The URL can be used to link to this page

Home My WebLink About2015-00332 - addn/remodel/repair • CITY OF ORONO * Z 0 1 5 - 0 0 3 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2015 ` � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 COBBLESTONE CT PIN : 33-118-23-11-0080 LEGAL DESC : STONEBAY SIXTH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 21,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) ([NTER[OR REMODEL ONLY-FINISH F3ASEMENT) APPLICANT PERM(T FEE SCHEDULE 371.75 PLAN REVIEW 241.64 SAWHORSE INC. STATE SURCHARGE(VALUATION) 10.50 4740 42ND AVE N. ROBBINSDALE, MN 55422 TOTAL 623.89 (763)533-0352 Payment(s) Minnesota State License#: BUIL-2382 CHECK 110865 623.89 OWNER RICHARDS, PAUL&DIANE 2470 COBBLESTONE CT LONG LAKE, MN 55356- AGREEMEIVT 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[3uilding Code. This permit is for only the work described and does not grant permission for additional or re►ated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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[ime after work has commenced. The applicant is responsible for assuring ail required inspections are requested in confor nce with the State Building Code.This permit may be revoke a any[im or due cause. -Z- ) S' v�-- i � i/ cant rmi ee Signature Date Issue y Signature Date � � T CITY OF ORONO BUILDING PERMIT APPLICATION �' �5 FOR NEW STRUCTURES OR ADDITIONS 1��g� ��0�� Mailing Address: Permit number: 2 d/5� � �2 ' O PO Box 66 _ ('� � Crystal Bay, MN 55323-0066 � Date received: � Z,�j' �S S tree t A d dress:' Received b y: Z.{� yF �j7 2750 Keliey Parkway �I l (/ Plan reviewfee: �lC�� -1 ca.��y;p:f • y�.k_ tqK� ��.`' Orono, MN 55356 I � S" � �,3, 8 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: 2�"'10 Cati3g�Es�rouE �c�CL'T' �II this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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 will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: GjA1Al4�ou1S E State License# 'aC.ov 2.3$Z Expiration Date: '�-3 t - Zt��C.� Phone: cell office �,03• 5 3- O 5 Z Mailing Address: '�4D yr�, RQ� N. Cit : �vc30,. ZIP: Zz Contact Person: �A�.! 1�,t.t�l�K� Applicant is: Contract / Homeowner (Circle One) Email and/or Fax: -pAt�M,c.1yo5��( � ShVlcko�S�VSA_ /�t'� PROPERTY OWNER INFORMATION: Name: Phone (day): Address: Ciry: ZI P: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: 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. �ublic Sewer ❑Accessory Building ❑ Single Family with ❑ Deck Relocation �" detached garage ❑Office/Commercial ❑ Private Sewer Other: (specify)�i-�_ i7SM.�. ❑ Multiple Family/Condo ❑Warehouse � ❑ Public ❑Storage ❑ Public Water **Any earth movement may also require ❑ Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Othe�: (SpeCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 wvn�v.minnehahacreek.or Estimated Construction Valuation (excluding land) � '21 DOC� � • 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. 15t Story = ❑ On-site Prefab e.2nd Story= ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: . All of the information must be submitted in order for your application to be processed: • N ot Enclosed A licable ,P1 ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ fi3 Stormwater Pollution Prevention Plan ❑ � Hardcover Calculation s ❑ � Se tic S stem Site Evaluation Re ort ❑ B Access Permit ❑ �7 Wetland Buffer Im rovement Plan ❑ C� En ineered Plans for Retainin Walls 4 feet or above ❑ �d Minnehaha Creek Watershed District Permit s ❑ 0 Plan Review Fee ❑ Application Escrow&Agreement ❑ � 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 s10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: 3' 2 3' �S� Owner's Signature: Date: � • � PLAN I�EVIEW CHECMCLIST FOR IVEW STRUCTUF�ES / /4�DITIONS s ��ldress: ��`� � � �.,�3�a�l� �i� d�� ,.�' Permit No.: 2�r.� - Q�� . Description of work: �C`T")A� � ��5.1%�'�-� �a�%r�;.