HomeMy WebLinkAbout2017-01225 - wood fireplace CITY OF ORONO II1:11111 II II 01111111 I II
2750 KELLEY PARKWAY * e0 1 7 - 0 1 2 2 5
DATE ISSUED: 10/23/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 490 OLD LONG LAKE RD
PIN : 36-118-23-34-0010
LEGAL DESC : SUMMIT STATION
: LOT 003 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION : $ 30,000.00
NOTE: OUTDOOR FIREPLACE
TE: A FINAL INSPECITON IS REQUIRED AND ALL DISTURBED AREAS MUST BE RE-ESTABLISHED WITH VEGETATION.INITIAL:
NOTE: WORK IN COMMON/HOA AREA REQUIRED SEPARATE PERMIT. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 490.12
SOUTHVIEW DESIGN STATE SURCHARGE(VALUATION) 15.00
2383 PILOT KNOB RD TOTAL 505.12
MENDOTA HEIGHTS,MN 55120- RED
Gnt(s)
(651)203-3000 CREDIT CARD 6657 505.12
OWNER
LITSEY,CAL&CHRISTINE
490 OLD LONG LAKE RD
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 any time for due cause. /
i
�,. 0),,/ _ /a . 23- /-7 el 1t, I 3, /7
A.aant Permitee Signature Date Issued By Si4)()
re Date
City of Orono ,1 " ---)
*A 566
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: )-)01-7-C)/ 0 �
PO Box 66
(€4 Crystal Bay, MN 55323-0066 Date received: j, % -29-)1
Street Address:' Received by: L-. yUy ' 2750 Kelley Parkway Plan review fee: �' Gc` Orono, MN 55356 �' o '��.kfsHo - Main: 952-249-4600 Total Fee:l-
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submi ted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: `
Job Site Address: 160 C(/7 LO)i L-..dl-E, p-n ) Ct o N C'
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: /Ir Name: /fOV �1..k VIOW )e (C-/ .1)e (C-/ .1 Fl ia
State License# Expiration Date:
Phone: (cell) 2.' 2. . a 3 (office) e' ."/ ) 2-O j - 3Cz,
Mailing Address: . 391 L.,0-r- K4 t pp Cit L� ZIP: t51 Z-0Contact Person: } F((_[Zp)v Applicant is: ontractor j) Homeowner (Circle One)
Email and/or Fax: 1210.A.Lecvki 4..13 ' all--E.&i 4S-(-/ FJ>
,C
PROPERTY OWNER INFORMATION:
Name: LAct. Le, -4--1-Ri fIt-s LITS t)
Phone (day): ( Z I - C/
Address: A O D1,17 L.c“ L -e- D City: Q?Na ZIP: 151- /
Email and/or Fax ra_;vlo e 9ki-SQ-�tr' ra_ D.,pa(csyvl
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 titSingle Family with 0 Accessory Bldg./Garage
❑Addition attached garage 0 Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
05elocationdetached garage 0 Residence 111 Private Sewer
AV-Other: (specify) G -ND50--4 ❑ Multiple Family/Condo 0 Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may require ❑ Commercial 0 Storage
MCWD review&permits. ❑ Industrial ❑Vyarehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ther(s•ecify)
15320 Minnetonka Blvd ! _► "_
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ D ��s
Packet Last Updated: August 2015
Page 21
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms=
0 Wood/Frame
b.Width(ft.)= Number of garage stalls: ❑Masonry
Areas in square feet Attached= 0 Metal
0 Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1st Story =
❑ On-site Prefab
e.2nd Story= ❑ Off-site Prefab
f. ' Story =
❑ Other(please specify):
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
J2' ❑ Plan Review Fee
Srf 0 Completed Application Form
0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/x 11 set
❑ .2 Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements)
❑ -0'" 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: //31e4Date: 9—02 7-I
Owner's Signature: Date:
Packet Last Updated: August 2015
Page 22
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#
AGREEMENT made this day of , 20_, by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City") and ("Owners").
