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Home My WebLink About2002-P04925 - addn/remodel/repair PERMIT C.�T��OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04925 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 3�isi2oo2 SITE ADDRESS: 268o Pheasant Rd Excelsior,MN55331 PID: 21-117-23-23-0020 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: 2754 Separate permits required: i'iumoing iviecnanicai �,ieciricai(siaiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,693.75 Valuation• $ 225,000.00 Plan Review Fee: $ 1,119.23 State Surcharge Fee: $ 115.00 TOTAL FEE: $ 2,927.98 APPL�CANT: Lake Country Builders OWNER: Matthew&Kathy Dolliff 339 Second Street 2680 Pheasant Rd Excelsior,MN 55331 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � , / ?�1is;'�/%' 4�'. � S'--��.....''_' ,j� ..t�/ ��"'G�n. APPLICANT PERMIT SIGNATURE ISSUED BY SIGNATURE ' v` c%� Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 .. ,- � ,Total Fee: $ �.�' � � � • i ' Date Received: �_��_ C�' Entered By: ��,i Permit#: � � �� __� �9�3� l , � - � - ;—� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: ��p�U ��.�� ZIP: �j 5 �3 I NAME OF OWNER: � PHONE: (home) — (work) — MAILING ADDRESS: CITY: �j�� r, ZIP: SS33 I CONTRACTOR: G PHONE: q 5�- y7�/— 7��I CONTACT PERSON: (�; �,,,` MOBILE/PAGER: � • �!TD - ��z MAILING ADDRESS: 33 9 .?'d S�rc�e-� CITY: E�-� Siv-� ZIP: �S 33/ STATE LICENSE: #�� ARCHITECT/ENGINEER: �/ �" PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition�( _ Accessory Structure Move Remodel/Alteration �C Land Alteration PROPOSED WORK(des ibe in detai�: ��j��r� ��,�,�„ �� n.,.� , 1 ( r �J7�'�-1 STORIES: ! SQ. FEET OF EACH FLOOR: � 5q� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. _ ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $_�,2 S D O 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 Ciry and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accorda ith the approved plan. APPLICANT'S SIGNATURE: � DATE: ,Z z � NOTE! Parade of Homes events require separate permit approval by Police Department and City 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 of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information req�dred to be given individual. An individual asked to supply private or co�dential data couceming himself shall be informed of: (a)the putpose aod intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an i�ividual is asked to supply investigadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav olace the t►otice rewirod under this subdivision in the individual income taz or orocertv tax refund inswcaons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible autfiority,an i�ividual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of swred 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 acdon 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible audioriry 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 itnmediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, ezcluding 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 dris right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsible audioriry shall within 30 days eidur: (a)correct the data found ro be inaccurate or i�omplete and attempt to nodfy past recipients of inaccurdte or i�omplete data,i�luding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclo'sed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the admiaistradve procedure act relating to contested cases. I�ATA 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 Gity 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. � t c . First Middle Last �3 � ,s«�n� sh-z.�� Address �X�.��;od i'Jl'� S'S 3 3 � -�1 So2- �/�v 7��/ Ciry State Zip Phone I unders my rights as stated above. � �r � � - 6 �. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �� `'�('j � ��l��t'�C'�_r l��' ��- , C'� PID: �I - I I`�( -.�3 -- -� �- t�C�� DESCRIPTION OF WORK: /�-l<��f�t�C�Y� , Pv�� c ��d— ��:C': 1�,l.�''Ct� ZONING REVIEW BY: � ��, � , DATEAPPROVED: �2-��-C� �, BUILDING REVIEW BY: DATE APPROVED: 2- -z� -c,z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/� No PLAN REVIEW Yes r/' No SEWER CONNECTION STATE SURCHARGE Yes �/ No WAT'ER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZOI�TING CHECK LIST Zoning District: t--R -t C3 Fire Department: �tC%ll� Post Office: � ��Si(%r School District: ��Cl,l�"� (��L��,`j��Y�� Lot Area: Sq.ft. ��,�Oc�� Acres � '�� Width ��` Depth 3��C� ` Survey Submitted: Yes }� No Date of Survey: �,� -(t -[.�� Proposed Setbacks: Front (Lake): �L�%� Right Side: `��% � Rear (Street): �_�� Left Side: �� Adjacent Structures: !✓(b Wetland: � Building Height: Def. Hgt. c�•L� Peak Hgt. O•(� Lot Coverage: 3 �T �t(,� ��. ��p •n��,��' � Grading: Staff Approval Date: - By: - Council Approval Date: Septic: Staff Approval Date: - By: Zoning File: # Ci �-v2�7�'1 Resolution: # Resolution Date: � --�.�-�'<,Z Shoreland District: �-� � � � Avg. Setback: _ Bluff Setback: — L.otCoverage: ( � � ��J��l� Exi�g Proposed Hardcover: 0-75' �_ �s-2so� ��-`� C��i: ��c��o > 35"" C:34R i9°l�� Zso-soo� �� 1�,.:��c ) �� <<�. a� �,�c) 500-1000' Hardcover Variance Required: Yes �� No Date of Council Approval: � `�=.�`� '�%�--- REMARKS (in house): 7 BUII.DING REVIEW CHECK LIST UBC: " I� • 3 CONSTRUCTION TYPE: V� Sq Footage $Per Sq Ftg Basement x = lst Floor ' x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ 2 Z.�, O t>J `� Inspections Required: Work Requiring Separate Permits: Site K Plumbing Fire Hazdcover Removal �Mechanical Water Connection �Footing Septic Sewer Connection _�Framing Fireplace Lawn Inigation _�Insulation (Masonry) Other �Wall Boazd (Mfg.) Well(State Permit) � Final Grading/Filling oCElectrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARI�.S (TO BE NOTED ON PERMIT�: 8 � i . � � ' �� ,�� , . ��-,� � � � � I DRIVEWAY ST�NE RET � 3s SQ•FW AlL l " N � 75 3�'��., / 2.zoi sv. Fr. `386•6p, w/ � I � �,� osa. F • 3 �,°' •� s�.Ps '%3�3 39_— � r� OO ,�O � REMOVES DQGFRUN I � , �� _,� �1 NEW STOOP 'X & SIDEWALK ) � '� / Z� 164 SQ FT •,� �O �� _-_ I � ��o� G 7-- _ U F�' 0��,�- �� i� _''---- � � P\ �o.,� __J ml NEW ADDI110N �� q'�G'o '�� Ov��,��.t�O�,�a`9Q�trG / � �� N 467 SQ FT �y. � I 2.8— � 2 l~i �_ .I '' `9 J p � N _ �P�� P'��- � � _ _ I � '? o� G`�'o�- � �-�P F�� `` � -- — _ _ _ �`°' ° —�'� ��,� �� /OQ��O 5�" Iz C _ — —� " �p� G�- �'�. P�°`°� �� Y � Q�5�� / REM97 SQP Tno �a,5a� Sa Q] pNE / `� PR�P ,250� � T � � 0 5 /``._..._._a. «�� .�,.� �� RE w FS / z 2�" �'PN <� I� • / � 'R 1 Sn� � �� LL �ITY Q� �� , o � ..c—`r- w• � _ �� ; � � �.,;r� G�iA�PNG �L�� '�� - `�r�..s-� �; /�p0i �p,J � � _�� n s;r / �� ---' �J rl�"�e t�.� �rl� r� ��.s �„ `�!'t ,i'' � _.� R ;_ . , _ �p m G �t.�9:;�. '�F� r� ``�� , ^ / �J BY � �'�-�_ --311.5 /''". - . - 8-- _-- ----------- -__---�_ _ �AT� z- z�-vZ �' �- S�P (v/( S-P�2c.��y �.v 2680 Pheasant Road, Orono Variance A�plication Item E• Pro�osed Site�lan / �,�,�f �,� r� z��Y � / / �.QJ� DATE TIME CITY OF ORONO �� CALLED IN INSPECTION NOTICE j� SCHEDULED � I - .3�� PERMIT N0. ( ��L� COMPLETED G'� � ADDRESS "Z {'��-��r'�� OWNER CONTR. Y.-Q- C+ ,Q►� TELEPHONE NO. � ��- �� " � 4� y � DESCRIPTION �� 1 � 01 FOOTING 11 MECHANICAL 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 O5 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � W�/QWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contract Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN � INSPECTION T1 . � SCHEDULEO PERMIT N0. �> COMPLETED �� ADDRESS a�g� �(��S'Gw�- �rQ. OWNER CONTR. (-�� C C1(.�b`�/�1 (�'�C�/� TELEPHONE NO. (� C� �(� Cf �7 7c�� DESCRIPTION W�-� �� ' � C�� r �1/�'.'�-(•�i � 01 fOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q03 INSU TIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z WALL BD� 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FIN L 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 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: a — '�vl.ov �v1J Z`` /� �ruC �'U� � J O � �.JJ�4-C�- �C9�alV3 C�.�C � �s��t f=,�.�,.�� U_ 1 C W - - � Q � z W � W � � GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConUact Inspector. White Copyllnspector's File Canary CopylSite Notice / ,' DATE TIME CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED PERMIT N0. �g �"� �— COMPLETED � ��" �`�� ADDRESS � ��5 4=ty'r _ OWNER CONTR. TELEPHONE NO. � DESCRIPTION ll� Ot F00 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H O 24/25 WOOD BURNER/FIREPLACE 34 TREE FiEMOVAL 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 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 � COM ENTS: � a ' �� j o �(.�11�- � � 5 �t ` a S ° - � �� G.-� f - Q - z a � L QCC�eS� W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �7'40RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � � �❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContra tor on site: Inspector. - �l S White Copy/lnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�ICJE SCHEDULED '�1.�'� PERMIT N0. "z`I�� COMPLETED � ' ADDRESS ��t�U �/Z�c=-.�S-C�--.� �c� , OWNER CONTR. /�.��e- ��//s . TELEPHONE N0. 7LF' J� -�..3 � 7J� J� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 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 OS 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 HARD COVER REMOVAL J 10 PLUMBING FINAL / �ov�+-- 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:_YES✓NO �� C ENTS: a''�° r /�� J O ,. � O � f W � � � r Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. (952� 249-46�� Owner/Con a t o site: Inspecto White Copyllnspector's File Canary CopylSite Notice � DATE TIME f CITY OF ORONO ^�., CALLED IN /Q '"/�f-o L ��_ INSPECTION NOTICE{�C�,'� ti �SCHEDULED �O--i �--n � .� PERMIT NO. �J `l ,,COMPLETED ADDRESS a �D �U ��.t�t-nt/e'G� OWNER �� '` CONTR. �� C�/ui ��%�Eo TELEPHONE NO. �� ' ��-� -��'� � ,�, � DESCRIPTION �-yYu�-�-� l� 01 FOOTING 11 MECHANICAL RI � 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINA'� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/'�IREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP '` 17 SITE INSPECTION 05 INAL' �' 14 SEWER HOOK-UP 06 PROGRESS � -SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_N� � COMMENTS: W ' � 0. j O � / � O r � � � � �� Q �� -- � � �a� , ��, 6a-2D � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (g52) 249-46�0 OwnerlContr r o site: Inspector. White Copyllnspector's File Canary Copy/Site Notice �� 0 f� � DATE TIM� CITY OF ORONO CALLED IN INSPECTION NOT�� SCHEDULED Q-ic� :oc.�F?..,� PERMIT NO. ° `' �y� COMPLETED ADDRESS �-2�'r�C� �� e�SC�'G� � � OWNER CONTR. �t-=�� L_��s. TELEPHONE N0. l�'�� C� � tf��G� � DESCRIPTION �� - �-�� Ot FOOTING 11 MECHAN L RI 18 EXCAV/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 5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � O-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 J 10 PLUMBING FINAL ,` 36 FOUNDATION/REMOVAL � OWNE NTRA�O MEET YOU:�YES_NO � COMMENTS: � a �iM.l� � S c�J � J O � � O � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE � ❑CQRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � '��RRECT WORK,CALL FOR REINSPECTION TEMPORARY �� BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor it : � Inspector. `� White Copyllnspector's Ffle Canary CopylSite Notice