� Date Rec'd: �-�� ' Septic review by: a��'f� Date Approvecl: ' Zoning review by: �"(r`°� Date Approved: � Building review by: Date Approved: � - "� �- �3i S� Grading review by: /�f�'�- Date Approved: Zori'ng District: Zoning File#: Reso#: Reso Date: � Zonin • Lot Area: SF/AC Width: Lot Coverage: SF �_% Survey Su itted: � Yes ❑ No Date of Survey: Revised date ? � Proposed Setb ks: Front (Lake) Rear(Street) � N S E W ) ( N S E W ) Other Bui ings Wetland Side Side � Defined Height: Pe Height: FFE: FFE min 6 feet= (Existing Contour Perimeter(linear feet) = 50% L,F, below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:` FOR A BU! ING ON A SLAB FOUNDATION: �' The distance between the lowest posed The distance between the top of START W ITH floor(of the basement or crawl space� nd START WITH slab and the highest point of the ;, the highest point of the roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(no (no windows): Subtract half windows): Subtract half the distance the distance between the between the highest point of the roof highest point of the roof to to the Iow point of the correspondin the low point of the SUBTRACTION gable or hipped roof corresponding gable or (BASED ON . GABLE OR HIPPED ROOF( h 4� SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half th istance BASED ON . GABLE OR HIPPED ROOF between the top of the hi est OF TYPE) (with windows): Subtract � window and the highe point of the half the distance between roof the top of the highest � • ALL OTHER RO TYPES(flat, window and the highest point of the roof mansard,etc): o subtraction. . ALL OTHER ROOF TYPES SUBTRACTION Subtract the dist ce between the (flat,mansard,etc):No - (BASED ON basement/cra space floor and the subtraction. EXISTING highest exis g grade adjacent to the ADDITION Add e distance between the top " GRADES) foundatio OR 10 feet(whichever is less). (BASED ON of slab d the highest existing � EQUALS Defin building height EXISTING grade adja nt to the foundation. - GRADES EQUALS Defined buildin eight Shoreland District MCWD Permit pverage Lakeshore Setback gluff Met? Permit Number: 0 Yes 0 No 0 N/A � Yes ❑ No 0 Yes No �` O N/A—see attached Setback: s Stormwate�C�uality Existing Hardcover Proposed Overla�f'Distric4 o Hardcover Variance Required CUP Required Tier �ircle one (��and sfl %and sf `, � Yes � No � Yes C] No 1 2E 3 4 5 Type(s): Type(s): � Updated: January 2015 z:\forms\plan review checklist 2015.docx _��. �. , ,._w_� ._.... ��... . � __ _ .. .�. _..�. .__,_ . .,...,: � .... .. .. ....: . . �.,.., ..,.-�� REMARFGS (in-house): Fees to be Char ed YES NO ' Perm it ;�`�� Plan Review �'�' State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er Square Foota e Basement X = $ 151 Floor X = $ 2"d FlOor X = $ Garage X = $ Estimated Construction Value: $ �1� C�c;� ��"`- Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site �Plumbing 0 Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control Mechanical 0 Fire Electrical ❑ Hardcover Removal � Septic 0 Water Connection 0 Footing I7 Fireplace Q Sewer Connection `�, 0 Poured Wall � Masonry 0 Lawn Irrigation � Foundation Survey � Mfg. � Landscaping Q Foundation Waterproofing � Other(specify) r- � Radon Rock Bed Framing : �nsulation � As-Built Survey �inal 0 Other(specify) REMARKS (in-house): � Other Review: Reviewed by: Date Approved: '4 Access: Existing: 0 YES � NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLE� � Updated: January 2015 z:\forms\plan review checklist 2015.docx : SAWHORSE ��`� � ��.�.4� - � �� DESIGNERS & BUILDERS Paul & Diane Richards CPR Date: 3/27/15 2470 Cobblestone Court Rev: Orono, MN 55356 Job # 2229 (] SCOPE OF PROJECT: Unfinished area of lower level to be finished. Peninsula cabinets & countertop added in Family Room. Remove center section of wall cabinets & save for Owner. Save & reinstall crown moulding above upper cabinets. Relocate wet bar sink vent line as needed. 1 Existing windows remain, protect as required. (J Walls to be removed shown as "shaded" on existing plan. New walls constructed are shown as "hatched" on proposed plan. [� WINE ROOM WINDOW- 2 Direct Set round top wood fixed window Rough opening: _'_" x_'_" (R.O. Includes 3/8" @ sill) Glass size: Approx. _" x_" Glazing: Standard insulated glass Finish: Pine, stained & sealed Jamb size: 4 9/16" due to existing 2x4 stud walls Sash is fixed. No grids, blinds or shades included in this contract Trim: Knotty alder F132 3 '/4", stained & sealed —wet bar side only [] INTERIOR DOORS- A Existing 2'S" prehung door with frame and hardware removed and reinstalled to A1 Trim: Reuse existing casing—both sides B 2'8" x 6'8" knotty alder 2 panel raised "square" prehung door 2 '/2 week lead time for doors "B" through "D" Rough opening: 2'10" x 6'10 ]/2" Jamb siae: 4 9/16", due to new 2x4 stud wa11s Door swing per plan (if swing changes, adjust electric) Hardware: Schlage Accent, finish: passage lockset Trim: Knotty alder F132 3 '/4", stained & sealed Princeton door stop C 2'6" x 6'8" knotty alder 2 panel raised "square" prehung door Rough opening: 2'8" x 6'10 1/2" (Remaining specs same as door B above) D Double 2'8" x b'8" knotty alder 2 panel raised "square" pocket door Rough opening: 10'10" x 7'0" Hardware: passage lock w/thumb pull, finish: (Remaining specs same as door C above) � SPEC'S Page 2 of 4 � E 2'6" x 6'8" RMl Rustic Knotty Brazilian Mahogany prehung door Wine Room ($1000.00 door nnd lockset allowance) Rough opening: 2'8" x 6'10 1/2" Jamb size: 4 9/16", due to new 2x4 stud walls, non-weatherstripped Door swing per plan (if swing changes, adjust electric) Hardware: Brand: finish: passage/privacy Trim: Knotty alder F132 3 '/4", stained & sealed [] MECHANICALlHEATING per contract. Venting for exhaust fan. Cold air return & 2 heat vents in ceiling in Exercise Room. [J ELECTRIC per contract: • ALL FIXTURES (LTL listed), if on job site at electrical finish, are furnished by owner, installed by SAWHORSE. • SAWHORSE to supply & install recessed cans per contract. • Switch and outlets to be "IVORY" color. • SECURITY and/or PHONE rough-ins are by owner. SAWHORSE wiil advise owner when to call for installation of the above items. • Electrical connections and devices to be removed as needed for remodeling. • Circuits added as needed for remodeling. The following are electrical items included in your contract: 1 - cable TV Jack 7 - standard receptacles (wall duplex outlets) 2 - countertop ground fault interrupter(GFI) receptacles 6 - interior light openings in ceiling 6 - assembled fixtures supplied by OWNER, installed by Sawhorse. 2 - recessed light openings (LLF LR6 6" LED w/white trim) 5 - switches (total overall switch count for single, 3 way, & 4 way switching) 1 - switch listed above upgraded to dimmer switch 1 -Nutone Ultra Silent QTREN 110CFM fan w/push button timer switch, 1.3 Sones 1 - East Heat warm floor(elec. cables) w/ programmable thermostat -Wet Bar& Hall 1 - install Owner supplied wall mount TV bracket & TV (Height: ") Any changes to the above quantities will be charged or credited accordingly. *Indicate any special receptacles needed for computers, entertainment centers or any special height wanted. [] DRYWALL— • '/2" gypsum board & "patch" over wall studs w/taping process, sanded smooth, primed & painted. • 5/8" gypsum board for all ceiling and soffit applications w/taping process, knock down fog finish. [� INTERIOR TRIM- (2-3 week lead time on Ferche base & casing) Baseboard: Knotty aider F2995 4 '/4" w/ shoe, stained & sealed Door& Window Trim: Knotty alder F132 3 '/a", stained & sealed Shelves: 4 Standard white melamine for storage shelves , •SPEC'S Page 3 of 4 �J WINEROOM- Heart redwood by Harkraft. $850 allowance (approx. 100 bottles). �� TILE per plan and the following allowances for materials: Floor- $7.00/S.F. (standard sanded grout) See tile selection sheets from supplier. Any changes to the above quantities will be charged or credited accordingif•. [� FLOORING- Cut & re-stretch carpet at new tile @, cabinets. [] CABINETRY shall be CUSTOM manufactured components. See Plan or selection sheets for details. [] COUNTERTOP shall be Granite 3cm with approx. 6" high backsplash @, peninsula. See plan or selection sheets for details. [] PAINTING—New walls primed & painted 2 coats, millwork stained & sealed to match existing (wall touch up in wet bar area will be needed per new sheetrock doorway). [] GENERAL NOTES [] CAUTION: Do NOT remove, tear down, or dig up anything before building permit is on job site. [) OWNER to protect or move all personal property from in or around construction area, both interior and exterior. Please review area before construction start-up and remove necessary items. [] OWNER DIRECT "Not [ncluded in Contract" ITEMS: SAW HORSE to assist in schedule coordination • Smoke detector& CO detector(place within 10' of each bedroom area) Remove & reinstall hardwired smoke detector in Exercise Room • Sprinkler system- raise dropped water line, relocate