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HomeMy WebLinkAbout2012-00452 - pool � , � , CITY OF ORONO * Z 0 1 2 - 0 0 4 5 2 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : POOL-IN GROUND ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 24,500.00 NOTE: ADVANCED PLAN REVIEW PAID 5/24/120N PERMIT#2012-00451 ESCROW PAID$2500.00 2012-00497 APPL[CANT PERMIT FEE SCHEDULE 413.00 JRS POOLS STATE SURCHARGE(VALUATION) 12.25 1 105 CROFOOT AVE.NW BUFFALO, MN 55313 TOTAL 425.25 OWNER YOUNG,JOHN&LYNN 4355 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AIVD 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 permi[will expire and become null and void if construction au[horized 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. ��_ � _ (� � lf� � � �l Y / ` 0�-- App P Si ture Date � Issue y Sig�ature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � , - , � ��� � / 9q� City of Orono Building Permit Application ��z 5'. z5' for a Swimming Pool MailingAddress: Permitnumber: � �'—L%�-�{`y O�i,�,j�r PO Box 66 � `-- Z�-1 Z ' Crystal Bay, MN 55323-0066 Date received: � � I �� , � � �k� `:� �, Street Address: _ _ _, _._ Receive�:___ �� �� �(� �'�n�%���,����„������' 2750 Kelley Parkw�p��Z�p�{�� Plan reviewfee: �(..�� .� ��c �� �kEB{H04' 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: � •� �� � / � ��s�, �� L�� � 0'1 Name:RACTOR/APP�L�S T I�1���ATIC�N�� --�J � State License# � Expiration Date: Phone: — (j �¢3 Fax: (� Z— Gq'8� Address: f/c�S Lro.(vot ,q�/ aw �' ity: � ZIP: S,S�i �— Contact Person: ���p y ContacYs phone r Email ��z��. Applicant is� Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: / Name: �c:.!(�ro�:a✓ �-�C�c.�n,+� �, t� S�'f C�.L� — �Q�Z --� (O�� '—�� Q 7 Phone (day): Mailing Address: � �, �, _�„q � ZIP: .$ Email and/or Fax ENGINEER INFORMATION: Name: ��� t.�� �� �S� D � �a�-7` t�v�►�� -�`j`�b Phone: � �� Address: `) ��� -`��S^ ,��c Cit : ': cy ZIP: Ocf Email ax: PROJECT INFORMATION: 1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 6. Sewage Disposal & Water Supply X�_feet �Single Family ❑ Above ground ❑ Public Sewer 2. Heated? ❑ Multiple Family/Condo �In-ground [�yes ❑ no [�„Private Sewer ❑ Public ❑ Other(specify) 3. Excavated materials will be: ❑ Commercial ❑ Public Water �.removed from site ❑ Industrial 6. Retaining Walls? �Private Well ❑ used on site ❑ Other: (specify) �yes �no ❑ Other: (specify) "� Height c�'`oC� ��'�� Total Cubic Yards �,/� (� _ ` S ;�� Estimated Construction Valuation $ ,.� �� ���� Last Updated: 10/28I2010 v - 7 - r i REQUIRED SUBMITTALS: ` � � . All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Plan Review Fee ❑ ❑ Pool Plans ❑ ❑ Surve includes radin plan ❑" J�' Hardcover Calculation Worksheets ❑ ❑ Erosion Control Plan or cop of MCWD Permit ` ❑ Septic S stem Certification ❑ Wetland Buffer Improvement Plan ❑ ❑ �Escrow& Escrow A reement ❑ ❑ Other ❑ ❑ Other ❑ ❑ Other ❑ ❑ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Planning 8�Building Departments; • 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; • 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 permit may not be issued. ApplicanYs Signature: Date: � �.- Owner's Signature �...