HomeMy WebLinkAbout2009-00146 - plumbing t ,
' � CITY OF ORONO PERMIT NO.: 2009-00146
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 04/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3340 SHORELINE DR
PIN : 17-117-23-44-0085
LEGAL DESC : REG. LAND SURVEY NO. 1433
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1 HAND SINK
2 FLOOR DRAINS
VALUATION OF PLUMBING 4500
APPLICANT PLUMBING FIXTURE FEE 56.25
MID-CITY MECHANICAL CORP. STATE SURCHARGE PLBG(VALUATION) 2.25
9103 DAVENPORT STREET NE
BLAINE,MN 55449 MAIL-IN FEE 2.00
(763)786-8617 MISC FEE 0.00
TOTAL 60.50
OWNER
VOYAGEUR SERVICE CENTERS,INC.
3340 SHORELINE DR
NAVARRE,MN 55392-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� i d''if� i� 1
Applicant Permitee S} ature � Is ed By Signature �Date �/�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONl Y �
� ��� City of Orono
,Q� ��`, P.O.Box 66 Date Rcccivcd: �� �cnnit!t���— l��j
, 2750 Kelley Parkway
,� tr��� �� �: Crystal Bay,MN 55323 Approved By: (� _ Amount$: 6Q,
; � ,�r�po';" (952)249-4600 _ _
CITY OF ORONO-PLUMBING PERMIT
(All Commcrcial pennits must be approved by the Building Official or Inspec[or)
GENER.AI.INFORMATION �� � �
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
� TYPE OF PERMIT ---�—�
(Check All That Apply)
❑Residential �Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
RErY�O OEL
� ln Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article N)
�Job Site/Owner Information:��� �� � ��
Site Address: 33y O Sk�ORE l..l nlE �Q• �' 1V�AV I�IZ,R�
Owner: C-tO l.� p/.��,, �yv�P • Mailing Address: ±'i l'7� �C �.�,���
, _..,
�:C��,�`�,
City: t��Z�� �v�`��� ����_i>t �� � �, Zip: �, ;
Home Phone: ``i�,��;;� �.-�,f� . .,-:-, F � ,
Alternate Phone:
Contractor Information: � �
Contractor: ��0• C1'�y �,�C�} • Contact Person: ��K.�- LoC�LW1An1
Address: � I03 DI�VE/V�pKT' S'['. State Bond#:
City: ��NE Zip:ss��xpiration Date:
Phone: ��' 7��p` �p�'� Alternate Phone:
� Insurance-Current:
1
, ,
FIXTURE BSMT 1 ZND OTHER FIXTURE BSMT 1 r 2ND OTf-IER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
��Sink ' Water Heater
O
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
l. Does not requue modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
ysoo .oo X.o�2s$ s�. as
( ontract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Miuimum Fee of$.50)
�l� seo . ac� X.000s $ a. �s
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ��• �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment,labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complet�, true and
correct.
Applicant's Signature: Date: y'�o ' ��
3
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MID-CITY MECHANICAL CORP.
9103 DAVENPORT STREET N.E. * BLAINE, MN 55449
PHONE (763) 786-8617 FAX(763) 786-8640
MEMO
IMPORTANT - PLEASE HANDLE IMMEDIATELY!
TO: Plumbing Licensing
FROM: Angie Reitz �CF,��r�
�
DATE: April 6, 2009 �'�� M i ;.�n,.,
.,,�,;,�
C/n,
RE: Plumbing licensing for 2009 �FpR�NO
Please find the attached info:
■ $25,000 state bond — bond #42315775
■ Competency card for St Paul - # 13832
■ MN State License for James P. Poser— License # 058380-PM
■ $25,000 surety bond — bond # 69604003
■ Competency card for Minneapolis - # PCM445
■ Certificate of insurance — Date of coverage 1/1/09 — 1/1/10 — Original will be mailed
from our insurance agency.
Please contact me if you need anything else. Thank you!
PLUMBING*HEATING* SEWER&WATER
RESIDENTIAL*COMMERCIAL*INDUSTRIAL
` ,. : . ;: ; -
.
, .. ; : , ., ,
, � ; , _
� "�'""��"�'� °�p��'�`��"��� ` Plumbin Bond & �nsurance C�rtificate
i �ABOR S�,fItIDU�TRY < ; g :
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;Construction Codes and UG.ensmg Division Licensing:antl CeRificaUon ServiCe5-:j 443 Lafayette Road N .SC Paul,MN 55155 '
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- '' ` 1Nebsite www dolF state mn us: E,-mail DLLLicenseC�Dstate mn us Telephone ;651 284 5080
This is to'certify that the certificate halder is iri compliance with Minnesota Statutes§326B 46,,Subd 2 fo�calenda[year 2009 and may
, -:,�; _ ,
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�=engage in:the plumbmg tiade in,ail areas ofthe stafe"of Minnesota. `
JAMES P P(?SEf2 ;;, '� . License 58380PM (PM002761)
MID CITY MECHANICAL CORPOR�TION, " ` - ;
�9103 DAVENPOR7 S7 NE
;,
.BLAINE, MN�55449 '} t; �
2 0 0 9 Bond ID: 42315775 Liability Insurance ID: CWP2552576
WESTERN SURETY COMPANY CONTINENTAL WESTERN INSURANCE CO
Cut alon outer lines, fold on center line for wallet size.
City of Saint Paul Please call for inspections
DepattmentofSafery between 7:30 and 9:00 a.m. PLEASE CHECK YOUR CARDS FOR ACCURACY.
and Inspections Monday-Friday IF YOU FIND AN'ERROR, PLEASE CALL 651.284.5080
� , � �. IMMEDIATELY.
CERTIFICATE OF COMPETENCY ` �
ThisistoceRifythat: Elec� a 4 � & 6-9003 WALLET DISPLAY CARD
JAMES P POSER "'"
holds the following competencies: Plumh`n � �, r,6-9005 STATE OF MINNESOTA �'tr�s'°'��
Master PI_/GF 13832 " ',`*'"
MASTER PLUMBER ��Pk� *�'����•
Mech ca + `266-9004 �' �..
� ;� � ;w:��x:
I warm,A;�,;�.enc���' f ��i6-9oo6 License# 058380-PM ';�J"���'�.�+ "?�
.,..r � Expiration Date 12/31%2009 ����y���,��
� �.. �
� �:;,,�a�g.^.,•;� ' �66-9002 Original Issued Date 09/13/1976
��<
24 tA�" fol�s e .� S:��oa-9096
These competencies expire: i�-U U2009 a�� � `*�'�"` �+°-$: J A M E S P P 0 S E R
Tr �3e�t t ea�e�f � �.�°`°" :�' �66-9090 1 19 2 7 F L I N T W 0 0 D S T N W
Bob dCessler � � ,,,,�if
Cor.��et�nc� � COON RAPIDS� MN 55448
Direr„or � �
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. ��
> � �w a�����nv,x-
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Signature ertified Ca�d Holde: � �,�. �a +
, �' � ��2rR�EIPT
Keep this card in your posscas�a�or•'i*r job. I 1�1�'°'�rlRb� ���
OF COMPETENCY
ed Annually and is NOT transferrable
-------------------------------------------------------�
;City of Minneapolis 612-673-5892
t �tit�av�orn o�Fnarrsenr ar �Inspections DiVlsion
` LABOR&TT�tDUSTRY � 250 S 4� St Mpls NIN 55415 2 0 0 9
' Construction Codes and Licensing Division ;
Commissioner of Labor and Indust � CERTIFICATE OF COMPETENCY
. �"S' �Keep this cazd in your possession on the job.
I�as Received and Filed a $25,000 Surety Bond, �This is to certify that: JAMES POSER
" As Rcquired by MS 326.992, for Work Regulated ;holds the followtng competencies:
by the State Mechanical Code ; PCM445 MASTER PLUMBER/GASFITTER
To• James Poser Bond No: 696U4003 � �
' N1id-City Mechanical Corp. MB ID: 00719 ;
9103 Davenport St. N.E. �
Blaine-MN 55449 ;
Effective Dafe Expiration Date �
I 0/23/2008 10/22/2009 !THESE COIV�ETENCIES EXPIRE: Nov. 01, 2 0 0 9
'-------------------------------------------------------
. . ,
MID-CITY MECHANICAL CORP.
9103 Davenport Street N.E. * Blaine, MN 55449 (763) 786-8617 PHONE
(763) 786-8640 FAX
LETTER OF TRANSMITTAL
DATE: 4/6/09
To: City of Orono
P.O. Box 66
2750 Kelley Parkway
Crystal Bay, MN 55323
Attn: Building Department
From: Angie Reitz
RE: Holiday Stationstore # 3547
3340 Shoreline Drive
Orono, MN
We are sending via: � Mail
QTY DESCRIPTION
e 1 Plumbing permit application.
1 Check # 6201 for $60.50.
2 Sets of plumbing plans.
Remarks: Please mail permit. Thank you!
