HomeMy WebLinkAbout2005-P08636 - addition/remodel � ' PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P08636
Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair
(952) 249-4600 Date Issued: siai2oos
SITE ADDRESS: 3560 Ivy Pl
Wayzata,MN 55391
P I D: 20-117-23-42-0027
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 434
Permit Type: Addirion/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolurion#:
Separate permits required: Eiecmcai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 713.75 Valuation: $ 60,000.00
Plan Review Fee: $ 464.03
State Surcharge Fee: $ 30.50
Misc.Fee: $ 713.75
TOTAL FEE: $ 1,922.03
APPLICANT: Danberry Company OWNER: Gary Christensen ET AL
4410 Shoreline Dr 3560 Ivy Pl
Spring Park,MN 55384 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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LICA PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Re4uired), 1-Atrolicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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v � Total Fee: $ � �� 22�� , Date Received: 7 a S�
Entered By: �.�,N�-- Permit#: �4 (p �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infornzation)
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THE APPLICANT IS: (circle one) OWNER OR NTRACTOR
JOB SITE ADDRESS: �.�C.�v � ���— ZIP: ��3� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �O If yes,a special event permit is required with Police Department and City Council approval
60 days prior to the event. Sharttle bar.r ser-vice will be regzrired unless applicant demonstrates
sufficient a�-site parking is available. Non�ermitted events will not be allowed.
NAME OF OWNER: ��``� y �/`► ►^ �S(�-S� PHONE: (home)
� (work)
MAILING ADDRESS: 3��U--� `7 ��— CITY: d✓'�— ZIP: 3 �t/
CONTRACTOR: � �- PHONE: ��l�US� �
CONTACT PERSON: �c� MOBILE/P�GER: �Z- z—SZ �70�' 7
i�IAILING ADDRESS: y a �Lio^ �-�.e--1(� CITY: � ��" G ZIP: ����
,
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration Z�
PROPOSED WORK(d scribe in detai�: Q r`�t-S -� S �
e -e �%x/ S ���r•. �P�`w� � ci�/
STORIES: �� SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ CS1� ��'v ` a
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: DATE: z�0 S�
31
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.I. 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.M individual asked to supply private orconfidential data conceming himselfshall 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 daca;and(d)the identity of other persons or entities authorized by state or fedecal 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 o�cer.
The commissioner of revenue may place the notice required undcr this subdivision in the individual income tax or proverty tax refund
instructions instead of on those fomis.
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 fucther 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 copie"s of the private or public data upon request by the individual subject of the data. The responsible authoriry
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 of public or private data
conceming hitnself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including rocipients 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 individuaPs 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 M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its depariments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you fumish wiil 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 informarion 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(available upon request)to review private data on yourself.
6. Your fu name is r uired to ocess this application or permit.
� �! � �U`� G1�/rv C tr�v�.
First Middle Last
Address
C➢ty State Zip Phone
I understand m rights as stated ab .
