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Home My WebLink About2015-01565 - demo • � CITY OF ORONO * 2 PJ 1 5 - 0 1 5 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2000 SHADYWOOD RD PIN : 17-117-23-31-0001 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTNITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: (SAC GRANDFATHERED IN,HOOKUP 10/30/1968 AND HOME PRIOR)SEWER DISCONNECT ISSUED#2015-01516&WELL ABANDONED 1. FOUNDAT[ONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF S1TE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL[NSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 1.00 SUSTAINABLE 9 DESIGN+BUILD DEMOLITION-ACCESSORY STRUCTURE 50.00 124 MAIN ST SE SUITE 343 TOTAL 126.00 MINNEAPOLIS,MN 55414- Payment(s) (612)234-4194 CHECK 6516 126.00 Minnesota State License#: BUIL-BC653457 OWNER Sustainable 9 Holdings LLC 124 MAIN ST SE SUITE#343 MINNEAPOLIS,MN 55414- AGREEMENT AND SWORN STATEMEIYT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This perrrtit is for only Ihe 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 l80 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. � _ ` �._. ___-----� ,- �Y ___.__..._____,i z � '1 -z� ,S � �� / �-1 � 7 [L� Appl�ant Perr�i ee �gnature ate Issued B ignature Date �...._.,. .. -�.1_.1.��" �'�,� � � _ City of Orono FO CI Y USE ONLY. �j �.�_ P.O.Box 66 Date Received: �� IlC I S Permit# Z�C S'�(�� O � J ` 2750 Kelley Parkway Crystal Bay,MN 55323 Amo�t: $—�— SAC Credit: �Vy�s�S (952)249-4600 ✓,/ (Je`." a�':4�tp5 c�f-Y� G--7/'� / glvl--�/u `�}�� SSSX+� ' I ' 7 H'omeowne s)Signed: Yes � ,Ay �� Resolutions(if any)Signed:�Yes ❑None Required � � �� '�, Zonin Disclosure Si ed: Yes None Re uired ��p�{'"' l;i-� C►n��S Sci�d t�� sc.i�w v��- �1�/ ,�l i� �,�� t-�� CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Buifding Offiaal andlor Zoning Department) � � �� Job Site/Owner Information: �S�� Type: � Residential ❑ Commercial Site Address: 2000 Shadywood Rd Owner: Sustainable 9 Holdinqs LLC Mailing Address: 125 Main St SE, STE 343 City: Minneapolis Zip; 55414 Phone: 612-636-3232 Email: ryanhanson@sustainable9.com Contra�tor/Applicant Information: Contractor/App.:,,,�-�a�hable� �2 ` v►��'��ontact Person: ��l2t�• �a�5p►� � Address:f�� "��S£ 5 l 3�"�3 State License#: �C�D��J� City: �l HK�\i S Zip: LJ L�� Expiration Date: �� 2.01(�p Phone: �1z"�3�0^,�j�.32. Email: r"u_��p,_��5'�atnab�e 1,. C0�^'l j— --- SPECIAL CONDITIONS � HOL.D HARMLESS AGREEMENT General Instructions: 1. You may be required to obtain other permits, i.e.:well abandonment, sewer, etc. 2. Work must not begin unless the permit card is availabls on the job site. 3. A 24-48 hour notice is required for atf inspections. Call(952)249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. Demolition by means of: ❑ Manual Disassembly (BJ Heavy Equipment ❑Other Permit(s)Issued: Sewer Disconnection �Well Abandonment#�� 2 T�a�h`�' �e��{r �� N 2c�r 5 '�� t� s��l� 1�Je,tt `��I I ck In return for issuance of said Demolition Permit,the undersigned owner hereby agrees to: � 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site Runofl�Control. 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit{s)are not required. Form Last Updated. Ju1y2015 �' �'•��"��_�� 150784 � 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 5. Keep all structure(s)enclosed and/or secured until such time as demolition is camplete. 6. Keep all demoi'�ion debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s)from the ground. 8. Completely dispose af all demolition debrls off site in accordance with all applicable PCA requirements. 9. Abandon water wells in a«:ordance with State Heafth Departmerrt regulations. 10. Catl for an inspection when all debris has been removed, before badcfilling. 11. 1Nthin 5 working days of superstructure removal, a flnal inspection shall be requested. The site shall be !eft clean and clear of all debris, with any excavation fitled with earth level with the adjacent ground elevation (except when such excavation is to be used as part of a new building and such new building is actually under construction). 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and fiiled with native soils. An inspection is�equired after the tanks are pumped and before the tanks are crushed and fllled. 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns from and against atl claims, damages, losses or expenses, including attomey fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition described herein as pe►formed by the property owner, his employees,agents,subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION � $75.00—Principal Structure $ �� (�O � $50.00—Accessory Structure x_]_(how many) �o . �b 1. Subtotal of above permit requested $ � 2.�, v� 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �2�O, GO The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordance wfth 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. Applicar�t's Signature: Date: (� I l �w�ro��w� ��.4a. Owner's Signature: �:�°'�';".��'��,�°"`�15 Date: 11l23/2015 Approved By: �� Date: G �� Building O�cial) *Zoning Disclosure Required? ❑ YES ��NO IVVW � �mb� ��,� ¢' "This must be filled out by Zoning Department—For e' r a swer, a 2oning ' 1 ust sign all applica�ions�� *Approved By: Date: Z � lU� (Zoning Official) Form 18st Updated: Juty 2015 t50784 MINNEHAHA CREEK � WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, Thz Minnehaha Creek maps, and ail other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED ta the applicant INatershed District is named below for use and development of land in the Minnehaha Creek committed to a leadership Watershed District. � O ' w� «� rote in protecting, —�rno improving and managing Issued to: Sustainable 9 Holdings, LLC Permit No: 15-620 i-��' '' the surface waters and Location: 2000 Shadvwood Road. Orono affitiated groundwater purpose: Erosion Control—Sinale Family Home resources within the Date of Issuance: 11/6/15 Date of Ex iration: 11/6/16 District,induding their By Order of the Board of Managers re(ationships to the ecosystems of which � � - el�s_ Tom Dietrich tt,ey are an;ntegrat Part. District Technician ti�r�dCI11E'VQ 011f IT1ISSlOf1 This pe�mit is not transferable without District approval, and is valid to the date of through regulation, expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete the project, an application far renewal of the capital projects, permit must be received by the District at least 30 days before expiration. educacion,cooperative The applicant is responsible far campliance with all District Rules and for the endeavors,and other action of their representatives, contractors, and employees. programs based on Conditions: Project to be completed as described in plans submitted to the MCWD o�ce on November 5, 2015 according to the provisions of sound science, thiS perrTlit. innovative thinking,an • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized informed and engaged . Notify MCWD in writing upon completing installation of constituency,and tlie perimeter and sedimentation controls • When the site is re-stabilized and the MCWD staff has cost effc�ctive use of performed a final inspection, all silt fences must be removed public funds. (Statement concerning fees for inspections, violations, etc... on following page) 15320 Minnetonka Boulevard,Minnetonka, MN 55345•Office:(952)471-0590•Fax: (952)411-0682•www minnehahacreek.org � Don Stodol� Well Drilling Co., Inc. �: Wells and Pnmps—Sates and Service--Well Abandonment �'�� 3841 Nortb Main S�,St Bonifacins,MN 553'13 952-446-9355-4�ice 952-446-%70—F�x atodoial@mchsi.com December 8,2015 Sustainable 9 Design Build 125 Main St SE,Ste 343 � Minneapolis,MN 55414 Re: Inspection of Water Well System Jobsite:2000 Shadywood Rd,Orono,MN Atm: Ryan Hansoa, �� On June 26,2014 I was out at the above property to do an inspection for well ''� abandonment. I also was at the property a second time to meet with Steve Bennett from the MN Dept.of Health. It was determined that the well is in a crawl space and was not accessible for abandonment. A variance was applied For and granted,Variance#5102,stating that when the well bocomes accessible the well will have to be abandoned per MN Dept of Health c.ode by a licensed well contractor. Removable of the house will access the weIl therefore allowing the abandorunent. Please contact me before you begin demolition on the house foundation so we can abandon the well properly. t� If you have any further quesrions,please contact our office. Sincerely, Mark G. Stodola President MGS/cfk SIlE AODRESS: 2000 �iA�YW000 RD. ORONO, MN 55391 EXISTING C�NDITION SURVEY FOR: Legend SUSTAINABLE 9 DESIGN + BUILD o so�;t��Y n�a�na�e � caccn easin . O Power Pole p Guard Past Il 7roffic Sign //,(�^�\� � Timber Retoininq Wo�t �/ v` '�.% -""""""'—'" Flogstone Retaining Wall O � x900A Ezisting Elevation x900.OTC Tap of Curt Elevotion SCALE: 1 MCH = Z� PEET z900.0TW Top of Woil Elavatfon � �-sca� E.isting co�co„� ��'`� � �§ �-929.4 OHW-� Ordinory High Water 9�iz i � K • Denotes Iro� Monumant Fountl � \sY � B Denotes Judiciol Lond Manument(J.L.M.)FounC b cu�E?� ' � �� /�/�p-� PROPERTY OESCRIPTION� � /'�``� Lot 1 and thot part of�ot 2 whlch nes northwesterly ,� 9�\,�� .� �i/)` o/ the following described iine� am., aa °�,�� '� � �'(/ (n Camme�cing at the Northwest carner of soid Lot 2; � ias.e�i.rt�s_��. _ -- — � � thence southerly olong the Weste�ly line therea(ta a """.CO.R�M40NN�a t�, �P . = wy-auz� ,wza point 112.65 feet southerfy of the Narthwest comer of �E �� ,/ Lot 1, so�d point here'nafter re/e�re0 to os Point "A", il p �°R�'"' ��4, NDB9S��8"E�' - ___-- 9 7 thence�ortheasterly deflect nq left 110 degrees 30 ".:p a� _ b �b�� y�� / minutes to fhe shore of the lake and actuol pant of '(� �,!� O �/ begnnmg of the line ta 6e tlescnbed; thence v.w.aE V, �� ,:�ca.�\uaHw*� 9 fi / s�`�' nmYaK � � zsy�L ` southwestarly to a point on the Weste�ly lina ot said o� � � s�q E- e — � / �r�'�, 6 � 2 Lot 2 d'sfani 5 (eet nortFerfy of saia Po�nt "A"ond y v t,�� »6ffi j � �.r9XJ 6s.s� '�� 5t � there terminptng, GUST S. JOHNSON'S ADD�TION, "\ C 4✓' v'� HennePm County, Minnesota. � oec�ws g nn /. .. i r � � � Ti �00 „ �' e,is/ `� � \ 7 l ��_-_ � — ' __ ��or�arc+-ax. �o..e ''// � � \ �, . .¢aaw- . .Q � � • wwy,•cx.b e� ��a�n� - � @ENCHMARK� c\ nx C �� i 41°�� / ��// Top of Monhale in Rear Yard of�4009 North Shore Dr, z!. � o � ''� � k � Eievation = 933.63. � �v ��5.»�_9�,,, a _ -,� ��' , � �� M _ � � 5 9 �.y � � �a i �� / � e -� _ A ' `� � �� 'E n.�g. �'�' +"°' -pae.�� '"Z- e �� NO7E: No Search Was Mode For Any Easements. �� e• � _ - . � K �� e�a _ OPR� x. ° z'� / j9 awcs � ' ��w,�� . \�\ � � � g'�'fl x.