sprinkler heads into ceiling • Final Cleaning • LIGHT FIXTURES, except those specifically listed above • FLOOR FINISHES, rubber flooring (tile by Sawhorse) • Modifications to public utilities • ABATEMENTS (lead or asbestos) • Corrections of existing substandard conditions (structural or mechanical) Owner is responsible for all N.I.C. obligations: Selections, schedule costs, liabilities and warranty issues. (� Clean up of building debris at job completion by SAWHORSE. Dumpster may be left on job site for building debris. (No yard waste, tires, appliances or neighbor's mattress). [] Any yard damage REPAIR including trees, shrubs and all landscaping by OWNER. . SPEC'S Page 4 of 4 . �) In home bathroom to be used by workers for duration of construction, please designate which bathroom is to be used: Lower Level Bath Communication is essential for a successful project. Project Manager: Dan McNosky 612-221-4350 Main Ot�ice: 763-533-0352 fax) 763-533-2668 ROOM FINISH SCHEDULE ROOM CEILING WALLS FLOORING COUNTERTOP CASING BASE Famih� EYisUng Existing Existing carpet None Esisring Existing Room restretchcd Wet Bar Existiiig '/z"gypsum board Tile—heated Granite�a>,new Knotty alder F132 Knotty alder# "patch"tape& peninsula— 3'/4", stained b'i sealed F2995 w/shoe, sand. Approx. existing to stay stained&sealed 12LF painted Wine 5/8"gypsum '/2"gypsum board Tile None Knotty alder F132 Knotty alder# Room board w/knock tape&sand, 3'/4", stained&sealed F2995 w/shoe, down"fog" primed&painted stained&sealed finish Closet 5/8" gypsum '/2"gypsum board Tile None Knotty alder F132 Knott�alder# board w/knock tape&sand, 3'/4", stained&sealed F2995 w/shoe, down"fog' primed&painted stained&sealed finish Exercise 5/8"gypsum '/"gypsum board Rubber None Knotty alder F132 Knotty alder# Room board w/knock tape&sand, flooring by 3'/4", stained 8i,sealed F2995, stained& down"fog" primed&painted Owner sealed finish (Floors of Distinction) Hall 5/8"gypsum 'h"gypsum board Tile-heated Granite shelf Knotty alder F132 Knotty alder# board w/knock tape&sand, 3'/4", stained&sealed F2995 w/shoe, j down"fog" primed&painted stained&sealed ';, finish Under ExisUng Existing unfinishcd ExisUng None None None Stairs unfinishcd concrete Utility Existing Existing unfinished Etisring None Exist. reinstalled�a� None � Room unfinished concrete relocated door onl_y ^ DATE TI r��TY OF ORONO cALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO..�/�,�=�Z�"�2- COMP�ETED ADDRESS 2- �—7 G` � c��b(�5��'�/'1�' �'t . OWNER TELEPHONE NO.�'f Z ZZI—�� CONTRACTOR c�'��G�i >: DESCRIPTION �r�' �� / W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Za13A�f}L]N C� ❑ MECHANICAL RI ❑ SITE INSPECTION �❑_F�MIi�IC�-� ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-S�TE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS:� a� W a � J O �. � � � O � W � Q � Z W � � W � j d W 1NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING 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 24 ho in advance. �95 -46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ,�� f / �� DATE TIME j CITY OF ORGIYV CALLED IN INSPECTION��,�I�,E—�\!}�� SCHEDULED � �` � PERMiT NO. � COMPLETED ADDRESS � �� 1 C��7��f'.S f�'i�l�� Cr-� . OWNER TELEPHONE NO�' �� Z-� y 3SC� CONTRACTOR �L' 1. ?�1�^/''� � DESCRIPTION � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC F L 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU: YES_NO � COMMENTS: �t � W a � J O �. � O � W � Q 2 � ' W �" � � W � � ' � J d W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑ CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 2 hours in advan 249-46QQ OwnerlContractor on site: F Inspector. White Copyllnspector's File Canary CopylSite Notice S�� Z D�T� TIME � CITY OF ORONO CALLED IN INSPECTION�� SCHEDULED �-Z-I Z //:00 PERMIT NO. "'"'� COMPLETED ADDRESS °�`�70 � � OWNER TELEPHONE NO. 45LZ� 9��j� CONTRACTOR OT �OW� >: DESCRIPTION ��`� � � ( � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. j �� s � a � 0 � � � s s�o� �- �-��-� Q � l--�or�S �5 Gi o � o N�y — � ll lr�-7- � G�- OF G�G��ic��l. z o. W � j �/ �9' � - �n� .�ll�eds �Q a /� ��tlpRK SATISFACTORY:PROCEED ❑ PROJECT COMPLE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor ory site: Inspector. ��, White Copyllnspector's File Canary CopylSite Notice