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HomeMy WebLinkAbout2013-00681 - mechanical ` ' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 6 B 1 * DATE ISSUED: 07/19/2013 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4315 NORTH SHORE DR PIN : 07-117-23-43-0028 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 111,420.00 NOTE: GEOTHERMAL 1 LENNOX NAT GAS FURNACE 2 WATER FURNACE 1GAS LINE TO FP 1 KITCHEN EXHAUST 6 BATH EXHAUST GAS LINE TO OUTDOOR GRILL APPLICANT MECHANICAL 1,392.75 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 55.71 6219 CAMBRIDGE ST ST. LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 1,450.46 OWNER CLEVELAND,BRADLEY&PAT 4520 JLJNEAU LANE N PLYMOUTH,MN 55446- 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. T'his 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 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 aze requested in conformance with the State Building Code.1'his permit may be revoked at any time for due ca se. ��,1�C�C.c��.� 7/ �L7/ l 3 y � / � App lican t Permi tee Signa t ure Da te ssu y ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . F � , FOR C11'Y USE ONLY �O A'O City of Orono � D ��' �y P.O.Box 66 Date Received: Permit�l 2750 Kelley Parkway Crystal Bay,MN 55323 Appraved By: �Amount$: Phone(952)249-4b00 Fax(952)249-4616 y� � ��kfSHO��'G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building OfficiaJ or Inspector andlor Fire Marshall) GENEItAL IATFQRM�T�ON 1. You may apply for mechanica!permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wiil be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to ty�,manufacturer and model. Data shall he presented on form provided. 4. When any new construction or remodeling is invotwed,a separate building permit must be obtained. ' 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be ins�cted(rough-in and final). Call(952)249-4600. {24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPB OF PERMIT Check Ali That A 1 [�Residential ❑Commercial(Approval Required) / � �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Inforn�ation: Site Address: �✓`��U�T�-! �i��D� �i�/li� Owner:����D �4 Mailing Address: City: Zip: Home Phone: Alternate Phone: Ccx�$ractor In��rma�ion: Contractor: ��Z�2sr/����A/U�IA�- Contact Person: ��Lt-�C��`K'0� Address: �19 ����`s` State Bond#: /�?.B ��33�J City: J7�L�diS �i�� Zip:�l{o Expiration Date: 9���3 Phone: ��- /d��7�� Alternate Phone: 1�a�- ��S'���� ❑ Insurance-Current: f/� � �C`���I��� 1 r � , � � '� r �ic x�_. a ;,v s, i� i�. ,, � �t ,;, �; �� '� v� w�����'�a'4�0��1� ,t„i�.� Note: All Geothermal Systems will now require a Site Plan& R view by our Buiiding Official. IS THIS GEOTIiERMAL? �Yes ❑No HEATING SYSTEMS Quantity: ( { � Make: ��crVN�c wR'ita2���1r�"i,�l,vP�, ModeL• F.JL-o�i�+ �n?..�tcs�i /�lSvt3 D,S7� Fuel: �D Q��L— �.2 Flue Size: 3,�(/iJL ^ `— Input BTIJs: ��i�� '— '— Output B'TUs: �o�L� � CFM: I� "— �— COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES '� Gas Factory Ficreplace �S�'��� Brand Name: ❑ W�d Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION '� No. � Kitchen Exhaust � duct recirculating �U cfm '� No. � Bath Exhaust(must have duct outside) S� cfm ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall if propnsing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Ouuide LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill ❑ Other/List What&Where: 2 ' , . ��u �" vi��'� �T'�'�7��; � a'�y�+„ �' � - � �`� � aY�i��4"�� � ��.xs�'�^���"i`y�,:�eYe�k�+j �irq a�`39��� sk�� tr�;"� s� � � 4. ��, �� ' '�a t��ik�"� Yv�4`�r�r'�<f�r�� ,��i� � s��u � nh�4, s� ���eu � 2�i�', a� ,n ���' w $ � � ti� n7'�t��k ��',1�ii�����'�'�P�S�' �g+�,`��r�r,��r15�N�"�' , 7� ��� %�, w ��,, �,'���` ,� �tin�°�d �rP.