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Home My WebLink About2012-00239 - pool � y CITYOFORONO * z0 12 - 00239 * 2750 KELLEY PARKWAY DATE ISSUEU: 04/18/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3315 GRAHAM H[LL RD PIN : OS-117-23-11-0007 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 6 BLOCK 1 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : POOL- [N GROUND ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 40,000.00 NOTE: ADVANCED YLAN REVIF,W WAS PA[D ON PGRMIT#2012-00238 AS E3UILT SURVEY MUST[�E SUBMIT"TLD BE�ORE FINAL CERTIFiCATE OF OCCUPANCY WILL BE ISSUED. APPLICANT PERMIT FEE SCHEDULE 574.25 DOLPHIN POOL& SPA, [NC. STATE SURCHARGE(VALUATION) 20.00 3405 N HWY 169 TOTAL 594.25 PLYMOUTH, MN 55441- (612)542-9000 Minnesota State License#: 20266452 OWNER HEURUNCT, MARK& SUE 225 6TH ST S#2900 MINNEAPOLIS, MN 55402- AGREEMENT AND SWORIV STATEMENT The work t��r which this permit is issued shall be performed according to the approved plans and specitications,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 goveming this type of work shall be compied with whether or not specitied herein.This permit wil) expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days a[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 revoked at any time for due cause. / / � �� /a,� Applicant Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � City of Orono Building Permit Application for a Swimming Pool �� Mailing Address: Permit number: `,�� (~�� `� /�/�g,a,j�.\ PO Box 66 _ Q ��,; Crystal Bay, MN 55323-0066 Date received: _> �c��i 2 ' � � ''� �%� ��a �'�t� :` �,;, Street Address: Receiv ed b y: ��'.�, .� _� ti� 2750 Kelley Parkway ._ ''�- l �� / ,-�t,(�� -[;'C<z'�� Plan review fee: _� �3- �� , r'� �kE3H0� Orono, MN 55356 � �' ��-�� , aa� — i�i f�� f, �� , -? '- — Total Fee: � f��"' � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �( `�� 'f'" 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: .��,�- ��,.�� < < /� CONTRACTOR I APPLICANT INFORMATION: Name: 1�,,ni,•.c. i�c,a� .i 5,•rar! State License# �p��5 �S�� Expiration Date: %�-/y Phone: �cFi3 • ,y�� Fax: '7G3� 5�/� 4ao� Address: Cit : �,�ri ZIP: / Contact Person: - � t„�r ContacYs phone number 6 � 3� - 4�� Email ��q,evv� ( l,a,�,��ndo� — S,c�O _ �fi� Applicant is: ontractor Homeowner (Circle One) PROPERTY OWNER FORMATI /� Nam e: ��/diz�3' ��irn C G - /��C��Il �1 � Phone (day): �'Z�. � _ 3 � Mailing Address: �� '3 � ,�,{, ZIP: ,�ir/�7 Email and/or Fax ENGINEER INFORMATION: Name: Phone: Address: City: ZIP: Email Fax: PROJECT INFORMATION: 1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 6. Sewage Disposal & � X �fc� feet Water Supply ingle Family ❑Above ground 2. Heated? u Multiple Family/Condo In-ground � Public Sewer �.yes ❑ no � Public � ❑ Private Sewer ❑ Other(specify) 3. Excavated materials will be: ❑ Commercial ❑ Public Water ❑ Industrial ❑ removed from site 6. Retaining Walls? '�Private Well �sed on site ❑ Other: (specify) ❑ yes �no ❑ Other: (specify) Height S� Total Cubic Yards Estimated Construction Valuation $ �6 �� Last Updated: 10/28/2010 - 7- . � REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit Application ❑ Plan Review Fee ❑ Pool Plans ❑ Surve includes radin plan ❑ Hardcover Calculation Worksheets ❑ Erosion Control Plan or cop of MCWD Permit ❑ ❑ Septic S stem Certification ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Escrow& Escrow A reement ❑ ❑ Other ❑ ❑ Other ❑ ❑ Other ❑ ❑ APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Planning&Building Departments; • 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 information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the permit may not be issued. Applicant's Signature: �,� Date: �j '3d'�� Owner's Signature Date: ��f� '' � Kevin Gardner C�eneral Manager '� kgardner@dplphinpool-spa.com . �� Piymouth,MN 5�441 763-542-9000 Office D • 763-300-9003 Direct o � h i n www.dolphinpool-spa.com p Pp � Plan Review Checklist for Nevv Structures / Additions :�� -� � � �- �e b ; � . � ,..'