HomeMy WebLinkAbout1995-007061 - addition/remodel PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 F-J-.' I'DTNG'
Permit Number: 171�i..__+- -
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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Fee
CONTRACTOR: OWNER:
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, THE UNDERSIGNED HEREBY REQUESTS PERM I-:-3S ION TO MAKE THE REAL IMPROVEMENTS
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SPECIFIED AND AGREES TO DO ALL WORK IN STRICT C L IANCEWITH A .L. CITY O
O-ONO ORDINANCES AND STATE OF I MINNESOTA BUILDING CODE REQUIREMENTS.
A)�PLICANT/PERIVIITESIG ATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILbINGOPERMIT APPLICATION
Total Fee: $ �O Date Received: -. � '1-�
Date Approved:/-
Entered By: lu Permit#: 7D( 1
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: TJX ZIP:
Nyk4 (work)NAME OF OWNER: PHONE: (home) '
SAILING ADDRESS: 'W1� �� 1C/vv �� CITY: Ovor\o ZIP:
CONTRACTOR: NA ow N . IV�C� �4LTJ jAJA P/(LI PHONE:
MAILING ADDRESS: �U�� 4\0,11AA AVC- CITY: De ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: ty�}-\ PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION A
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : cj'ey GiA ly-1 �C av\ ,rl r
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vow-
1AqW 1,-Or �Qm ComeA rd, irgay.—') �
STORIES: SQ. FEET OF EACH FLOOR: v.,U S V7WL iVV �^
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 11 (fN - -
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.
APPLICANT`S SIGNATURE: r Ajd DATE:
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CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONG On the North Shore of Lake Minnetonka
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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
first Middle Last
LA.\AVd
A dress
City State Zip
Phone
I understand my rights as stated above.
M I�\A&--= 'f\
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Sig atu e
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision L Type of data. The rights of individuals 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 confida) the
ential data concerning himself shall be informecting r ate a agency,
PP Yhe data within t
purpose and intended use of the requested
(b) whether he mayerefiise or is
his
political subdivision, or statewide Ys {mown consequence arising f
required to supply the requested data; (c) any
supplyingor refusing to supply private or confidential data; and (d) the identity of
state or federal law to receive the data. This.
other persons or entities authorized by investigative data,
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision 59 to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision - the individual income tax or pro art tax re and instructions instead o
on those orms. --
Subd. 3.
Access to data by individual Upon request to a responsible
d data on
authority, an individual shall be informed whether
hpr private the
or confidential. Upon his
individuals, and whether it is classified as p public data on
e to him and, if he desires, shall
further request, an individual who is the subject of stored private or�du� has been
individuals shall be shown the data without any data. After an individual Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, pursuant to this section is
_ him for six months thereafter unless a dispute or action
ending or additional data on the individual h�ateen collected
or public datarupon request by
P require the
responsible authority shall provide copies of the p maycompiling the
the individual subject ofthe acdata.ual costsThe of mresaking, certifying, and comp g
requesting person to pay
copies. if possible, with any request
The responsible authority shall comply immediately, Po uest,
made pursuant to this subdivision,
or within lid s ve daysimmediatof the eatcompliance eis the
excluding Saturdays, Sundays and legal
five da within which to comply with the
possible. If he cannot comply with hquest within that time, he shall so inform
individual, and may have an additional
Saturdays,request, excluding Ys, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness-of public orlprivate`� ing t ta corcesponslrninble authority
exercise this right, an individual shall notify shall 30
describing the nature of the disagreement. ThBCresponsible n authority
and attempt to
days either: (a) correct the data found to be in
notify past recipients of inaccurate or incomplete be believes the ng recipients
to be correct
the individual; or (b) notify the individual thateement is
Data in dispute shall be disclosed only if the individual's statement of magi' to the
included with the disclosed data. be a ealed pursuant
The determination of the responsible authority may PP
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFfCE LYSE ONLY
ADDRESS OR LEGAL: ct75 7-ON �AvJA kAAK-� PID:
DESCRIPTION OF WORK: I400117,OW // 0eZ-
----------------------
-------------------------
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: L(� AA..-_ DATE APPROVED:
-------------------- -----
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes V-'No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes J No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------
------------------
ZONING CHECK LIST Zoning District: -112
Fire
Fire Department: LL- Post Office: LL School District: [,)Pb&Q
Lot Area: 2,T ACAP-S Width: l qo ( Depth: -77 / 1
Survey Submitted: Yes y No Date of Survey:
Proposed Setbacks:
Front S f Right Side: Z7 CS7
Rear (Sit) Left Side: 35-f
Adjacent Structures: Wetland:
Building Height: Def . Hgt. p. lL Peak Hgt.
