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Home My WebLink AboutRe: bldg without permit To: 3536 Lyric Avenue, Orono From: Thomas J. Jacobs, Building & Fire Inspector Date: November 3, 1988 Subject: Building Without a Permit - Revocation of Burning Permit (#11-306-88) On November 3, 1988, the City received a complaint that Mr. Henke was pouring concrete in the rear yard area of his property. At approximately 15:45 hours, I conducted an inspection in which Mr. Henke was on the property. As I entered the property, I went and spoke to Mr. Henke and his first response was "do you have my burning permit with you?" I explained to Mr. Henke that I did not have his burning permit and that I was there to check on his property for a code violation of pouring concrete. Mr. Henke took me back behind the garage and showed me a 3-4' wide section of concrete by 20' long which he had poured which connected an existing slab to his already existing garage. I explained to Mr. Henke that this was in violation of the ordinances and that I would think that he would want to comply with the ordinances and not have more trouble than he already has. His statement to this was that if he could not get a permit for it, that he would break it out because it would stil 1 be green. I told Mr. Henke that I would have to check with the City Attorney on this matter to find out what type of action the City would be taking. As I was leaving the property, Mr. Henke referred to his "No Treaspassing" signs and told me to obey them and that he was leaving for City Hall to pick-up his burning permit. I explained to Mr. Henke that his burning permit was revoked, he continued on past me and went to City Hall. At that point I met Mr. Henke in City Hall and explained again that his burning permit was revoked due to the fact that we cannot go onto his property and check to make sure that he is not violating any conditions of the burning permit and that burning permits are a privilege, not a necessity, therefore the permit is revoked. As Mr. Henke was leaving, his last statement was "Things were going to get worse before they were going to get better!" After Mr. Henke left, I wrote a letter to Mr. Henke which will be hand-delivered by the Orono Police Department that his burning permit has been revoked. CITY o� 4RON0 Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea • � . � � On the North Shore of Lake Minnetonka November 3, 1988 Charles Henke 3536 Lyric Avenue Wayzata, MN 55391 Re: 3536 Lyric Avenue, Orono - Burning Permit #11-306-88 Dear Mr. Henke: On November 3, 1988, I conducted an inspection on your property to check for a vio lation of bui lding without a permit. During this inspection I met with you and we discussed the slab you were pouring. I explained to you that this was in violation of codes and that I would be checking with the City Attorney to see what type of action would have to be taken. As I was leaving the property you stated that I must obey the sign "No treaspassing". Since City employees cannot go onto your property and burning permits are a privilege not a necessity your burning permit #11-306-88 has been revoked. If you are found burning on the property, citations wil 1 be issued and the matter referred to the City Attorney for proper legal action. If you have any questions on this matter contact me at my office. Sincerely Thomas J. Jacobs, Building & Fire Inspector cc: Mark E. Bernhardson, City Administrator Jeanne A. Mabusth, Building & Zoning Administrator , Orono Police Department Brian Crawford, City Attorney Mound Fire Department BUILDING&ZONING—473-7357 • ADMINISTRATION dc FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING . . 3�� r t�, -e�. � - . � �� D �� . �� '` -�� Q ��i z F.� � �- �� ; . ; � � I� � � �, �, �� - �� n �%� �� G, �� ', 3 �3� � �� .�� ?� �� _ I � � . — � � ,;��.�-��-� � - , � �� I, - � ;` �✓� �� : ; `;.�� r �,�— � 0--�-`� L� l l�� a � , � �: � ��.