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Home My WebLink About2012-01081 - addn/remodel/repair CITY OF ORONO * 2 0 1 2 — PJ 1 0 8 1 * - 2750 KELLEY PARKWAY nATE [SSUED: 11/0�/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2640 FOX ST PIN : 04-117-23-42-0008 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : ADD[TION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES VALUATION : $ 38,090.00 NOTE: SEPERATE PGRMITS REQUIRED: ELECTRICAI,(S"I'A"I'E) DGTACHED GA[tAGE * AS-BUIL"C SURVGY TO BE SUBMITTGD AND APPROVED PRIOR 1�0 RELEASE OF ESCROW AGREEMEN'I'. (INITIAL) V �p �N APPLICANT PERMIT FEE SCHEDULE 563.50 WESTLING, THOMAS& LORI PLAN REV[EW 62.88 2640 FOX ST WAYZATA, MN 55391- STATE SURCHARGE(VALUAT[ON) 19.05 (952)33]-3924 TOTAL 645.43 OWNER WESTLING, THOMAS& LORI 2640 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which Uiis 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 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 suspcnded for a period of 180 days at any time after work has conunenced. I'he applicant is responsible for assuring all required inspections are requestec�in conformance with t e State E3uilding Code.This permit may be revoke �at any time for ue u . r 11 i � ilz i i A p icant P mi c Si at re Date [ssued By Si ture atc SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. � City of Orono 5, �� Building Permit Application � �� for New Structures or Additions Mailing Address: Permit number: a0�a - �� / Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �d' -/ � � � ,��, �, Street Address:� Received by: 0��- � ,�, �ti`S' 2750 Kelley Parkway Plan review fee: �� -b /� � L9kE3H��`� Orono, MN 55356 1C�3, � � Total Fee: �J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us '" ��f � I � This application form must be completed in full and all required information must b ubmitted. `� .3; -��, Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 2 lo`f� �x s-r �r'o�� , .^-�� S53`�/ 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 approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Erriail and/or Fax: PROPERTY OWNER INFORMATION: Name: -j�Yc�.,-cA S fQ, (��5'2�N� Phone (day): ��z —s�Z_ �� Address: ��{a -�k 5�— City: ��^pN b ZIP: �53 `�( Email and/or Fax ARCHITECT/ENGINEER INFORMATION:/I N a m e: �'�Orr yo S t1'• ��S��nrr' �C�ia/�€� � c�CJ�5TL1 N-4 ��3—�YZ---`;�3`��_ Phone (day): ` '�_S " Z— 1 , O c7 � ' 9 ! Address: Z �`fC� o -r Cit : /�o�,t� ZIP: �j3 �; Email and/or Fax: _�,�/ �-?z,� y' . Lb.�.L PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& 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) $ �J 0 Oo�_� Packet Last Updated: 03-06-2012 -21 - � STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= ��' Number of bedrooms= � �]Wood/Frame � b.Width (ft.)= Z � Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = 3 ❑ ICF d. 15t Story = , oac� ❑ On-site Prefab e.2"d 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 ❑ 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 0 Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ 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. l � ---:�.-,��- — _ -� 1 �, -, ApplicanYs Signature: � Date: �� - � � � �' �' � Owner's Signature: �" �� - Date: �--�� - - � Packet Last Updated: 03-06-2012 -22 - Pw, ,,, . . .. . . . . .. . .. .. .. . . . . ..,.. . . .. . .. . . .. . . ...... .. ... . . . � - ��an �eviev�r ��e�k�6s� for (�evv �trucfur�s / Adc�ifiio�s � � Address/ PID / Legal: � �� J �y �� - _ Descriptionofwork: ��y'-��g � ��,��'= �'� � �� x� Septic review by: �€�� _ Date Approved: ��" � �� Zoning review by: Date Approved: � 4 •� l �� Buildin revievv b � 9 Y� �, ��f , �� .��-. Date Approved:_ �' ��,t� � c�- Grading review by: °F.v�y� r��f��,. _s-=- Date Approved: ,"�' �- ;�m � `� `r Zoning File#: Resolution #: Resolution Date: Zonin District �ire Qe ar�ment ��Qffece �cE�ool Qi�trict r s �•� � Zoning: Lot Area: �� .� ��tr�3�F/AC Width: Depth: Survey Submitted: 0 Yes Q No Date of Survey: ��" `�`�� '��-� Pro osed Setbacks: ° Front -�ke Rear S et d � S � �' 1 { � � � �W� � ) (�'��) f ,) Otf�er Buifdings Wetland _� Si Sid� ` r��'� ��.-_' ' t�� -.� � , �� Building Defined Height: Building Peak Height: #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR R BUILDING ON R SLRB FOUNQATION: START WITH the distance between 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 of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highe�,t space floor and the highest existing grade within existin rade within the foundation "' the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluf€ � Yes t7'�No � Yes � No � N!A � 0 Yes �No ❑ Yes � No ��N/A � • Permit Number: Setback: Hardcover Zones Existin� Pro oseci �aria�ce Requirec� CUP Re�uired, 0-75' � �°' E� Yes ��No � Yes � No r � � 75-250' �:� `�`t�'�� ' �� TYpe{s): TYpe(s): w; 250-500' ',� �.�� 500-1000' REMARKS (in-house): U pd ated: 09/11/2009 z:\forms�plan review checklist.docx �...,., . ._.... . . .._._,., . , v . .,, ,,. .. ,. ..�,. ,. � -. . .. ... ,.. , , - tv .w -,., fi . .�, ,- _,, � Fees to be Char ed VES I�O , Permit Plan Review � � � State Surcharge � �' Investigation Fee � SAC—Number of SAC Units + � Sewer Connection � Water Connection ; f Park Fee Site In�pection Other(specify) ll�iscellaneous Fees Calcuiated By: S uare Foota e $ per SQuare Foota e Basement X = $ 1 St Floor X = $ !' 2nd FlOor X = $ [' � Gara9e 'c� c�' � X ��. � ' _ � 5� � �{� ��' �� r- �; fs �: Estimated Construction Value: $ ,��.��; � �; � Orono Inspections Required Work Requiring Separate Permits Required State Permits . �; � Site 0 Plumbing 0 Grading/ Filling 0 Well �� 0 Hardcover Removal ❑ Mechanical � Fire ,�`Electrical � 'Footing 0 Septic 0 Water Connection ❑ Poured Wall � Fireplace � Sewer Connection �� ❑ Foundation Survey 0 Masonry � Lawn frrigation C] Radon Rock Bed � Mfg. � ,�'Framing 0 Other(specify) �, � Insulation � : . As-Built Survey ,- �Final � 0 Other(specify) � f � REMARKS (in-house): �; �� Other Review: Revieweci by: Date �4pproved: � � Access:Existing: ❑ YES � NO Nevv: � YES � NO F � REMARKS (�O BE NOTED Of� PERMIT AND INITIALLED BY PERSOt� PULLINf� PERMIT) >` f'�� [� �.�� `� %�� `��,'.,�;' -�'�' �,# ,��,��''?[�'�! �-�,r�� 'i= C�,`1�i1��; ;:F;� f'� �`�.., �_� �t � � ��.��k;�.1�'�� ` ;� i'i��R�� (� E�i��,,.'x';��f�ir�/"y�— € t $. 5 �� Y � W s Updated: 09/11/2009 z:\forms�plan review checklist.docx ��. y� �"�� ` �t�`i '' �?+.Y��. Y;r.�"�,a+e'�r�`�"t`'�� `��T"�r�#''�'�' ,: ,,� a}��s�`"eR",��i�w�-�a�^ �s�z,�� s �e."`d��" ;'�e i�+.��''....Stei:;. .�,&5��`.�+�'+�.':s`,i .idi�'�"S�.,u:�3fG'�14i":,.u�.,_.. >..�.�r�zw.�� `��xs.> �?,. ,...��:�Yz:.r��:tt...r„ �,_ . .5.��:,:Y;�,, .�s�.�:.. ;t�� _ Christine Mattson From: Christine Mattson Sent: Wednesday, October 31, 2012 9:25 AM To: 'loriwestling@yahoo.com' Subject: 2640 Fox Street/ Building Permit#2012-01081 Attachments: admin@ci.orono.mn.us 20121031 091426.pdf; Escro�w Agreement- Building Permit w Erosion Control 2012-01081.pdf; Survey Requirements.pdf Attached is a copy of the letter being mailed today, along with the attachments....escrow agreement and survey requirements, for the proposed detached garage project at 2640 Fox Street. Please don't hesitate to contact me if you have any questions. 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 � 952.249.4616 � cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, November 12, 2012 1 � �°�o CITY OF ORONO �, �„ Street Address: Mailing Address: Telephone(952)249-4600 S'�, � 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 �,9 F,G Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us kFSHo� October 31, 2012 Thomas Westling 2640 Fox Street Wayzata, MN 55391 Re: 2640 Fox Street Building Permit Application#2012-01081 On October 25, 2012 the City received a building permit application for a detached garage. Your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. A partial copy of a survey was submitted with the application. The copy of the survey is not printed to scale and does not coincide with the submitted building plans. Please provide two (2) copies of an updated, full size, scaled certificate of survey of the entire property which meets all of the City's survey standards (enclosed) indicating the location of the proposed detached garage (and any proposed grading) as well as all existing buildings, structures, landscaping, retaining walls and hardcover on the property. 2. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is $2,500. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$2,500. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORO O . � � Christine Mattson Planning Assistant c Lo�i Westling at loriwestling@yahoo.com Lyle Oman, Building Official enclosures , , . ; • • � - • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street Date: May 27, 2014 G/L: 101-22205 Re: Escrow Refund Building Permit Application #2012-01081 pertaining to 2640 Fox Street is complete. Please refund the $2,500 escrow to the applicant, Thomas& Lori Westling. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Thomas& Lori Westling 2640 Fox Street Wayzata, MN 55391 z:\forms\escrow refund form.docx BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-01081 AGREEMENT made this �� day of /�=�J��2, 20��?;by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Thomas A.Westling ("Owners"). Recitals 1. A building permit application has been filed for a detached garage located at 2640 Fox Street the ("Subject Property"), legally described as Tract B, Registered Land Survey No. 1249, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2012-01081 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Batance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject p7"oper�r.pursuant to Minn. Stat. §§415.01 and 366.012. � ----_, CITY: CITY OF,ORO�.pl.0._- OWNER: , , . _-�-- �- ; ( �._ -_.._.____ gy; � �� ' � -- �, • i ics: ` ,, �=-� :� � � Internal Use Only: �Original to Planning G Copy to Property Owner O Copy to Street File �� . . . . . � . � ' .. � � . i `w,t�:r ;;f ;.r��',E'�v '_r' ��;��ti r�as^i,h�.�1� ' S1:v�!f,v ?�{kr a�.,�;� . ,. � �r�'�.��rK....itivyi';de . �, � � . . . . . . . . ,. i i{,n�.e+af. f�l�) .t:'rili`I�'0 ,:�4n�' i ?>�.: i ,' j itl�"tPt�;�h �F"�:'�.3.�t1y i �y-r=. i_ a2:�`!� �2;i.,�:f`" .C��) j N+'Y'});t•W I Y.�.G� L -� i.}..i }�itv! !.. 1' ��'� ft; ''��Y..{r�' .. '. �. :1.tt,^'L-�1�6'!:S . � ' , �;f:arY�n;.� �;.t-.�}+?trnii•�:'t• TkGf.;Z?° - x� : '-;:;�1: , ' ,�:; - � _...�_.v ,.._.�_. .n � ;':�ec;c G'r:�r'� �r ,Fa.��; ;y.��;,�u� F��s�o;; ,V,,,. it, �d: ��:i1t�iL i�]ad:.. �J�;:i.:.�U: w.ii.Y`:,1�� '. �!'S�ar��a. j�;F4i�'?t`�u: _ _ .............'.`,+4,_ � .. �� . .�:�/..`:o?�':t�'.. ;�lj}�;.'}"ajl�i�.__ _........_.__..._. . , I . . . . . . . . , , CITY OF ORONO �I*Illllllllllllllllllllllllllllllllll�l�l�lll��ll�ll 2750 KELLEY PARKWAY pAT� [SSUEn: 10/31/2012 ORONO, MN 55356- (952) 249-4600 FAX: (9�2) 249-4616 ADDRESS : 2640 FOX ST PIN : 04-117-23-42-0008 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#2012-01081 -PD CHECK#5849 APPLICANT ESCROW FEE-BUILDING 2,�00.00 WESTLING,THOMAS& LORI ESCROW FEE-EROSION CONTROL 0.00 2640 FOX ST WAYZATA, MN 55391- ESCROW FEE-GRADING 0.00 (952)331-3924 TOTAL 2,500.00 OWNER WESTLING, THOMAS&LORI 2640 FOX ST WAYZATA, MN 55391- 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. A►]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 requested in conformance with the State Building Code.This permit may be rcvoked at any time for due cause. / / / / Applicant Permitec Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . r �J�'- Rermit � �� _�_ I� � _ Pi� o � � �� ► ►� ❑ _ � '�' ...D a o*N « ��>��+L r �:��a � _ , . Permit#: 2012-0�081 r� ��F��ir1 �I�1 ,�d�i��ss __._ -- _ � PermitAddress:� ��2640 F�ox St -_ _ _ _ � ��f�� t�� ,�,,�i��,�� v� _ _ _ _ _ _ _ _ _ _ _ . �' Permit issue General� Fees Inspections(5� �Not�s� Ap�li�ant Qeteil � CO aetail� Seq Inspection Ty�pe Inspector �ate Status H Fee Rec �� ;Footing WGIB 11/9f20'E2 P .Y f0 ' . . _ - - , �2 ;Framing iWGIB 8122f20t3 P �Y !0 , / � ` ; ■ � � � • 4 '�inal . __ _ WGIB f�l'k7120�3i� 'Y �0 I __. _ : �5 Final R�INSPECTION �IIGIB �0/28120�3 �' Y f0 : ►�. i � 1 �C� �'�`.� DAT TIME /t� CITY OF ORONO CALLED IN �" � INSPECTION TICE SCHEDULED j - ��'m PERMIT NO. �� I��-�' ��I COMPLET ADDRESS •:a'�C" �I�. �� \-� � OWNER � ,�1�_'�� 1 TELEPHONE N0. ��J�� t��'C��' CONTRACTOR ` -� t C"� ��<t, `'1 a DESCRIPTI�7C�Y c�� 1`t. ' j �c�L� ��,� C {'�CL�� ' � ❑ 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. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL'��" ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�rv0 � COMMENTS: � W a � -� 1t ? �,CI G G� /� � /�`T�"" ��' ;� � 0 � �1 c� I�� `�,n1 L 1 v ca�P_ � o � � S , ,� � �A� _ -�--� W /U t�� •�S� v�S � r` -�-�., � Q , z �'� i ,�n �. v`n S �a� � 7��- � �� W � � d W� .L�RdQ[iK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � a White Copyllnspector's File Canary CopylSite Notice J � DATE TIME � cinr oF o�No �D IN � - _ INSPECTION TI E � SCHEDULED 1�� "1.'�� PERMIT NO. /�b� �� C LETED ADDRESS � OWNER TELEPHONE NOf� � —� CONTRACTOR /rJyl� � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI ❑ KESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � w � J d � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConVactor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice 5 �� /�ATE TIME V CITYOFORONO 0/D�I CALLEDIN �� INSPECTION NOTICE�—/�� SCHEDULED G—� —�� -�� -� PERMIT N0. 20�2� " —"' COMPLETED ADDRESS �7� �UX- S� OWNER ��mQS �S��ne1 TELEPHONE NO.�� Z-S�z 7��0 CONTRACTOR F'i�1 a-L - GcZ �aGp / . , �: DESCRIPTION �"� � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL� ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � � O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o v 14� ��-a' � O� �C31�� a �a�� . ° ��-� �iA�� fl `` o.� Q � l� �t��u� r=�csv��' � W e-QZJ�2111 �--�.�,� �A�'1 ��' � W � �'I-, <<f A r 1 �� C...f�1 � �/� GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on s'te: Inspector. _ White Copyllnspector's File Canary CopylSite Notice