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HomeMy WebLinkAbout2016-01098 - demo • � CITY OF ORONO �� 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 0 9 8 * DATE ISSUED: 09/23/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2801 FOX ST PIN : 04-117-23-34-0004 LEGAL DESC : FARVIEW : LOT 001 BLOCK 003 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: l. FOUNDAT[ONS/ALL DEMO DEBR[S TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPEC"t'[ONS DONE BEFORE BACKFILLING. DEMOLITION OF SW[MMING POOL. APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 NOLAND, RICHARD STATE SURCHARGE DEMO 1.00 2801 FOX ST TOTAL S1.00 LONG LAKE,MN 55356- Payment(s) CASH 51.00 OWNER NOLAND, RICHARD 2801 FOX ST 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 pennission 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 I80 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 revo at an time r due ca se. -�G�%���1+�'�� � � �', �3,� Ap ' ermitee Signature Date [ssued B gnature Date O City of Orono O USE ONLY � N P.O.Box 66 Date Received��Permit# L��� O� � 2750 Kelley Parkway ,�� Crystal Bay,MN 55323 Amount: $ �/.0� SAC Credit: (952)249-4600 '� a Homeowner(s)Signed: ❑Yes � er �,� Resolutions(if any)Signed:�Yes ❑None Required lqkES H��� Zonin Disclosure Si ed: Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (Ail permks must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: �Residential ❑ Commercial Site Address: � �`�� J I`(�� �t � Owner: �+(:�Lt('C� �� )��f�' ���F F� Mailing Address: City: ���� �� Zip: 5�5 �� Phone: C. i�� '����- ����-( EmaiL �i���_���'� ('������'S� ��� ' �<Gt� � � Contractor/Applicant Information; � . Contractor/App.: • V e � f ��z �'�Z�' � � ',-+'�` Contact Person: 1?�(�ri�� ' �c�'� I , / Address: d��'� � 5 �� ���1 �!�`�� State License#: �� ti f City: 1=':'�'�} ��' Zip: ����� Expiration Date: � � �n � Phone: � 1,�� :� (;.�i ' t'I`� �i � Email: ��� �� ; c�, �'�� ��l V` � �_:C�';;���,'���� I��•CU� SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. � Demolition by means of: ❑ Manual Disassembly [�('Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# �urn for issuance of said Demolition Permit, the undersigned owner hereby agrees to: �ov�Id 1 Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are 5 p�,�y � to be demolished. � 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site Runoff Control. 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will ;1 OrQi not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating �`� permit(s) are not required. �— ��'"- ���'s��h Corl"f'!b� P+�('M F Qn ,_j,, '�'f�`� e/- �le% l� Form tast Updated: Ju/y 2015 ��.('�Yj� � 150784 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 5. Keep all structure(s)enclosed and/or secured until such time as demolition is complete. 6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s)from the ground. 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 9. Abandon water wells in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfilling. 