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Home My WebLink About1999-011256 (mech) PERMIT • CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 =:_:��:�;t•�:�;��f,_ Crystal Bay, Minnesota 55323 Permit Number: - - - Date Issued: =�� =`�=- -. (612) 473-7357 _ '=�:�:-1`=';``�i`=} SITE ADDRESS: .. � _._� i_:��: . _ :}.�:°_ :.... _. . . i_'�.._! ��`_ ';�:_# :_. _i:�i r. DESCRIPTION: ;��s�,��:�_:.'��.-:;��;,�;;�',:�: _ I i�t-��.��J:� _;•�°�_� :.�,i•i`_; �i,�� ;�=j��_'�:;-�{_ '.af-�_= C°!'-i��.s` %-��'�:a?;#?•-! �1!:E;=-._ C:t`t_i:.�t`•._?`.{;.�,i7.t_� � %�-;i�. [_i i;'�i_'j, }�f_i�y;;'!'.� s�`E�--'s;.,�__ :-??';f-i!�;-? �,,��};,;,,_ �.'_•'_ .._ —��,. �t � i�`Y:�`� ! ;i �; ! i t_i.'.; . y-;I��•.W _��i�••: � �f, i C..•''3.�'+,i�`�. h� ;;+�`ti�i�i.=�_ � !`f=-=.t��.` I=`;-+,V:i'=,`�!'��i�=�i''•. _ ��°� _I� . _. . � REMARKS: FEE SUMMARY: �,�hi t,�;��::s�v �.�_,, ;=;�:;t., �i.�F.`�`=� �-"a':V �.�•�i s�i(_t �iji„�L'_ ii•`� �._.�......_.«..� ��_.'a`t.a r . ' _ :-,t.t"3_�_�i,. � .t,_� i;! � ;rE�.ri� f-::_ . :=`=-i `-i;_i �__., ��_ :�,._ ____—___..__.��s ��"" _,S,sl��;F.trt T.:q.�, :t�_::_� , t:i.{1 CONTRACTOR: — �:�:�� t E��.;;�. -- OWNER: �,:E;,V�r `{�i1.=�' c':t i;:�i �_ �:':.��_,'��.' E'i�_Ei:1�;i'�.`_if;: f:i_„f j;j ;�i�l�•u _.,_'r=�!i t+�i�it-{�:;�-�:E°i .�:;iy`� - ;'i:_{: ;r-'-'.'t`:_�_:�-_ �;`!_i �= 1 .__ . _ �. . . �`'�t ... _. ..__ _.".<'"l;.,.�f ��i.�,j - - - ._ 4 � : 'f ''?E-0t�. S� -�ii.� r{ 3 ' ' f r. _.y «. .� i� 1�.} i'ii'i'i;,,#-`�i. i- .ft } i iiit t E "'r`, } il i 7 ' ; :- ,- � "' _. . . _ . .. . . . .. ._,_ _. . ._ . _. __. . _. . ._ _ _ ._ _ __._ ._.. ._._. ._. . _._ , _. _. . . _ _=1 _., ,. ,.___._, _ - : i - - _ `-,;- - :N.; ._ ._� � :.:,„; :.'' _ _., .. .. _. .. . . . ._ . . ._ _ _ _. __... .. _. . . . . .._.__ _ _ . . _ .._ � .. . _. . _ � ; : : _ ; c,: ;�< <�..4, i;; y- .-t�. 't{•y��.. , �r_�• ,-,;•:�� ;-v_'i .__._._, € i I . ,�3+.._�_ ;R_ . . : �.. 1 �� `-.a.; '. ; ::"l�_ . ,`_k _ �,:.r : �:. .? .�_•_... i�`�'a. .. . . . . _ i�. . . _. .. .__.. _ . . . _. _ ____. _.. .�. « __ �. . .,�. _ _ .._.. _.. . _ . I;' i 7 S} ' vt i f E �- ' �"' " i � � ��,�[,C�� '� �/ilil ' . APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE � , � t � I .. CITY OF ORONO APPLICATION FOR MECHANICAL PERNIlT ,�;r�c-a�•y s r,^�;^� Box 66 (2750 Kelley Parkway) "`'"```''''" c�y�� Bay, Ivnv ss323 ��S 2 6 1999 GENERAL INFORMATION t�i; ` �-;r: �'i t t�i�'C). 1. You may apply for mechanical pernuts by mail or in person at the City offices. �pplications will be reviewed and a permit will be issued within 2 working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Ideatification of and specifications for water heating equipment shall aso be provided. 