HomeMy WebLinkAbout2001 - P04119 - new structure CITY OF ORONO PERMIT
27.50 Kelley Parkway - PO Box 66 Permit Number: P04119
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 8/2/2001
SITE ADDRESS: 1045 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): New Home- Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection irrigation Electrical(state;)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,505.75 Valuation: $ 369,500.00
Plan Review Fee: $ 1,628.83
State Surcharge Fee: $ 185.00
SAC Fee: $ 1,150.00
TOTAL FEE: $ 5,469.58
APPLICANT: RVC Homes OWNER: RVC Homes
15500 Wayzata Blvd.' 15500 Wayzata Blvd.
Wayzata,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MI ►' SOTA BUILDING CODE REQUIREMENTS.
r. j 77''7(4'
AP CANT PERMITEE SIGNATURE / ISSUED BY SIGNATURE
Copies: I-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ � / f' 5 Date Received: 7-1-5- 20 01
Entered By: d,,,t,,•, Permit #: tiC%
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
`1' (please print all information)
THE APPLICANT IS: (circle one) OWNER ----C-TOR-Th
JOB SITE ADDRESS: / o`f s G ZC ZIP:
NAME OF OWNER: 224 tie4 Z PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
`� j�, A
CONTRACTOR: T k > e' $ PHONE: 4123-C-1 /
CONTACT PERSON: &AA/ MOBILE/PAGER: -74-3 - 44:1 /
MAILING ADDRESS: j sw c,'417 -,a i3it/O CITY: wr4 /21 '-- ZIP: S3
STATE LICENSE: # -74,51r
ARCHITECT/ENGINEER: DF ply° (S�'�'HONE: Cps( - (03 b •-6
MAILING ADDRESS: ` 7 W Y144 10/IN-,- CITY: LaL,v r bito ZIP: 5—S-//
NAME: '-a3.1-14�fi T nJ 2./J REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): C0A .57)
STORIES: -- SQ.FEET OF EACH FLOOR: 0,,,.)& U/5-3/ /33(_
NO. OF BEDROOMS: GARAGE STALLS: ATT. v' DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '3 (09/ So 1/4-3
I hereby apply for a building permit and I acknowledge that the information 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 I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: 7---->„ 444 DATE: 7
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual An individual asked to supply private or confidential data concerning himself
shall be informed of (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state orfederal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public,private or confidential. Upon his further request,an individual who is the
subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of
the content and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has
been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of
the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the
request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding
Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private
data concerning himself. To exercise this right, an individual shall notes in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with MS.13.04,Subd.2, "Rights of subjectsofdata",we would like to inform you that your requestfor a permit or license
from the City of Orono or any of its departments may require you to furnish certain private or confidential information.
You are notified that:
I. 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 refusal may require that the City deny the permit or license.
3. The information may be shared with other local,state or federal agencies to the extent necessary to process the permit or
license.
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. 13.04(see following page)to review private data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1 0(-45 W$ t_Low V t l— i .0
PID:
DESCRIPTION OF WORK: (\J L J (?,t--S
ZONING REVIEW BY: DATE APPROVED: ea, 2,-c'l
BUILDING REVIEW BY: WIMP, DATE APPROVED: S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes L No SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes V No SILL INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Go,, (A(C,, Post Office:Cef1/4.e.(1,1,<Ag School District: C)(241.1/4)o
Lot Area: Sq.ft. S I, O 2.-,(6 Acres t ,t1 Width Z 1 1. Depth 2.2=7-eA-ux
Survey Submitted: Yes g No Date of Survey: -7- 2.0 - 0(
Proposed Setbacks:
Front (Lake): Z0 ' Right Side: 6,
Rear (Street): 90' Left Side: (, .23
Adjacent Structures: N I(A Wetland: /'J I 16.
Building Height: Def. Hgt. Z S.2- Peak Hgt. 3 Z
Lot Coverage: 0, k
Grading: Staff Approval Date: 19 -2-- 0 I. By: GA t5. Council Approval Date:
Septic: Staff Approval Date: /v I/1•
Zoning File: # — Resolution: # -- Resolution Date: —
Shoreland District: NO
Avg.Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
32
BUILDING REVIEW CHECK LIST `
UBC: Q •3 CONSTRUCTION TYPE: \I A.1
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3 C.% 500 °=
Inspections Required: Work Requiring Separate Permits:
Site _—Plumbing Fire
Hardcover Removal ,( Mechanical lc Water Connection
Footing Septic of Sewer Connection
pt Framing Pc Fireplace p( Lawn Irrigation
A Insulation a (Masonry) Other
of Wall Board (Mfg.) Well (State Permit)
o-• Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
33
FROM : D.F.P. PLANNING & DESIGN, INC. PHONE NO. : 651 638 1412 Jul. 25 2001 06:59AM P2
• Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1 Checked By/Date
TITLE:201378
COUNTY:Hennepin
STATE:Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
DATE:07/25/01
DATE OF PLANS:7/24/01
PROJECT INFORMATION:
I{ELDERMAN RESIDENCE
1045 WILLOW VIEW DRIVE,ORONO
COMPANY INFORMATION:
12.VC HOMES
COMPLIANCE:Passes
Maximum UA=713
Your Home=527
261%Better Than Code
Gross Glazing
Area or Cavity Cont or Door
Perimeter R-Value Rs-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1756 44.0 0.0 39
Wall 1: Wood Frame, 16"u.c. 4364 19.0 0.0 225
Window 1:
Above Grade,Vinyl Frame,Double Pane with Low-E 411 0.370 152
Door I:Solid 54 0.140 8
Door 2:Glass 82 0.370 30
Basement Wall I:
Solid Concrete or Masonry,9.0'ht/8.5'bg/9.0'insul 1332 11.0 0.0 73
Furnace 1:Forced Hot Air,90 APUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.370 0370
Includes Foundation Windows>5.6112
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building
plans,specifications,and other calculations submitted with the permit application. The proposed building has
been designed to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release I.
DATE TIME
CITY OF ORONO / CALLED IN
INSPECTION NOT, �
IE. SCHEDULED 7L `L -
f �✓
PERMIT NO. rO `-/1 I COMPLETE °CI
ADDRESS /C)V" �Iry V;
OWNER CONTR. , 1/C-
TELEPHONE NO. / - q73- I
E DESCRIPTION ,L-e. 1 1c Ck
1U 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
..• .04 WALL B� 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
cc
0
o;
0
L
W
CC
W
CC
d
▪ ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 4C ,--v
White Copy/Inspector's File Canary Copy/Site Notice
I DATE TIME
CITY F ORONO CALLED L _
INSPECTION N�o�� t� SCHEDULED iiC �FfS
PERMIT NO. \ ( COMPLETED
ADDRESSO W \ou) Vee )
OWNER CONTR.
TELEPHONE NO. �a - ( 1l(
DESCRIPTION (opt) -c-iye cxE.
4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD 12 WATER HOOK-UP 17 SITE INSPECTION
05 INAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YESNO
oy COMMENTS:
cc
W
cc
CC
0
W
CC
W
W
CC
LuXWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 13
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 0 , Zt tc /''a
PERMIT NO. '///dl COMPLET D '/5
ADDRESS 10 CfS— GCJ/ 7/0,../4// Z J
OWNER CONTR. e(/ It' 'S
TELEPHONE NO. 76,3 YVl x,31 3
E DESCRIPTION 1..-1.0 _CV /G-1 -
Lt.
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q I --L 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSU .1 • 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WAL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
cc
Q. -1-Z7 CIO Ve
0
0
cr
z
z
P,,))VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract r on site:
Inspector:,v�
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC f� SCHEDULED
PERMIT NO. � ( �// COMPETED --/e --c9/ 2
ADDRESS 77:-)1-7 E ({1/ //O C,0 (4 t' L2/
OWNER_- CONTR. (�C //171S'
TELEPHONE NO. '7(C3 ty15 —L/ j
a DESCRIPTION 'a (47,
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMINQa 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
'•1 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
<---- OWNER/CONTRACTOR TO MEET YOU: YES_NO
T• ?tP/I7NTS:,...
1CC
o C
CC
2 h1�)le 4� '"/ ' , J.,.i; / )
C k. 11. /' T /._ /
W
Z
W
cc
d
IQ ❑WORK SATISFACTORY:PROCEED ID PROJECT COMPLETE
W V,,CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerIContracpr on site: _
Inspector. /l// /!' t'
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -i c' /c
PERMIT NO. '( tt� COMPLETED 1:/
ADDRESS % Ccf 5 AY,thi 1
OWNER CONTR. /'LaC
TELEPHONE NO. 767; 3 (6 Sr (C7,, L/
DESCRIPTION / C (C d /-. ',t
Lj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REtv1OVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
L1• COMMENTS:
c n
LU
o77nrb PO /LADD P4-4C)4_ t 77"-Nspcxwp
cc
O
CC
0
W
CC
W
W
CC
Lu0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/ContractAon sit
a__
Inspector. C
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED // CO
PERMIT NO. PO q/Pi COMPLETED - f . S—
ADDRESS /0qcl��Li 0 w 14�Z✓
OWNER CONTR./ eve_
TELEPHONENO. '7 CP c/54? `1 CP
DE IPTION �v OT/A-)
W 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
0 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
44C 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
Lei• COMMENTS:
C:
•W
C;
C:
Q
CC
NCC TS:
cc
•
CC
CC
'4E
co')
CC
• p ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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
Owner/Contra on sit •-
,
Inspector. C(�L
White Copyllnspector's File Canary Copy/Site Notice