HomeMy WebLinkAbout2003-P05964 - addn/remodel/repair PERMIT
CI�'T�! OF ORONO
2:5� Kelley Parkway - PO Box 66 Permit Number: Pos964
Crystal Bay, Minnesota 55323 Pel"Illlt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2��i2oo3
SITE ADDRESS: 1955 xeritage Dr
Wayzata,MN 55391
PID: 10-117-23-13-0014
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 2860
Separate permits required: i'iumoing iviecnanicai rirepiace irrigation Jdeii �siaiej Eieciricai(state j
NOTICES/REMARKS:
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FEE $U�VIM14RY: Pennit Fee: S 1,693.75 Valuation: $ 225,000.00
Plan Review Fee: $ 1,119.23
State Surcharge Fee: $ 115.50
TOTAL FEE: $ 2,928.48
APPLICANT: Sunstate Concepts,Inc. OWNER: Eugene&Sharon Clark
2910 Waters Rd.#110 1955 Heritage Dr
Eagan,MN 55121 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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APPLf NT PERMITEE SIGNATURG �S�S�CIED BY SIGNATl1RE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
�� �,, L� � %
� Tota1 Fee: $ `�'- � � � � Date Received: �-�(p- �� �
, Entered By: ;','_J7 Permit #: ,l� � ��(��f�
, ;�-,�7 _y / -; ,' ,`; =� �
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------ ----------------------------------------------------
�
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: 1`� �� ��.-ri{-���_ I'n�v-�� ZIP:
NAME OF OWNER: ,�iurkS'�,%C �v�1C���fS ; .��, PHONE: (home) '
(work) �=,1-��t�� �i�-��
MAILING ADDRESS: }�I t o u'�•�•� P-d�����CITY• �'a, ���t _ZIP: �i�-/
.�
CONTRACTOR: � �t�:5 � '�-�- Co n . ��� ��C- PHONE: ��1`.`}7 c�- `���,�
CONTACT PERSON: ���#?cS���� �� MOBILE/PAGER: ,�-�,��_
MAILING ADDRESS: �-��� f.�,':.�,1�%� /�-'-����tlU CITY: �'�.��•-� ZIP: ��i
STATE LICENSE: # �=G=�,���y �
�
ARCHITECT/ENGINEER:����� ��i� ����'y 1 PHONE: ���- �'1�5 - `� S`1�S
MAILING ADDRESS: ';��sZF- �r����a+,�,� .--Ns2__ �l�� ,�TY: jkG:��,��,. ZIP: -�� -.
NAME: (:-�.�,.� F�r�,�-� �_.,� REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: ��� v e�a �=��� hk�t �«��S�f �K�
�%C` `��G n�t ��a l� �eE, A L a:�S y
STORIES: � SQ.FEET OF EACH FLOOR; !' '� � J���E� '�1��� `��?5�-
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. •--
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����Cca�;
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 ordinances 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 that the work will be in accordance with the approved plan.
i
APPLICANT'S SIGNATURE: �c��c � C�'�- DATE: l��3!-���
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type ojdata. The rights of individual on whom the data is stored or to be stored shall be as set forth in thrs sec7ton.
,
Subd.2. Injormatian required to be given individuaL An rndividual asked to supply private or confidential data concerning himself
shalf be informed of.� (a)the purpose and rntended use ojthe requested data wrthrn the collecting stale agency,polrtical subdrvrsron,or slatewide
system;(b)whether he may refuse or is legally required to supp/y the requested data;(cJ any known consequence arising from his supplying or
refusing to supp/y private or confrdential data;and(d)the identrty of other persons or entitres authorized by state orfederal law to receive 1he data.
This requirement shall not apply when an indivrdual is asked to supply investigative data,pursuant to section 13.82, subdrvision 5, to a lmv
enjorcement o�cer.
The commissioner of revenue may place the notice required under thrs subdrvrsion in the indivrdual rncome tax or property tax refund
instructions instead oJon those forms.
Subd.3.Access to dala by individuaL Upon request to a responsible authority,an indivrdual shall be informed whether he rs the subject
ojstored data on individuals, and whether rt rs classified as public,private or confrdentral. Upon his further request,an individual who rs the
subject of slored private or public dala on indivrduals shal!be shoivn the data wrthou!any charge to him and, if he desires,shall be rnformed of
the conten[and meaning of that data. After an individual has been shotivn 1he private data and informed of its meanrng, the data need nol be
disclosed to him jor six months thereafter unless a dispute or actron pursuant to this section is pending or additiona!data an the indivrdual has
been collected or created. The responsible authority shall provrde copres of the private or public data upon request by the rndividua!subject oj
t{�e data. The respansrble authorrty may requrre the requesting person to pay the actual costs of making,cer[rfying,and compiling the copies.
The responsible authorrty sha/!comply immedrately,rfpossible,wrth any request made pursuant to this subdivisron,or tivithin five days
of the date of Ihe request,excludrng Saturdays,Sundays and lega!holydays,if immediate compliance is not possible. Ijhe cannot comply with lhe
request within that time,he shall so injorm the individual,and may have an additional frve days tivithrn which to comply wi[h the request,excluding
Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accura[e or complete.An individual may contest the accuracy or completeness ofpublic or private
data concerning himselj. To exercise thrs right, an individual shall notify in writing the responsible authority describrng the nature of the
drsagreemenl. The responsible authorrty shall wrthrn 30 days either.• (a)correct the datajound to be inaccurate or incomplete and attempt to not�
pasr recipients ojinaccurate or incomplete data,includrng recrpients named by the indrvidual;or(bJ notify the indrvrduaf that he belreves the data
to be correct. Data in dispute shall be disclosed only rjthe rndividua!'s statement ojdisagreement rs included with the disclosed data.
The determination oJthe responsible authoriry may be appealed pursuant to the provisrons of the adminrstrative procedure act relating
to contested cases.
DATA PRIVACYADVISORY
In accordance wrth M S.13.04,Subd.2, "Rights ofsubjects ofdata",we would Irke to rnform you that yot�r request for a permit or license
J�rom the City ojOrono or any of its departments may require you!o furnish certain private or confidential information.
You are notifred that:
1. The information you furnish will be used to determine yo:�r qualrficatron jor the permit or license requested.
2. You may refuse to supply data,but refusal may requrre that 1he City deny the permit or license.
3. The rnformalion may be shared with other local,state or federa!agencies to the extent necessary to process the permit or
license.
4. l,f}'aur requested permrt or license requires Councr!actron to approve,some information may become public.
5. You have certain rrghJs under M.S. 13.04(see folloiving page)to review prrvate dala on yourselj.
6. Your fu[!na»:e is required to process t{:is application or permit.
PLEASE PRI,VT
-��i� D � C�� ��
First Middle Last
�il� c,�;,�-�Ts � � l�p
Address
����,�e�.►. M A-� 5�►7-,
City State Zip Phane
/und stan my ghts as stated above.
ature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1 9 5 S }-1�---�z�-�G c= p 2��r-�
PID:
DESCRIPTION OF WORK: N C�,.S S�' . o� — � �►.�� �
ZO.�i G $EVIEW BY: DATE APPROVED:
BUII.D�1G REVIE`V BY: � DATE APPROVID;
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER1tiiIT Yes ✓� No
PLAN REVIEW Yes � No SEWER C0�INECI'ION
STATE SURCHARGE Yes �i � No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: L 2-I/}
Fire Departmenr. Post Office: School District: �
Lot Area: Sq.ft. Acres r, 08�$ Width �R-�2�'b�c�tlC Depth
' Surve Submitted: Yes ✓ No Date of Survey: �Z�Z -�2
Y
Proposed Setbacks:
Front (L,a�ej: 57 Right Side: 9 6�
Rear(�t): �e p Left Side: 32•b
Adjacent Structures: —" Wedand: 7 Z� `
Building Height: Def. Hgt. Z(o Peal:Hgt. 3Z.S
Lot Coverage:
Grading: Staff Approval Date: — N'�C. By: Council Approval Date: —
Septic: Staff Approval Date: 5 e� -e�. By: —
Zoning File: # G 2• Z 9 6� Resolution: # Resolution Date: /- 2�- 0 3
Shoreland District:
Avg. Setback: iv( Bluff Setback: /t/�c/� L.ot Coverage: �
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No O� Date of Council Approval:
REMARKS (in house):
7
BUII,DING REVIEyy CI�CK LIST
�C' �� 3 CONSTRUCTION TYPE: V/✓ '
= Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd F1oor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $_ Z 2S'+�o o `�
Inspections Required: `Vork Requiring Separate Permits:
Site �plumbing Fire
Hazdcover Removal Mechanical Water Connection
. —�-F°°�mo � Se tic
�Framing P Sewer Connection
Insulation —rs Fireplace _�c Lawn Irrigation
_��Wall Board '� ��0�'� Other
�F�� � _—c�Mfg•) _�C Well (State Permit)
Grading/FIlling _�Electrical (State Permit)
Other
REMARKS(1�1 HOUSE):
---______-- - ------- ---------------------------------------
REVIEW BY OTHERS: DATE: ��
Access: Ezisting New
__
Access Approval: Date BY:
�_���------
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RENIARKS (TO BE NOTED ON PERi w
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Job Site Address: I�I � 5 �1l'fi� �1 P �1�1 V`� . �.���u.��ACE YOUR CITY LOGO HERE �
, ���� ovided for your use-courtesy of the
"CATEGORY 1" ALTERNATE FOR City of Inve�r�e Hei�hts
ONE & TWO FAMILY DWELLINGS � 6��_4�50 �
INSTRUCTIONS: This alternative may be used for one- and rivo-family dwellings built to meet the Category 1 requirements of
�Iinnesota Rules, Chapter 7670. Complete Parts A,B, and C. Clearly mark plans�vith: insulation R-��alues; window and skylight U-
values; size and type of equipment; equipment controls; and locarion of vapor retarder and «-ind�vash barriers. More detailed
information can be found in the e�finnesota Energy Code summary sheets available from the Minnesota Department of Commerce.
Part A. BUILDING ENVELOPE .
�. _...�.. ..,.__,.. .__.�.� ___ . v _ ,_--..__ _e__..___..._..___._________�..
__
Check proposed envelope joint seating option � Prescriptive(caulking,gaskets,etc.) ❑ Performance(test per 7670.0470 subp.7.C.) ;
Check thermal ener calculation o tion used� "Cookbook" com lete worksheet below ;
gy p ❑ ( p ) ❑ MnCheck method(attach report) �
❑ Performance (attach U-value calculations) ❑ Systems Analysis method(attach analysis)
"Cookbook" Worksheet �u�i`�`I�Q��,��NTS :
(for`Cookbook"option onlv}
�C1 Ceilin;Insulation: Minimum R-38 with 7'/z"energy heel; or
IvsTxucT[o?vs Minimum R-44���ith low truss heel; or
Step 1. Check item(s)that desi�n meets on Minimtrm Requirements list Nlinimum R-38 �vith R-5 sheathing when no attic.
to the right.Must meet all items to use"Cookbook"option. Entry Doors: Max.U-value of 0.30 or 1'/<"solid wood with storm
Step 2. Indicate proposed wall type on table below. Rim Joist Insulation: h4inimum R-19
Step 3. Indicate�Vindow U-value and source. Floors over unconditioned spaces: Minimum R-24
Step 4. Verify totai window(including area of all foundation w�indo�vs) Foundation Insulation: Minimum R-10
and door area is equal or less than allowable percenta�e. Foundation windo�vs: '/z"insulated glass,wood or vinyl frame
TABLE FOR DETERhtI\`ItiG�LARI�iUI4I�VTi\'DO�V AND DOOR ARE�.
hlaxirnum Allowable Total tiVindow and Door r�rea as , ,
a Percenta�e of Exposed Wall � 12% 14% l6% 18% 20% 22% I 2�3% 26% 28%
�VaII Type (Standard Framing): Maximum A��erage�Yindow IJ-value(except foundarion�vindows):
� 2x4,R-13 insulation, b R-7 sheathing 0.5� 0.47 0.41 0.36 0.33 0.30 0.27 4?� 0.23
❑ 2x4,R-1� insulation, b R-� sheathing 0.�2 0.45 0.39 0.35 031 0.28 0.26 0.24 0.22
2x6,R-19 insulation,<R-5 sheathing 0.48 0.41 0.36 032 0.29 026 Q.24 Q.22 0.21
2x6,R-19 insulation, b R-� sheathing 0.�6 0.45 0.42 0.37 0.34 0.31 0.28 Q.26 0.2=�
❑ 2x6,R-31 insulation,<R-5 sheathing ' 0.51 0.43 0.38 034 030 0.28 0.25 0.23 0.22
❑ 2x6,R-21 insulation, b R-� sheathing 0.�8 0.50 0.� D.39 0.3� 0.32 0.29 0?7 -0.2�
��'all Type (Advanced Framing): ' Maximum Avera�e Window U-value_jexcept foundarion windows):
2x6, R-19 insulation,<R-5 sheathin� O..i3 0.4� ' 0.39 ' .35 031 0.25 0.26 Q.24 0.22
❑ 2x6,R-19 insulation, b R-5 sheathing '0.�8 0.50 ` 0.44 ' 0.39 0.35 032 0.29 O.Z7 ' 0.25
❑ 2x6,R-21 insulation,<R-�sheathing 0.5� 0.47 '0.41 036 0.33 0.30 0?7 Q.2� 0.23
0 2x6,R-21 insulation, b R-5 sheathing 0.6Q 0.52 0.46 • 0.41 0.36 0.33 030 -a.23 ' 0.26
Window U-value: tj.� j Source: ❑NFRC ❑ ASHRAE 1993 Handbook
100 x � ��1-� � `', ;�-,�.. _ �� , � % < � � �.<, o�o _
window&door area gross exposed�vall area DESIGN ALLO«'r�BLE (from table above)
MINNESOTA ENERGY CODE - WHlCH RULES MAY I USE ?
TYPE OF RESIDENTIAI.BUILDING _ APPLICABLE RUI,ES
Detached R-3 occupancy 1-and 2-family d`r•ellings Chapter 7672; or ' ,
Examples: single family,h��n homes,duplexes Chapter 7670"Category i" with statutory depressurization and venrilarion requirements
Attached R-3 occupanc}`dwellings ' Chapter 7674;' or :
Examples: triplex townhouses and row houses , Chapter 7670 with either"Category 1" or "CateQory 2" provisions
R-1 occupanc}•buildin;s of 3 stories or less Chapter 7674; or
Exampies: condominiums or apartments : Chapter 7670 with either"Category 1" or "Cateeory•2" provisions
R-1 occupancy buildings over 3 stories high - , - ` Chapter 7676 -- :
Examples: hi�h rise condos or aparbnents �,.,� = `
11
, ,
Pa�rt �. DEPRESSURIZATION PROTEC'�ION
Check option used: '¢I Fuel burnin;equipment (complete schedules below) ❑ No fuel buming equipment
INSTRUCTIo�vS EX��UST/1�IAKE-UP AIIZ SCHEDULE*
Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust devices over 300 cfrn FIoRr
with a Y(Yes)may be selected under the"Cate�ory 1"alternate. cfm
Step 2. Complete Exhatrst/Make-tcp Air Schedule on the riQht if direct or power cfrn
vented or solid fuel atmospheric vent space heatin�equipment is selected. cfm
CO�IBUSTION EQUIP�IENT SCHEDULE
(check all types proposed)
Space heating-nonsolid fuel �! Sealed combustion Y Hearth - nonsolid fuel ❑ Sealed combustion Y:
❑ Direct or po�ver vented Y* ❑ Direct or power vented Y
Atmospherically vented N Atmospherically vented N
Water hearing-nonsolid fuel Sealed combusrion 1j' Space heating-solid fuel_ ❑ Atmospherically vented Y*
, ❑ Direct or power vented 'Y Water heating-solid fuel ❑ Atmospherically vented Y
Atrnospherically vented N Hearth-solid fuel ❑ Atmospherically vented Y
* If ahnospherieally vented solid fuel or direct or power vented nonsoIid fuel space hearing is installed, then make-up air to match
flow is required for each individual exhaust device«�hich exceeds 300 cubic feet per minute.
Part C1. VENTILATION
VENT'ILEITIO�i QUANTITY ' :
('�Iechanical ventilation must be provided per the larger quantity calculated below) '
:n � � ��� `cubic feef s 0.00�83/minute`_ �c' � cfm ( ;� g 15 cfm/bedroom)+1�cfm= ' '� 'cfm
volume of habitable rooms number of bedrooms
`�NTILATION FA1V SCHEDULE
Check method(s)proposed � ; ❑ Exhaust only �J Balanced (heat recovery ventilator, air exchanger, etc.)
Fan descriprion or location � TOTALS
VENTILATION Intake cfin cfm cfm cfm cfrn
AS DESIGI�'ED E�aust cfrn cfm cfin cfm cfrn
Statement of Compliance: The proposed buildin� design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the pemiit applicarion. The proposed building has been designed to meet the
requuements of the Minnesota Energy Code.
_ r``� (( �:TC ��� J(��� 6 c�w- i-�E -�• � f,•�! -�7�' - �ilJ�
Applicant(print name) Signature Date Telephone number
Part C2. VENTILATION (Submit Part C2 upon completion of system verificationj-)
a,
�� --------------------------------------------------------------------
Job Site Address: Permit Number
Fan description or Iocafion ' TOTALS
MEASURED Intake cfrn cfm cfm cfm cfrn
PERFOR1LiANCE fi Exhaust cfm cfm cfrn cfm cfrn
-� Ventilarion rate must be measured and verified when the performance option is used in lieu of the prescriptive oprion for the seaiin�
of joints in the buildin�conditioned envelope(from Part A).
