HomeMy WebLinkAbout2016-00503 - addn/remodel/repair CITY OF ORONO * z 0 1 6 - 0 0 5 0 3 *
2750 KELLEY PARKWAY DATE ISSUED: OS/27/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 DEER RUN TR E
PIN : 04-117-23-13-0014
LEGAL DESC : CRYSTAL BAY PRESERVE
: LOT 007 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, F[REPLACE, ELECTRICAL(STATG)
REPLACEFRONTSTOOP
NOTE: PRIOR TO RELEASE OF ESCROW MONEY,A FINAL INSPECTION MUST B MPLETED AND APPROVED AND ALL
DISTURBED AREA ESTABLISHED WITH VEGETATION. NOTE: INITIAL:
APPLICANT PERMIT FEE SCHEDULE 108.38
STATE SURCHARGE(VALUATION) 2.00
SIERRA HOMES INC. TOTAL ll0.38
22615 E. BETHEL BLVD NE Payment(s)
BETHEL,MN 55005- CHECK 6191 110.38
(6l2)270-2722
Minnesota State License#: BU[L-BC005126
OWNER
STAHL&CYNTHIA ARNOLD, PETER
2755 DEER RUN TR E
LONG LAKE,MN 55356-
AGREEMENT A1YD 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 goveming 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.
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Applicant Permitee Signatu Date Issued Signature Date
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,
City of Orono
Building Permit A lication ����°
pp �
for New Structures or Additions
Mailing Address: permit number: z�/ 3
A, PO Box 66
/ � 'v� Crystal Bay, MN 55323-0066 Date received: "�J' --I r -1 l�
I � Street Address:' Received by: � �
_ _. __--
�� ;l 2750 Kelley Park y����..��'r p�an review fee:
� c, Orono, MN 55356 T
/`�Kf 5 H O�� Main: 952-249-4600 Tota
Fax: 952-249-4616 ,,+:-;,,,• ,,,, r,r�.us
This application form must be completed in full and�alt required information must be su mitted.
Incomplete appllcations will be returnsd. (Please print) � �
GENERAL INFORMATION: � � �, � �G,
Job Site Address: � .z�r- '� yJ � "� � ��
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 approva/60 days prio�to the event. Shuttle bus service ilf be
required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: rj;'�'rrF} _ �crw�e-S ��: ,
State License# �G�ic,^}y I 2 f.� Expiration Date: 3 31 �e�g
Phone: (cell) � � Z �-!'T G� -- �-'`► ��- (office) (, 1 Z ��n - �-"►j«
Mailing Address: '� (,,,%� �� �{-►�.L � Ci :�. ,�� e� ZIP: �,�'"p �+�'
Contact Person: Applicant is: ontrac or / Homeowner �c��ae o��
Email and/or Fax: *,� - S � , �..z,�.�
PROPERTY OWNER NFORMATION: r�
Name: ��-�'Y/� �ri'f� N�-- � ��.,�-N"f"1.� �rni c-,c�(
Phone (day): �j� - � �t �—y� -�
Address: ;�?5','' rz¢,r-�'4�► i n/�;�, ��Si- City ���-7�.JD ZIP• �/,��p
Email and/or Fax =----
ARCHITECT/ENGINEER INFORMATION:
Name: �-�� �"��cc' T� ''`- '.
Phone(day): .y� '7$�, _ ' ��,
Address: :�. ,_ �„2. � Ci : .1, � ���ZIP: s ��3 �-
Email and/or Fax: _��z�=' ,�,�„�,�Z„� p.}-j-, �,.��;
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8
Water Supply
❑ New Construction ❑Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑Public Sewer
❑Accessory Building ❑ Single Family with ❑O�ce/Commercial
❑Relocation detached garage ❑Residence ❑ Private Sewer
�Other:(specify) oC�C�t?n �G1v ❑Multiple Family/Condo ❑Retaining Wall(s)
�`'rpt ❑ Public 4-feet or greater ❑Public Water
**Any earth movement may require ❑Commercial ❑Storage
MCWD review�permits. ❑Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) �Other:(speCify) ❑OtheY(SpeCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
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Estimated Construction Valuation (excluding land) I �
�LS t� ��.!�"D U�".1_ E��l s`�r ..o` S-T�����S I L�J�i Z �fiv� ;'I�C�L.��
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Packet Last Updated: August 2015 � O� ZO G
Page 21 }� � �
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STkZUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms=
Wood/Frame
b.Width(ft.)= Number of garage stalis: ❑ Masonry
Areas in square feet Attached= ❑ Metal
❑Pole Bidg.
