HomeMy WebLinkAbout2002-P05274 - new structure CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P05274
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 6/14/2002
SITE ADDRESS: 420 Orchard Park Rd
Long Lake,MN 55356
PID: 32-118-23-23-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
BuildingCensus Code 101
Permit Class:
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing iviechanicai Septic Fireplace irrigation Weil(state)Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,113.75 Valuation: $ 300,000.00
Plan Review Fee: $ 1,374.03
State Surcharge Fee: $ 150.50
TOTAL FEE: $ 3,638.28
APPLICANT: L.D.K.Builders OWNER: Bill Peterson
21370 John Milless Dr-PO Bx 67 420 Orono Park Rd
Rogers,MN 55374 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION 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.
1- 4),L0,,,_ (
�''AP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
67"7iU 2
Total Fee: $ 3 g S� Date Received:
/ Entered By: I ' Permit #: /405.9 -7Y
/4113 CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
print all information)
(please f )
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: eiZc) 4r2GNfitz) /7fffzri /Z4) ZIP:
NAME OF OWNER: poicOEIU PHONE: (home)
(work) ( 9 665--?06p
MAILING ADDRESS: /.,U,i3ux 4? CITY: 1�:�' Sz , ZIP: S;5-3 7 y
CONTRACTOR: 1-„p11, (3011..pZ5 PHONE:
CONTACT PERSON: G.AfLa- MOBILE/PAGER: Cott) 66 c-?
MAILING ADDRESS: '_o.t3o,& CITY: aci6c--4 5 ZIP: 5-137i(
STATE LICENSE: # /3 2-7
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New )c Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): MEW e'ceEt ft
STORIES: Z— SQ. FEET OF EACH FLOOR: lir!t7gt j Z tiP z)e 4
NO. OF BEDROOMS: ( GARAGE STALLS: ATT. 3 DET.
o D U
ESTIMATED CONSTRUCTION VALUATION(excluding land): $4 s6 a
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �/. lam �.�� DATE: 5/7.14Z-
NOTE!
/7l4Z
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed,
9
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: X110 o1ZC/#I41 ,O4-4 44,+70
PID:
DESCRIPTION OF WORK: 4je Z /2-05
ZONING REVIEW BY: DATE APPROVED: 6-1 3-o z
BUILDING REVIEW BY: ( _ DATE APPROVED: _ t 3-a
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes c- No WATER CONNECTION
INVESTIGATION FEE Yes No __VrPARK FEE
SAC Yes No kSITEINSPECTION
Number of SAC Units —C-2U
C ', t\WOTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
y'6b.
Lot Area: Sq.ft. /8 q, $t Acres 9.3 S Width 2:99.2S1 ° Depth (0 3 2.5 A-Q
Survey Submitted: Yes x No Date of Survey: 6. 4 o Z
Proposed Setbacks:
Front(Lake): 3014.(.2 Right Side: / 0 2..1 L1
Rear (Street): I-7S.b4 Left Side: /02..00
Adjacent Structures: N(h Wetland: n//r4
Building Height: Def. Hgt. 2(.•/S + Peak Hgt. 3 2
Lot Coverage: /J//}-
Grading: Staff Approval Date: 6-t 3•0 Z By: d• '• Council Approval Date: —
Septic: Staff Approval Date: By:
Zoning File: # -- Resolution: # — Resolution Date:
Shoreland District: /V D
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
a.
BUILDING REVIEW CHECK LIST
UBC: 12.9 CONSTRUCTION TYPE: - �/N
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3 00,0 0 0
Inspections Required: Work Requiring Separate Permits:
Site e< Plumbing Fire
Hardcover Removal .( Mechanical Water Connection
p( Footing AA Septic Sewer Connection
K Framing K Fireplace tk Lawn Irrigation
Insulation (Masonry) Other
Wall Board of (Mfg.) • ›t Well (State Permit)
Final Grading/Filling , Electrical(State Permit)
Other
REMARKS(IN HOUSE): •
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
JUN-03-02 MON 13:32 WESTAIR FAX NO. 4980006
'art B. D P Z. 'SSUIUZAT I .T FRU !TA.A. l Ju!
i)
0,„•, ,.,,%,„„ ,,,„:1: A Nei burning equipment (complete schedules below) 0 No Nei burning equipment
-Am. .- .