Avg. Setback: 1-JAyL<✓%\J-00 Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' D
75-250 ' 3
250-500 ' 7•� (•
500-1000 ' "'7. 17
Hardcover Variance Required: Yes c_ No Date of Council Approval: q-40-5V
Grading: Staff Approval Date: N In- By: Council Approval Date:
Septic: Staff Approval Date: /1J 1A By:
Zoning File• # Resolution # : 35 4 1� Resolution Date:
REMARKS (in house) : --
BUILDING REVIEW CHECK LIST ► I
UBC: /Z -3 CONSTRUCTION TYPE: Vf**(
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
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Estimated Construction Value: $ ,fid
Inspections Required: work Requiring Separate Permits:
Site Plumbing Grading/Filling
X Footing Mechanical Fire
KFraming Septic Water Connection
_Insulation Fireplace Sewer Connection
_gWall Board (Masonry) Lawn Irrigation
CFina l (Mf g.) Other
OtherWel l (State Permit)
X Electrical (State Permit)
-------------- -------------------------------- --------------------------------
REMARKS (IN HOUSE) :
-----------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------------
--------------------------------------- ------------------------
REMARKS (TO BE NOTED ON PERMIT) :
I
ENERGY CALCULATION
OWNER: Wh-IV\ S�
SITE ADDRESS: L�j
CONTRACTOR: ��'t -�{/ 1&•Kr 26 DATE: A_T PHONE: I
'o IS
DETERMINE WORKING SQUARE FOOTAGE. OF EACH: b6D�ll�-`�y9
1 . TOTAL. EXPOSED WALL AREA . . . . . . . . ..J�SZ.�J sq. f t. x "U"
2. TOTAL ROOF/CEILING AREA . . . . . . . . �$�1Z sq. f t. x "U"
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall . . . . . . . . ��Cj .18 sq. f t.
area above floor
a) Total wall window area:
Csar�glazed . . . . . . . . sq ft x ..U.. ,�j3 = 170.ZZ
glazed . . . . . . . . . sq. ft. x 'U"
b) Total door area . . . . . . . . . . . 1-�D .4t' sq. f t. x "U"
c) Total atrium/sliding door area:
glazed . . . . . . . . . l-)-5 -4r' sq. f t. x 'U'
glazed . . . . . . . . . sq. ft. x "U"
d) Total fireplace wall area meq. ft. x "U" _
e) Total wall framing area
(average 10%) 7�lS.`2 sq. ft. x U' ��Z = Z`1 .So
f) Total net wall area above
floor (insulated) ZZXZ •�1 sq. ft. x "U" w _ �Zy • "
g) Total rim joist area . . . . . . zJA`E) sq. ft. x "U" U,
Total foundation area
(exposed) . . . . . . . . . . . . . . . . . . . . 4-3q-,ZS sq. ft.
h) Total foundation window
area . . . . . . . . . . . . . . . . . . . . . . _ sq. ft. x ..U..
i) Total net foundation area
above grade . . . . . . . . . . . . . . . 4-3-,)6r sq. ft. x 'U' i
TOTAL a) thru i)
If item #3 is the same as, or less than item #1, you have met the intent of
S.B.C. Section 6006 (c) 2.
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/ceiling area . . . . . . . . . . . . ��`��. �D sq. ft.
j) Total skylight area . . . . . . . sq. ft. x "U"
k) Total roof/ceiling framing
area (average 10%) . . . . . . . . sq. f t. x "U" .yZ1 s 5
1) Total net insulated
roof/ceiling area . . . . . . . . . sq. ft. x "U"
TOTAL j) thru 1)
If total of 014 is the same as, or less than 012, you have met the intent of
S.B.C. Section 6606 (c) 1.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total enevelope system method, the values established by the sum of
items #3 and 014 shall not be greater than the sum of items 011 and 012.
1 . + 2. _
3. + 4. _
CERTIFICATION
I hereby certify that I have calculated the "U" factors and "R" values herein and
that the building here described meets or exceeds the Stant of Minnesota Energy
Conservation Act.
�1- 6'-(6�j La34
s
(Signature)
n
(Date)T
CaVS"TRUCTIOy R_
_ �%• 14ALL FRAMING SECTION: • 68
`- Q INMICR AIR FILM 0.
SUM BOARD 4.35. •• 0.45
D
~`'' � '•6` Z5 3-L" Fihor'�xd S�-�1�� Z--�
IDING
0.17
.�9
U = 1/R = .I Z
• SIDING BR/ICK WALL SECTION (INSULATED):STUCCO 0.68
Q INTERIM AIR FIM
(2 1/26' GMUM BOARD 0.45
• ?-15 •5zkl F:\cQr rr� Slr�a i Z•o�o
SIDING
,
17
tTOTAL R = I-1 .n
t ZU =• 1/R = a
a .
RIM JOIST SECTION: 0.68
r}. Q INTTERIOR AIR FILM
�--GN D
-9IDING 0.17
(6 MMERIOP, AIR PILM
=AL R
U = 1/R cco
' FOUNDATION SECTION: 0.68
(1 INTERIOR dIR FILM
T4 �TERIOR AM FILM 0.45
•--• h
GYPSUM
�1 b �e L �.So
+ :i' = lo.
t
z a U06
}Zi • ,�` t
� a if',i►�.,,�}�• ' .. •� �
t ,
• Si• J •
CONSTRUCTION R VALUE
CEILING SECTION (INSULATED)
(1) INTERIOR AIR FILM 0.61
t (2) 5/8" GYPSUM BOARD 0.56
(3) 12" BLOWN INSULATION 44.00
�• (4) EXTERIOR AIR FILM (STILL) 0.61
TOTAL R = 45.78
U = 1/R = .022
1 CEILING FRAMING SECTION:
(1) INTERIOR AIR FILM 0.61
(2) 5/8" GYPSUM BOARD 0.56
(3) 8-1/2" BLOWN INSULATION 31.17
(4) EXTERIOR AIR FILM (STILL) 0.61
(5) 3-1/2" SOFT WOOD 4.38
TOTAL R = 37.33
U = 1/R = .027
/ Q
1 ice`•'' �
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ATETIME
CITY OF ORONO CALLED IN 6
S'J' I
INSPECTION N TIC SCHEDULED 9 s- 9v
PERMIT NO. (J 0 J COMPLETED !d
ADDRESS—2/Z 'Y . OLf22
OWNER�� ��-��,I,L- ) CONTR.
TELEPHONE NO. '`
I
t DZIE FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 ING 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 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call foris ion 24 hours in advance.473-7357
OwnerlContite:
Inspector.
White Copyllnspector's File Canary CopyMe Notice
CITY OF ORONO CALLED IN ��i�$/�T �r TIME
SCHEDULED le.,0,0
INSPECTION NO CE �) _
PERMIT NO. �� Qii COMPLETED
ADDRESS 9 2 5
OWNER ��� -=—•�a_ CONTR.
TELEPHONE NO. 'S�`f S ^ 0
DESCRIPTION
W 01 FOOTING 11 MECHANfEeAL RI 18 EXCAV/GRADING/FILLING
W 2 FRAMI 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 05 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
to COMMENTS:
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VISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for e4trispection 24 hours in advance.473-73557
Owner/Co tra r on
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ? -7-5
�
INSPECTIONN SCHEDULED �
TP
PERMIT NO. COMPLETED
ADDRESS
OWNER 4fl4laCONTR.�12
4�1TELEPHONE NO. '�SL�' -O��
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
LL
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
i9 NS11L.A�131 6� 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Cr. ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contra oto '
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
TIME
CITY OF ORONO CALLED IN �TE b ""
INSPECTION NOTICE SCHEDULED l 6
PERMIT NO. -7-0( COMPLETED
ADDRESS
OWNER f CONTR.
TELEPHO
DESCRIPTION
tAj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y<222r4 SULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LL
W
QC
Q
2
W
W
CCJ
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Uj �E]WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins
ion 24 hours in advance.473-7357
Owner/Contractor e:
Inspector
White CopylInspector's File Canary Copy/Site Notice
DATE �j TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0. COMPLETED
ADDRESS-
OWNERCONTR.
TELEPHONE NO. Z/
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 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 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
J
O
cc
O
W
W
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Z
W
W
cc
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GW WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E' PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspec ion 24 hours in advance.473-7357
Owner/Contractoo . e:
Inspector.
White Copylinspector's File Canary Copy/Site Notice