� , , ;� ,; � C C� t� �MC� � D � �► -� �► �� . � � � _ _ ; � - To: 3536 Lyric Avenue, Orono From: Thomas J. Jacobs, Building & Fire Inspector Date: November 3, 1988 Subject: Building Without a Permit - Revocation of Burning Permit (#11-306-88) On November 3, 1988, the City received a complaint that Mr. Henke was pouring concrete in the rear yard area of his property. At approximately 15:45 hours, I conducted an inspection in which Mr. Henke was on the property. As I entered the property, I went and spoke to Mr. Henke and his first response was "do you have my burning permit with you?" I explained to Mr. Henke that I did not have his burning permit and that I was there to check on his property for a code violation of pouring concrete. Mr. Henke took me back behind the garage and showed me a 3-4' wide section of concrete by 20' long which he had poured which connected an existing slab to his already existing garage. I explained to Mr. Henke that this was in violation of the ordinances and that I would think that he would want to comply with the ordinances and not have more trouble than he already has. His statement to this was that if he could not get a permit for it, that he would break it out because it would still be green. I told Mr. Henke that I would have to check with the City Attorney on this matter to find out what type of action the City would be taking. As I was leaving the property, Mr. Henke referred to his "No Treaspassing" signs and told me to obey them and that he was leaving for City Hall to pick-up his burning permit. I explained to Mr. Henke that his burning permit was revoked, he continued on past me and went to City Hall. At that point I met Mr. Henke in City Hall and explained again that his burning permit was revoked due to the fact that we cannot go onto his property and check to make sure that he is not violating any conditions of the burning permit and that burning permits are a privilege, not a necessity, therefore the permit is revoked. As Mr. Henke was leaving, his last statement was "Things were going to get worse before they were going to get better!" After Mr. Henke left, I wrote a letter to Mr. Henke which will be hand-delivered by the Orono Police Department that his burning permit has been revoked. ' ORONO POIICE DEPARTMENT MESS.KEV CONTROL NUMBER(OCA) CONT.AGENCV NCIC IOENT.(CAG) DATE/TIME HEPORT MADE E C 1 / /�,lj, �,/) ,s , ,/ M N 0 2 7 � DAY: S M T W T F S L NBR OATE REPORTED(RPO) TIME RPD ITRP) LOCATION GRIO NBR (LGN) ❑ / / 2 / /� PLACE COMMITTED(PLC) .3S 6 � !�G �Z cYJ HRD Coel�s �'m � �� H�RD SQUA�OR BA�GE#(SBN) TIME ASIG.(TAS) TIME ARp.(TAR) TIME CIR.(TCI.) �� m .� P— Phone 0 3 � � I I� /1 � �o ' L � a �i � � � � R— Radio � F� A—Als�m L NBR ISN UOC UCS �FFICER ASSiGNED ASSISTED BY f � 'nP.�o^ C✓ a�� < V— Viwal �o, � � � � / M— Mail T— Oth�r OFFE-�OR I�IAL COMPL INT OTMER PRINCIPAI: � COMPLAINT Q OFFENDER VICTIM� D.O.B. BUSINESS AOORESS BUSINESS PHONE �/��'� / , /� `G HOME AODRESS HOME PHONE :��Q l� ! �� !► c OTHER REPORTS INCLUDED Impound Q Prop Inv�ntory ❑Impliad Con»nt Q Aceid�nt R�port ❑Tap� ❑Influ�nc�R�port Q Photot❑ REPORTING PERSOI�OFFENDERQVICTIM� D.O.B. BUSINESS AODRESS BUSINESS PHONE HOME AOORESS HOME PHONE / � � SEE CASE FILE ' ROLL CALL � Warn& Release Dept.Assist Message Deliver Treated&Transported Advised Citation Iswed Detail Completed G.O.A. .� Q oh ' /!v . COPY TO: List CO.ATTNY ❑ CITY ATTNY. ❑ COURT ❑ CHIEF ❑ �_ • �� ,/j�rQ� DISPOSITION: Unfounde Cleared by arrest Ref,other agency Inactive Other OFFIC - SUPERVI50R'S SIGNATURE / , Date Issued: 10/3/86 Permit to be mailed: � Permit No. : 10-254-86 or picked up:� CITY OF ORONO P.O. Box 66, Crystal Bay, MN 55323 Notice shall be given to the police department prior to burning- 544-9511. Expires after 30 days from date issued. -------------------------------------------------------------------------- O P E N B U R N I N � P S R M I T --------------�S 3 G � Y��------------------------------�a_-------- SITE ADDRESS: � DATE: �'J— ��p Name: Phone: �/ ' U� (h) ��=�rt,p (o) Mailing Address: 5� Agent (�f applicable) : -- FOR THE PIIRPOSE OF BURNING ��L�%"'� �!