HomeMy WebLinkAbout2003-P06405 - addn/remodel/repair � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 Po64os
Crystal Bay, Minnesota 55323 Pefllllt Typ@: Addition/RemodeURepair
(952) 249-4600 Date Issued: 6iig�2oo3
SITE ADDRESS: 775 Brown Rd S
Wayzata,MN 55391
P I D: 03-117-23-34-0001
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate pernuts required: riumoing iviecnanicai Eiec;iricai�staiej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 783•�5 Valuation: $ 70,000.00
Plan Review Fee: $ 509.53
State Surcharge Fee: $ 35.50
TOTAL FEE: $ 1,328.78
APPLICANT: CHARLES PETERSON OWNER: Mr. &Mrs.Peterson
775 BROWN RD S 775 Brown Rd S
WAYZATA,MN 55391 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ ` ; I J Date Received: ���f� ~ U 3
Entered By: p'112._ : � ��, Permit #: U(p�a S
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OW� NE�R CONTRACTOR
JOB SITE ADDRESS: � ,7� �r��,c.�'Yt �� �< ZIP: �� .5 �
t�✓��Y z�ti`� J �'Nz
NAME OF OWNER: ��tC�(`(�.� ��i��T ��l�v rt PHONE: (home) �S� ��� ����
(work) (.�I � 7`t 7 S"`l 3�3--
MAILING ADDRESS: 7��, ��µ%� ���_ � CITY: �,✓�yat��-, ZIP: ,s��`i�
CONTRACTOR: ��� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ,,�c,f���"r�� � ����>?����� `�%'k_S � �
�:� '-1 `S �� -��!�
�
STORIES: -� SQ. FEET OF EACH FLOOR: �I�-- rNicii� 3�'�d<���
NO. OF BEDROOMS. ,( GARAGE STALLS. ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '�L'� ���c:�-�_ `��
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 �yth,the approved plan.
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APPLICANT'S SIGNATURE: !���-� � � ���_% DATE: �� — ��� C��j
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.
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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. Injormation required to be given individuaL An indivrdual asked to supply private or confidentia!data concerning himselj
shall be informed of.' (a)the purpose and rntended use ojthe requested data within the collecting state agency,politica!subdivision,or statewide
system;(bJ whether he may refuse or is legally required to supply the requested data;(cJ any known consequence arising from his supplying or
refusing to supply private or confrdential data;and(d)the identity of olherpersons or entities authori�ed by state orfedera!lalv to receive the data.
This requirement shafl not apply ivhen an individual is asked to supply investigative data,pursuant to sectron 13.82, subdivision S, to a law
enforcement oJficer.
The commissioner of revenue mav place the notice required under this st�bdivision in the individual income tax or properry tar 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,prrvate or confidentral. Upon his further request,an individual who is the
subject of slored private or public data on individuals shall be shotivn the dala without any charge to him and, if he deslres,shall be infarmed of
the content and meaning ojthat data. After an individua!has been sholvn the private data and rnformed 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 req:�est by the individual subject of
the data. The responsible authority may require the requesting person to pay the actual costs of makrng,cert�rng,and compiling the copies.
The responsible authoriry shal!comply immediately,rfpossible,with any request made pursuant to thrs s:ibdivision,or within frve days
of the date oJthe request,excluding Saturdays,Sundays and legal holidays,rf immediate compliance is not possi6fe. Ifhe cannot comply ivith the
request within that lime,he shall so inform the indivrdual,and m.ay have an addilional five days ivithin tivhich to comply wifh the request,excluding
Saturdays,Sundays and legal holydays.
Subd.4. Procedure when data is not accurate or comp[ete.An individual may contest the accuracy or completeness ofpublrc or private
data concerning himself. To exercise this right, an individual shall not�rn writing the responsrble authorrty describrng the nalure of the
drsagreement. The responsible authorityshal!wrthin 30 days either: (a)correc!the datafo:�nd to be inaccurate or rncomplele and attempt to not�
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individua!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 Ihe disclosed data.
The determination of the responsible authorlty may be appealed pursuant to the provisions of the admrnistratrve procedure act relating
to contested cases.
DATA PRIVACYADVISORY
In accordance with M S.13.04,S:�bd.2, 'Rights ofsubjects ofdata';we would like to inform you that yourreqtrestfora permit orlicense
from the City of Orono or any of its departments may require you to furnish certain private or confrdential information.
You are notified that:
/. The informatron you furnish ivrll be used to determine your qualifrcation for the permit or lrcense requested.