c. Basement= Detached= ❑ ICF
d. 1 S'Story =
❑On-site Prefab
e.2"d Story=
❑Off-site Prefab
f. '/z Story = �Other(please specify): �� ��P./�
g.Total Area= �^� �� ��� ��; ��
�
REQUIRED SUBMITTALS: ���� ��O'��" �`�,� ��``5��� '���5 � S`�`'"'��'�S
All of the information must be submitted in order for your application to be processed:
Not
Enclosed licable
❑ 0 Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ Com leted A lication Form
❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8%2 x 11 set
❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ Surve —2 full size,to scale meetin ALL surve re uirements
❑ ;�f Hardcover Catculations
❑ Se tic S stem Certification
❑ O Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ Landsca e Walls andlor Retainin Wall Plans
❑ Stormwater Pollution Prevention Plan SWPPP
❑ Access PeRnit
❑ �- Data Privac Adviso 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 govemmental 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 condit�ons prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupanry may be issued upon receipt of a 570,000
escrow to ensure oompletion of the as-built survey and atl site improvements.
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Applicant's Signature: ��t'T'11rJ- �-w�a �+'�`� Date: � I Zt�1 G�
Owne�'s Signature: -''� Date: �� /� Z�1 lv
, , _ � � �� ���
�� �
Packet Last Updated: August 2015
Page 22
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen waming", we
would like to inform you that your request for a permit or license from the City of Orono or any of its departments
may require you to fumish certain private or confidential information.
You are notified that:
1. The information you fumish 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 Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
��o-(��� �-� (�'l �.
First Middle Last
��-�, r.� ���� �����.. I�a L-v-f�- N1��
Address
�. �-�'��Irc� /�/'1) `��l�U� ��� '..Z� O �"�� ��-
City State Zip Phone
I understand my rights as stated above.
_^..-_ )�
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Signature
Packet Last Updated: August 2015
Page 7
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.
r. ..
,�
�;�-� Completed Application
C�'� �� �
� �
`� Plan Review Fee Paid �
��� �' � �( �pay
I�-� e f�
Signed Escrow Agreement & Escrow Payment
�
� Building Plans (to scale) x2 b�
;
�N
c�,r��S 1'� �
�t1��:=� Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
� `.x� C�2� S
Hardcover Calculations (if applicable) �� �
� ��
- //
I am aware that Orono will not issue a building permit without a ���
. co of MCWD ermits or documenta ion fr m h M �
�� py p ( t o t e CWD stating C� .S
/ the proposed project does not trigger their permitting C�/I�
requirements). I will contact the MCWD at 952-471-0590
regarding this project. �.
Signed by: � = ��
��
Address: ,Z'�S'S' ��,�.r (Z� `�'.�,�t-;z E,�Sr"_
Permit #:
Packet Last Updated: August 2015
Page 2
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�L�� ������ ��������� ��� ��� ����� 1 ���� � ���������
�� ���� _ �
�,c��ress: �� i� �e��o6� ��.: ���� �
$ Descriptian of w�ork: � � Date �ec'd:
� "I� '��
���� ,.� �.
�eptic re�ie�r t�y. (i� � ���J� �at�Approvec�: �L7`� �
� —
�on�ng reviewr by: Date Approvec�: ` Z --�
�
€�uilc�in� ceview bY� / �Y �ate App�ovec�: �� ��
�, b
CradBng reviev�+ l�y: f V � � Date�pprove�: "�
�onie�g �istrict: �1��� �oning Fi�e#: 12eso�: ���� p�i$e:
�or�irsg: Lot�rea: SF/AC �"sc€��: Lot C�ver�g�: SF %
Surve�Sut�rraitted: es � No D��e of Surv��+: ' � Revised date(�).
�aneiscap� plan submifi��c�? � Yes No La�c��caper: �o��..- �
Propo�ec� S�tt��cic�:
k
Front 6 � R��r(Str � f� S E � ( FB S � !� � Q�her�¢�oQc��ng� l�e�e�E�a�r�c6
�ide Side
�
��� ���
Defined Fiei�ht: Pe�ls @�ei�h�: �f��: FFE �i�u� � fiee�_ (Exis�in� Contoc�
�erbro�eter(iinear fe���= �0% _ �.F. �e�o�gr���
�_
�asecnee��? � Yes � No, ��o��es
�OR k BUILDtP9C31t�►6TH A BA�Et�EENT OR CRaRl�1IL S�ACE: FOR i4 BUILD![�G Qk A SLA�F'OURED�,TIdf�:
The distance between the lowest proposed S6ab at oe above grade—
START WITH floor{of the basement or crawl space)and measure from hiahest existina
the highest point of the roof. START WITH rade to the highest point of the
roof even if fill was b[czt+�ht in to
If you have a... elevate homer.<``
SUBTRACTION ^ GABLE OR HIPPED ROOF(no Slsti belovr grade—measure
, (BASED ON windows): Subtract half the distance �'from highest existing grade to the
ROOF TYPE) between the highest p�e roof hi hest oint of the roof.
to the low point o,f;t#Se corresponding If you have a...
gable or hip��oof SUBTRACTION ° GABLE OR HIPPED ROOF
e GABLE'6R HIPPED ROOF(with �BASED OM (no windows): Subtract half
windows): Subtract half the distance ' ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
�.' roof corresponding gable or
hipped roof
e ALL OTHER ROOF TYPES(flat, � a GABLE OR HIPPED ROOF
y` mansard,etc):No subtraction. ' (with windows): Subtract
S� TRACTION Subtract the distance between the half the distance beNveen
>(BASED ON basemenUcrawl space floor and the the top of the highest
�y� EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
r°`� o ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defirred building height
.i;'
EQUAL3
�:
Updated: October 2015
,�'� z:\forms�plan review checklist 10-2015.docx
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F,
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St�oeelane� �is��6c� 8���'�3 P�r�e� ��erage Lakeshore Setback �iuf�
�fet?
� Yes �o Permit fVumber: � Yes ❑ No �/A � Yes�o
� f�/A—see attached Setback:
Storrnv�ater C,�ualitY Ex6�ting Rropos�d
Overl�y District Tier f��vdcavec Hardcover `A��i�r�ce RequirecE G�P Recya�ired
circle one % and sf % and s
Q Yes o ❑ Yes No
;
1 2 3 4 5 Type(s): Type(s):
Fees�o be CN��e ec� �E� �O
Ferm�t :rr
f�lan Revie� ✓�
St��€�c��F��rc,� ��
���re�tigatEon F�e
���—�u�taee��S�C U�i� t�
,; �thee(specE'F�+)
S �e�r� �oota e � ��� ,ua�� Foota e
Basement X = $
15t Floor X = $
2nd FloOf X = $
Garage X = $
� ��✓ � �� �
�`
Estirnatec� Gonstructior��aEue: �l.� p
QeQnQ Enspecti�n� Reat�irec� l�ork Rec��iring Se�arat�P�rmits
L� Footing Q Site C� Plumbing � Grading/Filling
� Poureci Wall � Silt Fence/Erosion Control Q f�echanical � Fire
� �dur�c�ation Survey � Fiardcover Removal � Septic � Water Connection
t;,
� , oundation Vldaterproofing C� Other(specify) � Fireplace �i Sevver Connect;on
�Framing � N'iasonry ❑ Lav�n Irrigation
m Insulation 0 fVlfg. � Landscaping
'` � i4s-Built�ur�+ey � Other(specify)
E' x Final
C Lathe Requirec6'�tate Perrn6tis
� Other(specify)
t`` � Well � Electrical
��fi�ARK� (in-house):
OFFIGl�L l2EIVG�RK� -TO B� F�l��E� �N �EI�f�RET�fiB� I�llTEl4LLE�:
' � �ee �uilc�er��cknawtedgeet��r����r�t
r Prio to releas�of escrow money - .
� �
�
.
� Updated: October 2015 �
�•\fnrmc\nl�n rPvicw rharklic4 1 fl_9f11 F rinrY
Christine Mattson
From: Christine Mattson
Sent: Thursday, May 12, 2016 2:28 PM
To: 'sierrahomes5@q.com'
Cc: Roger Peitso
Subject: 2755 Deer Run Trail E/#2016-00503
Attachments: letter.pdf; Escrow Agreement - Building Permit w Erosion Control 2016-00503.pdf
Tim,
Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact me if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ! Orono E MN E 55356 (physical addressJ
PO Box 66 ; Crystal Bay : MN ' S5323-0066 (mailing addressJ
�? 952.249.4620 ' � 952.249.4616
� cmattson@ci.orono.mn.us '? � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
PLEASE NOTE: Summer Office Hours start Monday, May 23,2016
Monday-Thursday: 7:30 am to 5 pm/Friday 7:30 to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, May 30, 2016(Memorial DayJ
1
�o�o
C ITY OF ORONO
� �„ Street Address: Mailing Address: Telephone(952)249-4600
y�, G1 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
�,9 �, Orono, MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us
KESHOS�
May 12, 2016
Tim Kelly
Sierra Homes, Inc.
22615 East Bethel Blvd
East Bethel, MN 55005
Re: Building Permit Application#2016-00503
2755 Deer Run Trail East
On May 11, 2016 the City received a building permit application for construction of a roof over the front stoop. Staff
conducted a preliminary review based on the information provided. We need the following to be submitted in order
for your application to be considered complete and for the plan review to continue:
1. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal
of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City
for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow
amount for this project is$700. The escrow agreement is enclosed. The property owner must sign the escrow
agreement and submit a check for$700.
Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on
the above requirements.
Sincerely,
CITY OF ORONO
�����
Christine Mattson
Planning Assistant
c Tim Kelly via email
Peter Stahl; 2755 Deer Run Trail East; Long Lake, MN 55356
Roger Peitso, Building Official
enclosure
Christine Mattson
From: Miriam Eason <meason@minnehahacreek.org>
Sent: Wednesday, May 11, 2016 12:35 PM
To: Melanie Curtis; Christine Mattson
Cc: sierrahomes5@q.com
Subject: No MCWD permit required for 2755 Deer Run Trail
Good afternoon,
I have spoken with Tim Kelly and reviewed his plans for his sidewalk and stoop replacement project at 2755 Deer Run
Trail for home owners Peter Stahl &Cynthia Arnold. He does not trigger any MCWD rules and does not require a permit
with MCWD. Feel free to contact me with any questions.
Thanks,
MIRIAM EASON
District Representative
Minnehaha Creek Watershed District
952-641-4586
http://minnehahacreek.org/
��
MINNE}IAHA CREfK
WATERSMED DiSFRICf
1
. _ /
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DATE TIME
, OF ORONO CALLED IN
P�CTION TICE SCHEDULED �Z ___��
PERMIT NO. ' OMPLEfED �
ADDRESS
OWNER � TE EPHONE NO �C.
CONTRACTOR
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ �°FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTiiACTOR TO MEET YOU:_YES_NO
� COMMENTS: - /ec.. /�-?'. ���.�� �- lb� -�j��
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� `�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECTV1fORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
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. (J52� 249-4600
OwnerlContractor on site: ��
Inspector. �/w�
White Copyllnspector's File Cenary CopylSfte Notice
/L�r � � � !
DATE !� TIME �'��
CITY OF ORONO CALLED IN � �" . ,,��
INSPECTION N TI E �3 SCHEDULED - ���
PERMIT NO. � vw COMPLEfED
ADDRESS a7-� ,,�Qy'� ,l�J� I
OWNER � EPHONE NO� ��- 7��
CONTRACTOR ���� ����y���
� DESCRIPTION ���`'� ' ,f'� ���"r
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING fll ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q !,�-F1?JAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
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2
W
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W
2
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W ❑WORKSATISFACTORY:PROCEED �RHOJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
xt inspection 24 hours in advance. (952) 249-4600
Ow Contractor on site: �� `l -
Inspector. `�
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