�C�-G�'C Z!a� This application for open burning will be accomplished in accordance with the conditions listed. The recipient of the permit shal 1 comply with all other state and local laws regarding open burning including obtaining the required permits. Signature -------------------------------------------------------------------------- Approved by• Inspected by: - _ Date: /a-3' '�'� Inspectors Co e ts:_��,�F tip,S M��-r� �3G POs"e�G) Q►c:�-�`02�' QvRj�j Fire Department: Long Lake Maple Plain C�� Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. Fire Department THB FOLLOWING ITEIrlS are to be completed before the inspector arrives: 1. Street address must be posted and visible from the street 2. Burn pile must be stacked at burn site meeting the following: - Minimum 50 ' from buildings - Wood and paper products only - 8 ' maximum diameter, 4 high maximum 3. If piles are not easily found and no one will be home, you must draw a map on back side of permit application locating the burn pile. 4. If these conditions are not met, the permit will be denied and you may not apply for another permit for 30 days. 5. Read all conditions on backside of permit before burning. Violations of these conditions may result in the issuance of citations and permit may be revoked. ALL SITES WILL BE INSPECTED before issuance of burning permit, subject to availability of staff time. � Date Issued: 12/4/86 Permit to be mailed :--�'� Permit No. : ��g_sh or picked up: CITY OY? ORONO P.O. Box 66, Crystal Bay, MN 55323 Notice shall be given to the police department prior to burning- 544-9511. Expires after 30 days from date issued. -------------------------------------------------------------------------- OP EIa BORIdI NG PERRZI T -------------------------------------------------------------------------- SITE ADDRESS: DATE: Name: � �� Phone: 7 7 � �(h) (o) � Mailin Address: � Agent ��f applicabl : � i FOR THE PURPOSE OF BURNING �DOQ � � This application for open burning will be accomplished in accordance with ( the conditions listed. The recipient of the permit shal 1 comply with al 1 � other state � and local l�ws regarding open burning including obtaining the � required permits. � . : -. - .. . .. _. _. .. Signature � -----�----------------------------- --------- --------------------------- � A roved b : ; -- • •" �.. . - - � pp y �� Inspected by. _ . . . . � .. -- . . � - - - �� _ - .. ._. ._.. _ . . . . . : _...,_,� .. . • - - . _. . _ . ._ - � ��-„�'��'. _ � � ,� Date: ( Z- _ `. . _ ; . _ ... ...._ . .. . . . , ' _ Inspectors Comments: (�• . ,��. ._,�, ; dJs ^�,�- � ,. � , � o � -�;� � I ; _ - �Fire Department:_ Long Lake Maple Plain �Mound � Wayzata .... � � • - - _ _ ._ .. . - The Fire Department must sign this burning permit if they wi11 be doing the burning for _the applicant. - : - - �.. _ -. - : . _ Fire Department - - � - -� TH8 FOLLO�TIYIG ITEI�S are to be completed before the inspector arrives: � l. Street address must be posted and visible from the street 2. Burn pile must be stacked at burn site meeting the following: - Minimum 50 ' from buildings � - Wood and paper products only D ` � - 8 ' maximum diameter, 4 high maximum I � � 3. If piles are not easily found and no one will be home, you must �� draw a map on back side of permit application locating the burn pile. � . 4. If these conditions are not met, the permit wil 1 be denied and you may not apply for another permit for 30 c3ays. i � 5. Read all conditions on backside of permit before burning. Violations of these conditions may result in the issuance of citations and permit may be revoked. � ALL SIT�S WILL BE INSPECTED before issuance of burnina n�rm� t- . subiect t� • , .�, , • , � ,. ` CITY of URONO Post Oft'ice Box 66•Crystal Bay,Minneaota 55323•Municipal Offic�s • � . � � On the North Shore of Lake Minnetonka CITY OF ORONO ARR$ST REPORT DATB: November 8, 1988 D$FBNDANT: Charles Henke NATURB OF OFFffidS$: Building without a Permit : ORDINANC$ NO: Uniform Building Code Section 301a ARRBSTING OFFICER: Thomas Jacobs - �581 DATE OF OFF$NSS: November 4, 1988 On November 3, 1988, I received a complaint the Mr. Henke was pouring concrete in the rear yard area of his property. At approximately 1545 hours I conducted an inspection in which Mr. Henke was on the property. As I entered the property 2 approached Mr. Henke