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HomeMy WebLinkAbout2007-P10816 - mechanical � � PERMIT CIT`� OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10816 Crystai Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3/8/2007 SITE ADDRESS: 560 Big Island Unit# Excelsior,MN 55331 PID: 22-117-23-31-0002 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 368.76 Valuation: $ 29,501.48 State Surcharge Fee: $ 14.75 Misc. Fee: $ 1.50 TOTAL FEE: $ 385.01 APPLICANT: Christianson Plumbing&Heating OWNER: Christian Family Church ET AL 312 West Front Street 509 12th St.NE Albert Lea,MN 56007 Owatonna,MN 55060 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO A[,L WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. < '��l.J APPLICANT PERMITEE SIGNATURE IS UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, I-Septic) Page 1 ' � „ FOR CITY USE O\'LY ., ,¢p� City of Orono � P_O.Box 66 Datc Rcocived: Pcrmit# --_._._. . t �,; ' 2750 Kelle��Park�cay � �i . ti� ��� Crystal Bay,MN 5�323 Approved By Amount$: i � ����,o �J (952)249-4600 �-;�y#'�O'0'S^�r CITY OF ORONO—MECHANICAL PERMIT (All Commcrcial permits must hc appro��cd by the 13uilding Ofl�icial or Inspector and/or Firc Marshall) GENERAL 1NFORMA"['ION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PGRMI'TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UNTIL'THE PF,RMI'T CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. ?. When any new constructio��or rcii�odel�ng is im✓olved,a separate building pennit must l�e obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT � (Check All That App(y) � Residential ❑Commercial (Approval Required) � New �� Additiona) ❑ Repairs ❑ Replace .tob Site/ Owner Information: SiteAddress: � 6c Qiq 1SLAhc� O �'��� c MN Owner: !� � �e l e r S o�v' Mailing Address: I 6 `�/�' 1,. ��vc,h /�i�'� _ City: 'L �kev,il � MN. 'Lip: �Sc� Yy Home Phone: 9 S' Z - �S�!F�- y 7 y z A Iternate Phone: �j l.Z-3 v 9- S�v E Contractor Information: Contractor: G h r��r.ti� 5��v �'-r'N, Contact Person: .� I< t i 1 y Address: 3/2 /�i-r N T S �; State Bond #: f3�2�v ti 7$(o 0 3 f�/herT City: l,,,z,0. /vI N. "Lip:Jboc� Expiration Date: J✓o v, i �/ - Z�c� 7 Phone: �°�� 313 - 13� f Alternate Phone: �c �s�7 - ti°z - 6�'i t � Pci�c.r N�. Insurance—Current: �NP-- ZSo�dvy —z2 1 � � MECNAMCAL S�ST`EMS BEING INSTALLED HEAT'ING SYSTEMS 5 � e. I� tta��C �1 �a �j � S Yu i j��G Ll • 1 ��� Quantity: j Make: �G o N q,Y' Model: _ Cj 1�✓ 7 7 j j�rd ro•N .�G �. ¢a f /�v h.P Fuel: C� Flue Size: Q Input BTUs: Output BTUs: � � 0 0 C} cF�vt: Z� 000 _ -- - — COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACGS � ❑ Gas Factory Fireplace (� ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal /' `�- Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside L,P Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: N. /� - 2 . � _ �_._.__—_____ __ � PI�.CZMI"T F�:E CALCULATION(S) - BASED OFf - 2002 STATE STATUE ❑ Ycs,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies, Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT �`�E C�L�t1LATION{S —J�BS OVER$500.40 ::�.... ' � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ay. SOt . �{g x .0125 $ 36�b-76 (contract pricc) (minimuiti$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum I�ee uf�6.5(I) a q So i . �l S x .0005 $ � . 7S --- —-----�----___--- -- contract pricc) (minimum$ .50) 3. POSTAGG& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 �.S . U ( ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are turnished 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 Building Department at(952)249-4600 for the price. MEC�AN��A.L P,��:1�iT AI'PI,ICATION AGREEMENT � 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: ����'Yp� Uate: 3� j /o� Reset Form 3 � m - JOB CALCULATOR � DEI4LER NAME �� � �� DA'� �I � . � � JOB NAME PREPARED BY: BUIIDING EQUIY HEAT CEILING CATH CLG REQ'D AREA SQ FT FACTOR EACTOR CONSTANT LOSS HEAT GA�N HE{(iHT AREA CFM MAIN FLOOR 3.413 38725 2246't � 1118 BASEMENT 3.413 2364Q 1371'f 7�,q SECOND FLOOR r '� ' 3.413 17898 10381 7qg THIRD FLOOR 3.4i3 0 p p [iARAGE N1R N!R 0 �15 BTIf'SlFTSQ � TQTAL 80283 46582 252g � a HEAT PUMP MODEL: � Coil � _ % SIZING TARGETS HEATING CAPACITY: 101.04% 759�a-10895 COOLING CAPACiTY: " 14a.49% �0��-200� aa FAN CAPACITY: 3.2 ROTATIONS (3_�� � REQ'D AUX HEAT (KUI�) (} � N BUILDIHG FACTOR FACTOR E�tJNALVENT SQUARE FFET FACTOR m � Super insuta0ed home 6.7 Moin floor 1.00 ^ Typical new home{R19,R40)1 aliding door,1 dosad 5r�epaoe 6 �p��� p 65 � Same as above wilh open firepleoe or lots oi ylass 6.5 Third floor 0.4D I�sulaEed?X4 wall�,R2D aeiliny,paod windows 7 Basemant 0.50 7�C4 wells,marpmal inaulation and xrindowe 8-10 Walkout basemenl p.gp m Note:For house�wilh N 300 ft iq on t1�e maln level,add.3 to�e building isetor m NOTE:This f�rmula is for use in ass�ating our dealers in pneparing an appno�amate heat ioss and heat gain tor a typical residential structure. n Do noi use this fnrmula an cammercial, rnutti unit res9dential,or log homes as heat losses may�ary greatly. , =�m White this formula is accurate for most residential appfi�ations, it requires the dealer ta subjectively assign values. Terra-therm is not�esponsible ior the use or misuse af this guide. ha�gren at-0z � � � ' �v,_� • TERRA►-THERM, iNC. 507-463-3213 ,n�� MAT�RIAL ESTiMATE DATE: z�ro� GEOTHERMAL sYs�M GU4TE: Peterson GWT71 VS Fan Cal Open � PREPARED BY: Daa Cartdl NAME: Christianson P dt H PHONE: 507�73-1301 CONTACT: Kelly � FAX: ADDRESS: 312 Front S� Albert Lea,M�T 56�7 CELL: 507-4�-G441 E8T.hIEI►T L033: H0,263 btuJhr NEAT GAIN: 46,552 btu/hr This is a 2 story home with a walk out basemant Th�is 16Tlsq R on the main,1055 sq ft on the second and 1677 aq it in the b�sement.Ttus home will be he�tted and cooled w�h an open IooP hydr+orr�cc t�t purr��ec�ed tc s 52 gallon bu}fe��nk.The butfer tank witl serve a VS fa�cofl and a radiant tbor zone(by oti�ers)�in the basemont This unit is sized to 10996 of the esfimated heat bad. Resistance he�t is provided in the fan coii for arry backup.This heat pump wlli reyuioe a minimum water ibw of 11gpm and the FS Fan Cod is c�pabte cf 20Q0 cfm a�xi w�l naed to bQ set s�o�di�gy 9�s.P,.�I�. DESCRIPTION DEAL�Ft TOTAI. UI.TR/l HYDRONIC HEAT PUMPS MlITH R410A YMITN GUPRO NIGI�� � � 1 E1-Z771N GW771 Hy�dro�riC N�at Pump,7 Tan wRh d�suparMaw YYICUPRO NK�C�L 81,'100 4,255.00 4�255.00 FAN CdLS AND ACCESSORI�S �s.so�o 60CWA-15KW Fan Cail fot Heet d�Coc�j 2.OD0 cfim w/15 kw�kctric hes(OR��) e85.00 o_oo BZS-2025 /411er�Y Gold Washable Air Filter,2tr'X 25"(4aCWA 3 BOCWA Fen Cals) (Optio� 98.00 0.00 �1 Mt-7000 Variabls Spobd Fan Cpil,3T.4T,STwith 10kW 1,388.00 1,386.00 1 L3-0019 Foam tnsulated Pump Pack, 1-Pump,UP26-99F,115 VAC, t"Flange 274.00 274.00 1 M1-4B23 Dlgitsl T?�ermo�t(2 Stege H�tirg�St�COOI� ,0.00 �0.00 1 M2-0154 ChsCk N81ve, 1"Brass S1�rirq 93.00 13.00 2 E2-0300 P!f Plug 1 J2"MPT 4.00 8.00 BASIC ACCESSORIES 2 E2-0120 llir Pad�24'X 30'(Tor verMcal e�bNf�s 8 A�drorrc units) 17.00 34.00 t E2-013f Hurdmr Soierwid Valv�wilh 24 vok Connea�or 51.00 51.00 2 M2-0008 Fbw ConOrol Vahra.6 GPM (Plumbed in pae�INl) 33.pp g6.pp 1 M2-0115 Fbw Meter,1'(Brass Thrcac�4-7 Ton 7'.f.OQ 75.00 1 M2-0141 1"Delu�ae Wate�Fpter g,��p r�,�pp i M2-0135 Di�tai Podcet Thermomder wph auto shut a1f 28.00 28.00 1 E2-0110 Water Heater AdaDte�(for desup�ter) 34.00 34.00 2 E2-0300 P/T Pk�1/2"MPT 4.00 8.00 HYDRONIC 8YS7LM ACCES$ORIES ' 1 L3-00208 Foatn ina�daled Pump Pack.2-Punp.UP26-98F.230 VAC.1 tJ4'Fl�e ,60.00 460.00 1 t.3-00158 F�io�FGt.15'Fb��altM"PT Pk�a tvr 1"Neaitt Pur►1P Con�eUor 70.00 70.00 1 N12-01b2 Hydrontc Controi Moduie wVs�nsor 6 welt(152 Htg.81s2 Cooikq} 845.00 816.00 1 M2-0186A &edder Tank.5 geibn 3g.pp 3g.pp 1 AA2-01M8 �Nvver�t J�.AU F.Urrdnalo►�Br'ass Sw�t� 1"NP to 16 GPMI 83.00 83.00 1 I�A2-017S PresaurolTemperoturz C3auqe 19.00 19.00 1 M2-0301 bZ Gallon Bufler/Stora�e Tarrk �15.00 415.00 13 L3-0031 ProPY�Gh►��P�9a��U►vsi�Dle irt S gst.�3 gal.amounts) 20.00 280.00 1 tor hes�tln �nd coolin ui MAtER1AL Cd3T 58,486.00 VOLUME DI�UNT SUBTOTAL 58,486.00 SY8TEM DE�IGN ASSISTANCE SUBTOTAL i8,486.00 ESTIMATED FREKiHT s��.00 PRICES QUOTED ARE GUARANTEED FOR�0 DAYS TOTAL id,629.00 W9CI.AIMIEIt: ThN s�tlmr.d heN�c�HO�Is br uw In N�0 ax wNMs In piapawq�n�pptmArrNle hert�br s qpleat�uc�fn. whnt 1��Mrnst��sawaN ta mo�t oppllCNlon�.N 4 p�r�p�Ir1�1y!lMnNd. Tefn�Thefal,d1c.�aNs�IpOn rMDrtlMYon onl!tl9!!p�aiitled m n hY Thhd D�los fo plpalsl��s0 NBBt foWp�in. Ts►r� ThMnI�ble,If1McN no eaprMNhM01n 01 w�anNtlas Os b Mf9 oomlNeto��oao or aaua�,y d wch edknales. EsWnaqd hsBdpMn I�oe and eq�prent�wytlons aie supplbd upon I�s eontliNon 1f�t eis pa�o�w rsosiv�g fhs�arns wIN mUae tlWk wvn de0erm4�llon as to Its auf�bluly torthair O+Kp�P�bo use a�aorx�atlon w11h tha malck�g af anp aed.ae. rer..�enn.x�m.kes no■erra�,nss wNn ee.psr.t n�ae�.nd ww nee w►MOa a you a�ny eUna puqr ar anr d�+�ge�d r+r Mnd.Ine4dina but na�n,r'6ca to.�rect. Indh�al,lnNdn�l a aorieapwNial doea�pes 1f USI11g�eX�E TOf pIUtI1bI fOf� $ G�o OEALER PRICE QUOTE Fom� �9 9� Y�use 1 aize larger than copper pipe size. , � , �: v � Z N " ^ O �o e� � �, � g �G �� � N � m �� S C � �' ,°�,� � � oc � � G? W� �r {ru L y W � � � 0 �' � i f- � Z � � �m y •xm � Q -�. '^ �� �m� t�� � � �� d�i � � 'Z'f .��� � � � ��� � � v ~�O �� � � �C � � O � �o To � � a� � W~� 7� B � � � ��� �� — E _ �.��� � �� � � � � m =� � .��--� o �� . m � �o .�� mob— � �� ���m � �- c� m a�� � ~`��_ ��- �o � �� �.�., ^�� J � a� � � = S � �� ���.�� d� � o �a ;,,__ _ Q a �����, � .� �_ � �o �� � �m � �, �� L p O � �� ^ ` �O �' .� (O Ll {p r�. _ � d �> - u.Q Q �- ��a� �� � �' d w � �� '�� Z . �w�.� �., Ey � o 'q a � �o � N -Q a o V � C �� �� r � � � a�' cjo �' � O C a =� ,x ,$ � � t� � °' a ���� � � - � � _ � �oo � m � .� U 8�� a �' � --�� � c s 'D vaoo= ` � �a :-.� a ssss .. � �C V V t C �� +� �a ����3� _� g a� � � i� 52a5 �� Q� . � o o � r � - �_ � V `_1 1 {, ! . ! 1 ., . L t � 4 C r . ..� . ���1�EPTU�L PLtJf�� l �I� D � � � ' i � R�1�'1 - � w e'`�(a"k` . UP26-99F ; Foarn � FOR STORAGE Pump Pa�k (This second pump is. Bladd�r TANK DETAILS i�oraqe�nk required with Rress�ure SE� OTHER 6 &7 ton unitsj � 7o water p��t �, � Hot Cold � Tan�C DIAGRAhfS storage tink "'� � � � � OatrlBall � � ` walve '�at�r Water F11ter � GeoSoUre� 2000 � Supply • pW geries Hydronic � Hose Bibb HE AT PUMP t3ate�Bait P�T parts �T� � y���Ye �� Nydro�iG Wa#er Heater �Flow = � Meter • !N From Well ; Thermom�eter Wttls Flow Control Solenofd#a�vt Hose Bibb�" �T To Drain : Vaiv� ���T�Desuperhea#er � Drain �Vl�RtiINO: ' . �```Air Fad � This is a concep�ual drawinq. Esser�al ; ; componerrk ha�re baer�amimed ior ihe pu�ose aF Gate aat� valves . .�::: ..... -;� Clat'ity. AcB�al sysEems mast be construc�ed Hose Bibb Wa�er Heater Adapter acc�r�in��a aH approprfaD� codas and acco�fiing�O . Drain . �ccep�6ed�lumbing practicea. �����ur�� ��0� Nydranic VV►ith D�superh�at�r � opt�a��� � �p�r� ��! I � �t�� � � � Cor�mon�Dealer lalanual DiagramsjFiydronrcs Plumbing Diagrams�hydrowe0 TERR�THERM, iNC_ Revised 3-16-05 ' ��� � � � D T V ( �c1-TI�� �� CITY OF ORONO CALLED IN INSPECTION�T���� SCHEDULED �'� � �� •d� PERMIT NO. I COMPLETED ADDRESS �q�I�'�� OWNER�rYI r�'��.'1 COIV�" TELEPHONE NO. �7— �• � I �� � � DESCRIPTION _� `�cX�� ��� �- l� 01 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 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 � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C o — , _ �1� ��o /y (,'j� � /c��.� � � 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED !-! ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �� , ./`'' White Copyllnspector's File Canary CopylSife Notice <� D E TIME � CITY OF ORONO ��D��OCALLED IN ����� INSPECTION NOTI SCHEDULED �r���� � PERMIT N0. � COMPLETED ADDRESS CP D ! � � l .� OWNER CONTR. TELEPHONE N0. � �� �� 7��—��`f� � DESCRIPTION 1�.L, ��� 1!V����CJ �`"r7�,j� � 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 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � , !-� - � ��S '1` �� �S�L � J r�V 1 � �� � � 0 � W � Q l� �; � �a� - � z W � W � j d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W,�CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on s te: Inspector.�t,9 � t �� White Copyllnspector's File Canary CopylSite Notice �.{��� C�-I� � D E TI M E ���� CITY OF ORONO < "ca��E�iN ��� INSPECTION N I E SCHEDULED 2 'd�] //:tT� PERMIT NO. � COMPLE ED ADDRESS � �L OWNER CONTR. � � TELEPHONE NO. � DESCRIPTION i'f//�C��- �' /�- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � j d sr W �WORKSATISFACTORY:PROCEED L� PROJECTCOMPLETE � ��CORRECT WORK&PROCEED r! ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL AETURN G STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. � . .��,�—� ����� White Copyllnspector's File Canary CopylSite Notice