2. You may refuse 10 supply data,but refusal may requrre thar 1he Crty deny the permit or license.
3. The information may be shared with o[her local,sta[e or federal agencies to the extent necessary to process the permr�or
lrcense.
4. If your reguested permit or lrcense requires Counci!action to approve,some information may become public.
5. You have certain rights under M.S. 13.04(see follotiving page)to review private data on yourseff.
6. Your full name is required to process this applrcation or permit.
PLEASE PRlNT
�i�� ���c�t ��''te(��>^
First n Middle � Last
i
���� �`���;��.vY� c� � �
Address
�`� ,/1 `" ` C,��i � I �Li� � ���`'�
'� Jv�,4 �
./ - �7 -
Crty State Zip Phone
1 unde�tand my rights as state,�!above.
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//;'�r���'� _
S�rgnature
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1.�S �FLo w� (Lo� S_ �
PID: - - -
DESCRIPTION OF WORK: /-�pp��a� '
ZO.�tI�ti G REVIE`V BY: DATE APPROVED: 6• /7� a 3
BUII�DI'i�1G REV�`V B : DATE APPROVED: c � �7�� �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERII�IIT Yes � No
PLAi�1 REVIEW Yes � No SEWER CO�INEC'IION
STATE SURCHARGE Yes �' No WATF.RCOiVNECTION
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONi��TG CHE.CK LIST Zonina District: .
Fire Department: Post Office: School District: � .
Lot Area: Sq.ft. Acres � Width Depch
Survey Submitted: Yes_ c� No Date of Survey: 6 • /� �°3
Proposed Setbacks: �
, ,
Fron[(Lake): ��• 5 --h Right Side: /0� ±
Rear(Street): S 3-7 � � Left Side: `{$ ` ±
Adjacent Structures: �¢-rrya c�G..��( �Vetland: �✓ � /�
Building Hei�ht: Def. Hgt. � •K- Peal:Hot.
Lot Covera?e: N I/�
Gradin�: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: �' By:
Zonino File: # — Resolution: # Resolution Date:
Shoreland Dis[rict: /V�
Avg. Setback: Bluff Setback: L,otCoverage:
Ezistin� Proposed
a
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council App:oval:
RE�LA.RKS (in house)•
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BUII,DING R�VIEtiy C�Cg LIST
�C' , � 3 CONSTRUCTTON TYPE; �iV
_ Sq Footage $Per Sq Ftg
Basement . x
lst Floor x . —
2nd Floor x — .
Garage x — � �
x
TOTAL
Estimated Constrnction Value: $ 7 c� p o v �
Inspections Required: `Vork Requiring Separate Permits:
Site oC PIumbing Fire
Hardcover Removal -C Mechanical
X Footing ' Water Connection
� Septic Sewer Connection
� Framing Fire lace
of Insulation ��o�� ���igation
�_WaII Board
oc Final � � �fg•� Well(State Perm.it) - - :
Other Grading/Filling �_Electrical (State Permit)
REl�L4RKS(Ivi HOUSE):
REVIEW BY OT�iERS: ^ 1�_ DA1'E: ----------------------------------------------
Access: Ezisting New
�— .
Access Approval: Date
By:
REI�iA,RKS ('TO BE NOTED ON PE��:-----------------------------------------------------------
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•Job Site Address: ��� �� � PLACE YOUR::,ITI'LOGO HERE �
'�- � �-'� . Provided for your use-courtesy of the
6GCATEGORY 1" ALTERNATE FOR City of Inve�r�e Heights
ONE & TWO FAMILY DWELLINGS � 6��-��50 �
INSTRUCTIO\S: This alternative may be used for one- and two-famil}� d�vellings built to meet the Categorr• 1 requirements of
�Tinnesota Rules, Chapter 7670. Complete Parts A,B, and C. Clearly mark plans�vith: insulation R-��alues; window and skylight U-
��alues; size and type of equipment; equipment controls; and location of vapor retarder and «�indwash bamers. More detailed
information can be found in the��Iinnesota Energy Code summary sheets available from the vlinnesota Depamnent of Commerce.
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Part A. BUILDING ENVELOPE .
. _._ ._..n.. �.�..�_�.__� _. . .� __ ._� .. ._.�_�_.___.._..____._.___��.__.�_.�_:
Check proposed envelope joint sealing option � Prescriptive(caulking,gaskets,etc.) ❑ Performance(test per 7670.0470 subp.7.C.) ;
.. ., _ ,,_, _, _ _ ,:
Check thermal energy calculation option used-� � "Cookbook" (complete worksheet below) ❑ MnCheck method(attach report) ��
❑ Performance (attach U-value calculations) ❑ Systems Analysis method(attach analysis) �
GG » �IlNI�IUII REQUIREI�IENTS
Cookbook Worksheet �for«�oo�:boo�:,,ophon on,��
(�. Ceiling Insulation: Nfinimum R-38 with 7'/Z"energy heel; or
IvsTauCTio�s Minimum R-44 with low truss heel; or
Step 1. Check itern(s)that design meets on Minimtrm Requirements list IVlinimum R-3S «�ith R-5 sheathing�vhen no attic.
to the rieht.�1ust meet all items to use"Cookbook"option. Entry Doors: v1at.U-value of 0.30 or 1'/<"solid wood with storm
Step 2. Indicate proposed wall type on table below. Rim Joist Insulation: Minimum R-19
Step 3. Indicate Nindow U-value and source. Floors over unconditioned spaces: Minimum R-24
Step 4. Verify total window(including area of all foundation windo�vs) Foundation Insulation: Minimum R-10
and door area is equal or less than allowable percentage. � Foundation windo���s: 'h"insulated glass,wood or vinyl frame
TABLE FOR➢ETERIII\'ING�L4YI�SU INDO�V A!D DOOR ARE_�,
Maximum Ailowable Total�Vindo�v and Door Area as
a Percentaae of Exposed Watl 13% 14% ' l6% � 18°/o 20% 22% 2�3% 26°�0 28°/a
�VaII Ty�pe (Scandard Framing): Maximum Average�Vindo�v i-value(except foundarion«-indows):
❑ 2x�,R-13 insulation, b R-7 sheathing 0.5� 0.47 , 0.41 0.36 0.33 0.30 0.27 0.2� 4.23
❑ 2x4,R-l� insulation, b R-5 sheathing 0.�2 0.4� 0.39 U.35 0.31 0.28 0.26 0.24 0.22
2Y6,R-19 insulation,<R-5 sheathing 0.45 0.41 + :0.36 0.3? 0.29 0.26 0.24 0.22 0.21
2x6,R-19 insulation, b R-5 sheathing 0.56 0.48 � 0.42 037 0.3�3. 031 0.2S 0.26 0.24
2x6,R-21 insulation,<R-5 sheathing 0.51 0.43 ^ 0:38 0.34 0.30 0.28 0.2� 0.23 - 0.22
❑ 2x6,R-21 insulation, b R-5 sheathing 0.�8 Q50 � O:�14 039 0.3� 032 0.29 0_27 D?� `
Wall Type (Advanced Framing}: Maximum Avera�e�'indow -value(except foundarion�vindou-s):
❑ 2�c5, R-19 insulation,<R-5 sheathing 0.�2 0.4� ; -0.39 0.3� 0.31 0.25 0.26 0.24 0.22
❑ 2x6,R-19 insulation, 1 R-5 sheathing ' 0.�8 0.50 � 0.� 0.39 ' 0.35 0.32 0.29 0:27 Q.25
❑ 2x6,R-2 i insulation,<R-�sheathin� 0.5� 0.47 0.41 036 0.33 ' 0.30 0?7 0.2� 0.23
�3 2x6,R-�l insu'. :-ioa, �: R-5 sheathi: :: 0.60 0.52 .46 • O.�l , ��.36 0.�3 030 0.23 Q.26
Windo�v U-value: . ��{ i ��,((_` �?A�(,� ' Source: ❑NFRC ❑ ASHRAE 1993 Handbook
100 x � ;� �`i s< �V �I ��fl,�- a �t� _ _ % < I ,��-� %
window&door area gross exposed wall area DESIGN ALLO«'�BLE (from table above)
MINNESOTA ENERGY CODE - WH/CH RULES MAY I USE ?
TYPE OF RESIDENTIr1L BUILDING APPLICABLE RUL.ES
Detached R-3 occupancy i-and 2-famih•d�r�ellin;s Chapter 7672; or
Examples� single family,hvin homes,duplexes : -' Chapter 7670"Category 1" �vit::statutory depressurization a�-�d venriladon requirements
,�ttached R-3 occupancy dweilings Chapter 7674; or
Esamples: triplex townhouses and row houses , - Chapter 7670 a,�ith either"Category 1" or "CateQorv 2" pro4isions
R-1 occupancv buildin;s of3 stories or less Chap[er 7674; or
Examples: condominiums or apartments Chapter 7670 with either"Category 1" or "Ca[eeory�2" pro4isions
R-1 occupan cy buildings over 3 stories high ' Chapter 7676
Examp(es: hi�h rise condos or apamnents �.�
11
Part B. DEPRESSURIZATION PROTEC'�CION �
Check option used: ❑ Fuel burning equipment (complete schedules belo�v) ❑ No fuel buming equipment
I�STxuCTIONs , EXH.AUST/bIAKE-UP AIIt SCHEDULE*
Step 1. Complete the Combustion Eqt�ipment Schedule below. Only equipment Exhaust devices over 300 cfrn Flow
«�ith a Y(Yes)may be selected under the"Category 1"alternate. cfm
Step 2. Complete Exhat�st/�l�fake-trp Air Schedt�le on the riQht if d'uect or power cfrn
vented or solid fuel atmospheric vent space heatin�equipment is selected. cfm
' COi�IBUSTIO�'EQUIPi�LENT SCHEDULE
(check all types proposed) `
Space hearing-nonsolid fuel ❑ Sealed combustion Y Hearth — nonsolid fuel ❑ Sealed combustion Y
irect or power vented Y* ❑ D'uect or power vented Y
Atmospherically vented N Atmosphericalty vented I�i
tiVater hearina , nonsolid fuel ❑ Sealed combusrion Y Space hearing—solid fuel_ ❑ Atmospherically vented Y*_
'Direct or power vented Y �Vater heating-solid fuel ❑ Atmospherically vented Y
Atrnospherically vented N Hearth—solid fuel ❑ Atmospherically vented Y
* If atrnospherically vented solid fuel or direct or power vented nonsolid fuel space heatin� is installed, then make-up air to match
flow is required for each individual e�aust device�vhich exceeds 300 cubic feet per minute. .
P�.rt C1. VENTILATION
: ��NTTL�,.TION QU�utiTITY _ '' r
('Vlechanical ventilation must be provided per the larger quantity calculated beloa-)
(—� cubic feef :Y 0.00�83/minute = � cfm ( ;� x 15 cfm/bedroom)+15 cfm= � cfm
volume cf habitable rooms number of bedrooms
�"E�ITILATION FAt�i SCHEDULE
Check method(s)proposed -� ❑ Exhaust only Balanced (heat reco��ery ventilator, air exchan�er, etc.)
Fan description or locahon�� �r5�;� -Y�`�' ;�;���> ��,;fl� �,� 6c,�tc�i• ko��( T�TALS �
�'ENTILATION ' Intake cfrn cfm cfm c cfrn
AS DESIGi`'ED ' Exhaust c cfrn cfin cfrn
O � ��2 c
Statement of Compliance: The proposed buildin� desien represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the pemut application. The proposed building has been designed to meet the
requirements of the Ivlinnesota Energy Code.
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,�: �5 �, ,-.�,� � 1 L �� �- - ��.� - ��� -s--���-
Applicant(print name) i�nature Date Telephone number
Part C2. VENTILA.TION (Submit Part Cz upon completion of system�-erification-�)
a.
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Job Site Address: Permit Number
Fan description or locafion TOTALS
MEASURED Intake c&n cfm cfm cfrn cfin
PERFOR1biANCE fi Exhaust cfrn cfm cfm cfin cfm
j Ventilarion rate must be measured and verified when the perforrnance oprion is used in lieu of the prescriptive option for the sealing
of joints in the buildin;conditioned envelope(from Part A)_ '
Compliance Statement: Installed�•entilarion system is in compliance with�SN Energy Code and is sized to provide the design air flow.
Applicant(print name) Sianature Date Telephone number
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � L _-��
PERMIT NO. J�i����/�' � COMPLETED
ADDRESS 77 S ��`Z4%t �-��l �S
OWNER ��Ir.�,,,�.(r�2_a !x�i S-t� CONTR. � � � r
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TELEPHONE N0. Ly�� /��� -� ��3 ,
� DE��N
tL fl9 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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Q 02 �r 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J BING FINAL 36 FOUNDATIOWREMOVAL
� OWNE ONTRACTOFi TO MEET YOU: ES_NO
� MMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlContr site:
Inspector.
White Copy/lnspector's e Canary Copy/Site Notice
CS-e.�� �
DAT TIME
CITY OF ORONO CALIED IN �
INSPECTION �ICtE D� SCHEDULED '� �
PERMIT NO. A COMPLETED
ADDRESS 77S l�t?�[?W7� �� S •
WNE ��• � ONTR.
T EPHONE N0. �� Z-7��'S�3L
� SCRIPTION ����n �
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� 01 OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next i spection 24 hours in advance. (952� 249-46��
OwnerlContractor it :
Inspector.
White Copylinspector's File Canary CopylSite Notice