to advise him that I was on the property to check for a code violation of pouring concrete. Mr. Henke took me back behind the garage and showed me a section of concrete that was 3' to 4' wide and 20' long, which he had poured. This section of concrete was connected to an existing slab and Mr. Henke's pre-existing garage. I explained to Mr. Henke that he was in violation of the ordinances and that I would think that he would want to comply with the ordinances and not have more trouble that he already has. His statement to this was that if he could not get a permit for it, that he would break Yt out because it would still be green. I told Mr. Henke that I would have to check with the City Attorney on this matter to f ind out what type of action the City would be taking. Af ter speaking with the City Attorney, Bryan Crawf ord, and reviewing the files of the subject property, the City has no alternative but to write citations for the above violation. This is due to the fact that Mr. Henke has been found working on his property twice before without permits. On January 29, 1987, Mr ! Henke installed a side door on the existing house on the property (which has not been completed), and on June 10, 1983, Mr. Henke was found filling and grading on the property without a permit. Mr. Henke was notified that permits are required, and therefore, Citation #388051782 was issued to Mr. Henke. BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING i• � :��' . . __. . - t ' w � � � ' . � ' �lIC1567�10/!7) t - -- — STATEIOFMINNEf07A� � I . . ' . UNIFORM CRATION NO. c 018iRiCTCouRT�N � . � 388-0 517 8 2 :>:�::: ��'��'��.,� ; � .. , �:; ; � . ; � ' . .. , � � � DRIVER'S IICEN8E NUMBER STATE � � . . ! . . 4� ,��. . � . ' , . . � . � . .. ,- . . � � NAME—LAST,FIRSt.M10DLFJMAlOEN � j � . � . • ,.i; . ' . . . � � � . � . . . . ,. . � � . ' • � ADDRESB 6 CITY ' . � . ' ' S 6 � i . , . '. . . � STATE ZIPCODE i � . . � a � z T � � S 1 . , . • _ ' � DATEOFBIRTH EYES HEIOMT WEI6MT SE% • � . � � ' - � � . . ' MO. DAY YEAR . � � .� . ' ' � '. . .. , . � YIOIATION INROIIMATION � . � � � � DATE OF OFFENSE TIME METER NUMBER ' .- ' . . . . . . . . . . / � ' . - � . . . � '. � . VEHICLE LICENSE PIATE STATE . VEAR MAKE MODEL � � . : . �. , . . I . . . ,.�. -. � . . • . � COIOR LOCATION GTY ' .. -� . . � .�. . . .. . . . � . ;:;� � L J � . �'- D Y' O V1 ,. �;, . � . . � � ' . SUTUTEORORDINANCENO. DESCHIPT�ON ' . . r' � V1I�O �c' (C.I I W ` `�'' � � 'F� G -. ,; . � . � hn 0 � . .f�.. . . W • � � com cr.ow. �cmvm . � 0 .. ,� � � OR PROPERTYE ❑ACCIDENT �CONDITIONS . � � ' y A EN M R � RIN MB R � . . , ! I ' � M N Q Z � ( � V , .,i: I agree to rospond to this cltatbn�nd unde�stend tAat If I fall to do so wlthln 7 days,locroaeed � perultles will be aasessed and a warrant wlll bs Issued fa my artest If a wartant is Isawd,a penalty of t30 wlll be added to the(Ine. ' • . - � � . � � � � I DEFENDANT'SSIGNATURE . ' � � I N - EI � - . �� . � �, E R �► � � ; S I� R E 1�E t� E O 1'3 E � � r � — �O � � � — � I � COURT COPY•DO NOT WRITE ON REVERSE ' �--- - --------..__ �_�._. `__._ :S !. . ' � .' ' . • - . � � , , . .. � � �.r�. . . . � r. ', - . y . . . • `:,:, . . . , , . ..y.,, � � •', , ' � Y� � . .� ' - , ��'' . . . � .. . _ � � � � . . . t . _ . . . . . . • . . . �tit[ . . � , . . . F _ . . . . � •:�1�. . 1 . . . . . . . ' ,� _ . . �i. . . . . . . . . • . . � � . . . _ . . � �.r ' � � . . . . . . .. . a� . , . . . . . - - . a� . .-. � � . . . . �� . . . . � . • ;- ,. ' . . .. �. . . . . . 1j..�� . . . , . � � � . . � � . . � . . ;.'�':� ' . . . . . , _ ,;. . _ , ' . � r . � . ' � - � . 5;�� . . � . . i_• . ' - . .'f.�; � . � To: 3536 Lyric Avenue, Orono From: Thomas J. Jacobs, Building & Fire Inspector Date: November 23, 1988 Subject: Building Permit On November 21, 1988, Mr. Henke came to the office and spoke to me about his permit. He was upset that I noted on the application that we could not verify slab conditions on the edges because no details had been submitted and we did not do an inspection (the work that we are talking about has already been conpleted). Mr. Henke was also upset that there was an investigation fee of $30.00 for working without the permit. I explained to Mr. Henke that if he provided a detail of the slab condition at the edges, that I would accept this and remove the note at the bottom of the application which states that he cannot put a shed or building on top of the slab. Mr. Henke appeared that he understood this, explaining to me that he would not be picking up the permit at this time, and that he would have to talk to his attorney about the matter due to the legal proceedings going on. I told Mr. Henke that I understood this and that it was fine. He left the office. cc: Bryan Crawford, City Attorney Jeanne Mabusth, Building & Zoning Administrator Mark Bernhardson, City Administrator , � 1 CITY of 4RON0 Post Office Box ss•Cryatal Bay,Minneeota 55323•Mnnicipal Offic� • • � • • On the North Shore of Lake Minnetonka January 10, 1989 Mr. Charles Henke 3536 Lyric Avenue Wayzata, MN 55391 RE: Application for Building Permit Dear Mr. Henke: This letter is to inform you that effective January 9, 1989, the fee schedule for building permits increased. We have given you notice that your permit is ready to be issued and that you need to come to the City Offices to pick it up. We ask that you pick up the permit prior to January 20, 1989, or we will have to charge you the increased permit fees. Should you have any questions, please contact us at the phone number indicated below. Sincerely, ' � � Q�J aurie Schef f ler City Recorder ls BUILDING�ZONING-473-7357 • ADMIIVISTRAT[ON Jt FIIVANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSiNG � �� ~ � CITY OF ORONO - BOILDING PERMIT APPLICATION Total Fee: $ �D�� Date Received: l�- �� -AY��'--�k�_��,� �2- � � �� — (� � , -�- _ - k Date Approved: U ` 'J .��- �� I� �;"Y,�Y Permit�:�� Project�: Building Permit Application Requirements: � 1. Building permit application - to be filled out completely and signed 2. 2 sets of construction plans to include the following: a) Floor plans; b) Footing and foundation plan; c) Elevations (of all sides) ; d) Wall sections and cross sections; - e) Details - stairs and any special connections. 3. Certificate of survey with :location of existing and proposed structures including hardcover calculations and grading and drainage p lans as required. 4. Energy calculations - form provided. 5. Septic report and design if required. ABOVE INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PI,AN REVIEW WILL BE STARTED -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR Jos si�s Annx�ss: �J� 3�, � �f'1/� . G'�'r YZ,�� , IyN zip: �� _3�� [� / (work) '-� N�ML OF OWNER: �� /7 �! �� PHONE: (home)� 7/ -. , 1KAILING ADDRSSS: � S „3lJ L Y�I� CITY: (/v/�� ZIP: G) LJ ��/ CONTRACTOR: Ll�L /� PHONE: MAILING ADDRESS: CITY: ZZP: ARCHITECT: J��L � PHONE: MAILING ADDRESS: CITY: � ZIP: TYPE OF WORR: New AdditiQn Accessory St:uc�ure Move Demo Remodel/Alteration Renova�e Land Alteration PROPOSED �s$ (describe in detail) : C'�NCh,�r� �'Gfj`f3 �Dl� /��1` STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�G� STAI�LS: ATT. DET. ESTIMATED CONSTRQCTION VALIIATION (excluding land) : $ ��0(�� I hereby apply for a building permit and I acknowledge that the informatio�. above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that � understand this is not a permit and work is not to start withS�ut a permit; anc: that the work will be in a ordance with the approved plan. ��117� p(��1� . D , � �� . � /� � APPLICANT S SIGNATQRE: C� :,� .�'/ DATE: (Please fill out the reverse side of this form) • 'i� � . f -Y � � . _ . _._ ._ .. CI�Y o� O��i1T0 � Post Office Bo:66•Crystal Bay,MinneBota 55323•Municipal Offices i � . � � On the North Shore of Lake Minnetonka - . D�lT��1Z�v�i �IDV��Q.�3� • In accordance with M.S. 15.165, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidentia�� information. You are notified that: 1. _ The information you furnish will be used to determine your qualification for the permit or license requested. - 2. You may refuse to supply data, but refusaZ may require that the City deny the permit or license. 3. The information may be shared with other Iocal, state or federal agencies to the extent necessary to process the permit or Iicense. 4. If your requested permit or license requires Council action � to approve, some information may become public. � 5. You have certain rights under M.S. 15.165 to review private • data on yourself. 6. Your full name, and date of birth are required to process this application or penait. �r��'S . _._.__L.�� _ . __. . _ .. . ._ ._ �N �1 __._. .._ �.. . _ ___ F'rst Middle Last 3� �-��1� . _... _.---.�. ..... ._.. __ � Address __ 1-l/ 7� �J / ! / lU��.,��.z� - -- - - - -- - ---- - City State Zlp~ y 7/ -�� ------- - --- - Phone . I understand my rights as stated above. Signature BUILDING�ZONiNG—473-7357 • ADMINISTRATION db FINANCE—473•7358 • PUBLIC WORKS—473-7359 ASSESSING r � , � 4 CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officee • � . � � On the North Shore of Lake Minnetonka November 8, 1988 Charles Henke 3536 Lyric Avenue Wayzata, MN 55391 Dear Mr. Henke: The Building & Zoning Department is in receipt of your application for a building permit, which was received by this office on November 7, 1988. A review of the application finds that the following information needed for review is missing: Site Improvement Plan (Driveways/Landscaping/Sidewalks/Decks/Etc. ) Hardcover Calculations (Standard Form Attached) Review of your application will not continue until the noted items are received. Failure to submit required items immediately may result in delays in issuance of permits. Please contact the Building & Zoning Administration at 473-7357 if you have any questions. Sincerely, � � Michael P. Gaf on, Asst Planning & Zoning Administrator MPG/tln BUILDING�ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING � � , .� - ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS ` "� FOR OFFICE USE ONLY AI3DRESS OR LEGAL DESCRIPTION: c/� L PID: DESCRIPTION OF WORR: S�� ;��E_-'�-�/�i'� ��'��' ------------------------ ----------------------------- ---- -- ----------------- ZONING REVIEW BY: DATE APPROVED: -1�' �� BOI7�DING RLVIEW BY: .DATS APPROVED: PERMIT ISSIIED BY: DATE: ---------------------------------------=---------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No SEWER UNIT $ — PLAN REVIEW Yes �No SEWER CONNECTION '�� STATE SURCHARGE Yes �/ No WATER CONNECTION PENALTY Yes No PARK FEE SAC Yes Not/ SITE INSPECTION OTHER (specify) ------------------------------------------------------`----�------------------ �ONING CHECK LIST Zvning District: � �--� rire Department: /'��C'L;'lU� Post Office: /�;:f�"�( �=- School District:�M-2�r.c/�-�� 1 � Lot Area: � � � / a�= Width: ��a � Depth: �.3 7 �" Survey Submitted: Yes ✓ No � Date vf Survey:�'�� 7 Proz�osed Setbacks: � � Front (-�a�-� : � � '+ Right Side: c� � < < + Rear (��-� : �� f Left Side: - Adjacent Structures: Wetland: `�— Existin Proposed Hardcover: D--�S' � �s `� � �'` S�`�� l��' f t�. �. -f �' ��,f� � L�-- ��' Hardcover Variance Required: Yes No� Date of Council Approval: Grading: Staf f Approval Date: � '►ti t�� By: �"" Council Approval Date: `�`" Septic: Staff Approval Date: By: � � Zoning File: # -- Resolution # : -----y— Resolution Date: �� J- �_MARKS (in house) : M�, N kE ��,5 Sa , � v� �"h.� �A��"t ��h�� I/6AR� . � �--�F w ct N T �o C:erK s�r 2 v cT L� St�r� �•� �s ��c.��ien - �[..�!� ( s /�Jo T �57�v-Gy�� `�-� � ��.s � BIIILDING RLVIEW CHECR LIST � � . � �, r . IIBC:�S CONSTRUCTION TYPE: BLDG SIZE: H. L. W. Sq. Footage: Estimated Construction Value `�� lst Floor x = 2nd Floor x = x = x = � Garage x = TOTAL x = Inspections Required: Work Requiring Separate Permits: . Site Plumbing Grading/Filling Footing Mechanical Fire Framing Well Water Connection Insulation Septic Sewer Connection ��all Board Fireplace Other ✓ Final ------------------------------------------------------------------------------- " FLEMARRS (IN HOIISE) : ------------------------------------------------------------------------------- REVIEW BY OTHEItS t DATE: Access : Existing New _ Access Approval: Date By: ------------------------------------------------------------------------------- _ �_MARRS (TO BE NO�ED ON PERMIT) : L� c�...-�`- �C� 1�.�t�v- �_ � � Vv�,