Signed: Angie Reitz
64/28/2609 69:30 7637868640 MID CITY MECHANICAL PAGE 04fe5
APR-28-2009 1J�27 ill_! 651 284 5748 P.01iO4
MTNN�;SOTA.DEPARTM�,NT Uk LAgC7,�AND 11�J}USTItY
� T)i�ision o��Camttucti�n C�des and Licensing
R�PORT ON PLANS
Plans and specifcations on pl�.rml�ing: zIoliday 5tltionstore No. 354�= 3344 3hoteline D�ve,Ozoz�o,Henac,�pi�
Cou�ty,Minn�sota,Plan No.Q96�i3Q
OWNF,.RSHTP:
SU]3M1TfER(S): Mid-City Meelianical Corpor.��tivn.c/o Mr,Jim�oser,9103 Dave�pprt Stseet Northeast,
$l�iini;,iViir�ncsota �5449
Plar�Dated;
�1Jdic Reeeived; Apri17,2ppg �
Date Reviewed: A,�ri] 23, 2009
SCQPE: This teview is lix,nited to the desi��vf this par4iaular project anly t�nsafar as the provi�ions of the
Minnesota Plumbing Code, a.s am�nded, a.pply; 1nd dc�es not Cover the water sup��y or Sewetago�ystem to whieh
thie plumbi�g system is cv�necE�Md. Tl�c rcvicvy is based upon the suppaAitian that the dat�on whicl�tl�e dcs�gt�is
based a�corTect,and that necessary iegal a.uthn.rity ha.s bE�*n ob�ined to constt�uct the prpject. The
responsibility for tlie desi,qn of structural fieat,a�•es and the efficiency of eyuipment musY be taket�by the project
designer. Apprav�l is cositinge�t�►pon s�tisfac�nry clispo9+t�on af'any requireme�ts included in this reporti.
Sp�cial catc sh�uld be raken to u�sure tl�at the matcnal and installation af the plumbing systcm are in ac�ordance
with the provisions of tbe Min»es�tfl Ftunnbing C.ode. A eopy of the approved plans��d spec�ficatians s�b�uuld
be rct�iqed at the nrojpct loca.tion fnr futare ref'crcn�e,
A s�;1:o�'Che ider�tifiaed plans and specxficatiai�s js bcing t�twn�d to Mid-Caty Mech�ical Cotporatioz�, Encloscd
15 a copy of tl�e repcyrt�.nd tranbmztta] Ietter to be farwarded to the p�coject owi��+t.
INSPECTIONS: 1�11�lumbin�installattions rnl t be tested end insgdcted in aeec�danee with the rec�uirements of
the Minn�sota P]umhing Code, As specafied in�]'�innesota Rule.c,part 4715,2830,no plumbing work riaay be
cvver�d pxi,ot to completing the required tests amd inspections. Provisiotls must he mede�or applying an air tc�st �
at t11e time of tbe roughing-in�nspection ns outl�ncd ui Mutncsota Rules,garC 4715_28Z0,subpart 2, of the co�,
A mar�omx�,ter tcst,as specified in Mi,�,nesota Ru�es,}�art 4715.2820,subpart 3,i�required at t}�e tirne af the
finished plumbing inspect�on. Tt is th�respo�isibility of tl�e contr�c;tar/ir�yCalter Ca notify the Minaesota
Depar�rnent af I.ab�or and T��duStry when an�r�st$llaiion for a state cont�s.-t job, licensed facili�y, or proj�ct in an
area wh�re thore is no.loc�l ar]tn.inishat��e autharily is r�ady to�'e�insPectian and test. To s�h�edUlc in9pOCCions,
contaat tl�e state plumbin�stand,ards re»resentative for yaur region, or call Jim Pete�son at 65112b4-5889.
REQiT�REM:�NT(S): i
I
1. T'�J,e subm�tted plans indicare that the ne;w� fixtures vv�ill be setved by existing Water distnbut�cm pipiri�.
Vcrify that the existing pipes are sized r.o acconamor]�ie the added fvctures(se�Minnesota Rules,
part�4715.3300).
2, lt zs recomrxicnded t,�tat w clean�ut be provided where ncw waste atad v�c+,at p�p�n,g eonneots with existing
plumbiag to facilitate reyuirc;d tesi:ing of the new in�tallation,
3. Indirect wasl'e pipes fi'om a�nliances, devices, or equipme�ztnotrcgu7arly cla9sed as plumbing fixtures,but
which Are cqnipped with drninagc outlets, must 1�e�ltapped,but the traps nce@�ot be vetlted. The wwste pipe
must be at lcast'/a inc�es til9ize.bur��ot ]e:��t�an che size of'the outlet or tai]piece of t}�,e equipment scrved
(yee Minacsota Rules, part 471S,15I4). �
04/2812069 99:36 7637868640 MID CITY MECHANICAL PAGE 05/05
FiPR-28-2�]99 �,�J�27 DL i 651 284 5748 P.62iO4
.
