HomeMy WebLinkAbout2004-P07570 - new townhome �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�s�o
Crystal Bay, Minnesota 55323 Permit Type: NeW sr�u��re
(952) 249-4600 Date Issued: 6iiv2oo4
SITE ADDRESS: 2482 Sandstone La
Long Lake,MN 55356
PID: 33-118-23-11-0025
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 102
Permit Sub-type(s): New Townhomes-Multi Fa�
Permit Type: New Structure
DETAILS:
Approved per resolution#:
Separate pernuts required: riumning iviecnanicai waier i,onnec;non�ewer i,onnection imgaiion Eiecmcai�s-�aiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,365.75 Valuation: $ 345,000.00
Plan Review Fee: $ 1,556.03
State Surcharge Fee: $ 175.50
SAC Fee: $ 1,350.00
TOTAL FEE: $ 5,447.28
APPLICANT: 7ohn Terrance Homes OWNER: Dahlstrom Development LLC
5033 Xene Lane 7745 Polaris Lane
Maple Grove,MN 55311 Maple Grove,MN 55311
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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� Tbtal Fee: $ ��/`-� �� z� Date Received: ��3'D�
Entered By: lZ%� Permit#: Ab7S7�
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CITY �F ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
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THE APPLICANT IS: (circle one) OR CONTRACTO
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JOB SITE ADDRESS: Z�{ o Z S¢��7�,.;_�,t�;� C� ZIP: 5 � `3��
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NAME OF OWNER: -�.1uhn ��f���r�c r � �t;�nE-� L�C_PHONE: (home)
(work)CiS�� - '-f7��- l�-1 1
11-IAIIIING ADDRESS::�� ; �-��� CITY: �''r c ���C� ZIP:�J��i�
CONTRACTOR: ; I���i n 1 ��rc�n c� ��-�rY�eS t�L'_ PHONE: C{5��-y 73-(�-7 /
CO�1'TACT PERSON:. r.� , ',,-�� MOBILE/PAGER: (r/,� -3�� � ����,
MAILING ADDRESS:.���'G � � c� � r ����c�� CTTY: �;r .n�� _ZIP: . �� � �
STATE LICENSE: # !3C r��",3c� :.�'.�
ARCHITECT/ENGINEER: f,�t;��-�--� s ��re h ,-�'�c'f:S PHO\rE: C�.l� -3�� -d ic'i O
MAILING ADDRESS:33 i S�rt,,-,d,�-t,�.�'V�c 'F*=-��o CITY: ,��(y�s . .'�i�,'' ZIP: ��C�r
NA11�: �`���.c�,� �r. �°�� t��:H�n }-�U�r-�t s REGISTRATION# ,��� lL�G`_� '
TYPE OF WORK: New �(_ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
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PROPOSED WORK(describe in detai�: �� ('; ;-,-, b ��r' � �"e�='r�r� ����'- _
STORIES: , SQ. FEET OF EACH FLOOR: rY�C��,, !�C"/ — LC�u,'r_r 1��c'c
NO. OF BEDROOMS: ` �-�cL�r, GAR.AGE STALLS: ATT. � DET.
:� Lo�v�.>-
ESTLti1ATED CONSTRUCTION VALUATION (excludi.ng land): � �`f�4r����--%l_
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 Buildin� Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNA . / DATE:��� � "�/ _
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NOTE! Parade of Homes events require separate p�t approval by Police Department and
City Council 60 days prior to the event. Non permitted events wi11 not be allowed.
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Sec.13.04 RIGfiTS OF S[JBJECTS OF D:�T.�
Subd. 1. Type of data. The righrs of individual on whom[�e daca is stor=l or to be scored shall be as set focth in this secdon.
Subd.2. Information reqirired to be givea individual. An icdividual ask�to supply privam or confidendal data concerning himself shall
be informed of: (a)che purpose and inceaded use of the requesud dara wi�in[he collecang�tate agency,poliacal subdivision,or sratewide sysum;
(b)whecher he may refuse oY is legally requimd to supply[he Rquested data:(c)any l�own consequence arising from his supplying or refusing to supQly
priva�e or conndenaal data;and(d)the idendry of ocher persons or enddes xechorized by srate or federal law to rcceive the data..This requiremenc shall
noc apply when an individual is asked to supply investigadve daa,pursv_.c to seccoa 13.82,subdivision 5,to a law enforcemenc o�cer.
