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HomeMy WebLinkAbout2004-P07394 - mechanical PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�394 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Per�ts (952) 249-4600 Date Issued: 4ilsi2oo4 SITE ADDRESS: 560 Kokesh Farm Rd MaplePlain,MN 55359 PID: 3i-iis-23-ii-ooi2 DESCRIPTION: Proposed Use: Residenrial 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: Pernut Fee: $ 497.50 Valuation: $ 39,800.00 State Surcharge Fee: $ 19.90 TOTAL FEE: $ 517.40 APPLICANT: Serbus Heating&Cooling OWNER: Brian&Nancy Siska 272 Industrial Blvd. 560 Kokesh Farm Rd Waconia,MN 55387 Maple Plain, MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERNIISSION 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. � � � � � �� �_,-�_ �,�-__ �.���-_� , ; APPL A I PERMITEE SIGNATURE ISSUI:D]3Y SIGNATURE Copies 1-File(SiQnitures Requir•ecl), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 � _`�� 7 �%O � 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 Uy mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent Uy return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 Ue 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 Ue obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must Ue inspected(rough-in and final). Call (952)249-4600. 24-hour notice required. 7. House Heating Test Record must Ue suUmitted 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 (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: S �o �4��-'E�s�t f�'rL� ��. Zip: Owner's Name: ��-J� Phone Number: Mailing Address: City: Zip: Contractor's Name:cSF��-j /rc�1-°n�--� Phone Number: %�z - t/5/3 - �d�y Mailing Address: Z 7Z ��u��,:�-1 t�%��/ City: �C/�f��� Zip: s� S�3�� 1 1 � SYSTEM DESCRIPTION • HEATING SYSTEMS Quantity: � � Make: ' .✓Q}� C-�-�-�.�°f /LlLlniC'�IE I..f Model: C�(o/��°�"-bod-l�s_ �6/��✓-�6p -o� �e w� Fuel: ��•-^�/� /�r=-+/I �"�" Flue Size: ��� �f� Z,�` �fC �✓C Input BTUs: //vi� n..c ��� �0�`,� � Output BTUs: CFM: COOLING SYSTEMS Quantity: � ► Make: ��"� ��z'� Model: ffs Z(��(o 0 2� b3o Tons: s �/� H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace � Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No. � Kitchen Exhaust duct recalculating�cfm No. ,�Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 y . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 Mail-In Fee $ 1.50 If aUove does not apply, follow guidelines below: 1. Contract Price* is .0125% of joU with a Minimum Fee of(�35.00) �7 ��'� x .0125 $ (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$ .50) 3. PostaSe and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,tabor,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 is 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 reques[the submission of a signed copy of the actual contract. **The STATE SURCHARGE is.0005 of the contract price under�l,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 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 corcect. A licant's Si atur� Date: / /" / / pp � Approved By: Date: 3 Page 1 4/14/04 Residential Heat Loss and Heat Gain Calculation In acc:ordance with ACCA Manual J Registered To: Serbus Heating and Cooling LLC. For: BBC-Siska 560 Kokesh Farm Rd. Orono, MN. Design Conditions: Minneapolis/St. Paul � Indoor: Outdoor: Summer temperature: 75 Summer temperature: 89 Winter temperature: 70 Winter temperature: -12 Relative humidity: 55 Summer grains of moisture: 98 Daily temperature rangeiNledium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 7,082.5 sq.ft. 80,334 4,685 85,019 162,944 (7tons) Lower Level 10,702 753 11,455 32,886 006Mech/stor/IaulBed 899 sq.ft. 4,610 293 4,903 13,712 Infiltration 245 293 538 2,156 Floor 899 sq.ft. 0 0 0 1,769 N Wall 163.5 sq.ft. 144 0 144 670 Window 18.5 sq.ft. 381 0 381 836 Window(2) 18.5 sq.ft. 381 0 381 836 Window(3) 15.2 sq.ft. 313 0 313 687 Glassdoor 20.5 sq.ft. 422 0 422 877 E Wall 90.5 sq.ft. 80 0 80 371 Window 18.5 sq.ft. 1,288 0 1,288 836 E Wall BelowGr 295.2 sq.ft. 0 0 0 1,041 W Wall 77 sq.ft. 68 0 68 315 Window 18.5 sq.ft. 1,288 0 1,288 836 W Wall BelowGr 349.7 sq.ft. 0 0 0 1,233 S Wall BelowGr 354.3 sq.ft. 0 0 0 1,249 Family Room 471 sq.ft. 2,279 265 2,544 8,139 Infiltration 223 265 488 1,956 Floor 471 sq.ft. 0 0 0 927 N Wall 85.5 sq.ft. 75 0 75 351 Window 15.5 sq.ft. 319 0 319 700 Window(2) 15.5 sq.ft. 319 0 319 700 Window(3) 15.5 sq.ft. 319 0 319 700 Window(4) 15.5 sq.ft. 319 0 319 700 Glassdoor 34.2 sq.ft. 705 0 705 1,464 Page 2 BBC-Siska 4/14/04 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) S Wall BelowGr 181.7 sq.ft. 0 0 0 641 Exer/sto/015mech 1,002 sq.ft. 3,813 195 4,008 11,035 lnfiltration 164 195 359 1,437 Floor 1,002 sq.ft. 0 0 0 1,972 N Wall 108.3 sq.ft. 95 0 95 444 Window 18.5 sq.ft. 381 0 381 836 Window(2) 18.5 sq.ft. 381 0 381 836 W Wall 90.5 sq.ft. 80 0 80 371 Window 18.5 sq.ft. 1,288 0 1,288 836 W Wall BelowGr 304.3 sq.ft. 0 0 0 1,073 S Wall BelowGr 245.3 sq.ft. 0 0 0 865 E Wall BelowGr 254.3 sq.ft. 0 0 0 897 E Wall 154.1 sq.ft. 136 0 136 632 Window 18.5 sq.ft. 1,288 0 1,288 836 First Floor 45,570 2,896 48,466 79,444 Dining Room 316 sq.ft. 4,414 238 4,652 6,944 Infiltration 200 238 438 1,756 Floor 315.5 sq.ft. 0 0 0 0 N Wall 117.5 sq.ft. 103 0 103 482 Window 21.9 sq.ft. 451 0 451 989 Window(2) 21.9 sq.ft. 451 0 451 989 E Wall 99 sq.ft. 87 0 87 406 Window 21.9 sq.ft. 1,524 0 1,524 989 W Wall 84 sq.ft. 74 0 74 344 Window 21.9 sq.ft. 1,524 0 1,524 989 Kitchen 398 sq.ft. 6,518 663 7,181 6,295 Infiltration 170 203 373 1,497 People 2 600 460 1,060 0 Miscellaneous 1,200 0 1,200 0 Floor 398.5 sq.ft. 0 0 0 0 W Wall 55.4 sq.ft. 49 0 49 227 Window 15.2 sq.ft. 1,058 0 1,058 687 S Wall 121 sq.ft. 106 0 106 496 Window 15.2 sq.ft. 541 0 541 687 Window(2) 15.2 sq.ft. 541 0 541 687 E Wall 156.1 sq.ft. 137 0 137 640 Window 15.2 sq.ft. 1,058 0 1,058 687 Window(2) 15.2 sq.ft. 1,058 0 1,058 687 mud/side entry 396 sq.ft. 3,921 330 4,251 10,363 Infiltration 277 330 607 2,435 Floor 396 sq.ft. 0 0 0 0 N Wall 103.2 sq.ft. 91 0 91 423 Window 6.4 sq.ft. 132 0 132 289 Page 3 BBC-Siska 4/14/04 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Window(2) 6.4 sq.ft. 132 0 132 289 W Wall 222 sq.ft. 195 0 195 910 Door 20 sq.ft. 236 0 236 1,099 S Wall 164.2 sq.ft. 144 0 144 673 Window 19.8 sq.ft. 705 0 705 895 Window(2) 19.8 sq.ft. 705 0 705 895 Window(3) 16.7 sq.ft. 595 0 595 755 Window(4) 13.3 sq.ft. 473 0 473 601 Door 20 sq.ft. 236 0 236 1,099 Breakfast nook 128 sq.ft. 12,842 493 13,335 13,368 lnfiltration 413 493 906 3,633 Floor 108 sq.ft. 0 0 0 230 Floor(2) 20 sq.ft. 0 0 0 0 W Wall 83.5 sq.ft. 73 0 73 342 Window 13.4 sq.ft. 933 0 933 605 Window(2) 13.4 sq.ft. 933 0 933 605 Window(3) 13.4 sq.ft. 933 0 933 605 Window(4) 13.4 sq.ft. 933 0 933 605 Window(5) 13.4 sq.ft. 933 0 933 605 Window(6) 13.4 sq.ft. 933 0 933 605 S Wall 29.5 sq.ft. 26 0 26 121 Window 13.4 sq.ft. 477 0 477 605 Window(2) 13.4 sq.ft. 477 0 477 605 E Wall 83.5 sq.ft. 73 0 73 342 Window 13.4 sq.ft. 933 0 933 605 Window(2) 13.4 sq.ft. 933 0 933 605 Window(3) 13.4 sq.ft. 933 0 933 605 Window(4) 13.4 sq.ft. 933 0 933 605 Window(5) 13.4 sq.ft. 933 0 933 605 Window(6) 13.4 sq.ft. 933 0 933 605 Ceiling 108 sq.ft. 107 0 107 230 Great rm 548 sq.ft. 5,923 525 6,448 23,594 Infiltration 441 525 966 3,872 Fireplace 0 0 0 10,379 Floor 548 sq.ft. 0 0 0 0 N Wall 105.5 sq.ft. 93 0 93 433 Window 15.5 sq.ft. 319 0 319 700 Window(2) 15.5 sq.ft. 319 0 319 700 Window(3) 15.5 sq.ft. 319 0 319 700 Window(4) 15.5 sq.ft. 319 0 319 700 Glassdoor 34.2 sq.ft. 705 0 705 1,464 S Watl 108.7 sq.ft. 96 0 96 446 Window 15.5 sq.ft. 552 0 552 700 Page 4 BBC-Siska 4/14/04 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Window(2) 15.5 sq.ft. 552 0 552 700 Window(3) 15.5 sq.ft. 552 0 552 700 Window(4) 15.5 sq.ft. 552 0 552 700 Window(5) 15.5 sq.ft. 552 0 552 700 Window(6) 15.5 sq.ft. 552 0 552 700 Entry Foyer/Library 624 sq.ft. 11,952 647 12,599 18,880 Infiltration 543 647 1,190 4,770 Floor 623.5 sq.ft. 0 0 0 0 N Wall 221.7 sq.ft. 195 0 195 909 Window 13.4 sq.ft. 276 0 276 605 Window(2) 13.4 sq.ft. 276 0 276 605 Window(3) 11.9 sq.ft. 245 0 245 538 Window(4) 11.9 sq.ft. 245 0 245 538 E Wall 157 sq.ft. 138 0 138 643 Window 13.4 sq.ft. 933 0 933 605 Window(2) 13.4 sq.ft. 933 0 933 605 Window(3) 13.4 sq.ft. 933 0 933 605 Window(4) 13.4 sq.ft. 933 0 933 605 Window(5) 13.4 sq.ft. 933 0 933 605 Window(6) 13.4 sq.ft. 933 0 933 605 Window(7) 19.8 sq.ft. 1,378 0 1,378 895 S Wall 211 sq.ft. 186 0 186 865 Window 14.3 sq.ft. 509 0 509 646 Window(2) 14.3 sq.ft. 509 0 509 646 Window(3) 19.8 sq.ft. 705 0 705 895 Window(4) 19.8 sq.ft. 705 0 705 895 Door 23.3 sq.ft. 275 0 275 1,280 W Wall 70.6 sq.ft. 62 0 62 289 Ceiling 108.5 sq.ft. 107 0 107 231 Second Floor 24,064 1,037 25,101 50,634 Master bed/bath 924 sq.ft. 11,644 482 12,126 27,723 Infiltration 404 482 886 3,553 Fireplace 0 0 0 10,379 Floor 924.5 sq.ft. 0 0 0 0 N Wall 127.7 sq.ft. 112 0 112 524 Window 16.8 sq.ft. 346 0 346 759 Window(2) 16.8 sq.ft. 346 0 346 759 E Wall 74 sq.ft. 65 0 65 303 Window 16.8 sq.ft. 1,169 0 1,169 759 W Wall 487 sq.ft. 429 0 429 1,997 Window 16.8 sq.ft. 1,169 0 1,169 759 Window(2) 12.1 sq.ft. 842 0 842 547 Window(3) 16.7 sq.ft. 1,162 0 1,162 755 . . . . . . Page 5 BBC-Siska 4/14/04 Building Component Sensible Latent Total Total . Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Window(4) 16.7 sq.ft. 1,162 0 1,162 755 Window(5) 15.2 sq.ft. 1,058 0 1,058 687 Window(6) 15.2 sq.ft. 1,058 0 1,058 687 S Wall 248.9 sq.ft. 219 0 219 1,020 Window 16.7 sq.ft. 595 0 595 755 Window(2) 16.7 sq.ft. 595 0 595 755 Ceiling 924 sq.ft. 913 0 913 1,970 Lau/bath/officer 498 sq.ft. 2,939 168 3,107 6,452 Infiltration 141 168 309 1,237 Floor 498.5 sq.ft. 0 0 0 0 N Wall 191 sq.ft. 168 0 168 783 Window 10.7 sq.ft. 220 0 220 483 � S Wall 151.6 sq.ft. 133 0 133 622 Window 16.7 sq.ft. 595 0 595 755 Window(2) 16.7 sq.ft. 595 0 595 755 Window(3) 16.7 sq.ft. 595 0 595 755 Ceiling 498 sq.ft. 492 0 492 1,062 Bedrm#217/221/bath 878 sq.ft. 9,481 387 9,868 16,459 Infiltration 325 387 712 2,854 Floor 622 sq.ft. 0 0 0 0 Floor(2) 256 sq.ft. 115 0 115 1,008 N Wall 147.9 sq.ft. 130 0 130 606 Window 16.8 sq.ft. 346 0 346 759 Window(2) 16.8 sq.ft. 346 0 346 759 E Wall 368 sq.ft. 324 � 0 324 1,509 Window 16.8 sq.ft. 1,169 0 1,169 759 Window(2) 14.3 sq.ft. 995 0 995 646 Window(3) 14.3 sq.ft. 995 0 995 646 S Wall 221.6 sq.ft. 195 0 195 909 Window 15.2 sq.ft. 541 0 541 687 Window(2) 15.2 sq.ft. 541 0 541 687 W Wall 304.4 sq.ft. 268 0 268 1,248 Window 16.7 sq.ft. 1,162 0 1,162 755 Window(2) 16.7 sq.ft. 1,162 0 1,162 755 Ceiling 878 sq.ft. 867 0 867 1,872 Whole House 7,082.5 sq.ft. 80,334 4,685 85,019 162,944 (7tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are eslimatea only,actual bads may vary due to weatF�er and coneVuCion differances. 1 V . DATE TIME CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED �/7-Q�f ; 6 PERMIT NO. COMPLETED ADDRESS �(o� D��LQ�=-�,�u.�� �, OWNER CONTR. .�'0 � .),S �-Cau/r% TELEPHONE N0. �-� yy3 a��� 02� � T'�s�- �/� J / � DESCRIPTION � "�S c�- �Z "��L.•DLI�/�"s`o � Ot FOOTING MECHANIC 18 EXCAV/GRADING/FILLING Q 02 FRAMING 1 ICAL FINAL 19 LAKESHORE/WETLANDS O03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS PINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLU G FI 36 FOUNDATION/REMOVAL Z OWN ONTRACTO TO MEET YOU• YES_NO y COMM . � W a � J O a � O � W � Q � 2 W � W � � O � WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CAII INSPECTOR 0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next ins ion 24 hours in advance. (g52) 249-4600 Owner/Contrac site: Inspector. White CopyllnspectoPs File Canary CopylSite NoNce Y `DA� TIME CITY OF ORONO CALLED IN ��� INSPECTION N ICE SCHEDULED PERMIT NO. COMPLETED ADDRESS �� - �'I OWNER CONTR. �oG�,y TELEPHONE NO. /'L�/1 S� � DESCRIPTION G'L �U� �U�� � '�'L s ��f lL Ot FOOTING 11 MECHANICAL RI 18 EXC V/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 06 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 COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTON TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon r site: Inspector. Whiie Copyllnspector File Canary CopylSite Notice � �-. ✓ DATE TIME CITY OF ORONO CALLED IN 9'� INSPECTION TSI � SCHEDULED Q-� � a-6b PERMIT NO. / � COMPIETED ADDRESS ��O F--u��� � �� OWNER CONTR. �C�f,[1Ll.P. �G TELEPHONENO. �sZ ��� a��� � � DESCRIPTION ��I/K.Gt-Q — �'CeC�� � 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 Z 04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALG. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL ' 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR MEET Y U:_YES_N � \ � COM ENT : ���� �� a r-- t�l��v�' o-- i vl �-' ` �P�V CC1G 0.GU�t. Qi oT ti �r � � , W � Q � 2 W � w � � a � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � EFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETt1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra i : Inspector. " White Copyllnspector's File Canary CopylSite Notice