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Home My WebLink About2013-00402 - addn/remodel/repair � ' CITY OF ORONO �� 2750 KELLEY PARKWAY * � 0 1 3 - 0 0 4 PI Z * DATE ISSUED: 06/2U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : ]10 CHEVY CHASE DR PIN : 36-118-23-41-0046 LEGAL DESC : HILL O'WAY MANOR : LOT 012 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 147,533.00 NOTE: SEPARATE PERMITS REQUIRED: P UMBING,MECHANICAL, ELECTRICAL(S"�ATE) NO`I'E: PROVIDE EROSION CONTROL. � (INITIAL) � APPLICANT pERMIT FEE SCHEDULE 1,344.75 CHOICE WOOD COMPANY STATE SURCHARGE(VALUATION) 73.77 3300 GORHAM ST. LOUIS PARK, MN 55426 TOTAL 1,418.52 (612)924-0043 Minnesota State License#: 1532 OWNER HIGGINS, KENNETH&LAURA 110 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit 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 shal]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 reques d in conformance with the State Building Code.This permit may be revok for due cause. = � � a � � 3 � �,1 �a � � � � �� i3 Ap licant ermi ee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� -13 City of Orono Building Permit Application � � g,� 5� 7� for New Structures or Additions � _-__, Mailing Address: �� O �Q�O PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: 5 a�'� � Street Address:� Received by: � � 2750 Kelley Parkway Plan review fee: ,� 'F c,` OrOnO, MN 55356 �'�kESHo4�' Main: 952-259-4600 Total Fee: � !3 r�� Fax: 952-249-4616 wvvw.ci.orano.i��.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: ' Job Site Address: � �_�`��1�, �_�c,�c,�_ � �� ,u �- Will this be a Parade of Homes, Remodeler Showcase Home 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 ill e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: C h%�\ C�� c�_ � �� _ c�v�� State License# �C r7_� 1� 3� Expiration Date: � I` Phone: cell office �t� �_ - ` ��— C� 1 Mailing Address: �3 OJ � c �-� � Cit : �{- , ��v�s kZIP: "-' ��- Contact Person: �r ��. �{-�,,�,v��vJ Ap.plicant is:��ontractor Homeowner (Circle One) Email and/or Fax: � � ��; � �� c,Z C ;-� r�� 1�'� i P S ,C� t�� PROPERTY OWNER INFORMATION: � Name: �e�� - �,-,c�� r-c,� �� `<<1 ��S Phone (day): lr ��:—dO a— y�+ `�� Address: � Q 1�e�; ,h c� 1, v � ;-t Cit : �ti%o,� ? c.,�<.� ZIP: �S 3�1 Email and/or Fax � ARCHITECT/ ENGINEER INFORMATION: N a me: 1�� "`'� '� �.-,c:,� - �� P C� S Phone (day): lp a—a , — ��S Address: a�3� �.��-'S� y "� r`— >� City: ��'1,�� ZIP: »�� I�'j Email and/or Fax: PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� 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 Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� 3 Packet Last Updated: 04/19/2013 Page 22 of 23 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= �Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1St Story = ❑ On-site Prefab e. 2"d Story = ❑ Off-site Prefab f. '/z Story = ❑ 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 Applicable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ 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 ❑ ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ 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. Applicant's Signature: �.t�� '!��,G�.l�—' Date: � ?.� � r Owner's Signature: Date: Packet Last Updated: 04/19/2013 Page 23 of 23 PLAN RE�IEW CHEC�LIST FOR NENV STRUCTURES / ADDITIONS Address/Permit Number: � u � ��V � � �- ,� � � � ��11�� t�s�,��,� Description of work: J`� ��, Septic review by: r Date Approved: ` �-� � � Zoning review by: �� `� � � �- Date Approved: � r � - s � � - Building review by: '' Date Approved: �: a � - � ►_� Grading review by: �� Date Approved: �I � Zoning District: �� Zoning File#: '� Reso#: �' Reso Date: d- Zoning: Lot Area:��a� ��`� SF/AC Width: a��-�� Lot Coverage: � �� SF CZ=�% Survey Submitted: ,�I'Yes � No Date of Survey: �-►'�P f� Revised date(?): G -�2 -�� Pro osed Setbacks: Front(Lake) � t�ear(Streefi) ( N S E (11 ) ( N S E �W�Z j Other Buildings Wetland Side Side ��''� ( �I °1 �,�.trr`�'ay�v ed�i i y�,a� ��%1 r� �lR,�j o"o!/�/} . Defined Height: C�-�• Peak Height: � FFE: .— FFE minus 6 feet= `� (Existing Contour) Perimeter(linear feet)= 50% _ #of Stories Ok? � YES FOR A BUILDING 11�IIITH A BASEAAEPIT OR CRAWL SPACE: The distance between the lowest FOR A BUOLDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof START WITH The distance between the top of slab and `> If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the SUBTRACTION corresponding gable or hipped roof to the low point of the corresponding SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HiPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highes4 point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highes4 existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQURLS DeFned building heigh4 EQUALS Defined building height � � Shorelanc! District MCVND Permit Received A�era e La�eshore Setback Niet? �luff � Yes 0 No 0 N/A � Yes �°No 0 Yes �o � Yes � No �N/A Permit Number: Setback: ' Stormwater Quality Existing F�roposed Variance Required CUP Required Overla District 7ier Fiardcover Hardcover � Yes No 0 Yes No ��' ��- �� YPe(S)� TYp�(S)� Updated: January 2013 v:\forms�plan review checklist 2013.docx a:, REMARKS (in-house): > Fees to be Char ed YES NO Pertnit -•�� Plan Fteview s� State Surcharge Investigatior� Fee SAC—Number of SAC Units $ Oth�r(specify) f' S uare Foota e $ er S uare Foota e Basement X - $ 15i Floor X = � 2nd Floor X ' � Garage X - � � .�- ,,, ,_,�; ,t Estimated Construction Value: $ �'`�'� '� �� Orono Inspections Required Work Requiring Separate Permits Required State Perrr�its 0 Site �lumbing 0 Grading/ Filling � Well 0 Hardcover Removal Mechanical � Fire Electrical Footing 0 Septic � Water Connection �,�`Poured Wall 0 Fireplace � Sewer Connection � 0 Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. Framing � Other(specify) �nsulation � As-Built Survey .;, _.J�Final � Wetland Buffer 0 Other(specify) � REMARKS (in-house): � Other Re�:�iew: Reviewed by: Date Approved: Access: Existing:,�YES � NO New: 0 YES 0 NO OFFICIAL REM/ARKS -TO BE NOTED ON PERMIT AND INITIALLED �,/ ' �� R ��r.��, i�-��- � d�.�a �'� � �Z �' ` Fg 9 ��.,E ,� - Updated: January 2013 v:\forms\plan review checklist 2013.docx a. ,� � w , Christine Mattson From: Christine Mattson Sent: Tuesday, June 11, 2013 1:17 PM To: 'jean@rehkamplarson.com' Cc: Melanie Curtis Subject: 110 Chevy Chase Drive Attachments: admin@ci.orono.mn.us_20130611_103437.pdf Jean, Attached is a copy of the exhibit prepared by staff illustrating determination of the setbacks. This exhibit has been included in the street file for this property for several months. Below (in blue) is an excerpt from our City Code definition section specific to Lot definitions to help you understand how lot lines are determined. The existing home does encroach into the rear setback line; therefore any expansion (toward the rear lot line or upwards or downwards) requires a variance. A certain portion of an overhang or bay window is permitted to encroach into a setback (and is considered a nonencroachment to the setback). Click here to be directed to City Code Section 78-1405 pertaining to Nonencroachments. If you have any additional questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ `�' 952.249.4620 �3 952.249.4616 '�' cmattson@ci.orono.mn.us � www.ci.orono.mn.us Summer Office Hours: (Monday, May 20 through Friday,August 30,2013) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Thursday,July 4, 2013 Lot, corner, means a lot situated at the junction of, and abutting on, two or more intersecting streets, or a lot at the point of deflection in alignment of a continuous street, the interior angle of which does not exceed 135 degrees. Lot depth means the mean horizontal distance between the front lot line and the rear lot line of a lot. Lot, front, means a lot abutting a public or private road, across which an outlot has been platted for access to a back lot. Lot, interior, means a lot other than a corner lot. Lot line means the property line bounding a lot; except that where any portion of a lot extends into the public right-of-way or a proposed public right-of-way, the line of such public right-of-way shall be the lot line. Lot line, front, means that boundary of a lot which abuts an existing or dedicated public or private street, and in the case of a corner lot it shall be the shortest dimension on a public or private street. If the dimensions of a i , � � • . . corner lot are equal, the front lot line shall be designated by the owner and filed in the office of the building inspector. Lot line, rear, means that boundary of a lot which is opposite the front lot line. If the rear lot line is less than ten feet in length, or if the lot forms a point at the rear, the rear lot line shall be a line ten feet in length within the lot, parallel to and at the maximum distance from the front lot line. On a lakeshore lot, the rear lot line is the lot line that is opposite the natural ordinary high water mark at the lakeshore. Lot line, side, means any boundary of a lot which is not a front lot line or a rear lot line. z Jesse Struve From: Jesse Struve Sent: Friday, June 07, 2013 2:29 PM To: Melanie Curtis Cc: Christine Mattson Subject: 20130607 110 Chevy Chase 2013-00402 Melanie, I reviewed the survey for the proposed addition at 110 Chevy Chase and have the following comments: 1. The survey should show where the erosion control measures are going to be placed. 2. Some of the new roof is being directed to the SW toward the neighboring property. The applicant should regrade a small portion of the yard to maintain the drainage on their property. This could also be addressed with gutters and a down spout directing the water more to the southeast of the proposed addition. 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 � LJ� � DATE TIME � CITY OF ORONO CALLED IN �^=J/��3 � INSPECTION TI E SCHEDULED �—L� � PERMIT NO.�� COMPLETED ADDRESS �� OWNER � T L PHO E NO��a37-735� CONTRACTOR D�Z(�- �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTiiACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � � ��RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4f)DO OwnerlContractor on si�e: Inspector. �� White Copyllnspector's File Cenary CopylSite Notice a`�' DAT TIME V CITY OF ORONO CALLED IN �_ INSPECTION NO�ICE ��SCHEDULED �Ss—4'/,� � PERMIT NO. � y / COMPLETED r� � ADDRESS OWNER ELEPHONE NO. ��2 7 `�•S � � CONTRACTOR � ��(�(� >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � GW�ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED 1-! 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. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContracto Inspector. White Copyllnspector's File Canary CopylSite Notice L . c�n 3 �� r-�'�i3 TIME u OF ORONO LLED IN INSPECTION E �/na SCHEDULED ��_�3 � PERMIT NO ��'�� COMPLETED `' ADDRESS �D OWNER T �OJNE NO. ^ 7 73 CONTRACTOR � , � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �✓ /11�J- � Ll �.l'/'v1,� '' �d-�.�s S a � Q �¢ S A�� C. v•`5 �S'i � � � vv' � � 2 W � W � J d � ❑WORKSATISFACTORY:PROCEED �B41iQJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlConVactor on site: Inspector. „ White Copylinspector's File Canary CopylSite Notice L- ,�/� DATE TIME � CITY OF ORON� CALLED IN �— INSPECTION NOTICE SCHEDULED ��-�� /D.�3d PERMIT NQf��.3' COMPLEfED ADDRESS � OWNER TE ONE NO�[5�` ��7�'�'�S CONTRACTOR o ��, � ��Q� >; DESCRIPTION �� /� (,� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEfl/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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O -� � W � Q � 2 W � W � J � ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �� White Copyflnspector's File Canary CopylSite Notice �� /��' '� TIME V 'CITY OF ORONO - ALLED IN -�.� I 3 INSPECTION NOTICE '1 -�7 SCHEDULED � �-' PERMIT NO. •��-� �� C~�'`1 D�--COMPLETED ADDRESS � J C% C i��L� �l C'�"�C. l� �� . OWNER TELEPHO E N�. � �Z' '3��g�I� CONTRACTOR ��-� < (��m��''� r--, �; DESCRIPTION I- V C' l I�� - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE 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 ❑ SEP IC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S IC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO ��„_..""' .-_.......�i � COMMENTS: � W C J �0� � � O � � O � W � Q � Z W � W � � GW �Q$�C SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. 1J � � White Copyllnspector's File Canary CopylSite Notice