Signature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3S,�o �vy Pc��c�.
PID:
DESCRIPTION OF WORK: �Z�Pu�c.� (2.�oF Z�sses
ZOrT�i 1G REV�`V BY: DATE APPROVED: S-2-0 3
BiTII.DING REVIE`V BY: ��,,�, C DATE APPROVED: s .Z-a 5
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes �/ No SEWER CONNECITON
STATE SURCHARGE Yes � No WA'I'ERCONNECTION
-�INVESTIGATION FEE Yes x No PARK FEE
SAC Yes No ,/ SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZOi�1Ii�IGCH�CKLIST ZaningDistrict: C.2-�L
Fire Department: Post o�ce: School District:
��
Lot Area: Sq.ft. .4►1 A� I�,��lo"� Width �'S'� Ar 5 f�1v� Depch
Survey Submitted: Yes No Date of Survey: 2-S-o S
Proposed Setbacks:
Freat (Lake): �la� Right Side: $•Z S (� i o� �o (�/L��?oseJ �oR�vw�-5
�
P�e�r (Street): _ �y/� Left Side: I t�•q�
Ad;acent Structures: /���- Wetland: /v!�
Buildin� Heioht: Def. Hgt. 3� Peak Hgt. 33
Lo[ Covera�e: ivo erfiwvGe
Grading: Staff Approval Date: n�/c. By: Council Approval Date:
Septic: Staff Approval Date: N g By:
Zoning File: # 05•3o��q Resolution: # Resolu[ion Date: �-Zf3-C�S
Shoreland District: v,r5
Avg. Setbac�yA2�,�„�c..� Bluff Setback: ,v//+ L.otCoverage:
Ezisting Proposed
Hardcover: 0-75' O 3Z.� .�- `-1`-�•3`i
�s-Zso� y�.yy
Zso-soo�
500-1000'
Hardcover Variance Required: Yes X No Da[e of Council Approval: 3- Ztd-oS
RENIARKS (in house):� W0t21�. �� w�0 �,D�1�.�
7
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BUILDING REVIE`V CHECK LIST
UBC: _ fZ• 3 CONSTRUCTION T'YPE: �/�l
Sq Foota?e $Per Sq Ftg
Basement z _
lst Floor z _
2nd Floor x _
Garage x =
z =
TOTAL
Estimated Construction Value: $ (��,Odp`�Q
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing ` Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_p�Insula[ion (Masonry) O[her
_Q�Wall Board (Mfg.) Well (State Permit)
�F�� Grading/Filling o�Electrical (State Permit)
O[her
RENL�RKS (IN�OUSE}:
-------------------------------------------------------------
REVIE`V BY OTHERS: DA'I'E:
Access: Ezisting New
Access Approval: Date gy:
----------------------------------------------------------------
REI�IARKS (TO BE NOTED ON PERivII'1�:
8
A�K-2U-2005 WED 12�32 PM LITTFIN TRUSS CO FAX N0, 9524731245 P. 03
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CHASKA BUI�DING CENTER Mark Osfby � 2�Apr 2�05 9:52 em
350 East Hlghway 212 P,O, Box 89, Chaska, MN. 55318 (952)448-B776
FASTBeam�Enginee�ng Analys/s�1996-2004 Georgla-Paclf/c Corporefion Version: 5.0
ProJect ; ""—
Mark# : Beam -Floor
Usage : Beam (F1oor) Repetitive : No Spacing (In.) : 0.0
Max Defl : LL ■ L/360 TL= L/240 Composlte Actlon ; No
6.0',666 pfl - [ � � 9,0",66fi pel
���7V ' — � � f����
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LOADS Project Dealpn Loada;Floor.�LIve=40 pal, Dead�96 psF Root;Uve=35 pef, Deed�20 paf.
LIve+Dead Ld(1� Llvo Ld(�) LDF Locetlon'
# 9hape �Start �End �8tart�End 3pant# 8tarte Ends Additlonal info
1 Unlrorm(pifl 440 320 1�096 0 0'0" 12'0"
2 Unlform(pl� 90 0 100°� 0 0'0" 12'0"
3 UnliOrm(pM) 110 70 11596 0 0'0" 12'0"
a Partlal(pl� 990 630 115°k 0 0'0" 2'0"
B Concentratad(Ibe) 5940 4320 100% 0 2'0"
6 Concentrated(lbs) 5840 4320 10096 0 12'0"
Uniform(pl� 13 0 0 0 12'0" Self Welght
Dimen�lona meesured fmm lei4 end whan s an#Is 0 otherwise frvm!eR end of the s eclfled s en,
SUPPORTS(Ibs)
� 2
Max R'n 1p822 1�962
Max100% 5520 686D
Mex 11S% 1873 525
Min R'n 362T 3467
Min 1009�a 5520 8960
Mln 11sYa 1575 525
Dl R'n 3527 3487
Min Bretln•) 5.37 3,54 [Baaed on bearine strees below]
Br 9tr 61 585 66S
DES!(3N
Vaiue Span X Group Allow LDF Ratlo
V(Iba) 7755 1 1'5" 21 9310 100% 0.83
M(tt-Iba) 17527 1 4'7" 21 27182 100°r6 0.66
LtRn(Ib8) 10822 0 0'0" 61 11865 100°� O.BO See Note#5
RtRn(Iba) 1�952 0 12'p" 81 1188g 100% 0.92 See Note�f5
LLDefI(In.) 0.23 1 6'0" 61 0.40 U614
TlDefl In. 0.36 1 B'0" 81 0.60 U389
USE: �PLAM 2.OE 1.7Sx14.00"2 PUeB Grade,Plles aelected by Use�
(3-P L,AM tm deoreis-Pacific Corp.
