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Home My WebLink About2012-00440 - mechanical CITY OF ORONO * 2 0 1 2 - 0 0 4 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2012 Z ORONO, MN 55356- i 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 MILLSTON RD PIN : 10-117-23-14-0015 LEGAL DESC : MILLSTON : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FUEL STORAGE TANK VALUATION : $ 3,715.00 NOTE: OK'D BY:LYLE OMAN APPLICANT MECHANICAL 50.00 BURWELL, MR. & MRS. RODNEY P STATE SURCHARGE MECH (VALUATION) 1.86 7901 XERXES AVE S TOTAL 51.86 BLOOMINGTON, MN 55431- PAID WITH CC# 2766 OWNER BURWELL, MR. &MRS. RODNEY P 7901 XERXES AVE S BLOOMINGTON, MN 55431- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co ce with the State Building Code.This permit may be - revoked at afly f e for cause. -� ', ��✓' _�-. _ � � �' l` r / . � j , � ?_ ,��.,-�. { ` '_, i L�� = =r %" _ = � �Y �� %� �_ ._; Applicant Perm��' ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I .� �,FOR CI Y USE ONLY A' City of Orono / �/ . �Q,�_ �(� 4O`Y P.O.Box 66 Date Rece e : �� Permit# � Ox O �,,t� }. 2750 Kelley Pazkway , 1� � �9�;r� � Crystal Bay,MN 55323 Approved By: � Amount$: t��';��c Phone(952)249-4600 Fax(952)249-4616 d � �> � �'� $ T�1 �; � CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marsl�all) GENERAL INFORMATION 1. You may apply for mechanical perniits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pemut 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 inciuding heat loss/heat gain calculation, design temperatures,equipment ratings and identificarion as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Unifarm Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/ Owner Information: Site Address: � Q C�i� ��r 1 F�� I� � {�1='�'/�� 1 J"1 n%� �.��l � Owner: ��Ck� n�� IJ uf�,/'f� a Mailing Address: 1)o c� �� I�Stt�� 1 City: rr`�J�C��'c� Zip: �5,5..5'�� Home Phone: ;l�� `�� `�� Alternate Phone: F/a �I`1 �/��/,�. � . - ��t� , Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � s ♦ Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. , IS THIS GEOTHERMAL? ❑Yes '�No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTUs: Output BT'Us: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES . ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FLIEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) � Installation ❑ Removal CT�e�il: ��gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � t � I� PERMIT FEE CALCULATION(S) �_ BASED OFF - 2002 STATE STATUE ❑ 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;excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this appiies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ �-66— Total Permit Fee $ •�G � PERMIT FEE CA�CULATION(S)-JOBS 4VER$500.00 t , ��..� ��`. F�,�:: If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3� � �s X .oi2s $ �/� . ''�� (contract price) (minimum$50.00) 2. STATE SURCHARGE 3 f � �5 X.000s $ I . �5 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��1. �O ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perniitted 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 installations 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. � �� 4.��.`` MECHANICA�.PERMIT APPLICA.TI�N AGREEME�':�§��.�� x ''.: �� ;_ The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � — � Y .�� /I 1. Applicant's Signature: � Date: 3 Plan Review Checkiist for New Structures / Additions .Address/ PID/ Legal: I 10� M tl.