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Home My WebLink About2017-00037 - addn/remodel/repair CITY OF ORONO *� _ 0 a 0 3 7 * � � 2750 KELLEY PARKWAY DATE ISSUED: OU19/2017 C�RONO,MN 55356- (952)249T4600 FAX: (952) 249-4616 ADDRESS : 2500 SHADYWOOD�D PIN : 20-117-23-11-0034 LEGAL DESC : REG. LAND SURVE`I'NO. 1630 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMOI�EL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/IREPAIR ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING,M�CHANICAL&ELECTRICAL(STATE) TO FINISH SUITES#110, 130,210&300 NO SAC DUE,PER LETTER FROM MET COUNCIL DATE 10/13/16 APPLICANT PERMIT FEE SCHEDULE 356.22 Ugorets 8098 LLC STATE SURCHARGE(VALUATION) 10.00 410 11TH AVE S TOTAL 366.22 HOPKINS,MN 55343- Payment(s) (952)769-7249 CHECK 1597 366.22 OWNER Ugorets 8098 LLC 410 11TH AVE S HOPKINS,MN 55343- , AGREEMENT AND SWORN STATEMENT I The work for which this permit is issued shall be performed according td the approved plans and specifications,applicable Ciry approvals,and th State Building Code. This pertnit is for oniy the work described and do not grant permission for additional or related work which requires separ e permits. Alt provisions of laws and ordinances governing this type of w rk 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 commenc d. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit ma be revoked at any time for due cause. /(l' ` �� _ 1 1�1 '1 c..c�,-f� / / Applicant Perrr►itee Signature Date Issued By Signature Da e f e . s CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS --� j�Q� Mailing Address: Permit number. p�d Q�,�j� � � PO Box 66 �1 O Crystal Bay, MN 55323-0066 Date received: _�/ � / 7 � . Received by: 7�y1� `�; ,, Street Address: _ _ � � �`'� G: 2750 Kelley Parkway ' ��, Plan review fee: v+�/. � �", ��KE.S�{�� Orono, MN 55356 �� C�1c,r (��t'�-, 7 ; -- - ...._ ._. _ _�� ... � Main: 952-249-4600 Total Fee: � y '� Fax: 952-249-4616 www.ci.orono.mn.us .� ! .+ ��>G�_ �,- , This application form must be completed in full and ail required information must be submitted. �y��t� �_h� �� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �. Job Site Address: ,��'�;v s}�� k. , � ��. �d j�;��, 11 b� �3a�� p /.30(} Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ es �No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service hTill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��or.z��_ c;'(� i..L.C- State License# Expiration Date: Phone: (cell) �i a- 3�3-3 3:�� (office) Mailing Address: �I ln 1\'�` A.,� S�; City� �.\�,�k,�� ZIP� �;3y3 Contact Person: Ai�x �,or�+, Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: �,,,\izx �, e,,;d��t�,s .�,,,., � PROPERTY OWNER INFORMATION: Name: - - U��r�� ,t�' L,C..,L_ - rl\.a.�c �.1�, -��+ Phone (day): (�,ia- 3t�;3 - 3 3�a.� Address: y�v ��►�- A-,,t. S�• City: NG,�k,.,t ZIP: 5�343 Email and/or Fax _ �\e.x ��_ rr„d1�.,,��4�s� .c�r� ARCHITECT/ENGINEER INFORMATION: Name: l.�i�1�.�� ►r �:�� }� Phone (day): �jS:� - `�'i I - �Ji:- -�� Address: /S �i.:'n f,� ,.�� , City: f-lopk�nr ZIP� 5'S3�/' Email and/or Fax: c�I n � w;ik.�<a�r�, cL,,� PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & ❑ New Construction Water Supply ❑ Singie Family with ❑Accessory Bldg.!Garage ❑Addition attached garage ❑ Deck � Public Sewer ❑Accessory Building ❑ Single Family with Office/Commercial ❑ Relocation detached garage �Residence ❑ Private Sewer � Other: (specify) re�� ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ,gf Public Water "*Any earth movement may also require Commercial ❑ Storage MCWD review&permits. � Industrial ❑Warehouse Minnehaha Creek Watershed District MCWD ❑ Private Well ( ) ❑ Other: (specify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ �/z'� i 6�"�`�`-' � �� RECEIVED JAN � � �Q17 Last Updated: January 2.016 C�•�.Y��OR�Nd � � � i STRUCTURE INFORMATION: 7.Structure Dimensions 1.Structure[�imensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: Iv b.Width(ft.)= Number of garage stalls: 3. Occupant Load: � Areas in sauare feet Attached= � c. Basement= Detached= 4. Type of Construction: s d. 1 S'Story = e.2"d Story= �17 5. Code Edition: �j6�� f. '/z Story = g.Total Area= �7'7 REQUIRED SUBMITTALS: All of the information must be submitted in or er for your application to be processed: Not Enclosed A licable � ❑ Buildin Permit Escrow A reement and Fees � ❑ Plan Review F e 1S ❑ Com leted A lication Form �I ❑ Pro osed Buil in Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8 Y�x 11 set � � Minnesota Stat Ener Code Calculations and Mechanical Code Re uirements � ❑ Surve —2 full ize,to scale meetin ALL surve re uirements � � Hardcover Cal ulations � .8- Se tic S stem ertification � -� Minnehaha Cre�ek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired � � Landsca e Wal s and/or Retainin Wall Plans � '� Stormwater Pol ution Prevention Plan SWPPP � ff Access Permit ' �. ❑ Data Privacy A visory Form APPLICANT/OWNER ACKNOWLEDGEMEN : • Agrees to provide all information required or req�ested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete ap{�lication being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is compl�ed and signed; • Understands some or all of the information that�you are asked to provide on this application is classified by State law as either private or confidential. Private data is informatio which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information whic generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information i$ to annually update our records and records of other governmental agencies required by law. If you refuse to supply the infor�nation,the application may not be issued. I • Agrees that in the event that weather oroth r conditions prevent the completion of an as-built survey afthe'time the Certificate of Occupancy is requested, a te orary Certificate of Occupancy may be issued upon receipt of a$10,000 � escrow to ensure completion of the as-built s rvey and all site improvements. ApplicanYs Signature: Date: I / 7 � Owner's Signature: Date: � � / Last Updated: January 2016 . , r .e � Permit Applicatiqn: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted Call 952.249.4620 to schedule a meeting�with staff if you have questions on application submittal requirements. C�Q, Completed Applicajtion Plan Review Fee P�id `�, Signed Escrow Agr�ement & Escrow Payment � , Building Plans (to sjcale) x2 Certificate of Survel (to scale) showing the proposed ro'ect & P ] meeting all require ents x2 -�'` Hardcover Calculati�ns (if applicable) I I am aware that Or no will not issue a building permit without a copy of MCWD per its (or documentation from the MCWD stating ,� , the proposed proje does not trigger their permitting requirements). I wi I contact the MCWD at 952-471-0590 regarding this pr je . Signed by: L- Address: a S�� h ,,,,�X,,�, � Permit #: O —ODp �' Last Updated: January 2016 ' � r , , BUILDIN� PERMIT ESCROW AGREEMENT Orono B�ilding Permit# AGREEMENT made this da�y of , 20_, by and between the CITY OF ORONO, a Minnesota municipal corporation (°City") � ("Owners"). � Recitals 1. A building peJrmit application has been filed a located at the ("Subject Property"), legally described as 2. Owners request the City to r�view this application. 3. The City will commence its �heview of the application and incur costs associated with said review only if the Owner establishes an escrow to erhsure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE'AS FOLLOWS: 1. DEPOSIT OF ESCROW �,UNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,500�with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. T I e purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incu�ed (including planning, enqineerinq, in excess of $500, or legal consultant review) or will incur in reviewing he plan. Eligible expenses shall be consistent with�expenses the Owners would be responsible for under a build�ng permit application.The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City h�as incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and ithe provisions of Orono City Code Chapter 79.The financial security may also be used by the City to eliminate ar�y hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building �iermit # if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the�'City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt of bill. 4. DISBURSEMENT FROM ESC�OW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 abo,e, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to#3. The City may draw from�he escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurre . 5. CLOSING ESCROW. The Bal�nce on deposit in the escrow,if any,shall be returned to the Owners when all requirements related to the project are�omplete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the r�quirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,and such funds shall be released upon City Staff receiving the appdopriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escr w, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415. 1 and 366.012. CITY: CITY OF ORONO pW By. � Its: Intema�.Use Only; O Origlnal ta Pfanni�g <O Copy to Property Owner `' 17 Copy ta Street File Last Updated: January 2016 � ' ' DATA PRIVACY ADVISORY In accordance with Minnesota State Statute�13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request fo�r a permit or license from the City of Orono or any of its departments may require you to fumish certain private or�onfidential information. You are notified that: 1. The information you furnish'will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shated with other local, state or federal agencies to the extent necessary to process the permit or licerlse. 4. If your requested permit or,license requires Council action to approve, some information may become public. 