� � � � � � ,�°— \ �.q� � ��\ NorE: me iocation of oli ut�ii6es shown are from , � abserved ev0ence�n the feld ond From plans � V=\ i� � � � � fum'shed by the utdty componies and are \y, O cII �.ay' �o ��• wa., \,� � � ��y�,u�� /�� \ - oppro.�mata. Utl�ty compones should be x \ � o�z � ° �zi \ �� +� � � notrf,ed !or e�act lacation before dong any �p� � �°N� � � ezcavoton_ �'� `vsa.a dI �/ / ' _s•a� � ai . I � s��1VtE�aai�w• � __ \ � ,Qa.o. /e � ��e - r��i�n'v_o�� ' I herehy certlfy thot this survey, p�an, or report was c�.a ttuax-ew.. � / prepored by me or under my direct supervision ond Q p that�om o duly registered La�d Surveyor unda the ` �'� j9,�.� 'o� I laws of the State o!Minnesota. J � I� W. BROWN�AND SURVEYiNG, INC. � au.r t'�•� � . �� % PXISTIN-AR A A AT�ON� � � .ao)' � � � sa�.iE � q Lot Areo Meosured to ONW= 77,802 SF 4 " J � � - IMPERNOUS SURFACE: ,II __ _�--'�- Woodrow A. Brown, R.LS. MN REG 15230 House= 2,057 SF �.r Dated: 07-06-2015 BRuminous�rive = 1,009 SF . � Concrete Walk � 131 SF oe�k = z�a sF W. BROWN LAND SURVEYING, INC. Shed = 162 SF 8030 Cedar Avenue So., Suite 228. Total = J,637 SP Bloomington, MN 55425 = 30.8� Bus: (952)854-4055 Fox: (952)854-4268 Drawing: pace:o�-os-zois 146-15 Scale:t incn = 2o Feet � of � 146-15 146/14 SITE ADDRESS: 2000 SHADYWOOD RD. ORONO, MN 55397 Legend EXISTING CONDITION SURVEY FOR: -� ° ° M°`��he�o9 fo�E�oso��o��o, SUSTAINABLE 9 DESIGN + BUILD Protective Tree Fencing O Sonitory Manhole � Catch Basin 0 Power Pole � O Guord Post ' �/� (� II Traffic Sign ��L,�'O Y ` )'�� 1� � Timber Retoining Woll Flogstone Retaining Wo11 � 20 0 20 40 l x904A Existing Elevotion x900.0TC Top ot Curb Etewtion .�o��/ � SCALE: 1 INCH = 20 FEET �,� x900AFW Top of Woll Elevotivn �w 91i�� §� � � �, u �900� Existin Contour \ �. `� �-929.4 OHW-� Ordina9y High Woter /•� \ �� ,\��S PROPER7Y DESCRIPTION� Wl� .-931.5 100 YR.-= 100 Yr. Flood Elewtion � � � �; �� & Lot 7 and thot part of Lot 2 whlch lies northwesterly \ � � Q of the following described I�ne: O Iron Monument Fwnd � � �\\ �l • Iron Monument Found w°°i.�a�x \ .� ��\� � � Commmcing ot the Northwest comer oi said Lot 2; � �''� � ;hence southerly along the Westerly line fhereof to a B Judkial Lond Monumant(J.L.M,)Found �•�R� �, \ ��.�.� � point 112.65 feet southerly of the Northwest comer of n � �� #,�` Lot 1, sod ont herenolter referretl to as Point "A"; x�w W�'��{�� thence northeasterly aeFlectng left 110 degrees 30 E%ISTING AREA CALCULATION: �1 �3} "e'�� — __ _ �,�� 11 � m�nutes to the shore af the�ake and actual point of Lot Areo Meosured fa OHW= 11,802 SF � , � \ `� begnnng of the I�ne to be descripetl, thence ��Riw �%�+* pP " ?�°�°,q��z� 33 �„y southwestedy to o po'nt on the Westerly tne of said �� 3� �`% �� •9Je` � � Lot 2 dstont 5 feet no�therly of saiC Pa�nt"A" and a_. N� fMPERVIOUS SURFACE: w��as aa.c� w �� U b--N�w p�^- ----- � t q�� there termmot ng GUST S JOHNSON'S A��ITION, House = 2.057 S� � � �� o Hen p Cou y M nnesota. B[uminous Drlve= 1,009 SF � i a,' p� � i� � � ,� ' , H,.. � ' ne� nt Concrete Walk =131 SF � �- oa �i � � � i �� §��i ��' �"� z � Deck = 278 SF I��. ,�g�'�� e'�� l '�i l• Shed = 162 SF � � �� a� ♦I � � ,�� BENCHMARK: Total = 3,637 SF Ti � �� j0'� . ��r.i^�� , � �� ' � U� � Top of Manhole in Rea. VcrC of #4049 North Sha�e Dr. = 30.8% � / -__ - p u � T� }3 �.. r cy:. �1 Elevation = 933.63. 6t� \ o a � y�qp�p '�_ �'N� A �XISTING ELEVATIONS: \ � 4�� „� � µµ�L �"'"�'�'" ��, ��, '� �\�� v € / . p�N.lb � �/ / e�:r� TOP OF BLOCK =938.9 �� a �1 I• � rt�^��i�� V --' �' V i � vr��_H_ GARAGE FLOOR=938.4 � t��^'°"" � � • p��sA� =j s�_ �'' � �✓', `y 9 NOTES. � / ��'ij', p ysm I 4 oy� � � ' � 93 rs 6 �'`. y��\ �� -All existmg bu'10 ng dimens ons are measu�ed to the �'�x, � Y�� \ �� f�nshed s�ding ond not the buildng foundaton. PROPOSED AREA CALCULATiON� �9`y O �a �� •`-� / , �_-_ .3 � i�1 � \ � �� . � ��y'9�n� �� '� � � � � �� -fi" or more of topsoil to be addetl to all disturbed 'y)-+'�'�,.