1msTR!�C't':ONs EXHAUST:/:MAKE—up AIR•SCHE7.E" 7
stet) l. Complete the Combas/ion Equipment Schedule below. Only equipment ]E?;cluettt desrio� '
e'"s•avec',3cfx
00? n''• Floe'
t oh a Y(Yes)may be selected under the"Category 1"alternate. • •1. {10* y v crt
:tele Complete£x/74;z4►JMake-vp Air Schedule on the right if direct or power —�- \3cfm:
�.enteti Srr lid fuel annospherio vent space Nesting equipment is selected. ____._....L._.__±,.
r COMBUSTION EQUIPMENT SC iE1) 1., ,i+:rr1 ' f, `" ' . '
' (check all types propOud+j.',tl7.q..,..;`,+rr tri 3`r
i Srucc booting- no;;soiid fuel 1 r-1 S-sticd"'"- Jstion 1 Y j �Ieart1 ->aon4olidf.e);.. CI Crated combustion Y
_ Direct o-power vented `I'llk:'‘','.. ' : , ';;:;;'. ,i`:•i'y' .u{recs or power vented 1?
Atmospherically vetted. ..1s:x,4' :; ...q.. ;•.,... .,:�• ::. Vsii}lrsically.-Yentcd N
`,trare7 hcati=,4,--nonsoiid fuel cale combustion Y. I.,Space heatin solid fuel'. 0 Atmosptierically vented Y
1 ' Direct or power vented Y ., +rater heating`-`solid fuel U Atmospherically vented Y
Atmospbencally vented• N )earth -solid fuel••r.?='." 0 Atmospherically vcn.ted J Y •
r' if aunospheriealiy vented solid fuel or direct or ptw er.yented nonsolid CaoLsaco`heaating is installed,'then make-ap zit to match
I 1%:Av i,reciuircd fur each individual cxhuust devic±which exceeds 300 cubic zeet,perminute
Part Cl. VENTILATION
n. _
.. . VENTILATION,QUANT X X,,, 4.•,iy,,s,:17,;. •.,..i ,„" ,- .
- _. (Mechanical ventilation roust be-provided per the targer,quisntittcalculated:below);; r,
vV _ 'e cubic feet x 00583/minute 7 .cfm' ;( J x IS C�"tii/bedr`ooxr;)-{• 1$;ins nt '15- � efm
,( • • ,..
.,plebe .habitable rooms r IItxInber �,ir0ami, n'
VENTILATION FAX$C:HEDUI. ', -,-: "' -
. .,.
Check method(s)proposed -3. p Exhaust only Balanced (heat recovery ventilator,air exchanger,etc.) )• .'. .,
Fan C'.escr prion or IoctstiCri 4, + l; giro A�Al�t1• V'A�• ••TO.TALS-';
V 5\TILATION intake cfih ,, .h S ' cfm';. -,s 7 �a;t e , 4-rts ' 7 1 a cfm�,
AS D STGNEU Exhaust -�... Z-cfm• matt' cfm t 1 ,c.fm•. „it mingia,` L •cam•
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the permit application. he proposed building has been designed to meet the
requirem ems of the Minnesota Energy Code. 1
All AIM ' if., . A. r 'M v(iL-''''' _.-4-72ALR---____. -id-0'1S, -&-T-11
Applicant(print ame) Air Dalt To,ephotw number
•
Part C2.. VENTILATION (Submit Part C2 upon co
xxspletiou of veriCeatiortt)
Joh Site Address: ' I'er�nii Number �f __.
Fan description or ioc;eltiots' 'fiTOTALS s; "r
MEASUI I} • Intake: — di?' fc' n,;'' `al�.,.. c_� .v 41
3r 1 r0.1kMANCEf ' Exh*usc c&tt; cf zi r +rfgs-; ..< ftti:-.
r V'entilatiori raze roust be measured-and verified wheit tne�parform c p the
a� yp4�.��`�a;tr >a y.�u��'c�f:thf,ptcscr��{tye�optzort�:for sealing
I of joirt3 in the building conditioned tnvelo.e(from Pnrt•A),� 'r`9 7'`(.=ie{"T •�,? t4 0:*1, %',.f:?:"' . • - ,
Compliance Statement: installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow.
Ar pllCant(pri� �� u nt name) Signature Date Telephone number
. . .
URD COP
MNcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNcheck Software Version 3 . 0
Checked by/Date
COUNTY: Hennepin
STATE : Minnesota
ZONE : 2
CONSTRUCTION TYPE : Single Family
DATE : 5-31-2002
DATE OF PLANS : 05/31/02
TITLE : PETERSON
PROJECT INFORMATION:
JOB # : 01031
COMPLIANCE: PASSES
Required UA = 694
Your Home = 627
9 . 7% Better Than Code
Area or Cavity Cont . Glazing/Door
Perimeter R-Value R-Value U-Value
CEILINGS 2058 44 . 0 0 . 0
WALLS : Wood Frame, 16" O. C. 4339 19 . 0 2 . 0 2
BSMT: Conc . 8 . 0 ' ht/7 . 3 ' bg/8 . 0 ' insul 1080 10 . 0 0 . 0
BSMT: Conc . 3 . 5 ' ht/2 . 8 ' bg/3 . 5 ' insul 12 10 . 0 0 . 0
GLAZING: Windows or Doors, Above Grade 711 0 . 310 2
DOORS 80 0 . 350
FLOORS : Over Unconditioned Space 288 30 . 0 0 . 0
FLOORS : Over Outside Air 26 30 . 0 0 . 0
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code .
Builder/Designer ;7u- -.-.%r Date .SXIkZ
1/ 1 ?so
CITY OF ORONO V CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED 6v-/q /')' 2r)
PERMIT NO. Pc S-a-7'I COMPLETED
ADDRESS -/c2 0 Cf C c,,& jc - IC-
OWNER
cOWNER CONTR. G • O- K • -
TELEPHONE NO. 7& 3 a (P . Po 2?
E mDESC ION
OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
e:
W
Q.
cc
O
cc
o o O lO GDC 4E..e
W
CC
Q
cc
11.1
yIFWORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
`❑`CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 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
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
/ Sej
DATE TIME
CITY OF ORONO CALLED II(
INSPECTION NOT ;9 SCHEDULED /j) CD /.0744)PERMIT NO. 0 r� COMPLETED
ADDRESS ;.t 0VCAL 4C/ °Z_ 4/1
OWNER CONTR. / L� _ --
TELEPHONE NO. 7b 3 — e. 3 —S-0 E6
E DESCRIPTION <PC12C1
tu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
4.
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
C 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
LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
<---- OWNER/CONTRACTOR TO MEET YOU: ES_NO
o COMMENTS:
cc
W
cc
, -00,4._ ".-( s .4( _s--7--- F,—.o
>.
cc
0sc (-',..- ---,......„
...W
cr
(,)
,_.z
W
z ,,L..
cc
W.;,,, Aii.....,6--
, .
,
d
W2 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE I
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY /
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR
0 CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for then- ' spection 24 hours in advance. (952) 249-4600
Owner/Con t-.4,�r on site:
Inspecto 7- '''
�-,White Copy/Inspectoanary Copy/Site Notice
DATE TIME
CITY OF ORONO \A ,---T-CALLED IN
INSPECTION N ]/ICE SCHEDULED 11 Li I i� �'6
PERMIT NO. ti)521 COM PLETED,�;A�/
ADDRESS 4zL f m hd 1-11 PO
OWNER CONTR. Lple___ R kl r
TELEPHONE NO. (0( ( gS -'ctOLD Lo
DESCRIPTION F-12aI'Y\l Y`Q ��1(1S�
,...
t.,, 01 FOOTING 11 MECHANICAL RI J 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
ct
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMME TS:
cc
a — r(,U .1000 6 ' h c,T large Ltk
ibcc>. — 42txtm/CoVer. cif cip.%.- Lvv- ed-gir41-- lik:fts*vii
cc
Q.W
cc
Q
1_
W
z
W
cc
FUI /WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C(.1 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance. (952) 249-4600
Owner/Contract. .1' s
Inspector. VP. 1 \..
White Copy/Inspector's File Canary Copy/Site Notice
J DATE
TIME
CITY OF ORONO CALLEEHIC /
INSPECTION N TICE SCHEDULED q/- 1 ? �
PERMIT NO. 1 7 L COMPLETED
ADDRESS Li DO Drch r i`"�j
e- id
OWNER CONTR. LAD u— I id Y-
TELEPHONE NO. t -(O ppp) -ROtQo
DESCRIPTION 00.1 LY1
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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 SEPTI FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
' OWNERICONTRACTOR TO MEET YOU: YES_NO
Lel COMMENTS:
o;
W
cc
O
cc
O
LU
CC
W
W
CC
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next iAspection 24 hours in advance. (952) 249-4600
Owner/Con ct sl e:
Inspector. c —
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED r Z-to- 02- ,' 7A
PERMIT NO. Po raj y COMPLETED
ADDRESS yo-c) Gec P/c c''
OWNER CONTR. L0l
TELEPHONE NO. Z.40 0.- CQer-9nCo
DESCRIPTION /42LV C /!-1Ld .
t 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• • 'O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`4 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
rt
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU •: , Fl M 36 FOUNDATION/REMOVAL
k--- OWNE-• •NTRACTOR •MEET '9U:_L' S_NO
h COMMENTS: '• " 4 t- — I
cc
Q. ( L �. -t •f +,r, f•, •
T.-- SP e. c. etAir" ‘ laf,1 ....
0
>..
k
..
Qb iot, aa.
W4-0 )A-0s
W
it
4OAK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 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
Owner/Contracto n e:
Inspector. -
White Copy/Inspector's F Canary Copy/Site Notice
eek
QV DATE E
CITY OF ORONO CALLED IN
INSPECTION Noel E SCHEDULEDVAIMPLETyev_e
ra-1 1a--
PERMIT NO. Y "11�''�``ADDRESS ?9 r Ct
OWNER //�� CONTR. L 0 \C 671` 14f2
TELEPHONE NO. l� , "r 6 f S`-'?(i to A
DESCRIPTION A.A f! L-r",�1 ' ��
L 01 FOOTING 11 MECHANICAL RI / 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W 12 WATER HOOK-UP 17 SITE INSPECTION
Q 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
ct
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:'YES_NO
ti COMMENTS:
W
: .e,5-10 S i
117x f."`�lacultAJZ'Aclaxu)
cc
0
U-
cc
W it 6
cz
r1KA fifAe..- G �'r c., 5 S+eA,l^
W
z ` �
Lu Fk d Esc<< P�(1M�� 41,N IrO `
a
W WORK SATISFACTORY:PR EED 0 PROJECT COMPLETE
CC0 W
CORRECT WORK&PROCEED XSSUE CERTIFICATE O OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOR Y
O(..) BEFORE COVERING
PERMA ENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN ]
INSPECTOR WILL RETURN G.00 m
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 1 IWO-
0
')
-
d�
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 'x14-4 . I I
Owner/Contractor n site:
Inspector.
White Copy/Inspector's Ile Canary Copy/Site Notice
Z