- D . ���� p�an Reviev�r C�ecl�iist for (Vev�o Stru�tures 0 Addition� .. p f � � f"� 9 Address / PID / LegaL '� `'� Description of work: ��� i ' 6 � Septic rediew by: p `�'' Qate Approved: � "��"` '��� Zoning review by: � Date Approved: � �`�`� � Building review by: ��ffi �_ � ��� - Date Approved: � �� �` ;`� Grading review by: �• � � Date Approved: �S /� � Zoning File#: Resotution#: Resolution Date: �onin District Fire De artment F'ast Qffice School District � �� Zoning: Lot Area: °��°� SF / C Width: Depth: j Survey Submitted: es ❑ No (`� � Date of Survey: ��� �� �'"'�"` � _` t Pro osed Setbacks: ` � N S E W ) ( N S E ) Other Bueldings Wetfand Front (L e} Rear et) ` Si Side � � � � � � � ��.� �� � ; Building Defined Height: ��� Building Peak Height: #of Stories Ok?: Q YES FOR A BUILQWG WITH A BASEMENT OR CRAWL SPACEo FOR A BUILDING ON A SLAB FOUNDATION: S T A R T W I T H t h e d i s t a n c e b e t w e e n 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 o f t he cornice o f a f l a t r o o f, , the cornice of a flat roof,the deck line ofa the deck line of a mansard.x�;��9r the � mansard roof,or the uppermost�arrlt on a round uppermost point on��ound or other arch-type '�, or other arch-t e roof roof -� "'� SUBTRACT half the distance b�tw�en the highest window and SUBTRACT half,t�e'distance between the highest window hi hest roof �ea��of a itched roof d hi hest roof eak of a itched roof SUBTRACT the dist�ance between the basement floor/crawl ADD the distance between the slab and the highest � spa oor and the highest existing grade within existin rade within the foundation � e foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQUALS Defined bui�din hei ht - Lot Coverage: � SF % Shoreland District MCWD Permit Receive Ave�a e Lakeshore Setback Bfuff ❑ Yes 0 No N/A � Yes o f3 Yes No 0 Yes ❑ No /A �� Permit Number: Setback: Ffar�cover Zones Existin I P�o � �ariance �e uire CUP Required 0-75 0 Yes � o a Yes No Type(s): Type(s): 75-250' ����"� 250-500' 500-1000' � REMARKS in-house): � y°� �. .�� -�` e , �°- � � `J � g ..Y.._. _ -_ Updated: 09/1 /200 z:\forms\plan review checklist.docx Fees t� be Char ec� Y S NO Perrnit Pian Review ✓ State Surcharge � Investigat6on Fee SAC—Na�enbec of SAC l)nits Sewer Connection 11Yater Connection Park Fee Sate I�spection Other(specify) lVfisce�laneous Fees Cafculated ��: S uare Foota e $ er S uare FoQta e Basement X � $ � 1St Floor X = $ 2nd Floo� X _ $ �' Garage X = $ r Estimated Construction Value: $ ���JO�� f�o Orono Inspections Required Work Requiring Se�arate Permits Required State �errnits ❑ Site 0 Plumbing � Grading/ Filling 0 Well ❑ Hardcover Removal ❑ Mechanical � Fire I� Footin ❑ Electrical g 0 Septic ❑ Water Connection � Poured Wall Q Fireplace F� Sewer Connection � Foundation Survey a Masonry � Lawn lrrigation Q Radon Rock �ed 0 Mfg. 0 Framing ❑ Other(specify) � Insulation 0 As-�uilt Survey <�f��Final E 0 Other(specify) d REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: � YES ❑ NO REMARKS (TO BE NOTED ON PERMIT l�ND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx - _.: , t. . . _ ., _. � '��� ����,,e��� . '�'� _ . . _,. . . .. , - � ���� � '�� , .,... , - , ;.- ,. ,� . . . . ; . ..�...t , , � �d.. �.. ':,: t�a'�'`P^ `k a . �. ., i . � � O ' Y � e � CITY of ORONO � Municipal Offices �`����'�` ,>_ � r� ��,�'�'`;n,� �, Street Address: Mailing Address: "�� � `�,�� ,�,�' 2750 Kelley Parkway P.O. Box 66 ,� �',�� Orono,MN 55356 Crystal Bay,MN 55323-0066 �kESH�g' June 4, 2012 John "Jack" & Lynn Young 4355 Chippewa Lane Mapie Plain, MN 55359 RE: Pool Permit#2012-00425 Escrow Agreement Since I wasn't able to reach you on your cell phone (the number provided on the application) and in an effort to continue to expedite your pool request, please find enclosed an escrow agreement for the construction of a pool. Please sign the agreement and return with a check, made payable to the City of Orono. The application still needs building permit and engineering review, but I didn't want the escrow agreement to hold up the process. If you have any questions, please don't hesitate to contact me at 952-249-4620 or via email at cmattson(a�ci.orono.mn.us. Sincerely, CITY OF ORONO � , Ur Christine Mattson Planning Assistant c JRS Pools, LLC via facsimile 763-682-0984 Enclosure Escrow Agreement Telephone (952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us Confiirmation Report — Memory Send Time : Jun-04-2012 01:28pm Tel line : +9522494616 Name : CITY OF ORONO Job number . 623 Date . Jun-04 01:27pm To . 7636820984 Document pages . 003 Start time . Jun-04 01:27pm End time . Jun-04 Ol:ZBpm Pages sent . 003 Status . OK Job number : 623 *** SEND SUCCESSFUL *** 0� ��`0 CITY of OR(�NO Muiaac�pal OYfaces � „�. Scr¢¢tAddress= Mallinti;Addreats: +r+ 2750 Kell�y Par3cway P.O. Box 66 G~ Oros�o.MN 55356 Crysral Bay, MN 5 5 3 2 3-0066 �gxE o.$,'�'v June 4, 20'12 JoF�n "Jacic" 8. Lynn Young 4355 Chippawa Lana Maple Plain, MN 55359 RE: Pool Parmft iC20'12-00425 Escrow Agraemant Sinca 1 wasn't abla to raacF� you on your call phon� (tha numbar providacl on tFfa �ppllcation) and in an affort to continue to axpadite your pool requast, plaase f(nd �ancloaed an ascrow agr�ert'fent Tor th� canstruction of a pool_ Plaaso slgn tF�e agrearnant and roturn witFi a chacK, made payable to �Fie City of Orono. The applioation atill neads buildin8 p�rmit and anginaering revtaw, but 1 dldn't want tha ascrow agreament to t�olA up tFie procass_ If you Ffava any quBstions, plaas6 don'Y hesitata to oontact mo at 952-249-4620 or via amail at cmattsonCh�ci.oronp�n.us_ Si nceraly, CITY OF ORONO Christine Mattson Planning Assistant c JRS Pools, LLC via facsimile 763-682-0984 Enclosura Escrow Aare�m6nt Tcicphon�(952)249-R6U0 -Fax (952)249-46]6 www.ci_orono.mn_Lts COVERSTAR s`Ar✓i� ,�,.Si!i'c.�,s:-�''�e ��:�"` "'a^-�2„,v:"+ , �;..w'�''ea»'F'�'��tu4,"""y:�r'+ ,,,��.;e.+r.`-,�¢"ao-�.�.'�.'I"'`c.aY;r'�shw�a%'� .. .�„5:�"��..-�_:.,..�.;ti,�::t%'", ««�«.cuversfar.com MEM Date: 5-12-2000 To: All Distributors From: Harold Rogers, V.P. Sales & Marketing Re: ASTM TESTING FOR COVERSTAR AUTOMATIC POOL COVERS From time to time the question arises as to whether all the Coverstar pool covers meet ASTM Safety standards. The answer is yes• There are various requirements that must be met for a safety cover, with the most critical being the requirements as stated in F 1346-91 section 7.1 which requires "Static Load—In the case of a pool with a width or diameter greater than 8 ft (2.4 m)from the periphery, the cover shall be able to hold a weight of 485 Ib (220.0 kg) (2 adults and 1 child) to permit a rescue operation". When one sees photos of more than a half a dozen adults standing on the cover within that radius, it is easy to see that the Coverstar cover easily meets that requirement. Our standard automatic cover, the CS1800 was tested and approved as a safety cover both by UL and an independent testing lab. While the test reports specifically refer to the our model CS1800, the same test results apply to the CS200 (which is virtuaily identical to the CS1800 except that it is used for spa appiications). The CS200 uses aIl of the same components as the CS1800. The fabric, ropes, webbings, leading edge, tracks and power train are exactly the same. In other words, it is the same unit except that some of the mechanism brackets and the rope reel have been cut down slightly to fit in a smaller space. Ali warning labels and installation instructions are identical for both models of covers. It should be noted that section 7.1.1 which applies to most spas, the weight requirements are only 275 Ib. versus for the standard pooi cover. If you have any questions, please feel free to call me. COVERSTAR /NC. 533 South 500 West, Provo,UT 84601 Phone 800-617-7283 Fax 801-373-5095 Email hr@coverstar.com � JUN-O6-03 FRI 10�41 AM THE COPY SHOP FAX N0, 6126824791 P, Ol Infarmatio� Sheet Pump Size 1, I-��' - '�'urnovc� 8 Hrs. G�lionage �0 � �f, S�v Filter - I3�� �'t.2 �,��%��f 2 �� Concrete Band 13e��m at Base of W�1ls Air Gap - Fill Method Carden �ose . ,I� • � g Xr ninn:�.tt lrnf'F� ..-��...s .b b< <o.�— �3 � ���?�� g��t/ � 1� � �`�'l ' �� / �5� �'V1 �1c� f-f��� ��� �xS P�,oRs 1145 Crafoot Ar�e, N.W. Buffalo,MN`55313 ?G3-682-4343 Jerry HaGt�rn Owner ' Hen�'�epin County GIS - Printable Map Page 1 of 1 i Interactive Property �• _ _. Maps `; Map /i�� .•.-�*c �� . , , � , � �:_�.-���. � �; , t . . .;' , ,� _ ' a` � �'-.�i��-`. . � . �� _ .;� ti�� �:ti �� "'��� � ,,,,,, . .�,� � - „ .. �� �r1�i , �� '� ..,�' ,,'�.i`'��'`�WF '` c a4 . . ;�,,• �� ,e •���. ��a � � § � b �"� ♦ , � j `1. � � � � T�A�� � ��. � . , r ' •'2�.. 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'�" .'w .s . .. �k .�1, ti . ,.��� �i .�, '-. t E, �'. y.�a�+�►ii�,��v. r+ .�� �. �t'+'� '�.i �. �;,5 � •jy`�►�'.•. �'' ��, "�. ,��.��4�,��lt��` � '�` :r� � °�"� ..�,� r. �„ �� ;��. � a 7i „ �,�, ,' � � �� . `+ � "� , r !�:t�.....�ri`.M.�*i'•,l"«':-'�a�bc� a � .,'-.`' F i�'. .'��� ','��� '1r'.����r �.T`��e� :��..'r�t��" � Parcel 31-118-23-42-0020 A-T-B: Abstract Map Scale: 1"=200 ft. N ID: !�1 ' Print Date:5/24/2012 Owner Johns W&Lynn E Young Market �553,000 �rT Name: Total: Parcel 4355 Chippewa La Tax $6,171.08 Address: Orono, MN 55359 TotaL• (Payable:2012) ' Property Residential Sale $595,000 Typ2: PI'ICe: This map is a compilation of data from various sources and is fumished"AS IS"with no Home- Homestead Sale 03/2007 � representation or warranty expressed or stead: Date: ' imPiied,including fitness of any particular purpose,merchantability,or the accuracy and � completeness of the information shown. Parcel 5.12 acres Sale Waf�8f1�/D22d ' COPYRIGHT OO HENNEPIN COUNTY 2012 Area: 223,145 sq ft Code: _ _----------_ _.__. � -. �; Green' ' http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=450161.0806704851,4981210.... 5/24/2012 ;. ,� r,.,.�,�..v..-�..�..:...� .�. __ _.;.�.�.� �:�,,. �._�. . ; W` - � � , �---��.,.. � r�.�.--. �� ..� CM r�.� „_ _.: ... . �,.� -...� : .. � � � ' ' .��.P I F. r�i�ti "'14� � +i � �+--�4 -.►. i,1� � , � i 1_�'�S i i 1 i ! �I . ., � _u'T� . °1 fl � + i ! • ' 1 ' ,�j .4-b`Panels 02-110 01-]02 � `� � � � � 4•4'Paneis �J2-i 12 OT-i0� � �'� , � ' :•3"Paneis G2-115 02-105 � ! + � � � 4-4'Radius tomer Paneh 02-108 02-106 E� � �-�---� —�' N �-�— -�—' `' �-- K a I-�- 23-Braces 02-008 02-002 S I Z E A B C D E F G H J K L i 1-16x36(oping Se1 10-602 10-602 �8'x 36' is' 36' !' 3'4" 12' 14' S'6" 4'6" 1'6" 9' 4'8" � ��'�� 1-4'Rodius Coping(omer Set 10-061 10-061 ,K„�o.,�„� �, 4� 6' 6' 6� 6' 1-Vitryl Wer roa sioac anne lE' 36' S'6" 3'4" 12' 14' S'6" 4'6" 4'6" 9' Z'2' ; 4'R 4'R ' . �. � - 1+ E �CaMC![TE 06A n�e i m M![ �' ���T� �~ e x a q w.ws PRE�I �i=o' ��a�cm�rin�i 6'St�p-Remove 1-6'panei,l-0'paneland 1-brac�. Inse�i 1-6'step ����� �,„�I � I �""6 a'°�'�. 3' 6� and 2-f 02-113)2'poneh.Use 1•(11-005)step 6olt kit. ` �`:r"'' �� �� � POLMSTTNEIE � yi�PE IN�MIII ••.�{:�..-.;l.;_.�.• p1n0. � Y%f X Nl/Q'1H0t 18'-0' 4� * 8'Step-Remave 1-6'paneE,l-0'panel and 1-6race. Inseri l-8'step s:• � ,,,,� ��� 4 ' �. �"rx�,� �_ • and 2-{02-i 14)1'panek. Us,e 1�11•005)step bolt kit. '�''°'�""'� Q '�`.'.'"""E` , �- �"'�oa�"'� �`"em� 3� 4 "� � '• R� � �-x Z -�T ,��F�� L*'x=�r4-BOLl9 '�"}�{ �:; .,W�{�.Y��N'°"�" COP710NAU ���E�' y����p ' y(EAfAI'1 7fAiD 4,R 4�R vnn �s�a� u�u.er�cKr vw rvooie�se �� � YPoOl8A8E ttNCJlE1E FOQ7FA SOIIF 4� 6� 6� 6� 6� '"`� ,. m�c romca +poc� •�� � �e c�ownune anotnmon �� 7bRp MOIRD VEIMETFA M/OI�D�AM • ' • ���0� 4� 6� 6� 6� 6� 4'R 4'R .�"�` ;�:_�,� ( rrr 4 � �� O �� 3� 2, � p p • o � w • Q 0 � 0 t 8'-0' y� * 8� e� , ' 4 f �_ - o0 0 i 3� 2� o �' 0 -- .I �� n � � i I '� 4,R . i 4 R I ,•-R;�,� �7EIM�D � S LOfit O�� r,. 4' 6' 6' 6' 6' .�.�,��.. � � norr icva,iw s*..c • �� • • I THIS DOQIMEhf IS FOR{LLUSfRATt�'E PURPOSES ONLY. AlhMion Dealer. N i�your resFxmsibilily b see that 1ha wFey packoge provided kry FWP is delivered lo pool owner ond t�wt tfie NO WVING I FlNP mokes only those ie�uesenicnon.whith ore stoted in ih written worrony.My other viaming lobels are properfy installed. 1 reprusenfulions,sbfemenh,or conhoc9�mode by the deoler/conhoclor b the cuatomer i �egarding any moMrials produced kry iWP are aRriburoble b tha dealer/conhnctor on . T H E ' � The deeler w mntracrtu who sei�s or�,�stalls your pool is an independent contracar o i: BUILDING 1HE FQRT WATNE POOLS��INC nw en t w amployee of F1NP.7ho consmxnon meihods lluurated here are wggestions �g�►T�• FOlLOWING POOL• 6430 Gettys6wy Pi�e I * o �'SP� �PE �� ond a�y mly a n«mal round cood�rio�s.Thae may be addiriond praautions ond/or FT WAYNE,IN 46QOA USA Diagonols given to 40 point of corners. �,�,�or��,,,,,�.�,a.�,��a,�,y;,�,e��.,. Y�OI 0 Et�� _ _ ; e , e = � i , � , � � These dig dimension�canply with t'.�e Naiionol Spo ond Pool InsfiMe suggesled mini- ,,�E � z � a s. a • :aa � (��9�432•8731 � � mum sla��lords(or residenfial Pool.. IF diving boards or slidas are b l�e useil with ❑PitEM1UM - �� —��'w WYlW.LM{1�fC�.COp1 � 1.A.•I v g n i c o l d�i m e n s�o n s a r a(r a n I i n e r i.S o i l ro n a v e mi nim u m b e ari n g c a p o ci l y o{2 0 0 0 P.S.F. 3.Excovotion shall ba 2'la r ger than all arou�. �ese p c�ols p lease consult fhe mon�tac�ureh insAvclions and�e National S p o 8 Pool PREM( p�T i r�T� I p o exnvsioni on oil pa+ls. 2.Locale top of pool af least 6'above surrounding Fill voids undsr base of panels an tamp well. Insfitvte's mmimum shndords prior io inslolling divirg Iwards or slides on ihese pools. �� ��"X 3 6, D R A W I N G N U M�E� lond elevation. 4,Backfill witn non-er.pansrve ma�erial. For inFormation conceming NSP!m�nimom standards,write: Natiorwl Spo 8 Pod JANUARY RECTANGLE 4'RADIUS �P'O„ 9' Insfito�e,ZI11 Eisenhower Avenae.Ale�eandria,VA 22314•703/838-0083 1949 60iYlIGMT 1999,FOlT WA1'NE►OOlS�,tNC. � ATE TIME CITY OF ORONO CALLED IN � � a" � WSPECTION N SCHEDULED � �- a= �''� PERMIT NO. �� ��� COMPLETED ADDRESS �3 ` OWNER TEL PHONE NO. � �- ��5�33�`3 CONTRACTO � S /LL-PD r G(-!�l >; DESCRIPTION / ��- � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y � FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o t ��'=�� 1�,�t`�"�i �� ��� �C���) � 1'1/t�1 c i t�l�t �> E''�" / � � � �C���� C �� �?� �� l a � Q � z W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W RRECT WORK&PROCEED _i ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector_ C�t ���.� �� White Copyllnspector's File Canary CopylSite Natice