HomeMy WebLinkAbout2004-P07439 - addn/remodel/repair � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�439
Crystal Bay, Minnesota 55323 P2CCYllt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: s�i2�2oo4
SITE ADDRESS: 1390 Cherry Pl
Mound,MN 55364
P I D: 08-117-23-32-0023
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#: 5127
Separate pernuts required: riumoing iviecnanicai rirepiace r,iec;iric;ai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,012.95 Valuation: $ 281,585.00
Plan Review Fee: $ 1,337.63
State Surcharge Fee: $ 145.50
TOTAL FEE: $ 3,496.08
APPLICANT: T.R.Anderson Construction, Inc. OWNER: Mr. &Mrs. Blount
4501 Robin Circle 1390 Cherry Pl
Robbinsdale,MN 55422 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PPLICANT PERMITEE SIGNATURE ���/- ��;� ISS�SIGNATURE
Conies: 1-File(Si�nitures Reauired), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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GERMIT�a - �IIIlDIN6
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' Ba� Fee
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Rlar� Revi�
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Stete 5archarge
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Investiyatio�+ Fee
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SUBTOTf�. 3,496.GH
TRX �.��
T�TAI SALE 3,.496.08
Check Rec�ived �4�.U8
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Total Fee: $ �`�9� • 6 � � � Date Received: -Z`�-G'`�
Entered By: �,� (�� Permit#: /�'C �7 :���
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforrnation)
--------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle orze) OWNER OR CONTRACTOR
JOB SITE ADDRESS: i���G' ���«� ZIP: S� ��=�I
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, c�special event pern2it is required with Police Departnzent and
City Council approval 60 days prior to the event. No�a-perniitted
evei2ts will raot Ue allowed. �� cs.� , Y7���3 Z�
NAME OF OWNER: �2t'�t' � I C?(ii ►'�� PHONE: (home)Z�2 ^���-z5 SC�
(work)
MAILING ADDRESS: ���1 U �-���«/ �� CITY: ���✓i C� ZIP: � 6`/
CONTR.ACTOR: (. � ,.�F'-�� �c��^ �,�5� �L= PHONE:763 53�5�S�
�CONTACT PERSON: /� e� � -" MOBILE/PAGER:�Z -�3��-��3 �
MAILING ADDRESS: y5�''/ �� ;� C,'r �I1�Y: .���:Hs���� ZIP:S5�{2�2
STATE LICENSE: # �S 3 "Z EXPIRATION DATE: 3 31 -c'�S"
ARCHITECT/ENGINEER: f'IG����° <��-'��'� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Home Remodel/Alteration
PR POSED 1W/�RK(describe in det 'Z):�/C���✓ Z h`����� c��7`�r�.� P.����dGs�J���
Gi/.v�/ i/� //Gol /�Si� i� ��� wJ G,'!-r'i E'S /�'r/ eC (/Cr/il.�lG !s
QP�/! C���/U✓c� o% o P C�'
STORIES: � SQ.FEET OF EACH FLOOR: /��5-��-,�
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� a S� �'ti
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.
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APPLICANT'S SIGNATURE: /�� DATE: ��i��
9
P
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 required to be given individual. An individual asked to supply private or confidentia[data conceming himself shall be
informed of: (a)the purpose and intended use of the requested data within the collec[iog state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgative data,pursuant to secaon 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav vlace the notice required under this subdi��ision in[he individual income tax or orooerri tax reFund
ins[ruc[ions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is[he subject of
stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed oF[he 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 pubtic data upon request by the individual subject of the data. The responsible authority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the
date of the request,excluding 3aturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform che individual,and may have an additional Etve days within which to comply with the requesc,exciuding Saturdays,
Sundays and lega{holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or privatedata
conceming himself. To exercise[his right,an individual shall nocify in writing the responsible authority describing the nature of the disagreement. The
responsible autl�ority shall within 30 days either: (a)correc[the data found to be inaccurate or incomple[e and attempt to notify past recipients oF
inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual tliat he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is i�ciuded with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relacing[o
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 City of Orono or any of its departments may require you to furnish certain private or
confidentiai 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 ]ocal, 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 rnay 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.