�m �,.�/; ;` 4•'� �.'� �r'� ,�;'�� e S C Address/ PID! Legal: � -� "� � Description of work: Septic review by: �x��" Date Approved: `� �� ',! � "� � ,� . Zoning review by: �' � �1.= Date Approved: � � Buitding r�view by: Date Approved: � � �b �` I �- r �-. �;; ; t!,s';r� iew by: __� ,��'Vt;a;�'�-� Date Approved: �"��' �� Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: � '" Depth: ��:t% � Survey Submitted: � Yes ❑ No Date of Survey: ° - 4r J � � Pro osed Setbacks: Front�ce) Rear eet) ( N ;� S E W ) ( N �wE V11 ) Other Buildings Wetland �;- Side �de .�� r I ��' f f�� ` � �� f � 's N�`p! 4 Building Defined Height: _.�� Building Peak Height: �-�Q�� #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATtON: 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 highest 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 buifdin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Receiveci Avera e Lakeshore�etback Bluff � � Yes o 0 N/A � 0 Yes No 0 Yes a-�tt7 No � Yes No � N/A Permit Number: Setback: �.' �;; Hardcover Zones Existin Pro .�e Variance Re uire CUP Re uired � 0_7�� --� � Yes No � Yes No � 75-250' - ' Type(s): Type(s): 250-500' 500-1000' . REMARKS ;in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Permit Plan Review State Surcfiarge Investigation Fee SAC—Number of SAC Units � � Sewer Connection ��`�,, Water Connection � � �'�''� � Park Fee � � � � Site Inspection - , ��,-" " �� `�� Other(specify) ��,� ' �� C�� / Miscellaneous Fees �`� �� l' .=�i� Calculated By: �, �� ;� V � �� -� „ t,� S uare Foota e $ er S uare Foota e ,� ,�� ; Basement X , �,:� 15t Floor X _ , �. � 2nd Floo� X Garage X Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site O Plumbing � Grading / Filling 0 Well � Hardcover Removal Mechanical 0 Fire Electrical Footing 0 Septic ❑ Water Connection � Poured Wall � Fireplace 0 Sewer Connection � Foundation Survey 0 Nfasonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. � Framing 0 Other(specify) � Insulation 0 As-Built Survey ,�Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: 0 YES � NO REMARKS (TO BE NOTE��°Of��PERMIT AND INITIALLED BY PERSON PULLING PERMIT) -�� e��"��5l�'t �� h.+'<�/�K`�.k.fJ fL� f "n-_:�<t4 Y�� r �-�� .. ' .._ �.F, y � �` .:-i � 5.� - § ��'�'�-� �° � r��_.d �,� �``��1�6.i. (' � _ �`�;a",,�i'�a�' � �,"�; .� @ �'+' `A�� _, Updated: 09/11/2009 z:lforms�plan review checklist.docx � o� O �,,., O CITY of ORONO �,y Municipal Offices : �,�_ ,•� �� ; �., Street Address: Mailing Address: "�� ' ;�� ,�,�' 2750 Kelley Parkway P.O. Box 66 ,�L' Orono,MN 55356 Crystal Bay,MN 55323-0066 ��kESHOg' April 6, 2012 Mark & Sue Heurung 225 6�h Street South#2900 Plymouth, MN 55402 Re: 3315 Graham Hill Road Building Permit Application #2012-00239 The City is in receipt of your pool permit application which was received by this office on March 30, 2012. After our cursory review, we find your application incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the ptan review to continue: 1. Certificate of Survey. Please provide finro (2) scaled, full size certificate of survey meeting the City's survey standards (enclosed) indicating the location of the existing house and proposed accessory structure, showing current and proposed topography as well as all existing structures including retaining walls. 