NOTE3:
i.Deo(pned!n aecordenae w►th Netlona/Dealpn SpeclflceNons for Wood Construcdon and epp/tceble Approvala or Researeh Reports,
2.Provlde lafon/aupport at the bearinp Iocallon neero�t each end of the membar. Condnuoue latera!8upport requ�red fcr aompieasfon
ed�e.
3.loada have been lnput by the uaer end have not bsen verlBod by GeorpPe-Pacl1lc Corpoisflon,
4.Deslgn valld!or ery uae only,
6. Thla roacHon la beaod on the comb�natfon of loada 6 dureNon Ibctors that pr�ducea the h►Bheat stross rallo end rrray be les�thsn
maximum roactlon.Thenafore, when roactlon valuas are requlrod, uae Mex R n/rom 'Supporta'aeetion above,
B.Bearine lanpth 6ased on doslgn matenal;suppoR maferlal cepaefty sha/!be vorlfled(by othars),
7. When rsqulred by ths 6uRdlnp code,a replat�r+ed dea/pn profaaslone!or bulldlnp otllclsl ahould varlfy the lnput/oads end product
ePP�leatlon.
8. Thfs englneered lumber produc!haa been s/zsd for rerldendal a�o.A aoncentretod load check,per the bWlding code,must be per/ormed
lor commar�la►uaes.
9. Varlfy that loed fa applled et top or equelly ftom both s/dea.
10.Nail p!►ea topethor wlth 9Bd nalls�12'da along top end botto►n edpaa and thru csnM�Nel!htm altemeto feaea,2"fYom edges.
11. Company,product or b►and namea reierenced are frademeiks or replstsred frademarks of thelr rospecWe owne�s,
12.Load Combinetlona:10�D,20�D+1 p09b,30=D+11696,40■D+�a5gg,sp•D t 13396,BO■.D+10096 t 115%, f0�D+10a�+1 Z5�6
,80=D+�OO�i�13355, 90=D+10096+1 id4G+1g39�/2, 100 o D+10040+11'95/�Z t 133%, 1 f 0�D+Commerclel Ld(10035)
13. G�oad Combinetlon Number�Losd Pettem namber (For armple spen Load Aattem�1 for LL 0 for D�
l/l 'd Oti�� '°N a � �ua� �uip � inq p�sPy� Wb90 � � 1 GO�l '�Z �ady —
3� � � �.R
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CHASKA BUILDING CENTER Merk Ostby 21 Apr 2�05 9:52 em
350 Eest Hlghway 212 P,O, Box 89, Chaska, MN. 55318 (952)448-B776
FASTBeam�En ineerin Anal sls�1996-2004 Geo !a-Paclflc Co orefion Verslon: 5.0
ProJect :
Mark# : Beam -Floor
Usage : Beam (Floor) Repetltive : No Spacing(In.) : 0.0
Max Defl : LL ■ LI360 TL= L/240 Composlte Actlon ; No
�-
fi.0',666 p!I � � � B4O",666 pel
-,��,,� . � ., _ � �.,�
� �
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,a,o„ /�7'''I''�','r/J�')
LOAD3 Project Dealpn Loeds;Flaor Uve=40 paf, Deedol6 psf,'Roo�,Uve=35 psf, Desd�20 psf.
LIvs+Dead Ld(1� Llva Ld(�) LDF Locatlon�
# 9ha e Stert End 3tart End 3 an# Sterta Ends Additlonal Info
1 Unlform(plf) 440 320 100% 0 0'0" 12'0"
2 Unlform(plf) 90 0 100°�6 0 0'0" 12'0"
3 Unlform(pM) 110 70 11596 0 0'0" 12'0"
d Partlal(plf) 990 630 115% 0 0'0" 2'0"
s Concentrated(Ibe) 5940 4320 10096 0 2'0"
6 Concentrated(Ibe) 5840 4320 10096 0 12'0"
Unitorm(plf) 13 0 0 0 12'0" Self Welght
•Dimenslone measured irom le�end when span#Is 0,otherwise from le(t end of the specl�ed spen
SUPPORTS(Ibs) —" "- -
� x
Max R'n 10822 10962
Max 100% 5320 B�BD
Mex 118'/e 187� 525
MI�R'n 3627 3467
Mln 1009�. 552� 8960
Mln 11S'/a 1575 525
DL,R'n 3527 �g�
Min Bra(In.) 5.37 5.54 (Baaed on bearing stroee below]
er 9tr al 885 665
DESlC?N
Value Span X Group Allow LDF Ratlo
V(Iba) 7755 1 1'S" 21 9310 100% 0.83
M((t-lba) 17527 1 4'7" 21 27182 100°� 0.66
ltRn(Ib8) 10822 0 0'0" 61 11885 100°� 0,80 See Note#5
RtRn(Ibs) 1�952 0 12'0" 81 11865 100% 0.92 See Note#�5
LlDefl(In.) 0.23 1 6'0" 61 0.40 U614
TlDefl(In.) 0.36 1 B'0" 61 0 60 , . U399
_�._..��
USE: O�IA 2.OE 1.7Sx14.00" 2 Plles Grad�, Plles aelected by User
t3•P L,AM tm Oeorgla-Pacific Corp.
NOTEB:
1.Deslpnad�n accordance wlth Netlona/Dealpn SpeciFlceBons for Wood Constr�ctlon and eppllceble Approvala or Ressarch Repons,
2.Provlde larora/aupporr at ths bsarinp locallon neerost eaoh end of the mernbor. Contlnuoua latera/aupport roqulred fo�compreas/on
edge.
3.Loada have been/nput by the uaer and have not bsen verffiod by Georp/o-PaclBc Corporatlon,
4.Des/gn valld!or Ory uae only.
B, Thle roacNon la beaod on the eombinallon of loada 6 duratlon/bctors that producea the h►pheat atross ratlo end may be leaa then
maxlmum roactlon. Thar+ofore, when nacflon valuas are requlrod, uae Max R n Irom 'Supports'aectfon.bove,
B.9earin0 lanpth based on daslgn mater�a/;suppoR mafarlal cepae/ty aha!/be varlqed(by othara).
7. Whan rsqulred by ths bulidlnp eode,a rep/storbd dea/pn prol'esa/onel o�bulldlnp offlcla!ahould varlly the/nput/oada and product
app!lcadon.
8. Thls ang/neered lurnber product haa been s/:sd for repldenflal u�o.A eoneentretod/oad check,per the bulld►ng code,must be perlormad
Ior commar�c►al uaeQ.
8. VoNIy fhat loed/a appNed et top or equeliy Irom both sldea,
10,Nail pliea toQethor wlth 1 Bd nalla�12'da along top ond bottom ed�sa and thnu csnM�Nall Nrom altemato�eces, 2"from edpes.
11. Company,p�oducf or brand names referenced a�e trademorka or repl�rored bademarks of thelr raspective owners,
12.Load Combinotlona:10=D, 20�D+1009e,90=D+��6�6,�0�D+�$�,�p.D t 133if,,60�D+9009�6+11$90, 70�D+100�+185%
,80�D+�004�+1339�b, 80=D+1009�6�11a9f+13395/2, 100 o D+100l�6+11�9�t 13393, 110■D+Commercla/Ld(10046)
13. Grou m Load Combinatlon Number t Loed Pafterrr numbsr. For elm le a en Loed attern�1�r LL 0 ror D .
lj� 'd Otiti� 'oN aa�ua� �uiP � � �9 p�ISp�I� Wd90 � O1 SOOZ 'lZ 'ady
/ /
�� � `�r� �D TIME �
,���F ORONO CALLED W � ��
INSPECTION N TIC � - SCHEDULED �
PERMIT NO. i � COMPLETED
ADDRESS ��d � � " �
OWNER CONTR. �,�,�J�/`�� •
TELEPHONE NO. lX �� � ..�C�n1 �� b �
� DESCRIPTION � l G� ( L �� ;��� �-C
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 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
v 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ��CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALLTO/CfiRANGE ACCESS.
Call fortJie�n�xpinspection 24 hours in advance. �95Z� Z49-4600
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CITY OF ORONO CALLED IN �
INSPECTION NOT,IC ?, SCHEDULED (1 �:3 O
PERMIT NO. '�J �✓� COMPLETED
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� DESCRIPTION �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULA�TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED l- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
L�STOP ORDER POSTED.CAIL INSPECTOR '� CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
OwnerlCo ra o o sit :
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice