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Home My WebLink About2013-00948-not done ��• , , CITY OF ORONO , BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �%� Mailing Address: Permit number: � —�J '�f ��NO�� PO Box 66 ' ��3 F, Crystal Bay, MN 55323-0066 Date received: I� � I Received by: � ( Street Address:' G� y� � :i 2750 Kelley Parkway Plan review fee: O � L `�'� Orono, MN 55356 � �3 _��.� !„�k f]�i C�t'�'', Total Fee: ' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us —SC�j r -�YQ.C�(� (0• This application form must be completed in full and all required information must be s�bmitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: / / Job Site Address: �� L��/111�/�Lt� Wv� L�T. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP�LICANT INFORMATION: � Name: L.DK t� � u�. State License# po ,32'� Expiration Date: �0�� Phone: cell /� - �- office Mailing Address: � c Cit : � ZIP: �S�3$'3 Contact Person: �., t v Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: (.,��VtC,d�PS yAlaoO.C,Ov►� PROPERTY OWNE INFORMATIO : Name: L ��-�-• Phone (day): / _ � - I Address: �F 1 ?k �jZj Cit : ooK ZIP: �J^�� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of pro�ect: 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal& Water Supply �New Construction �Single Family with �Residence Addition attached garage Garage/Accessory Bldg. �Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Warehouse ❑ Public ❑ Storage �Public Water "'`Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review& permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� t � � � l�� /� 1 �( �,�,rr �!�� Ks�— � �� ,� . N� �, �. � � �' - � �� f,� � fo o� � b �''�— � �� I�.�- vc�►0�� r� �. �,�, �'�,�,- �— � STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction a. Length (ft.)= � Number of bedrooms=� �Wood/Frame b.Width (ft.)= �� Number of garage stalls: ❑ Masonry Areas in square feet Attached = � ❑ Metal ❑ Pole Bldg. c. Basement= 11(9a Detached = U �,� ❑ ICF d. 151 Story = /y� ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g.Total Area= 3�p�� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ Permit A lication ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Report ❑ �I, Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. � C/ � ApplicanYs Signature: �� /� Date: �, -- Owner's Signature: ' Date: PLAN F�EVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: � �� (T � C,/� �/� �Q �/� ��' p Description of work: `� /V '��W � �" �� Septic review by: /V }� Date Approved: � � � � Zoning review by: Date Approved: Buiiding review by: � Date Approved: q - � Y�- 1 3 Grading review by: Date Approved: �� r:�> Zoning District: �.��.�t,� Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF /AC Width: Lot Coverage: SF _% Survey Submitted: �es 0 No Date of Survey: �[�'� Revised date(?): h. � Pro osed Setbacks: � '�� "� ' `��'' � � Front(L tce) Rear(S eet) ( N S E W ) ( N S E., W ) Other Buildings Wetland � Side Si � � � � �,�. } 6 . e�e �� i� � r� Defined Height: � o� ' Peak Height:_y� FFE: J`ri� FFE minus 6 feet= ��' (Existing Contour) Perimeter linear feet = s..�}`st 50% _ ( ) �� #of Stories Ok? 0 YES ��.°�� : � FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: �`�� ., START WITH proposed floor(of the basement or crawl i�' space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding ' SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof �, r:�,� (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with £�� —'' TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, • mansard,etc:No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to `� basemenUcrawl space floor and the EXISTING the foundation. n� �„f �� (BASED ON EXISTING g grade adjacent to the GRADES , � � GRADES) highest existin foundation OR 10 feet(whichever is less). EQUALS Defined building height � ,.w EQUALS Defined building height ��,. Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff � Yes � No � N/A .� � Yes No �es 0 No 0 Yes � No � N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required a Overla District Tier Hardcover Hardcover � � Yes No 0 Yes No �k ' � Type(s): Type(s): Updated: January 2013 �`�t ��"��'�,,� ,�..3� / �(�j"' ( � (,�, v:\forms\plan review checklist 2013.docx �R �'.�+� �� Y� t"�� "" • ,�,�'� � d ��,�j._ ��.- ��f �..Lr� REMARKS (in-house): �� Fees to be Char ed YES NO ' Permit f Plan Review ,� State Surcharge �/ Investigation Fee ✓ SAC—Number of SAC Units � � � Other(specify) �/ S uare Foota e S er S uare Foota e " Basement X = $ 1 S�Floor X = $ Znd FIoo1' X - $ Garage X ' � Estimated Construction Value: $ 300,00[7`�= Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �' Plumbing � Grading /Filling � Well � Hardcover Removal � Mechanical 0 Fire �" Electrical � Footing � Septic ,e' Water Connection ,�Poured Wall � Fireplace .�Sewer Connection �', �'Foundation Survey � Masonry �Lawn Irrigation �'Radon Rock Bed I�Mfg. �'Framing � Other(specify} �" Insulation �3'As-Built Survey , �Final � Wetland Buffer � � ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED � .;. Updated: January 2013 v:\forms\plan review checklist 2013.docx • � ' • : • • 1 . emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: January 27, 2014 r�� G/L: 101-22205 V ` Re: Escrow Refund Plans were submitted and building Permit #2013-00948 was issued pertaining to 2385 Glendale Cove Lane. The project never commenced. Per my conversation with the builder, we are to discard the plans submitted. Please refund $2,500 to the property owner, Alpine Capital, LLC. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Alpine Capital, LLC 9401 73`�Avenue N#400 Brooklyn Park, MN 55428 w:\street files\glendale cove In�2385\escrow refund memo template 2013-00948.doc � � BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2013-00948 AGREEMENT made this��day of � , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")Alpine Capital, LLC ("Owners"). Recitals 1. A building permit appiication has been filed for a new singie family home located at 2385 Giendale Cove Lane the ("Subject Property"), legally described as Lot 10, Block 1, Glendale Cove, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsibie for under a building permit application. The escrow will also guarantee reimbursement to the City for ail out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may aiso be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2013-00948 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. aESBiJRSEMENT FFcUfvi ESCft�i�v ACG�UNT. in the event thai the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§ 415.01 and 366.012. CITY• C TY OF RONO OWNE ' . By: �tS: � ' �( 1.�L" � �iG� � � �C�'e� °� �. J 4� .�u��:��.�-�` � ��.�� ,_ �� _�� , �� ;;�: � � . p..� ...,....:.b..,. _,..- ,,,..r�.�.�, ._< ,....�..,.. �a��...,...,.,., . .;s.... .. ., _ s... ...« .. .F. ..,.,. ,�,;,... � - -r ' '.`.`y <:, �i;'i.��iu ��Jlt Vpllal` i`�:"�NWd�� +"�:Y'i_� �.�lS� ��. -�u.G-4 f�f! �lP; ,. .r�-c �.,, Re��i�` lVc,: �.C'C�"�89,: jw� ±6 �_;.' , = ,:, AipiYt� Gd,'u:4d: �:d?'tY;.Ytq 3Yiu ZOYt1Yiu � C�7i�-U.:��t �(' f��. 1�i-��.nc t.�t.1�:.i�t- �:iJ Z;?Fetti"�U �@V-i�8V21iJ02Y' �}Ep°�5"t. �_�4 G�i ___'�__.��t.i i a V`. vi�?�.i� ________�___�� :,Ff��I? ItiI'J.' 14:.�G G��.n).t7t� r�a:�oi': � �;GIYte �1p1�3? TO�d'a �lDG�3�C1� �.�()�'.��.`} --------------- u;l�Yt�E T2Y�C�8t'ti: (ert _ _ --------__-- 1C?•':i:rc`��:� !'1�:�5�'F �,� �.� �Ol VO , C ITY OF ORONO ; �,, � i Street Address: � Mailing Address � Tefephone(952)249-4600 y� � � 2750 Kelley Parkway RO.Box 66 I Fax (952)249-4616 � " Orono, MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us �KEs H�� October 10,2013 LDK Builders, Inc. 8242 125th Ave Milaca, MN 56353 Re: Building Permit Application#2013-00948 2385 Glendale Cove Lane On September 13, 2013 the City received a building permit application for 2385 Glendale Cove Lane. Your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. Please provide two copies of an updated, full size certificate of survey which meets all of the City's survey standards (enclosed) specifically showing: a. Location of proposed erosion control. b. A swale established along the southeast corner of the proposed house to maintain drainage on the property and to not direct additional drainage toward the neighboring structure. c. Proposed first floor elevation (FFE) 2. Wetlands. At this time we cannot determine whether the grading is proposed within the buffer. The surveyor should obtain a copy of the Wetland Buffer and Replacement Plan for Glendale Cove from the surveyor Gronberg&Associates, Inc.to overly onto the current survey to show the buffer area. 3. Ffardcover Calculations. The property is located in Tier 4 of the Stormwater Quality Overlay District. Please have the surveyor prepare hardcover calculations showing proposed hardcover. Attached is a copy of our hardcover information packet. 4. Floor Area Ratio (FAR). Please calculate the FAR. explains how the calculation is determined. Our in ;� prepare the calculation for our review. � � '. �' 5. Number of Stories. Based on our review of the nu � ' meeting City Code definition of a basement;and th� e ' • City Code. Attached is our information sheet on bu _. the basement floor elevation of 996.3' + 9.5' (dist� Personalized Mortgage Professionals Over 50%of the perimeter of the basement must b� or spot elevation of the FFE, less 6 feet shown on th 6. Escrow & Escrow Agreement. Permits involving ,,� submittal of an escrow and an escrow agreement. - �',�;`��,�"'`� to the City for out-of-pocket costs incurred durin€ f guarantee conformance with City Code Chapter 79 I�� --,�t.� � , , � escrow amount for this project is $2,500. The escr� -- the escrow agreement and submit a check for$2,5C � �/ � � �r ��` ��`� � � _ ,�'`�'' y J� x,,.: � �1�- ��r�:,�`�' :e.._.,.�` ,��'� �� -E 3�-��C�� ` � � CITY OF ORONO �0 1 3 - 0 1 � 8� 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2385 GLENDALE COVE LA PIN : 34-118-23-33-0069 LEGAL DESC : GLENDALE COVE : LOT Ol0 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: TIED TO BUILDING PERMIT 2013-00948 APPLICANT ESCROW FEE-BUILDING 2,500.00 ALPINE CAPITAL TOTAL 2,500.00 9401 73RD AVE.N #400 BROOKLYN PARK, MN �5428- OWNER ALPINE CAPITAL 940] 73RD AVE.N #400 BROOKLYN PARK, MN 55428- AGREEMENT AND SWORN STATEME1vT The�vork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the wark described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveminc this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after worh has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at anv time for due cause. / / / / Applicant Permitee Signature Date lssued B� Signature Date SEPARATF,PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ . . �-i I,� C� � � � BUILDING P SCROW AGREEMENT i Orono Buiiding Permit#2013-00948 AGREEMENT made this��day of � , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") Alpine Capital, LLC ("Owners"). Recitals 1. A building permit application has been filed for a new single family home located at 2385 Glendale Cove Lane the ("Subject Property"), legally described as Lot 10, Block 1, Glendale Cove, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including ptanning, engineering, or legal consultant review) associated with building permit #2013-00948 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. Dl�BURSEiViENT FROliii ESCROiN ACCvU�iT. in the event that the dwners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§ 415.01 and 366.012. �� e CITY' C TY OF RONO OWNE •- By: Its: 1 I � ��L`�/_ ' �G � �� C�'�� i�'.�, � �� , �� ..._�.��...,. W.� �s°��,��_ m�,�.._�.�� ,�_ ��:�;,,�.�, .� u�:.:,. �.._ ,�..__.._.�, ,;,� ,:r ��"v��a . �?,r5 !'se;?e,j rarkwa}° :a��-�`4-�6�'c' ��-ur�r; M4: �.�is;�� :,- ..��aL:�iU� �VJ: �.�t�7�gJ �� G. :_�.�,J .i�:GiY1F_ �.�3.�3:e�i :Yti� `I+�. 1GY71YiL ct�U.i)i1 �aai{�`1 `� . , C�i,�'l):t�:��: j—�:.�vJ 10. L:Lt¢yel�,pe�' ➢¢��'S:: Lrefei`t^e� k� __________--i f- �4�jii;;.•1: Ti_`6 c�.i: __—__—_'--____-- i,��l�l�t�. G�J��t:.'Jt� tr,it$.".F. �S':� 14�7� �`d`!ut: RiG>rte ��P1ta'. �.5i)(:.C�.� iutal RD�sied: -----._________- r,it Cnar4�G 'ser��r•e�: _� ____--__--_ ,., `;U t�LHl 1�t f1 i.�.��: "oU� ' ' ' ' CITY OF ORONO * 2 0 1 3 - P1 0 9 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2385 GLENDALE COVE LA PIN : 34-118-23-33-0069 LEGAL DESC : GLENDALE COVE : LOT O10 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 300,000.00 NOTE: PLEASE FILL IN Tl�{E FOLLOWING: VALUATION OF PERM[T: $300000.00 "I'YYE OF PERMIT"I'H[S PAYMFNT IS FOR: NEW SINGLE FAM[[,Y PERMI"C#THIS PRE-PAYMENT IS TIED T0:2013-00948 APVLICANT ADVANCED PLAN REVIEW 1,466.89 LDK BUILDERS INC 8242 125TH AVE TOTAL 1,466.89 MILACA, MN 56353- (612)685-9066 Minnesota State License #: 1327 OWNER Bohland Glendale Cove LLC 815 WAYZATA BLVD E WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed accordinb to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions oY laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced witl�in 180 days of the date of issuance,or iY consVuction is suspended tbr a period of 180 days at any time after work has commenced. nc�applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pennit may be revoked at anv time for due cause. / / / / Applicant Permitee Si�nature Date Issued By Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.