Recitals
1. A building permit application has been filed for located at
the ("Subject Property"), legally described as
2. Owners request the City to review this application which requires City approval and may require
consultant legal and/or engineering review.
3. The City will commence its review of the application and incur costs associated with said review only if
the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,
the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City
for its cost in administering the escrow account.
2. PURPOSE OF ESCROW.The purpose of the escrow is to guarantee reimbursement to the City for all
out-of-pocket costs the City has incurred(including planning, engineering, in excess of$500, or legal consultant review)
or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible
for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket
costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention
Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate
any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is
caused by the work (including planning, engineering, or legal consultant review) associated with building permit
# if compliance with the approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a
bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the
City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced
pursuant to#3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for
eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners
when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement
two times per year to determine whether the requirements of the project have been successfully completed and whether
it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released
upon City Staff receiving the appropriate verification that all requirements of the project have been successfully
completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow,the City shall have the right to certify the unpaid balance to the subject
property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO OWNER:
By:
Its:
Internal Use Only: D Original to Finance Department 0 Copy to Street File
Packet Last Updated: August 2015
Page 23
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 41a 01d LQ) C9,KL- e .. Permit No.: 2017 — 012.25
Description of work: 1i re4✓vr(, lJV it t o Date Rec'd: '1'x'1 'I-1
Septic review by: 5CW t,i . Date Approved:
Zoning review by: I r G ' Date Approved: to'2-0'0
Building review by: 0= �� Date Approved: 0/-Z//7
Grading review by: Date Approved: ‘c,c-r/7 t'
1b.LA.ll
Zoning District: P-RID Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA
Zoning: Lot Area: SF/AC Width: Structural Coverage: SF %
ka
a
llitt d es 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 5V'es Landscaper: c 'I4►VIN 1::(2390 0 No/None proposed
Proposed Setbacks: /
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Height Analysis:
Distance Between First Floor and defined Top of Roof*(See"building height" (a)
definition):
First Floor Elevation (from building • -ns): (b)
Highest Existing ground lev- ger survey) or 10' above lowest ground level, (c)
whichever is lower:
_p/F1
Difference between. and (c)*: (d)
DEFINED IGHT
*If highest existing adjacent grade is above FFE-Height is(a)-(d): (
*If highest existing adjacent grade is below FFE-Height is(a) +(d)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 01414Permit Number: 0 Yes 0 No cp/177A 0 Yes o
0 N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
0 Yes 0 Yes 0
1 2 3 4 5 Type(s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
Fees to be Charged YES NO
Permit V
Plan Review
State Surcharge LZ.-
Investigation
Investigation Fee L./
SAC—Number of SAC Units v'
Other(specify)
Square Footage $ per Square Footage _
Basement X = $
1St Floor X = $
2nd Floor X = $
Garage X = $
de-
Estimated Construction Value: $ ,5( ,(90
Orono Inspections Required Work Requiring Separate Permits
Footing ❑ Site 0 Plumbing 0 Grading/Filling
❑ oured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
O Foundation Survey 0 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
❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping
❑ Framing 0 Septic
O Insulation
p As-Built Survey
('Final
l 0 athe Required State Permits
❑ Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
0,112rt to release of escrow money -• - . •-• - . _ . ..- - . - .. . 0- .. ' -. _ . -.. ..-..
a KO I rqur-►''tif v- cw cl ,b.16( arcaQigumg--
VA 1(4--e .blarL " 4 \A- .-herr--.
stfi WOCn C.ryhmcnvL.f 146g ot► rout r t ..StpUatt. pr,.-,,a-:
Updated: June 2017
z:\forrns\plan review checklist 06-2017.docx
Christine Mattson
From: Adam Edwards
Sent: Thursday, October 05, 2017 5:24 PM
To: Christine Mattson
Subject: RE:490 Old Long Lake Road/#2017-01225 ߡ-01226
Signed them approved.
From:Christine Mattson
Sent: Monday,October 02, 2017 11:31 AM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Cc: Roger Peitso<rpeitso@ci.orono.mn.us>
Subject:490 Old Long Lake Road/#2017-01225ߡ-01226
We received a zoning and building permit applications for 490 Old Long Lake Rd for landscaping and an outdoor fireplace
within the property boundary. Please review and provide comments.
Please note they will also be submitting a zoning permit for landscaping/hardcover outside the property boundary,
which the HOA and adjacent property owner have approved. The improvements outside the property boundary have
been redlined from the plans submitted with the current applications.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356(physical address)
PO Box 66 I Crystal Bay I MN 155323-0066 (mailing address)
V 952.249.4620 I A 952.249.4616
®cmattson@ci.orono.mn.us I " www.ci.orono.mn.us
Office Hours: Monday-Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: November 10,2017
1
RECEIVED
OCT 1 'l 2017
CITY OF ORONO
Melanie Curtis
Orono City Hall
2750 Kelley Parkway
Orono, Mn 55356
Dear Ms.Curtis:
We live at 480 Old Long Lake Road, next door to Cal&Christine Litsey. During the
September Homeowners Association meeting,we were presented with a landscape plan
for 490 Old Long Lake Road. We understand part of the project,a patio,will be in the
HOA green space aka Lot 2,which is between our property and the Litsey's. We have
seen Landscape Plan-9/29/2017-Time:1:14:35PM and approve. The Association
unanimous y approv-d the project.
i /
Mike/Cindy L-Je ,480 Old Long Lake Rd.
/0it
Date
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SURVEY FOR: John Laurent
DESCRIBED AS: Lot 3, Block 1, SUNIT STATION, City of Orono, Hennepin County,
Minnesota and reserving easements of record.
i + 3
29. i9 . 00' or..0 r,4 .1 5►��
6"4? * \
lilligilib' _ -v,
C �� 93. 5,..,)Fp Lt^`f-
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4 /\ "All\k,\ 0 \
Qty v
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e4,139 4' A
•
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/ y d
'It ' t 1.1, C:71 .-- .
♦ . 'a t'n
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9i.3
\ 44
do ,. gal ' ..
♦ v ,014• � r• . • . a fat. l ��.2 7
a \ 6%, c,
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87.3 4600 00
86. �i "3• <-----...,\ 3 3 ¶2.1 ¶2A
25. 2 Q,;�
85, a u -
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90.3
PROPOSED ELEVATIONS /' BENCHMARK
Top of Foundation act 3.4 0 A-,'"`""`► Etc.. ,DP to ax)
Garage Floor a 9.$.0 0 1 stt i
Basement Floor + ss.��3, _ FAIN.SETBACK REQIREMENTS
Approx. Sewer Service Elev.: u:�F c
Proposed Elevations • C" Front — House Side— a
Existing Elevations •
•..
Drainage Directions . . �. Rear - Garage Side- c
Denotes Offset Stake • O SCALE: 1 Inch • 30 Feet
ci
I hereby certify that OR survey,Slss or report Was prepared by as JOB NO,: $
IIEDLLItJD sr wader my direct supervision and that I am a duly Registered 85 ,35oJ
Land Surveyor under Its lows et lie Slots et Mlenessta. J
BOOK: ,j
Planning Engineering Sing
efe►4M/boobs r Moll=Ilinwo s MOO
00.: 8 17 88 r.. (moi IN�7d11Ys /'AaE:
i 1/ 4 ( f'.
Ll�en,License 374 '
City of Orono
.,401V0 Hardcover Calculation Worksheet
Property Address: WO Mn L � �e\-
7 L✓
1f`44-Es.0` Prepared by: igo e,�-r1 7��,c�.rf'�- Date: G12.e)
17
6 � � 1
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 6r--
2 Tier 3 Tier 4 Tier 5
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 (Square Feet)
(Example (Garage) g (24'x 30') (720 S.F.)`
)
A t�ovSt �!36l S.F.
a De.‘U 3iS.F.
C Fec�N'� -ecar\ cwtd. WcAs 903 S.F.
D 'FQoMr. 1 k S.F.
E �k%5�1n4 WA& - Lae" 1,S j 3 S.F.
F �xiS}: �'r��filtar ,.tx�S 9.S' S.F.
G 4 i3aG a-1I6 S.F.
H is 0'( . ncre�tt
S.F.
ib5)c+ hf S.F.
� L -�s S.F.
K S.F.
L 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.
W S.F.
X S.F.
Y S.F.
Z S.F.
(1) Total Existing Hardcover I -76 S.F.
Excludable Hardcover(See City Code Sec p8-1684):
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)] S.F.Ai$75
(4) Total Lot Area 'y-� g6"-S— S.F.
Existing Hardcover Percentage [(3)_(4)] 3Gs 1141
(Proposed Hardcover next page)
Packet Last Updated: January 2015 This is an information packet regarding Hardcover. Every effort has been made to
ensure the accuracy of the information contained herein;however,if any information is
not consistent with provisions of the City Code,the Code provisions will prevail.
Page 16
• • City of Orono
�4oNo Hardcover Calculation Worksheet
A
z Property Address: qq OL D LrT(u� ` e(�/V
Rr � / �
Prepared by: ,obe r-6 i 'L Date: 17
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 €4 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey
(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all
proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover
status of the property. For Tier 1 properties, identify any features by letter which are split at the 75'setback line and
calculate hardcover square footage separately for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Survey (Square Feet)
(Exan'tple) (Gargle) (24'x 30) (7201S.F,)
A Pa p Uwer TA-ia ctrl Propet S.F.
B e 1-u+ �.-�s,rs S IS S.F.
C �7 1=�ce �7 �S S.F.
D n�4.. tsb "1E5-cANO1(\S - Wf(t2. 35— S.F.
/,(2650 PA-�‘p trl 140 js KE qti 7 S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
O S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
✓ S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
(1) Total Proposed Hardcover C \0-7 _$.F.
Excludable Hardcover(See City Code Sec 78-1684):
,9,GPO5q2 pI O @OA` SPA—GE) 4'47 S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover _ LP/7 - S.F.
(3) Net Proposed Hardcover [Subtract line(2)from line(1)] b aS.F.
(4) Total Lot Area — ��(3S5' S.F.
Proposed Hardcover Percentage [(3)_(4)] 5 %
Packet Last Updated: January 2015 This is an information packet regarding Hardcover. Every effort has been made to
ensure 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 17
)6—
� �
/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQJJCE� ,�1 CSCHEDULED /D -,30-'/7 : 3 l)
PERMIT NO. �(-7✓
7 OM_PLETED v
ADDRESS o �� ���
L��S 5
OWNER - EP ,ONE NO. (o_5/ -5 '7 2
' - V `Si
CONTRALTO•
DESCRIPTION
t~N FOOTING ❑ DEMO-FIN• 0 SEPTIC FINAL
s ❑ POURED WALL 0 PLUMBING 'I 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING Fl` IDTREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
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v ❑ DEMO-SITE 0 SEPTIC INSTALL
S OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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• WORK TISFACTORY:PROCEED ❑PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP 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
OwnerlContractor on site:
Inspector. I Gv.
White Copyllnspector's File Canary Copy/Site Notice
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1"=20' Litsey Residence DESIGN ASST:Robert Latham 2383 Pilot Knob Rd
Dale:9/29/17 Mendota Heights,MN 55120 :
Revised Landscape Plan 9/29/17 Time:1:14:36 PM Phone:851.203.3000 SOUTHVIEW
Fax:ulvie A55.1734 \ ----
Z0 File name:2017 07 12 Lltsev.vwx southvie 455.17.com s D E 9I(3 N r
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