Compliance Statement: Installed ventilarion system is in compliance�vith�IN Energy Code and is sized to provide the desi�n air flow.
Applicant(print name) Si;nature Date Telephone number
' 12
,�0� City of Orono ,iob Site Address: � 5'� �ri��tC :� l�i�� �
P.O.Box 66
o��� �o �q52)2 9-4600 55323 ENERGY CODE W RKSHEET FOR
� ���
���$`� ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: Complete Parts I, II and III. Clearly mark plans with: insulation R-values; windo«�and sl.-��li�ht U-values; size and
type of equipment; equipment controls; and location of interior air barrier, vapor retarder and ���ind���ash barriers. More detailed
information can be found in the Minnesota Energy Code Summary Sheets available from the Minnesota Department of Public Service.
Part I. BUILDING ENVELOPE
CheCk opti0n used: � "Cookbook"Method(complete worksheet below) ❑ MnCheck method(attach report)
❑ Buildin�Component method(attach calculations) ❑ Systems Analysis method(attach analysis)
"Cookbook" Wor�sheet MIN��`rn`I�QU���NTS
for"Cookboot�"O tion)
HeatinQ svstem efficienc��: `Sinimum 90%AFLTE
INSTRUCTIONS 0 Entry Doors: 1'/<"solid«�ood or maximum U-value of 0.40
Step l. Chech item(s)that design meets on Niinimum Reguirements S li�hts: None ermitted
list to the right.Must meet all items to use Cookbook option. CY7 CeilinQ Insulation: Minimum R-38
Step 2. Indicate proposed wall type on table below. � Rim Joist Insulation: Minimum R-10
Step 3. Indicate Window U-value and source. �C] Floors over unconditioned s aces: Minimum R-30
Step=l. Verify total window(includin�area of all foundation win- Ri Foundation windows: '/" insulated olass in wood or vinyl
do�vs)&door area is equai or less than allowable percenta�e frame or maximum U-value of 0.�1
•TABLE FOR DETERIVIINING MAXIMUI�T��I�IDOW AND DO�R AREA
Maaimum Allowable Total Window and Door
Area as a Percentage of Exposed Wall � 10% 12% 14% 16% 18% 20% 22% 2d°/a 26°/a 28%
�VaII T e (R-5 u to R-10 Foundation Insul.): Maximum AveraQe tiVindow U-value exce 't foundation���indo�vs p 5.6 sf):
� 2s4, R-13 insulation,<R-5 sheathin� 037 ' 036 0.30. 0.26 0.23 020 0.18 0.16 0.15 01�
❑ 2z4, R-13 insulation, �S R-� sheathinQ Q37 0.37 037 037 0.3� 03F 0.28 0.25 0.23 0.22
❑ 2x4,R=t� insulation, dl R-7 sheathina 037 0.37 037 0.37 0.37 ` 034 0.31 0.28 0.26 0.24
❑ 2x6, R-19 insulation, <R-5 sheathinQ Q.37 0.37 0.37 0.37 034 03I 0.28 02� 0.23 0.21
❑ 2�c6, R-19 insulation, !l R-5 sheathinQ 0.37 - 0.37 037 d37 037 `037 0.33 0.30 0.28 0.26
❑ ?x6, R-21 insulation, <R-5 sheathin� 037 '0.37 0.37 0.37 037 0.33 0.30 027 0.2� 0.23
❑ 2x6,R-21 insulation, b R-� sheathin� 037 :0.37 037 ', 037 037 037 0.35 031 " 0?9 0.27
�Vall T� e(�vith R-10 Foundation Insulation): l�faximum AveraQe�h'indo�vU-value(exce t foundation windows p 5.6 s fl:
�7 2z4, R-13 insulation, <R-5 sheathina 037 ' 037 0.33 0.28 0.25 0.22 0.20 0.18 Q.17 0.1�
❑ 2x4,R-13 insulation, b R-5 sheathin� -0.37 0.37 037 'Q37 0.37 0.33 030 0.27 02� 0.23
❑ 2x4, R-13 insulation, b R-7 sheathinQ 0.37 037 - 037-" p37 037 .0.36 033 0.30 0.27 0.2�
2z6,R-19 insulation,<R-5 sheathin� 0.37 037 037 037 037 032 0.29 0.27 Q24 0.23
�z6, R-19 insulation, b R-� sheathin� 037 0.37 0.37 '-0:37 037 -0.37 03� 0.32 �.29 0.27
❑ 2x6,R-21 insulation, <R-5 sheathinQ 0.37 0.37 037' 0.37 037 0.35 0.3I 0.29 0'L6 0.24
� �'x6, R-21 insulation, !1 R-5 sheathin� Q37 0.37 0.37 03� 0.37 `'0.37 036 � 033 0.30 0.28
�Vali Tti e(�vith R�l 19 Foundation Insulation): Maximum Averatre Window U-value(exce t foundation�i�indows p 5.6 s�:
❑ 2x�3, R-13 insulation, <R-� sheathintr 037 0.37 034 0?9 �26 0.23 0.21 0.19 0.17 0.16
❑ 2x4,R-13 insulation, b R-� sheathina 0.37 " 0.37 037 037 0.37 0.34 031 0.28 0.26 0.24,
❑ 2x4,R-U insulation, �tl R-7 sheathina 037 ' 0.37 037 037 037 - 037 03� 03t 0.28 0.24';-
❑ 2�6,R-19 insulation, <R-� sheathinQ 037:'_ 0.37 0.37 037 0.37 0.34 030 0?8 0.25 0:?3
❑ 2x6, R-19 insulation, b R-� sheathin� 0.3'7 :0.3? 0.37 037 0.37 _037 0.36 033 O..iO 0.28:.L
❑ 2�6, R-21 insulation, <R-5 sheathinQ 0.37 037 037 037 037 036 432 0.29 0.27 0.25
❑ 2x6,R-31 insulation, b R-� sheathing 437 , 0.37 0.37 0.37 0.37. -0.37 037 � 0.34 031 0.29
VVindow U-value: �:. 7 i � ;Source: � NFRC ❑ Code Default Table (see Pan 7670.0700) f
� � � � _ ,, . t� °/ < �' % � -
�oo x f � � y,�.c;, , , ° ��;
'""�` �vindow&door area �ross esp�sed tivall area DESIGN ALLO�'ABLE (from table above)
13
,
Part �I. DEPRESSURIZATION PROTEC'�ION
Check option used: ❑ Aggregate(complete aggre;ate worksheet on next page) l� Prescriprive (complete worksheet below)
❑ Performance(submit test report prior to fmal inspection) ❑ No fuel buminj equipment
PRESCRIPTIVE PATH WORKSHEET
INSTRUCTIONS CO�IBUSTION EQUIPILEi�iT SCHEDLZE Permitted Equipment
(check all types proposed) Path 0 Path 1 Path 2 � Path 3
Step 1. Complete the Combustion Space heating Sealed combustion Y Y Y y
Equipment Schedule on the right. ❑ D'uect or power vented 'N Y y y
Step 2. Choose a:Liake-up Air Path with a ❑ Atmospherically vented N N Y* Y
Y(Yes) for all selected equipment. Water heating , Sealed combustion Y Y Y ` Y
Step 3. Complete the table below for the ❑ D'uect or power vented N Y Y Y
Nlake-up Air Path chosen, indicatin� ❑ Atmospherically vented N ` N I� Y
flows in cfm for exhaust and make- Hearth -gas Sealed combustion Y Y Y ' ' Y
up air methods proposed. Only the ❑ Duect or power vented N ' Y Y Y
capacity of largest exhaust appliance ❑ Atmosphencally vented N I`T Y* N
in each category need be considered. Hearth- solid ❑ Closed controlled N Y Y* N
Step 4. Fill out the Passive Make-up Air ` fuel ❑ Decorarive N N Y* N
Opening Schedule on the next page. *Only one ahnospherically vented appfiance may be instailed in Prescriptive Path 2
❑ Path � — PI'eSCriPtlVe Ma�ie-UP All' MethOd E�aust Passive Passi�•e Powered
Infiltration Openin6 Make-up
Clothes dryer: Passive infiltration for up to"I75 cfms
Passive openings for cfrns over 17�
I�itchen exhaust: Passive infiltration for up to 250 cfm
Passive openings for cfms over 250
Powered to'match flo�v for cfrns or•er 500
Other exhaust:� Passive openings for up to i40 cfm
Powered to match flo�v for cfms over 140 \'/A
j Need not include central yacuum eshaust in Path 0. TOTALS
❑ Path 1 — Prescriptive Make-up Air Nlethod E:�nauSt Passive PaSSI�-z Powered
Infiltration Opening� Make-up '
Clothes,dryer:,$ Passive infiItration for up to 175,cfrn
Passive openings for cfms dver 175
I�itchen exhaust: Passive'openings for up ta 2�0 cfm
Po���ered to match flow for cfrns o�er`250 N/A
Other exhaust:$ Passi�e openings forug to 140 cfm
Powered ta match flow for cfins over 140 viA
TOTALS
$ If closed controlled combustion solid-fuel burning appliance is installed in Path 1,then the clothes dryer and any central vacuum that
eshausts to outside must be provided with make-up air by passive opening to match flow. OtherR,�ise need not include central vacuum.
❑ Path 2 — Prescriptive Make-up Air Method E�aust Passive Passive ' Powered
Infiltration Opening Make-up
Clothes dryer: Passive openinas for up to 17�cfrn
Po�vered to match flow for cfms over 17� N/A
FCitchen exhaust: Po�vered to match flo�v - N/A N�A
Other exhaust: Powered to match flo�v N/A I�T;:a
TOTALS N/A
❑ Path 3 — Prescriptive Make-up Air Method Exhaust Passive Passi��e Powered
Infiltration . Opening l�lake-up
Clothes dryer: Powered to match flow N/A N.'A
Kitchen exhaust: Po�vered to match flow ' N/A NrA
Other exhaust: Powered to match flow' ' ' N/A N.'A
TOTALS N/A I�::a
15
�
� PASSIVE MAKE-UP AIR OPEl�1ING SCHEDULE
' TABLE FOR SIZINGPASSIVE 1�'IAKE-UP AIR OPEti'IPiGS ' Diameter : Path 0 Path 1 Path 2 '
Nates a) This table assumes 24 feet of smooth unobstructed round 3 inches 50 cfm 35 cfrn 15 cfrn :
duct with three 90°elbows and a screened hood 4 inches 90 cfm 60 cfrn 30 cfm'.--
b) Equivalent designs caiculated using pressures of�d Pascals 5 inches 140 cfrn 100 cfm 45 cfm'
for Path 0, 2�Pascals for Path 1, and 5 Pascals for Path2; 6 inches 200 cfrn 140 cfrn 65 cfrn
may be used. 7 inches 270 cfrn I90 cfm 85 cfm _
c) If a make-up air opening is used�vith no duct or elbows,the 8 inches 3�0 cfin 2�0 cfm 110 cfrn
' diameter can be decreased by 1 inch. 9 inches 450 cfrn 320 cfm 140 cfm
d) If flex duct is used,increase diameter by 1 inch. 10 umches 570 cfrn 400 cfm 180 cfm ,
�•iake-up AirApplication/Location CF1�1 Openin?size Duct Type
❑ Smooth ❑ Flex ❑ Openin�only
❑ Smooth ❑ Flex ❑ Opening only
❑ Smooth ❑ Flex ❑ Opening only
❑ Smooth ❑ Flex ❑ Openin?only
AGGREGATE MAKE-UP AIR WORKSHEET
INSTRUCTIONS �
Step l. Complete EChatrst Schedule on the ri�ht indicating cfm of largest device in each category. EXHAUST SCHEDULE
Step 2. Complete the Combustion Equipment Schedule on preceding paQe. DEVICE CFyI
Step 3. Choose a path with a Y(Yes)for all selected equipment. Clothes dryer-<
Step 4. ,Complete Aggregate Make-a�p Air table below for chosen path.Usinj the total cfm from the Kitchen exhaust
Exhaust Scheclule,indicate flow in cfm for proposed method(s)of providing make-up air. Other e:�haust
Step 5. Fill out the Passive�Liake-up Air Opening Schedule above. -TOTAL
❑ Path 0 — Aggregate Make-up Air Method Passi�e Pa�si�e Po�vered
Inf ltration Openin� ' 14iake-up
Passive infiltration for up to 42�cfm
Passi�e openings for cfms over 42�
Powered to match flow for cfms over 985
❑ Path 1 — Ag�l'ebate Make-UP AlI' 1�et�lOC1 Passive Passive ' Powered
Infiltration Opening* Make-up .
