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Home My WebLink About2014-01123 - boathouse • ` CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 4 - 0 1 1 2 3 * DATE ISSUED: 10/Ol/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2605 KELLY AVE PIN : 20-117-23-14-0022 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 005 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : BOATHOUSE ACTNITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 20,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) REPLACE BOATHOUSE IN KIND � �'. 1 APPLICANT PERMIT FEE SCHEDULE 339.25 PLAN REVIEW 220.51 BECHLER LANDSCAPE,INC. STATE SURCHARGE(VALUATION) 10.00 12850 WAYZATA BLVD. MINNETONKA,MN 55305 TOTAL 569.76 (952)933-9944 Payment(s) CHECK 15439 569.76 OWNER WINE,SCOTT&JILL 2587 KELLY AVE EXCELSIOR,MN 55331- 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 pertnit 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 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 assurin all required inspect ns are requested in conformance with e t e u' i o . s permit may be revoked at any f� e a s �' �' � ,�, �,�� ' �o << < < l� , r ,� � App icant e Date ssued B Si atrxe Date CITY OF ORONO � BUILDING PERMIT APPLICATION ��5`'�� FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: � �- �O PO Box 66 r Crystal Bay, MN 55323-00 6 Date received: ��- f StreetAddress:' 1 Received by: y� � 2750 Kelley Parkway � ��I� 1 Plan review fee: L Orono, MN 55356 1 I `q KES H O�� ' �jl'� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � �� ; 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 approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: K��u1c�2 C��2�3n�- 7f�7� Name: ��..ER�.-a� �►.�e E��Q�rt+S�vu�t,cK SPoJse) State License# Expiration Date: Phone: (cell) - e 1e�2•SI,Z•`7'73 3 (office) 7�-3 ,�� ,. `�� Mailing Address: t2�,tip �,�y�-� ��r� City: N(,��,'��;� ZIP: S�:3i:5-194 �S Contact Person: �N ��2��s�_7�,� _ Applicant is: � _` on racto / Homeowner (Circle One) Email and/or Fax: h�:.hlerlan�-l-��n.��cAc{ c.c�� PROPERTY OWNER INFORMATION: Name: ,, . Phone (day): ;.,�; Address: _.. _ City: P��YN�ou�H ZIP: '��,,; ;'., Email and/or Fax - ��,-{�w�/„�,��- ��r�i r� �� ARCHITECT/ ENGINEER INFORMATION: Name: ' WA�>��c�t E�� Tvr��}��;' H� "`��.�.� � � Phone (day): ;,,� ��{ ' l��,�c� Address: ;tirrCn��,�n,�z�n�.z�� P : .. . City: R 1 ZIP: • � 's> . Email and/orFax: andre�c^;,�c�{,�-r r --� • � �F � � - PROJECT INFORMATION: Description ofproject: �C�S�"�LF ��fG�`� d'tGl�l�-E.- � l � � �� 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal S Water Supply �New Construction � Single Family with ❑ Residence�---� Addition attached garage �Garag '�Accessory Bldg. �` ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck �_� ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water *"Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 2,�� STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= l I�g�� Number of bedrooms= `� �Wood/Frame b.Width (ft.)= � Number of garage stalls: �Masonry Areas in square feet Attached = t' ❑ Metal �� ❑ Poie Bldg. c. Basement= Detached= ❑ ICF d. 15f Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your appfication to be processed: Not Enclosed A licable [�" ❑ Permit A lication p ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan � ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: 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 responsibfe for submitting a compfete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is compfete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this appfication 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 governmental agencies required by law. If you refuse to supply the information,the app(ication may not be issued. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. .� � % ;� � j i ApplicanYs Signature: � Date: � 2�• /4 Owner's Signature: Date: E�'�,�.f�� °��'f�'�� .�E��' �� °��P�� ::I��E�� .dc�r�s/PeemEt R!urnber: ��C��. ��t_�� 1�� Descri�ti�� o��e9c�ke ��t��. �`�s�b�� •�� a r+� ��.��a,a�� Septic r�view�y: � ,�o d3 ��t�Rpproved: Zor�in� �ev6e�a by: .�1��. �1�- �ate Approved: �� - � - �� uilc�ir�g revievr b�: ,.�•`�C��,� _ Date kppraved: tc:. ,- 1 - r +-r ,—�-- G�c��rag reviev�b�►: ," �'1�� D�te Approved: ZQe�Eng Disfirict: ��e�@ng �ele#: t�es�#: Iteso Daf�: ..-- � ZoRi : LQt At'e�: SF/AC L�Edt61: �ot CovePB�e: SF �% S�r�c�1R� i��d: �Yes � No Da��o�S�rvey: Revised date � . P�ca crset! Setb k�: FEant�Lafe�j Re�r(Str�eti� ( � � E � � 6 F8 S E �V � pt�er Bu i��s if�'etiaRc9 ��e�� S�e�e Deflned kei�ht: e�k F��Eght: FFE: ` FFE mi s 6�eet= {Exi�ting��ontou t�e�r€�e�er(linear feet)_ �d%= #of Stor �k? C3 YES �OR�,BEJILDiPdC 1�iTH l�BA�EIi�ENT OR CRAVdL �.CEC The d stance between lowest �O BUILDII�G Ok A SLAB FOUNDATiONt: START WITW proposed floor(of the ba ent orcrawf space)and the hiphest point the roof. Th8 disfance between the top of slab arn START WITFO �e highest poiM of the roof. If you have a... If you have a... � GABLE OR HIPPED ROOF . GABLE OR HIPPED ROOF(no ' windows): Subtract half the � windows)� Subtract half tt►e distan dishance between the highest poin betweert tha hiphest'poi�t of the rc of the roof to the low point of the SUBTRACTION corresponding gable or hipped to the low poi�of the correspondii SUBTRACTION g8ble or hipped roof' (BASED ON ROOF e GABLE OR HIPPED ROOF( ' (BASED ON � GR$LE OR HIPPED R�OF(with TYPE� windows):Subtrad haHthe ' ` ROOF TYPEj windowsj:;Subtract half the distan distance between the top the between the top of the hfphest highest window and the ghest wfndow antl the highestpoint of th poinf of the roof `,roo# ALL OTHER ROO ES{flat, • ALL�THER ROOF TYPES{flat,` � mansaM,'etc)� subtractio�. mansard etc:ko subUaotion. . SubVact the distan between the ADDRION Add!he distance beMreen the top of slai SUBTRACTION (BASED ON and the highest existing gratle adjacer�t (BASED ON EXISTING basemerrt/c,�awl ace tkwr and the JSTING the foundation. GRADES) highest existi rade 9djacent to the E� foundation O 10 feet(whichever is less). EQ S Deflned buiWing heigM EQUALS Deflned fding height �hcre6ar�d Di�t�ict Fd�CO�� P�rnrtii�Recefv�d Aver� e Lak�hore S��a�c �t? �lu� , F] Yes �9 No � N/A CP Yes � Nc � Yes �i o EE Yes t� No !� N/A Permit Number: etback: �torr��rate �a(i�+ �xBsk�ng P��p�� ri�.c�ce Requir�c� CtJ� �e�aire O�e�i� str�ct f�ee �{�rc�c�v��r kaedcovec � Yes � t�0 1� Yes o TYpe(s): TYpe(s). , Updated: January 2013 v:\forms�plan review checklist 2013.doac �%� �-7-t�/�°�� t�E�9�►ItKS (in-house): Fees tQ be Cha ed �� P+��i� : Piart R��rie�r �$�c�r�c�r� �`"`n Envestig�tEon F�e , �C—�lum�s t�Sl��E+kt�s _ �?th�r(specitiy) S uare Foota e � er S uare Faota E Basement X - $ 1�'Floor � - $ 2"�Floor X = $ Garege X - $ Estlmated Con�truction V�Eue: � ��'��%'�"- Orono lnspectio�� ReQuir�c� �ork Req�icing Separ�te Per�nit� Requirecf State Perm�its � Site � Piumbing � Grading/Filiing � Well � H a r d c o v e r R e m o v a l � Mechanical � Fire � Electrical Footing � Septic � V�ater Connection �''Poured Wali l7 Fireplace � Sewer Connection �� Founda�tion S�an��y d Nlasonry � Lawn l�rigation � Radon Rock Bed � �f9• ,@�Framing � Other(specify) C! Insulation As-Built�urvey Finai E7 Wetland Buffer C� Other(sPecifY) REAAARKS (in-house): Qther Reviev�: Re�ie�red b�: Date ag�roved: Iaccess: Existing: t� YES � NO New: � YES � NO OFFtCtl4.L REt1�f�6tKS -�'� �� "C)i'�D�E� PEi�(�tT ki�Q �t��'fE�L.LE� Updated� January 2013 v:�fiorms�plan review checklist 2013.docx Piling Systems, LLC/Ram Jack of Minnesota 250 Industrial Blvd, Young America, MN 55397 Phone: (612) 282-5883 Web: www.ramjackmn.com Owner: Installation Equipment: BechlerLandscape 305 CatExcavator Date: Torque Driver: 10/9/2014 T75K bv Prodi� Site Address: Tor ue verified B : 2605 Kell Ave,Orono, MN David Newman Operatin�installer: Reference elevation h John Newman 100 Year High water mark ��`-� Excavation Elevation(ft): Top of Pile @ Cut Off: q 3.00' below 100 Year �/^'f. � 2.5' Below 100 Year ! 77v" b Pile Diameter Ft Lbs of Pile# Helix design Depth(feet) PSI Torque(ft-Ibs) Ultimate (inches) capacity 1 2.375 10.12.14 15 N/A 2800 28,000 2 2375 10.12.14 17 N/A 2810 28,100 Pile#2 Moved 1 foot West Due to Broken Pile at Corner. 3 2375 10.12.14 11 N/A 2800 28,000 4 2.375 10.12.14 14.5 N/A 2400 24,000 Note:All Torque readings taken with a digital torque meter. Pressurre was not used for this installation. 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S Internat(onal Market Snuare DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT NO. '6�'� COMPLETED �S � � ADDRESS �� /� c�`� ltv� - OWNER TELEPHONE NO. CONTRACTOR ��'�'''�� S � DESCRIPTION ��''�" � ��''�4G �ar �. S�rl��iQ'' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�FflAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT , Q �FH��L ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � l��G�St `Lo�iSQ ' a �r rn• �'a� {'o�.��.e�w r�e,o�,� - d K � � o , . A p� �/�'14� ' /9 �io a rti` �eua/ !Q.c cYi h� Q.�L 4 O � ��e �uf- roa� W • - � �QlINJ-G .G�i� zC-!.�/ �d Q zPia��o-� � �G� s-w� � �w � . Yv�Gk 6►'� 3 / ,�au,.,.�►- � � Ir1Cc-I(.r ✓`06+.a � h"��.�.' �/j� �i�td��bG �t/Q-�i...-3 jI'rL /` .ti � d � /l�cJlr'�2. CO G�Q'�!G{'F� �✓" '� � ❑WOHKSATISFACTORY:PROCEED C��,��.� ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �L� � ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTIO ��y TEMPORARY � BEFORE COVERING ��/ ` � PERMANENT 0 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �€CTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site:,16� Inspector_`� �� White Copyllnspector's File Canary CopylSite Notiee � /� 1�� DATE TIME y CITY OF ORONO CALLED IN ��_� �//_ � INSPECTION NOTIC SCHEDULED _�� PERMIT NO.�� a COMPLETED ADDRESS ��-/ �- OWNER ELEPHONE NO.��_77� CONTRACTOR e � � � DESCRIPTION v`'�`'`�`� �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTiC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ F MING ❑ MECHANICAL FINAL ❑ PROGRESS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O , � � O � W � Q � 2 W � � W � j W ❑WORKSA SFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORREC WORK 8 PROCEED � UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT ,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 urs in adv . 52� 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Ca ry CopylSite Notice � � /� DA TIME ✓ CITY OF ORONO ALLED IN ��Z� ��-_��— INSPECTION OTIC CHEDULED !�t�— PERMIT NO.�� —D«�OMPLET � ADDRESS � OWNER LEPH E NO - � CONTRACTOR ' � DESCRIPTION ��G�� t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � � 2 W � W � J GW ORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 ho in advan 2) 249-46�0 OwnerlContractor on site: Inspector_ White Copyllnspector's File Canary CopylSfte Notice �� ,PAT TIME CITY OF ORON CALLED IN U INSPECTION N T SCHEDU�ED a�� PERMIT NO. / COMPLETED ' ADDRESS � OWNER TEL PHONE NO.�-��"' CONTRACTOR � .� � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q OURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: o� W a � J O �. � O � W � Q � � W �[ � J C! t W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � O RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOflARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in a ance. (952) 24 - �� OwnerlContractor on site: Inspector. White Copyllnspector's File ary CopylSHe Notice �� ATE TIME CITY OF�'ORONO CALLED IN � WdSPECTION OT C SCHEDULED 1 PERMiT NO � COMPLETED ADDRESS �nb S /� �� /'ll OWNER TELEPHONE NO. ' CONTRACTOR � ��Y� �•��'�f�� ( � DESCRIPTION � �FOOTiNG ❑ PLUMBING AL � EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: �'-�% �ks 1 � ` ` � c / W r��IK,� �e/' D eLtSe ' ��cGs�i e�rt a e -^ O �✓ �/'ICi��'IL�t.r t w� '-' ,�D r�fG C Pe�� /'e1Gta�/�dJ' � —T �C /� � /' ICG�S/ 1►o� � d'��ti,t �f/'n � �9�B�/ � ,!��ls w - Q —�" � 2 , � -' � �rl� ��.f�e✓ �t.4 d S 4.c oc t� ?$ r�1Gt./t L:c�-�, � Cle4.r��tC� - Gr��✓'�- -� �`' �.d�ar � W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE �/�,BBEGT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0��❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. next inspection 24 hours in advance. (952) 249-4600 0 1COIltf'dCtOf @: /�✓r O 2!.V�4� _ Ins r. White Copyllnspector's File Canary CopylSite Notiee