HomeMy WebLinkAbout1993-005290 - ret wall/bank repair .� PEI�MIT �
CITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway • P.O. Box 815 Permit Number: �-�' '���'� ��}�� ��`'��-�
Orono, Minnesota 55356-0815 Date Issued: !";�";.�,����!"�
(612) 473-7357 i�r,.<�_°�;:�'a:;
SITE ADDRESS:
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CONTRACTOR: - �����Z ?��,��t. - OWNER:
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qEPL:ICANT PERMITEESIGNAiURE ISSUEDBY:SIGNATURE ��I �
/
, CITY OF ORONO - BIIILDING PER�iIT APPLICATION
Total Fee• $ ���j` Y�� ' Date Received:
Date Approved:
Entered By: �1� �
Permit tt: �`
AT•T• INFORMATION MUST B$ SIIBMITTED IN FDLL BEFORE PLAN RE�71EW WILL Bg STARTED
(See Check-off List Enclosed)
---------------------------
-------------------------------------------
TgE APPLICANT IS: (circl.e one) OL�TNER or CONTRACTO
JOB SITE ADDRSSS: � ��%� ' ���hY�S �� ����t ZIP: . 5�� ��l �
(work)
NAML OF OWNER- � Li.�' �E�( � C�i��. C i�i� PHONE: (home) `� 7% ' �9L�
MATzzxc An�xEss: � ������ I���(�,� � �=�fi� - �� ��� cz�: r^�,�a�� zzP: �_S��%
CONTRACTOR: �-�L NlL S �ik�,'l C C{���'��� PHONE: � �� C,,�r--�i � -
,
MAILING ADDR.ESS: 1 j� 1 l ��ISlud� i�lv�� , CIT�: ��'���t ZIP: _��,Zf�_
STATE LICENSE: #
ARCHITECT/ENGINEER: C� �viL �-�t'�. r��l 7I�/l�� S ,.-��t '-= P$orrE: �� '� -' /�'�� -1
MAILING ADDRESS: % ��-- �,� � �I S, �`� /L , CITY: j� ;� �S ZIP: � S �`�j
T
� R.EGISTRATION �
NAME: — ���� �!% �
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
P�ZOPOSED WORR (describe in detail) : ��Oc�v�«v' ��Y1 r� r E�E ��1 C[�� ✓P�U.� N i ►�a
�
� l�
STORIES: SQ. FEET OF EACH FLOOEt:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
c-�
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � �G�`U -
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 wil 1 be in accordance with the approved plan. �
..-.,-/-_�> L �/ "�
- '�G 2�L� , � �2G� DATE: � '� � � l >
APPLICANT'S SIGNATURL''.
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` � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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s ' e y ��� On the North Slzore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would Iike 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:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense 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 snared with other Iocal , s`ate or
federal agencies to the extent necessary to process the permit ar
Iicense.
4. If your requested permit or I.icense requires Councii ac�ior.
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to rev�ew private
data on yourself.
6. Your fu.Il name is required to proc�ss this application or
permit.
� �� ���� �__ ��� ��l ;+ i
First Middl.e Last�
__1 �C� � � � 7<< E'��i L'Y l�> � 1%��C ,
Address
-;� 11 )�� ��y�I/� ; � �-,� _��/ �-_
City State Zip
�� 7 ,.� _ •--> ---
-__���� � ���(�) -� �
Phone
I understand my rights as stated above.
.
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_ � �
�-
ignatu�€
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OrrICE USE ONLY
P_DDRESS OR LEGAL: t"�OO (?SOHti1S POINT" CL� __ PID:
DESCRIPTION OF WORK: L,141C,E$l'�'o� �d.�'T'19�^`tN'S c�s�•:S / B�k- �''��Z
---------- -------------�'�----------
ZONING REVIEW BY: DATE APPROV$D: G' L�� "'q� _
_ -
� BIIILDING REVIEW BY:
DAT$ APPROVED: C' Z�� � ?
--------
------- -----------
�S � B$ ��. Misc. Fees Calculated By:
PERMIT Yes �/ No � -
PLAN REVIEW Yes V Na , SEWER CONNECTION
; STATE SIIRCHARGE Yes��' No WATER CONNECTION
' INVESTIGATION FEE Yes No l�� P�R FEE _
�
SAC � Yes No SITE INSPECTION
; OTHER (specify
; Number of SAC IInits ___________________-.