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground elevation (except when such excavation is to be used as part of a new building and such new building is actually under construction). 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are crushed and filled. 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns from and against all claims, damages, losses or expenses, including attorney fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition described herein as performed by the property owner, his employees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION ❑ $75.00 - Principal Structure $ [�$50.00 -Accessory Structure x (how many) ��). (:� 1. Subtotal of above permit requested $ 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. r'? ,; �,�� >` � � �---f ' ��.r,:��j�!✓' Applicant s Signature: - Date: � �� �� �/' , Owner's Signature: �.���'' .G;���/- � ` �� Date: q �� _ � .- Approved By: Date: �� uilding icial) '`Zoning Disclosure Required? ❑ YES O *This must be filled out by Zoning De artment-For eit r answer, a Zoning Official must sign all applications. *Approved By: Date: (Zoning OfFcial) Form Last Updated: Ju/y 2015 150784 Hennepin County Property Map Date: 9/8/2016 � ���_ -�+ ��. � �e; �,� _ n°� .,� ' � ' ��� + P��� �' � _''� `\ � . �+�, ' �. ,�fi , . , . , .M j.r�.. . .a�!'� '�� �� t:7 . :�.. , . . . -- . � ... ,��5��,' .. * � "''�'i.:., - � "��.E � If •`� �� ,ay�' , ^'�.' t vyr.�K. �lS.ir�,y`y � "h""�... . .. r, ,+TS ,�+ ��k�.. ��"ti L �\w+f'. . � . � :1., . _ , �"M.... j �� ���.. ��/' � � a. 1 ( �'n5 ; '�, � �b� 4�1�_ i �� �`• � $ :('y ji ���� �ww� � . k ��iL 7 �. � ,��. � �a"���` �l . � 3 . � ' 1 ' � �4 '!lf, ,.�t�y � fi�� ��s A r'- �y �' ^- d v "y, � x, '� �,;F .q� ��? 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'}�^' ,�' �,. � . �. ��f ,,�\ � ' � � „r ye �' fi.. r# �` � a ,,� :� . � � ��� - � .^ �� ��W� sf�n ,. ��� �,'�«"�t �tii:lk �'� �„' 7S � �" .^d ���� � P ��4« '*��..�L`�� . ���^`' 1''f� 't�1� x{ r�lf t�..;� `�'{ .4�� a 4 -.e ,. ..� � ��� ����.. .���y.���'SvaY y�{y ..� ���� ,.�t{•�"� � .'� .E' w.ra�.M- A. � L.x w• � � j "�- . ..�� '�:�.�. +' ��"'�� ,�.'�` rr �'�. a•.� � ,�i�.� . � � w" ��.., � . . 4 �. � �.: ��� � h � ' � r :�i ,� x t - �� '4,,� �� s� � .� j� % �i , . t+r ' "��;,(` '�, *-�..'�'4 . 1�� ''�S4`*r�.{ �# � *},R� � s� r"' ��,�� ,, z'i � +�'" �'�� � E � t �V ' .. � � � �.�a' �.' `} ..�'. °' , �f�w, . ;� �a; tr, . . � ,r� �� '�'z�..,�''� . ,. � ��:�E .,�+. " '�p` h {{ „� �:r p y��j� .�� t�}' .. . �. . r• d �,����, �y,j...�' � .� y��♦ R ' �� �. .'�` a,�� � � ^E,::F��- L� . `. •� � ��,� 5�� l� T.i�y ,�@�. �� ����Y A �, 1} . ' t ���..K � b . i1��4��1 �}��• � S Se f � ..• �♦4 , �. � Nr �,y� ,'w. �� . �}Pf � C: � �` . •• y �"��M��:`� M 1. � *�+ ��� — . . .. . . 1 inch - 100 feet °��: h���" - �,�� ,���,� � m � _ PARCEL ID: 0411723340004 Comments: OWNER NAME: Richard T Noland PARCELADDRESS: 2801 Fox St, Orono MN 55356 PARCELAREA: 2.66 acres, 115,920 sq ft � �o�� A-T-B:Abstract O � SALE PRICE: $684,900 SALE DATA: 03/2016 SALE CODE: Warranty Deed This data(i)is furnished'AS IS'with no representation as to completeness or ASSESSED 2015, PAYABLE 2016 accuracy;(ii)isfurnished with no PROPERTY TYPE: Residential warranty of any kind;and(iii)is notsuifable for legal,engineering or surveying purposes. HOM ESTEAD: Homestead Hennepin County shall not beliable forany MARKET VALUE: $680,000 damage,injury or loss resulting from this data. TAX TOTAL: $8,463.32 COPYRIGHT OO HENNEPIN COUNTY 2016 ASSESSED 2016, PAYABLE 2017 PROPERTY TYPE: Residential Z�I ���-�'� HOMESTEAD: Homestead v MARKET VALU E: $691,000 Z���P ' OI�Ua 1 �c,rrwl►ha� o� �n�� �1 Christine Mattson From: Rachel Workin <rworkin@minnehahacreek.org> Sent: Friday, September 23, 2016 10:38 AM To: Christine Mattson Cc: Rick Noland Subject: FW: Plan for Pool Demolition and Filling at 2801 Fox St, Orono,MN. 55356 Attachments: Est_218_from_Havel_Excavating_Inc._5264.pdf; ATT00001.txt Hi Chris, The proposed pool demolition and filling at 2801 Fox Street will not require a MCWD permit. Kind regards, Rachel Workin Permitting Technician Minnehaha Creek Watershed District 15320 Minnetonka Boulevard, Minnetonka, MN 55345 952.641.4518 www.minnehahacreek.org -----Original Message----- From: Rick Noland [mailto:angeleyesrick@gmail.com] Sent: Thursday, September 22, 2016 7:32 PM To: Permitting<permitting@minnehahacreek.org> Subject: Plan for Pool Demolition and Filling at 2801 Fox St, Orono,MN. 55356 1 Havel Excavating, �nc. Estimate 10415 Cain Road Rogers, MN 55374 Date Estimate# 9/1/2016 218 Name/Address Rick Noland 2801 Fox Street Orono,MN Project Description Qty Rate Total Pump water out of pool,remove concrete and haul away to 13,000.00 13,000.00 recycling facility.Remove liner,steps,all metal railings,heat pump and pressure tank/cleaner and misc.PVC pipe and wires and haul awav. Haul in compactible material,bucket from front yard by stump to pooL Fill in and compact.Cover with screened black dirt. HOMEOWNER TO APPLY FOR PERMIT AND ESCROW ACCOUNT WITH CITY OF ORONO Subtotal $13,000.00 Sales Tax (7.275%) $o.00 Total $is,000.00 Phone# (763)428-4952 Web Site havelexcavating.com Christine Mattson From: Christine Mattson Sent: Tuesday, September 20, 2016 3:36 PM To: 'Permitting' Cc: 'angeleyesrick@gmail.com' Subject: 2801 Fox Street Hi Terrance, Mr. Noland stopped in today. Attached is a copy of the Hennepin County Aerial photo of 2801 Fox Street with a hand- written note from Mr. Noland pertaining to the demolition of the pool. Please don't hesitate to contact us if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN i 55356 (physical addressJ PO Box 66 ; Crystal Bay ; MN ; 55323-0066 (mailing addressJ S' 952.249.4620 B 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: Friday, November 11,2016 Thursday& Friday, November 24& 25, 2016 1 /� le��r�°�'l�� ChaS�a�- �uV'�S� �a✓►'1 1�i'C�i��� Yl'�/o1��4 �.-- Hennepin County Property Map Date: 9/8/2016 W. +�j � Y R �� . � �'�� ..� ��.� � . i�` }4 �\� , . .::`� '/. � ��rc,�_i., ��n:� � s:.� r, r `�`� , +,'` ^.g, , My��,'. �1"r ��� �.r.. ��7�.. .� l�< , . , � .� . . . . -R.;. ..�.-:,,F ..:_.,. .. �_...rj� .,,.+i .. . . `�.. . �- . , _a.. .�..-;.>,4.., ;.: `t �'` �S. �.�,�4� ' . 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"�� A _�j r ,�.. . -- �,q�"��•�i4•�'+y� �1 �.{ �'�' �h �"�t i:?,q�4� � .p >'� �t 1 r� `!�'� . r �i \ . �, �I�. . �i3 ��r� f�`��t ��'i ,� �� +� t �T ' �r������ '�t.b � f'� . . i'�' _ �7 Y �; •�M�y'�.`. �. k .ij', - . . . y �� �� . . ��I I �1� ,�' C'�"� K�s.yy�(�"' � ::` ^r ,�i'<*,}, ��F ':{� ; � �� �ry�, 't' �'Tr� ��*��'a�:3�+f: � � � `G � �: ': �. � .�.t� . � T .+�j .�S M� „�y: � �� - +�.; „�s� � - •� _ .,1�'._ d��JS�':��_.a�'_��_.._ 1 �y.,�+"_• '�y,�y� s a f. -`,.i �;�'!y„r `,�� .' . ..s9`� �'�' ,�k �. — � ���a � ��s ,��,, _�,�; �°,.�_. 1 inch — 100 feet PARCEL ID: 0411723340004 Comments: � � !, ,"�'� � �,��27�� ( OWNER NAME: Richard T Noland �� PARCELADDRESS: 2801 Fox St, Orono MN 55356 � D C�,G,� � PARCELAREA: 2.66 acres, 115,920 sq ft � �l ��� � A-T-B:Abstract � SALE PRICE: $684,900 `� ' . SALE DATA: 03/2016 -- - SALE CODE: Warranty Deed This data(i)is furnished�a,s is�W�cn�o representation as to completeness or ASSESSED 2015, PAYABLE 2016 accuracy;(ii)isfurnished with no warranty of any kind;and(iii)is notsuitable PROPERTY TYPE: Residential for legal,engineering or surveying purposes. HOMESTEAD: Homestead HennepinCountyshallnotbeliableforany MARKET VALUE: $680,��0 damage,injury or loss resulting from this data. TAX TOTAL: $8,463.32 COPYRIGHT OO HENNEPIN COUNTY 2016 ASSESSED 2016, PAYABLE 2017 PROPERTY TYPE: Residential HOMESTEAD: Homestead MARKET VALU E: $691,000 ��`�'/ � � ��%r-�� CertiF.ii�at,e of �urvey for Daniel J . Kluth , of Lot� 1 , L31oc}c 3 , F'ARVIEW Hennepi.n Cc>unty, Mi.nrl�sota � QROIyp COP � , . _ _ _ � `� � Ca. !\d. IVO. �¢ � _ . ... � — 5 88'a5 3 o"E �66,a4- , � ; ;r � �, /;�;0�'���� ' �,�// CITY OF OR4H0 �',.�'r �; � SITE PLAN GRAD�NG PLAN / �+� .�, � APPROVED �cc.�sso s7�cn� y �,',; _� ❑ �,pPROV�D WlTH REV�I�3NS �,a�: , � � ��''�'�°���� ;%� ❑ [}tSAPP V m �a �+ �� � � ���y�;,�f�s�� , , .,. � f , �� .. .. . 0 3�4 . '�tpr���� y'�; � , "1' . h a�,. � �� 9,, �<< < DAT� `r1 m �' �� r� ��ar�./ , r �4 a,�h �i`v.r a��� 1`,; . �a��� �, � f � �99jJ '{ + \ti r>.2 „t• v ,�k �., a N 122.5 �� � � � � �K � \o, "' z55.Z • . . . . . .. . . . . . is�c�, �i � � ra 9 i,.� �g �1Q /6.7 - - - - - - -- -- . . . . - - � - - - � • - - - - . . . . . - - - . . .__ Q � L �, x Z ti , y1�•G (D �2o�sC µ . . . ,.... . .,. . . . j ol �ro� � �1 �v� 0 � � t�,�i s.� ��...� r=-,� � I 2 ` i:�t`�:� `'� ' ` ' 4'v'---- , � � N Pr10PoSE0 ' '� � � p,IS.o & S4/LDl/y4 ^� 1�- l �I � ��----��_IS.O �i �i -O `°; � 1 �p ,°' j . i Q� j '/' h � i � I_ /i� a � �J�M�1 � 5;:��, M v -- 732.95 , ' - -_ SG.yg Z32,97 �'RR r,oikP��Jauf�f{e�e W e 5 f . 4�5 93 -- of la.yf J�off f/n�/C rJ.4S roufb o�Tr4t po:n f _�._y /' • ^6` . .� ros�an _. - �. . � . � `'"r" 66 . . . �lJI�'1'�"� _ LFGAL DESCRIPTION OF PREMISES SURVEYED: Lot 1 , Block 3 , FARVIEW. This survey shows the boundaries of the �zbove desrri.bed property, the existinq ]_ocation of an existing house, and the pr.oposed ]_ocation of a proposed garaqe . It doPs not pur- port to show any other impr_ovements or_ encroachments . T hereby certify that this survey was r�r_�.>_parecl. k�y me or under my direct supervis.ion, �nd that I am �j duly r�gistered Civil Engineer and Lanc� Sur��F��,�or. lznder the laws of the State of Minnesota . COFFIN & GRONBERG, INC. — �l Mark S . Gr..onb�r.g MN. Li_c . No. 12755 Scale : 1 inch = 50 feet Enqineers , L�and Sur_veyo.rs , Planners Date : July 12 , 1991 Long Lake, Minnesota o . Ir.on marker found -� - �F3earings shown are based upon an assui�c�d c�atum. b•5-98 " PROPOSED BUlLDINCi STAKED �� . CO �O �0 ... O y�01 F�c StY�— ��� - o�oa� ��,�;�ia� of �n ��,�°t' {�oo� �� `1i,/�� ' DATE TIME CITY OF ORONO CALLED IN — ��/ �� ��/�� INSPECTION TIC CHEDULED — /'-'. �� PERMIT NO. �� �OMPLETED ADDRESS � ��� OWNE ELEPHONE NO���-3�3" '�3 CONTRACTOR � DESCRIrTION ,�t,. — � '^ 7G�� t~ii ❑ 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 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOMRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: a� n � �%:.n, c7 I` c�O — JGj, C v, C. ��>,^, --�-�,.= C� ��/1 u�,.1,a...c � L " .,/\� (`���J ,— -�.,,,�, ���.�.L L'.�.1 � �" �� w`�-S � � ' .cn. �. �� r W � Q � 2 W � W � � J WORK SATISFACTORY:PROCEED ETE W ❑ RRECT WORK 8 ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANEN7 O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CAIL TO ARRANGE ACCESS. Cali for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlCon�or�on,site: Inspector. � � White Copyllnspector's File C�nary CopylSlte Notics � . . • • . • . � • emo To: Finance Department From: Christine Mattson, Planning Assistant �J" " CC: Street File Date: June 1, 2017 G/L: 101-22205 Re: Escrow Refund Sanitary Sewer Extension 8� Demolition Permit#2016-01098 pertaining to 2801 Fox Street are complete. Please refund $2,500 to the applicant, Richard Nolan. Mail to: Richard Nolan 2801 Fox Street Long Lake, MN 55356 w:�.street files\fox street�2801�escrow refund sanitary sewer ext&201 fr01098.docx Christine Mattson From: Adam Edwards Sent: Wednesday, May 31, 2017 1:35 PM To: Christine Mattson Subject: Re:2801 Fox Street No issue. It is complete Sent from my iPhone On May 31, 2017,at 13:14,Christine Mattson<CMattson@ci.orono.mn.us>wrote: Adam, I have a request from Richard Nolan to refund his escrow money for the sewer connection to his property. Any objections? Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono I MN � 55356(physical address) PO Box 66 � Crystal Bay I MN I 55323-0066 (mailing addressJ '� 952.249.4620 I 8 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Summer Office Hours: (Monday, May 22 through Friday,September 1,201� Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday& Tuesday,June 3&4,2017 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2C)IG'e IO/ COMPLETED 3. 6•'r ADDRESS o2 '0( F ,c ` • OWNER ,erCitie, Atedo TELEPHONE NO. CONTRACTOR DESCRIPTION PC/O1 Oat ova ,c . W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP OLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FO NDATION/REMOVAL .0 0 DEMO-SITE 0 SEPTIC INSTALL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc ✓ , •,3 4,t r •t e2:0 Pvct,/te le- •L 2i>'.c/AP 0 OA. 9- ar- A6 67 ab Z. cc0 W W CC W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. i.•-� / White Coovllnsoector's File Canary Copy/Site Notice