��! ��+��Y;"'^ �hs �a .Ar, .�d�. ..5 ,"� a i. .ra ,�uE.a.- t� 'k '.�� ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a t cost of$500.00 or less;exclu in 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 applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ y�'��Y k ��� ,„. .e;f,yr�Y " ,rW�'i� r sa.'�4� a.s�i��� '+ �a� . (r'+u ��i:��C� 34��y"' �k�� :N3+'�� d� ,'h. "�'� �.;�,!� b',.'l3�a +�L'k. ��dll�,_ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � �[ �-f�� X.oias$ I 35a,�7� ( uact price) (minimum$50.00) 2. STATE SURCHARGE �����y� x.0005 $ ��'�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �`��'�b ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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 esrimated 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. �^���1 C�,��t�a'� '�j R����:, c'_.�r: o IF`„ �; `'J `�IKl:�� ar , S c,��, _r��x�i ",.�!��2,t��a�� 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 State of Minnesota, and certifies that all statements made on this application are complete, true and conect. Applicant's Signature: - Date: �—/� /� 3 J � � �A�� i q�� yy.a x�a ,,"� 4�.�+r, a ...w� k. -u,r�� �k, t+ � Mr,: �` rw.,,., � ia�"�'�,�4x '� ' 1 � ,�i+ } j,� � � Sft Y r �o., �+�, rcu + r p �P , r�y �� �" �yw �s,��A g�'�"� � � � e .. �} �,� ,y � s,y, . °� �h a�i1c,:Y�tn.rx � 't ,d;��" :7°'�' �r", „�{ ��i' ,� u e�,c'�ar`' t��„�x �x ,xz „; ,a�. '�,.�"���tr Y�.y�' t'.� ��a. 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R,,� tw�.�f�' ��� � � .�,, ���"����`�. ;<,...�f ";�3 �;. .��- "` �� ;,'^,�`'�*.`����`,����,�w�#�����^���"�'�4��,.��:�.w�x',�.�..�"�:,_ ,t,„�t,. y�: 3�.t �.,6 MDH USE ONLY � MQMYESOTA DEPARTMENT OF HEALT[i Date Received Well Manageme�t Se�ion Amount Received P.O.Box 69502 Application No. SL Paul,Minnesota 55164-0502 ❑ $235 Vertical Heat Exchaz►ger<10 Tons (493n � 651-201-46D0 or 500-383-98Q8 ❑ $475 Vertical Heat Exchanger 10 W SQ Tons (4938) Fax No. 651-20[-4599 Deaf and hard-of-hearing: TTY 651-201-5797 ❑ $700 Vertical Heat Exchanger>50 Tons (4939) Schematic of Plumbing Design Applicattoa fo�per�it to iostsli a vertical heat exchsage device(esrth- ���� Approved conpl�i h�t loop)pursaant to Minnesota Statvtea,Chapter 103I aed Site Plan Showing Isolation Distances rules adopted t6ereuoder. Received Approved Logs of the Holes,if Existing (IYOTE: Make check payable to: Minnesota Department of Health) Indicate Heating/C�ling Capacity: ❑<10 Tons �10 w 50 Tons ❑>50 Tons Geaeral Project Data to he completed by a11�plicants(please print or type all information provided). Name of Certified Representative DBVId P. H@I1riCh Cectified Repr�esentative No. 1205 Company Name Bergerson-Caswell, InC Company License No. 1767 Telephone No.(including area code) 763-479-3121 s�t pddr�s 5115 Industrial Street ciry,sr�ce,ana z�coae Maple Plain, MN 553359 applies for a permit to install a vertical heat exchanger device(e�rth-coupled heat I�p)as hereinafter set form or as disclosed by atf�ched supporting data. 1. A.Legal D�cription of Verti�l Heat Eachanger(VHE). Township Range Section Quarter(s) County Township Name No. No. No. Smallest—�Largest Hennepin Orono 117 23 7 NW '�4SE '/4NW !4 !4 B.VHE Imcatioa Site Address Address 315 North Shore Drive City S� ZIP Code rono MN 55364 2. VertiCal Heat Eachanger Owner Mailing Addr�s. Name �P.P.ii7 C L.�N D Address �l3/S' NvRTy s o� Q�vE C� g� ZIP Code OQonia /Y1 N s"S 3. Property Owner Addr�ss(if different t6an the Vettical Heat Facchanger Owner Mailing Address). Name Address Cily State ZIP Code � , • , . , . 4. Descriptioa of the Vertical H�t Eac6aager—Coustructioa Detail.Please supply the following infora�ation where appropriate.If ttue vertical heat exchangers ere not yet c;on�ucted,writc in the estimated depths,size,c,and dates. Number o oles Hole Depth{s) DiameOer of Piping(s) Antici�ted Depth to Bedrock �2 �5 3/4" 268' fiping Material � High D�msity Polyethyle�e ❑ O�� Grouting Material ❑ Neat Cement ❑ Cemem Sand � Bentonite ❑ 'Chermally Enhanced Bentonite ❑ Other Heat Tranafer Fluid � USP-Grade or Food-Grade Propylene Glycol ❑ Other 5. D�eeriptioa of the Hest Pump Unit Neme of Manufacturer Model No. Maximum Flow Rate wAT6�f'rJr2/�1 H%� ~�2 ��Y Z� gpm Name of i�amller SEr�� M�ta-t �c�►►`. 5�R�/r��5 �9��� Installation I)ate(Ach�al or Propased) Maximum �t0 Minimum � P 1 O — 1 ^ ( '�j 6. Location ot Vertical Heat Exc6aager. Indicete the location of the vertical h�t exchanger on an attached site plan showing isolation distances fcom water-supply wells, power lines,gas lines,LP tanks,buildings,and property lines. The site alan diagram mast be attachaf. As a condition of this pemut,I agree to construct this vertical heat exchanger under the provisions of NGnnesota Statutes, Chapter IQ3t and the rules adopted nnder it. Signature � (Certified Representative) (mm/dd/yyyy) As a condition of this permit,I agree to operate and maintain this vertical heat exchanger under the provisions of Minnesota Statutes, Chapter 103I and rules adopted thereunder and to allow inspection by the commissioner of health or his/her agent during regulaz work hours. D� July 1, 2013 Signature Owmer of Propercy) (�d�riri) origs�FJeat Loop Application and Memo.doc 7l21/201 I R 2 }%� qATE TIME 1 CITY OF ORONO � INSPECTION NOTIC �Q' SCHEDULED '� PERMIT NO. � COMPLETED ADDRESS J?" I JN n` S G't I�l"� ,��- OWNER TELEPHONE NO.���a`��a CONTRACTOR �e f�-�''� f�'����2 � DESCRIPTION ��S Ll�'l� ` (�/ r��� 4� ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC IN L ❑ FOUNDATION/REMOVAL 2 OWNEWCONTRACTORTO MEET YOU:_YES NO � COMMEN • � � � � C� � - CZ�� � 0 w� � � R•►r c y� �olcQc�� �f/',�i4.S� � ` °C ' Q�SGvO/e�c 9riS !��e � G�/� ?�rtci✓ L�,i,e . Q � W � �''�Qwt Gy1�ti - /o� `` CUvc�'4f►G k� � s'� �Q�� � � ' W .�W9RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECTYYORK,CALL FOR REtNSFECTION TEMPORARY V BEFORECOVERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{pTO TAKEN INSPECTOR W{LL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTlONREQUIRED.CALLTOARRAN(3EACCESS. Ca inspection 2a hours in advar�. (952) 249-4600 Own lCorrtractor on s e: ����� � Inspector: ^�^� White Copyflnspecto�'s flle Canary CopyfStte Notfee �� D TIME y CITY OF ORONO CALLED IN 7�� INSPECTION NOTICE SCHEDULED �� :� PERMPTNO.a�f3-�DO�o� � COMPLEfED ADDAESS �3�S N�"�'�- S�-� �' OWNER TELEPHONE NO.�SZ uS �DJ`�S CONTRACTOR ����'-10 /�L�C-�LfiJ'u G� � DESCRIPTION l�a�x���T��� � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FIWNG Q ❑ POURED WALL `�MECHANICAL RI 0 LAKESHOREANERANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SfTE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROdRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v p DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OYYNERHANTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �v�.i - �aor .Q j o � a � ° r� C�.-r�? l��t �� w �'1?GG�- ,oe.-..R Q ��2 5 � g W � j d W� ❑WORK SATISFACTORIh PROCEED ❑PROJECT COMPLETE �RECT WORK 8�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERINd PERMANENT O CARHECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TA710N ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Call for the next inspectfon 24 hours in advar�ce. (952) 249-4600 OwneHCorrtractor on site• Insp�ct�: � e copynnspeceors��e canary copy�sne Noace � �� � TE �� TIME V CITY OF ORONO CALLED IN � `•� INSPECTION ,����-�l� �SCHEDULED ( PERMIT NO. �dJ COMP�ETED ADDRESS � I S Q " � � . i� !� OWNER � Cz- TELEPHONE NO.��'�� ���� CONTRACTOR ��-��� � ����C`-�"cZ�2 �: DESCRIPTION � � �� � � � ❑ FOOTING ❑ PLUMBING FINAL ! ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ lJ\KESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � ` a � j O �. � O � W � Q � Z W � w � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvan 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � ATE �ME � CITY OF ORONO CALLED IN '! INSPECTION N TICE / SCHEDULED –/ �,Z.�'� — PERMIT NO. -��` COMPLETED ADDRESS ��`� �• c./�"1 �� OWNER TELEPHONE NO. �J" ����01.�� CONTRACTOR � DESCRIPTION � - tN ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEWFlREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROCaRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIlUNT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FlNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVbAl10N/REMOVAL 2 OYYNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �3 B � _ f=• p. `� � a� �' �G� l��t� �� SL S��it• SI-/-/ j O � ' �u�nfce� — re-�c,�Ks— � . L� i�'I.G.� ° U- L • ' a D/��4•� �r� W � Q � � r � , � RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERINO PERMANEN7 ❑CORRECTUNSAFECONDITWN WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RENRN ❑�ATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Cail fo on 24 hours in advance. (952) 249-4600 ctor on site• �< Inspector: �^-r White Copyflnspector's Flle Canary CopylSite Notke ��� � D qTE � TIME " CITY OF ORONO CALLED IN Z L g � INSPECTIO OTIC SCHEDULED � �� PERMIT N . - � � COM LETED ADDRESS `�)U � �� �1° �i��/'� OWNER ELEP NE N CONTRACTOR � DESCRIPTION ,/_,�/,Y�1��- $�bF�./' � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfIANDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNERlFIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PRO(�1RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FlNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERICONfTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � � ' ,�/�o � �- ��'r� -Ic%'�9 ovt C-�,�! - �ialc�i kc �l � �.115G - OO � Q �l� � �a���r � W W aC � , ��RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOiVERING PERMANENT ❑CORRECTUNSAFECUNDITIONWITHIN HOURS. p p�{pTOTAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REf�UIRED.CALL TO ARRAN(3E ACCESS. Call for the next inspection 24 hours in advar�e. (952) 249-4600 OwnsrlCorrtractor on site: � Inspector: White CopyAnsp�to�'s Flle Canary CopylSlte Nodee �/� " � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �a� a:_�_ PERMIT NO.��(?/ , ������COMPLEfED ADDRESS ��,� � / V . S�I.L%�� ��Z ' OWNER TELEPHONE NO. r( �� 3 ���'�z� CONTRACTOR ��� � ����� �����' � DESCRIPTION � �� � �/��� � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING MECHANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ���"V L � O FOUNDATI MOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMME TS: � W Q � � O �. � O � W � Q � 2 W � W � 1 � W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 ho rs in advan , (952) 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice