HomeMy WebLinkAbout2007-P10780 - addn/remodel/repair � PERMIT
CITY OF ORONO
2750 kelley Parkway- PO Box 66 Permit Number: P10780
Crystal Bay, Minnesota 55323 Pet'fTllt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: 3/9/2007
SITE ADDRESS: 1590 Long Lake Blvd Unit#
Long Lake,MN 55356
PID: 26-118-23-33-0026
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Staircase addirion
FEE SUMMARY: Permit Fee: $ 542.75 valuation: $ 40,000.00
Plan Review Fee: $ 352.79
State Surcharge Fee: $ 20.00
TOTAL FEE: $ 915.54
APPLICANT: Owner/Self OWNER: Charles&Jennifer Cogbill
1�'IN 1590 Long Lake Blvd
Long Lake,MN 55356
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.
✓�" �
��-- — � �*�'�?Ce���
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, , �
. �
�� � yo a
Total Fee: $ ��s' J , te Received: -� ��7
Entered By: Permit#: _A/07�'D
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full befo►•e plan review will be started.
(please print al[informat�on)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (cit•cle one) OWNER OR CONTRACTOR
Jos siTE An��ss: /���'`�G� �.�/�r��l,�� �t��/D• zlP: ��`
' �L'.�.zt'�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YCS ❑ NO !f yes, a special event per���ait is r•eqtrired rvlth Police Dep�u7me��t and Ciry Coa�ncil appi•oval
60 days prior to dlle event. Shiittle Gus se�vice will be�•equired unless applicant deinonstrales
sufficient on-site parlcing is available. Non-perniitted events will not be a/lowed.
�
NAl`✓IE OF�WNEP.: ��w'�i�`�';� �-1��},Fl{� (��1� PHOI`.�E; (home) `��� "��C?/�
, (work)
MAILING ADDRESS: ���U �''��<<���i�°� CITY: j..�%ry'�i l-f�� ZIP: �����
f' ,
�OI��F.ACTO�?: ,��y�i PI�ONE: '
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: ����� PHONE:
NIAILING ADDRESS: CITY: �IP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition -X Accessory Structure
Move Home Remodel/Alteration (ie: Sidiizg, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�:
�i/�1,�.-�i-� i�1?u/ �i�;�
i f
S'I'ORIES: /r SQ.FEET OF EACH FLOOI2: �� � •%r���
1�i0. OF BEDROOMS: GARAGE STALLS: ATTACHED DETA HED
ES'�IMAZ'ED CONSTRUCTION VALUATION(exclieding land): � ��%� G�.%r��%
�
I hereby apply for a buildin�permit and [acknowledge that the information above is complete and accurate;
that the work���ill be in conformance with the ordinances and codes of the City and with the State BuildinQ
Code;that I ��nderstand Chis is not a permit and work is not to start without a perinit;and that the work will be
in accordance with the approved plan.
APPLICANT`S SIGNA'TLTItI�: � �DA'�E: �` D(O
3�
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.l. Type of data. Ttie 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. An individual asked to supply private or confidential data concerning himselfshall be
informed oF: (a)the purpose and intended use of the requested data within tlle 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 tTom his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal 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 officer.
The commissioner of reveoue may�lace the notice reauired under this subdivision in the individual income tax or�ro,perty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned whether he is U�e subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge W 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. 1'he
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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 tive days within which to comply with the request,excluding Saturdays,
Swidays and legal holidays.
Subd.4. Procedure when data is not accurace or complete. An individual may contest the accuracy or completeness ofpublic or privatedata
concerning himsel£ To exercise this right,an individual shal l notify in writing the responsible authority describing the nature of the disagreement.The
responsible authoriry 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 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
conrested 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 information 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.
�'��L ����
First N[iddle Last
�52� 02�r-f�-2p C��
Address
�oiv ��1/�% /I'lX/ �� 95Z �f7S��a�'
City ate Zip Phone
I underst d y righ as ta abov .
Sign ure
Reset Form 32
�HEC� OT'F i,IST FOR ISSU.ANCE �F PERMITS
� FOR OFFICE USE ONLY� .
ADDRESS ORLEGAL: lsq o c��� cA�� �-v►�
PID:
pESCRIYTIO�i OF WORI�: �Q� � -n v-*—�
ZO�G RE�'IE�V BY: r----- L-_____....__ DA.TE APPR.OVED: 3- i - n�T
gULL3�ING REVIE�Y BY: � . . DATE APPROVED: 3 - ► - 7
� __ ----=-- ----- ----- ---=-----------------------=---------------------�------
FEES TO BE CHARGED: Misc. Fees Calculated By:
pEg�T Yes �� No
PLAN REVIEtiV � � Yes _�/ No SEWER CONNECTION _
STATE SURCHARGE Xes _1,� No WATFjRCONNECTION
INVESTIGATION FEE Yes No _l� PARK FEE
SAC �'es No � SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI�tG CHE.CK. LIST Zoning Districr. .
Fire Degartrnent: Pos[Office: School District: �
I,ot Area: Sq.ft. Acres Widch Depth �
Survey Submitted:� Yes�_ No Da[e oE Survey: I 2• t� -� �
Proposed Setbacks: • ;
Front(Lake): `�5.2 Right Side: 'Z2-g5 .
Rear(Street): Laft Side:
Adjacent Structures: �Vetland:
�uil�lin;Hei�t: Def, Hgt, (5•1� Peak Hgt.
Lot Coverage: O.IC
Gradin Scaff A roval Date: �� e By: Council Apprvval T�ate: �
a: PP c"""'3�-
SzQtic: 5taf[ Appro��al Date, � �Y�
Zoain� �ile: R� Z S Resolution: n P.esolution Dace: �
Shorela_nd District: y-e�
Avg. Setback: wo� Bluff Setback:��` I.otCoverage: m� _____
E�isting Proposec
F-I�dcover: 0-75'
75-2�0'
2�0-SCKJ'
�00-IOC�J' �' ���
rl� n��'[?��nri_! A-�� �V2_'.
'�-�1ar�.CGi':. �;c�i?^:C'_ l:�^yU!i�C: �;25 .�0 -•- - - .-
RE�L=�F.I�S (inhouse):
$TJII�DING k2EV.l�ti�' CHECK LIST
�C� �` � ' CONSTRUCTION TYPE: V� .
Sq Footage $ Per Sq Ftg
' Basement • . .. X _ . .
lsc Floor � . x � _ . • . � �
2nd Floor x _ � �� .
Garage x _ .
x =
TOTAL
Estimated Constructioo Value: $_ `-'t(�,�c�v °O
J.nspections Required: �York Requiring Separate Pec-rnits:
Site Plumbing Fire
� Hazdcover Removal Mechanical Water Coaaectian
_�Footing ` Septic Sewec Conaection �
x Fz��a • Fireplace Lawn Irrigation
�c Insulatioa (Masoary) Other
��Wall Board (Nifg.) Wetl (State Perm.it)
� F�� Grading/Fillin� �_Electrical (State Permit)
Other
REMA,.RKS (!N HOUSE): . . . ". -- -
- -------------------------------------------------------
REVIE�V SY OTHERS: DATE:
Access: Existi.ng New .
Access Approval: Date gy: �
— -------------------------------------------------------------------------------.__----------------
REI��.ARKS ('I'Q SE NQ'�'ED Q�?pER.i1�IT):
�
_.__---._._..__'—..___._----_...__f---
-�...�-��� _ ' ; . ,� . .
. , .. . . . , ' . . �
^ ���.�F Q���� � � � � , � � � .
� ---'� ,�iT� ����►�1 ��tADi�JG P:.A�4
r(- t�s^i3 pt �4 A`) ' .. ,
� `-'� ' '��' ��4��,L��-HAp�r�nN ' . . . . . .
� � ' �iaydc�� i ! � �
� �; .•-'�, _ ; wi�� ;r`.,��;TH t� �j ^ ��' ' .
R � �di�;hit-'�" �"�r `�
CERTIFICATE OF SURVEY FOR
� � . —� + '�' JENNIFER COGBILL �
�,.T�_ 3-1'0 � OF LOT 12,JOHNSTONS REARRANGEMENT �'
OF ALBEES LONG LAKE ADDITION � . �\
I � HENNEPIN COUNTY, MINNESOTA � / o �
� i � � _t � �
I � I � � � C
� `� � � �` � �� � � /� /i---�� � �
\ \ �''�� I � � / �/ � �. �:.,�
W \ \ �^-��._. I `S°�90°0&9a,.E,224.88 I � � � ..........., y �'' --, �
Z '�� _'_ : � • � /�' J /^l I---- Cl � V
D ETA I L Q � � ousrirra�v�.onr�w�r;� �i i / �� �/ � i \
ar m+ct onu.. " �
. .. . � I ' ' .�ar � �j / I
.. .�... Q � � ,� � V � � � � � /� i i ,r.._ .
� , mtl3 � �
.r' .. "...".�..� Q I` g��\..:��:3........... \ �F O I �� � / � / � � � I �
� � �� . �,,`^ �.,;� s� �` 1 L�\`_'z—J� � �� � � I '
� :\ ` ^'~� / / / � �
°°� ,�p,..`, i / � / I
x.- �� � ��� \���_ ���� � � � �
. � �°"Hw„� �� �,.,.���� --- / � / j I "�\
,:za �� � � / � , � \
/ o \
�2 � .\ Ns� \���_.—�� % i I�\\ g� \��'��
/�ae�. �
I 8���,w /� � �\ �\ �
_� i
1 � ``�4@ ,._ ._��/ �/ \\ \\
y�-�-_ .-' � �.
LEGAL DESCRIPTION OF PREMISES '�..��'� `�'-'— ��
Lat 12,Block 1,JOHNSTONS REARRANGEMENT OF ALBEES �
LONO IAKE ADDITION 1� ( \\ �
o: denotes Iron marker �
—sez--: denotes extstlng contour Iines,per City of Orono map � � ������� ��' �
Bearings shown ere based on assumed datum. I '�
wc+�>�
This aurvey shows the boundariea of the above described properiy, � �
and the IocaUon of an existlng house,proposed addltlon,shed, �
encroaching tenca and driveway ihereon. it does not purport to
show any other improvemente or ancroachmente.
LOT AREA=21,403+-SQ.FT(ALL IN 250'-500'ZONE) �
oe.orso � �
wn wKnrnw iHen¢erev+nnnurnecwH.svcWnuna+.oanovoxr �" �
�^� �=-��-a m����^^� GR�NBERG &ASSOCIATES INC. `'`"°�"�"�°"�'"�'°"E"°`�°"^�°"�'° �`Zo'
T1NT I N.1 A WLY UCEN9l0 PROREISIplAL 8N6YilQ AIA lANO �
°�"� -t-� R w!i r . ���TNGRlO�NEER9,UN06URVEYOR3,SREPUNt1ER& �����ATI�lAN50FT1lBTATEOFA4W/�OTA 0''h
PRJ
M3 NORTH WILLOW ORIVQ LONO LAKE,MN.�!9!8 � 12���
�� ao�ue.
i52-177�141 p�7g /-Lf•O7 NNUCEM6EMlu�nn��7.(�r 06�42
0-4a
���i�
Ro� —r T�� � � �S�U LnN�t'L/���`� �� �v�. .
�I�IT'`i Z:i1�"5 .:�:.,."` .-_ .
,
��!'�C'1'��R �T t.�.�.�.�����- j , -
'��
;;:,,��,,,�
`�`���.,. � 3��8 �
� c�.�wa�
' � ��Ct�� ,, '.,._�,�� i
�..���� __r � `., �.�1��
'� \ '��...
� ' ` �`�.
.,�..�.. _.
�������� .. .. `Z,4� �� - ._.�,_..�. i i,(�'� G�iDA(Z 5�D1��'
e.:7�� ,i r����a �st� -, ....,_.� G� �/L��� � (l .�� I�� /
s�� ot � o� , � h� /�'� 'l�'�I�i�m��G ��l � `N P;
�'�� �-'�.�.t� � , �� ; � '� —__ —_
coc� REQu���:��.� �- �� � �apn�t�,�R�� _1? ca�
N�`�� ���__..__ ,`:j-'
SPE�tA�.. �-��.�.___. .�
SEIE ATT�C��-��=;� ��'��'�7 ; c;�
�Au✓JR��� � ��
F�R � � --
R��• �"e—�r a.1•r��'��C';
._�.�
•p � y
C�DE -
���
�:r,�., ;:......� � ..d .
' _.
. _ _.,__.._ _..._.__
, ___ _..___�_f;,%�� � '��/ �o�s7 f-+ Qt��t. o,�
,� .
ciTv o� ��, ��� �,'� � ��"'/,,��� T�,,�n-� vN�S
CD�57�2-vc,�i o � � � � 8,� ��`�.S
BUI�D'tiG PE; i� ^ �v i �J1c��l ----
tNSPEG?OR '� I�,,��G4(, ��
0+4�E__ 3-I' �7 �_�:=f�`l�1T?V:l--------- �� �� � � .� �.._ ��
G ,�^:-;;C�`!E'J i-:;,3U�;r:ii i'?E;� ----
�t.� --:,t1i_ii 1`r�T{-;C{'���r�;;!r�,CJS',c?:�l��D
[� '`: t`�`'t='�-.� rC;1.._{��'1�'t�^,,1' . :T
. � L.. �
't"r� . .�.i. t �:7�v.� t .�.
, , . . ,,.�,� �G�� ,���,,, � .b�,
'• � �1 .,,i F N� :.; :1 G�O.
r .� �
r'ft - .�r +S -�.;,��r�a!�om �G:.,,Dc. .�.�i,�.�G��� � :�:J �`;:eiN.
� rHis��av s�cxv s+tE ar�i�;r,a�5 �,�g���p"�Fi.A'TES VVH� '
��:
LAYF�A 4N C()ti�.����,��/ �.�..�._�--r
�
43'4
�, 10'2 � 24'2 - 3'2 , 5'10 .:
1 , � __ _ _ — - , i
_ �
� > _ _ ; i
�
� �
�
i
� �
�
N
+' _
i
I i� � I
'� Up I'�I {;� I i , '.
i
n �
N � r
N
O '
'�. O �. �'�,
(O
,,, �p ._ _. �; ��
T
I o I i i
i
.. ir) � I I�I� � I VIP I I in '
j � IjiII I
I ; , ; . ,
, : � __._ - ; �
-. -__ _ i ,
! i
10'2 L�/�(�G24'S��/q - 4'7 4'2 ;
�, 10 qg.4q fiE _ ��
-;
_ �,
. i...
' �1
`" .:�
!. ' .'.� �'
- r1
. �. .�
�-f '� -
�. �A
S� 's' �
4'i -. ;_J
i[_ i'�
�� --��
C� �i e�- ,
� y`; �./
'-�� J
Q
� ` rV I `^�� � D TE TIME �
GITY OF ORONO� � Q��� CALLED W I O�
INSPECTION ICE SCHEDULED b
PERMIT NO. COMPLETED
ADDRESS ��
OWNER Q��ONTR.
TELEPHONE NO. �
�
� DESCRIPTION ' � � � �� �C� �
l4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
J 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
� OWNER/CONTRACTOR TO MEET YOU YES_NO
� COMMENTS:
�
W
a
�
�
O
� �� � �� � �
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d
W� �WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on sit�: �/_ _ �
,
Inspector. � � ��.
White Copyllnspector's File Canary CopylSite Notice
� i ll �.,e � .
� TE• TIME /
.� �.J -�/ ���
ITY OF ORONO CALLED IN
INSPECTION NOTICE /"`� SCHEDULED -=3'�.�] --�+d-
PERMIT NO._��(���l/ COMPLETED
ADDRESS �-
OWNER ON R.
TELEPHONE NO. � -
, �� DESCRIPTION 1���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANI��
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 NARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� OK � �J�
a � .
�
�
0
�
W
�
Q
�
Z
W
�
W
�
�
GW �WORK SATISFACTORY:PROCEED f_l PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor o site:
Inspector. W r'r ��,5
White Copyllnspector's File Canary CopylSite Notice
W I�`" � � ,a A TIME /
CITY OF ORONO ('�CALLED IN �V��
INSPECTION N E SCHEDULED S'��-�7 �
PERMIT NO. �� D COMPLETED
ADDRESS O V
6iMq�R' I�i.t'��I1 Q,�' CONTR.
TELEPHONE NO. �l� �� �aa �
�
� DESCRIPTION
W 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
�
W
a
� ��P�ll� �1 S �'� 5—�-�r c..rc� l�
0
�.
� l � r�,�3�,,� ��,�r�� r �-� � ' �'r
� I�P�I�rov�n
�
Q .
�
z
W
�
W
�
�
�
W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V �BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WFIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. � // /'9��
White Copyllnspector's File Canary CopylSite Notice