4. 'vVnen any new construc:io.i cr IZ.TIiO.i�liilb '� lII�'Gi:'��, d S£r^d;3i� �J"'��,� +��7a DCIri?:I JT'i�15C }`C O�C32IIZ(l. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instractions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: � New Addition Repair Replace � Residential Co ercial JOB STTE• �'` � � Zip: Owner's Name: � �+( � C Telephone Number: Mailing Address: �� .� �� ;� __City: Zip: Contractor'sName: TelephoneNumber: MailingAddress: 3260 GORHAM AVE. CIt3': Zip: ST.LOUIS PARK,MN 55426 ALES 929-6767 SERVICE 929-4011 SYSTEM DESCRIPTIOl� HEATING SYSTEMS Quantiry: ivIaice: � Model: � ;,UC �-�fi��1C�(( , Fuel: �� '�� Flue Size: Input BTUs: ��i`� Output BTUs: �i �'��-�-r.�r i � � -C� c� � � ��c`� , � �k� �'�c��,cf-� 1'� COOLING SYSTEMS �J Quantity: Make: Y1�1C��'1 ModeL• � Tons: � �I� H. Power � 1� � �� i�� c�. �- h,� ��; c�► �-e r-� �� e r �� -lie � t WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. Total VENTILATION No. Kitchen Exhaust ductecl recirculating cfm No, j Bat� E�a�st (must be ducted outside) cfm �1�. nt'�er�s: I�cat�ons (,'�,1�1� M�� - c�� Total� _ FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) � �;- ��%�- � — x .0125 $ ��G � (contract price) 2. State Surcharge. ** Add the State Building Code Division / � -�,� Surcharge to each permit. ��; �L�,' � � x .0005 $ � `�1�--� (contract price) or $.50, whichever is greater 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �c� � * CC�NTRACT PRiCE or JOB COST means the actual or estimated do?lar arnount charged for the permitted work including materials, labor, profit, and other fixed costs. It is [he amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. . � PP � `��.�� LX-( �C' � � �'L��. Date: � �� A licant's Si ture: , , Approved By: �^ Date: � � � �.1.olLQ.��o�., 2c.5. �tl, °j�7lv �1';'u'a l.1� C' GsC.hS} 1-2o-S°t Fo�m BDS ' �FiEAT LOSS CALCULATIONS BUILDIH6 DEPARTMENT --- - -– -----�----- A.S.N.V.E. � Weatherstrips Construction No. Insulation Guide Windows Doors Reference I Out.Wa(I Int. Wall I Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19—___ i fl. ! C�REa; Room i Length �o Width �l'�L Height � � � FI. ��N•. bnT►� Room �Length ►�, Width �S``� Height Windows and Doors—Cracka e and Area Windows and Doors—Crackage and Area W�dlh He�qht No.oi�ineal if. A.ea 17� Width Height No.o( Lineel ff. Area No. of pene of Da�e I�ghts of crack sq.ft. ,� No. of pene oi pene liqh}s of creck zq.if. '-1 u� �O ` �� j$�� _ L z<. �L7 � 2�3 � Z3 L Z o zo � �(, � E3 ' Z 3o c��i' eD bo �7 � ,Coef. Btu I Coef. Btu Infiltration �yp I� Z�oo Infiltration Z�3 1� �it.o Glass 1Z�j ZE3 S��Z i Glass L td L�IH Exp.wall ti1``Z yZ� i Exp.wall �S'�s' �3?..0 Net exp.wall �5 �I,N 131(,, Net exp.wali Z5� y.