HomeMy WebLinkAbout2008-P12109 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12109
Crystal 'Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
6/24/2008
SITE ADDRESS: 2248 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-43-0126
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
YP
DETAILS:
Approved per resolution#:
Separate permits required: Other-(Dormer Vault with stop at house)
NOTICES/REMARKS:
Concrete paver patio lakeside of house&entrance patio to be removed at ftg ins
FEE SUMMARY: Permit Fee: $ 162.25 Valuation: $ 7,500.00
Plan Review Fee: $ 105.46
State Surcharge Fee: $ 3.75
TOTAL FEE: $ 271.46
APPLICANT: Mark D. Williams Custom Homes OWNER: Jeff&Sandy Thole
102 West Sth Street 2248 Shadywood Rd
Chaska,MN 55318 Wayzata,MN 55391
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[3Y SIGNATU ������
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� Total Fee: $ �� Date Received: 5'�-U�
Entered By: �� Permit#: �[,�„/�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------------------------------------------------
-- �..—�----.-_'_'_'—�
TfIE APPLICANT IS: (circle one) OWNER OR ONTRACTOB_---�
�_---------.._.._.
JOB SITE ADDRESS: �� �s `������(�o)p��� �/�c� ZIP: S�j J �'Z�
Will this be a Parade of Homes, Remodelers Showcase Aome or other Display Home?
�Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufftcient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: ��..c�t� � ��-tt� -�,��� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
coNT�cTou: ��� p �..>, � " ���
��h.� ����,�S �;��,��w� �S� PAONE: (�l� - ��I - �7S`o
CONTACT PERSON: ���,r�� MOBILE/PAGER: l� %-
MAILING ADDRESS: l U� ,,,�r�S�- S�^ ;�, CITY: �'j,�c,�,E�; ZIP: 1��
STATE LICENSE: #_ ;�v� �y�--�a 3 EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describein detai�: �,.���- ����, �-� �{��,,p o��_ ��,��y�
lv r3� �� ��.
STORIES: r� SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 S�c�
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: ��-- > E: �
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd.1; Type of data. The rights of individua(on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming himselfshall be
informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shal l
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
� The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or�rOper4Y tax refund
• instructions mstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible suthority,an individual shall be infortned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been wllected or created. The
responsible suthority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivisioq or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance•i9not possible.Ifhe cannot comply with the requesf
within that time,he shall so inform the individual,and may have an additional five days within wi�tacomply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreemenC The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individualYhel he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its departrnents may require you to furnish certain private or
. confidential information.
You aze 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 shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve,some information may become
publia
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
C��Y State Zip Phone
I understand my rights as stated above.
Signature
32
CHECIC OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE�N LY
ADDRESS OR LEGAL: 2'`Z���� S�-'L`C ��/rj"jjL'�'11�%I
PID:
DESCRIPTION OF WORK � �� �/ �` ,y� �� a
ZONING REVIEW BY.• � � ' DATEAPPROVED: 2�
BUILDING REVIEW BY.• DATEAPPRO�ED: _6 •Lg -p&
FEES TO BE CHARGED: Misc. Fees Calculated By: � � �
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No_�/ PARK FEE
SAC Yes No_� SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District.�Y � —/ G �""�-"__
Fire Department: Post Off ce: School District.•
Lot Area: Sg.ft. ���.)v I Acres Width �� Depth ��
Survey Submitted: Yes� No Date of Survey: (J / Q, f v�(f S��Z Z/Q�
Proposed Setbacks: �i�g� ,
Front(Lake): �/:.} Rrgkt Side: l U
Rear(Street): Q�C �� v
�ft Side: G /�
Adjacent Structures: �� Wetland: �
Building Height Def. Hg2. ��C— Peak Hgt.
Lot Coverage: �GH" `T . 7U�C�
Grading: StaffApproval Date: By: Council Approval Date:
Septic: StaffApp�roval Date: _����G��,� By;�
Zoning File: # Resolution: # Resolution Date:
Shoreland District: MCWD Permit:
Avg. Setback.• B1uffSetback: LotCoverage:
Exist� Proposed
Hardcover: D-75'
75-250' Z����1� �C
?so-soo� �v ;,l�,,y,�
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house): rCJ �! ! � �l C`j,�,L3 ��'(�2����
f��.4�� " �—
33
BUILDING REVIEW CHECK LIST
UBC: fL '3 CONSTRUCTION TYPE: �ns
Sq Footage $Per Sg Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimaled Construction Value: $ ��S n0 �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical i�'ater Connection
_�! Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
�� Final Grading/Filling Electrical(State Permit)
Other
nE�xrrs�rlvxousE�:
REVIEW BY OTHERS: DATE: �
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ONPERMIT):
��GY°Ci'��' � h0 /A��Z S«��� C�� � uiS �
C�i /�h
(j i'�GcJ�I�'l(y ll�S�L��
�
C'Jt e � /N r �//-1� G� /yi/ ��
� �
34
� . Page 1 of 1
_r
, Evelyn M. Turner �"�����i '� `'� � Y� � `,
:A�'� .
�..,e,V A. _
From: Evelyn M. Turner
Sent: Friday, May 30, 2008 9:14 AM
To: 'mdwilliamshomes@yahoo.com'
Cc: Melanie Curtis
Subject: Survey for 2248 Shadywood Road
Mark:
Christine asked me to look at the survey because the one we have is the one you
referenced. The problem is that the surveyor forgot to note the revision he made so it
appears that what was shown on the survey is what already exists. Just have him
correct this and bring us two copies of the new survey plus two copies of the survey
before it was revised.
Evelyn Turner
City Planner
City of Orono
952-249-4623
952-249-4616 (fax)
5/30/2008
* .. Page 1 of 2
, Christine Mattson
_
From: Melanie Curtis
Sent: Thursday, May 29, 2008 9:01 PM
To: Mark Williams
Cc: Christine Mattson
Subject: RE: 2248 Shadywood Road
Mark-
I am out of the office until Monday but will have Christine look at the submitted information and verify for the
both of us the date. Hopefully you are right and i can review your permit application on Monday. Thank you,
Melanie
Chris-
Would you please take a look at the file on my desk to see if a revised version of the survey was indeed
submitted. Please let me know what you find and I'll update Mark. Thank you, Melanie
*sent via my handheld device.
-----Original Message-----
From: "Mark Williams" <mdwilliamshomes@yahoo.com>
To: "Melanie Curtis" <MCurtis@ci.orono.mn.us>
Sent: 29-May-08 17:53
Subject: RE: 2248 Shadywood Road
Melanie,
I am a bit confused by the request for a new survey? Unless I gave you the wrong one, I have the new one
completed and I thought I gave you 2 copies of it.The invoice number at the top reads 76849, the front porch is
drawn in to the new areas and the 3 total percentages read top to bottom as :26.72%, 71.45%and 24.92%(the
last one being the important one that had to be under 25% per our conversations I believe.
If you have a different survey please let me know and I'll drop this one off to clear the matter up. I apologize the
inconvenience
Thanks,
Mark Williams
Mark D. Williams Custom Homes Inc
102 West 5th St.#1
Chaska, MN 55318
612-251-9750 Cell
952-368-2937 Office
5/30/2008
„ Page 2 of 2
f
9$2-368-2915 Fax
. Website: www.mdwilliamshomes.com
CONFIDENTIALITY NOTICE: The information contained in this email communication and any attached
documentation may be privileged, confidential or otherwise protected from disclosure and is intended
only for the use of the designated recipient(s). It is not intended for transmission to or receipt by any
unauthorized person. The use, distribution, transmission or re-transmission by an unintended recipient
of this communication is strictly prohibited without our express approval in writing or by email. If you
are not the intended recipient of this email, please delete it from your system without copying it and
notify the above sender so that our email address may be corrected.
From: Melanie Curtis [mailto:MCurtis@ci.orono.mn.us]
Sent: Thursday, May 29, 2008 10:31 AM
To: 'Mark Williams'
Cc: Christine Mattson; Evelyn M. Turner
Subject: 2248 Shadywood Road
Mark
I received your new permit application for 2248 Shadywood Road along with revised architectural plans and hardcover
calculations. Thank you.
However it appears that a revised survey was not submitted showing the proposed porch addition and hardcover
changes/reductions. Please submit the revised survey so our review can continue.
Melanie
Melanie Curtis
Planning & Zoning Coordinator
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning &Zoning Office 952.249.4620
Email: mcurtis@ci.orono.mn.us
Website: www.ci.orono.mn.us
5/30/2008
.
, � Page 1 of 1
�Melanie Curtis
From: Melanie Curtis
Sent: Thursday, May 29, 2008 10:31 AM
To: 'Mark Williams'
Cc: Christine Mattson; Evelyn M. Turner
Subject: 2248 Shadywood Road
Mark
I received your new permit application for 2248 Shadywood Road along with revised architectural plans and hardcover
calculations. Thank you.
However it appears that a revised survey was not submitted showing the proposed porch addition and hardcover
changes/reductions. Please submit the revised survey so our review can continue.
Melanie
Melanie Curtis
Planning &Zoning Coordinator
City of Orono
2750 Keiley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning &Zoning Office 952.249.4620
Email: mcurtis�ci.orono.mn.us
Website: www.ci.orono.mn.us
5/29/2008
. . [� ,I p� �R��� �� , k
• � Addrees: `Z� ��`' �H.�QI((l��1� FUI�� ..� � Dat�; SrZZ���
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� Prepared by: �T �U�P•VE`�S (A�PA1.�`� , 1►.1 �.
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HARDCQVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250'250-500' 500.1000'
EXISYING HARDCOVER 1_N ZONE
A. House X = S.F,
Length Width
X m S.F, '
X - S.F,
B, Garage . X - S.F, �
C, ptivsway x _ - S.F.
x = _S.F.
D. Sidewalk x = S.F.
X = S.F.
�. Patla/I7eck x = S.F.
-- X = S.F.
�. Landscape x - S,p.
Underlain x = �,p,
By P{astic x = S.F,
0. Retaining WaQs x - g,p,
H. Other • x = g.�,
TO1�AL HARC3COVEf2 IN 20NE . - O,DO �.F. A
TOTAL pRqPER7Y AREA IN ZONE - ��q D_I S.F. B
A + B x 100 = Q� %
PROPOSED HARDCOVER IN ZONE(including exlsting ha�dcover to be retained)
A. House x = S.F.
Length Width
� x = 3.F,
x = S.F,
e. aarage x = S.F.
C. Drivew�y x = S:F.
_ __ x _ = S.F.
Q. Sidewalk _._.. _---- x = S_�_
— x - = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscspe x = S,F.
Underiain x = 9.F.
By Plastic x = S.F.
G. Ratainfng Walfs x - S.F.
H.Othsr x = S.F.
TOTAL HARDCOVER IN ZONE .,
D�� S.F. A
TOTAL PROPERTYAREA IN ZONE - 3�9D 1 S.F. B
A � B x 100 - 0a o _°/u
� � � '�ti�� � c,�e �o�� a�t�, S"�Z"°8
: ' Addre�s:
' Prepared by: �1" �2V'�S l,p�PiQt� , � ►J C.
HARDCpVER CALCULATIOPI IN�RK8HEET
3ETBACK ZONE: (CIRCLE ONE� 0-75' Tr250' SO-600' SOO-1000'
EXI$1`ING HAR�?G4�VER!N_ZONE
� A. Wouse x � S.F.
l.enath �
X e B.F. '
x = S.F,
e. Garage .
X � � �39 s,F.
C: prive�way x _ _ - _ �.bg S.F.
x = _S.F.
D. SideWalk x = �b..------ 3.F.
x = S.F.
�. PatloJf7sdc X - ----- = S.F. �
x = S.F.
' �. Landscape � X a S.F.
Ut�deiiafn x = S,F.
gy p{astic x R S.F.
0. Retafnln�Walls x a S•��
N.Other � x � S.�.
707AL HARpCOVEFt IN 20NE . - �'�'3 S.F. A
"TOTAL pROPERT(AREA IN ZdNE - ZU S.F. B
q + � x 10� _ %
PROPOSEQ HARDC VER IN ZONE(including existing hardcaver to be retained)
A. House x = S.F.
Lenpth Width
' x - S.F.
x � S.F,
B. Oerape x � S.F.
C. Drivewsy x = S:F.
x = S.F.
d. Sid�n►alk _ __ x = S.F.
.. _____
x = S.F.
E_ Petlo/C�c x = S.F.
- ----- X � 8.F.
F. Lendsespe X a S.F.
Unde�ain x = 9.F.
By Pl�stic x : S.F.
G. Rctaln(ng Walls x ffi S.F.
H.4ther x = S.F.
TOTAL HARDCOVER IN ZONE � S.F. A
TOTAI.PROPERTY AREA IN ZONE - S.F. B .
A � B x 100 — �
�' � Address �� �'g ��Q d"i UJ ao D -�i 0�4� [�t�: S-2Z- 0
. . Pre�emd by: Lo� ��e�1 E�,S �owl PAu��� I � �
HARDCOVER CALCULATIOM WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0 75' 75-250' s0-S00' 500-�000'
ExJS71Nt3 HARdGOV�RI(�.�NE (�olos
A. House x � S.F.
Length Width
x e 6.F. '
x = S.F.
6, Garaqe , x a � 210 S.F, '
C. I]�ivevuaY - - x = �5�' S.F.
X • = S.F,
D. Sidewalk x = B.F.
x = S_F.
�, Patio/t�Clc , - - X = 52'l s.F.
x = S.F.
F. Landscape • x � S F
Under{afn x = S.F,
By Plastic x � S.F,
0. Retafning Walls x g 5.�,
H.Other � x . � S.�.
TOl'AI.HARIaCOVEF2IN 201dE . - 2�(4' S.F. A
'TOTAI.pi�UPER A AREA IN 20NE { g x 1�D = —Z 'Ll���Se B
PROP08ED HARDCOVER IPI ZONE(inciuding exis�ng hardCover to be retained)
/�. Houae x � Il.bS g_F_
Length Width
. ' x m S.F.
X � S.F.
6. c�erage � x � = Z't u s.F.
C. Drfvveway x = 1 S'2- S:F.
-- x = $.F.
p. Sid�walk x = S.F.
x = S.F.
E. Pedo�p�ck x = ''L�l Z S.F,
X — � S.F.
F. LandsceP� X = S.F.
Under�a� x � � g,�,
By Plastic x , S.F.
�?. Retair�ing Walis X a ,�'.F.
H.Other �w ��� x = 59 S.F.
TOTAL HARDCOVER IN ZONE . Z�-3� S.F. A
TOTAL PROPERTY AREA IN ZONE - 7 3 3,F. B
. A � B x10Dm 2 . �o
C��- l � . ✓
DATE TIME
(� CITY OF ORONO CALLED IN Z �
CD INSPECTION NOTICE SCHEDULED
PERMIT NO. �o��� COMPLETED ' '' �'
ADDRESS � 2 Z`t"� ,�l'��-P (���
OWNER CONTR. �lI /"L� (,(�/��1��1;�5'
TELEPHONE NO. l.� �� -��7 � 2 �
� DESCRIPTION ��7,1/��(--�. / /C�'�7�/�(JYJ
� �FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q p FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP p SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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W� ,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. D PHOTOTAKEN
INSPECTOR WFLL RETURN
❑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��
Owner/ConVactoy6� '
Inspector. ��
White Copyllnspector's Ffle Canary CopylSite Notice
�� �.�-j �
DAT TIME
CITY OF ORONO CALLED IN ��" �L`�
INSPECTION NOTI�CE SCHEDULED ��5�`t � � � `�
PERMIT NO. F ! � I L'� COMPLETED
ADDRESS �Z _�I �� �6�� � e_ ���.��c"�c'� (�(
OWNER CONTR. E�1���Cli'"�- LL'r l�I tF1V!S
TELEPHONE NO. L< ( �' - -�` ; f - � t 7�>� f_ �l�1'�-�
-�` 1 �Fy`l I !� . `� F_� i 1 { 1-t�I� '�
� DESCRIPTION � � 1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
�
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� � i � � � �S C�'���C :� � S°P_ ca�
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR W4LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: �
Inspector. l f � - �� f��J
White Copylinspector's File Canary Copy/Site Notice