' --------------------------------
ZONING CHECK I,IST Zoning District:
Fire Department• Post Off ' c�� Schoo�. District:
, Lot Area:
d� Depth:
�
Survey Submitted: s Date of Survey:
i
! Proposed Setbacks :
Front (Lake) : Right Side:
Rear (Street) : Left Side:
�
Adjacent tures • tland
�
Buil.ding Hei . Def. gt. Peak H
; Avg. Set c Lot rage:
' Existi.ng - ; Propos
.
Hardcover: 0-75�, � . • ,
i
75-250 ' �
� 250-500 '
�
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
i
� Grading: Staff Approval Date: _ By: Council. Approval Date:__
Septic: Staff Approval Date: BY=
Zoning File•� Resol.ution �: Resolution Date:
RF�sAggS (1.II honse) :
''IIII,DING REVIEW CHECK LIST �1 ' '
�BC: I✓�If"
CONSTRIICTION TYPE: / � /�
Sq Footage $ Per Sq Ftg
asement X - _
s� Fl.00r ' X =
.nd Floor X -
arage X _
x =
.:'OTAL -
- 8stimated Construction Valne: $_�, � �
6 ��
�nspections Reqnired: Work Reqniring Separate Pe=mi.ts: -
Site ' P�umbing Grading/FiJ.ling
�Footing Mechanical Fire
Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
WaI.I. Board (Masonry) Lawn Irrigation
Final Other
-� (Mfg.) WeII. (State Permit}
Other
Electrical. (State Permit)
-----------------------------------------
F�IARKS (IN HOIISE) :
._--------------------------------------
�VIEW BY OTHEKS: DATE:
Access: Existing ' New
Access Approval.: Date By=
----------------------
----------------_---
.,�MARKS (TO BE NOTED ON PERMIT) : �1'S5G4.`Tze^j �-�,J t�-�•"d R i s'T!�/lT Q�'
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�� fr „ ° �� � � .�Y ����� CITY OF � �� ��
� ��.,^.� Permrt N:unt�r (JE./1.�+/r:: "'"h„,, >�',�'�' -�,?
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June 21, 1993 ��o�o
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............,,s;,,�,�l;t,,; -
Ms. Jeanne A. Mabusth, C�� �� ����o
Building and Zoning Administrator SlT� �l_�t"��: ....�.. �w��ADING P1AN
City of Orona C��PPRG+i'���'�
Post nF�ice Box 66 � ❑ `,Pp,�{���� ` '�' ' � ::��NS
Crystal Bay, Minnesota 5�323 ❑ DI�A�P `
;,;
BY .
Re; Kobert Owen$ Shoxe�ine Repair DATE �•2s -� 3
File Na. 139-1$38
ne�r Jeanne,
We liave reviewed the soil boring logs and constructian d�tails for tl�e proposecl concrete
modular block retainin� wall on R�bert Qwens' property. The proposal is to constzvct a
two tier wall with 3;2 {k�o�zontal to vertical) intermediate slopes and geogrid restraints.
The previously constructed embarikment was constructed at a lcl or 1.5:1 slape and has
subs�quently failed, We feel that tl�e groposed wali is feasible fram an engineering
standpoint.
Due to the marginal soils in the area {some ciayey silt), close cvustruction superv�sion is
recommended to insure adequate compactian of the embankments, The soil s1�vuld be
placed at near optiznum moisture canditions. Tl�is may require that moisture correction
techrtiques be nsed if the sails are overly wet ar, �very ual�sely, dry.
Please eontact me at this of£ice if yrou h�ve �ny qiiesti�ns reg�rding tl�is matt�r.
Yours very truly,
BONE5TR04, ROSENE, ANI7ERT.IK & ASSOCIATES, TNC.
k��n �. ��.�� zT
�
Shawn D, Gustafson, P.E,
, �
C;to G.Bcnes:roo.PE. HowarC r1.Sanfcrd.P�. �t,c�ael P.Rau,PE. Mark D.\4'a!I�s.PE �
BO���}�OO �4ob=rt W Rosene.PE.* Keith A Gordcn.?E. P^Jio J.Pyne.PE. Miles 9.J=rsen.PE '�'�'
L Joz=ph C A^.derhk.PE. Robert R.P'effer!e.PE. Agnes M.Rmg,A.IC.P L.Ph�lup Gravel ul,PE. ��..r`
ROS��� . Marvin�.Scrva!a.PE. Richartl W Foscer.PE. 7hemas W P=reaon.P.E. Kzren L.Wiemer.,PE.
R�cnard E.Tumer.PE. David O.Loskoca.PE Michael C.Lynch.PE. Gary D.Krs[ofi¢.PE.
Anderlik & ""�n R Ccct.PE Rober[C Russek.P.!A James R Maland.PE F 7odd Foscer.PE
Themaz c.Nc�es.PE. Jerry A.Bourdon.PE. 'erry D.Pertzsch.PE. Kerth R.Yapp.PE.
RCDe�^G-Scrur�chL PE. Mark A.Hanson.PE. Kenne[h P Anderson,PE. Douglas J.BenoiC PE.
�������t�� Susan M.Ebenin.C.PA. Michael 7 Raurmarn.P.E. Pdark R.Rolfs,PE. Shawn D.Gustatson.PE.
-�rnor Cor<c�,[ant Ted K.Field,PE. MarK A.Seip.PE. Cealio Olivier.PE.
Thomas R.An-1^.zcn,AJA. Gary W��lorien,PE. Charlez A.Erickson
Engineers & Arehiteets Donald C Burearct.PE Dar.el 1 Edgerton,PE. Leo M Pawelsky
Thomas E.Angus.PE. A!lan Rick SchmidL P.E. Harlan M.Olson
Ismael Martinez PE. Phirp;.Casweli,PE. James E EngelharC,
June 8, 1993
Ms. Jeanne A. Mabusth,
Building and Zoning Administrator
City of Orono
Post Office Box 66
Crystal Bay, Minnesota 55323
Re: Robert Owens Shoreline Repair
File No. 139-1838
Dear Jeanne,
Subsequent to our inspection last Friday, we have prepared this letter regarding the
proposed shoreline repair and retaining wall on Robert Owens' property. The proposal
is to construct a timber retaining wall at the top of a 3:1 (horizontal to vertical) slope.
The previously constructed embankment was constructed at a 1:1 or 1.5:1 slope and has
subsequently failed. We feel that the proposed 3:1 slopes and 4 to 6 foot wall is feasible
but more detailed plans will be needed. The wall will need geogrid ties or another
approved support system.
We do not recommend timber retaining walls as a permanent solution. Concrete
modular block retaining walls are a more permanent and expensive option that should
be considered for this application.
Please contact me at tbis office if you have any questions regarding this matter.
Yours very truly,
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
,����`'�, �. ,
�i' �
Shawn D. Gustafson, P.E. `
2335 West Highway 36 • St. Aaul, MN 55113 • 612-636-4600
1 � j W ' '� J
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GME CONSULTANTS, INC.
CONSULTING ENGINEERS �"
F�
14000 21 st Ave.No./Minneapolis,MN 55447 �
Phone(612)559-1859 / Fax t612]559-0720
October 19 , 1992
Mr. Robert Owens
1700 Bohn Point Road
Orono, Minnesota 55391 GME Project No. 3766
RE: Preliminary design concepts for the shore line slope repair
at 1700 Bohn Point Road in Orono, Minnesota
Dear Mr. Owens:
This letter presents the results of our field surveying and preliminary
design concepts for the shore line slope repair at your house at 1700
Bohn Point Road in Orono. Authorization to perform this work was your
acceptance of our contract addendum dated October 9 , 1992 . This report
concludes the scope of services described in our contract addendum.
Pro�ect Description
We understand that the slope along the Lake Minnetonka side of your
property failed during the "superstorm" of 1987 . In 1988 , the slope
was repaired by Outdoor Environments, a landscaping firm from Shakopee.
You stated the slope was stabilized by placement of geofabric. The
slope was reshaped and fill was placed with a small bulldozer. The
fill was common borrow and contained broken pieces of concrete from a
razed beach house.
During the heavy rains in the week of September 13 through 18 , 1992
approximately 5 inches fell one night and caused a failure of the mid-
section of the slope. You stated that prior to the failure, the crest
of the slope had experienced some settlement. During our site visit on
October 8 , 1992 , we observed the failed area but did not see any
geofabric protruding from the exposed slope. You have subsequently
learned from the contractor that geofabric was not placed during
original slope repair. Also during our visit, we observed a tension
crack running parallel to the crest of the slope, approximately 5 feet
back from the edge. This crack traverses almost the entire length of
the slope. You stated that this crack is located at the approximate
boundary between the fill and the natural soil from the initial slope
repair.
Scope of Services
For this phase of the project, you requested that we establish three
survey lines perpendicular to the slope in order to prepare cross
sections of the slope. After preparation of the cross sections, we
were to present preliminary design concepts for repair of the slope.
WILLIAM C.KWASNY,P.E. THOMAS PAUL VENEMA,P.E. WILLIAM E.BLOEMENDAL,P.E.
6REGORY R.REUTER,P.E. WYATT A.GUTZKE,P.E. MERVYN MINDESS,P.E.
MARK D.MILLSOP SANDRA J.FORREST STEVEN J.RUESINK.P.E.
An Equal Opportunity Employer
, �
Mr. Robert Owens
GME Project No. 3766 2 October 19 , 1992
Results
On October 8 , 1992 , the writer and an Engineering Technician obtained
elevations along three survey lines extending from the existing house
perpendicular to the slope and ending at the edge of Lake Minnetonka.
Line 1 was established approximately 20 feet south of the north edge of
the house; Line 2 was established approximately 50 feet south of the
north edge of the house; and Line 3 was established approximately 75
feet south of the north edge of the house. Attached are the cross
sections based on these elevations. Line 2 was established through the
existing failed zone within the slope.
As can be seen from the attached cross sections, the slope is divided
into approximately two portions. An upper zone having a sideslope of
approximately 1. 1 to 1. 5 horizontal: l vertical; and a lower zone having
a flatter slope of approximately 2 to 3 horizontal: l vertical. Based
on the preliminary data, it is our opinion that it is the upper steeper
zone that is marginally stable.
Based on our engineering assessment of the cross sections, we submit
three possible remedial schemes:
1. Reshape the entire slope to form a
flatter, more stable configuration
2 . Construct a double retaining wall
eliminating the existing sideslope
3 . Combination slope with reshaping and a
single retaining wall
We have included preliminary drawings outlining these possible remedial
measures. After discussing these with you, we understand that
reshaping the entire slope is undesirable since this would require
losing a large amount of ground and trees. If one of the two remaining
schemes is chosen for slope repair, it is important that the existing
fill soil be removed and replaced in a properly compacted condition.
The natural soils should be benched, and the fill placed and compacted
in horizontal lifts, thereby eliminating the creation of a potential
failure surface between the fill and natural soils. In addition, the
use of a geotextile behind the wall would be beneficial for
stabilization. It should be noted that alternate 3 would be less
costly than alternate 2 , since a rough budget estimated cost for tied
back timber retaining walls is about $10 per square foot of wall.
�
Mr. Robert Owens
GME Project No. 3766 3 October 19 , 1992
Prior to construction, we recommend that a topographical survey be made
of the lot by a Registered Land Surveyor. This topographical survey
would be integral to the successful design and construction of the
slope repair. In addition, we also recommend that test borings be
performed to evaluate the engineering properties of the soils for
purposes of conducting a slope stability analysis. The borings should
be taken within the existing slope and near the crest of the slope.
Due to difficult site access, the borings would probably have to be
performed using hand augering techniques.
We trust this provides you with the preliminary information needed at
this time. We would be pleased to assist you once plans have
progressed further by performing the field exploration and revi�wing
the final design concepts. If you have any questions, please contact
us.
Sincerely,
GME ONSULT T , INC.
� .^'�-i-� -�'`t
Gregory R. Reuter, P. E.
Senior Project Engineer
Mervyn M' dess, P.E.
Principal Geotechnical Engineer
Enclosure
GRR:MM:smc
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' PRD.IECT SITE
Reta;ning Wall Design Orono, ivlinnesata
CLIENI' ARCHI'�ECT-ENGINEER
�iobert �wens E3oonestrao Fiosene Andertik & Associates
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Daric brawn SANDY SILTY CL�Y, trace
0.7 gravel, trace roots, grave! - (CL) iToRsoil)
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roots, gravel - firm - (CL) (FILL} r
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gravel - very stiff to stiff - (CL) `t
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�nd of boring at 10 fe�t
Hand auger used futl d�pth
Borehole backfit(ed with cuttings
Biow �c�urits obtained from an $9 pound
hammer falling 11 inches co�rQlaied to a
14Q pound hammer faliing 34 irtches-
WATER LEVE!OBSERVATIONS BORI1dG STARTED 6I�fi/93
W.L. Groundwatet not encount�red aME CONSIJLTAMS.!NC_ gORlNG COMPLETED � 6116/93
G�etaahniool�M�uri�•Environmental R�� �anc! Au �f �R��-�-E� K}`�K
W.�. while drillin or after +�oao z�.�a„�^�.r+o.
Mi�ne.poiu,MN 6b647 pRAWN CK APP'HOVED ��R
W.L. dfllll(t {e,s�s6a-�esa
JOB# 3766-A SNEET � D# �
Borin caved at 1.$ feet afi8r au er 'rhe stratification lines represent approximate boundaries
removal beiween soil types; insitu tfie iransition may be gradual.
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LOG fl� BORING B- 2
PROJECT • SiTE
Retaining w�i! Design OrQnO, Minnesata
CUE�1T ARCHkTECT-ENGENEER
Robert �wens Boonestroo Rosene Anderlik & Associates
� �A VNCtlNFINEO COMPRESoIVE STREAIGh�T4NSl�
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o N ,� � m 115,0 cn c7 z i o 20 3o aa 5P
0.4 8rown CLAY WITH SAND, S(L.T, tt'ace
roots - (CL} (Topsoi!) �$
igS �ight brown SANDY C1AY, trace grave) � 2 �►
saft - (CL} (FILL.) �
2.0 =
Light brown CLAYEY SILT - very ioose - �
moist - tML} {Possible fi11) � a
2SS 3 �
3.5
Light brown fine SAND, trace gravel - �
damp - (SP) �
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6rown and gray 5ANDY Ci.AY, trace �
gravel - firm to stiff - tCL! ' �
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End �f boring at 10 feet
Hand auger used full depth
Borehole backfiiied with cuttir�gs
Blow counts obtained from an $9 pound
hammer falling 1 1 inches carreleted t� a
140 pound hammer falling 30 inches.
WATEft LEVE�.OBSERVA7IOPIS BORfNG 3TAATED s/1�I��
W.L. Graundwater not encnuntered ��E CONSULTANTS,i�vc. gORlNG COMPLETED SI�BI�3
C3eossehnied•M�n•b•6�Q��+2+� R!G Hand Au Bf ���� KHK
W,�, whit� driilin t4000 Zlat p�+enua No_
W.L.1 9.$ f�et after au er removal
8112}668,1858 66447 DRAWN CK APPFIOVED ��R
�os u 3766-A s�+£Er 1 of 1
Borin caved at 1 Q f�et after au er Trie stratification lines represerrt approximate boundaries
remova! between sail types: insitu the transition may be graduai.
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AEINFORCED iONE 125 5D00 32 0 0 RETALNING MA�LS �
SJ�NQY CLAY !25 3000 0 S 0 �
.Rt1E 17, i9B9
p11E?S RESIOENCE
OFiQftQ, NINNESATA
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STRAf tJ, °h
Boring Number: B-2 �epth: 4.0-6.0 Failure Sketch
Material Description: r �
Brown and gray fine SANDY CL.AY, irace gravel � �
, �
Natural Moisture Constent (963: �$.0 ' '
Unit Dry Weight (psf?: 83.8 "
Pocket Penetromet�r (tsf}; 2-25 '
V�
Unconfined Compressive Strength (psf): � 26�7 ' t�1
at: 5.04 % Strain
Undrained Shear Strength ipsf): '���4
Unconfined Compressive Strengtf� G M�hC O N�S U,La S AN 4����N�.
Retaining Wall Des�g� 14000 21 st Avenue North
Ornno, Minnesota � Minneapofis, MN 55447
GC GF�R 6/93 #37fifi-A
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DATE TIME
CITY OF ORONO CALLED IN �' a�o� `�J� �_�
INSPECTIONNOTIC� SCHEDULED �-a3-93
PERMIT NO. �c7�0 COMP�ETED ,'ti�
ADDRESS f 7�1� /�� 0�,5 �� /��x--
OWNER ��,c.c��r��; CONTR.� �
TELEPHONE NO.���d r �L� 3 �
� DESCRIPTION h�C c�•�, ,�-� 1�
� 01 FOOTING 11 MECHANICA I 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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�05 FINAL J 13 METER SETITURN ON 17 SITE INSPECTION
� 07�EMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr r o�ite:
inspector. �.
White Copyllnspector's F e Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN . '� `�-3 �-� .
INSPECTION NOTICE SCHEDULED G-/�;/:'3 �
PERMIT NO. �=J�C%L% COMPLETED � ' ��"�' `
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TELEPHONE NO. `i "�� ` (',r'- .> /
� DESCRIPTION �i'� ��1� �.��;�. _��: ;� .���� ,
� 01 FOOTING 11 MEC NICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICA�FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 T VAL
Q OS FINAL 13 METER SETITURN ON ,17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
C 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
OwnerlContrac ite:
inspector. - �
White Copy/lnspector's File Canary CopylSite Notice