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Home My WebLink About2012-01052 - accessory structure � a � ' ' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 1 0 5 2 * DATE ISSUED: 11/20/2012 � ORONO, MN 55356— (952)249-4600 FAX: (952) 249-4616 ATiDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0020 LEGAL DESC : FOX BEND : LOT 3 BLOCK 4 PERMIT TYPE . Ac,�'ES�SO�.,,� 5 '_/ PROPERTY TYPE : RESIDENTIAL ` � CONSTRUCTION TYPE . , �E�/ ACTIVITY : 434-RESIDENTIAL � � VALUATION : $ 150,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECIIANICAL,SEPTIC CONNECTION,ELECTRICAL(STATE) CABANA *C.U.P.FOR BATHROOM/SHOWER/PLUMBING REQUIRED PRIOR TO RELEASE OF ESCROW.�•✓" (INITIAL) * SUBMITTAL OF ENCROACHMENT AGREEMENT REQUIRED PRIOR TO ESCROW RELEASE._�(INITIAL) *AS-BUILT SURVEY REQUIRED. �,� (INITIAL) APPLICANT pERMIT FEE SCHEDULE 1,356.75 WIPO HOMES STATE SURCHARGE(VALUATION) 75.00 15623 NORMANDY LANE MINNETONKA,MN 55345- TOTAL 1,431.75 (612)396-6728 PAID WITH CC# 4038 OWNER KELLY,JUSTIN& SUSAN 2990 SUSSEX RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the 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 180 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. � ` // l Z� l Z�r2 � J/ l �o l/`� Applicant Permitee Signature Date ssued Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' Plan Review Checklist for New Structures / Additions Address/ PID/Legal: � -1 �� Sv S S� '� � � Description of work: ____ _ C� 1J A � r� Septic review by: � Date Approved: � �'��'�� Zoning review by: Date Approved: �,( ' � ' ��L'' Building review by: Date Approved: 0 � 0 -Zm�2 Grading review by: �� Date Approved: r � 2� Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District �� Zoning: Lot Area: 3• (� � SF/AC Width: Depth: Survey Submitted: 0 Yes O No Date of Survey:� � - I.��I r �� Pro osed Setbacks: Front( e) Rear(S t) ( N S\ E W ) ( N S E W ) Other Buildings aAEellerrd �'�ide Side (� �� .Zl�� CJ Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement flooN crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff / � Yes � No 0 N/A 0 Yes No � Yes C�VO � Yes 0 No �/A / Permit Number: Setback: Hardcover Zones Existing Pro osed Variance Re uir C Required 0-75' 0 Yes No Yes 0 No 75-250' Type(s): Type(s). (I � 250-500' J � 500-1000' I Z��g� REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Per�it'� _ _. Plan Review - � , .Slate:S�rc�aarge . . Investigation Fee ;S��C 1>N�mber.o�f'SAC Units: ' - Sewer Connection �111�a#er�Cor��ae�tion ' ,. _ . _ _. . _ Park Fee =;�ite�l�,�p�ction .. . ;' _ _ , . . . . Other(specify) 'll�l�sce�ilaneous F.ees - -- +Calculated By: . S uare Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: � (��a�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire �lectrical ,�Footing �8'Septic �N�e�� p ater Connection � Poured Wall � Fireplace ion 0 Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. �Framing � Other(specify) �' Insulation s-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES � NO REMARKS ( O BE NOTED ON PERMIT AND INITI LED BY P RSON PULLING PERMIT) �� f'Y� ,��l.Dl�f� �/L!f� !�'P � CL(� v� i C� - v�� d �'C� `� f.��l�(/l/ ��'�-Af� Updated: 09/11/2009 � . z:\formslplan review checklist.docx � �� ,� �d� � `/� �.,s ' �`• , ' � 'I/ , � u,l . � . ,� ` City of Orono �� Building Permit Application /� �� I � for New Structures or Additions — Mailing Address: � �: T , .¢,�,�� PO Box 66 Permit number: - L%% –�/�%J � , O�� Crystal Bay, MN 55323-0066 Date received: /� –/ 8� 02-� �; z �` �,��,,� � �'�� :,. ,,.�',� SfreetAddress:� Received by: ��'�,�, '��,��'d_ ��`��% 2750 Kelley Parkway Plan review fee: D�� / �jt�AEs��%" Orono, MN 55356 ��, � �� -=___ " Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��`J� .��.ss�-K ��1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes,a special event permit is required wdh Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 1,�% z�'o t-lE.�•� s State License# Expiration Date: Phone: fo t z - 3 q(o -(,"1 L g (office) c� �Z - 3 y�., c��z-y (cell) Mailing Address: S(c Z 3 rl crw.u,.�.�, LRw.c Cit : ,�n��n�- ,w .` ZIP: s s 3 � Contact Person: g;11 t��,�,��„� Applicant is: ntracf r / Homeowner (CircleOne) Email and/or Fax: �,;�t (� �:�o l��f-^e s � c�.� PROPERTY OWNER INFORMATION: Name: �� s�...,: < -Z � s�t ; ,.� Phone (day): t� � Z - g o�- 3 9 S� �Q Q�l� �r� Address: 2 `190 S�c gs�-r� ��--� City: I.,.�� Email and/or Fax �� .� _ ARCHITECT/ENGINEER INFORMATION: � � .��j�,/� Name: �2; :1� �v�r f i e r � � _ Phone (day): � �z - S i c� - 9�a 2 1� ��" ��-��,-�j/„� Address: y 5 ov ttuJ�l a�a ��c 3� � City: N� K� - �E.��v — Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage (� Garage/Accessory Bldg. ❑ Public Sewer �Accessory Building ❑ Single Family with ❑ Deck Relocation detached garage ❑ Office/Commercial � Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "`Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial � Private Well Minnehaha Creek Watershed District(MCWD) � Other: (SpeCify) 18202 Minnetonka Blvd �Q��„�A Deephaven, MN 55391 �,,,,,y�„� ��;,� Phone: 952-471-0590 F`'� Fax: 952-471-0682 -� P u"`� �^"5U`� wewv.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � SD ' �� . , STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= ��c Number of bedrooms= � (�]Wood/Frame b.Width(ft.)= �_ Number of garage stalls: ❑ Masonry Areas in square feet Attached = C� ❑ Metal ❑ Pole Bldg. c. Basement= Detached = U ❑ ICF d. 151 Story = 3�`1 ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = 3�� ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable fr] ❑ Permit A lication � ❑ Pro osed Buildin Plans ❑ �8 MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ � Stormwater Pollution Prevention Plan [�1 ❑ Hardcover Calculation s ❑ � Se tic S stem Site Evaluation Re ort ❑ � Access Permit ❑ � Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above �, ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested 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 application 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 completed 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 information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. � � � ._...._.. � . ---�.,..._......_.__,_ G . ApplicanYs Signature: ��`��y'`�j�"�� Date: j � � � ' i z- Owner's Signature: Date: �, .. _� . M�lanie Curtis From: Melanie Curtis Sent: Friday, November 02, 2012 2:38 PM To: 'bill@wipohomes.com' Cc: 'Susan Kelly'; Christine Mattson Subject: 2990 Sussex Road - Permit 2012-01052 Attachments: 20121102 2990 Sussex Rd -2012-01052 Bill Thank you for the revisions to the survey to address our City Engineer's comments. He has one additional concern regarding an existing garden and fence located in the drainage easement and potentially within a wetland shown on the most recent revision of the survey. His comment email is attached. We are requesting the property owners enter into an encroachment agreement with the Ciry regarding this garden/fence. Please discuss with the property owners how you would like to proceed. Additionally upon my review of the proposed cabana it appears a toilet, sink and shower are proposed. A toilet and sink within a conforming accessory building is an allowed use, however the addition of a shower or bathtub triggers the need for a Conditional Use Permit(CUP). I have attached the City Code sections below for your reference. A CUP requires a public hearing held by the Planning Commission and approval by the City Council. I've attached an application for a CUP. If the homeowner wishes to keep the plans as-is including the shower a CUP will be required before construction will be approved. Please contact me to discuss this matter. Thank you - Melanie Sec. 78-418.- Conditional uses. Within any RR-1B one-family rural residential district, no structure or land shall be used for the following uses without a conditional use permit: (6) Provision of a bathtub or shower in an accessory building. Approval shall be conditioned on provision of municipal sanitary sewer or a conforming sewage treatment system designed to handle the anticipated flows from the building plumbing. Approval shall be granted only when the following criteria are met: a. The council finds that the proposed use of the accessory structure with a bathtub or shower will not be detrimental to the residential character of the neighborhood. b. The council finds that the plumbing fixtures proposed are in keeping with the intended use of the accessory building. c. The accessory building is conforming in location, size and height. d. The property owner agrees to the filing of a covenant in the title of the properiy providing that the accessory building will not be: 1. Used for a home occupation unless specifically approved by the city or if allowed by this Code. 2. Used as a dwelling unless a guest house conditional use permit is obtained. 3. Rented, leased or otherwise provided for use as a dwelling under any circumstances. � . . •- _... . Sec. 78-1�37.-Plumbing. Because the provision of plumbing fixtures and wastewater plumbing in accessory buildings has the potential to allow such buildings to be used as dwelling units, and because it is the policy of the city to limit residential development density to the allowed densities within the respective zoning districts, plumbing in accessory buildings shall be regulated as follows: (1) The provision of outside sillcocks and indoor water supply shall be allowed in any accessory building that is conforming in location, size and height. (2) Installation of any combination of fixtures requiring wastewater plumbing that does not include a shower or bathtub shall be allowed in any accessory building that is conforming in location, size and height with, subject to provision of municipal sanitary sewer or a conforming sewage treatment system designed to handle the anticipated flows from such fixtures, and subject to the property owner's executing a covenant providing that the accessory building will not be: a. Used for a home occupation unless specifically approved by the city or if allowed by this Code. b. Used as a dwelling unless a guest house conditional use permit is obtained. c. Rented, leased or otherwise provided for use as a dwelling under any circumstances. (3) Installation of any combination of fixtures requiring wastewater plumbing that includes a shower or bathtub shall be allowed only in an accessory building that is conforming in location, size and height and which meets one of the following criteria: a. The accessory building has been approved for a guest house conditional use permit; or b. The accessory building has been approved for a bathtub or shower in accessory building conditional use permit. (Ord.No. 179 2nd series, § 1, 10-12-1998; Ord. No. 45 3rd series, § 11, 2-25-2008) 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: mcurtisCa�ci.orono.mn.us Website: www.ci.orono.mn.us City of Orono Office Hours Monday - Friday 8:00 am - 4:30 pm 2 � .. Jesse Struve From: Jesse Struve Sent: Friday, November 02, 2012 12:36 PM To: Melanie Curtis Cc: Christine Mattson Subject: 20121102 2990 Sussex Rd -2012-01052 Melanie, I have reviewed the permit application for the proposed pool/cabana. The survey provided for the proposed permit is ok, but I have following concern: • The location of the existing garden including a fence is located within a drainage and utility easement and may potentially be located within a defined wetland. I would recommend we enter into an encroachment agreement with the applicant. To not hold up the issuing of the permit for the pool,you could make the release of the escrow contingent on receiving a signed encroachment agreement from the applicant. Please contact me with any questions or concerns. Jesse Struve, PE Director of Public Works/City Engineer City of Orono (952) 249-4661 - Direct (952) 249-4616- Fax www.ci.orono.mn.us From: Jesse Struve Sent: Monday, October 29, 2012 2:56 PM To: Melanie Curtis Cc: Christine Mattson Subject: 20121029 2990 Sussex Rd - 2012-01052 Melanie, I have reviewed the permit application for the proposed pool/cabana and have the following comments: • The survey is not a complete survey of the property because on the aerial photo it shows a garden/fence area which could potentially be located within the drainage and easement/wetland area north of the septic site, a playground area close to where the pool/cabana area are shown to be installed, the complete patio area around the house. • The survey does not show contours 50' outside of the property line surrounding the area of the proposed pool/ cabana area to show the additional runoff from the proposed project will be managed on their property. If the proposed drainage is to be directed toward the neighboring property,the applicant will need to do design a system to retain the runoff from the patio/pool/cabana area prior to running off the property. • On the survey there is a solid line on the south side of the house which appears to be the existing patio area, but it never ties back into the house. Jesse Struve, PE Director of Public Works/City Engineer City of Orono (952) 249-4661 - Direct 1 '� �--� � DATE TIME � CITY OF ORONO CJ��1 CALLED IN � �7 a INSPECTION NOTICE � SCHEDULED L !��` -� (�'��(� PERMIT NO.��'� '� I�� COMPLETED ADDRESS �� l C.P�V �� OWNER TELEPHONE NO.��3� ��-��a CONTRAC�QR I'I � � (f�d�f' ,��S � C'C.' � a DESCRIPTION ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENJETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPt1�INT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: y,(t 1� SZC�� I� ti��. W C � J O � � O k W k Q � 2 W � W � � �d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. � White Copyll�spector's File Canary CopylSite Notice �� D T TIME V / CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED s.;� PERMIT N0�1D/o� - DlO S�OMPLETED ADDRESS ��QD � OWNER TELEPHONE N0.6/z 3�� 7Z�S' CONTRACTOR �/ �: DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SlA6 ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO > � COMMENTS: �� e �!'�� "`" L � W a � � � �4 ; 1 � ( ��-L � N�- ��e � nIV � vM. Q4'�� W � Q � Z W � W � � � d W ❑WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE �/A6QRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: r Inspector. . White Copy/inspector's File Canary CopylSite Notice E'� �` DATE TIME v CITY OF ORONO �ALLED IN � INSPECTION NOTICE SCHEDULED 3- 2� / 3 .� PERMIT NO�/�'��Sa--cOMPLETED ADDRESS � �� S � OWNER ELEPHONE NO. �� ^ 'a� CONTRACTOR Z- �; DESCRIPTION -� ��! �- �� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � � GW �RK SATISFACTORY:PROCEED l l PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector. A , _ White Copyllnspector's File Canary Copy/Site Notice G �J �/ D TE TIME V CITY OF ORONO CALLED IN 7 �%� INSPECTION�QT�� SCHEDULED �- �/3 � PERMIT NO. D dIDSy C LETED ADDRESS__r D � �� OWNER D TE PHONE NO,� - - � CONTRACTOR �: DESCRIPTION , � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �--i �J A-1 �-�1 00� -- r'r4 . ��r4 � � �-''�` .�� - ` � � W � Q � Z W � W � � ;�.. � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISS TIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. � „ � White Copyllnspector's File Canary CopylSite Notice