5. You have certain rights unde�Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to brocess this application or permit. r�_ First Middle Las ��U // �` �ic S�. Address � City Sta I Zip Phone I und st d my rights a ta abovg. Signature � CUP Application-January 2017 Page 14 I PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS , �p / / �-7 Address: ��lY� ,� _QF)'(,ulAQl� ,.i� �_ Permit No.: �� / ` �� Description of work: Date Rec'd: ��p Q r� � Septic review by: �t°G(/t�/' � �Li'�`�n Date p roved: Zoning review by: Date Approved: Building review by: Date Approved: � � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): Landscape plan submitted? � Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade Basement? � Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from hiqhest existinq the highest point of the roof. START WITH rq ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Blu�f Met? • 0 Yes 0 No Permit Number: 0 Yes 0 No � N/A � Ye No � 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf 0 Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit �/' Plan Review V State Surcharge (/' �e'� . . Investigation Fee �I r �- `�` � SAC— Number of SAC Units �/' ' �� Other(specify) '(/� -�`��``'��- ��I 1� Square Footage $ per Square Footage Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ .� Estimated Construction Value: $ 2�, �� Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site � Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire 0 Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection Framing � Masonry � Lawn Irrigation Insulation � Mfg. � Landscaping � As-Built Survey 0 Other(specify) Final � Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrme\nlan ravia�ei nc�rklict 1f1_9(11F rinrv �� '�� DATE TIME CITY OF ORONO � CALCeD IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. 2�7�� COMPLETED ADDRESS � � � ' ��r OWNER TELEPHONE NO. �� 7G��-� CONTRACTOR � /�`9 � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL Q OWNERICOI�ITRACTOR TO MEEf YES_NO o ��l ', � COMMENTS: � �� '� � o �'a°��e l� " /�b��s �-�" e� �� , <` v�� . ° � Cvr��t �Z� �i 5ec ✓'�� i�,�{ /�� Q � �'o C�11 L'��' � W � 3 W K SATISFACTOHY:PFiOCEED ❑PROJECT COMPLEfE � ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY � ❑(�RRECT NfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECaNERING PERMANENT ❑CORRECTUNSAFECONDITION WRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (g52) 249-4600 OMrner►Contra�tpr on site: �� . Inspector.� ��' � f VYhiM CopYAnspxtor's File Cenary CopYlSlts Notke D�AT�/ TIME CITY OF ORONO CALLEDIN o�/ao�//7 INSPECTION TICE �CHEDULED�/_��'� //�: DU PERMIT NO. U -�/cOMPLEfED ADDRESS �J��D -�L�yU%C{''�' 9 h� OWNER TELEPHONE N0.7 � 7Z-�� CONTRACTOR �� DESCRIPTION � ' �' -��/Y ��/ � �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YiDU:_YES_NO y COMMENTS: �� ` � W � J o '��{ ��s��-'j e � � � O s i W � Q ,�,j� 2 C (/' Gfi( / r W � W � � W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-46�� pwnerlContra on site: r Inspector: ' Whits Copyllnspector's Flle Canary CopylSite Notice '..1�"� DATE TIME CITY OF ORONO cnLLED IN -.ZD INSPECTION NO CE scHeouLED - /r�.'� PERMIT NO. �� co IETED ADDRESS �� OWNER LEP N NO. CONTRACTOR � DESCRIPTION �. D � /3D a /1�3� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI I ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL � ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLAC� ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP il ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP i ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONiR/�CTOR TO MEET Y�Otl:—YES—NO � � COMMENTS: 4 t � -� ' � o �� '' ��, �¢ �e e '� o yf- � / � (/`l `'T I %� 7 V � Q � u� � W � j W O WORK SATISFACTORY`.PROCEED O PR ECT COMPLETE � ❑CORRECT WORK 3 PROCEED O 1 E CERTIFlCATE OF OCCUPANCY W 0 CORRECTYNORK,CALL FOR REINSPECTION TEMPORARY FORE CdVERIN(3 PERMANENT O RECT UNSAFE CONDITION WITHIN HOURS. p p��p O TAKEN INSPECTOR WlLL RERJRN ❑CITA ION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. caN tor the next�nspectton 2a taurs m adna (952) 249-4600 OMn�IContra on site: Inspector MIMh CopyAnq»ctor's F{N Camry CopylSiM NoUa DATE TIME CITY OF ORONO cnLLE IN INSPECTION NOTI E scH� ED PERMIT NO. � �COMPL ED �t . ADDRESS B� OWNER TEL�PHONE NO. CONTRACTOR �; DESCRIPTION a'��a(�j ( r 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIR PLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ', ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ' ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERlCONfTRACTOR TO MEET Y011:_YES_NO � COMMENT5: � � 'o `/� �� `' ��'" � �. � ° GU ' ` W � � � � �� ` � W QC J C � K SATISFACTORY:PFiOCEED ❑ ECT COMPLETE � RECT WORK 3 PROCEED ❑I E CERTIFlCATE OF OCCUPANCY O � RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. p pH O TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITA ON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaB for the next inspection 24 hours in advanqe. (952) 249-4600 OwnedCoM on site: � w Inspector VYhite Copyllnapecta°s File Cenary l�opylSite Notice