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Home My WebLink About2016-00446 -addn/remodel/repair CITY OF ORONO * 2 0 1 6 - 0 0 4 4 6 * , 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 CRYSTAL BAY RD PIN : 17-117-23-44-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT O15 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: ENCLOSING UPPER PORCH. REVISED PLANS ON 06/21/16-T0:NOW ONLY HAVE NEW RAILING SYSTEM ON UPPER PORCH&NEW RUB[3ER ROOF MEMBRANE ABOVE PORCH. APPLICANT PERMIT FEE SCHEDULE 490.12 PLAN REVIEW 318.58 VILLAMIL CONSTRUCTION CO. STATE SURCHARGE(VALUATION) 15.00 5535 COLJNTY ROAD 151 MINNETRISTA,MN 55364- TOTAL 823.70 (612)221-7511 Payment(s) Minnesota State License#: BUIL-20633780 CREDIT CARD 8894 337.18 CREDIT CARD 8894 486.52 OWNER JABS,JASHUA&NICOLE 3375 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORIv 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 E3uilding 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 goveming 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 u'ding Code.This permit may be revoked at any time for due cause. �j � � , � �� , �..�, � �� ,f� � .. � �� Ap t Pe itee S D te Issued B Signature Date _ CITY OF ORONO * Z 0 1 6 - 0 PJ 4 4 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 CRYSTAL BAY RD PIN : 17-117-23-44-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 015 BLOCK 000 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: ENCLOSING UPPER PORCH. REVISED PLANS ON 06/21/16-TO:NOW ONLY HAVE NEW RAILING SYSTEM ON UPPER PORCH&NEW RUBBER ROOF MEMBRANE ABOVE PORCH. APPLICANT PERMIT FEE SCHEDULE 201.32 PLAN REVIEW 130.86 VILLAMIL CONSTRUCTION CO. STATE SURCHARGE(VALUATION) 5.00 5535 COUNTY ROAD 151 MINNETRISTA, MN 55364- TOTAL 337.18 (612)221-7511 Payment(s) Minnesota State License#: BUIL-20633780 CREDIT CARD 8894 337.18 OWNER JABS,JASHUA&NICOLE 3375 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT 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 q — � 1�ld�g�e. his permit may be revoked at an ot f e for due causee State B, � � l �� Y i, r �� ^� , � � �-�.,� I �� '-J �l � pplicant Pe ' at Date [ssued By � nature Date �'��i?f� � , � :, �:�,;,5 �� RECEIVED � , - �� CITY OF ORONO JUN 21 2016 BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS ORONO OA, Mailing Address: � Permit number. Z U� �'' " UC' � � � `VO PO Box 66 � � I Crystal Bay, MN 55323-0066 � I� Date received: �r—Z I – Co Street Address:� �j' �'I Received by: _j�� y � 2750 Kelley Parkway�-� Plan review fe F (qkfSH��` Orono, MN 55356 �� Main: 952-249-4600 Total Fee: , Fax: 952-249-4616 � 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: 3375 CRYSTAL BAY ROAD, WAYZATA, MN 55331 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sulficient on-site parking is available. Non-permitted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: VILLAMIL CONSTRUCTION C0. State License# BC 6 3 3 7,3 o Expiration Date: 0 3/31/2 O 1� Phone: (cefl) 612.221.7511 (office) Mailing Address: 5535 COUNTY ROAD 151 Clt : MINNETRISTA ZIP: 55364 Contact Person: zAN vzLL�rL Applicant is: ontracto / Homeowner �ci.�ieo�e� Email and/or Fax: IArrvIiLAMIL@�t�IL.coM PROPERTY OWNER INFORMATION: Name: JASHUA JABS & NICOLE JABS Phone(day): JOSHUA 352.564 .5215, NICOLE 352.500.2105 Address: 3375 CRYSTAL BAY ROAD Clty: WAYZATA ZIP: 55331 Email and/or Fax JOSHJABS @HOTMAIL.COM, NBARTZ@YAHOO.COM ARCHITECT/ENGINEER INFORMATION: Name: F�ASLo vzLLAMZL Phone(day): 612.388.6622 Address: City: sAZNT F�AUL ZIP: Email and/or Fax: cRuzLo�zc@�r�zL.coM PROJECT INFORMATION: Description of project: __ 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal8� Water Supply ❑ New Construction �Single Family with �]Accessory Bldg./Garage �Addition attached garage � Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑Office/Commercial _ ❑Relocation detached garage �] Residence ❑ Private Sewer ❑ Other:(specify) _ ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may also require ❑ Commercial ❑Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other:(SpeCify) Other(SpeCify 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 (�cck •.l �+�.��R� Fax: 952-471-0682 R E P�T R www minnehahacreek or Estimated Construction Valuation (excluding land) $ �lo,00v.00 Last Updated: January 2016 , . i STRUCTURE INFORMATION: 1.Stnicture Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: �/�� J� b.Width(ft.)= Number of garage stalls: 3. Occupant Load: _ Areas in square feet Attached=_ _ c. Basement= Detached= 4. Type of Construction: ��1.. d. 1 g'Story = �� e.2�d gtary- 5. Code Edition: f. '/�Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed licable ❑ .6' Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ � Surve -2 full size,to scale meetin ALL surve re uirements � ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is r uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory FoRn 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 altemative 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 govemmental 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 Cefificate of Occupancy may be issued upon recefpt of a 510,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: � � � � Owners Signature: Date: Last Updated: January 2 , , � / ,� �� l l. �� /, � �, l� J I � - z �-i c�- _��/'�`l/c�c � c�r r-✓ ��f�` � �-,`�. _; �!'�S� /'1C-�� i_S -C-�7 ��/�vz S _ . . _ t ---------� _ _ � �l�f� 1 � cc�� ,_ `�� ---- ---- � C=`�—�c�-�v��E� �� _S�� C� � ;; , , -------�i �,1� � �' ��--�-_ , c __-- ------. ; _ -- ---- .i `, ` _ __ _- --- -.—_ �� r ��tC�- ��'� iq �� l �/�,�_S __ - _ -_ __ ; �J ., Z�--`� ��-% �' /�� ,� .__ . . -_ _ ., _ ----- � _ _ _ ,; „ � __ ;; � �� 1 ----- —`� , r� C� �� 2�t �� -�-�-� ---- ——�f �� 7i � ��n <<z�% __ --__---°� -- ----� � S� � i � �l� �s �'iff , a _- --- �; � ��'� l� �'� _- _ _ _ ---�' f; _ __ --- - . . . : ! j -� ��'i� �-��s � , - ----- . ��. � ; , _ _ _ __- --- a �f � � ��z-�� ' � � - --- --- �� %°� � �� '� __ ___ , � ; _--_ __ _ ; _ ______ ; � - -- __ _--- ; ��,�s ; � �� r'� � �U►►� �ub�►�Ncd�- � Pra�s� � �►�.c,(�u. � ��,,ec.. . s�c. c�c,b�.•� dlo�k�f �I�A�/ (�. Z.o►c� I�Lfan�c, S�ev�-�- ��rn . C� �ur�. �I �� W� v�G-C,cvc� r-t01 -L�►�.�.. -�c►�, I�� . bu � �cc.�- Do �o� °�g'�-. �o e��r��o�.� �c�a�- rrc.��e,w PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� B�c Permit No.:��D "0� Description of work: B.,aQ l✓'� '-" ��,j Date Rec'd: Septic review by: Date Approved: � Zoning review by: � ��{�� Date Approved: Building review by: Date Approved: i Grading review by: �� t�; L:� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: vised date ? : Landscape plan submitted? Yes � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) N S E W ) ( N S W ) Other Buildings Wetland Side de Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 5 % = L.F. below grade Basement? 0 Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the I west roposed Slab at or above grade— START WITH floor(of the basement or awl sp ce)and measure from hiqhest existin�c the highest point of the r of. START WITH ra ade to the highest point of the � roof even if fill was brought in to y If you have a... elevate home. � SUBTRACTION • GABLE OR IPPED ROOF( o Slab below grade—measure ; (BASED ON windows): ubtract half the di tance from highest existing grade to the i ROOF TYPE) between e highest point of t roof hi hest oint of the roof. � to the I point of the correspo ding If you have a... able r hi GABLE OR HIPPED ROOF g pped roof SUBTRACTION � (no windows): Subtract half • GAB E OR HIPPED ROOF(wit (BASED ON the distance between the win ows): Subtract half the dist ce ROOF TYPE) highest point of the roof to b ween the top of the highest the low point of the ndow and the highest point of t of corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION S tract the distance between the half the distance between (BASED ON b semenUcrawl space floor and the the top of the highest EXISTING ighest existing grade adjacent to the window and the highest GR,4DES) oundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS 1 Updated: May 2016 z:\forms\plan review checklist 5-2016.docx Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? Permit Number: � Yes � No � N/A � Yes 0 � Yes 0 No No ❑ N/A–see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf 0 Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review �/ State Surcharge �' Investigation Fee (,/� SAC–Number of SAC Units L/' Other(specify) �- Square Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd Floor X = $ Garage X = $ ,� _� Estimated Construction Value: $ �(�/,(� D —�r_ Orono Inspections Required Work Requiring Separate Permits 0 Footing ❑ Site � Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire 0 Foundation Survey ❑ Hardcover Removal � Fireplace 0 Water Connection 0 Framing ❑ Other(specify) � Masonry 0 Sewer Connection 0 Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation � Foundation Waterproofing � Other(specify) ❑ Landscaping Framing Insulation 0 As-Built Survey Final � Lathe Required State Permits � Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: May 2016 z:\forms\plan review checklist 5-2016.docx i .� �-O�o CITY OF ORONO � � Street Address: Mailing Address: I Telephone(952)249-4600 y� ` 2750 Ketley Parkway P.O.Box 66 Fax (952)249-4616 1 �' Orono, MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us "�kESH�� 6 May 2016 lan Villamil Villamil Construction Co. 5535 Cty Rd 151 Minnetrista, MN 55364 Re: Building Permit Application#2016-00446 On April 27,2016,the City received a building permit application for an addition to the home at 3375 Crystal Bay Road. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. According to the certificate of survey dated 09/13/02 on file with the City the"proposed home" is shown at a setback of 9.7 feet where a 10 foot setback is required according to the LR-1C zoning district standards. Measurement from a 2015 aerial photo shows a setback of approximately±8 feet. Both are enclosed for your reference. If the required 10-foot side yard setback is not met, the open upper deck space cannot be enclosed without City Council approval of a setback variance. In order to clarify/confirm setbacks, please provide two copies of an updated, full-size certificate of survey which shows the location of the existing house, property lines and adjacent structures within 50 feet of the property boundaries. 2. Hardcover Calculations.The property is located in Tier 1 of Orono's Stormwater Quality Overlay District. Please have the surveyor prepare hardcover calculations, showing existing and proposed hardcover using the City's Hardcover Calculation Worksheet for the City's records. Enclosed is a copy of the City's Hardcover Information Packet. Please feel free to contact me at 952.249.4627 or by email at mcurtis@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO „� � �� Melanie Curtis Planner c lan Villamil via email Joshua Jabs & Nicole Jabs via email Pablo Villamil via email Roger Peitso, Building Official enclosures ��,��,� �' ` � ( ��1 � � '`';_�CONS7RUC71�ON C0. RECEIVED i�r.n_ass:•ao Villamil Construction Co. JUL �'6 2016 5535 County Road 151, Minnetrista, MN 55364 (612)221-7511 cell, ianvillamil@gtnail.com ��N OF ORONO Wednesday, July 6th, 2016 �^ 3 c�sd�(�,J I received a phone call from Roger on Thursday June 30th at 9:23am in regard to the plans for the Jab� / residence which we have in for permit application. It was requested that we revise the plan sheet A-2, and provide two copies. Attached are the two copies of the revised plan sheet A-2. �I Sincerely, ------�� Ian Villamil i �.;;� � �.- � � - - a _ . y� � � � �._, —��.� .� � ��-�� j - _ � .a:� � � . �`=;.�a, ;� � pv� °} •�-"�y; � 'ir � � } V'""'V+ - .,."'t� �'"y--�� 'a�`a�an,''�,, . _ . �� . � � �� , , ^ � . • � A _ . � ^ " �. . i ,. 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R<�,' n�=a� �� '�� `w�� ;^ ,� � � � � „ , +. , . < . , : , a „ . , x � . �� r ,. � ,,� . • � . � < . _ � � � E TIME � CITY OF ORONO CALLED IN � INSPECTION OTIC CHEDULED �— � PERMIT NO. MPLETED ADDRESS ��7S 1� OWNER ELEP ONENO.�IZ ��-7'S�l CONTRACTOR � �� ' � DESCRIPTION �� lu ❑ FOOTINC'i ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Zp ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: ��eC . ✓� �� ' /�t �or�c �,��iirt�- � .Scl�oPtil�� .�� f-a S-!� � / �'4� � " ADG✓ P/�i�rL+ca r� .O•�t/l � � ° � �/t FE.s��O � .sd��tS D►�t L.L. .r- /rl•L. — W . Q c�S .�'scGcSs� — � Z _ � Ol� � �OrIL`.r(,(�` G�c v G�CG. /�s�_ � � W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��RECT VYORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspecto� '�^- Whits CopyAnspector's File Canary CopylSfts Notke � ' � � TE/ TIME ✓ CITY OF ORONO ALLED IN �� '` _��'-Z1�- INSPECTION N TICE �� EDULED ' � PERMIT NO. � COMPLETED ADDRESS K OWNER ` LEPH NE N . �� 7�� CONTRACTOR � � � DESCRIPTION -o/�_/�'�.�1� �-- lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ' INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ AL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOp TO MEET Y'OU:_YES_NO � COMMENTS: L •L • ' � S�� c%L• �pe�tc�r��o., s f � �GrIG�f��o.rS /ii q�it��5�p �"- ,SD�.r�' Dvc✓ �caa✓. � � O , - � �•r�+ � .��'�v�be /KS�I• '� f/•�� O/l �a�� o � w�� _ W � � Q 2 U•G. - W �y�v� /A�' �.t b�a�D�.� - � ��c� s�� w,x��J o,.�5. �s � . _ _ � w�4tti�r�«,.,yG� ,�✓�or �S Govc✓i•�5 d GU F/'c c�.( �!L GO!/.�✓ W ❑WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT YYORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �'2 Inspector.�� "� - - White Copyflnspector's File C�nary CopylSits Notks 1./ � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION TIC j�[�s�cHeouLED __�� oF�O PERMIT NO. r� y 7�OMPLETED ADDRESS �� I� OWNER TELEPHONE NO. , �� `��l- S!/ CONTRACTOR ' � � - l�� < �� DESCRiPT10N v`�'�' � �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI � 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNEH/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ S P�IC INSTALL v ? OWNERICOI�fTMCTOR TO MEET YW: YES_NO � COMMENTS: f � � G�7n��` r' d- �✓�-eow.-,,-C�' � ' v�e� O � V..h � .r [ I� /^r � G�✓�� /��L .J �fr � Ci C�✓`�b n S i✓L O I�C/L� CJ � � 0 � 1 /' �ti 3 . 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