Loading...
HomeMy WebLinkAbout2014-00455 - sewer connect CITY OF ORONO MI 114 I 111' 1111' 1 ' * 20 1 4 - 00 4 SS * 2750 KELLEY PARKWAY DATE ISSUED: 05/15/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 625 OLD LONG LAKE RD PIN : 36-118-23-32-0003 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: 2014 SEWER ASSESSMENT PAID BY CLOSING COMPANY ON SAME CHECK AS SAC&PERMIT FEE- PAID BY HOME TITLE,INC.CK#44-433410 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 205.00 STATE SURCHARGE SEWER&WATER 5.00 ELMER J.PETERSON COMPANY S.A.C. 2,485.00 5921 DAGUE AVE SE TOTAL 2,695.00 DELANO,MN 55328 (763)972-2420 Payment(s) Minnesota State License#: BUIL-219 CHECK 44-43341 2,685.00 CHECK 44-43441 10.00 OWNER SHEREK,MATTHEW&AMY 625 OLD LONG LAKE RD WAYZATA,MN 55391- 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 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 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 assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.010929 May 15, 2014 Elmer Peterson Previous Balance: .00 Permits 2014-00455 625 Old Long 205.00 Lake Rd 101-32530 Mechanical/Septic/Other Permits 2014-00455 625 Old Long 5.00 Lake Rd 101-20802 Due to gouts-State Permits 2014-00455 625 Old Long 2,485.0 Lake Rd 101-20809 SAC Charges due to MWCC Total: 2,675.00 Home Title Inc. Previous Balance: .00 Levy Old Long Lake Sewer 15913 9,130.00 602-12300 Special Assess Rec-Deferred Total: 9,130.00 Check Check No: 44-433410 11,825.00 Payor: Home Title Inc. Total Applied: 11,825.00 Change Tendered: .00 05/15/2014 11:38AM a91(l-00g5� FOR CITY USE ONLY City of Orono Date Received: / P ��'t# /1� P.O.Box 66 1 2750 Kelley Parkway 0 In-House SAC a et a ion Form Completed y Crystal Bay,MN 55323 (952)249-4600/Fax(952)249-4616 Approved By(If Required): CITY OF ORONO-SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- May be subject to further review and may not be issued when the application is received) k\e GENERAL INFORMATION ri /ft 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Permit cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Utility connection permits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a permit does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That Apply) ❑Residential(May Require Approval) ❑Commercial(Approval Required) 2 New Connection El Additional Connection El Re-Connection El Repairs ❑Disconnect El Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: pp Site Address: 6 25" O 1) l/ 6n 6k, Rj Owner:-II I4,7j Mailing Address: City: 0 N0'1 o Zip: Home Phone: Alternate Phone: Contractor Information: Q / Contractor: t:-/' v - s' 71-z . Contact Person: ri Address: Cl/2. ( d c 4'( S6. State License#: 2/ 9. City: Qc Ic.1 o Zip:.S5J2.. Expiration Date: Phone: 76 3) 21-2-Y-2-0, Alternate Phone: ail )L2 2) Co 9 y , DETERMINING PERMIT FEES SAC Charge(2014 Rate=$2,485.00) $ ?(ti p (SAC Charge must accompany all sewer permit applications unless prepaid) t VD (Orono City Staff can determine if applicable) p0 1~\ 0 (If not prepaid,a sewer connection permit will not be issued) El Sewer Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availability Explanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL INFORMATION—WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of meter installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application are,true and correct. Applican ���'Jv'" Date: Jc /91 City of Orono Geobase Data by PIN PIN#: 36-118-23-32-0003 PIN: 36-118-23-32-0003 Parent PIN: PID: 625 Old Long Lake Rd Short Legal Description Wayzata,MN 55391- Unplatted 36 118 23 Apt: No Block: 000 Lot: 000 Parcel: Primary Owner: Primary Resident: Sherek,Matthew&Amy 625 Old Long Lake Rd Wayzata,MN 55391- Zoning District Setback-Front Permit Issued? No Lot Size 1.02 Setback-Right Case Issued? No Year Built 1956 Setback-Left Setback-Rear Project Code 15913 Project Name Old Long Lk Rd- Total Project Cost 52,000.00 Project Date Nov 10 2003 Sewer Project Parcel Cost 6,500.00 12:00AM #of Parcels 8 Description Sewer Area-With Interest Rate 6.25 #Years Payable 15 New Home or Notes 1/30/14 Related Parcels SAC Permit# If they pay in 2014, SAC Amount Pd #Of SAC Units SAC Permit Date SAC Notes Swr Conn Permit Met Council Letter Date Owner Chgd Reason For Chg Swr Conn Date Post Office Notes Fire Department Post Office School District Utilities Precinct Weight Limits Septic S Zoning Date of Permit 10/1 /62 Installer Rotorooter System Type standard trench In Musa No Shoreland BRs designed for 3 Material concrete block Capacity 700 Building Type residence DF Ht above Wt 0 Type of Filter Treatment Area Well-DF 75 Depth 137 Setbacks- 50 Report in File Tank Filter Well-Tanks Previous Owners Paid Via Soil Boring yes Name Type of Assessment Amount Paid Date Paid Legal Long Description UNPLATTED 36 118 23,COM AT THE PT OF INTERSEC OF THE,E LINE OF W 1/2 OF SW 1/4 WITH,THE NLY LINE OF RR R/W TH N ALONG,SAID E LINE 211.46 FT TO THE Issues 05/15/2014 Page 1 of 2 City of Orono Geobase Data by PIN PIN#:36-118-23-32-0003 See 2014 Email in Street file for prices! Sewer Area-With New Home or Sewer Conn Permit Must pay SAC& Sewer Connecton Fee of$xxxxx- See Ron Olson for Connection Amount. (Special Situation-See CA Memo Dated 11-10-03,Refund Situation to 645 Old Long Lake Rd, Once All Connections Are Made) 645 Old Long Lake Road- Paid Some Sort of Fee For All Parcels,and will get a refund once everyone hooks up. Only two properties 645 Old Long Lake Road&250 Ruann Road Had This Assessment Added to their taxes,the rest of them, must have moneies collected first before issuing a new home permit or sewer connection permits. See Ron Olson with Questions. Also a Pressure Sewer System,Needs El Pumps. 1/30/14 If they pay in 2014,the fees would be: $9,130.00 for Sewer Connection(Reference:2003-2 Old Long Lake Road Project) $2,485.00 for SAC(Must Be Collected at time of Sewer Connection Permit) Plus This property needs E-1 Pump, let owner know this information. Once fees are collected,tell Ron Olson—Money has to be refunded to Owner at 645 Old Long Lake Rd Variance See 2014 Email in Street file for prices! Sewer Area-With New Home or Sewer Conn Permit Must pay SAC&Sewer Connecton Fee of$xxxxx- See Ron Olson for Connection Amount. (Special Situation- See CA Memo Dated 11-10-03,Refund Situation to 645 Old Long Lake Rd,Once All Connections Are Made) 645 Old Long Lake Road-Paid Some Sort of Fee For All Parcels, and will get a refund once everyone hooks up. Only two properties 645 Old Long Lake Road&250 Ruann Road Had This Assessment Added to their taxes,the rest of them, must have moneies collected first before issuing a new home permit or sewer connection permits. See Ron Olson with Questions. Also a Pressure Sewer System,Needs El Pumps. 1/30/14 If they pay in 2014,the fees would be: $9,130.00 for Sewer Connection(Reference: 2003-2 Old Long Lake Road Project) $2,485.00 for SAC(Must Be Collected at time of Sewer Connection Permit) Plus This property needs E-1 Pump, let owner know this information. Once fees are collected,tell Ron Olson—Money has to be refunded to Owner at 645 Old Long Lake Rd 05/15/2014 Page 2 of 2 )6'64/ I-"CCSk tiLp Evans, Drew C. (TRG) From: Shelley Brenton<shelley.brenton@gmail.com> Sent: Tuesday,March 04,2014 1:26 PM To: Chris Hazelton Banker on Sherek Sba;Evans,Drew C.(TRG) Cc: matt_sherek@yahoo.com;Amy Sherek Subject: Fwd:20140220 assessment for 625 Old Long Lake Rd Please read below fees to be escrowed for city sewer hook-up. rz Shelley �j� Sent from my iPhone Begin forwarded message: —re271( ill 8Z5()- From:Amy Sherek<amy.sherek(ciyahoo.com> Date:February 20,2014 at 11:42:11 AM CST To: Shelley Brenton<shelley.brenton@a,email.com> Subject:Re:Fwd:20140220 assessment for 625 Old Long Lake Rd Thanks. On Thu,2/20/14,Shelley Brenton<shelley.brenton@gmail.com>wrote: Subject:Fwd:20140220 assessment for 625 Old Long Lake Rd To: "Matt Sherek"<matt sherek( yahoo.com>,"Amy Sherek"<amy.sherek cr,vahoo.com> Date:Thursday,February 20,2014,4:39 PM 312111q 2014 Pmts FYI 2'/85.00 Shell Sent from my ed me Begin forwarded message: Cl/��r�t J r v►� d/�� From:Jesse Struve a cc()✓Cl by <jstruve(a,ci.orono.mn.us> I o -+v Fpe Date:February 20,2014 at 10:17:53 AM CST _ To: "shelley.brenton@Qmail.com"' ! <shelley.brenton(c�gnail.com> �,,,r�Ir' Old LL Subject:20140220 assessment for 625 Old Long Lake f iC fC�' S9 Rd ---------41 I � o s 600 3 (Reference:2003-2 Old Long Lake Road Project) t j $2,485.00 for SAC(Must Be Collected at time of Sewer Connection Permit) t ,neb\i'1 Plus This property needs E-1 Pump, t.uL�fwarii let owner know this information. 2_(-V6S- s rN c- J ��//"" �� 1 L- t I would put a copy in the street @til L, �'1), X1'11 G file! J 26 I will put more notes in Permit Works. l )�'�( ' C2 6 Rachel c Dodge � r �� City of Orono C ,v AA, City 4►� 6 Clerk t�( 952-249-4600 � R From:Jesse Struve Sent:Wednesday,January 29,2014 12:40 PM To:Rachel Dodge;Barb Silus;Monica Fadness Subject:assessment for 625 Old Long Lake Rd I am wondering if one of you can tell me if this house paid for the sanitary sewer `[ assessment from 2003 or did they defer it? PovinAAZ Jesse Struve,PE Director of Public Works/ City Engineer City of Orono (952)249-4661 - C 1 Direct (952)249-4616-Fax wwu.ci.orono.mn.us 3 t� _ _ V • Shelley, Please see the email below for the costs associated with connecting into the City's sanitary sewer system. On top of the costs below there is a 1'( $200 City permit fee and the homeowner will need to install a E-1 pump station. The cost for the E-1 system is above and beyond what is outlined in this email and the homeowner will need to contract that out with a private contractor. Let me know if you have any other questions or concerns. Jesse Struve,PE Director of Public Works/City Engineer City of Orono (952)249-4661 -Direct (952)249-4616-Fax www.ci.orono.mn.us From:Rachel Dodge Sent:Thursday,January 30,2014 10:24 AM To:Jesse Struve;Barb Silus;Monica Fadness Cc:Ron Olson Subject:RE:assessment for 625 Old Long Lake Rd 1/30/14 If they pay in 2014,the fees would be: $9.130.00 for Sewer Connection HOME TITLE, INC. "r'n"'REAL ESTATE CLOSING **** 44-43341`0 Buyer/Borrower: Martha L. Long Seller: Matthew D. Sherek, a single person Lender: CASH Property: 625 Old Long Lake Road/ Orono Settlement Date: April 18,2014 Closer/Responsible Party: Kaylee S Disbursement Date: April 18, 2014 Check Amount: $;11,825.00 (441401445.PFD/441401445/46), Pay To: City of Orono For: Sewer Hookup FOR SECURITY PURPOSES,THE FACE OF THIS DOCUMENT CONTAINS A TWO-TONED COLORED BACKGROUND AND MICROPRINTING IN THE BORDER I-lME TITLE, 41 ;s 44-4:33410 M&t MARSHAI.:I.aiLSLEY .'SANK 1 S.GI 11 CHECK[ w MINNESOTARE IO17-115/910 11200 West 78th Street MINNEAPOLIS,MN 55402 441401445' . Eden Prairie, MN'55344 Sewer Hookup;. (952)829-2931 :, Date ,Amount `i ; J ril 18, 2014 $ *" *11,825 00 PAY —Eleven Thousand Eight Hundred Twenty Five and 00/100 -- - -- :Dollars'; TO THE ORD R N a ID ��� cYS pP City Orono �S8,i11 '.-:*0.11tj {30,C�t . 1 Orono, (v nt 5 5i , A- . AUTHORIZED SIGNATURE :: 8n SECURITY FEATURES INCLUDED.DETAILS ON BACK T III 4334LOU' ':09 LOO L L571: 00466"I 2 L ' ' 811' HOME TITLE, INC. 44-433410 Buyer/Borrower: Martha L. Long Seller: Matthew D. Sherek, a single person Lender: CASH Property: 625 Old Long Lake Road / Orono Settlement Date: April 18, 2014 Closer/Responsible Party: Kaylee S Disbursement Date: April 18, 2014 Check Amount: $ 11,825.00 (441401445.PFD/441401445/46) Pay To: City of Orono For: Sewer Hookup 2PennitWorks L II,511x0 File Transaction Maintabl Reports GtGeobet se Property Rel:prd X ©Permit *-) I4 I I P51414,tni 'Blvd Permit AY Update Address ' 2014-00455 a Makt POI Address Permit Address: 1625 Oki Long Lace Rd r Additional Pit Address I'""Permit Issue Parcel Issue General j.Pees Inspections(1) 'wed)Applicant Detail'CO Detail Note 1: 2014 Sewer Assessment Paid By Closing Company on Same Check as SAC 8 Permit Fee- Paid By Home Title,Inc.Ck 044-433410 Note 2 Copies Olsen to Ron Olson 8 Peter on 5115114- _ 0 Once lees ere collected,tet Ron Olson—Money has to be refunded to Owner at 645 Old Long Lake Rd • I 161)(4 PIN:36.118.23-324003 IO25Did Long Lake Rd IDaabaee PermilWdrko IApp:PamRs ;ilea:Rdod ,, start °° -1.© .4• Mu _1101 .. � F'ermd A. ca r not 3urr,met... `2 re 11 AFl iib • ' �� i. WI •• a} 01ere40110111011. • N ,'111\ Sib rMr 6,72 5- 6/1Zc,ft. , • • . —�8 — '/y • • . : _ • . a ` • •, r- ,,y , 'y .• A '' � F 'art* r`_ as ;. L •ilL "IP 1 b • • ti �� • VII i , v..... +� `' e " ti'r i C r M' aw •C i � , a L '--i a•• a• .r a e i1 },..ar ` r° .araF. p•"1,,i{ • '9 r. •• •# ". -.,:'F: " �..,r•L• t"a?r ✓'�"� . . i a jii; a,rC f .}� e ' Y s•• - r $ `.. s"� ti'g/ •�. �� 3` ,• k • �T.:i'mss .. M i" Tyr�`-�T j� .v I" C*"R !• 9 F f ....0.1-:....."`-`0,..E.•,-• " .,,#,p '.' �. ,r• a '-.r.' J`•J ti., ,.•Fad,•t fi.� .41,,,,,i-.*,'I.., "• fy .P z..- J IV • iv - III • • • • r M ., •u. .i " .{.-.y� •• ` .• 4 • .s •., ,r M a r '" r°"• 'r`etl4Ar ,/rif • "" isA " 'y� .,_,Ira 1 . • _ r` + R "$, tea+A+� +^ri '�• .a7#,fit °' 4 ' . -sir • ,•, of' •�a'� i. • ..• • t • i • w • Y i,f•8 • '. .•'.• .? i.• ••,+t.'f'.i°.. • l •� '1er �.r g ,t .1141‘ ".e.L.ri:ipio, ., M f . .. ,e .... � ash ,•, s ,, ' 7 a f -- , ;.;.� 4.20' s mow' y . .. 1111114.-1111*4111i'll 4. Silli ', �ecille j • i ,, 4 .„4„, tet% • I • lik. A, - ,, K a,+ - .�g _ - - •- � � ?rte ... •.. '4'. s t4 .4. ...... 4 +re ' �� y Y /NI . .4 5'r • d ,� .., . �M 4 • *� 4 ,, , 14 x as I. 4. a • r - _ � ~ Ole , *• -I ii:ff-'1:. *1.6. } 11 .: . i.' ., ua t iiik40111 • 4 111.1 Aar ,yE ,. ir cr.- .f .: r sal. ., , ..1_ r ♦ j- .......„, liTik„ .1.....•. - _ , ,..041. .• .. " j i 0. .# lir- .c.opt „,,.... . .„..;,1,103, -i1/40., - .,„. ,.. ,,, ..0 , ; w II r jr: ". } . tir 4r. 4` or , , 7 . I X•«, , ., r i : . ,_ _ ' 41 • -„,- r _400, I. ... 411hrolL41111111k .4 Ir. •r • Y 'ra i \ . .- .„., , ,„,„.,„4' ... .. 1 1 Ilka t ••••.•• ,. . ...rig.... :_ r otorillere"Illellif . w, _f . ' ' '�" Y i 4 )� S — O/c' l Pt, h til!..1 stip -17C ) 4 a IIIIP -- . . - * —i'. .)1/4, , '„„, *- -1,- . - Ar ,, 0 05 / 2-8,1120 14 s X11* v.• _, • • .0 ^ (4 ;,, r • • = ;rJ i :'k - 4. 7 .,r. F f' k, p" •, ti frf. • ,, y r1$4, . r r r il " Tif raw \ P i.� • 'i '` i • ; 'i �, �, I •R } S u1p • a 1 E rit "'l A r'i f► ,� I h;, `f, . a ,• r r .,tip J • r. • �• if � �1 • .r. + �,ts�: + ' ,f .a' '' es "',; rr1 .' , RV •�Tt•-i. r'rf. d < . • :AIWA or ,ir t•: 1. :rii:i'if.''...;:'''.:e#. ''','' ' .1.6f,; } , • h ? ?' �'1 •.,, ± `, ,r , 111 "S' } M .••,44t ` '4:t.J, ?oil 0, . 7 t . J►. zra •.: • • . , .} ` j • ilor yam 4' • • ft*" . r eldr �, i, r L { X 3041-11 ,, ra • j• i c • A a . • •r'' ••A` 5 - r r to - . ,.40,7-.46 i K a i \ .>. • 4`•�r s.� 4,r r7 r fa• '1Pw^• t A • i "r ,� y�r�Lar ,ai,, 1141 • ++,o ' lit-I i t ��j yY 4 J/w - s -44 ° s w _ 7 ce ier ' A ° J yR " P. ic �. Y'',I' 4�' of F e . h ,�a9 slift. I '�... w i_ . , A. JY .lmip •lam— r _ P e .b 'a 5 ir VOW .40 I'. .111' 4 ."4-'1:511',e:v.:7' • .. . , . - . , - Litm . ; _ -, • . .4 . ., V y 4444111111114,4' ' . ‘: + (! a 4 1'''il '''' 4°' 4:'. 0. k t. ,,, ..N1-t:A:t:" 'Nip*. '1/4.* : : •,i . A1, A ... f , ,t Li F . ., i .,:4 :112.'; tik e7 ,- c tit ms, ;l • at1ti• , - " ,. M e y »x t . \ . 'N/11117. *i 4:4 /IL' . A + i t ,i 4'. s °r 1 i , .fith. . x sp I t JP • cc hh� fi n ;'E„'R M li : -/ d 4 Or 4 s� t 4 t - ce•,- 1.7 ' i Nt t. ta f 7 144 111, c-,J • i, F , 7 { Ar `` • 0. el # ;,,,„ �x », oma, __.. ., r = J . 1., , ,, . ,, 4 , A.4 ''', ' ir , % iir A \UV, e ' pBWI * ' ilt ,,,,, 111:4.4t,,, „ rf , a ; ,. 1 4, gif I,,gri itirb,,ii,* +► , + j - :,. i it* * f 4'. , 111'IP 'Ir.' 413 Am iir It ,.....) ...... . . .,,,, I E. ' 4'L, olio ,.. . ..,. _ ,._ ... ,lr... at , ik'‘ I* Air,L, A ' '' 1 , . 4,- rf,,,. 4 44 , to. it .: y r I 4g, 0 •tet' C9 , d c( Li , 2 I —i • c 9 P sr ' i VIIII ' 111 A f• / Y E. 1 .. Ei to -�v' .^ {, < • .. — •1'. - a4'ta Iv . .0 k.s4ir L_ .. •+`. jiur 9 P. R r i ! $ �. t „4 I .. 9. • ( ' • jgyr •• 1r , � • i i i i I 0 Y vi 40 5c4 it • i ! ii • 1 i . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC G SCHEDULED 0-,2-/`f PERMIT NO. n2d/ �J0 4/✓/"COMPLETED ADDRESS 425 Old ''( OWNER +LEPHO �J NE NO. CONTRACTOR /'e e- - DESCRIPTION 6C.a. -' ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING CI POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION IT ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL SEWER HOOK-UP 0 COMPLAINT CI DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ASEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: 74/ -.7(1 Sr cc I / " b7--/ "j cc o 4e.q-ce'r t9/ ii.-e cc 0 W CC Q Cj W//17 CORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LI CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 0..."71 f 2 ie. 0., co Inspector. White Copyllnspector's File Canary Copy/Site Notice