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Holiday Strationsl•ore N�, 35�7
Plvmbirt$
Plazf 1Vo.096630
Page 2
Apri1 Z3,2009
�
4• Water supply cvnnccticros t�fixttu�es or cquipr�ent which h�,ve submer�cd i�lets,or irilets below,the spi11
lime of the fixture or equipmtnt,must be piovided wxth ati aiY gap arraegement, tp�roved backflow
prevpnter or b�ckilow pte��enter�ss�r�bly as specified in Minnc�pta Rules,part 47��.2000 and
patt 4715.2010. 'thi�sha11 inc�ude thc water supply lines to the bevpgg�Equ��nt.
5, All sold�t and flux used for the pptable water dist�ibuti�m systems shQ]1 contain le�,s thatt 02 peree�t]ead.
Use of 50-50 solde�•or fl.ux cantaini�ng ms�re than D.2 perc�nt lcad is prahibited in potable wai,er distributivn
syste�ns. ,Any solder other r1�an 95-5 tin-a,�ntimony or 96-4 ti��silver must be spccxfica�ly appa�oved by the
adm�inistrativt authoriry•prior to use(scc�Vlinr�esata Stntutes,S�ctiurt 326B.�39}. Joit�ts to bm soldered must
be ptopaly flwced with z�or.eorrc�sive paste-type t]ux eamplyin8 with AS1',M Stat�dard BS 13-00.
6. Solvent weld joi��ts in PVC a�d CPVC pi���.must fr�elude use of a priz�ter which��of co�trasting colot't�o the
pip�and eement. A ane-stc:p t�olvent cem�nt complyir��w�ith ASTM Standard F493 or D2$4G 1t�y be u�ed
for CPVC joutts(see Minnesata Rules,p�47 i 5,0810,subp�ri,2).
�. The water distribution system slzall be d�s�nfccteci in accardance w�itk�Miancsota Ruies�part 4715.2250.
8. The plumbi�g sysiem sl�all bc t�sted in accordance with Mi�esote.Rules,part a715.28Z0.
9. The pl$ns and specifica(ion�s w-ere prepaY��i by a licensed plutaber, Qnly the plumber who has p�epated the
plans may use the plans for construction. �f another plumbcr is contracted to install thc plumbing,they must
submit their otim pIan,s ancl specifications�'pr thc prt�jeet.
�TOTE(5):
1. The seope of tlus project eon$icts af thc in�tallatio�af a hand sit�Ic and two�loar dr�i�s in ar�,existing
b�ildit�g. 7'!ie inst��llatioi�wyll alsa includ¢water supply branahes to beverage equipment.
2. ?his facility is se�ved Uy e,�,istang municip I 1 water and sewcr e�ces.
Authorizatian for construet�an in accordanc� th the apptoved plans xt�ay be v�nithdrawt�if co�atructia�q is not
ut�dertaken within a period af two year6, The�'�ct that the pl�ns l�ave been spptbved does nat necessa�ily mean
that recommendations or requirc�ents for c;hssn�;�wi11 not be mado�t som�latet timie when change�i conditiotas,
addidonal info�rmaHon,or advanced know�edgc m�ce imrroverr��ts necxssary.
Approved: .
Colle�n A. Erickson �
Pi�blic I�ealth Eztginecr
P]t�mbing Plan Review and Inspections Ui�ir
�443 L.afayette Road�vorth I
St.paul,Mim�esota 55155-43�3
651/2s�-sgai
CAE:ss
cc: Project Owner �
Mid-City M�chanical Cnrpor�tion
�4ir.Lyle(}man,Building Off�cial
]acpartment of Agriculture
Fpad Ir,spection Divisiqn
�� � DA TIME
CITY OF ORONO CALLED IN d
INSPECTION NOTIC SCHEDULED
PERMIT NO. � COMPLETED
ADDRESS 3a s
OWNER CONTR. �
TELEPHONE NO.��G��� - ,��0 3"- v���g`
� DESCRIPTION l�` �
� ❑ FOO7ING ❑ MEC ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. p COMPLAINT
v ❑ MO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
= PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf�YES_NO
c�., COMMENTS: �
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑IPiSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
�
�� � DATE TIME
CITY OF ORONO CALLED IN .3'�i�'- �'f'
INSPECTION NOTICE �j SCHEDULED �-f�ld/ �-��'`�
PERMIT NO. � ��'9 D�� `T 6 COMPLETED
ADDRESS �3�G 1�r'2c�Gn�- �./c.�
O,yINER ��f¢��� — CONTR. /72r�L.�i.� .�.�
EL�NO. Cr,�� .� _ 7�'� _ �'C; / 7
� DESCRIPTION
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J �PLUMBING FINAL J FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED i�I�PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑11SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �952� 249-46QQ
Owner/Contractor on s te:
Inspector. ( A �i ���
White Copy/lnspector's File Canary CopylSite Notice