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HomeMy WebLinkAbout2011-01126 - pool CITY OF ORONO PERMIT NO.: 2011-01126 2750 KELLEY PARKWAY ' ORONO, MN 5535G- DATE ISSUED: 10/10/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3380 GRAHAM HILL RD P[N : OS-117-23-11-0013 LEGAL DESC : GRAHAM H[LL PRESERVE 2 : LOT 5 BLOCK 2 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : POOL- IN GROUND ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 40,000.00 NOTE: SL'PARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) YERMIT MAY E3E REQUIRED FOR PATIO/DECKWG ��, AS-BUILT SURVEY RI:QUIRED PRIOR TO ESCROW RELEASE �� APPLICANT PERMIT FEE SCHEDULE 574.25 DOLPHIN POOL& SPA, INC. 3405 N HWY 169 STATE SURCHARGE(VALUATION) 20.00 PLYMOUTH, MN 55441- TOTAL 594.25 (612)542-9000 Minnesota State License#: 20266452 OWIYER RUDOW, DAVID& LESLfE 3380 GRAHAM HILL RD ORONO, MN 55356- AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Quilding Code. 1 his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions ol�laws and ordinances governing this type ofwork shall be compied with whe[her 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 Cor assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be re�oked at any time for d e cause. ,, ,.��-'' � � _ .. � • _ _._� ;�, �=;�'� � i") �l � / C"�- = /d � l� � ll �" � -� � Applican �P ite Sig ure Date �� � � �.�� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ���/ �� City of Orono � Building Permit Application 5q�, �.S d-� for a Swimming Pool Mailing Address: •' C��� --(h//��_ ��,��. PO Box 66 Permit number: / \\� Crystal Bay, MN 55323-0066 Date received: / / � ` �� - - �4 � � I� Received by: ��� ��� ��`�r�R� �:� �,,i StreetAddress: ��. � � �, . �ti 2750 Kelley Parkway -��1 C�1 f-�c"'l�J ) Plan review fee: _� 7�- �� Z.9kEsxOg� Orono, MN 55356 —— Total Fee: ao //-bllz'1 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: "1�_��� ��i�� ���c / f�Ge'1/� CONTRACTOR I APPLICANT INFORMATION: Name: .(��.�if�� %�C�'� -� ,�5.�i7 State License# ��,���lS,� Expiration Date: �;/-i� -j� Phone: '7l-� .��"a-�i0�� Fax: '��� S�f._> � �iG�� Address: c./ ,Lo / �' Cit : ��� a�>c���% ZIP: G��Yv�i Contact Person: / .c��,� ContacYs phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER�sORMATION: Name: �✓/�U�r1c� � .D��'ii4 �c��o�v Phone (day): 9 --�jy - 4� Mailing Address: �3�G �.���ifr�c � �� ZIP: 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 8� Water Supply r-�U X ��J feet "�ingle Family ❑ Above ground � ❑ Public Sewer 2. Heated? ❑ Multiple Family/Condo �'In-ground �yes ❑ no � Public �.�rivate Sewer ❑ Other(specify) 3. Excavated materials will be: ❑ Commercial ❑ Public Water [�removed from site ❑ Industrial 6. Retaining Walls? �Private Well �❑ used on site ❑ Other: (specify) ❑ yes �ho ❑ Other: (specify) Height Total Cubic Yards Estimated Construction Valuation $ 7�f �� ^ Last Updated: 10/28/2010 -7- REQUIRED SUBMITTALS: � All of the information must be submitted in order for your application to be processed: • Not Enclo d 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. ApplicanYs Signature: ' l�.� Date: �;�(�`/ Owner's Signature Date: �� ■ , Pian `Rev�e�v �-h�ckl�i�� f�.r �le� �tru�t�res / �4dditi�n� �� � r Address/PID/LegaL ,�,� � � ��� �� � �'c 9 � Description of work: ���-� S�e #ic review� : ' P Y � Date Approved: � � ��- �/ Zoning review�bY� - Date Ap{�roved: `��� � � „ BuiOding�e�ievrr:bY? ,� � �� Date�4p�rove�f:� R � "� —: i � E Grading revie�ni.by: `_ � �'� �' Date A��rovecf:' �� � � � Zoning file#: R�solu�inn#; `Resolu#ion Date: Zorrin Distcict ���re Departmen� Post Office Schonl District � � ��`'_ Zor�ing: Lof Acea: � <''. c,\� SF/AC '.. Witith: ��pth:,, . Survey��ubmitted: � C3�`�es � �0=�10 �� ��� Date�of�Suruey: � �_ �`�- i��i � � Pro osed S�tbacks: Front,(Lake) Rear�l� '( N ' S 1�� �� ) `(y�'g, :E �11f ) Oth ildin s �IUetia�d `4_�ide ;S�de ��� :` T:;� � ,��� � � � �� � �� � �.� �`,� � � � � � 0��,1� � � � � .Building,Defined Height: ��� � Building Pea�C Heigtit; #of S#ories Ok?: ❑ YES FORA..BUtLDING�WITH'ABASE1111£NT-OR:CRAVYL'SPACE: �"QRA`BUIL'DIAI�:ON A°SLA�F011NDATIOAt. START WITH the distance befween the basementfloor/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 aflat roof, �' fhe cornice of a flat ro�fi,the deck;line of a the deck line of a mansard roof,nr� mansartl roof, orthe uppermost poiat�ri`:a round uppermost point on a roun��t other arch-type nr o4her arch-t .e roof - roof SUBTRACT half the distance betuv�en the highest.window and SUBTRACT half ths dis�ance between the highest window hi hest roof af a. itched roof and l�r hest.roof eak of a' itched roof 'SllBTRACT the dist bEtween the basement floor/crawl ADD e dista�ce be#ween the`slab and the highest s�e:floor and:the highest existing grede�within ��-'"�� exisfin rade within the foundafion the fDundation,or 1D fset,wFiicheveris less. EQUALS Defined buildin hei ht EQUALS Definedbuildin hei ht %<,- Lot Co�erage: , `�, i, , SF % Shoreland'Distr6ct MC.WD Permit`Receive.d �vera e'Laksshore Setback Bluff � Yes �o � �I/�4 / � Yes - No � Yes 1�iVo � �'es ❑ No :�N/A _ � Permit Number: Setback: H�rdcov�rZon�s fxistin Pro osed A/�riance Require� CUP Re uired D-75 � 'Yes � �No D Yes , No 75-250' � � r-�, �. � Ty�pe(s):� Type(s�: 250-50D� ��i � 500-1000' REMARKS {in-house): �: � Updated: 09/11/20D9 z:lfDrmslplan review checkiisY.docx Fees to.be Char ed YES 9r�10 �. Plan Rev.iew y��`: - �e ��"a""�j ` . . . �� . in�esfigation.Fee A { - ��E��.���,.��� . Sewer C.onnection - � € � �ark Fee , �� ,� �':..� : ,. ,_ �tiher(���������k � - �. ' - �t `�°3 k� t � y�+��1r ��3�q�.�.' r,.F'��•y,� t�� -M ai i{�f`,� � $.'`�,,��� . :.�. _'w*.vue»..-r�sr r.z£' -ra.*_.Y�.xs .�'_"'a��n�„����y.��'S�����f��o���� 'S '���r4 HR"��i"'c;� �R. �:��C[�Ec.��., �-1�� =a :_ � ,', w__ � � S uare foota e .� er S uare Foota e Basement X - $ 1st Floor X = $ 2"d Floor X = $ �- Garage X = $ Estimated Construction Value: � ° ' ' - Orono Inspections Required 1Nork Requiring Separate Permits Requireci State Permits � - � -S'ite ❑ P.,lumbing :� Grading /Filling Q Well ,. �0 Hardcover Removal �=''Mechanical � Fire ;�I Electrical ,,,��Foo.ting D Sepfic � Water Connection � Poured WaD D Firep{a�e fl Sewer Conne�tion ❑ Faundation Survey � Masonry -:� Lawn lrrigation �� 0 f2ad�on Rock Sed � fUlfg. �`` ❑ Framing � Other(specify) - � I ulation Hs-6uiit Sucvey s�i" 'nal ❑ Other{specify) REMARKS (in-house)� OtherReview: Rev+ewed.by: Date.Approved: Access:Existing: � YES � NO New: ❑ YES � NO REI111ARKS TO BE NOTED ON PERMIT AND INITIAtLED BY PERSON PULLING PERMIT) � "� � �,�.:� T � � � ��-�- � � r� r��,��� ��c v� � � � �� Updated: 09/11/20Q9 z:\formslptan reView check(ist.docx ;� °� - //O O CITY of ORONO 11 Municipal Offices r� , '� �"�� �., Street Address: Mailing Address: "�+�� + �" s ,�,�' 2 7 5 0 K e l l e y P a r k w a y P.O. B o x 6 6 �. a�� ',� G �� ,� Orono, MN 55356 Crystal Bay, MN 55323-0066 ��kESH�� September28, 2011 � � 'G�l �� �� Kevin (via facsimile 763- 542-9001) Dolphin Pool & Spa, Inc. 3405 North Highway 169 Plymouth, MN 55441 Re: 3380 Graham Hill Road Building Permit Application #2011-01126 The City is in receipt of your pool permit application which was received by this office on September 27, 2011. 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. Please provide an updated, full size certificate of survey meeting the City's survey standards (enclosed) indicating the location of the existing house and proposed pool (and any proposed grading) as well as all existing structures, landscaping, retaining walls and hardcover on the property. What appears to be missing is a proposed patio surrounding the pool or possibly new retaining walls to be constructed as a result of the pool addition. 2. Escrow & Escrow Agreement. The City still holds an escrow for building permit #2011-00041. The homeowner must sign the updated escrow agreement, attached, to include both permit numbers and avoids requesting additional funds for this permit. 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 � W'� 1 r� nstine attson Planning Assistant c David & Janine Rudow (via email) Lyle Oman, Building Official enc►osures Telephone(952) 249-4600 • Fax (952) 249-4616 www.ci.orono.mn.us � Christirie Mattson From: Christine Mattson Sent: Wednesday, September 28, 2011 3:38 PM To: 'Janine Rudow' Subject: Pool Permit Attachments: admin@ci.orono.mn.us_20110928_153441.pdf Janie, The attached letter and supporting documentation was faxed to Kevin at Dolphin Pool & Spa. Let me know if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physica/addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing address) `�' 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: Friday, November 11, 2011 (Observance of Veterans DayJ 1 . �►_ Confiirmation Report — Memory Send Time : Sep-28-2011 O1:lOpm Tel line : +9522494616 Name : CITY OF ORONO Job number . 553 Date . Sep-28 01 :09pm To . 7635429001 Document paaes . 004 Start time . Sep-28 01 :09pm End time . Sep-ZB O1:lOpm Pages sent . 004 Status . OK Job number : 553 *** SEND SUCCESSFUL *** �� ��� CITY of OI�ONO � Muzaicij.fa7 Ofi-ac�-s . .�, s� �� �j ��_ ..�v 3tr¢et Addrosss MoLing Addrnsyc Y,� � �. � G.�,`<' 2750 Kclley Par3cway P.[')_ Box 66 L g� Orono, MN 55356 Crysial T3ay, MN 55323-0066 gkrs So Saptemt�er 28, 20'I'1 Kevin (via facsimlls 783- 842-900'I) �olphln Pool 8 Spa. Inc. 3405 North Highway '169 Plymouth, MN 5544'f Re: 3380 Oraham Hill Road BufldinH Parmit Appitcatio� #20'1'1-OH126 The City is in raceipt of your pool permit application whioh was recalvacJ by this offlca on Saptamber 27, 20�1_ Your applicatlon 7s fn�omplate. Tha following itams must ba submitted or ravi�ad in order for your applfcatfon to be cons7darad complgtg and Tor tha plan reviaw to continue� �. CertiTicate oT Survey- Please provide an updated, full aize certificata of survey maeting the City's survey standards (Bnclosed) 1ndloating tFie loc:ation of the axisting Fiousa ancf propos�d pool (and any proposad grading) as welf as all axisiing �tructuras, lantlscaping, retaining wallg anU hardcover on tF�e property. What appaars to be missing Is a proposad patio surroundine tl�e pool or posaibly new retaining wall5 to be constructad as a resuli of tF�a poql addition. 2. Ezorow S Escrow Agraemant_ TFi� City still holds an escrow for builcJing permit 7t20�'1-0004'1. TF�e homeown�r musi sign tha updatgd escrow agraement, attacFied, to includo both perrnit numbars and avolds raqueating addition�l funtls for this parmit. Tt�a above informatlon is required in arder for tYie plan raviaw to �ontinue. Please pe�1 f�68 to contact ma at 962.249.4620 or by amail a2 ��attson[��f_orono rTin"��� Ff you have any quastlons. Sincerafy, CITY OF ORONO n�a�I Y�M Planning Assistant c Oavid 8� Janina Rudow (via amail) Lyle Oman. Building OfFlcial anclosures Talrphonr(952)249-<F400 - Fexx(952) 249-4616 www.ci.oroao.mn.��s �,,, Stantec Consulting Services Inc. L,.�', ' 2335 Highway 36 West v� St. Paul MN 55113 � Tel: (651)636-4600 � Fax (651)636-1311 $�C111�C �Bonestroo October 6, 2011 Melanie Curtis Planning &Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 3380 Graham Hill Road File No. 139-11000-2 Building Permit No. 2011-01126 Dear Melanie: We have reviewed the grading plan for a proposed pool at 3380 Graham Hill Road. The plans were received 9-30-11. We have the following comments with regards to engineering matters: . The grading plan is acceptable from an engineering standpoint. If you have any questions, please call me at(651) 604-4894 or send an email to darren.amundsen@stantec.com. Sincerely, Stantec �_�----; ���-��_— Darren Amundsen Cc: Christine Mattson ,�' �����`�' �, �/ �I—�7 —�-�--5" �� � �: _ . �_ '` , 62 20�� SF gF__� r �— � REPI . �' - • 24" 42" (�^/)F • 20�, DIAG 45� 17" THE i �� ���� POOI . _ I � - 8' I 2"POOL BASE A-FRAME POOL COPING � , / DECK r � • •�- - �� :a:�'�ti. .