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Home My WebLink About2016-00593 - interior remodel only � , i CITY OF ORONO * 2 0 1 6 - 0 0 5 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2811 FARVIEW LA PIIY : 04-117-23-34-0003 LEGAL DESC : FARVIEW : LOT 012 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 168,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) INTERIOR REMODEL ONLY APPLICANT PERMIT FEE SCHEDULE 1,53832 PLAN REVIEW 999.91 REVISION LLC STATE SURCHARGE(VALUATION) 84.00 153 E LAKE STREET WAYZATA,MN 55391- TOTAL 2,622.23 (952)540-7150 Payment(s) Minnesota State License#: BUIL-BC639027 CHECK 12258 2,622.23 OWNER DANIELSON, SCOTT 2811 FARVIEW LA 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 becottte 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 afrer work has commenced. The applicant is sponsible for uring all required inspections are requested in c fo ance with State Building Code.This permit may be revoked at an time or due c se� � —L.- �v � l `� / Applicant P �ee Signature Date Issued By i nature Date City of Orono Buifding Permit Application for Maintenance/ Replacement/Remodel — Residential ONLY (i.�, �,��r��iv�rv�, cic�crre�, ��, r�ryr��+�, ��t�. � �i� ��4��"�'��'��. ��.�e��."��3� /�� ,'` Mailing Address: Permit number: � �' ` :�C'�'�' ' 1Y PO Box 66 � j� � Crystal Bay, MN 55323-0066 Date received: -`�- �`>` 1(.�- Street Address: ' �� Received by: �`�T=; t a , ��, �� 2750 Kelley Parkway Plan review fee: � ��'��-k C' � �2 �`-��-- �!� .. `l� �' Orono, MN 55356 /I � �kFSHO,/ �(� � Total Fee: �� Main: 952-249-4600 Fax: 952-249-4616 vwvv�✓.ci orono mn us `�1/� ��'� 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 Add ress: �g�� rcx��w Vjly�oF � Will this be a Parade of Homes, Remodelers Sho cas Home or other Display Home? ❑ Yes [�7No If yes, a specia/event permit is required wiih Police Depariment and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficieni on-site parking is available. Non-permitted events wi/l not be allowed. CONTRACTOR/APP ICANT INFORMATION: Name: �Q,�115�an �L.LC� state �icense# i� 63q 0��- Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were construcfed prior io 1978 Phone: (cell) q,ja.- ��. 35�� (office) (�l� �6�. �{00(� Mailing Address: � L�,� � w City: z� ZIP: ,�,jg/ Contact Person: ��±� (b��n.�a Applicant is� - ontra r / Homeowner (Circle One) Email and/or Fax: p��L � ��o�M� �oM PROPERTY OWNER INFORMATION: Name: 5c,o+{- �a,,,•.a,�5on Phone (day): Address: �gll Fa,rV� � City: Lorg LG-�'',-Z ZIP:.S.S3,Sc(7 Email and/or Fax: PROJECT INFORMATION: Overall project description: ��-e.i�� f2rno��Q,� Type of Project: Any earth movement may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 F ax: 952-471-0682 �Window(s) ww�v.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ d'Op APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • 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 informatio is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the r tion, the a lication ma not be issued. J ApplicanYs Signature: Date: s J �� ' ��, Owner's Signature: Date: Last Updated:January 2016 �` �� i z �� . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � Address: ��/ � �4 /"f/'<eW' `..Q'`1 �� Permit No.: zm��p `'�,j� � Description of work: �2��1d�� aG( t�' lel�G1 Date Rec'd: Septic review by: ��P�(�� (/�-� G / Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: l < Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/A Width: Lot Coverage: SF % Survey Submitted: � Yes No Date of Survey: Revised date(?): Landscape plan submitted? � Yes � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland ide Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour; Perimeter(linear feet) = 50 o L.F. below grade Basement? 0 Yes � No, Stor es FOR A BUILDING WITH A BASEMENT OR CRAWL S ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance bet een the lowest propo ed Slab at or above grade— START WITH floor(of the bas ment or crawl space)a d measure from hiqhest existina the highest po' t of the roof. START WITH ra ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GA LE OR HIPPED ROOF(no Slab below grade—measure (BASED ON wi dows): Subtract half the distance from highest existing grade to the ROOF TYPE) b tween the highest point of the roof hi hest oint of the roof. the low point of the corresponding If you have a... able or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the highest point of the roof to between the top oi the highest the low point of the window and the highest poinl of the roof corresponding gable or hipped roof • A�L OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation 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 Updated: May 2016 z:\forms\plan review checklist 5-2016.docx Average Lakeshore Setback 3horeland District MCWD Permit Met? Bluff 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 � No 0 Yes � 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 (/� Other(specify) L` Square Foota e $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd FIOOr X = $ Garage X = $ ,/ / p �9 l Estimated Construction Value: $ 7(2(�, (yv(� Orono Inspections Required Work Requiring Separate Permits Footing 0 Site xPlumbing ❑ Grading/ Filling 0 Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire � Foundation Survey 0 Hardcover Removal ❑ Fireplace ❑ Water Connection 0 Framing � Other(specify) � Masonry 0 Sewer Connection � Waterproofing/Drain tile ❑ Mfg. 0 Lawn Irrigation � Foundation Waterproofing � Other(specify) � Landscaping �ffi Framing Insulation ❑ As-Built Survey Final 0 Lathe Required State Permits ❑ Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 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 �� . 7��TE TIME CITY OF ORONO CA�LED IN ` INSPECTION NOTICE SCHEDULED �2 � PERMIT NO. �9�� "��COMPLEfED ADDRESS �l l �� OWNER ` 1ELEPHONE NO. �-��'�' �'7�5� CONTRACTOR -S�� L L � � DESCRIPTION �4S�`x��L � l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 BURNER/FIREPLACE ❑ COMPLAINT Q'�❑�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � �G� �c'� _ a � J O ). ° �'�Cr l� �/ Yc 1 �5��- � W � Q � 2 W � W 2 j W ❑�RK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLEf E � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑ TOP ORDER POSTED.CALL INSPECTOR CTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerfContractor on site: Inspector.0 r rw � White Copy��nspector's FHe Canary CopyfSite Notice � � � DATE TIME CITY OF ORONO CALLED r� INSPECTION NOTICE SCHEDULED �.��,�� 1,� PERMIT NO. ' COMPLETED ADDRESS ��O � I f� C�.Y�'/ �c s 1� OWNER TELEPH��. q�"�(o��3 "��l CONTRACTOR �//_,/�S/C��j � DESCRIPTION � / ` W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE �EPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: � YES_NO y COMMENTS: - � W C � � O �. � O � W � Q � 2 W � W � J d W RK SATISFACTORY:PROCEED O PROJECT COMPLETE' � RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva�.. �249-46�� .��- OwnerlConVactor on site: < Inspector. � / White Copyflnspector's File Canary CopylSite Notice /� � ^ � DATE TIM ITY OF ORONO ALLED IN INSPECTION OTICE SCHEDULED � �— PERMIT NO. �5� COMPLETED ADDRESS ��,�� T C�)Z �>/� �—'��= � OWNER TELEPHONE O�� =�J�7/ CONTRACTOR �� `�'C.�/-�f�-- � DESCRIPTION �-L—�,l��L� /C��') ��%��' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 ��ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � AL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL � OWNERICONTRACTOR TO MEF,�1(Q�YES_NO y COMMENTS: ��5 ��3� o� W ^ a � J O � ��Su�� 16� e - ° — 1',� O�?P D�c S��— W � Q z �ON?,�'J/e�.r �l� /s�l5ls�/ - -�- � `Il�i� r'i�i��zc�r t,�,��w,:�' �- 4 C/ j _�1�SA��t�� S�� 'f S�'�.' ��'" d r'C r �a``. � ❑WORKSATISFACTORY:PROCEED ��Q�C�" ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O �SQRRECT WORK,CALL FOR REtNSPECTION TEMPORARY V/ B�ORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN O�S��T/OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED La11v5PECT10N REQUIRED.CALL TO ARRANGE ACCESS. � � Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. L�i �-�' White Copyllnspector's File Canary CopylSite Notice �� ✓ � �� /� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE CHEDULED -� -�� PERMIT NO. � `dD� MPLEfED � ADDRESS ��l U OWNER TELEPHONE NO. ��l-7�� "'Z�� CONTRACTOR �� DESCRIPTION ��--�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTHACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O ). � O _ � W � Q � 2 W � W � � r. � % � d f W ❑ RKSATISFACTORY:PROCEED � ❑ PROJECT COMPLETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. � r Call for the next inspection 24 ho in adva -{95 � 249-46�� OwnerlContractor on site: -�� ,r Inspector. " ✓ White Copyllnspector's File Canary CopylSfte Notice / � � DATE TIME " CITY OF ORONO CALLED IN a' � INSPECTION NO ICE SCHEDULED � PERMIT NO. 3 COMPLETED ADDRESS 2 Cl�I �Q.11�l�/�.Q� 1 `�" OWNER TELEPH��O. �l " � CONTRACTOR v�� ` �/ � DESCRIPTION /� a \ ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI / ILL N Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ 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 _ v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERfCONT1UCTOR TO MEET YOU:�YES_NO y COMMENTS: -r � W a � a �� .��,� ,�s� - o . . � �Al��► /�/�e�s .�- �'!�! G�'a•^ ,� ,D/gce - ° I7l.Zi G� Yc �iK�lc�e �Z� r W ' � Q � 2 W � w � j GW WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-46�� OwnerfContractor on site: 6 Inspector. � White C llnspector's File Canary CopylSite Notice �� j /., �_. \� /,f �"-' DATE TIME " CITY OF ORONO CALL�61N —�-^ INSPECTION NJO7TICE � SCHEDULED %TlL �L.��' PERMIT NO. �� ' -C��`� COMPLETED ADDRESS {-�� ` //i c� ; �/-!- OWNER TELEPHONE NO.�S� (r��!' --��-J� CONTRACTOR -�`�f'`� /-S 1 C`� '' DESCRIPTION �� /�1��'� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUJJDATION/REMOVAL ❑ DEMO-SITE / v ❑ EPTIC INSTALL 2 dWNENCONTRACTOR TO MEET Y�OU: ' YES_NO v�i COMMENTS: �� / �-+ �L / `- /'�l.�S`� /Jrfl ✓i G�G �/'7'"r ,n_f --�� 7"�'� �-T P't)b� � � 0 ). � /� i / / � � /huJ'T ��✓D✓i G/l'i Qi«,��%i�i�S '✓ti� 9."a'dP/ � ra'r�v�n�S" �jb /� W � � �i�a✓'i�� a/�.�'Qi n�i��b�il �� b� yi.r.�,�i J�- �i�m� � / a-r�. W � J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � �❑LOO-R-RECT WORK d PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY C�RECT WORK,CALL FOR REINSPECTION TEMPORARY r BEFORE COA/ERINO PERMANENT ❑CORRECTUNSAFECONDIl10NWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: inspector: r��r/ � - VYhits CopyAnspecto�'s Fils Cm�ry CopYlSib Hotics ,� � � �- �; � DATE TIME CtTY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED � �'� PERMIT NO. 1��l�-CC'`=-`i 3 coMP�Ere� " ��-�� i- ��r'� �'► �� -�� ADDRESS � - �`{�i C- �-�_ .T �-- OWNER TELEPHONE AI�O. 1 •?� �'�G� `_3��I CONTRACTOR , �C'��' � �� Y1 � � �I �'t� � � 1� ) G�_C l'�'�c� � � DESCRIPTION `' � IV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 BURNER/FIREPLACE ❑ COMPLAINT Q �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ E TIC INSTALL ? OWNERICONTRACTOR TO MEET�YES_NO v�i COMMENTS: ��- ��^�( ` ��g'�� l�w�o��- ,r-5��G ��-�- Go c�e� - d K o - `�76a,►=s �v ✓'�v�l��s - �K � — P��. .�rKa,(� C�r✓r.��lon.5 �/�OtJrtl�t� " � O � � �� 4f�ti�! o�eri� /"�•��K tb �4 s� � cSW Go irLe r— � 2Gs� � rtil d r!L Gh�iD�v�e___ d-- �/.d�✓S � Q � W �.,,,�� -�'� n.� �G�l� - �5 �.3 � ja�or o�-� ev �L�-#� - fj� - .: .c.�/i d • — ...��G-F%lt� W O WORK SATISFACTORY:PROCEED __ � ❑CORRECT VMORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑WRRECT W'ORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOUFiS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl forthe next inspection 24 hours in advanoe. (952) 249-4600 OMmedContractor on site: Inspector: <i�i�w �" Whlte CopyAnspector's Fila Canary CopylSit�Notice