�„S`r�N � A�✓� Description of work: F l V L 1�MD 1�1d`D r� �- ri� � �l�� C��5 'rl�� Septic review by: N /� Date Approved: Zoning review by: �� U Date Approved: Co - � 3 I 2 Building review by: Date Approved: 6 - �3- ��Z. Grading review by: �/f/� � Date Approved: i �L, -� Zoning File#: N�� Resolution#: � Resolution Date: -" Zonin District Fire Department Post Office School District L �-1 A C., , c.... ,�� z,o-� o�-� Zoning: Lot Area: Z. iS ��SF/AC Width: Depth: Survey Submitted: �Yes ❑ No Date of Survey: �, - 3 - 7.dn�1 Pro osed Setbacks: Front (Lake) Rear(Street) ( N S E �1p7 ) ( N S � W ) Other Buildings Wetland Side Side r 3S' rv/A 95' 3"� � S ' N//� ' Building Defined Height: N �� Building Peak Height: N/i`4 #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: OR A BUI N ON A SLAB FOUNDATION: START WITH the distance between the ement or/crawl START the distance between the slab and the highest space floor and the hig roof pe ,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat ro t deck ne of a the deck line of a mansard roof, or the mansard roof,or the p most oint on a round uppermost point on a round or other arch-type or other arch-t e r f roof SUBTRACT half the distance ee the ighest window nd UBTRACT half the distance between the highest window hi hest roof ea f a i che roof and hi hest roof eak of a itched roof SUBTRACT the distance b een th b sement floor/ awl ADD the distance between the slab and the highest space floor a the highe existing grad within existin rade within the foundation the foundati n or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff 0 Yes 0 No �' N/A � Yes � No �( Yes ❑ No 0 Yes 0 No �N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-75' � Yes � No � Yes 0 No 75-250' Type(s): Type(s): 250-500' � 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Char ed YES NO .w�..'arn�.. k, 5 sh 5��j'.`a'�'"in?�{�� "��... � ;�iyrAkFdel��3�� I r _ � ,.1 . . ... . ..: .�. . .. ..�. ...-�+....,,. Plan Review , �. , ,._ .. ,:.., _,.,.,� , �, __ �. ,�.,. _ , . . ��g�f. 4db t,...f.' : .,.,,_._. . .. 1. s.+�.. i c w. ?�. x ;. _.. .. Investigation Fee _ . _... _ __,x ��..,�. . .� ; ,�..,�..,�.� - ..-�.u.. � ..:.. ..na ,..�.,. a . , ..., . . . . . .. ._.:. .,, . .. .,.. . .._..... �..�.. .. � „ -.;'�. Sewer Connection .. .,::� . ..r,..._ . ,� y: _ ... Park Fee . � . _,, �,_. _ . .,. . Other(specify) _ _ . , _ . . Calculated By: S uare foota e $ er S uare foota e Basement X = $ 1�Floor X = � 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required S#ate Permits � Site � Plumbing � Grading/Filling � Well G Hardcover Removal � Mechanical � Fire � Electrical � Footing � Septic G Water Connection 0 Poured Wall � Fireplace � Sewer Connection O Foundation Survey � Masonry 0 Lawn Irrigation G Radon Rock Bed 0 Mfg. q Framing G Other(specify) � Insulation � As-Built Survey � Final � Other:(specify) REMARKS (in-house); Otfier Review: Reviewed by: Date Approved: Access:Existing: 0 YES G NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx DIVISION 2. - IJNIFORM FIRE CODE Page 1 of 1 � : � `�� _ �� Orono,Minnesota,Code of Ordinances»Title V-PUBLIC PROTECTION»Chapter 46-FIRE PREVENTION AND PROTECTION»ARTICLE II.-FIRE � PREVENTION AND FIRE SAFETY STANDARDS»DIVISION 2.-UNIFORM FIRE CODE» DIVISION 2.-UNIFORM FIRE CODE '�' Sec.46-56.-Adooted. Sec.4657.-Amendments. Sec.4658.-New materials. Secs.4659--4680.-Reserved. Sec.46-56.-Adopted. The Minnesota Uniform Fire Code(MUFC)is adopted as though set forth verbatim in this section.One copy of the code shall be marked "CITY OF ORONO—OFFICIAL COPY"and kept on file in the office of the city clerk and open to inspection and use by the public. (Code 1984,§9.34(1)) Sec.46-57.-Amendments. . As authorized by the Minnesota Uniform Fire Code(MUFC),the following amendments to the Minnesota Uniform Fire Code are adopted for the city: (1) Restnctions on flammable or combustible liquid storage. �a Prohibited districts established.Pursuant to MUFC sections 79.501 and 79.1001,the council declares all land located within the following specified zoning districts to be the districts within which the storage of flammable or combustible liquids in aboveground tanks is prohibited:R-1A,R-16, RR-16-1,RS,LR-1C,LR-1C-1,B-1,B-3,B-4,B-5,M-6 and PRD. �b Aboveground tank locations. In those districts not included in subsection(1)a of this section,the storage of flammable or combustible liquids in aboveground tanks is permitted,provided such tanks are located in conformance with MUFC sections 79.501 and 79.1001,and with the following: ✓� No such tank shall be located in any required front yard space as defined in chaoter 78 � No such tank shall be located within 50 feet of any side or rear property line unless it has a minimum one-hour fire rating. ✓ A tank with a minimum one-hour fire rating may be located within 30 feet of any side or rear property line. 3 No such tank shall be located within 75 feet of any lake,wetland,stream or drainageway. � Underground tank locations.The storage of flammable or combustible liquids in underground tanks shall be permitted in any district in accordance with MUFC section 79.601 and with the following: � No such tank shall be located under any required front yard space as defined in chaoter 78 2 No such tank shall be located within ten feet of any side or rear property line. 3 No such tank shall be located within 75 feet of any lake,wetland,stream or drainageway. �2) Restrictions on liquefied petroleum gas storage.Pursuant to MUFC section 82.105,the council declares all land within the city,except for land zoned I-Industrial,to be the district within which no liquefied petroleum gas storage installation shall exceed 2,000-gallon water capacity for any one property;and the council further declares that no liquefied petroleum gas storage installation over 500-gallon water capacity shall be located in any required front,side,rear or lakeshore yard as defined in chaoter 78,but shall conform to all setback requirements for principal buildings. (3) Restrictions on explosive and blasting agent storage.Pursuant to MUFC section 77.106(b),the council declares all land within the city to be the district in which storage of explosives and blasting agents is prohibited. (Code 1984,§9.34(2),Ord.No. 121 2nd senes,§3,9-27-1993;Ord.No.186 2nd senes,§1,4-26-1999;Ord.No.76 3rd senes,§1,7-12-2010) Sec.46-58.-New materials. The city administrator,police chief,building official and the chief of every fire department protecting a f re service district of the city shall together act as a committee to determine and specify,after giving affected persons an opportunity to be heard,any new materials,processes or occupancies which shall require permits,in addition to those enumerated in the fire code.As they occur,such determinations shall be listed;and such list shall be posted in the offices of the police chief,the building official and each fire chief,and distributed to all interested paRies. (Code 1984,§9.34(6)) Secs.46-59-46-80.