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HomeMy WebLinkAbout1998-009908 - mechanical PERMIT �ITY OF ORONO PERMIT TYPE: ;��,_��;;����;;��, '�2750 Kelley Parkway- P.O. Box 66 Permit Number: i_'!`�='•=�;''=' C�vstal Bay, Minnesota 55323 Date Issued: i-'�j��='="�'���� ��;�i� 473-7357 _����`��� d'-:�.?�4E�S' ;:+,=�.5 �-I!�t�i�TE� �-';�:_,:_� �t-� . z . �� . . =�;—i �,;r:—��:�,—=;1 —;;�zt��: �:��:�CRIPTION: 't�Tia �� �ti�; :a;-..,.�i���t� - - -;:t,::`=< i=4?!�L f�I�tTE�i�:�L �a'�'•=; t�l�;�:E i....Et�ltd��;�- _ . .__. . . ,.. . _. . _. i�it=i{�i�; ��'Y'r.;�,'�;—i:3i i-7�, i=li_1��`;_i�' °�:_,, i:C7t t i�yi=`i 11� 1 i)ij, {_+i_�{i _ - - - �;r - -- ;,:.; r :,. . C ��t`,� J �h ��1_l�,i�,� �_:'.H�:—t_1:1<<:(7_'i 7 _. I i:'. - -.. ._: i. . _ _.�t�y:j'�',,� �1l=��'•�.� �.�.�.. ��i�y`_� n�!'�.��: s4;;�;�JT1'��;TTI_��.t t1��;:� '_s ���.IT; :��,�;'r;T�; C.��iUtl;, � i:�r�'=� .._'��4i= T sv°�:�°�=�-: (- i��t�::.E iw�::T�';�=��'I__�� ;�.;��''t`~s t���.����<,;�;:,. �=�".�:� $��1MMARY: - - �;`r-;(,_,i_)y i�{�i�„! �i':,-�; �:[_i;�7 _ _.,� ,=,�a . :��� . ;��� t•i�I�_ Ita _...---�-- —��.ym�.' _;�_'.t'rl'�L t'°��_ __..____ _��..�....L.a T}��#.i j t=�?� �w�;'7 .i�i:i '�i�%S'.ENi�".�,� . �iI_.�L' . �{I _¢_ -- H�'�`1 i�;�:,"�t. -� �� � --. ..���11�',� i"i�'QRi� ,`-Ti_: ''���.+�.��. �. = �i-jtlil�� {'"��_p�'I``�� _ _ . `�: � �'i E_!��?�'��'. ��:?—r��_ �I���i �'�:.:���i ��i' �'[=;`._�:_; ��.E.��:��� �-'F�s�I€�I�� t.��.a �,c._;;�! ��1�;:i�t�i� i 1C�1 �_'_'�1 _. %r: i =7..�f: —:i i:1 1 �`._., �%{'`,l�i;-�1:-� ; ti�'�?�'��} �-i�-i��:�:�i` �'.:.f��f�F::_;�'._ :-`�-.'it'��_ - ;�,;e;(i} : i_E f?;=i�'�.`. �1"ii-._j�t`�_�i�_ �i�!f`�?i_t`:".���T°,�;�=; `''i'%r.�i~ .��}} t�"�it�'...� �^},t�31?.���J �N�� [,}�� .li-'�,?,.L„ '�.4��'i'.i. f�� .'i i t.i.i..: 4^ l•I..li i�'s�_1�['t{4_.'��-. ���!..�..�_7 !"'S�_..i� .��� t f� �.,��� .��t __ _ �;:-'i�f-j�"1 =th:}�f�lf;j�� � . .¢`v�: =��"r;��E -si-' t� tr .�=;�Mi�'y'; �;'t_?I�...:.�T P,it�: �;;s_€;it� �-- .-:T k; t��-;�,(�'°_' . . . ._.. _ .. � . �, a.f i i � ��i Za,�.�-.�,, APPLICANT/PERMITEESIGNATURE ISSUEDBY:SIGNATURE �• CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 y 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. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - 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 pernut 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 473-7357. 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 473-7357. Please check one: New Addition Repair Replace Residential Commercial JOB SITi+:• �n� N�A��e,r ��5 Zip: Owner's Name: j��c��, J��,.,e S Telephone Number: Mailing Address� City: Zip: Contractor's Name: �--' �} � Telephone Number: �j�/� -y�J Mailing Address: ��'7�P'f�n9� �Ta�l City: - .