created. The
responsible authorih shall provide copies ofthe private or public data upon request b�the individual subject ofthe data. The responsible authority
may require the requesting person to pa��the actual costs of making,certifying,and compiling the copies.
The responsible authority shall compl�immediately.if possible.�vith an�request made pursuant to this subdivision,or within fi�e days of
thedateoftl�erequest,excludingSaturdays_Sunda��sandlegalholida}�s,ifimmediatecomplianceisnotpossible Ifhecannotcomply���iththerequest
�vithin that time,he shall so inform the individual,and may have an additional five da��s�ti�ithin��hich to comph�vitl�the request,escludi��g Saturdays,
Sundays and legal holidays.
Subd.4. Procedure��hen data is not accurate or complete. An individual ma�contest the accurac}or completeness of public or private data
concerning himself To e�ercise this right.an individual shall notify in�tiriting the responsible authorit�describingthe nature ofthe disagreement. The
responsible authorit��shall within 30 dacs either (a)correct the data found to be inaecurate or incomplete and attempt to notify past recipients of
inaccurateonncompletedata,includingrecipientsnamedbytheindi��idual�,or(b)notifytheindividualthathebelievesthedatatobecorrect. Datain
dispute shall be disclosed onh if the individual's statement of disagreement is included with the disclosed data
The determination of the responsible authorit�may be appealed pursuant ro the provisions of the administrative procedure act relatine to
contested cases-
DATA PRIVACY ADVISORY
In accordance�vith M.S. 13.04,Subd.2."Rights of subjects ofdata°,��e would like to inform you that��our request
for a permit or license from the Ci�� of Orono or any of its departments may� require you to furnish certain pnvate or
confidential information.
You are notified that:
1. The information }ou fumish will be used to determine �our qualification for the permit or license
requested.
2. You ma}'refuse to supply data but refusal ma�� require that the Cin�dem�the permit or license.
3. The information ma�� be shared with other local, state or federal agencies to the e�tent necessary to
process the permit or license.
�1. If y�our requested permit or license requires Council action to approve,some information mav become
public.
�. You have certain rights under M.S. 13.04(available upon request)to review private data on�ourself.
6. Your full name is required to process this application or permit.
<�)cs���H /JE�� L-�. l�lt7T����i2��1/
First �7iddle Last
71v� �E��l�a« '�D ,�l.
Address �
t,c.7Ayz`7-� �rxl 55�3`>/ �!�'1—�f�4--I1/L�
Cih Sta[e Zip Phone
1 understand my rights as stated ab e.
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Signatw•e
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CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 16 S �=cczN r�r��`. (�� (�o��
PID: '
DESCRIPTIO.V OF yf�ORK: fLr�oc` —
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ZO�YI�VGREVIEGVBY: NIA �D.ATEfIPPROVED:
BLiILDI1VGREVI.EW.BY. DATEAPPR06'ED: Z-2,f� -as
---------------------------------
FEES TO BE CHARGED: /' �L'Iisc. Fees Calcc�faced By:
PERttitIT Yes ,/ 1tio
PLA�V RE I/IE GV Yes � �Vo� SE LVER CONNEGTIO�V
STATE SURCH4RGE Yes�'_u�' tVo G�- tiVATER CONNFCTIOiV
I�VVESTIGATION FEE Yes No Pf(RK FEE
S�lC Y'es No SITE NSPECTIO�V
l�Icunber of SAC U�tits OTHER (specify)
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70�VING CHECh�LIST Zar<i�i,;Disd�icc: /V v Gt1�-7/�.�'�E
Fire Departrnerrt: Post Office: School District __..
Go�.=(rea: Sq.ft. .�la•es GVitfdr Depth
S���vey Su6rriitted: Yes Date of Scuvey:
Pi•oposed Setbncks:
Fror�c(Lal.e): Right Side:
Rear(Sh•eer): Left 5ide:
Adjacent Str-uctures: G�etland.
Building Height: Def. Hgt. Pe�� �t.
Lot Coverage: �
Grnding: Staff,4pprova!Date: By: Caunci!rlppr•oval Date:
Septic: Stnff.�(ppi'oval Date: BY�
Zazi�tg File: # Resofutiat: # Resolt�tlat Date:
Sltorelancf Dish•ict:
Avg. Set6nck: Blccff Setbnck: Lat Coverage:
Elisting Proposecl
Hardcover: 0-7�'
75-250'
250-500' '
S00-L 000'
Ha��cfcave�• T/af•iafice Reql�ired: Yes o Date of Coe�itcil Approval: '
REtI�IARKS(i�i liouse):
31
,�
5., , ,
i17�' ��'N����P, Ilbi Id,e � ��+''�P�� ��I ' �I�', 'y��!,_ ��'���' �' i4� ;'�i��' ���hi I��I�G;��I
,�
B UILDI�YG RE VXE il'CHECK LIST
UBC: R' 3 COr\�STRUCTION TYPE: �1��
Sg Footaue .�Pei-Sg FrQ
Baseme�it x =
!st Floor x =
?iid Floa• t =
Gar•c,;e s =
� _
� TOT�{L
�oO QDo�
Esti�uated Constructior� L'a(ue: S ��
I�ispectiorts Required: GY"ork Reqc�irir�g Separatc Perrnits:
Si.te _�Pl�nribirig Fir•e
Harcfcover Reu�ovRl _��Ltechanical GYnter Connection
Footr:rig Sep[ic Setiver Coiinection
x Frnmirig Fi�•eplace Lativra lrrigntioii
_LC lnsula[io�i (�L(nsonr}�} Other•
_� FVaII Board (A�ifg.) 6Ve11(S�nte Per�itit)
_�Final Gradi,tg/Filling �Elec[rica!(State Permic)
Otli er
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I'.EtYIARXiS(IN HO USE):
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RE�7E�V BY OTHERS: DATE:
.4ccess: Existi�T,� �V"e�+�
.{ccess�{pproval: Date B}•:
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RE�I�I�RIiS (TO BE NOTED O�V PER.NIIT):
32
, -���"'���s';, ��°'�:<
.
• �,;�� �;`.,�_ s�e�� �.�����:
Proposed Remodel List for:
765 Ferndale Rd. N.
(1) Upstairs flooring replaced with solid wood flooring
(2) Upstairs sheetrock& insulation replaced with foam insulation and new sheetrock.
(3) HVAC—Cement in lower level transit ducting. Re-rout/add ducts to lower level
(no impact on support walls).
(4) Swap out downstairs shower, tub,toilets, sinks with new in existing locations —no
foreseen movement of any pipes.
(5) Windows: Replace 6 sliding glass doors and 6 casement windows.
(6) Framing:
i. Cut hole for new window in dinette.
ii. Replace sagging beam in master bedroom ceiling.
(Other than these 2 there is No other foreseen impact to any support walls)
(7) Some relocation of light switches and lights.
(8) Possible re-roof.
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�' � DATE TIME ✓
CITY OF ORONO CALLED IN D 8�
INSPECTION NOTI¢�8�` � SCHEDULED � O �--' �
PERMIT NO. y� 1� COMPLETED
ADDRESS
OWNER� IDS.��2Gt- �UO�
TELEPHONE NO. �l�l.- �Z'�' ��"l�
� DESCRIPTION �7L!'j� "' � D �_
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q �-FfNAL ❑ 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 YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. (952� 249-4600
OwnerlContract f-Qn site:
Inspector_
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White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN o�-
—�—
INSPECTION TI E SCHEDULED ��O Q� �
PERMIT NO. COMPLETED
ADDRESS ��0� ��-e �� �-
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TELEPHONE NO. � Z ��D ���(p
� DESCRIPTION I�I�O�'Y1/l1 Ci , �J nc]W l.0 S
� 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 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 MEEf YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �r � � � �,
White Copyllnspector's File Canary CopylSite Notice
f /
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� �� DAT �F� TIME
CITY OF ORONO CALLED IN �`� �'
INSPECTION NOTICE �?/ SCHEDULED � __�
PERMIT NO.��_ COMPLETED
ADDRESS ��� /—<.I.�Gt'��' � �
OWNER CONTR.fI .����t��.
TELEPHONE NO. /� �Y C.-' �����
� DESCRIPTION ���C.t IG��C�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP,TI FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 2Q9-46QQ
OwnerlContractor n sit : f
Inspector. ��,r� �1 )
White Copyll�spector's File Canary CopylSite Notice
�-� �o���� ���- ,�
M DATE TIME
CITY O � " '�e [/���CA LED IN �—�
INSPE IC� ���"'-" "� SCHEDULED � O.OD
PERMIT NO. COMPLETED
ADDRESS 7�05 ��f"'���_ /�-V !�/ �
OWNER V NTR.
TELEPHONE NO.�D�� C�`'tc� 7 Zl�/�
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� DESCRIPTION L1�� — P�u.ntb
l� 01 FOOTING 11 MECHANICAL RI �P�O�],$� DING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlContr o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION TI �[/ ^� SCHEDULED —! -D l v'
PERMIT NO. ���7 Y� L^ COMPLETED
ADDRESS �
OWNER CONTR.A-�I �S , C��
TELEPHONE NO. ��a g`f� 9�� J ed �l,�r�cz�.�-.�.�
� DESCRIPTION / �� �� � ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 24J-46O0
OwnerlContr , or s e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
` � DATE TIME
�-�-- L,�p��.,t�.� ,../
CITY OF ORONO � �� CALL�D IN �fZt��US
INSPECTION NOTI ��SCHEDULED '� �- C� I/.'0-D
PERMIT NO. C> � � COMPLETED �� � -C�� ���L�
ADDRES � �o r— cc.- �
OWN �� C4�'�ONTR.
TELEPHONE N0. �a ^ ��'— � D
� DESCRIPTION �G�� f�� �
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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��ORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,`; PHOTO TAKEN
INSPECTOR WILL RETURN
'7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
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