'Ihe commissioner of re�•enue mav lace the norice reauired Lr.dar this subdivision in the individuai ir.come tax or ro emr tax refund
instructions insczzd of on chose forms.
Subd. 3. ?�ccess to data by iadi�idual. Upon request to a res�onsible ae�:^.oriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe�her it is classified as public,privam ot confider.rial. Upon his further request,an individual who is the subjecc
of s�or�i privace or public data on individuals shall be shown the dara wiu ou[any c'n��e to him and;if he dasires, shall be informed of rhe concenc
and meaning of[hat dara. After an individual has been shown the priva��ac�and i�:ormed of i[s meaning,the daca need not be disclosed to him for
six mon�hs chereafcer unless a dispute or acrion punuanc ta�his secrion is�:nding or addidonal data on the individual has been collected or creaced.
'Ihe responsible au�horiry shali provide copies of the private or public dac���on requa�by[he individual subject of the da[a. The responsible auchoriry
may require ct►e requesang penon to pay the actual cosu of making,cer ling.and compiling the copies.
The responsible auchoriry shall comply immedia�ely,if possib!_,wich any r-quest made pursuant to rhis subdivision,or wichin five days of
the date of che request,excluding Samrdays,Sundays and tegal holidays,ii ir•.medi2ce compliance is not possible. If he cannot comply with the requesc
wi[hin thac ame,he shall so inform the individual,and may have an addi�er.al five days within which to comply wi[h the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. an individual may contest tht accuracy ar completeness of public ar pri�•ate
daca conceming himself. To exercise�his righG an individuai shall nodfy ia wriring�=responsible authoriry describiag�he nacuce of the disagreement.
The responsible au�horiry shall within 30 days eithec: (a)correct ehe dae icund to be inaccurnte or incomplete and aaempt to nodfy past recipienu of
inaccura�e or incomplete dara, including recipiena named by che individi:l:or(b) codfy the individual thac he balieves the daca to be carrect. Dara
in dispu�e shall be disclosed only if the individual's statement of disagre��ent is i.c:nded with the disclosed data.
The decerminarion of the rasponsible auchoriry may be appea::u punuanc to che provisions of[he admiaistradve procedure act relaring to
conresud cases. .
DATA PRIV:�CY AD�'ISORY
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects oi data", we would like to inform you that your request
for a permic or license from the Ciry of Orono or any oi iTa departments may require you to furnish certain private or
confidential information.
You are notified that:
1, The information you furnish will be used to de:emune y'our qualification for the permit or license requested.
?, You may refuse to supply data, but refusal rsay require that the City deny the permit or license.
3, The information may be shared with ocher loc�l, state or federal a;encies to the excent necessary to process
the permit or license.
4, If your requested permit or license requires Council action to approve, some information may become
. . public.
� �, You have cer[ain ri;hts under M.S. 13.04 (2�ailable upon request) to review private data on yourself.
6, Your full name is required [o process this aoplica[ion or perm.ic.
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Address� ��L� 5����, ��a-��.� -���1_
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State Zip Phone
Ciry
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I understand�ny ri�hts as stated ve. .
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z`1 �3 Z 5►��.s'�N� c.��:=
PID:
DESCRIPTION OF WORK: /U�C,✓ 2t3
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ZOYING RE'VIE`V BY: ��SL�,�- DAT'E APPROVED• �, 17 0`{
BUILDI�i 1G REVIEW B : �c......� DATE APPROVED; �- r�7-��(
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes � No
PLAi�i REVIEW Yes No SEWF.R CONNECTION
STATE SURCHARGE Yes �� No WATERCONNECITON
INVESTIGATION FEE Yes No �` PARK FEE
SAC Yes �/ No SITEINSPECTION
Number of SAC�Units � OTHER (specify)
ZOi�iI��iG CHE.CK LIST Zon.ing Districr.
