HomeMy WebLinkAbout2017-00241 - deck • CITY OF ORONO 111* 11 111 II �� 1 111 1 zl��4► �� 11*I
2750 KELLEY PARKWAY DATE ISSUED: 03/20/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 890 OLD CRYSTAL BAY RD S
PIN : 09-117-23-12-0008
LEGAL DESC : FRENCH CREEK WOODS
: LOT 004 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 35,000.00
NOTE: PRIOR TO RELEASE OF ESCROW MONEY A FINAL INSPECTION MUST BE COMPLETED AND ALL AREA DISTURBED MUST
BE ESTABLISHED W/VEGITATION. INITIAL:ITV'
NOTE:PLEASE READ AND SIGN ATTACHED BUILDER ACKNOWLEDGEMENT FORM.
APPLICANT PERMIT FEE SCHEDULE 546.57
STATE SURCHARGE(VALUATION) 17.50
OUTDOOR EXCAPES,INC. TOTAL 564.07
2345 DANIELS STREET
Payment(s)
LONG LAKE,MN 55356- CREDIT CARD 4347 564.07
(952)926-6899
Minnesota State License#:BUIL-20630819
OWNER
TROUP,IAN
890 OLD CRYSTAL BAY RD S
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. 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 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
revoked at an • •ue cause.
Applicant Permitee Signature Date Issued By Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
*At. Mailing Address:
PO Box 66 Permit number: /`7 — 1)0 ?4/
Crystal Bay, MN 55323-0066 Date received: /Street Address:' Received by: /62750 Kelley Parkway Plan review fee: 1kESH04Orono, MN 55356 otal Fee: .:= 0(;) l -7 `vv
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. 56,
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: 7/7
Job Site Address: 1510 OLS Com-` -ram gR-.( .
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/APPLICANT INFORMATION:
Name: Ou-t' c..o.PE.S
State License# scADs-1 %3 Expiration Date: s/-i /-yolk
Phone: (cell) to Sq q_6-40 3 (office) of 57,--e1 ZLP- (08499
Mailing Address: , . T Cit : - ZIP: S' S10
Contact Person: - ��,� --�o .,�.sc� Applicant is: • rac or / Homeowner (circle One)
Email and/or Fax: - --ro �( -rt›,vol--E -c.. .
PROPERTY OWNER INFORMATION:
Name: ty -T2o•y?
Phone(day): �v�-r - g 40 -7,442.)0
Address: 81 oC...31714$-C « -( tib City: o .oa o ZIP: SS3'
Email and/or Fax o,,N-c n,,0,)p r o e_:,--.0%4 ilk. C.a t•+. -_
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction '' Single Family with ElAccessory Bldg./Garage
'®.Addition attached garage ',Deck ❑ Public Sewer
❑Accessory Building El Single Family with .]Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
El Other:(specify) El Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require El Commercial ❑Storage
MCWD review&permits. ❑ Industrial El Warehouse 0 Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(specify) ❑Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ 3S� 000
Last Updated: January 2016
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 1,
a. Length(ft.)= 15L- Number of bedrooms= 2. Occupancy: I' l C
b.Width(ft.)= (9 Number of garage stalls:
3. Occupant Load:
Areas in square feet Attached=
c. Basement= Detached= 4. Type of Construction: . 1eC
d. 15t Story =
e.2nd Story= 5. Code Edition: -Of / / 4 6 c
f. '/2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Building Permit Escrow Agreement and Fees
❑ ❑ Plan Review Fee
❑ 0 Completed Application Form
O 0 Proposed Building Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
O 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ ❑ Survey-2 full size,to scale(meeting ALL survey requirements)
❑ ❑ Hardcover Calculations
❑ ❑ Septic System Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD stating no permit is required
❑ ❑ Landscape Walls and/or Retaining Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan(SWPPP)
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
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.
Applicant's Signature: 1l ) 2 Date: S /14 / 1'l
Owner's Signature: Date:
Last Updated: January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: MO DU croiBa4 124 5 Permit No.: 2017 - coif/
Description of work: DediC rebut * 1- •g /'Q'A,d Date Rec'd: A • 14--1 7
Septic review by:
.4/(I,(7\ ' 2:445--.4 Date Approved: lCe
Zoning review by: .'. Date Approved: • 6917
Building review by: U /( 1 .,�� Date Approved: 4 /
r
Grading review by: "•' Date Approved: —
Zoning District: gR- LE Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resoluti•100
Zoning: Lot Area: if. ,OZ S /AC Width: Structural Coverage: Nil- SF -- %
Survey Submitted: pf4s D�Nom fur✓ Date of Sur ey:_i i• 2...i•4 5 Revised date(?):
M.t S ,y p c u
Landscape plan submitted? D Yes Landscaper: D No None proposed
Prosed Setbacks:
O p
(\t__/F o f Rear( t) ( N a E li) ( N S E W ) Other Buildings Wetland
Side Side• _
115' 158• ,. l
Building Height Analysis:
Distance Between First Floor and defined Top of (a)
Roof* (See "building height" definition):
First Floor Elevation (from buildin• e - s): (b)
Highest Existing ground = - (per survey) or 10' (c) A
above lowest groun• -vel, whichever is lower:
Difference bet , -en (b) and (c): (d) V
Defi •d Building Height (a) - (d): (e
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Yes D No Permit Number: D Yes D No N/A D YesNo
N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) _ (% and sf) (% and sf)
5,Vii) 61540 D Yes /21/No D Yes o
1 2 0 4 5 ' Type(s): Type(s):
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage 7X /�`) = $
4
Estimated Construction Value: $ / V OD
Orono Inspections Required Work Requiring Separate Permits___._
Footing ❑ Site 0 Plumbing 0 Grading/Filling
Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
O Foundation Survey ❑ Hardcover Removal 0 Fireplace 0 Water Connection
O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing 0 Other(specify) 0 Landscaping
)1 Framing
O Insulation
O As-Built Survey
Final
O Lathe Required State Permits
O Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
Prior to elease of escrow money - - • - - - • - • •'- - • - -- --- •- ••• I-• -•• -•• oved.
a 4i►t. I r- mai- be i , IceleaL 1- all 0 rut ati3h4/A2 QJ C�
m c W be -es/co/Wu& L / V 0 , , dor` •
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
/
ilCompleted Application
Plan Review Fee Paid
Signed Escrow Agreement & Escrow Payment
erBuilding Plans (to scale) x2
A Certificate of Survey (to scale) showing the proposed project &
Al meeting all requirements x2
e9,c `.-/ 4Cee4 ' 7,--,CC) d57 4
Hardcover Calculations (if applicable)
I am aware that Orono will not issue a building permit without a
• copy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regardin this project. v i (/ fio ,- w r 1 • " 1
Signed by: 1 /
? ,
Address: 'R0 0 (ri (1 -0- / / q ac1 S
Permit #: a 077 _ C) _ a ca
Last Updated: January 2016
Builder Acknowledgement Form
Permit #2017-00241 / 890 Old Crystal Bay Road S
Builder Representative Name: T_v--1
Permit Conditions: Initials
Erosion control mechanisms must be installed and inspected by the City prior to any land
disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to
inspection.
Erosion
Erosion control shall be installed and maintained throughout the entire project and must
remain until vegetation has been established.
A haul route shall be submitted to the City Engineer for approval and inspection prior to
commencement of hauling from the site.The property owner shall be responsible for cleaning y� l
and repair of roadways for any adverse impacts.
Prior to the release of the escrow money a final inspection must be completed and all disturbed
soils must be re-established with vegetation. V
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining
walls, etc. not currently shown on the approved survey and landscaping plan will require a
separate Zoning Permit application to be submitted and approved prior to the work
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
height of the lower wall require engineered plans and a building permit to be submitted and
approved prior to construction.
w:\street files\old crystal bay rd s\890\builder acknowledgement form 2017-00241.docx
Christine Mattson
From: Drew Torrence <dtorrence@outdoorexcapes.com>
Sent: Thursday, March 16, 2017 2:42 PM
To: Christine Mattson
Cc: Monica Fadness; Rachel Dodge
Subject: RE: 890 Old Crystal Bay Road S/#2017-00241
Hi Christine,
Thanks for the update.The clients will be back in town next week so I'll plan on dropping off the escrow agreement and
payment at that time. I appreciate you moving forward with the review process.
Thank you!