�s.'l.y.'".. _ .,. . '� POOL WALL ADJUSTABLE PANEL \ A-FRqME COMPLETE _ / 04223 2"PREPARED BOTfOM $"MIN. �; •� \r::,,�< •"1 ::,�. � CONCRETE �29"--�---:: - �;" ,,;:� BOND BEAM �` ., ..� R2,: �'. �d 2'-6" I �7'_ OVERDIG G•--- E � :��°� I � � � UNDISTURBED , ;, � ` � EARTH �� R .,� , � x , �:s �"��.."���'�'''`J�"��`,� 't-�S-j�'a`�`�-.�r'C,�tsp1�'�"""'�. ;�'z a. �.i k��}:i� _ --- e } ,r ..a � ��,�s k '�w � ..+^ '(�i ,e,-� � � a g�4 $ , .,+�'"r � ✓7"5 " ^' •,,4L8��i�k �'+.� rt*��y`'�, . ���' �y,�� ��;:.� � M'� { Y+p. �'3 a b": - h,. �M �l i�`lit Y` ��4 e#�,� fi+J� ���`�+;T�� �,ti +�'�1� E v H� � � � ������ � �x �+ ' ,.� ,�'S,� � .�s� � ,:�M�d �- --t� '+�i � - ^ F ` � � vt v r t � , . . �.� � �"� �.. . � . ¢,t��,���#��� ,���-'� � ����J� ti , .. . } k Y+� � ' l �} `f-'1lCi� �'�C�,1.f,�+.��� r '�' �w}'��j y�^�. � - �;.;�`�,.�i.tit �i,`�.x"4.� .. '�R ,��'��'"`�'c'.a�y . � � et 4�4 ' R r �.. t""�t' a . � � s 2 _ �. •e���TM$�a�.y�L�^�' t 't ,�'�y� " ,�7.. ,.,. .�: ... . :i'� .. . .'.� . .ti....�' ,. ,.-'�. 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'�w �c' �� ,€ vi.,� 09I20/2011 15:29 7635958975 CDI PAGE 01/01 -- ���� � � � � � � Nl*' 4 � 1 � � ! � � � �� � � P !� tilD� � �m� � ��� �,� W �T`y (� W S�� a r�*i� � Ul �/ �l � � . � � � � �'�+ 4 w�y W �R�� �� � � �� N � � � �f � r"� � �7i � Wiv� TI—��G, :s,r� " ��' ,T � `� �'� _� � � �x `� � o �� w � �_-.� Y ♦ y �� N w � �_ ♦ �� �r � ` ��� d W -�—�; I • 1•�2 114' � � m 1'-2 '�fA�` �"� .• � �A � �� � I^� I � .�� c�o � d �y �' � � � � � � Z 0 X M� � � .\a m � l � � t"�1 � � r o a Y C � b `� � � � � � w � p � ,L„ a � � � � Q �� r, _ � i' 2 s�° Q w � � � � � m � � ,,�� ��n_iv-�i�.iT Fta7.T—C9G—i,EL ' Zb�bZ T��ZrGJZ/60 � DAT TIME � C� �d l� CITY OF ORONO CALLED IN --�� INSPECTION ICE SCHEDULED / PERMIT NO. /( (��/Z�co LETED ADDRESS � � � OWNER - EP ONE NO.��-3 ��`�` �� CONTRACTOR V � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE RE�M VAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 0. � � O � � O � W � Q � Z W � W � j d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �952� 249-46�0 OwnerlContractor on site: Inspector._�ot White Copylinspector's File Canary CopylSite Notice DATE TIME J CITY OF ORONO CALLED IN �i INSPECTION NOTICE � SCHEDULED __C"� PERMIT NO.:�O��� ��f" �COMPLETED ADDRESS a'S��� �YQ�'m ��� � OWNER TELEPHONE NO. CONTRACTOR ������ �; DESCRIPTION J�Qd � ��K� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAI Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W n, � � O �. � O � W � Q ti Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED '�7�PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITN�N HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TQ ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on si e: Inspector. White Copyllnspector's File Canary CopylSite Notice I, j V (^, DATE TIME CITY�F ORbTJO ZQ�I^vI I� CALLED IN �L'1-� Z INSPE TION NOTICE � (/ SCHEDULED PERMIT N0._��I L"7U�L b I COMPLETED ADDRESS ``J���' l��l l�"�A� ►'1l I� � OWNER TELEPHONE NO. CONTRACTOR >: DESCRIPTION � � �1 � , U�`�\ c� !�� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ XCAV/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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � G � � 0 a � 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection- hours in advance. (952� 249-4600 OwnerlContractor on ' Inspector. 'r�� � �� � White Copyllnspector's File Canary CopylSite Notice