� r4�r�eZip: s�3-/`7 SYSTEM DESCRIPTION HEATING SYSTEMS � Quantity: I ( Make: )_e.u�9c�X z P..,n�o� S[�„T F�,��ode - ai�,.. 7u.u�. Model: (�2 !�'�/s-�oo (,a(o ��� S (o� E�e'' . Fuel: ��.T . ��5 �T . ��S /1Y}�. C�S � ' Flue Size: -r,''� �" �.�,,� �� Input BTUs: �, �g� 7S-D�U (�0,�OC� ��. �•�- Output BTUs: ��,p00 7p, p� '�/��� CFM: . COOLING SYSTEMS Quantity: 1 ) � ' �_ Make: ��_ �en�9r�x -� �, Model: I�AC-�`�� I�A�C-b?� C,2� �.�e,,, Tons: �. �/2 H. Power . � WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATIOl�-�L,�s�� o� -��oN i No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25%o of Contract Price* or Minimum Fee ($35.00) - �3�soa.°° X .o12s � �G3 ?� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ �� e7'` 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) $ �j� 7�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 - whichever 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 accardance with the ordinances of the City and the regulations of the Minnesota State Building Code, and ce ifies that all state nts made on this application are complete, true and correct. Applicant's Signature: ' -` Date: � �( Approved By: Date: ( � a ;�'. ��,, _ Q �y Narwe �y ��"'� Addreu.`� C v`fi- G js �'~�a+# O�h�a1• /O/�j��'10 zL� MEAT LOBS CALCU�1►TIONs TolB) HP9 Lou' ( 33 b� =Total Btu�lnput I All windows 8 doo�s a�v�h�r� FI�'��1�f`/ /►^ `ii pth. . ..Wth. . .. Ht.`� ' F1. � SwZ^ Room � �, . ..� . .. Ht.��' W' N�pnt No.ol lirrNft. An� W;dth M�qht No.ol Linwlft. An� • No. of p�n� 01 IiqAn o1 enek q.fe. No. of p�m of prN 1 q of pKk p.h. a �Y . � �� z �n .�6 � . �. v� y�y �. �. � o � � — S`'`'. a- � � � � ao y�y 33• rs� �: zc� �� y Z aY 9� cv fy � � �3. � _ to 1 -- a- �-y ,�, — ,� _ � ��n L�—. �y Cwf. BTU /�� CoN. STU IMiltrstion Windows r ~� Q 9 InfNWtlon Windowt 3� Intiltrnion W/Ooon � 118 �S Infikrstion W/Doon 11A IMiltntion 5/Oaon » I�ilmtion S/Doon 71 E,ro.Wall �3 . E�.WNI Q Gwa s ooa. 8 �U cro a 000n IWt E�.WNI �Y 4 6' 7� N�t E:P.W�11 d 7 '� � 4 8 ! � '—�--s Gi��^9 Z Gilinp /_ l�Y 4 Ql � � fba ��-�� 7�1 � .. Fbw «�� 7 1 TetN 9tu. �Q ToW 8tu. a ' p �I ��. . ..Wth. . .. Ht. . .. �F Room � ' � �, , ..Wth. " Ht.�, . No. � � No.M linNlh. An� No W' M�iyht No.of LIMYtt. rN of p� ol 1 a M er�ek q.ft. M wn� 01 1 p of p�ek p.h. i 3 �- a— �-v ,1 ,� �. 3 . �o S c.v 1-�( Y `/ 'Z I S� u G/ /of I "'_ /�,E Jt.✓ c�0 �� �4• ,� /� �� �— . iCM� ��+ � C�c,/�aooa C� p�! ieoor, coN. eTu � 3 (a O �� — �, aTu ��uv.cto�w+�aow. � � g ��rnerna�w��eow. •� ,L .�. ��eucn8on w/oeon t te �nflnnewn w�000.. 1 ts 3 �j Q Infutntion E/Ooas 71 I�Ntrnion S/Ooo� �1 EaP.WNI � E�q►.WNI ' � Q, aw a o�. � cw.a o�►. 8G . N�t EaO.Wap '�Y � �( � Nn E■v.WNI �a� ¢ � ! GNieq Z4 36 Gi�iep l� 4 � 2 Fwo. 27� �;o �36o Fwo. 3 r�et�. To�s��. j 7,� FI .ISJ'Z � oam Lpth. • ••11Vth . •, Ht.��� FI. �.... (tinh Hoam Lpth, • ••Wth. • •• Ht.�� — No. �h �'0�� 'No.ol LimNft. An� ' H�iyAt No.of LMMYft. ArM ol p� of p� 1' ts of enek .It. No. 01 p� uf p� 1 n ol cnek p.R. a.. 36 � �o. . .S w���32 �, 3 _ � � �.-� waa � ,� '�'w p � -- . �vf � �6 r� z p• N� �l — �. �• 3 � i �� � , Sw- �G � ). ic/�. �e� � / � � F. /doon Cwf. BTU ��� CoN. BTU Intilernion Windowt � � InfHtntion Window� � , ,�. �.;. ,: : ,t . . � z ' l�iitr�tion W/Doors 178 .: c f�fikntion WJDopt : � . ' ,�.:: .<,a l�ilir�tion SlOoot� � . . � . .. .��t - ... w ,»�.: :� .� :�, ���' �^�S ��, �MN��a�o�.',�f�iw ��'��,.. '� � � ' �� �W�+,ha� �rd�'r F r: '' '; +' ,,;" t� '`a (�` ��+�°"�Iliil� � � ++ r�n '� '.�i�Yin�., a' i�. . . � �, . . , .��� ' a' . t� . . �d� . i . a , � . 4M V ,�± �a �'F'�'� � �;. 3 �` �i�,° Glw i Door� ','����"��� ;����-�•�'r�. i''��.�t. ��� ` ,� � ."'` �- '" �67 � N�tEaV.WaN :��rsr '�� �.:t `' ,� ' � . ^` - q _ ,�. p - " �..�. '�dY ��i�'`��� 'r�'�`"^ .� .a ra�,��at���,�� 2� ,-_ . > , , ,.. . , _,, �' � y. }rt a . . ^ _,. .-y,_ . . _ . �:� y 1 . Y;-.�i .vJ'4.t' : .;'Y'�... y..K. ��`� .�4 ��� " , .. . .- .: ..� �w�.. (a+� i' . •^� +F':"..,P ( ��: , ti"�. 1 f,....; i �: �', ..r . ..: ' .Y .. .,. ... .q. '. ..�3 .. .. .. . ... '. i{{��: .�' . :'••i.}P.. :',..v ,•. ,• :.. ..�. .. . . 'Tib 1'v .:.'.� ....�.. ... :_e.....sw.."�.u. .�. ..... . . c•1��, �o.-..� aaa� �� � lP'""'"' �O�'° ��# a�N�u�, #i0t N� HEAT L068 CALCULATIONs To'�ai Heat Loss• =Total Btu lnput I A��wtndow:a door:an wNcbartripp.d F . •��� Room � Lqth. • •,Wth. . •• Ht. l0 •• FI. Room � Lpth. • ••Wth. • •• Mt. • . No. W�h N�qht No.o1 LiMNft. An� Width N�qht No.of Liewlft. A►N � of p�m of pru I tt ol arek q.ft. No. ot paw of p�rn t q pf p�ek q.ft. , a.� a� � �. .sf�--- �o y , f k v d� �• O• a-• �— ,�6 � w , ,do,n y• T.�.�S cv� ,d,a, � 7 /doon � �� �,°�f. BTU � /doon CoN. BTU I�iltntbn Wi�dows � Infilt►�tion Wiido�w� 3S I�iltr�tio�WlOoon �O ��s intik►stion WlDoon 11A I�iltntion 5/Doon » 3� �-Y Infiiv�ttbn S/Ooon 71 Erp.WNI o9O Erp.WNI Glw 8 Ooon / Q � � Glw 8 Dow� �'� NN Exp.WNI � �6� N�t Exp.WNI 0� - 1 GUirg OC)O Z4 6 �C�C� O• GifinY 4 6i 2 _ sao� ���Q Fww � TeulBtu. � ToalBtu. FI. Room � Lpth. • ••Wth. • •• Ht. ' FI. Room Lpth. • ••YYth. • •• Ht. � WidtA M�iyu No.of limNft. An� WdM HefOht No.of LM�NIt. eN No. d P� 01 t t� o/enek �o.h. No. of p�n� of P� 1 a ol enek �0.h. /dpplf /dpp1� /Aoon CoN. BTU /doon CoN. /TU Intfhntbn Wfndpwt � I�flltrnbn Windowt '� inliltntlan W/Doon 118 In1{kntlon W/Doon 11• IMiltntion