Drew Torrence
Landscape Designer
Mobile 612-599-5403
dtorrence@OutdoorExcapes.com
OUTDOOR EXCAPES
CREAfl$G iu*URY OUTDOOR Ravrl40
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Thursday, March 16, 2017 2:12 PM
To: Drew Torrence<dtorrence@outdoorexcapes.com>
Cc: Monica Fadness<MFadness@ci.orono.mn.us>; Rachel Dodge<RDodge@ci.orono.mn.us>
Subject:890 Old Crystal Bay Road S/#2017-00241
Drew,
We have the building permit ready to be issued for 890 Old Crystal Bay Road S. Attached is a copy of the escrow
agreement. If timing doesn't allow the property owner to sign the escrow agreement at this time,we will issue the
permit upon receipt of the$700 escrow. Once the property owners have returned please have them sign the escrow
agreement and return to us.
Please don't hesitate to contact me if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356(physical address)
1
Christine Mattson
From: Christine Mattson
Sent: Thursday, March 16, 2017 2:12 PM
To: Drew Torrence
Cc: Monica Fadness; Rachel Dodge
Subject: 890 Old Crystal Bay Road S/#2017-00241
Attachments: Escrow Agreement 2017-00241.pdf
Drew,
We have the building permit ready to be issued for 890 Old Crystal Bay Road S. Attached is a copy of the escrow
agreement. If timing doesn't allow the property owner to sign the escrow agreement at this time,we will issue the
permit upon receipt of the$700 escrow. Once the property owners have returned please have them sign the escrow
agreement and return to us.
Please don't hesitate to contact me if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 55356(physical address)
PO Box 66 I Crystal Bay I MN 155323-0066(mailing address)
lit 952.249.4620 I g 952.249.4616
cmattson@ci.orono.mn.us www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
Christine Mattson
From: ian troup <iantroup3510@msn.com>
Sent: Wednesday, March 15, 2017 11:29 AM
To: Drew Torrence
Cc: Christine Mattson; Hans Frees
Subject: Re: Escrow agreement
I confirm that the appropriate paper work and check will be provided immediately upon my return.Thank you for your
understanding which allows our project to proceed on plan.
Sincerely Ian TROUP
Sent from my iPhone
On Mar 15, 2017, at 8:48 AM, Drew Torrence<dtorrence(a1outdoorexcapes.com>wrote:
Hi Ian,
I have copied Christine Mattson with the city of Orono on this email.As discussed,she will accept an
email confirmation acknowledging the work we will be doing on your property as well as accepting the
terms of the escrow agreement which you will fill out and pay once you return from your trip.This will
keep things moving forward on the permitting process until you return.
Please respond when you have a chance.
Thank you,
Drew Torrence
Landscape Designer
Mobile 612-599-5403
dtorrence@OutdoorExcapes.com
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1
City of Orono
4oN Hardcover Calculation Worksheet
Property Address:
``Hp4 Prepared by: Date:
T�(L.�4.L —�-o cu+-�•.1 c.>E 11 s/ ri
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 OCIMP Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
separately for each portion.
Key to Hardcover Item(Describe) Length x Width Total
Survey (Square Feet)
(Example) (Garage) (24'x 30') (720 S.F.)
A "aNIE-C - VT T `1,1.-4,1 1 S o S.F.
B S.F.
C S.F.
S.F.
E S.F.
S.F.
t44.1
G �t41 S.F.
�� O S.F.
�J S.F.
S.F.
S.F.
S.F.
M S.F.
N S.F.
O S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
✓ S.F.
VV S.F.
X S.F.
Y S.F.
S.F.
(1)
(1) Total Proposed Hardcover q(pen. I moo— S.F.
Excludable Hardcover(See City Code Sec 78-1684):
S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcoverr w�� S.F.
(3) Net Proposed Hardcover [Subtract line(2)from line(1)] � ���CT' S.F.
(4) Total Lot Area 11413.'i 2—S.F.
Proposed Hardcover Percentage [(3)+(4)]
5.5070
This Is an Information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contained
herein;however,if any information is not consistent with provisions of the City Code,the Code provisions will prevail.
Page 9 of 9
City of Orono
qh �, Hardcover Calculation Worksheet
Property Address: (tet O OLNN arm
sf ' Prepared by: Date:
3V7-r_►•.1. 3 /IS/17
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2Tier 4 Tier 6
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the
75'setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item(Describe) Length x Width Total
Survey (S9uare Feet)
(Example) ' .(Garage)' (24'x,30') (720 3,F,)'`
A 1in�tSG 4 c x1S' 'c:60 S.F.
B (-c+.rt✓.r►caer 144.411 1 11--421, S.F.
C F11.e W a oAir A4 1 ft"( 1 d. .t 1 C S.F.
D rs.,AV lsr►A-A o' 4bdP CD S.F.
E G A"tr c) 1 4 14: t 1111%., S.F.
F b 6-c.�c 1 7„,,e,+O S.F.
G a�t.tic.. C-w.'tKYo►�r1G 1'4' I \Q S.F.
Rt..e S �"l�f-4+1 445 S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
O S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
✓ S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
(1) Total Existing Hardcover S.F.
Excludable"Hardcover(See City Code Sec 78=1684):'
S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover S.F.
(3) Net Existing Hardcover [Subtract line(2)from line(1)] 14at itS.F.
(4) Total Lot Area nft 1 1 S.F.
Proposed Hardcover Percentage [(3)+(4)] 574 %
(Proposed Hardcover next page)
This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contained herein;
however,if any information is not consistent with provisions of the City Code,the Code provisions will prevail.
Page 8 of 9
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Christine Mattson
From: Drew Torrence <dtorrence@outdoore capes.com>
Sent: Wednesday, March 15, 2017 10:20 AM
To: Christine Mattson
Subject: FW: survey- 890 old crystal bay rd
Hi Christine,
Below you can find an email from Jack Distel with the MCWD confirming that they do not require a permit for the deck
project at 890 Old Crystal Bay Rd. Let me know if you need anything else.
Thanks,
Drew Torrence
Landscape Designer
Mobile 612-599-5403
dtorrence@OutdoorExcapes.com
4t/P'
OUTDOOR EXCAPES
CREATING 4UXURE OUTDOOR LIVING
From:Jack Distel [mailto:Jdistel@minnehahacreek.org]
Sent:Tuesday, March 14, 2017 3:15 PM
To: Drew Torrence<dtorrence@outdoorexcapes.com>
Subject: RE:survey-890 old crystal bay rd
Hey Drew,
Thanks for sending this over. After reviewing the plans it has been dete mined that you will not need a permit with us
as the project is below the threshold for the disturbance levels for an er'sion control permit and the location of the deck
is well away from any wetlands on site. Thanks for checking with us and good luck with the project.
Best,
Jack Distel
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka BLVD
Minnetonka, MN 55345
952-641-4581
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MINNEHAHA CREEK
WATERSHED DISTRICT
From: Drew Torrence [mailto:dtorrence@outdoorexcapes.com]
Sent:Tuesday, March 14, 2017 3:10 PM
To:Jack Distel<Jdistel@minnehahacreek.org>
Subject:survey-890 old crystal bay rd
Hi Jake,
You can find the survey attached. Let me know if you need anything else
Thanks,
Drew Torrence
Landscape Designer
Mobile 612-599-5403
dtorrence@OutdoorExcapes.com
OUTDOOR EXCAPES
CREATING LUXURY OUTDOOR t,4VING
2
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irrc5d4 TIME
OF ORONO CALLED IN
INSPECTION ITI E /SCHEDULED — 73n -17 1. 30
PERMIT NO. ✓�'1 /' 2VCOMPLETED
ADDRESS 307o Olds 1
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CONTRACTOR / f ,� ..0 / 1
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W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
VOj ❑ FOUNDATION WATERPROOF 0 PLUMBING FI 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
IC Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑COR ECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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White Copylinapectors File Canary CopyfSita Notice
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DATE TIME NI
CITY OF ORONOCALLED IN
INSPECTION NOTIC� SCHEDULED S1 k}f l'I 11 ,GCS
PERMIT NOd mph-- 2- �F 1 / COMPLETED
ADDRESS IC O l d CrLow r t .
OWNER TELEPHONE NOI GA 2210 2-02-9
CONTRACTOR Cb-441-A--)r F5CaP23
DESCRIPTION r i i- i C . rk-0_,nu\J
._ty ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
lc ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
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2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
F..ArAMING 0 MECHANICAL FINAL 0 RATED WALLS
IRSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
vFINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W _�/❑-AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
IC Z OWNERICONTRACTOR TO MEET YOU: YES_NO
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CO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector: ...--'-7.,--yee..- 4
White Copy/Inspector's File Canary Copy/Site Notice
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