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Widch Depch
Survey Submitted: Yes_ c No Date of Survey: y - { -o`t
Progosed Setbacks:
Fron[(Lake): � Right Side: Z�
Rear (Stree[): 3 Left Side: G'
Adjaceat Structures: D �Vetland: �3
Building Height: Def. Hgt. c�•c� Peak Hgt. -'
Lot Coverage: �ira
Gradino: Staff Approval Date: ` -/�• o y By: � Council Approval Date: �
Septic: Staff Approval Date: �/If; By:
Zoning File: # '"" Resolution: # Resolutioa Date:
Shoreland District: ��
Avg. Setback: Bluff Setback: L.oc Covera?e:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
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BUII.DING REV�W CHECK LIST
�C� �3 CONSTRUCTTON TYPE: �lr�/
_ Sq Footage $ Per Sq Fta
Basement x =
lst Floor x =
2nd Floor z =
Garage x =
z —
TOTAL
Estimated Construction Value: $ �<-(5�epp `�
Inspections Requirec3: `Vork Requiring Separate Permits:
Site K Plumbing Fire
Hazdcover Removal oc Mechanical _�Water Connection
_�Footing � Septic �_Sewer Connection
_o�Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�_tiVall Board (Mfg.) �_Well (State Permit)
�_Final Grading/Filling �_Electrical (State Permit)
Other
12E1�Z4RKS(IN HOUSE): .
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REVIEW BY OTHERS: DATE:
Access: Ezisting New .
Access Approval; Date gy;
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RENIARKS (TO BE NOTED ON PERNIIT�:
8
� �� DATE TIME
CITY OF ORONO — cA��ED IN 6 -1�
INSPECTI TICE SCHEDULED J�� �3�O�
PERMIT O. 5 D C ETED
ADDRE a��a y a��� � �
OWNER ��'S�� ONTR. ✓�T��e �-�
TELEPHONE NO.
� DESCRIPTION
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� 01 FOOTING 11 MECHANIC L I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANIC INAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTtON
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
J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CARRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL REfURN
❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnedContra ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�C�"1 DATE� �,/ TIME �
CITY OF ORONO CALLED IN �/,�,�'7'
INSPECTION NOTICE SCHEDULED _����0`� �=CY�
PERMIT NO. O���O COMPLETED
ADDRESS �� So� �-�'�� �f'�Y�- L�1U •
OWNER CONTR. � �[�r � .
TELEPHONE NO. l - �'O/
� DESCRIPTION b�� �/�C�-1 [�
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU:�YES�NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contra 'te:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�� �� �
D TE C� TIME
CITY OF ORONO CALLED IN lC� ��C t
INSPECTION NOTICE / SCHEDULED / C�� � � . ��.�
PERMiT NO. �C� 7�7 �ts COMPLETED
ADDRESS � - c �,
.—�`
OWNER CONTR.
TELEPHONE NO. � � � �?,YY�-�-'
� DESCRIPTION � '
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 O6 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP�RDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUiRED.CALLTOARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952� 249-4600
OwnerlCont site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED w '
INSPECTION NOTICE SCHEDULED f1�,/S-�y : 3 O �
PERMIT NO. Pn"7�J7O COMPLETED
ADDRESS v��� �(�75�I`�. �G'f.Gl-C_
OWNER CONTR. '_�r��r� �p�nC� f-tNiS,
TELEPHONE NO. Lp 1 a v�COCn 5���'
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y INSULAT 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Ca11 tor the ne t inspection 24 hours in advance. (952) 249-4600
OwnerlContractor ite:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice
�Z DATE TIME �
CITY OF ORONO CALLED IN /Z-P3��'S
INSPECTION NOTICE SCHEDULED i 2- �y all�/�
PERMIT NO. 7��v COMPLETED � �� _��'. S �
ADDRESS �`f�Z Sa-,�aL���� ,��.t�nJ�
OWNER ���- .����''�'� t��ONTR.
TELEPHONE NO. l a-' 3 � ��" S `f y�
� DESCRIPTION (t�C-�-! ;� 1 ;
� 01 FOOTING 11 MECHANICAL RI 18 E AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZD. /'1 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL (,� �r 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��� � ��.�-��
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Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. l..t� C�r^� 1Jc �
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. � COMPLETED �'Zb"�
ADDRESS Z�I�3 Z- �J 1J STD�"�-
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�CORRECT UNSAFE CONDITION WITH�N HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
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G INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContrac r on�ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. -��O COMPLETED S'(7��I
ADDRESS a���FSa- 5 A�c� S�e L /�
OWNER I.VWb• �Lnn�( CONTR. --� T H
TELEPHONE N0.
� DESCRIPTION I�� '�� � C O
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q /AS�INAL 14 SEWER HOOK-UP 06 PROGRESS
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� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED f ROJ T COMPLETE
W ❑ CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING � PERMANENT S��-67
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0 p qKEN �
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� Z49-4600
OwnerlContractor on site:
Inspector. w�� ��s
White Copyllnspector's File Canary Copy/Site Notice