First Middie Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
1�
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: i 3�, o C N C2(L4 P c.d c,c�
PID:
DESCRIPTION OF WORK: zn,� �oati (4�JVj�T oN /�r►-w✓�ec.��.s��� �-�ps
ZO�tI�TG REVIEW BY: DATE APPROVED: 5-i�- o�(
BUII..DI�i IG REV�W BY: DATE APPROVED: .S-� o - o�(
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERi1�IIT Yes f No
PLAi�1 REVIEW Yes �/ No SEWER CONNEC"ITON
STATE SURCHARGE Yes � No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District: f.Q��3
Fire Department: Post O�ce: School District:
I.ot Area: Sq.f[. 2Z,Ss7 Acres .5 Z7 Width �o� Depth
Survey Submitted: Yes� No Date of Survey: 3-►5-o'{
Proposed Setbacks:
Front (Lake): �0� t Right Side: y0�
Rear (Street): 1 Z�t Left Side: 3Z '
Adjacent Structures: q�r�rkc�t�►� �Vetland: N�p�
Building Hei�ht: Def. Hgt. �� Peak Hgt. 2 5
Lot Coverage: b.l�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # O�1'Zqb� Resolution: # Resolution Date: 3-!?- U�^(
Shoreland District: ���
Avg. Setback: v�i ra,�� Bluff Setback: w�,o- LotCoverage: a•�C
Existing Proposed
Hardcover: 0-75'
75-250' ya.0 3 39.Z s
250-500'
500-1000'
Hardcover Variance Required: Yes_� No Date of Council Approval:
REMARKS (in house):
7
BUII,DING REVIEW CHECK LIST
�C� - �2'3 CONSTRUCTION TYPE: VN
_ Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor z _
Garage x _
x =
TOTAL
Estimated Construction Value: $_Zp,l�`$�3�
Inspections Required: `Vork Requiring Separate Permits:
Site �t PIumbing Fire
Hardcover Removal � Mechanical Water Connection
o� Footing ' Septic Sewer Connection
o( Framing �_Fireplace Lawn Irrigation
_�( Insulation (Masonry) Other
�j _Wall Board _� (Mpg,� Well (State Perm.it)
�- Final Grading/Filling �_Elecuical (State Permit)
Other
REMARKS (IN HOUSE): .
----------- --------------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
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REMARKS (TO BE NOT'ED ON PEI21vIIT�:
8
' CERTIFICATE OF SURVEY FOR ' ��`�j'�?¢"�""` � '�
� ��7,.�g YM�� ����
TERRY AND GRETCHEN BLOUNT ��Y���� .
OF LOT 7, BLOCK 1 1, �AGA HILL REVISED AND IN SEC. 8-1 17-23
HENNEPIN COU�JTY, MINNESOTA
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a °�N '.n�ca� GARAGE � � j� I SURVEY ('� e n r� ... .�I � n �1 i�
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LFCAL DESCRIPTION OF PRFMISES : ,
� .o Thal parl o( Goverrment �uls 4 o�d 5, Seclion B, ownship 117 North, Ronge 23 West of the Sth Principol Meridion,
described as follows: Beginning ol the Soulhwesl orner o! Lol 7, Block 11, Sago Hill Revised: thence East olong
the South line of said Lol 7 lo the shore of Nort Arm, Lake Minnelonka; thence southerly along ihe shore of Loke
Minnetonka 57.0 (eet, rture or less to lhe Northeasl corner of Lot 1, Block 4, "Crystol Bay View": thence West olong
the Norlh line o( soid Lol 1 lo lhe Norlhwesl corner ot said Lot 1; lhence norlherly to the place ot beginning;
AND A�SO Lot 7, Block 11, Sago Hill Revised.
o : denotes iron marker
Bearings shown are based upon an assirned dolun.
This survey intends to show ihe boundaries of the obove described property,
the locotion of three exisling buildings, ond the locolion o( oll visible "hordcover"
thereon. It does not purporl lo show any other irrprovanents or encroochrnents.
�C9flED PEVISYIN
DhTE OES[]iPl1011 1 fEftEBT CEflTfY TMAT THS PLM/,SPEQIC�710H.OR R[PpRT 'XxE
�,�, GRONBERG & ASSOCIATES� INC. WAS PREPAREO BY 4E OR IWEp�!f pRECT SLPFAVLSION ANO � =Zo�
l�ui I AN A 0.lr tcCNSEo PaOfEssXMlN.[McfEEn ND-LAhD
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ECD CONSULTNG ENGlEERS, LAND SURVEYORS, SITE PLANt�ERS 7_g_p,y
�� 445 NORTH WLLOW DPoVE,LONC LAKE,W1 55356
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MSG 952-473-4141 es,c J�dt w i�r.sr Ma.eca��,7�/' �3-Z5f
03-251
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Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release 1
Data filename: C:1Documents and Settings�Boyles�Ivly DocumentsUays' Stu�DRAWINGS\blount energy code.rck
COUNTY: Hennepin
STATE:Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/OS/04
DATE OF PLANS:March 29, 2004
PROJECT INFORMATION:
Blount Remodeling
1390 Cherry Place
Orono,MN
COMPLIANCE:Passes
Maximum UA=445
Your Home UA=415
6.7%Better Than Code(tTA)
Gross Glazing
Area or Ca�ity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 980 44.0 0.6 26
Wall 1:
Masonry Block with Empty Ce11s:Interior Insulation 766 11.0 0.5 18
Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 446 0.330 147
Door 1: Solid 20 0.200 4
Door 2: Glass 40 0.330 13
Door 3: Glass 53 0.330 17
Wa112: Wood Frame, 16"o.c. 1224 11.0 0.5 108
Wall 3: Wood Frame, 16"o.c. 1063 19.0 0.5 63
Basement Wall 1: Masonry Block with Empty Cells 226 11.0 0.5 13
Wall height: 7.3'
Depth below grade: 6.7'
Insulation depth: 7.3'
Window 1:
Basement>5.6 ft2:Wood Frame:Double Pane with Low-E 19 0.330 6
Furnace 1: Forced Hot Air, 90 AFLJE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.330 0.370
Includes FoundaUon Windows>5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchecT�and to comply with the mandatory
requirements listed in the REScheckInspection Checklist.
Builder/Designer Date
1� DATE C5- TIME V
CITY OF ORONO CALLED IN � � ��
INSPECTION NOTICE SCHEDULED � Ts��n..
PERMIT N0. ��"���� COMPLETED
ADDRESS U �` ���. �C�
OWNER CONTR.
TELEPHONE NO._� ��v� ���C ���3 U C �
� DESCRIPTION_� � � ��Gf.,-� /'7 U-Z�C./LQ�
� 01 FOOTING 11 MECHANICAL RI 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
? 09 PLUMBING RI 23 SEPTI AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION _�TEMPORARY .�-/8-D�
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlContr site:
Inspector.
White Copyllnspector' File Canary Copy/Site Notice
DATE TIME ✓
CITY OF ORONO CALLED IN �-Z-�'�-P
INSPECTION NOTICE � SCHEDULED � -Z� � ,['/'UnAM
PERMIT NO. UO�k�J�/ COMPLETED
ADDRESS ��� ��—Qe.�ry ��ctCQi
OWNER CONTR. �� �yt�SG'r1 �S�
TELEPHONE NO. �G�� o��� ��/o�.� _
�- pE9GR�PTION S'fiDv�
� �1 FO 11 ECHANICAL 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
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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. �95Z� Z49-46��
Owner/Contract
Inspector.
White Copylinspector's File Canary CopylSite Notice
.. 1 ��� � ✓
CU ' G�A TIME
CITY OF ORONO CALLED IN /' ��
INSPECTION NO I E SCHEDULED - ��LL
PERMIT NO. 3 COMPLETED
ADDRESS D
OWNER ONTR. I � �f
TELEPHONE N0. �O��' �03� g�03�
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 DEMO-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_NO
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� .Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the xt inspection 24 hours in advance. (952� 249-46�0
OwnerlContra site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
�� DAT TIME �/
CITY OF ORONO CALLED IN �2
INSPECTION NQ�ICE SCHEDULED -D /D!3.0
PERMIT NO. /'[�7�,39 COMPLETED
A D D R ESS �.39D C���Pit�l�l.1 �.+���
OWNER CONTR. ��
TELEPHONE NO. Y��� �O� C���
� DESCRIPTION ���n
� 01 FOOTING 11 MECHANI AL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANI AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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 Rt 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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n t insp ction 24 hours in advance. (J52� 249-46�0
Owner/Contrac r site:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice