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HomeMy WebLinkAbout2013-00811 - new structure " ' � ` CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 3 - 0 0 B 1 1 * DATE ISSUED: 03/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1555 MAPLE PL PIN : 08-117-23-33-0030 LEGAL DESC : CRYSTAL BAY VIEW : LOT 008 BLOCK 006 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 314,650.14 NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO URVEY MUST BE SUBMITTED AND APPROVED BY THE CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: NOTE: PRIOR TO ISSUANCE OF A T FICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND APPROVED BY STAFF. INITIAL: NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEA ER CONDITIONS(WHICH PREVENT THE COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVE MPORARY CERTIFICATE OF OCCUPANCY (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: PRIOR TO ANY ESCROW BEING RELEASED FOR THIS PROPERTY,THE POND LOCATED ON THE NE CORNER OF THE PROPERTY (AND EXTENDING INTO THE PROPERTY TO THE NORTH[1545 M LE PLACE])WILL NEED TO BE DUG OUT AND RESTORED. THIS ALSO MEANS IT WILL NEED TO HAVE PLANTS ESTABLI OUND AND POTENTIALLY IN THE POND AREA PRIOR TO RELEASING ANY ESCROW OR OBTAINING A CO. INITIAL: APPLICANT PERMIT FEE SCHEDULE 2,346.75 PLAN REVIEW 432.90 Maple Place LLC STATE SURCHARGE(VALUATION) 157.33 550 25TH AVE N ST. CLOUD, MN 56303- S.A.C. 2,485.00 MISC FEE 0.00 TOTAL 5,421.98 Payment(s) CHECK 3273 5,421.98 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of ISO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at y ti e for due cause. / / App cant Pe 'tee Signature Date Issued B� gnature Date . ' � � � 2� 3 . , ; CITY OF ORONO � BUlLDING PERMIT APPLICATI4N �: FOR NEW STRUCTURES OR ADDITfONS O MsFling Address: Permit number. o��/3 —�U �/ PO Box 6fi � � Crystal Bay,MN 55323-OOf:6 Date received: Z ��� �`3 SbaetAddress:' Received by: . y ��" 2780 Kelley Parkway Plen review fee� 0 3-Ov �/Z� `�t,�kas�o�w�' Orono,MN 55356 � Q fca. �9 , Total Fee: � ' Main; 852-249-4800 Fa�c 952-249-4816 yvww.ci.orano,mn,us This application foRn must be completed in full and all requlred informatlon muat be submltted. Incomplete epplicatlans will be returned. (Please p�lnt) GENERAL INFORMATION: Job Site Address: � � r7 � /Vl�l�,� � ��IGC, 1MII this be a Parade of Homes, Rerrtodelers Showcase Home or other Dlsplay Home? Yes No 11 yes,a spedal evant permlt!s requlred wfthh Aolfoe Deparfinent end Clly Coumm:lll approve!80 days prfor fo the event. Shuttle bus servlce wl!!be raqulred unfess sppJlcant demonsfratea suAtclent orrsRe parklrrg!s avelleble. Non-permltted events w!!1 not be ellowed. • ' , � CON1'RAC70R 1 APPLI ANT INFORMATION: Name: � q I o�3 5tate License# G ���1 f��b�, �Expiratlon bate: 0 2-�r�' Phone: cell ��1 I �(o office '1 b3 H 2 3 3 3 Mafling Address: � ��'.� ,re, CI • ZIP: � Contact Person: r. ' Applicant is: Contractor I Homeowner (Clrale OneJ Emell and/or Fax: �I� � .caw�, � o0 PROPERTY OWNER INFORMATION: � ,/� �L� Neme: �"1 r-� �G�-c Phone(dey): __]� 2�01! • � • p Add1'ess: t�(HG G1� s�r 5� �-t l!v� 5 kev<.��►�itQ: �p✓,�1�j -in/ z�P: �;5 3 0� Email andlor Fax 'j�, 3 � StaS' 2�0 2.. ARCHITECT 1 ENGINEER INPORMATI01�• Name: (��-{� G v i����i�h. Phone(day): ti o 7 - q� - �13� Address: g��,,.�,.�o0 0� City: Z1P; Email andlo�Fax: D s S�o M S'S3�`l PROJECT INFORMATION: Descn tfon of ro ect: 4.Type of P�oject 2.Propoaed Use 3.3tructure Type 4.Sewage Dleposal & Water Supply �New Constructlon �J Single Family with �Rasldance Addition � ' attached garage Garaga/Accessory Bldg. �'Public Sewar ❑Accessary Bul[ding • ❑ Single Famfly with ❑Deck ❑RelocaUon demched garage ❑Otf�ce/Commerdal ❑Private 5ewer ❑Oiher.(specify) ❑MulBple Fam(ly/Condo ❑Warehouse ❑Public ❑Storage ❑Pubiic Water "'Any earth movement may a18o tequfre ❑Comrt►erclal ❑Other{specify} MCWD revfew&permits. ❑Industrial �P�ivate Well Minnehaha Creek Waterehed Diatdct(MCWD) ❑Other:{apecity) 18202 Minneto�ka Blvd Deepheven,MN 55391 Phone: 852-475-0590 Fax: 852-471-OBB2 0 EsGmated Construction Valuatlon(excluding land) $ ��`7� 000 . �ZJ 7` , c �, . � STRUCTURE INFORMATION: 1.8tructure Dimenslons 1.Structure Dimensicns(contlnwd) 2.Type of Construction e.Lenpth(fl.)= Number of bedrooma� �y��d!Frame b.Width(ft.)= Number of gerage steUs: ❑Masonry ' ; Areas in�are faet Atteched F ���8� � ❑Po1e Bldg. c.Basement= Detached= • ❑ICF � d.1a Story m O On•aite Pretab e.2n0 Sbry= ❑Oft slte Prefeb f. K Story = ❑Other(pleasa apecNy}: g.Total Arse� REQUIRED SUBMlTTALS: - � A11 of the information must be submitted in order for our a lication to be rocessed: : Not Enclosed ll�able 0 O Permit A Ikx�Hon � O 0 Pro osed BuNdin Plana O � MN Steto En Code Calculatbna and Mechanh�l Code R ulrements Form � � 8 maeitn all ulrements � C! � 3tormwater PolluUon Prevendon Plan 0 O Herdcover Cslculatbn s O O S S stem SNa EveluaUon Re rt Acc�s PemtR � O Wetland Buffer Im ment Plen O O lneared Plana for Retalnl WaAs 4 fset or above O O Plan Revlew Fee O Applicadan Eacrow 8�Agroement O O Other. APPUCANTlOWNER ACKNOWLEDGEMENT: � • Agrees to provide afl Information requlred or requeated by the Bullding Depa�tment; • Agrees to pay the Cfty cFOrono�or enpineering coneullant revl�r costs in axesss of$600; • Certiflea that the info�me�on supp9ed is true and cortect to the beat of hielher knowledge. The eppllceM reoopnizes that they are solely nespansible for submitting a camplete applicadon being aware that upon tallure to do ao,the ateff hee no altemativa but to reject it uMil it fs complete; • Ackrtowledges lha Escrow Agreement Is campleled and elOned; • Unde►stands aome or sll of the inlarmation that you are esked to provide an lhis applk�tion la dassl8ed by Siate lew as elther private or oonfideMfal. Pdvate dats is Infomnallon whlch generally cannot be ghren to lhe publ�but can be piven to Ihe subjed oi tha date. ConfldeMlal data is infarmalion whlch generally canoot be given to eNher the public or Ihe subjed of the�ta. Our pinpoae and t�rtended uae of this IntormeUon Is to annually updete our recaMs end records of other govemmentai agenc�ea required by law. N you refuse ta supply the InfonnaUon,the appUcation mey rsM be issued . . Agrees that(n the event�at wsathor or other conditions prevent the completion of an es-bWlt survey at ttre tima the Cerdficabs oi Oceupancy Is requesbed,e bmporsry Certlflcats of Occupancy msy ba Issued upon rocNpt of a 510,000 oscrow to ensure compladon ot tha as-bullt survey and a[I stte improvemente. Appllcant's Sig�alure; �� � � Date: �Z r 1 b '��? � Owner's Slgnature: ' Date: , . : . � STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= � z-- Number of bedrooms=� �°Wood/Frame b.Width(ft.)= �L Number of garage stalis: ❑Masonry Areas in sauare feet Attached=_� ❑ Metal ❑ Pole Bldg. c. Basement= Cl�-3_ Detached= ❑ ICF d. 1S'Story = `�Z �} ❑ On-site Prefab e.2nd Story= �Z Z Z. ❑Off-site Prefab f. 'h Story = ❑Other(please specify): g.Total Area= Z.� � r� REQUIRED SUBMITTALS: Ali of the information must be submitted in order for your appli�ation to b� pr;;cess��' � r �-,�is `��4��a�y��. � ��,x��r.yP7{ q y � s � �� f� ,ar� �r�ht �r��r 7t .r 7,_h� a,- ` 7 ;i ii tJ'�.�I ,$ ' L, � _y � e � i i '� O Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form `�Q ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowiedge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. . A rees that in the event th�t we�ther or other conditions,prevent the completion of an as«built survey �t-the time the 9 Certificate of Occup�llcy is requestedf a'telr/pol'ary�:Certificate�of�Occupancy=may:be�issued�upon reaeipt of;a $10;OOD escrow to ensure completion bf'the as-bUilt survey antl all:'site�irttprovemeflts. _._—� r`.._ � —..��-- Date; �� /,Ti�-� � � � AppiicanYs Signature: ` � � Owner's Signature: Date: Packet Last Updated: 03-06-2012 -22- ���f�.€� ���,�`����.� �E�����.,t�� ���. ���� ���.t��T���� � ��?����t��� �,dc�ress/R�rcr�it N�m@ec: 1`.��5 M y�Aa.� P�A�� De��eEptior�of�rark: N G t�.) �� � Septic r�vi�vr l�Y� �v Date Approvecl: Zanir�g �evie�r b�: �� Qate Approved: �3`��� B�ildir�g reviev�bY� Date A�Rroved: �-�- 3m—�3 Grar�ing review bY- '�� Dafe Approved: 3 / � Za�ing Distric#: �r-.- ''- � Zor�ing File#: Rese#: Reso Date: ���� ��� 1�U'� Z�ning: Lot Rrea: SF/AC 1Midth: l.ot Caverage:= � SF /o �P_'=�� - Sun'ey�ul�mitfi�d: �es E� �to �ate of Survey: k� ' � � � ';� Revised date(�)�� ��-�"`�� � Rro o�ec� Setbacks: �r�o(Lak�) `R�� Stre�t) ( � S E �i!' ) ( t� ��" E �'ii ) Other�yild�c�g� Wettartd side �cle . J 4 � �....��f t i� r . . f � . . . . . .. p } .�� � Deftned Height: Peak H�ight: FFE:����' FF�minus &feet= � .�(F�cistfng Contoaa Perirrteter(tinear fee€) = 5�%_ #of Stor�es � Ok? YES FOR A BUILDlt�lG WITH A BASEriliEl�T QR CR/k1A�L SPl�CE: the distance befween the Iowest FOR A BUILDING OPI A SLAB FOUNDATION: START WITH �� proposed floor(of tfie basement or crawl ' ✓—� space)and the highest point of the roof. START WITH T�d�s�nce between the top of slab arn If you have a... the highest poiM of the roof. GABLE OR HIPPED ROOF(no ' ifyou have a::. _ � � windows): Suttract half.tt�e • GABLE OR HIPP.ED ROOF(no �� windows):•Subtract haifthe distan� distance between the highest pant between the hi hest ��� of the roof to the low point of the , 9 point of the ro i p�ro� to the low poiM of the cArt�espondir SUBTRACTION Cortesponding gable or hi SUBTRACTION pped roof : < gable or hi ; (BASED ON ROOF� . GpgLE OR HiPPED ROOF(with (BASED ON . C�ABLE OR.HIPPED ROOF(with � �E� windows): Subtract half the ROOF IYPE) windows):,Subtract haif the disffin dista�ce between the top of the between tt�e top af the highest highest window and the highest window and the highest point of thi point of the roof ro9f _ ��� • ALL OTHER ROOF TYPES(flat; : • ALL OTWER ROOF TYPES(flat, '„ mansard,ete):Nosubtraction. ' mansard,etc:No Subtrecfion. � 5ubtrad the disfenee beiween!he �DITION Add the distance between the tcp cf siat SUBTRACTION (BASED ON and the high�st existing grade edJacern 1 , :..: .� basemenUcrawl space floor and the EXISTING the foundation. (BASED ON EXlSTtNG higMest existing grade adjaeer�t to the �t.J r ' � GRADESJ GRADES , � i t ^,. �p foundation OR 10 feet(whichever is less). EQUALS . Defined bullding heigM ; .✓ EQWALS Defined buildEng height �:,: L� ShoreEancf Dis#tict ClKE]Rermit Recei�►ed /�vera e Lake�hore�etback I�Ret? BI�fE Yes Ci No a N/A L7 Yes Nc Yes � No � _��� � Yes O No �iA Setback: -�_ Permit f�umber: �tiQrm�at�r t��c�l�� Exi�€sc�g . ��°apo��� ��riar�ce Req�aired CUP Requirec� C2veria �istcicY Ti�r k6arc�co�r�r HarcEcover �� ir`�';�, � Yes :� f�o � Yes No � � �; l . �.-.�' '��/' � s-- TYPe�s)� � TYPe(S)� �.� f �;; Updated: January 2013 tr; , v:lformslplan review checklist 2013.docx` �`;�.� �'�� 1 , ' '." � . . ,. .:.._ �_� .._-_ S , � .� � RE(�AkKS (in-house): F�es t� tse Ct�a e� Y�� f�tD Pe�it :. � . Pian Review �/ S�a�ts.�tii'C ��" : tnvestigation Fee � 5�►�=�f�'�o+f S�OC��s � Other(spec�fy) S uare Focta e $ r S uare Foota e Basement �2� X '�j,'�'3 = $ �°a ��-�� 1$'Floor q 2 � X ��'.'�� _ $ ��<'t�'l.�?"� 2"`'Floor o •2'�'2 X 4°S.?� _ $ ! 2 t t ?1�'�. � Garage '�(0 0 x `�f 0 . �( _ $ t i� . ! �''� E��imated GonstructioR Value: � �¢���°��`� Orono tn$pectians�equfred �erk Requiring Separate Perenits Required State Permi#s CE Site ,,�Plumbing � Grading/Filling Well E� Hardcover Removal � t�lllechanicai � Fire Electrical ,P.�'Footing C� Septic ion �f�'�Poured Wali ,�@" Fireplace ,0 Sewer Connection �"Fcundatian Suroey F� f�asonry �Lawn Irrigation � Radon Rock Bed �Mfg. „� Framing [I nthPr esoecifvl �''Insulation ��1�-�(� ��s-Buttt Survey � � �'Final � � �� �J �� (n�� Q Wetland Suffer � T- �V�� Q Other(specify) ��'�' ` r� �`� ��,� � REt�ARK� (in-house): �� ,�� ��� ` � �.=�... 1:..�, Oth�r Review: Reviewed [�y �..��' ;�`; .._ ��; � '� - Acce�s: Existing: Oi ` ���1/��{/y,�--- ._. �i ��.� � �FFlC1AL REf�lIARK�-TO� Prior to any escrow being released for this property, the pond located on the f�E corner of the property (and extending into the property to the north [1545 Maple Place]) will need to be dug out and restored. This also means it will need to have plants established around and potentially in the pond area prior to releasing any escrow or obtaining a CO. ������� � Updated: Jana�ry cv,� -- ---- - v�lfortns�plan review checklist 2013.docx I�`11Q1.8 Ccrtificatc - - - - --- � v � '•,4, i,' `v ,n£ Ruildcrs n'ame/C'otnpauy Date' �) " � IL1 _-- - ------ $Ite /�l�C�t"@S5: •-- �� �� ������� �--- � � �V�-- � � � :. � �> License Number: �,C ��`���� ' ' r - �r � t, < ; " j Contractor Name: ��:�:- ��'`�'' � - - -- - — - - -- - -T—_ - --�- ---- - Locafion Type of Insta//ed Type Location Size ' Insu/ation R-Va/ue -- ----- - - --- _ _ _ _____ _ __ ---- - - -- ----- --- - - ---- Makeup Air -_ �-�"`''� ;�.�_ __ _-;`�1:r� til �L c-_;:IL Roof Ceiling ���ti ,;:�, �.- �t�1 - -- Combustion Air ,�.7 f�, -- T` ----._. - - �� -- - � __---- --- _ _ . . Walls ___-�=,�' � t . -- - - -- - --- -� -- --- - -- -- .. . , h : _ � _ __ Water Heatin � .�.���� ____ � Slab-on-Grade � ! ,1 � r U_7�--- ._ _._ -_ : . � �� _. �---- - - � ;'7f�anufacturer':` ` � Mo�e/�_ . � •. , �- ��7V- -- - - - -- - -- - - - � � Floor �� ! �'k , �'V T�S _ + _ __ --- - -- -- --- ---- -_ �1-__. Spaces i _ _ v _ ��cts 0iitsic�e-of'CQnditi�ned _r— -- .- - Rim 3oist __L-c•��"� f �� . � 'Lvcat� ^ ' ;_--__ __ __ - -- _ - - -- . - -�_- � I�terior,Exterior or Inte ral OR� __ � �`"R V��UB ___ _ J ,__ _— __ _ _ _ - -- --- – ` Foundation Wall ��� �:.=��ti � - -___----- -- - .�. _ � -- -- -- , Tntc�ior, Extcrior or Integral � � : -------- - - - - - - _ _ _- -1 --- --- - - - -- - - -- -- -- - - -- -- � Avera e U-Factor SHGC sa/ar heatgain coe�cient _, , :_ __Passive ( _ Active_� - ---- Fenestration �_ ._ _ Radon Control : � _ I . 1-------- -- - — , --- - _ _ - } _ . --- __ - - -- - _ _ --- -- - - -- - . i _ __ ! - --- __ . ._ _ - __ - - _ ._ _ . _ _ --- - - -- � Type_ _ __ Input Rating__ AFUE Manufact�u��r __ Mode/ Ca/culated Heat Loss Heatin 5 stem 1 S, '1G��:;;� ( rt� ,; � ` �n:•,` .. =1�L 1� =� �'�`� - - �1�.i�Y SG -__ ___ __ 9 _Y_ �:��___.c__ — � - - -�J _ -_ , . — - -� - - ----�- - -- - - -- --- - _ _ ._ __ -- - Type � Out up t Rating_ SEER ; _ Manufacturer Mode/ �_ Coo/ing Load/Heat Gain - - _ -- _ Coolin�System__ .r,�;��l__ .� � � L.: _ �� � - � "�i��` "` - `' '--`-'` �''� � � � - � ��- - - --•— � , � 1 - - -- _ --- --- -- ---__- ---_ , - - ----- -- I- - -- - -- --- ------ �----- - -------__---. __ . 1 ' - - --- -- - -- - - -- - -- Type Location � Continuous Venti/atian i Tatal Vent�/ation -- - --_ __ _. ----- - - Mechanical Ventilation .-:,,..,, .-, :, �-y_,t� ..� i L� .- =�L� I , � -_ _i�._.��_ _ __ _ - -- - -- -- - _ --�� --- --- - -- ---- - - � , . , . �����", ,;�.�.�, Clt ���N Hardcover ���ksheet FEB 2 7 2014 0 i � , � Property Address: /SSS /�.{P�.E i���C� O E��v�7'o.s�.v.f'o��,��s�RONO ��� ,� ; _, Prepared by: GRa,�,,�8�'�G' � A�'J''�C'/AT�'T. 1,;,��^. Date: 7.,2y/,� Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier 2 Tier 3 Tier 4 Tier � �o�,'r oA.t r 2,S�. ��c ou�6o Step 2: PROPOSED HARDCOVER FG�?�v��'�o-r. In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that wilt be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, ;dentify any features by letter which are split at the 75' setback line and calculate hardcover square footage se aratel for each ortion. Key to Hardcover Item (Describe) Length x•�/Vidth Total Surve S uare FeeS Exam le Gara e 24'x 30' 720 S.F. A tfI /„� S.F. B C'o d 7'c�� � S.F. � � 3 s.F. � Riv 1c� S.F. E �/�. 3 8 S.F. F S.F. G S.F. H S.F. � S.F. � S.F. K -- - -- S.F. � - -- ---- _'_ S.F. M -- - S.F. N --S� � --- S.F. P - - — S.F. Q ---- S.F. R -- S.F. S S.F. T S.F. � S.F. V S.F. W S.F. X S.f�. Y S.F. Z - - S.F. 1 Total Pro osed Hardcover _ Z,/p,1c S.F. �' Excludable Hardcover See Cit Code Sec 78-1684 : E' �P�'�' .w c. �C. �� S.F. S.F. -- - -— - S.F. --- c''—' � 2 Total Excludable Hardcover � �.�-. -- -- - - Y,3?� -: �. 3 Net Pro osed Hardcover Subtract line 2 from line 1 � �� � �.e?_C)G"�`� o.F. C�.,�..�..�.�a� 4 Total Lot Area _ c�.. �. ;.F. ' Proposed Hardcover Percentage [(3)=(4)1 Z�, g� j„ , - -- �:�.�. , _.�� January 8,201.3 a, � ,. � A ��� ���� �� � ���� New Construction Energy Code Compliance Certificate Per N I 101 8 Building Certificate A building certificate shall be posted in a permanently visible loca[ion inside Da�e Cenifica�e Posted the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table Nl 101.8. $��5I�3 plpee your Mailing Address of Ihe Dwelling or Dwelling Unil Ciry 1555 Ma le Place Orono logo here Name of Residential Con�ractor MN License Number Dean Johnson Homes BC639439 THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply Passive(;Vo Fan) o „ c � � �, Active(With fan and monometer or _ � >, other system monitoring device) `° = c '" �° o°, :: o n. 3 � U — o ro � n. o � � .n a�i � � Q o] W a�i U � � >, c0 � � .. O � "O U Insulation Location � ° z � � U "' `�` w � cC � � O � cd ° c� �v -o :° � c � a� � � c [� 5 � w � r° w° � � � Other Please Describe Here Below Entire Slab Foundation��'all R-11 X Type in location interior exterior or integral Perimeter of Slab on Grade Rlm.IOiSI(FOUnd8ti0n) R-29 X X Type in location�.interior exterior or integral Rim dOiSt(1s1 Floor+) R-32 X X Type in location:interior e�Aerior or integral wau R-21 x Ceiling,flat R-44 X Ceiling,vaulted R-44 X Bay Windows or cantilevered areas R-30 X X Bonus room ovcr garage Describe otherinsulated areas Windows 8 Doors Heoting or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skyfights and one door)U: 0.28 Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliaoees Heating System Domestic Water Heater Cooling System Not required per mech.code Fuel Type Nat Gas Nat Gas R-410A Passive Manufacturer B ant Rheem B ant Powered Interlocked with exhaust device. Mode� 912SB60100S21 43VP50 113ANA042 Describe: Input in 100,000 Capaciry in 5o Output in 3.5 Other,describe: RAting or Size BTUS: Gallons: Tons: Heat Loss; 64,798 Heat 34105 Location of duct or system: Structure's Calculated Gai❑: AFUE or 92 SEER: 13 HSPF% 39594 Efficicnc Cfm's °round duct OR Mechanical Ventilation System "metal duct Describe any addi[ional or combined heating or cooling systems if installed:(e.g.Iwo fumaces or air Combustion Air Select a Type source heat pump with gas back-up furnace): Not required per mech.code Select Type x Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: O[her,describe: Energy Recover Ventilator(ERV)Capacity in efms: Low: High: Continuous exhausting fan(s)rated eapaciry in cfms: Location of fan(s),describc: Panasonic FV08VQ1I Cfrn's Capacity continuous ventilation rate in cfms: 9Q 6" °round duct OR Flex Total ventilation(intermittent+continuous)rate in cfms: 180 "metal duct Created by BAM version 052009 + DATE TIME � CITY OF ORONO CALLED IN INSPE�TiON NO/T�IC?E� �'�Q^ SCHEDULED PERMIT NO. �V�✓ ��+�+o �I COMPLETED ^� ADDRESS �5S 'J� N�O►1��. �L��p� OWNER TELEPHONE NO. CONTRACTOR �: DESCRIPTION T�lh�a��� �"�(.d�� r� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COM ENTS: e 7 �� � J O a � O � ► W � � Q � Z W � W � � � d � W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice Cr � �� DATE TIME V CITY OF ORONO CALLED IN �� v INSPECTION N TICE SCHEDULED —' — ��3d PERMiT NO. �3'���� COMPLETED ADDRESS �5�� �Q�---- OWNER TELEPHONE N0��3"�� �� CONTRACT�R � �� � DES IPTION -�� ��� � � ❑ F OTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q OURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � MING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O ). � O � W � Q � 2 W � w � j d W RKSATISFACTORY:PROCEED ❑PROJECTCOMPIEfE � ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice e ` V DATE TIME CITY OF O�NO CALLED IN -� INSPECTION NOTICE SCHEDULED ' � PERMIT NO.�a�3 ��d�� � COMPLEfED ADDRESS I SS� Q�-Q ��. OWNER TELEPHONE NO.rDIZ ��i7� �� CONTRACTOR S [1Sf1 vt � DESCRIPTION ��� � �OOTiNG ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP p COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � s�t rb�..L's • o�K � � o . . � ��L c��r�l6h ��t�se�r� •�.c m/oacbeh 0 � Q �a r r.�- �G�/ l�� K � � W �— W � j ��NO�K SATISFACTOR`F PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnedContractor on site: Inspector:�1 L�--� �—" Whits Copyflnspecto�'s File Canary CopylSite Notics DATE TIME CITY OF ORONO CALLED IN INSPECTION T(C SCHEDULED PERMIT NO. Ol ^C� �� COMPLETED � " ADDRESS (�..ic�-� �� ��� OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION �,��� �` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERlCONTFiACTOR TO MEET YOU:_YES_NO v�i COMM NTS: � � a � �--- � � 1�- l�U,i � 0��',Z�Y�N�� � 0 � W •� � Q � 2 W � W � j GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � V�- White Copyllnspector's File Canary CopylSite Notice C� ATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED -iO��� / ��'. d_.�1 PERMIT NO.�D I.3�•Q6 g�I COMPLETED ADDRESS �.,�SS �a� � OWNER TELEPHONE NO. s)�NC��9S,L,S CONTRACTOR � � � DESCRIPTION �3�� '� � � � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z 6�� OwnedContractor on site: Inspector. ` i White Copyflnspector's Flle � Canary CopylSfte I�otice �� � py7� TIME CITY OF ORONO,3�D O�G/ CALLED IN �^� � INSPECTION NOTIC SCHEDULED � PERMIT NO. COMPLETED ADDRESS I555 OWNER TELEPHONE NO.7G23 G-rl'� �UgQ' CONTRACTOR �� � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORENVETLANDS v3 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTiC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMME TS: i � � � ;. O •r a� �O � W � Q � 2 W � W � � W e RK SATISFACTORIF PROCEED ❑PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 952) 9-46�� OwnerfContraator on site: Inspector: White Copyllnapector's File Canary CopylSite Notke �_� T T M '✓ CITY OF ORONO CALLED IN � � ���' INSPECTION�'QTI���� 1 SCHEOULED � � 1 PERMIT NO.'�� COMPLET D ADDRESS ���� �` ��� OWNER TELEPHONE NO.��Z 3�-g 6 � CONTRACTOR �G� C�Y'� � DESCRIPTION � �`'�'''� S� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI � LAKESHORFJWEfLANDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL .1gp1�` ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION ❑ RADON ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPUUNT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � ��y _ ��a�K�s l�ao�P 1,•��� - /r� '` - o �G� ,o eK etr�ra K.s - ���e1�� � � � �t�a.� 1i �rl,"E "� � �it�a� .54.� W � 1 • �1 � �4.rS/fC�.�' L✓�L N�ier�Q✓ �t rt•-•, '�t.��e "� Q � � �� �a 4/ �- W � j ���'V9R ACTORY:PROCEED O PROJECT COMPLETE ���0 CARRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: � �� White CopyllnspecMr's Ffle Canary CopylSite Notiee / � / DAT E V CITY OF ORONO CALLED IN � INSPECTION NOT SCHEDULED - " % PERMIT NO. � D 81� COMPLETED ADDRESS �SS S �� OWNER TELEPHONE N0.�3-7"�� �V I CONTRACTOR G��� � DESCRIPTION ` �°'''""� "�' ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q O POURED WALL ❑ MECHANICAL RI � LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �1NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET Y�OU:_YES_NO � COMMENTS: /�t�{�a,e ?a► F p• GI<<.St - /�al� ica� � �'��,pt.�b�.c, �t � c�.►.�.os � .�c�.��fe� � o �r�••�C � C�a�� 5�4�t LL -w► ��t e.n�•-�.r � wal( u�cr aPo�t��c T6',� � W �� �ra�IgE� �+•r�• G�CtSc b7r l�.��c $�n►.cs 1m_+s� QLL• ' G+4��o.�.-f ��.:.. - 5//ty f'en.�- /�h� rao.�� '�' T�1���s�r 6r� r.�atd,� - r i:�.. • � �'e4..�• l�1 L " � Q'/�1 Id�Vb ,f�✓NS �'aa�.•�e�- U L. - f 2- ��t Wf�l./�' . � �q -/�j- �a�/�M. v.L•F/mr- b/owv�t���e,� � W ❑1NORKSATISFACTOR�F.PROCEED PRWECTCOMPLEfE W ��iECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 00 �66RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR NfILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OMmerlContractor on site: ����'� � Inspector: w White Copylinspector's File Canary CopylSke Notfce � � � J� TIME CITY OF ORONO cnLLED IN � INSPECTION�OTI _QO�'l ! SCHEDULED �ERMIT NO. � �` COMPLETED ADDRESS � OWNER 1 TELEPHONE WO.�� �9� � /7 CONTRACTOR ��T� � DESCRIPTION � /K� � �� � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q O POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS QO FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z �INSULATION O WOOD BURNERIFIREPLACE ❑ SITE iNSPECTION Q .��tADON SLAB ❑ WATER HOOK-UP ❑ PROC3RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEE?Y�OU:_YES_NO � COMMENTS: , � �raMrnS c'o✓re�lo.c .oioa�t� � in5rs�. � Ca r�'��a•►� ,Or'v�w�ea- •. 0 � o � o _ i��� W � Q 2 O!l -� c��_�� W � W � J td1y�1�LORKSATiSFACTOR�F.PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cap f ion 2a hours in advance. (952) 249-4600 tractor on site: Inspector: Wh e CopYllnspector's File Canary CopYlSite Notics J � �/ �ITY OF ORONO CALLED IN �(' `� �^-'f��' INSPECTION I�Q��,C�����I 1 SCHEDULED -�s �- PERMR NO. r� � � COMPL D ADDRESS `��� lA �� OWNER TELEPHONE NO. ��3 �'�I �� CONTRACTOR S � � DESCRIPTION —T 1 t'�' -�-� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�.�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNEIUCOI�ITNACTOR TO MEEf ViOU:_YES_NO � � COMMENTS: m��►• ��r1�L -. D�S�lbe. , . � /�l . „�'L .. - r � � Pr�r e co �.s � �/�t. l=.n ' - I '- /5'- p. �e.1, � o r _ � . � ��Du�a� F�� ���,�� ' �or re��veect�n, 0 W � — Q 2 — rvv��j e, u/�� .So��a'�.'o,,��L � - Gk4lk l/��+✓s�oP� o� /�.i �etrdl � ' Se�t/ �' cK�.a� . c � . .r�` s�a � d Gp r rcc. d� C.�.�l o d rs� '-.. W� ❑U1�RKSATISFACTORY:PROCEED ❑ ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEN POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspect'�4�rs in advance. (g52) 249-46�0 OwneHContractor on site: r ��1S�Ct01: �F/✓'" �V White CopyllnspectoPs File Canary CopylSite Notiee � v � �(� DATE Tllulg CITY OF ORON� CALLED IN o���7"�✓� �'�30 INSPECTION NOTICE SCHEDULED ����-/✓ �_� PERMIT NO.o��.�����` COMPLETED ADDRESS �-5 OWNER T EPHONE N07 ����� CONTRACTOR � DESCRIPTION �L�� -�� ��"r��' l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: w�S• ' a-/a -�,� - D .S, W � a �,�✓a vr(�e f� fr�o f�G'e.s.s ,d e✓ .D/u �rl�� j .�_l�i�rxi��be. �eL`L��✓ �re•,n !=�'c.�/�t �ris��/!er 0 � s��i•u F� w,c-s /.�Sz`�!�� ae� .�tc1�f� 0 5/��� �' I�?• �.�e .�4��. �'�OP • W . Q �� S�/ r'iG/ C��v/ov- ,De,�a�✓4G�/G.� S Z /�SI� �rOdt�D.e. �� �.�• rHt.rG��/ �'�oQ✓��Qc � /lC✓ ����s- I W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � �.([dSPECTION REQUIRED.CALL TO ARRANGE ACCESS. i � Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlConVactor on site: /��/��`C 7�`6����/ Inspector. �� ite Copyllnspector's File Canary CopyfSite Notice � ` DATE TIME � CITY OF ORONO ALLED IN INSPECTION NOTI SCHEDULED � PERMIT NO. D � COMPLETED ADDRESS � OWNER TELEPHO E NO �_l23 Q'(n / ��� CONTRACTOR , � DESCRIPTION� J '� t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMI ❑ MECHANICAL FINAL ❑ PROGRESS � I LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ S W R HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO ��., COMMENTS: a� � � J O ). � O W � Q � 2 � W � j O W� O WORK SATISFACTORY:PROCEED O PROJECT COMPLEfE W O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT V1fORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou� 952) 249-4600 OwnerlContractor on site: Inspector: White CopyAnspecto�'a File Canary CopyfSite Notke