� � � � \ � �� areas Lot Area Measured to OHW= 11,802 SF � O •91e• a� - �� _ -- �,1.� � \ � � � �,6 � - +f � F e x�� \� �\�\� -The locafion of oll ut�llies shown are trom observed HARDCOVER: � � i \ _ II ar � ?�' �1 �.9++� �� ev'dence n the f'eid ond irom plans lurmshed by A.House = 1,685 SF � � �6��°��J i � � the utt�ty componies ond are aApror'mote. Utiity B Cantilevered Entry= 40 SF � , /� ��g,o�� 3' � �9��/ � \ � � compones should be not'fed for eroct locato� C Dr'.rewoy= 964 SP ��1 � �. ' �� ' - � " �� , ' before doing ony escawton. D. F'ront Wolk = T2 Sf / �i'� �� y� - � E. Re�aroPstio& Steps = 134 SF .('� "A� , � r�� ?. �`� � 1 hereby certify that this survey, plon, or report was F. P rv Deck-68 SP N � . sw. �N,��,��„-a�. � �� preporeC by me or un0er my tlirect suparvsion an0 E%CLUDABLE HARDCOOER: O ,�./ // that I am o tivly ragiste.�ed Land Surveyor under the °""� -q.oluees. � laws of the State of Minnasoto. f: Pervious Oeck= -68 SF \ � � . �9•�� / �� I� W. BROWN�AN�SURVEYING, �NC. Totol = 2.895 SF � • �3P0M''�•� �'0� / •9 .' / � = 24.5% / � � � Stormwater Ouality Overloy District Tier 1 O °ap� / ' � 25.R o� 2,950 SF Moximum Allowa�le Hordcover �` m �� / � � � � s. I � � -I--66 Woodrow A, Brown, R.LS. MN REG 15230 � -h-s�- t STRUCTURAL MASSING: I � Doted: 10-30-2015 House = 1.685 SF �� Deck = 68 SF i ` W. BROWN LAND SURVEYING, INC. Totol = 1,753 SF 8030 Cedor Avenue So., Suite 228. _ �*�8% Bloomington, MN 55425 159.or 1,770 SF{Aa.imum Allowable Structural Massing Bus: (952) 854-4055 foH: (952)854-4268 Drawing: Date: �o-so-zo�s 146-15A Scale:t mch = zo Feet � Of � 146-15A REF: 146-15 146/14 Christine Mattson From: Christine Mattson Sent: Thursday, December 17, 2015 9:30 AM To: 'Ryan Hanson' Subject: 2000 Shadywood Road/#2015-01565 Attachments: Escrow Agreement- Building Permit w Erosion Control 2015-01482&2015-01565.pdf Rya n, Attached is an updated escrow agreement combining the building permit and the demolition permit application numbers. No additional escrow money is needed at this time,just your signature. The demolition permit is ready to be issued. When you pick up the demolition permit, please bring in a signed up of the escrow agreement. In case you don't' have access to a printer, I will also have a copy of the escrow agreement available for your signature when you arrive. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN 0 55356(physical address) PO Box 66 I Crystal Bay I MN � 55323-0066(mailing addressJ '� 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Thursday& Friday, December 24&25, 2015 Friday,January 1,2016 Monday,January 18,2016 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��L�"D/��S� COMPLETED ' � ' �� ADDRESS �a s��4 ��-t1 �� OWNER TELEPHONE NO. CONTRACTOR S�s��•�tt��c � Q�.s�s��4-l�- . � � DESCRIPTION ��v �<�G ly ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q�I�AL ❑ WATER HOOK-UP �'FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO , � COMMENTS: P"�r�.� �l�c� ��c� �Gt L/ � �►' .l't �i�-L.tG ��SQC.ETlta,�., ^ � � �-/ � � //�vc lS 4 /2caJ �1.ame �n ��s� � ,S ��1'l� � J��s ��11� - W , � ��_. /if.S��a�t s .o�o� id�.l �� y1 e.� Q � 2 �l D�+�L e — W � w � /��.� �.�ol�.� j W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector: / f White Copyllnspector's Ffle Canary CopyfSite Notice