SlOoa> » IMNMtion S/Ooon 71 Etp.WNI Exp.WNI Gbs i Ooon �"� GY�c i Ooors NK Etp.r11N1 4 ¢ Net E�p.WNI 4d¢ Giiirw �4 36 Gierq �4 F bor 7 10 F�°°' � 6 TotN Btu. TotslBtu. F1. Room Lyth. • ••Wth. " Ht. ' FI. Room lpth. • ••Wth. • •• Nt. ' No. W'dt� H�pht •No.ot LinWft. An� ' Width H�pAt No.ot LM�Nft. ArN o�oa� of Wm 1' U of p�k q.ft. No, oi ym of pwN 1 t� o�aak q.1t. �doors �dppi ��n Cwf. 8TU ��n CoN. 6TU IntiltrNfOn Wi�dow� � InIN1nNOn WindOw� `u InfittqtiOn W/DOort 118 , Infiknti0n WfDOOrf ' 'i, .,, ' �^,�"� y: �`g.�"�1a z r,�F?,. inlih��tion$/Oow� „- °' ;;71 ; ,; Inliltnlio�S/Doon •' ' ^' - -...-: �,,, ; .a'r.tn'Sd^r.. >4... c.��_:t '[?.1d•.. `.-"�Jc -ed�y. ,V�..��"°' �4'�7 � . i , . t'++a.Y�t��„�`''-� y;.^ ��.: . €���� �M��¢� , LL �: . ..,� , ,.., ..,.. , . . . . . ._ . , . �. �, , ..., . : . • � .. , . - � . . . .. < � .. ,.. .t• �.:.e ?:�. . ,a-:. . ,�+ ,_. .� �, ��.� ,�y. � . �'� �y�- b � � . »$b!'. '�`,a , k��' - �"�� Y.'Mt;l.�e +h >�igh !.. - . �s�'i_`�' `.�:yF, �. x !�`''^r_-,�,,•�' r� Y�h.� ri1Mt��OOrf.'�" r cF i ��.� w s'� , �, Vr ... t. .� r�. • .. ' . �.. , ���'a�. ; ; ,"�; �4d,6� ;;k �f���;; H.c e.o:w.n ��;��-� ' �.� � ;��' °� ��. � � �I1a11, , . �, _: . ` Y + • ', � t r-�q�d,+ :'S{K '�' '�''s > � ,. rnY' ,��;3"t . _� 2.y�;f. ��.'@��'r' �s�,i,� +��,`v� ��7'�7�'f��'�����+.��'�"`�,++�.'�r}{;�'.. � .. . . .. i `�` °�.`. �'r X 3 � �.: ntrt, , S� '�",5'.-:.-� ..�4.�',r,s w.up:g. .�„., ,.��., .. :,. . .....� . �. .� ., , �..;..., ..,'. . . . y ...... , .. .... .�r 'F, y�r.:, �a. i. ?eE `�`�,�s, �e�'w���.'`��.y.. DATE TIME CITY OF ORONO CALLED IN ��<�y� INSPECTION N TICE SCHEDULED 3/�/�r9 �/ . .3�' PERMIT NO. � � COMPLET ADDRESS S �'�c.a.s OWNER CONTR. ����.-r� TELEPHONE NO. ��� " '`��Z/ / � DESCRIPTION F � Ot FOOTING MECHANICAL - ��" �18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICA�FINA� 19 LAKESHORENVETLANDS � 03 INSULATION 24/25 WOOD BURNER/ IREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTION Z Q OS 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 FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � j d W �WORK SATISFACTORY:PROCEED C. PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED i== ISSUE CERTIFICATE OF OCCUPANCY W � �� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT i CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ! STOP ORDER POSTED.CALL INSPECTOR `' W SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlContrac si Inspector. � White Copyllnspector's Fil Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN G'�' INSPECTION NOTiCE SCHEDULED ' �' 3 3 � PERMIT N0. `� �`�'D � COMPLE ED �t u ADDRESS ``/�� � �,�_ti�_ r�a..s OWNER � CONTR. 1f�.,r�-t.i TELEPHONE NO. �"�����/-z� � � DESCRIPTION � / � lL 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � J O � � O � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCFED C PROJECT COMP�ETE W � f� CORRECT WORK 8 PROCEED !, ISSUE CERTIFICATE OF OCCUPANCY W O C 1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �: CORRECTUNSAFECONDITIONWITHIN HOURS. �' PHOTOTAKEN INSPECTOR WILL REfURN STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next i spection 24 hours in advance.473-73�J7 OwnerlContrac r si : Inspector. - � White Copyllnspector's File � Canary CopylSite Notice [�,DAT q TIME CITY OF ORONO CALLED IN r��-' `� INSPECTION NOTICE SCHEDULED �-��-`/� 1 fl•' d c� PERMIT NO. connP��E ADDRESS �L� `�' 1'�C��- �4�-�-� • OWNER CONTR. ��J TELEPHONE NO. �,� � +' �� '� c`bN� O(p b D 0 � DESCRIPTION ��• � '� 3' � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GR ING/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 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 = 0 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � a W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR G CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra��n it : Inspector. ' White Copy/lnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN = �✓�'��1� INSPECTION NOTICE ' SCHEDULED !G " �`-`�� °L` ' PERMIT NO. ` �� coMP�ETE ADDRESS C!/'T��l` !uS,S OWNER ' ll<1G CONTR. �' � � TELEPHO O. � DESCRIPTION ly� 01 FOOTING 18 EXCAV/GRADING/FILLING � 02 FRAMING HANICAL FINAL 19 LAKESHORE/WETLANDS Q � 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 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 MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED , I PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 [_l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN i 1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ! I INSPECTION FEQUIRED.CALLTO ARRANGE ACCESS. Call for the next insp ction 24 hours in advance.473-73�J7 OwnerlContractor o Inspector. White Copyllnspector's File Canary CopylSite Notice , HOUSE FIEATING tEST R�COitO ADORESS �� � � ��i,��� `� ApT. FLOQR CITY SU8UR8 �7� '� � OCCIJPAMt � � r•._s�_� _ � bNMER HFAT LOSS �P OATE NTC 111,�T. � � SOIb RY ^�- ,�,�-�t.�--�- ,�-'� :� INStALLEO �Y __ �1.'' /7 � � ,_;';��r EI•er.�ee� we.k B� Gs. Lih• 9r - , �-' ' ' ` [ �. TrPE oF HE�T GA FA�_Nw STEAM SPACE HTR. UNIT HTR. OTHER GAS OESICN CONVERSION wAKE W1KE OR SURNER � A4ed�� _. •�"; .-t _ 61ed�1 �riel �� A�{�t. �TII Rr11w� INPUT � MAKE OF FURNACE Ms/�l CONTROLS � , THERIAOSTAT H•ot Plup r ,� V•nf S1�• � �� v G" - Vel�• '' KINO OF LINER SIZE NONE LrTtr Drsh Hee1 t! RNulersr � � ��-- LITct S�Nino F11��►• Slu- Wun�6�r Fe� S�Nin� C?�Inirw� Lseelisn �iad� ✓ Ovf� • Piler Tra � O�ITrwr Cen�1we11�� ��� `'�'�"a"�—� � � PIle1 A4ek• r Pi1M Med�l � Sw�si�• Bewi` � _wlrin� ��� Pllst Tlrnin� '�"�'m' O�s11 � 1��1 T�� / ,.4:�-- _ L.N'. Cv1 Olf Ds« P►���w� Li�l+fln� ln� . 1/ / r Pr��wr• �e � P�re�n1 CO? OeN T��I�d �"" ! �� ��/ ' =' f "� :^T�' I�po� CFH V P«�.�� o� � G,�.ny T•.�i�� C . ' � ti_.__ �.�, G-,� Sroek T•n,p. P«e�n� CO Ne� �1 T��1�► NO�JSE IIEATING TEST it�CORQ AooRESS ��5�" -� ��-- AbT. FLOOR CI?lr SUdURB r�` �`�"� OC CLl P A N T t'`�''-�*�- 01rN E R HFAT lOS3 OATE NT . T. ' ' SO�b BY INSTALIED �Y ` � �' EI•�►►i�ai wak B� G.. U�• Br -�� 7YPE OF NEAT GA FA Nw 3TEA� SPAC! HTR, UNIT HTR..�_OTHER �- GAS OESIGN ONVERStON MAKE �'`��-'L_ MAKE Of SURNER A1ed•I :J Ab d.l Sviel �,{ cT ,� �s� t� 61�r. 9T11 R�fln� INPUT �I� �'1 J U MAKE OF PURNACE Ms��l . ,.,.� CONTROLS _ Ie THERIAOSTA� '+� H�ef Plu� V�M Si�• Velv• �-^;� KINb OF LINEI� "'' ' S1ZE NONF� ✓ .,"i' � C Lt�..ir brsh Hes1 ` n"�'"``�..�'.�� �RHulsro► f� � `' �` �'-;,� Li��� S�nt�o 1" �• F11�«• Slu- y wun�b�. Fen S�Nin� a Q�In�n�r Lseetlen ���Ib P Ovt�id• Pite1 Trv� � �... O�In�n�� Cen�►►ve11�� i t'� .r ,,� . ,' •+ PIIe1 Abk• �' ` '^f""� Pile� Abd•1 � C• �`-- �l_ _ Sw�e4� 9sw�� � �MINn� Pller Tlrnin0 �Q"�-r•"" D►s11 � � ?��1 Ts� r l.M'. Cu1 Off _�, Qe« Pr���u►• U�Ir11n� In� . '�':.`ad /i` l' �r���u��_� P�re�nl CO� �!� i b��� T��I�d . ! Ir�ur CFFI P�.e�nr p1 R � Cs�y.�y T••►��� Sroek t•Tp. P«e�nr CO .�_�Nen� �1 T��1« III�IIi�IIII��IA�� HO�JSE 11EATING TEST R�CORD ADORESS / � J ! � �-'r`��� �"�c'� ��` AVt. flOOR CI?Y SUdURB �=�.:.�'���.�' '�� OC C1J P A H 1 ;�'��L,,, ONM E It HFAt �OSS �bATE HTG. IH{T, /` SOIb RY +�� ,�,�. ;.: �__,.�.? �. �_^�• INStALIED !�Y .�� , , __ El�ehital Me�k B� Ge. Lin. 9� -c,..�. _ _ . r _ TrPE oF HE�IT GA FA - Nw lTEAM SPACE HTR. UNIt HTR. OTNER M �'' CAS OESIGN CONVERSION NAKE ` '' r'-�- 1U1KE oR eURNER Med.I ' — �` Me A�1 Sriel r � � . (A�R. 9?U R�fln� INPUT —_— �`. 0 �` G i.E. MAKE OF PURNA�F ,.�__r M1s�•I - � l, - _� CONTROLS �.�,:.- � - � r � � THERMOSTAT�►�{�a� p�� : V�n1 Slt� « Velr• ��1.) r" KINb OF LINER V^ SIZE NUNE `�' LITtr _ �.c..'�L,�.r�`� brsh Nse/ RNulsro• U��t S�nin�. �.� ��— Fllr«� Sie�. �1un�b�r Fen S�NI���,,_y�, •...:•.:r..1�`�.:�,.; �_ � O�In�r►�� Lses�len (n�id� �— Ou1�id� v�ler Tr� ` C7,irnM� Cen.nvNl.� �'""`��_ PIle1 A4ek• Pile� Abd�l � '"'" � """ � Sw�eM• Bsn�► v/ _ Ml�ln� �'`� Pllsf Tlrnin�- �" w++�- 0►ell !,> T�N �'�p -�� L.1M. Cv1 Off Oe« P��.�w• Ll�hrin� In��. �� --= . Fr, Pr�s�w• � f` �} P�re�n1 CO� DeN T��/�d ` � � inpvt CFH�� �'' PNe�n1 OZ � ' , G�.�r T•.ri�� �� ,,,o �' �a Sroe� t�rnP. �. 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