Passive infiltrarion up to 175 cfrn*
Passive openings for cfms over 17� '
Po�ti�ered to match flow for cfms over 565
* If a closed controlled solid-fuel buming appliance is installed in Path 1,then a passive openin�must be installed to provide make-up
air for the cIothes dryer and for any central vacuum that e:chausts to the outside.
❑ Path 2 — Aggregate Make-up Air Method passi��e p�si�e Po��erea
Inf'�Itration Opening' Make-up
Passive openings for up to 175 cfm
Powered to match flo�v for cfms over 17� N/A
❑ Path 3 — Aggregate Make-up Air Method Passive Passive - Powered
Infiltration OpeninQ Make-up
Po�vered to match flow N!A N/A
16
�
P�rt IIIa. VENTILATION
' INSTRUCTIONS
Step 1. Complete the Ventilation Quantity worksheet below. -
Step 2. Check the Make-up Air Path(from Part II)on the Ventilation Methods table below.
Step 3. Choose pernvtted method(s)for People and Supplemental Ventilation from the Ventilation Methods table.
Step 4. Complete the Ventilation Fan Schedule.
VENTILATION QUANTITY
�OT�,vEv'rn.ATTo�T: 0.0� cfm/sf x sf , _ � cfm
conditioned floor area normally includin�basement
PEOPLB vENTILATION: ( � x 1� cfm/bedroom)+15 cfm = � cfm
�of bedrooms . . . :
SUPPLEibiENTAL VENTILATION: cfm — cfm = � cfm
total venrilation `people ventilation
VENTILATION METHODS
I�IAKE-UP AIR PATH(from Part II) PEOPLE SLFPPLEi�IENTAL CO ALARl'�f;:'
❑ Prescriprive(or Aggregate)Path 0 Balanced or Exhaust only Balanced or E�chaust only* Not required ';
❑ Prescnptive(or Ag�regate)Path 1 Balanced or E:chaust only Balanced or Exhaust only* �iot requiredj'
❑ Prescriprive(or Aggregate)Path 2 Baianced Balanced or Exhaust only* � Required '
❑ Prescnptive(or A�gregate)Path 3 Balanced Balanced ' Required
❑ Performance Path(see part 7672.1000 subpart 7) Performance Performance ' Required
*Passive infiltration sha11 not be used to provide make-up air for exhaust only supplemental ventilation in excess of 4.0�cfrn/sf.
j A carbon monoxide alarm must be installed if a controlled combustion solid-fuelbumiug appliance is instalIed in Path 1.
VENTILATION FAN SCHEDULE
Fan description or location TOT_ALS
Fan Purpose ❑ People ❑ People ❑ People p People � cfm
❑ Supplemental ❑ Supplemental ❑ Supplemental ❑ Supplemental cfm
VEN'TILATION Intake cfm cfm cfm cfm cfm
AS DESIGNED Exhaust cfin cfm cfrn cfm � -cfm
Statement of Compliance: The proposed building design represented in these documents is consistent with th: buildine plans,
specifications, and other calculations submitted with the permit application. The proposed buildin� has been desi�ned to meet the
requirements of the �linnesota Energy Code.
Applicant(print name) SiQnature Date Telephone number
Part IIIb. VENTILATION (Submit Part IIIb upon completion of system verification)
a,
�� ----------------------------------------------------------------------
Job Site Address: Pemut Number
Fan descriprion or location TOTALS
1�-1EASLRED Intake* cfm cfrn cfm cfm cfrn-
PERFORiViAI�TCE Exhaust* cfrn cfm cfrn cfm cfrn
*�leasurement required for ventilation system intakes and exhausts from the building with design air flo�v of 30 cfm and Qreater.
Compliance Statement: Installed venrilarion system is in compliance with MN Energy Code and is sized to provide the design air flow.
Applicant(print name) Sionature Date Telephon:number
17
, ,
Weat�1�5�5 Ra�r.r. (;p�tlop ilo. Ylsmauoa
wmao� `� � o�ruan i��a �c� � � �a tm�i�
Yes=Afo � Yes--No 19-- '
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1�or�s aad Ooots�--lk�age�f!1�
Vf!'mdo�rs� e�at �� n� ��� Z �.., �e, � a0.� �;e�e. � ���� '�
r�lo. a va•� d va.a rg� ot vact aa.�- yso. a•r at w•e Sgidt oi�dC sv-�-
.. J� ' _
� `
Coef_ Btn Coef.
Infi[tratioa � -
6la�s �
�� ��
l+kt e�_wali .. - ��-�
int wall �-� �
Flo� . � �� Hoor �)s _ -
Cel �-
Tota{Btu. �2_S"_ Tot�Bta
fteq�d s4 ft.�D.�.�r sq.ins i�A.!�� �ei sq-ft EQR.�sq.i�IIILA.Leade��ea
Fl.j l�+n 1 le� � Heigfit R-� Roos�L� 11� Ne
N�da�es�Deors—Cractage a�d!� Wi�s�ti Duors-�lxacicage aad Ar�
v�a� � �a �:.d t� w.a wda. t� �� e.:�a �
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1
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Exp,y�ap ' FicR.walt
Net exp.� � Ret e�.r�
lat�rall E ��
Floer '
Floor ; oe
Cetl. �-
Tofal B�u. Teial8h�.
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Yl�o�s aod 8aors�—lYaclrage aad l�ee T��d DntS--taradn�e aod Area 1
_ w;aA t�:�r t+a ac t;we�ic. : w.e. �Af�. tfeiyk � t�ai u�1����A�e��{
No_ ot pax ot paae Gg1vs d trxk zq.B No. 'af ps�e of 1�aK G9Ms ai ctacE i sR.fL
� _ e
� �
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Net exp�.rrall i i�t e�q►.wall
Int araf! � i ��
�
floar � Fbor 1 '
�
,
CeiL ; �-
Total Btu. Ta�al�e. -
Remirced sa it EDR ar s�-i�_�if.A.E�ader area . Rea�red sa f�EDR ar sa ias.IAtA L�r area 1
f
, , ^ ,r
r���'�. U � �1 o z"�- �-�
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Weath� rtan..s. �;oas�recuon wo. �wa
Wmdons � efet�oe 0�.Nlalt Ir�f.lll� 1 Ce� i�eof R� t�d Nwr�
Yes-No lfes�-�to l�— °
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w�.are �+�y�a �.�t d�it. � �'� �4� tto� � ai�w.e � �ft` � 1�`ti
No. ui Pa*� oi v�� � �7
``l '� l L, Z ��Z Z(,,� ��_ �
4� /� •-� �/�G\ ��i J 2 � Z. -t
f: I �� ` -
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1 �� ' ; , � Z v Coef_ Btu Coef.
ittfiltratiai � `� � _ ���
�lass % � "("l�
�P � � . _ Exp'waq Z`' �
l+kt e��ati . _ ��-1� c� Jr
lrtt w�t �- - iat vraR _ 1 --�
Floor '" Floor
� �, � cea. < � 3�3
Totai Btu. 7 7� Tofal Bbn� ''�03
�s4 fi-�D�.dr sq.�ns.i1iA leedes� �s�.ft ERR er sq.i�WA Leader�rea
+ 1�t�en�th ' Nf�ls �� (L . A-1 -�-- I �1��.`t � � Hr�G
2-�-I r' a ' - lll�e�s aad Duors-1�adrage ad Ar�
Il�darees�Dao[s--Ccadr�e and Area , � L��..��
Y� Nei9it Ifd ai G.ed R w.s ,�.��� l�-�c•v� Mfr� !1�}� ►1s.� t:.eel� w.es �>
Na o!�e�e d n� G 9�s -d oacE = sv.� lin. oda d os�e = ir}!t a�f Qa�ct 1 sv-ik
Z � i l��_ �� + �n � ^
� � !�
� � � �
, �� �11 � � ��f
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� — � - � '
cea. i � �' �"8'
Cel. �S Toia{Bto. 3�6
Tofal Btu. C� :
Requ�ea sq.fL EllR ar s4 i�tI�A.Lea�area �sq.f t Eo.R a sq.ies.r�A.tea�a area
���� �,,t I�mn 1 L�agfh �y.�, 111�dfh j - Neigist - "�Fl-t i,�,�, ��� � ��-, Il�dih[� He`�S
b � Y�aod tbers—Crdtl�age aad Ar� ' ������ -r
v�r.a� � e�.ar �►� : w.� (��:� 7S C'�� �,,,�ms t�r � �w.ai �t a��� �'1 �7U
No. ot pane of paee I'gMs o t c r a e t sV-+gp�- Na P� o f A� r 9 1 d s c[cracE s v.ft.
,�7��, � ��- `,!._..�� "l i � / �J� �1 -.� � ,- /`j � t �� l � .
/�. �(� //�'
� " _ � ��� � z `f" �'J-"�I 74�
, �
. ; �u � �
tafltratiaa � " � `� �� � ;
Glass
� � � � v
EYp.nrall �2;�. e � �P-� � �` - \
Net exp_t�a11 �1 � �'`� Net exQ�1 '�._;�� ! t c� '�
Int wall -- � i " �� �' r'
� _, : , _ Floor ,- i ; �-
' 7
' ` �`�� '
CeiL � �-- _ i"� Cei. �
Tot�Biu. - Total�. - �
Remined sa it El3R ar s�i�_�IIfA Lzader area . Rea�red sa it Ei)R ar sa ias.NtA L�fer a� �
.-.
Weathe�sh�s �'�-�-� ��. ��°
Vlfmdows � � Out MF� !r�111� 1 Ce� R�eof � IGd �l�w Ap�f�d
Yes-�o- Ye4--�l0 l�_ '
� �-( ��-.�1 �i� ���� � 1'�Z � `-'i � R-I `' ,.�; iEoeO�l� ' 1� I l Ne C�r
Yt�indows and aad Ar�t -. Y�o�o�aa�!Ooas-�Cradmge a�i Area
vr,a�a � i�..at �tt n� i��� �•�=--'�''� v� f+e'� No..of t;e�.�� r� �`.i='� � �b
►�w. ar va-� a w�e � ar� �.e. c�. o.� a w.e � �� �n.
� L � �Z
L�l �� .� � � �� —
-� �
�_ g� Coef.
Ittfiltrati�e " � � �� �
Gtass _ Aass �;s ���4 $�
Exp,�I _ �P-�I i��u -
Net e�s�ll - .- - ��-� �-'�
tnt v�n - �'t•'� _ 1 �
Floar - � Raor ' " 1 �S G
� - Cel. � ' U
Tota{Btu ;"1 Total 66�
�s4 ft.El}.�.w sg.ias.i1�A.!�� �s4$E.aR�r sq.i�IIItA.t,eadef�ea
Fl.1 � -� Roe�s 1 tea�th ^ � _ EteigE+f2--) 1 R I `` v �i� M�Ih Ne
Il�da�es�Daor�--tradiage a�l�ea �u�s� 2 7�= Y�d�s aw!iluats-l�acf�age aad Are� �
� � � -��' : � � t�. � �" _ � �" �� l�jt17
tro. os�..� � fC L
� � � � v ; - � , ���,�I i _�_�`� ^ �� � (�L� ��� i�-1 i��
� �, ,�� . � � :> 2 i���Z � i
� l
� ,r2 ,v � �-1 Z(y C � -Z , ,z. � =3 ��c,; f c�1�'�.��-
� , t . �� Coe� Btu ' ' ,Coef.
I�tration ; � � `"�.z� liii�r� � i Zc�7
� � � � �ass Z7o��
Exp-,�aU 4y- ' - f'rp'-'raq '� 4 �
Netexp.� �-� - -7`j tfet�r� - `]t 1�-�
lat.a�li E -" �� '
Flo� � `3 3`i� Floer ' z7sy
Getl. -- Cet1 -
Tofat sbu. ��3� rob�B1a 2.Z y
Req�ed sq.fL E.i)R ar s4 it�.W.A.teade�� �s4 iL EDR�5�.ies.MLA tea�a ar�
��1 ���,, �!� 3� � (�� �� iZ- 1 �-! �� �I� 14; � i Z Ne� ��
Yl�da�s ad eo�r�--larad�ge am 1�ea '' z c;� ��d ooers--ta�adc�e a�d!1�
vrr.� � �ac �ri. _ w.e. �� � �w-.�u �F* � t+0.af �t� w� ��� �Z Z
1,1,_ af paee cr paee r.gMs of vxk sq_e No. ram oF naK �S ut«act av.t�
� 5 ' ' �- z- . Z I�i
� � � � �.z. �� . �3`{ � �Z i � - -
.�� � i z ��5( i����( i1z � y I�
y .
�� �. y � ti ; tz � ' �
ia�frafiw� ! � I Mfiitratioa � ; ��
6dass � 5C�h h'` � � � G:�f/
EYQ wan .. Lc - - �p-� � � '-
Net exp.�ra11 ' Z 1 Z 1 1�t exp.�+eali �� 3 � � �
tnt w�{ � ! 1 �� -
� � 5��v � i ; 2-57�
. ,
cEt ' �- '
Tot�6iu � �.lc� Toial�o. - ,C��7
Req�irced so.it E�.R or�-i�_�1V.A t�ader area . Rea�ed sa ft EDR or sa.ias.MItA Cea�r area i
�
. � ^� �?-�
�1��,�1 ,�.
Weatlterstrips ��� �`i,�->% I;o�UucUon na ��waaaon
�ndows � ef� Out 11i� Jr�t'W� 1 Ce�ng Roof Fl� IC�d t�v Appfied
�e --No �(�s--No �L_ '
± FI.(t Ir�.�-ry 800rn i L+ength l`�S Ylfidfb � _� `� � Fl-� :�.r� ���� 2 � �C "' i
1 Yf�'mdrnrs aod �d Arat IN'indo+�s a�d Doors--Crackage and Area
vr.a►e r+�af t�ot i:.��r_ n.� /-}, �i v'�'� -�� � �+e�* ew.of t.�.�� � �. �;,
Na o�vawe ol w.e Gqr�s or oract s9.a- 1 L'y Na P..e dr w.e � oi aract sn-ft-
1
�Z ��� Qe,\�.,� ..
�i,� I ��t ' ��� (�1. -
Caef_ Btn � Caef.
Infittration L 1���� - - �
Glass � � _ - �
Exp.wall L�• 1�� Fxp.rrait _ ,
Net exP_waft �� - - �` ��-� - � �
IRt�ral1 -- " lat w�l � I _
Fioor �j� - � - (. '7
Ceil - ' � �- -
Total Btu. 4�1 �1 Tofal6fn_ ��
Required s4 it�[}R w sq.ins.iYA l�de:area R�red s4 ff.E1�R.or�.a�s.WA t�der�ea
`Fl.� . � � Rawn t Le�th MI�Cltb Height Fl-� ,��- Rom�{Le�fi ���1` Vlf� Ne�
Winda�rs aad Daas—Cradcage�l Area YY'uidaes ard Daors-�kage at�Area �. J
w,a� � t��t ��r �. �� �`�`'� CG•�-, vr� � rt�.� �� � 1 t-I-
Na of l�e.r d v�� �s •oi uscE ' sv.#. !Io_ v� d v�e = � af crack 1 sv.�-
' L ' � �2�> ;�� �� � 1��r 3�
i
, �
1 � � i
} C�f. Btu k � � ,Coef.
Infiltration - � z � `( �tr� �' � } �
� � . �� �� � �
Exp.wall � � , �p.r�ali _
Net exp.�ft . �?� Net exP-� ,�
it+t wail - ( lat w�l - �
Flour � � �v � � 1
Gel. �� �
Tofal Bbu. ''L� Tatal Btu. �
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� 01 FOOTING 11 E HANICAL 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
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! ��� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION I SCHEDULED � ���� ���
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
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DATE TIME
CITY OF ORONO CALLED IN I D -1
INSPECTION f�OTICE SCHEDULED D- -b l D; o�
PERMIT N0. Y05g�'� COMPLETED
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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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
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Ca11 tor the n xt inspection 24 hours in advance. (952� 249-4600
OwnedContractor ite:
Inspector.
White Copy/lnspector's fle Canary CopylSite Notice
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DATE � TIME
CITY OF ORONO CALLED IN -���'`->-� (���
INSPECTION NOTI E SCHEDULED id'-��-(�`)
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Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
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White Copy/lnspector' ile Canary Copy/Site Notice
� � �_�'✓, Df TE TIME �
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Call for the next inspection 24 hours in advance. �952� 249-46QQ
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Inspector. / .� � �� `�
White Copyllnspector's File Canary CopylSite Notice
�` �
.� DATE TIME
CITY OF ORONO CALLED IN - �'�
INSPECTION NOT�CE SCHEDULED .�L�-� �� �';:�P�.'�
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White Copyllnspector's File Canary CopylSite Notice
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C��"s ( "/O"-T�F_� TIME
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Ca11 forthe next in+�pection 24 hours in advance. (952� 249-4600
OwnerlContractor it': �
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