�� \'So� --- -- �,2�p�� ' yoou �� 000 Floor Floor Ceil. S?S Z 1 oo–p Ceil. b�Z L �Zy Total Btu. 1Z p78 Total Btu. • 3595 Required sq.ft.E.D.R. cr sq. ins.IN.A. Leader area Required sq.ft.E.D.R. or sq.ins.W.A.Leader area i fl. �P��.,��l,�R��Roorn I Length �Z Width � Height � � FL� �• S��j Room �Length �E3 Width �'�1 Neight � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No o(� Lineel ft. �—A I Width Heiqht No.of—rLineal H. /�rea No. of pene of Dane Gqhtz � of crock � sq.}t � No. of pene o1 pene � liqhts oi crack sq.N. 1 Z(o '-i0 � � 1� �. g j Z Z� ,� ' � Z� i Z� I Z 3�a .SD i 33 � 31 L LG. �o � 3Z ; 21 ; � 9� �E�` �C ta � So �o � Ln ; 2N I Z, 14 �'p�" � ,�� 1S Coef. Btu ' ,Coef. Btu Infiltration � L � �� Nyp Infiltration p i IS 1100 Glass >� L� Z�ot� Glass 1 �t 2.t� Lo1Z Exp.wall g�' :33j Eup.wall �2.' Z E3E'� Net exp.wall Z� W,4 1�j�' Net exp.wall Z.\y 4,y �tiZ FI� t looc� Floor ; Floor Ceil. 3� Z ��Z Ceil. 3l,c� Z �2t� Total Btu. L y� Total Btu. y�i3M Required sq.ft.E.D.R. or sq.ins.W.A.Leader area Required sq.ft.E.D.R. or sq.ins.WA.Leader area � FI.� �M�� Room �Length 1C� Width 1� Height �j 1 FI.� �j� Room�Length 11�'Z. Width \2.�'L Height S Windows and Doors—Crackage and Area Windows and Doars—Crackage and Area W�d1h Heipht No.o( l�neel it. : Aree I Width Heiqhf No,oi Lineel it. Aree No. ol pene of pene liqhte ol crack sq.ff. No. ,01 pene of pene IiQht� 01 creck �q.k. ---` 30 .Sa � 11 ' �� 3 ' Z� o I � ti1 N� ' ,3L �'�' tj \S ! tn _ i i Coef. Btu ' Coef. Btu Infiltration 3` � iJ �-lo Infiltration ; �� ' � I,� �03 Glass 3s' 2E� �j�jp Glass i �11 ; ZE� I 14� Exp. wall 1�-1 � �. 12-f,.. _--- -- Exp.wall ?�''L ��: – ---- Net exp.wall ' �r� N.N �IOCJ , Net exp.wall I H`1 '�y � (a,3�( I � Floor � Floor ' Ceil. ' z,Z�-1 Z GI'�(� Ceil. L1� j Z `I'�� Tfltnf 3iu. zj Toial�iu. zS 25 Required sq.it.E.O.R.or sG.ins.W.A.leader area �I Required sq.ft.ED.R.or sq.ins.WA.Leader area ! .. .. . . . .��:a��.{+v: _:.t1fYf��4""3-::��-�M{'�..i4'�`�.b:,:i:a�LyLrcv�H.1.�u.Ye ,.fy.,� . . . . �:4:i!filX.�fi�.,,.. . � Fo�m BDS . ' HEAT IOSS CALCUTATfONS BUILDIk6 DEPARTMENT _ _ - --- --�---- -- A.S.H.V.E. � Weatherstrips Construction No. Insulation Guide Windows Doors Reference ( Out.Wall Int_Wall �Ceilin__ g __�oof Floor Kind How Applied Yes—No � Yes—No 19__— • � FI. ! �j�U � k.�, Room � Length 2� Width �� Height � ; � FL � �j¢p ��i Room �Length �� Width Z� Height � Windows and Doors—Crackage and Area I Windows and Doors—Crackage and Area - W�dth Hdqht No.of Lineal if. I,.ea — I Width Height No.of Lineel ft. A�ea No. of vene oi pane I�ghts oi c�eck sq. (t. No. of pene oi pene iights of creck sq.ft. I, .�o ��' '� �+5 .5o Z 30 � I �o �c. -- — ; � - I ,Coef. Btu i Coef. Btu Infiltration N� i� �� Infiltration �0 1,� y,7'a Glass � ?�3 t�too � Glass Z� Zt3 1Zti� Exp. wail rs' 13S ; Exp.wall �j' � t� Net exp.wall �35 �I,�I 37'-1 Net ezp.wall �pc� �I,�� y�3 " - 2S� � 25D �,� �W Floor Floor � 73' S7� Ceil. �90 Z 18o Ceil. Total Btu. 3ZZ Total Btu. • �� Required sq.ft.E.D.R. cr sq.ins.IN.A.Leade�area Required sq.ft.E.D.R. or sq.ins.W.A.Leader area (� FI.� �v.e_ Room I Length IS Width � Height 10 fl.��`"� ae�toom�Length Zy Width 1�' Neight l� Windows and Doors—Crackage and Area Windows and Doors---Crackage and Area Width Heiqht No.oi� Lineel ft. �Aree ��,'t WidtA Heiqht No.o(�Lineal ft. /��ee No. oi pene oi pane Gqhts � of crock ��_sq.it_I � - No. of pene of pene I liphts oi creck � sq.fr. 3 30 90 � ' 3a ': Z 3 i ' i t 3r� lo��'' � '-iS '�U I ��' �� I � Coef. Btu ' ,Coef. Btu Infiltration E3o i ta` 12.0o Infiltration i — Glass 1S �3 Z.�� Glass — Enp.wall � ,��p Exp.wall �� Net exp.wall Zo�- '�.N �"-tpZ Net exp.wall 1�0 Z�(�j ,�op . 2 • 2'�p Z. �'-1 y �' ti l000 Floor ; 2. 7� L�oc� Floor ��3Z L ��1 Ceil. Ceil. Total Btu. �„4 y Total Btu. L 11Z Required sq.ft.E.D.R. or sq.ins.W.A.Leader area Required sq.ft.E.D.R. or sq.ins.WA.Leader area d FI.� (y�p �j Room�Length (j Width �$ Height �� r� FI.� y.�q� Room�Length �-1( Width ZZ Height 1c Windows and Doors—Crackage and Area Windows and Doars---Crackage and Area W�dth Heiqht No.of Lineel ft. Aree I Width HeiQhf No.oi Lineal fi. Aroe No, of pene of pene �iqht� of creck sq.ft. No. ,of pene of pene liqhtt o1 creck tq.H. _- Z .�D .'Sb 1 'SO � Z<i � i I I I Coef. Btu � ; Coef. Btu Infiltration ,� ; i,s ��5-p Infiltration ; ' — Glass � 2(,,,_ 2E� 7ZYj- - Glass _ ' --- Exp.wall ��' �, 1�O Exp. wall Net exp.wall ' t O�-{ �f,Lf 'a.5g Net exp.wal) � ' � ,Z,� Z 3� ' i Floor � l3 i �a'' t>> Floor .j �9c�� 2 15'�c� Ceil. ` � CeiL � Total Rtu. i i Tofa1 Btu. ,�(p,tj Required sq.ft.E.O.R.or sq.ins.WA.Leader area � Required sq.ft.E.O.R. or sq.ins.WA.Leader area I . �-��-�� ,.�.¢��.. . ,, _ ,r,� . . . ..�._ . ...;�six.:�,....._. � ., � - - — �...:i..�t,..._...,....r.e..-..- — ws�+��.. -... ..:.s,a��•��u;, . . _, . � °�� ' � aSC..� HOUSE HEATING TEST RECORD / :� ADDRESS �r � L' " � �'� � APT. FLOOR CITY ��SUBURB OCCUPANT � � � �" OWNER HEAT LOSS DATE HTG. I T. SOLD BY INSTALLED BY El�etricol Work By Gos Lin� By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GA DESIGN CONVERSION MAKE � MAKE OF BURNER Mod•I � AAod�l S�riol Max. BTU Rotiny INPUT Q MAKE OF FURNACE Med�l _ ��--� CONTROLS �t „� , THERMOSTAT '� H�a/ Ptuy V•nt 5iz•_ -Z �v �'' Valv � � KIND OF LINER � J SIZE NONF Limit Droh Hood Rpulawr �� " � Limit S�ttiny Filt�rs Siz• �i�` `2"S Numb�r Fan S�tfinq � Chimn�r Loeation Insid� Outsid� Pilot Typ� O�immr Construetion Pilot Mek� Pilot Mod�l Smok� Bomb Wirinq Pilot Timiny D►aft T�st Top L.W. Cut Off Door Pr�ssw� 1�'yhti�q Inst. Pr�ssur� �� P�re�nt CO2 �� Oot� T�at�d / l leput CFH P�re�nt 0 Company T�stiny Stock T�mp. `PKe�nt CO2 � Non»of T�st�r t ' l� DATE TIME CITY OF ORONO CALLED IN � 'I� �- ��M INSPECTION NOTIC SCHEDULED G:-1 b e7:1� �'1 PERMIT NO. �� COMPLETED �� ADDRESS _ 35�� G� /2t1 R�% OWNER �� {h �h CONTR. I10� ��1�--4, TELEPHONE NO. 90�%-"G�"7(� 7 � DESCRIPTION �'� �r6� �L?�s � 01 FOOTING �1�MECHANICAL RI I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d ,�'60RK SATISFACTORY:PROCEED C; PROJECT COMPLETE � � CORRECT WORK R PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contract Inspector. White Copylinspector's File Canary CopylSite Notice pATE /T"IME CITY OF ORONO CALLED IN '�� r ` 3'd INSPECTION N T C E,,� SCHEDULED .g=�-g � �C a PERMIT NO. � ��' COMPLETED ADDRESS � OWNER �� _�NTR. V TELEPHONE NO. � . m� � � DESCRIPTION — ly� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLIN � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d �RKSATISFACTORY:PROCEED � PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED !_! ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contracto Inspector. White Copyllnspector's File Canary Copy/Site Notice /,�F�TE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED � PERMIT NO. I ��Z�� COMPLETED ��7��'l " ` '�'f. 3�� ADDRESS �� G�-i�aCG=� �( OWNER��4 �4'c�-`�� H�'^'�° CONTR. U�� -�- �' TELEPHONE NO. C( z�'1 - �.%� Cv-7 � I I 1 q�3 - C or,.i�o � DESCRIPTION ��- ( 1�{'�� — o� -f-r,�,� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL G Q02 FRAMING 13� MECHANICAL FINAL_ 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL DQ OWNERICONTRACTOR O MEET YOU:_YES�NO ^ � �, COMMENTS:� f'c�-T�� S.5/Gh ��- � �L!-C '�-� S C c�I`�''�v' � v� "Z P o Z„ ' �C D �l � h�� . � � f�, � �3 z-�' -s-�4L 0 � w � Q � z W � W � � d ❑WORK SATISFACTORY:PROCEED �- PROJECT COMPLETE W � ORRECT WORK 8,PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � O D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVEflING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on site: Inspector.�/E'/G��L��1 White Copyllnspector's File Canary CopylSite Notice