2. Escrow 8� Escrow Agreement. Building 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. We currently hold an escrow agreement for the construction of the new home. We don't require any additional funds at this time, just the signatures of the property owne� on the updated escrow agreement which now includes the pool permit number. 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(a�ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO Christine Mattson Planning Assistant c Dolphin Pool & Spa; Kevin Gardner; 3405 Hwy 169 N; Plymouth, MN 55441 Charles Cudd; John Sonnek; 1505 23�d Ave N; Plymouth, MN 55447 enclosures Telephone(952) 249-4600 •Fax(952)249-4616 www.ci.orono.mn.us Christine Mattson From: Jesse Struve Sent: Thursday, April 12, 2012 9:11 AM To: Christine Mattson Subject: 20120412 3315 Graham Hill Rd Christine, I have reviewed the application for the addition of a pool to 3315 Graham Hill Rd and have only one comment. They show a small structure SW of the end of the pool. What is this structure for? I would assume it is the mechanical equipment for the pool, but this structure is not labeled as to what it is. Feel free to contact me with any questions or concerns. Jesse Struve, PE Director of Public Works/City Engineer City of Orono (952) 249-4661 - Direct (952) 249-4616 - Fax www.ci.orono.mn.us � CERTIFICATE OF SURVEY �:�� '� � �028.OF�0] BxY �, EXISTING HOUSE 'fJ FOR� CHARLES CUDD CO. FlRST F�-,o260 "°�"N "o�P'��'°e,��o� � .��,o a. ADDRESS� 3315 GRAHAM HILL RD. '°"s o,,b � ,,� d�u P�Y�o,gq ��`, � , �.� �a p�7�� O]]0 f ,^A��n�LN6 28.]�4J� � Y�\ � HEiGHT CALCULATION °'° � „ "" ° r�re a��u¢,, � � � as-�H°ecKa�ose.c � �� ,nc<e�-e°afxizo � 03�.51 / ab\:.U' 5.+� ^� \ \5 GG- .. 166' OF WALKOUT GRADE AND 194.1' IS FOR �'`o' ' 'oxs' `° � FRONT ELEVATION GRADE. �:�`�,,'% �� rt;aa� ��'�� o�� t_ 'o _IOTl.6 j � e xt0 � � �� . �� 0�285 B �� P� �l ,o,.s o�, /� � ,oz �°E° ,o=,z,�`•� � p � ❑ DENOTES CATCH BASIN � -- F a a' ' B0%B +�"`��\3 �o,��x'S °�r' O Pacs m��N. 023 DENOTES PROPOSED ELEVATION. ' .im�.e \ ox"+ � ? � \ �Q ��5 W� x10112 DENOTES EXISTING ELEVATION. � -•' � �� o�9.e �°�.y+ � \ oti. ' �ozE N �x•.s 12 p�as� �-� DENOTES DIRECTION OF DRAINAGE. ' �°OC°"��, � ,�s�� i 1 .x��d� �� 02 � �__ vt+�pSE�iCz1r\ � � DENOTES WOOD HUB/METAL SPIKE �� s� �N �,0zs \ . q o` � � "e ��.AA � � DENOTES BITUMINOUS - __� ��s,� �`�,' +� �.� � � _�p �E�� c�� v'�' DENOTES EXISTING TREE '°`t�H�. " � o m s�1� wa� �\ \ / , 1 � �•p�A ��o DENOTES PROPOSED RETAINING WALL �Os o�° o �,-- �`' i .P�P 'o`' _ 5� • ' �J� o o° �p �, � �.. \ DENOTES EXISTING CONTOUR 99°0.' � �m o�15 � ��w `� P I }�, zos� �y ss � �� , ' �� iozz� t . � ' _ � ti. 1', � __ �o� � 525 �, o'E �, � 'qb O��j . /� .ioii.o � i � � �'o.�Q 4�, 9 N �P" s� - �-�.. SOS°0 ' � , .� `� 05 �J'ti�i o --1o7.z - .,. c a z __ � � . cJ�'��0' i `, � . � �� s� �- -- � -- ozo�� > v LL 4 �/' ` � LOT 6 °sy .; ,s ,� a so � � � � o �o� tio2o � o °�I � ssy, ,aesi .. � � Q .ioz.. ` �.�`'�� n. � .. o . IMPERVIOUS SURFACE x��56 ,°9 � , £� ,' � � � .. � se�.��., � o \\\ . �� hry� � .. . � � o P Total Lot Area ......... 133,231 sqft. � � . i� � �d ,o, o � � � m �02 ' Total Imperwous Surface ....14,431 sqft. . � � � `, ss�� . �.� � o�s �� x �. � 1�Y �...e9 / �,..e I Dr oewcyjS d wa,✓..... _. ....5,944 sq(L � � °pmma � �\ �o�� .. tOte�o�� . House ... .._.. _.. 4,152 sqfL � �.. � s\ . � �+ ta�s ,o,�, � ' Poroh ._. _.._ 340 sqft �o � ze�- � .sz� .. '002 nu.. � �` i/�aae'�� oeoonnrM � . � . .. �a_e , . ` Pool Area. _ . _... 2,995 sqfL $ se�a �� _ �` . � `s x s ��" � �-a°��E ' % of Impervious Surface .............10.8% �-.� ��-�� ,.' o \e ° a,� ;�4 m�.s � �......... � , .ssza \ o _. zd;. , / \ 9 D ....� / �G�2 � � / . . 9B . .. /\ --ri��.i � \ � , � z� 9's ,�93�� 4r az , � ,o�,, \�Wr'� (Meas. 9/2/11) I 3 s� � .se°' asg \ °°o: °Os ' ° "'°° M`N0�5� PROPOSED ELEVATlO\S AS-BUILT ELE�'ATIOhS � ' � , ro� : e�to 9 s,z� �' �o�,9,o g � g �� GARAGE FLOOR = 1024.0..............................N/A NORTH � `., , `. , \ .s9i.i � au? ��4 i ,aii.e � �9� o TOP OF BLOCK = 1024.5.............................N/A o » i �. s� � '� . `'_� � , \s a9B °,gg,, " � /� BASEMENT FLOOR = 1014.8.....................1014.8 assumed �L� �� ' ,� 9s �o, � / N \ 9c s.s\ . � W z � o j ,/ TOP OF FOOTING = 1014.5.............................1014.5 � rN eeeT) i \.---�Ru+��!+� � Q ', SUNKEN BASEMENT FLOOR = 1013.8...............................N/A 1 inch= 30([. / °J� � � y / GYMNASIUM FLOOR = 1012.5...............................N A _ /� = ss�, � 0 � � \ � o exisnNc nouse � � � � " °.., 9sea s � .� N j/ ceeece ct-imz.o ' FIRST FLOOR = 1026.3............................N A � ^ �.c � ses.e 9 � i see.s / / / / ` e �P / 9 . / / � i �k�J t'i 96 � / / + / �� \ .' �.s � \\ �� gA O� / � . i � � � � �Q \ -PROPOSED PRIAIARY � 6 // ti�O 996 / � s� � �-SEPTIC AREA \ ae�. �h __ _ �////. / � \. sa zy . .., i ._.. � ., � \ i / /" 1G I PROPOSED SECONDARV � .s�so 9 9�9�' y � SEPTIC AREA \ . � \� 9ea . ~�6 / � ' � I \ � \ "-.. � {\ / �s--y�o � y s / e \ � , nez� I � \ 9) ' V �-�. �B � � \ �.......g)Q i.s y� 6 ' 9 NOTES I ✓ / / / / ' 98 /se,s `�c / o0o S8°�°0.oc E'�.,.5�co� �� s9 - HOUSE PLACEMENT AND E�EVATIONS SET BY ONMER. 6 i � - FIELD SURVEY CONDUCTED ON MAY llTH, 2011. s� `s, ��"�` o� � � �9 - BEARING"S SHOWN ARE ON ASSUMED DATUM. I �oo� '-.,, o�o� � � ma - CONTRACTOR TO VERIFY HOUSE DIMENSIONS, LEGAL DESCRIPTION AND SEWER AND BASEMENT DEPTHS. C1 �. '�es 9�� 96 - FINISHED GRADE 10 FEET FROM PROPOSED BUILDING Lot 6, BIoCk 1, GRAHAM HILL PRESERVE, N I �, � 9 99 SHALL BE 0.5 FEET LOWER THAN THE FINISHED GRADE Hennepin County, Minnesota. a c`�v � ' ,'n_�� ,��Q� AT THE BUILDING. C^ ;�_�a� 96•e �`s - FINISHED GRADE ELEVATIONS ARE TO FINISHED z SURFACE WITH TURF ESTABLISHMENT. REC�'�� - DRIVEWAYS ARE SHOWN FOR GRAPHIC I PURPOSES ONLY. FINAL DRIVEWAY DESIGN AND i LOCATION TO BE DETERMINED BY CONTRACTOR �� 1 1 ?_012 � ' C�T(pF ORONO i � I hereby certify that this plan, survey or report was prepared by I � ' me or under my direct supervision and that I am a duly Licensed � �� Land Surveyor under the lows oi the State of Minnesota. CRE LAND SURVEYING � � JOB#11159HS Revised: 4-11-72 � Revised: 3-29-12 Blaine,MN 554A9 �III Revised: 8-18-11 � r S6 � � �s P� Revised: 8-11-11 ,f„5763-238-6278 js.acrelandsurvey�gmad.com e p�,, o � Revised: 7-19-11 i� � - � �- 4ySy SS�E � C�\Land ProJects 2008\Ill59hs-Chartes Cudd\dwg\11159hs.dwg 4/11/2012 8�49��48 AM CDT JO HUA P. SCHNEIDER Date: 7-6->> Reg. No. 44655 3�31�G-`�Y�C��Z�W ?_c�i � � C� V T / TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �2 SCHEDULED a` a� � PERMIT NO. Z ' D�J COMPLETED ADDRESS � �� V u�'l L� 7v> � � C� OWNER c^TEL H E NO.�(�3�4�d�87� CONTRACTOR ��5 �: DESCRIPTION � ' ""`- � I.t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/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 J ❑ 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 a � � O � � O � W � Q � 2 W � W � � GW f��VdORK SATISFACTORY:PROCEED _-1 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerfContractor on site: r Inspector_ i White Copyllnspector's File Canary CopylSite Notice � (� „ I �� ATE TIME � CITY OF ORONO CALLED w � 1�f �a' INSPECTION NOTIC �� SCHEDULED �' � � PERMIT NO. �� "' �' COMPLETED ADDRESS 2 �f C� �� I'��'Yt � l� l�rl OWNER TELEPHONE N . �L^�� ) )V7�J 7 CONTRACTOR �/ � /�.i ��no! �: DESCRIPTION T (�'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � � � ❑WORK SATiSFACTORY:PROCEED /�PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice