HomeMy WebLinkAbout2001-P04187 - addn/remodel/repair . �
GITY OF R N PERMIT
O O O
2750 Kelley Parkway - PO Box 66 Permit Number: Po41g�
Crystal Bay, Minnesota 55323 P@f1711t Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: �i2s�2oo�
SITE ADDRESS: 2477 Shadywood Rd
Excelsior, MN 55331
PID: 2o-i i�-r-t t-oo2�
DESCRIPTION: UBC occupancy Ft3
Proposed Use: institutionai
Permit Class: Building Census Code 437
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 4674
Separate permits required: riumoing iviecnanicai Eiec�icai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 623.55 Valuation: $ 48,000.00
Plan Review Fee: $ 405.39
State Surcharge Fee: $ 24.00
TOTAL FEE: $ 1,052.94
APPLICANT: OWNER: Baywind Christian Church (Mr. & Mrs. Svobod
, 2477 Shadywood Rd
Excelsior MN 55331
THE UNDERS[GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AN D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF M[NNESOTA BUILDING CODE REQUIREMENTS.
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I��I���'V 1� j''< ./' G�.%�-- � ���,-
APPL[CANT PERM EE SI N TURE SSUED 13Y S[GNATURE �
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports,1-Assessing, 1-Finance Page 1
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Total Fee: $ � �� ��c� � � '-� Date Received: �� � �
� Entered By: �(� Permit#: i%� `-1!�`-?
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER�R CONTRACTOR Ow�-��'s ri�i='6�.k�T�,-r��
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JOB SITE ADDRESS: . �Z�'���r��� �� � ��`�`�-' ZIP: ��3 3 �
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NAME OF OWNER: �-��Y��iti1� �'�J+2►STI�C�..N pHONE: (home) q`�Z- d 7 z-4547 `
�`-/`�7 (work) G�l l -- �' 37 3�- 91�8
MAILING ADDRESS: --��-� ` ( `���~� R�' CITY: �C�.S►�X- ZIP: "�-�j 33 � �
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CONTRACTOR �W iv p�e,1� PHONE:����,���b� �1,r�''� ` �'�������
CONTACT PERSON: MOBILE/PAGER: '�'
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MAILIl�'G ADDRESS: CITY: �iP:
STATE LICENSE: # itrv T �77, .d. '''�j 3_
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ARCHITECT/ENGINEER: ��c."��, �N�=-T-2 PHOi�TE: q`�/�' ..��-G„ /� f��� 1
NIAILING ADDRESS: ��71� E�r� Pv'> CITY: ����-L> � r l�� �
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NAME: [�����7 M�Tz REGISTRATION
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TYPE OF WORK: New Addition Accesso� � � .
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Move Remodel/Alteration� Land Altc�� �
PROPOSED WORK(describe in detai�: ��.n�c�r�z� c�� eK�si� C'�-��,��;� C�� �-irTi�s S�{��,���
I�1 s��.:.,,,�,.�-= �r- �l�v C�i�,�r ��.L• c,�,�. cou�.-�,�-c /��� C $� �'c—
�z� Ar7�N�-; ��;��.=� �-n l�i7zk������ c�� '���-,.� ��sr F�a�. R�rx.,a�--�
STORIES: L�_.-. SQ. FEET OF EACH FLOOR: �� 3 �'� �«�-r� N' /Nsr�+u�
NO. OF BEDROOMS: N f� GARAGE STALLS: ATT.tv� DET. �'' ' -
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��' C%� �'
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 City 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.
APPLICAI�'T'S SIGNATURE: ���✓� �����, - DATE: � �,����'���
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NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counei160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA f
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 required to be�iven individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)�e purpose and intetded use of the requested data within the collecting state agency,political 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 co�dential data;and(d)the identiry of other persons or enddes authorized by state or federal law to receive the dara.
This requirement shal(not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income tax or orocertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by indlvidual. Upon request to a responsible authority,an individual shall be informed whether he is the
wbject 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 stored private or public data on i�ividuals shall be shown the dara 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 action pursuant to 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 individuat 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 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 a�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 ihe request,
excluding Saturdays,Su�ays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An uidividual may contest the accuracy or complcteness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the dala found to be inaccurate or incomplete and aaempt to nodfy
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data
w 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 authority may be appealed pursuant to the provisions of the administraave procedure act relating
to contested 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�ity 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 fumish 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 shazed 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.
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First Middle L.ast
�7(� E�M �o�
Address �Z - 72.— Ss}7 }{
��am�0 �V� �S3f� � �2 3�3 -�?�S� w
Ciry State Zip Phone
I understand my rights as state above.
ignawre �
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2 y7l S(-1��`�1 W t��� t2-0 v4�0
PID:
DESCRIPTION OF WORK: 'yi�o �,sZ,
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ZONING REVIEW BY: DATE APPROVED: cr� Z Y��1
BUILDING REVIEW BY: DATE APPROVED: �• z.�{•v�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/� No
PLAN REVIEW Yes _�G No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: � C�-��/�,,Q
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Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: W tland:
Building Height: Def. Hgt. Pe � Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
('. f,"_ 1 � .�;t/ C� ;
Zoning File: # ' '` Resolution: # i �'���- Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac : Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): /�c�d S Srb,��d ,�
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BUILDING REVIEW CHECK LIST ' " �
UBC: �j �n� t�+ •3 CONSTRUCTION TYPE: y 1. I�.ou2,
Sq Footage $ Per Sq Ftg �
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
00
Fstimated Construction Value: $ ��,(�00
Inspections Required: Work Requiring Separate Permits:
Site ( Plumbing Fire
Hardcover Removal �C Mechanical Water Connection
Footing Septic � Sewer Connection
_�o Framing Fireplace Lawn Inigation
.� Insulation (Masonry) Other
_�Wall Board (Mfg.) Well(State Permit)
d�-Final Grading/Filling C Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMII�:
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CODE ANALYSIS:
Bayw�nd Christian Church
�`�-n-��7'7 Shadywood Road
L� Orono, MN
Upper Floor Area: 5,130 Sq. Ft.
Lower Floor Area: 5,130 Sq. Ft.
Total Building Area: 10,260 Sq. Ft.
Buildin� Occupancy:
B: Professional Services & Office- Lower Floor and Upper Floor north of
stairs.
A-3: Portion of Building with an Assembly Room with an occupant load less
than 300 and no legitamate stage. (Large Southmost room on upper floor
is the assembly space. Adjacent Lobby space is included in the A-3
Occupancy but is not an assembly room.)
Construction Type: Tvpe V 1 Hour Fire Resistive
Existing construction composition is 12" precast concrete planks with 3" concrete
topping spanning to perimeter bearing walls of major building components.
Existing lintel beams are less than 6'-0" in span and are steel beams infilled with
CMU soaps and covered by one layer 5/8" gypsum wallboard on light gauge
metal framing. Existing interior partitions are a combination of 5/8" gypsum wall
board over light gauge metal framing and 5/8" gypsum wallboard over 2x4 wood
framing.
Basic Allowable Area: 10,500 Sq. Ft. (Based upon A-3 Occ.)
Multi- Storey Allowable Increase: 100% = 20,500 Sq. Ft.
Separation on 3 Sides Increase: 100%= 40,500 Sq. Ft.
Actual Building Area (10,260 Sq.Ft.) < Allowable Area (40,500 Sq. Ft.)
Assembly Room (Sanctuary) Occupant Load Calculation:
Net Room Area: 2,423 Sq. Ft.
(-) Tech Booth Area: 115 Sq. Ft.
(-) Stage/Platform: 480 Sq. Ft.
Assembly Seating: 1,828 Sq. Ft.
Assembly Seatin� 1825 Sq. Ft.
7 Sq. Ft. per person = 261 people
+Technical Booth Staff ( 3 max)
+ Platform Occu�ants (10 max)
Total Room Occupant Load 274 People
(�(�1�wea w i� rvo� oN Pc,� PA� Q ' '
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Special Provisions for Assembly Areas: (UBC 303.2.2.2)
Division 3 Occupancies located in a basement or above the first floor shall not be
of less than 1-hour fire resistive construction. (Complies)
Division 3 Ocupancies with an occupant load of 50 or more which are located
over usable space shall be separated from such space by not less than 1-hour fire
resistive construction. (Complies)
Exiting:
Minimum Width
Assembly Room:
Horizontal travel: 274 persons * 0.2 inches/person = 55"required
Two exits provided. Each at 36" width =72" total width provided
Complies.
Stairs: Assuming exterior exit stair from Sanctuary will serve half
of the occupant load
137 persons * 0.3"/person =41.1"required width
44" actual stair width provided.
Complies
Horizontal Exit:
The Assembly Space has one exit directly to the exterior and one exit
through the Lobby space. A two hour occupancy separation wall with a
90 minute fire rated door assembly will be installed near the central stair
where indicated on the plans to form a horizontal exit between the
assembly portions of the building and the remaining building. The door
will have magnetic hold opens with closing actuation by actuation of a
smoke detector on either side of the door. Please refer to UBC 1005.3.5.1
Refuge Area: Assuming exiting for half of the assembly occupant load
137 persons * 3 Sq. Ft/person =411 Square Feet refuge required
Refuge Provided= 144 Sq.Ft. Hallway
196 Sq. Ft. Upper Level Lobby
168 Sq. Ft. Lower Level Lobbv
508 Sq.Ft.Actual Area of Refug�e Space
Complies
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Plumbing Fixture Requirements:
Note that Office functions and Assembly functions do not occur concurrently.
Area of Worship: 2,423 Sq. Ft./30 Sq. Ft./person = 80 pn.
Educational Activity Unit (Lower Level) 1,131 Sq. Ft./30 Sq. Ft. /person =38 pn
80 +38 = 118 total persons, assume half are men and half are women.
59 men at 1 fixture per 150 persons = 1 fixture required
59 women at 1 fixture per 75 persons= 1 fixture required
Total fixtures provided: 1 watercloset and one sink per sex per floor
4 total water closets provided and 4 total sinks provided for
Assembly functions.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE x SCHEDULED �
PERMIT N0. � v C MPLETED � � I �.��CL
ADDRES� 7� �
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� F� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W��IORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORECOVERING 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� 249-4600
OwnerlCon tor on site:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
C�--.�
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�� �� SCHEDULED ^���— •:�O
PERMIT N0. OMPLETED '� �
ADDRESS �( \ '
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OWNER �.�'r211�1 i,c.�C ��+��f'C NTR. �.�t-'c',.�Gt�i h�:�
TELEPHONE N0. C���� -� �� �I�� C'��'�1 �-��
� DESCRIPTION � � �- (�'
l� Ot 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 O6 PROGRESS
� 07 OEMO-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 FOUNDATIONlREMOVAL
� OWNERICONTRACTOR� ME YOU:�YES NO
� COMMENTS: � G � C�C��D✓ !�!�,t 5 �
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. _ _...-.--------.—.�
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Call forthe next inspection 24 hours in adva e. (952) 249-46��
Own�erlContr tor on s� : '
Inspector/��''`-����
White Copyllnspector's File Canary Copy/Site Notice
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO /�E�,../- SCHEDULED
PERMIT NO. " ` � COMPLETED � 1�. ��
ADDRESS � �,r' �"��t��
OWNER C TR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL 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
� 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 5 FIN 14 SEWER HOOK-UP 06 PROGRESS
� 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/CONTRACTO TO MEET YOU: YES_NO
� COMMENTS: � G�
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL RETURN � PHOTO TAKEN
❑STOPORDERPOSTED.CALLINSPECTOR C1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra tor on site:
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Inspector.����.G��� �(
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�D ����CHEDULED
PERMIT N0. COMPLETED :� - � � �
ADDRESS
OWNER CONT .
TELEPHONE N0. �� — ��� ����
� DESCRIPTION �� '
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIRER,�.A E/ 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP v 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP �� 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 1 L�� 21 COMPLAINT
J 07 DEMO-FINA� 15 SEPTIC INSTALL. �� 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FGUNDATION/REMOVAL
� OWNEH/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETUAN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
OwnerlCon tor on site:
Inspector.
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White Copy/lnspector's File Canary Copy/Site Notice