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Home My WebLink About2001-P04558 - new stracture T ` CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Poasss Crystal Bay, Minnesota 55323 Permit Type: NeW scru�cure (952) 249-4600 Date Issued: 11i13i2oot SITE ADDRESS: 575 Kokesh Farm Rd Maple Plain,MN 553559 PID: 31-118-23-11-0011 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: riumoing iviecnanicai Sepiic rirepiace irrigation weii�s�aiej Eieciricai�state j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 3,708.75 Valuation: $ 600,000.00 Plan Review Fee: $ 2,410.73 State Surcharge Fee: $ 300.00 TOTAL FEE: $ 6,419.48 APPLICANT: Landschute OWNER: James Leslie 20305 Lakeview Ave 575 Kokesh Farm Rd Deephaven,MN 55331 Maple Plain, MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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. - �� ,% 'G" :;J, � ,t`�jL1� ERMITEESIGNATURE [SSUEDBYSIGNATURE � Co ' . I-File(Sienitures Required). 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 Total Fee: $ � l • � Date Received: 1 .., ,,� ,��/l/�.� , Entered By: Permit#: �_-• �, �� 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) OWNER OR C RA T �..�.-:- __,�- :� -_�, - - ' . JOB SITE ADDRESS: � � �ke� cs-�' c� ZIP: �j`�js(o L-�-�-�-�(��-I 4Co kr.��+ �o�'�� 1v1AME OF OWNER��Qf�,�� PHONE: (home��Z, •y�-7�.�S'3,� MAILING ADDRESS: �� (�'ark) �$2 . 2�79 •S�OO �w��# CITY:�,�.,�ZIP:SS CONTRACTOR: L-az,�t c�Sc,�K�t� PHONE: qs2•�ZO •�`�I L� CONTACT PERSON v�o,� N(o-r�� MOBILE/PAGER: ��'y • g� . g q'p ( MAILING ADDRESS:�j?�p�'L�Itr�,�3�CITY: ZIP: ��;�f STATE LICENSE: #�1��✓� 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-�v►s'{-+��-c-'+" �«�J c,�we.l l �:,�,� STORIES: 1. SQ. FEET OF EACH FLOOR: 2`-�-� SF',�v�,Q.�.:�.�'Lo7�F S��.ow�e�-• NO. OF BEDROOMS: l..� GARAGE STALLS: ATT. �f DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'-��' I hereby apply for a building pernut 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 Ciry 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: lo(Z.S�o i NOTE! Parade of Homes even equire separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 _/�""`�� Sec.13.04 RIGHTS OF SUBJECTS OF DATA "� Subd. 1. Type of data. The rights 'ndividual 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 indiridual. An individual asked to supply private or co�dential 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 IegaUy required to supply the requesred data; (c)any known consequence arising from his supplying or refusing ro supply private or co�dential data;and(d)the identity of other persons or entities authorized by state or federal law ro 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 mav place the notice reouired under this subdivision in the individual income tax or orooertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infortned whether he is the subject of stored data on individuals, and whether it is classified as pubtic,private or confidential. Upon his furrher request,an individual who is the subject of srored 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 disdosed to him for six months thereafter unless a dispute or action pursuant ro 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 au[horiry 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 himself. 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 ro notify pas[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 determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng to contes[ed 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 departments may require you to furnish certain private or confidential information. You are notified that: 1. The ihformation 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 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address Ciry State Zip Phone I under d my rights as stated above. Sig tu 6 , � ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: S'�� 1�b Y..,�s� t=p►rL.�,�� PID: DESCRIPTION OF WORK: /�p�� '�--� ZO�TING REV�W BY: DATE APPROVED: � i- -�- 01 BUII..DING REV�W BY: DATE APPROVED; _1 l -'7-a 1 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �l No PLAN REVIEW Yes _� No SEWER CONNECTTON STATE SURCHARGE Yes �/ No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC-Units OTHER (specify) ZONING CH�CK LIST Zoning District: Fire Department: Post Office: School Districr. � Lot Area: Sq:ft. Acres - Width Depth Survey Submitted: Yes_ C� No Date of Survey: /l�-Z9-OI Proposed Setbacks: Front(Lake): �'Z�•Z Right Side: 71.•2 Reaz(Street): Spc�� L Left Side: S�i.3 Adjacent Structures: hJ I/� Wetland: 111 I/.� Building Height: Def. Hgt. 'Z'Z.r Peal:Hgt. �2.7� Lot Coverage: N�/9' Grading: Staff Approval Date: /o-`�-o t gy; .D .. Council Approval Date: — Septic: Staff Approval Date: __�-2.g -p� By:� Zoning File: # -- Resolution: # �- Resolution Date: �- Shoreland District: /J ��' Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Dace of Council Approval: REMARI�S (in house): 7 � � BLTII�DING REVIEW CHECK LIST UBC: IZ ' 3 CONSTRUCTION TYPE: V� Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Gazage x = x — TOTAL Estimated Construction Value: $_ 10 0 0,Op0�' Inspections Required: `Vork Requiring Separate Permits: Site _�0 Plumbing Fire Hazdcover Removal � Mechanical Water Connection �Footing ` _�Septic Sewer Connection � �Framing �Fireplace _�Lawn Irrigation _�Insulation (Masonry) Other _L Wall Boazd : oC (Mfg.) _�Well (State Permit) �F�� Grading/Filling _d Elecuical(State Permit) Other REMARI�.S(IN HOUSE): . REV�W BY OTHERS: DATE: -----------__ Access: Existing New Access Approval: Date gy; REMARKS (TO BE NOTED ON PERMII�: 8 . �Ra�l N " . " �� S ��c��s � I NTE RTEC ��-��2-�,�-�� c��s� DAILY OBSERVATlON REPORT Project#: � � V r9 1 �,(,��e % Report#: Location: _�5` fti•►L�•s k �� n rr�,M Date: '� Regular Overtime Aersonnel Classification Hours Hours � � , Areas�nd work periormed this day_ �P Y /a h�_q.