-Reserved. . FOOTNOTE(S): �3/�State Law referenc�State Unifoim Fire Code,Minn.Stat.§299F.011. 8ack http://library.municode.com/HTML/13094/level4/TITVPUPR CH46FIPRPR ARTIIFIPR... 6/13/2012 REC�,v�� , \�N �-� Zp1Z QUOTATION F oRpNo ZAHL-PETi�'OLEUM MAINTEII�I��E C0. pry,pf pMl tARSON ENTERPRISES,INC. Sales�Senrice�InstalNation of Petrole�n Equipmer�Since 1952 3101 SPRING STREET N.E. • MINNFAPOLIS,MNV 58413 PHONE(612)331-855Q MN WATS�800)482�336 �r�� `(� �'iQ. FAX(6+12)331-8553 www.zahl-pmc.00tn �� /�-�/�Z � �i.TG,� _ -�"�'��5 �/Z� �/y'--l.��yZ. �oa �.sz� �w��o3 � C(P/-9TATE CIUOTATI WHEN ROERINC,REFER OEfXJOTCATION DATE,JOB NAME MID�I.00ATION �10E a�►� o�irrro� Tm � � � � 0 •O D v, Qe cq 1 Qc,�Q . � re_(1J e p��p D✓-Gt � •� . y �d 7s�d0 � h c v� � �v c,� o�t � �.�r'� e � �� . ,G � � • � �, q f Et w.,�,t�r+;�q,�c;or,�a vaud oro� ZAHL�ETROLEUM MAINTENA11f CE C0. 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'�:.;:+::��%,9;7�k�':G.'l' .,Y�,. • r'a"..oG,'''�!ti^��..:i s. ^�� :��x,-.'4R=d,;"c.- •� -•, ��1" af�3``' � '�l'` � -a?� i�. . . _ .�y:..�.�._: i.� • ... � . . i 7�• 3 ' T"i� � ••'Y•" : • ..=`i" •.•.� • •,��YY • '�'�� rQ� '%�l.F •i :i:di,j, / SECONDAHY ' - ;� -:: •. .. .::t. �� -'�,` "'' �,s.�.;3:..'::: TANK . . _. • : .� ��.• Y�;�,, s�• .•y3` �, •�+c'r'<"•,�•_,.• ".� ",�'-! y;�'�:%�Kf$,��+�' •.ti ,� '�^!:'�r..':/i : • ' ': .•r`',wY„-�-:t(�'j.�,r,,..s� v�'a g,�, �•�Y''Y•� rs ' �PRlMARY• . ".s" _;•��-=�sx��;�%�.: . ��, ,F;. . :�:.•:�:., ,�.�� TA7NK . - : . ' . :z�;4 =:�"'�'-., r� . •, . ��t•;..:; ' ? ':�.• !,. S ! � ~Q�( . a.�z" . ' ' .. • , 'i'. Y��-•,. r , • • :::.'ie'SE:• Y�G,s�C'I,-1 . . . . :��;�"�.4�-�� ' . . ,.:;f7'„o.V�_,a r. . .. _ :i• .•��t?•`'a� �. - s , .4Y..�" ..�'•:4.�e.-c:y�":+��='=;�• . r• .\• .N:�:.�JiG�"'"\��> INTERS'TICE - �- :�:•�. . . :,��::��:''�,: _. ' _ . �s,�`•'�:,�=:k::�'�f'.,. . .c- . ' , , �• ` �'iY'i_•••••�;�`�e••"" �� ,+ r. � si..t+'� ..� ..,C�eR,�� +_ y��:�J�..•- . � . " �,�°C� �e.,.,�,,;�. �. �..� . :Vsrlety of U��.r.E....._.s Y'•'y" ' `;.i-Li-{:�.. } .� �F921• G ' ' e S�ec�ficat�on � •� . . • . . A�� , . . 1.Pt�vide P921"clouble-vwrll steel ab�nxc�nountt Underwrittrs Laborltotles S1L 142 Sta�ndud�r . . . .. gtp�'�,. - .50tt1�lbo�eB�+ouc�dT�b.bor Faammablc ant! . B��ng � . - Com6ustit�Ilqutds. . . . 1.Twnks shnU bear the Sceei 7ank Inscitute P921• 3.'1'�nk.shaii be cbul�wall with a sttd inncr a�all noubtav�in nbovegrc�nnd storagerink � � for pdmars►conc�nmrnc and�pravide iwc�l ideat�catian label. . ��Y��'��P�o�� 2.Abovegroutid tanks shail be:�t Undcrwrittrs OIR�f w�ll. . Iabontorics L7L 1421abc1 for prLmaiy tank and 4.Iategal aecondacy►contatnmerit shal be ce�table . � secondary con�ainm�nt. . . and shall provide xces�for incer�idal ieak detec- � � . � • . 4� �. \1��/��•��•• �� i ��V• , �. . . . �� YWl}�iWr�.• : • • ' . � C�Pr0�1lCt�SCC�j�t�Ofl . . . : . .' 1:"[�iks shall be manufacwred in accorciantt witti - . ,.5�.'tJi:l#Z 13ssoti�appuit�sb�sJJl be used for all • , . • Steel'I�nlc Ic►stltute P921 stycidaM Int double-wail • .. . h -�c�d�aiblF-'�.�S:. • . . . � .. aboveground�toca�e tanks. ' � �)�� ' ' ' . . �2,.pbuv�Ound anlc primaryr atul secotichry ' - . ��1:M9n��t�i�t�nd:r shall be a lioeased membcr coar . . • :� �:cbntaiaa4enc(iona�nd oucer walls)s1�aQ be ' - �, .�:�p�ny;of Steel�3iak'�Instttptc and svbf cct to Steel • . inarnt�arnutd ia a+ccc�rdaace wlth aacl l�sted 6ot � . • ��'ri�nlc In�itute's�QualitpA�uaacc Pro�am. Steel 578 Oakwood Aosd . Lake Zurich, IL 6Qa47 . Tenk e��ia�e-e�s� - Fax 847/438-8786 ��ute websiie:www.steet�rtkcom Use the STI Technology Guide online for your neut F921 sp�c'�f'ic�tion! Atl you r�ed In tanks. � °o"��" abovegra�nd tenks manubdured � F92� i�F��• - . ��snseos carry the • F�1•label. Abovepreund•U�lerO�ound�Indoor�dutdoor�SEnpk 4VaA�Doubie WaN•Com�rUn�hqzed �o+��n1a�so�000� 5 �� c�z� ��N wab��ti z�oz ��z ��p� - � � � N �� 2��n�� q.�� t 2��Pt ti — � , . � � � . � - - - -- - - - - - . � � � � . , � . � � � ! I 1 ` � i . I ! . 1` � . � = . f ` � ' � � � ' r E ( � � E � � / � ( r � . � \ fi � � � , I I � � � - - - - - - - - - - - - - - � , _ � ,_ 29" � � -60 " _� . r -- 72 " . � ,...... .._ .. ..... .. . , . �� o FS-512UL DW 55Q gallon . , � w � Po,�t.�t��e�c rVo�e � 78�� °�' • �► � ,� � 12 gauge A-569 ; T, �°"'` ' - ca -o CdD�PR � . ' UL142 STI 92i L�sted and approved � �,�„N P'�se � . Double wolf, secondary conta��rnen# tflnk �• � �°`� " - � ---� - • - - .,.. �.. ..� � e� �� . 3�'� . ti� k • � ' •6 � . -S-'� !�i �� - • F921•secondary contalnment ran be tightness tested on slle with standard tesGng procedur� • Horizontal, verticai and rectsngular designs avaiiable ��''�� •Oouble-wall deslgn of'fers Integral, impermeable secondary cor�talnment • Interstitlal te�k detecaon capeb�lty •Primary storage�nk and secondary vontainment � wmpatlble wlth a wlde range of fuels and chemlcals F9�1 �M�� ,4z, ��G�o, ��go�, and ULC/ORD-C142.18 -Buiit to nationally-recognized STI standarda with strict third-party quality controi inspection program srow�cz rwrntc rvxi � � tv3� ��•. •Custornized compartments can be provid�d for Cost-ef�ective mufti-producf storage . •Capacities up to 50,000 gallons •Variety of saddie and skid designs available •Available from a farge network of manufadurers :•__�:.:... '•L� . .�' -a t�i� �� d6E�ti i�oz ��z ��Y �� CQ �j '"[ DATE � TIME �� CITY OF ORONO /�--- `� CALLED IN �� C 1 WSPECTION NOTICE ` SCHEDULED �, j 2t�� f Z � �. �`'7=`- PERMIT NO. �,�� l.� �( �l�U�� connP�ETE� ADDRESS � l (C' l� � i! (( %� -{ T�i� �� OWNER ��j--� `" ��l.�I� (%�� ELEPHONE NO. �� [�_ �c--��'/`�� CONTRACTOR >; DESCRIPTION 1 4'��-�+ �'�t'�l'1 G C('`t l ��lY. � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT`C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: ,l��. ' ^:` �L ��l (� � _._ W a � J O >. � O ti W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE W ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on si e: Inspector. �'� �� White Copyllnspector's File Canary CopylSite Notice �� , �- - - ��"` >E. � �,. wl��. y' 6} � i f • { �o,�� `�{ � t$ �.� :• f P s+�, w` � �k� � �� I`� w .. . . �� _ � . `� .�;�' " .. . . �, �x"� �Yk - .. . . \ .z _ ., _ .. . � . .. .. . �4 � , g`; . - '. ♦,/ `� - -'- v - � .� � ' `..,r . � '. � \\ < ?.�1iY �✓�it`_vi�L_.i= �i �v%j�!�(3'�'�' �� \�\ \� ! % 3 N� ��\ �� KEM PER �c ASSOCI ATES I N C. �� . � \\ \ � 721 GLD HIGHWAY 8 N.W. � � ��,,� �\�\ � ��u; o p N `� \��` � �'= 2S- NEW BRIGHTQN, MINNESOTA 55112 ° � z O^ ��\\ \� •" `�s'�c�a 6 5 1-631-0351 i iNc� Z � \\;\�\-.� � � FA,� 651-631-8805 FOUND 1/2" 16�� \\\.��\�� ORDINARY HIGH WATER ELEV. 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