� �r , �.CJe�S c � � t��r�� ' � l ��,��_� ,� ,7 � �r. � . v✓' � � r r '�ather: Performed By: � �To: d/ �- as,. 5 � /� r��yJ 3 r.� 1 F: DAILY 1 l � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED �Z �'�— PERMIT NO. d COMPLETED ADDRESS �'7J� /��.�� OWNER CONTR. L�� -� TELEPHONE NO.�p �� a5 � �3 � � DESCRIPTION__ �L ��a�'��% � � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q�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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEFi REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�ES_NO v�i COMMENTS: � W 0. O � ` a � O � W � Q � _�__ 2 W � W � j O W� WORKSATlSFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedC tor on ite` Inspector. te Copyllnspector's File Canary CopylSite Notice �`�� DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE �/ scHE�u�Eo PERMIT N0. ��SS6 COMPLETED ADDRESS �� S ��-O k=-Q-Sh �ar v�n �c�� OWNER CONTR. 1A-+�''d 5�,d�.Q� TELEPHONE N0. ln �a - 3a�- LI��' � DESCRIPTION �,-c.�-��-� CY� - �ost� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADINGIFILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOA TO MEET YOU: ES_NO � COMMENTS: � W � O � �.e� v—/ �_� a � O k W � Q � Z — W �c - W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s'#e: Inspector. Whit opyllnspector's File anary Copy/Site Notice / DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED )/-7-C Z � v�� PERMIT N0. ' '� COMPLEfED ADDRESS �� S ��-1-�- fi_�-; �%l� /ZA/f- OWNER CONTR. �l�rtv��,��. ��G�:� TELEPHONE NO. LP� , �5��'�,��y � DESCRIPTION lf��✓'�°'`�� ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 P I 23 SEPTIC F AL 35 HARD COVER REMOVAL � 10 PLUM81 36 FOUNDATION/REMOVAL �WRERI CTO O MEET YOU: YES_NO Z ° COMM . � � �� 0 �. � a � W � Q � Z w � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQU�RED.CALLTO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (g52) 249-460� OwnerlContracto 't : Inspector. - White Copyllnspector's File Canary CopylSfte Notice DATE TIME CITY OF ORONO CALLED IN �'/ INSPECTION NOTICE. scHeou�eo �� PERMIT N0. J� y55� COMPLETED ADDRESS S7S ��K�S� -�G-�� • OWNER CONTR. L-��5�� TELEPHONE N0. C� � a 3a5 `7 �`�o � DESCRIPTION /�1��%�h ly 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q Q 03 INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 i09 PLUMBING RI 23 SEPTIC FtNAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � W C j '! O >. � �.. O � W . � � Q � 2 W � W � � d � ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hOurs in advance. (952) 249-4600 OwnerlCo acto n site: Inspector ` W GopyMspeetor's File Canary CopylSite ,tice �*. I�' DATE TIME CITY OF ORONO CALLED IN ��'� INSPECTION NOTI SCHEDULED � � PERMIT NO. � COMPLETED r1 i� ADDRESS �r7 S� O/�.5� ��'%Zt �. OWNER J CONTR. �-��5�--��-e. TELEPHONE NO. �/� rSr��`( CS�1 � / � DESCRIPTION 4� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING G� 0�MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y �3'Itd@ N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 FOIIOW-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: � W a � J O �. � O � W � Q � 2 W � W � � d W��E�AVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContrac o Inspector. White opyllnspector's File Canary Copy/Site NoHce CJ— ' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI � (�f� SCHEDULED PERMIT N0. �� `J" COMPLETED , I�� ADDRESS � L�LQ - � ? �� OWNER CONTR. I/r�'.�'r-.�4�l�c f.c:�C , TELEPHONE NO.__ �� `�� DESCRIPTION �Y��,�� 01 FOOTING 11 MECHA IC RI 18 EXCA�//GRADING/FILLING ,Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 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 � OWNERICONTRACTOR TO MEET YOU:_ ES_NO � COM NTS: � � If � c� � � ' l �o � . � � �� il 5 - � L: °� ' i� S L` -'' ` �'�i'�/�` �l Q ��✓1 , , 'vc, l , � ,.-;,�, lw" �c�l-- �t ' z ;l �-'�s�G �...c.t, 5 C,� L°j� � 3, W � � d W� ❑WQRK SATISFACTORY:PFOCEED ❑ PROJECT COMPLEfE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnedContr r on sit • Inspector. � White Copy/inspector's File Canary CopylSite Notice � DATE TIME � i�`�Y OF ORONO CALL IN � INSPECTION NOT�IC/E y, EDULED �7��/�� -�� '=A�y� PERMIT NO. T S ✓ � COMPLETED �� ADDRESS �� 5 � OWNER CONTR. a�v TELEPHONENO. �� a/ � � DESCRIPTION �-G�- �'�-/�.--� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 O6 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 � OWNERICONTRACTORTOMEETYOU: YES NO � COMMENTS: � W a O ' I`"�i�`�% G L � ✓)�;� � C � l � �� 0 � W , : ' Q '� �',Y`, C � �L� ��f��'�/�J �,,��, Z L�L / %1 1'f S �� ._ ,��.r G� 1.� rE� � W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContrac or on site: Inspector.��/' �--�. �G�-�'I� White Copyllnspector's File Canary CopylSfte Notice