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HomeMy WebLinkAbout1999-011834 - heat/cool/ventilation PERMIT CITY,.OF ORONO 2�50 Kelley Parkway - P.O. Box 66 PERMIT TYPE: Crystal Bay, Minnesota 55323 Permit Number: -- . :-�,,�z- ,_�,; (612) 249-4600 Date Issued: ;__� ;�;�:��;.,�; _''-:;'i'i�_;,'�-r'=: SITE ADDRESS: _ . r��! ���T,;z;f� _�i=W��°� i��i�' .� --=.?�,�. - ; -- - - -_.;-,.-: DESCRIPTION.� � �. .. :� = i _ �- '.3��{';?_i��'��.� .. . ',� ! �..E�i+� .�!'(� . i ^,�t„iL„� t—j�(�Sj— ����i.' . ''�"-� �s��-i�4:�:i-ii t�5i-z.�� . ..-i�'•.� ! f�.�•t��. , :•{:_l��1:-i f=r�4``fs.i� :�4;.'•���=:�E� �:i i`li"1("1 I,�,��`:.} `-'r�'. l 1'i?'-i ' � - - - '{' , - t • - - � - - = ,,, ,'r'�i j'4 �_t_ittii?�f� T {I,,,Ei;1 3.S���• =�"��',.� f��•Y jY?�. , ��ii_3�at�,�_ ���";�.�..� � ��i�'S�W `-'�� - `�'� ! .�i�`i r i<i�'+� s��=�*( -'- 1_� REMARKS: FEE SUMMARY: � I r•� I r"•'? _ " ' ;�}..i__l.F : _ _iF`a ��.'%; _ _ �'"=z'= '�'''= '#� .1 �. . _ _ ��t.(��; `�r�)'_ —_.___.____.�'t :�.:c � , i_i�..�:�S L_�_.: � i 1,t'��>{�i CONTRACTOR: ._ �;_�.,i ;F_.=;.;_ _ OWNER: . , ...,.,_ ! 'Y.?ri L'� :::_.- +_ ....��_.._F.i^, fFlr• _ _ " " _ -=:.'- ' . __:�� �_.��v._, "-3�,'-, , t`E�el�, �-,f. .. _. _.__67..».�`�_i ;'„i�:-.;�;F-:*%'i F-��'E_%E_.t�• ���t J _.���i =!"�.3'i i__ �'j;:f�- =;s.�-`;'y _.,�:._ i�?�_�t'+',•_i"� �����tl'1� `,°i'l l�,:4 i�--�-�,�i_f :.. �� V L.�. _•i _ _ , . _�._� ._) a.�t� '-I �r,� Ci:=:�::1 �,!_��.�,,`,� E��`��,;:—�'y:.�,� ._ _ . .. . . _ ». _ _. � ��� ��li w,�� # `. I�" t-��' �`�-t,�,s €-�.�� t � _j'' S ti! E j� ':���.4 �!=i�lJ �=tt�Ll fY.�� t".� t ..� �t � _ t t" F i` � � ,a t r f .� = r �s s '; c i �. 1;�-�€v j� -� t � t �;= _ .# . � : T . `• L �#�'" _ �`,��_; ,I�����i�`�1��<4•�__. ?-:��!4 .. � .i 4 `. 3. ?i_g,tiv -! . }..: �.f_��_.l f S�tZ � .. . . � M �� �. !il J,`^ I-�,_.f_:. ��t n..(...... � �..� . APPLI NT'PERMITEE SIGNATURE ��� ISSUED BY:SIGNATURE 1 �: 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. �i ;i VENTILATION No. � Kitchen E�aust � ducte�l� recirculating �p ci cfm No. �,� Bath Exhaust (must be ducted outside) �� cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal �. Fuel oil: gallons underground inside outside -:� LP Gas: gallons ;� Other Gas opening `i PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) � 1.��+ `'`� x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ ; or $.50, whichever is greater (contract price) � :; 3. Posta�e and Handling (Only mail-in applications) $ 1.50 { 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 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 pemut 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. ✓�`, ��/�/i1,�' Applicant's Signature: � Date: �i - 7-j`/ Approved By: � ,-� �w�-_ Date: � " � -�� � l�' � ;��s ~ `'� ca.,�. , f�. w,'� i � , _ ��: ,_ . _, �� C,iL ���� ` ,:, CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT � �,j� �.; Box 66 (2750 Kelley Parkway) �'I��I � Crystal Bay, MN 55323 �" `V; GENERAL INFORMATION ' i 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be � kr, reviewed and a permit will be issued within 2 working days. 2. Pemut 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 Desi�ns - Complete calculations, details and specifications aze 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. Identification of and specifications for water heating equipment '�' shall also be provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code t requirements. ' 6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions 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 249-4600. Please check one: � New Addition Repair Replace _� Residential Commercial JOB SITE: � y SL� /1/'� S�o �.r ,tS '- ` �� -� Zip: Owner's Name: ,�3 �u��- /�'u s �u,c�•r`- Telephone Number: yf�� - jc� y`� Mailing Address: City: ,'S f-��r Zip: "�" Contractor's Name: � � � �� G- =�� f��il �"��r<<{ Telephone Number: �/;� �-��.�- ���o Mailing Address: ��j� �?���� _.� ,��.-� City: ,�u�'«/� Zip: ,�::.,�,�) � ; SYSTEM DESCRIPTION � ., HEATING SYSTEMS `;_ Quantity: I '� Make: �'� /�-� '} Model: �r�y GIt�� :�� Fuel: /�% '� . �}' Flue Size: �,i �' `� Input BTUs: �o,,���� � Output BTUs: �-s;a�+r �` CFM: ��z►o COOLING SYSTEMS Quantity: � Make: ,���t ��.✓ � Model: ��i�J Tons: �- H. Power : . . , � _ ,,. s' ` ,f � ._ ' : ,. , ; � , , �_ _' , ; , �:�_ . . ,..n _.._: .. :�; —._ ,. �4.. _ _ ,.. � ..-_ F..�._,f— .,,. � � ��� � . .: . . x, . _ . .� _ r�"�_�,. � ... _ _ � . ' Whole House Worksheet - Residential Customer's Name __ �1�u L-<- �4 � D A�! � Address �y8a /{�� a?l�.o� �1"+��"� City � /C D /✓C� State /1'J � Zip Telephone Number ;��o� +� 70 �q' WINTER:Inside Design Temp�l�°F-Outside Design Temp ".,?a °F= Heating Temp Difference�°F SUMMER:Outside Design Temp�°F-Inside Design Temp 7� °F= Cooling Temp Difference �d °F e �g� �� �� � �� ��, ��rs �a� �� � a�� � � �� 9 ��^� ��a�a�s.��°�e¢:� � ;�s.. ���t� r 9s�e � t ��� 6� �. "���� � ,. � ����,�� �� s���,� � a o �9$� � � ���«e.'��.�. .� GROSS WALL ,7 y13;j, .� DOORS£t WINDOWS ITable A or BI /� �'(,� . (p0 NET WALL � �jc,/ % Z�< 7 g,�.. 8 • ,x 3 CEILING /�$� i. D /a�S-� oZ S � 5�� q S�.✓�- L✓•l% �yClo� !J' ._. . ;� 5/9 +� FLOORS ' l,�oC Infiltration Heating Volume Volume Cooling Infiltretion Btu/hr = TebleD X�0 X �•��60 X �Cu.Ft.) ICu.Ftl X �'��80 X �T X TableD - Btu/hr �'o o = , 6 Xo.,ss� X a �ay9 x o.o,a� X o x d,�- = 4 '�I SUB-TOTAL BTUH LOSS(per 10°F) x � ADJUSTMENT FACTOR(Table C) � TOTAL BTUH LOSS PEOPLE��x300 BTUH GAIN ('�$ume2persons per bedrooml /�Q�� APPLIANCES BTUH 1200 SUB-TOTAL BTUH GAIN(room sensible only) ''j x DUCT LOSS/GAIN FACTOR(Table F) x I es'`- SUB-TOTAL BTUH(Sensible Gain) ,7 MOISTURE REMOVAL(sub total x 1.3) x 1.3 TOTAL BTUH LOSS/GAIN TABL A-HEATING-DOORS Ft WOOD FRAME WINDOWS TABLE B-COOLING- DOORS£r WINDOWS (PER 10°F) Factors assume windows have inside shading by draperies or venetian For sliding glass doors-use factors for the same type window blinds and sliding glass doors are treated as windows. COf1St�UCtlOf1. SINGLEGU155 DOUBLEGLASS 7IIIPlEGLASS Window£r Frames DOO�T)/P83 "'"`�'. T'�M ' "��: X A�98 = BYUFI LOSS TEMP.DIFE TEMP.DIFE TEMP.DIFE %Aroe .BTUM GAIN Single Pane = ° o�re�ro� �1;* m � �e � z5 �io° e Clear ��� 10 45 �1^�„�� �� ° � �"� � �43 ia �k: ie �„ �z °�� �3� oT �i�0 With Storm v 5 25 ' NeeNw a� �i° ai �i; 3s �ii; n �� , Double Pane ` ° Clear �'�:° 6 09 4s'��° e�w =�t ee #p=. a '�"` ae "�Br. ss .�.` With Storm ° �.`'e 3,$5 .°` sEasw 6� av �,e as �t, aa �'; an � Triple Pane °' Clear ��° 4 39 � �,t(e�- ! SS S � � �� � � �' �' 20 �°` /.k� � U alousie � � skyian�e e:3&� iee t3� ui `� ia�, `� �3e � Single '�` ' °���`��' w�av ��m s ���e.s �"� i3.2 "��io.e � Singlew/storm ' �nn,uiia ��C as ��: ae � e.e °��; a.e ��� Skylights � �� � �"`�` " Sing�e ���: �� � �r�:�, O �orwooddoorsand TOTALS � � polystyrene core metal doo�s e�. a" �OUb�B �; ].85 e �2 Forurethaoecoremetaldoore �OOf Wood Only '��"'° � TABLE D-INFILTRATION MULTIPLIERS Wood w/storm E °�'°�;�' (p Winter Air Changes Per Hour Urethane Core R-5) +� � Floor Area 900 or less 900-1500 1500-2100 over 2100 Urethane Core Best 0.4 0.4 0.3 0.3 (R-51w/storm `""` `�� :�����.��' Average 1.2 t.0 0.8 0.7 TOTAIS Poor 2.2 7.6 1.2 1.0 For each fireplace add: g�t Average Poor 0.1 0.2 0.6 Summer Air Changes Per Hour TABLE C-ADJUSTMENT FACTORS-(HEATING) FloorArea 900orless 900-1500 1500-2100 over2100 Best 0.2 0.2 0.2 0.2 °F.Temperature Diff. 30 40 50 60 7� 80 � Average 0.5 0.5 0.4 0.4 Adjustment Factor 3 4 5 6 7 8 9 �� 0.8 0.7 0.6 0.5 �O American Standard,Inc. 1986 Pub.No.34-4018-1 P.I.(L) HEAT LOSS £t GAIN FACTORS � . - TABLE E coaiooF,ao. TABLE F CONSTRUCTION FACTORS HEATING$COOLING (°F.Temp.DMf.) Calculate only if duct is located in an unconditioned space. �,�,°°o, TYPE OF CONSTRUCTION ZO° DUCT LOSS MULTIPUERS WALLS(Use Sq.Ft.) Duct Loss Multipliers Case 1-Supply Air Temperatures Below 1Z0°F Walls-wood frame w/sheeting£t siding, WinteiDesiyn WMerDesign veneer or other finish �"�'a ' Rrea� Duct Location and Insulation Value Belowl5°F Abovel6°F �'e. 2.71 A)No insulation,1/2"Gypsum Board 6.4 � �po�to Outdoor Ambient 0.90 Bl R-11 Cavity insulation+1/2"Gypsum Board 2.1 . Attic,Garage,Exterior Wall,Open Crawl Space-None 1.30 1.25 Attic,Garage,Exterior Wall,Open Crewl Space-R2 1.20 1.15 0.80 C)R-13 Cavity insulation+1/2"Gypsum Board 1•9 � Attic,Garoge,Exterior Wall,Open Crawl Space-R4 1.15 1.10 0.70 D)R-13 Cevity insulation+3/4"Bead Board(R-2J1 � '� 1 J �. Attic,Garage,Exterior Wall,Open Crawl Space-R6 1.10 1.05 0.80 E)R-19 Cavity insulation+1/2"Gypsum Board ',�� 1 A ' Enclosed in Unheated Space a; � Vented or Unvented Crawl Space or Basement-None 1.20 1.15 0.50 F)R-19 Cavity insulation+3/4"Extruded PoN �.. � �'Z m - Vented or Unvented Crewl Space or Basement-R2 1J5 1.10 Masonry Walis �a 0 ��� Vented or Unvented Crawl Space or Basement-R4 1.10 1.05 ��� �e� ""�I� Vented or Unvented Crawl Space or Basement-R6 1.05 1.00 5.10 A1 Above grade No insulation � 6•3 �.�,_a��;: Duct Buried In or Under Concrete Slab 1.44 B)Above grade+R-5 ' y 3 � No Edge Insulation �.ZS �•ZO ;��`s` "�` Edge Insulation R Value=3 to 4 1.15 1.10 0.77 C)Above grade+R-11 ���� �•3 '��e Edga Ineulation R Value=5 to 7 1.10 1.05 1.25 D)Below grade No ineulation p"�`� 0.0 1�� . Edge Insulation R Value=7 to 9 ��� ��� � OJ4 EI Below grede+R-5 e�? oA �� �s Case II-Supply Air Temperatures Above 120°F Duct Location and Insulation Value �ntar Design�Mer Daign O.b1 F)Belowgrade+R-11 �x, OA ' Belowl5°F Abovel5°F Exposed to Outdoor Ambient CEILINGS(Use Sq.Ft.l �'4 Attic,Garage,Exterior Wall,Open Crewl Space-None 1.35 1.30 {P R;�,a,-a �.� Attic,Garage,Exterior Wall,Open Crawl Space-R2 1.25 1.20 5.99 A)No insulation �9 2° Attic,Garage,Exterio�Wall,Open Crawl Space-R4 1.20 1.15 .� r + 1.20 B)2"-2Yz"i�sulation R-7 ai��e 4.9 � P-��. Attic,Gawge,Exterior Wall,Open Crawl Space-R6 1 J5 1.10 0.88 C13"3�h"insulation R-11 3.7 ,-�� Enclosed in Unheated Space x '- '. Vented or Unvented Crawl Space or Basement-None 1.25 120 0.53 D16Y+"-6�h"insulation R-19 �,`Tv. 2 3 ;� �,� Vented or Unvented Crawl Space or Basement-R2 1.20 1.15 0.48 E)6"-7"insulation R-22 ap;�: 2.1 ��. Vented or Unvented Crawl Space or Basement-R4 1.15 1 JO a,, g Vented or Unvented Crawl Space or Basement-R6 1.10 1.05 0.33 F18"-9�h"insulation fl-30 e��: 1�6 = Duct Buried In or Under Concrete Slab O.Z6 G110"-12"insulation R-38 1.1 e��,�'. No Edge Insulation �.30 �.ZS q� Edge Insulation R Value=3 to 4 1.20 1.15 0.23 H)12"-13"insulation R-04 �� 1.0 ��: '�,: Edga Insulation R Value=5 to 7 1.15 1.10 3.06 1)Cathedral type No insulation(roof/ceiling combination) e�"� 12.6'��.,"�'�,.� Edge Insulation R Value=7 to 9 1.10 1.06 ' �� , 0.72 J)Cathedral type R-11 Iroof/ceiling combination) ���, 3 2 °���`� DUCT GAIN MULTIPLIERS 0.49 KlCathedraltype R-191roof/ceilingcombinationl g��'M' 2•2 ':��; DuctGain 0.45 L)Cathedral type R-721roof/ceiling combination) ��; y.p ` Duct location and Insulation Value Multipliar '�� Exposed to Outdoor Ambient 0.40 M)Cathedral type R-Z61roof/ceiling combination) p��% 1.6 Attic,Garage,Exterior Wall,Open Crawl Space-None 1.30 �;� r=a t �t Attic,Garage,Exterio�Wall,Open Crawl Space-R2 7•20 FLOORS(Use Sq.Ft.OR Linear Ft.) Attic,Garage,Exterior Wall,Open Crawl Space-R4 i.i5 Floors over unconditioned space(use sq ft 1 v An�c,Garage,Extarior Wall,Open Crawl Space-R6 i.io 1.56 A1 Over basement or e�closed crawl space(not vented) - OA e Enclosed In Unconditioned Space Vented or Unvented Crawl Space or Basement-None 1.15 0.40 B)Same as"A"+R-11 insulation �e'��. 0.0 ��-�, Vented or Unvented Crawl Space or Basement-R2 1.10 0.26 C)Same as"A"+R-19 insulation �,�� �•� ���- Vented or Unvented Crawl Space or Basement-R4 1.05 3J2 D)Over vented space or garaga � 5.8 °�� Vented ocUnvented Crawi Space or Basement-R6 1•00 0.80 E)Over vented space or garage+R-17 insulation 1.3 �'7'r; Duct Buried In or Under Concrete Slab � - � a NoEdgelnsulation ���� 0.52 F)Over vented space or garage+R-19 insulation ��: 0.8 �s"�.°' Edge Insulation R Value=3 to 4 1•05 0.24 g889R16nL F�OO�S(US9 SQ.ft.) °�.� 0.0 `��r Edgelnsulation R Value=5to7 ��� � Concrete slab floor unheated(use linear ft.) Edge Insulation R Value=7to9 �•� e.t0 AlNoed9einsu�ation � `��e'� 0.0 �M�;a ESTIMATEDPROCEDURES 4.10 B)1"edge insulation R-5 -:�r 0.0 ,��,��. 1•Fill in customer informetion. 2.Record inside and outside design temperetures;find temp diffe2nce. 2.10 q 2"edge insulation R-9 ��; p.p �},�g,•I 3.Measure length of each outside wall,multiply each by ceiling height.Recortf the total sq.k.of exposed wall unde�"groas wall". Concrete Slab floor duct in slab(use linear ft.) "! 4.Using Tablas A and B,determine the total area for windows&doors&enter in common data ' section. 19.00 A)No edge insulation '��;, �•� �'�" 5.Determine Net Wall by subtrocting windows and doors from gross. �; ,�'� '� 6.Measure 8 record total ceiling area. - 11.40 �BI 1"edge insulation R-5 e����.. 0.0 �`�; 7.Measure and record total floor area for floors over crewl space or basement.Total floor edge � ' " length(perimeter)if floor is a slab. 9.30 C12"edge insulation R-9 :�+�,����� ��� �"''� 8.Using Table E select construction type and use the corresponding heat and cool factors on the form. �i Heating Factor for 10°Temperature Rise 9.Dete�mine BTUH Loss&Gain in Tables A and B by multiplying the area of glass and doors by the multiplier under tne specified temperature difference.Enter total BTUH Loas/Gain on wo�ksheet. 10.On worksheet,multiply the areas x the factors and total as instructed. � � TIM E CITY OF ORONO CALLED IN INSPECTION NOTIC �+ SCHEDULED 3�• � PERMIT N0. D 3 COMPLETED � Z� •�� �' ADDRESS 3�g� � OWN ER CONTR. TELEPHONE NO. ����✓ ����I � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADtNG/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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO ME �U:_YES NO D COMMENTS: /�` ��� ���5' // Zr-� a �s �c'� � / c-e_ 2, s %� o � �� .���y ., D� �,�> ,� r�os-e � � F� ����� 0 � � Q � �� -� � � z W � W � � �ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE �"�lCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector.����� White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO �' ��� CALLED IN l b��"f�y lI, Cf O INSPECTION NOTICE SCHEDULED b- � PERMIT N0. B, cornP�ETE� �'- �V ADDRESS 3 TS O /�0- ,���� OWNER n�l-t�,,Gvh�i/ CONTR. � TELEPHONE NO. g Cv 7�- �] ��� � DESCRIPTION � � 01 FOOTING 11 M CHANICAL RI 18 EXCAV/GRADING/FI ING � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS Q 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-UO 06 PROGRESS ~ 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT J �Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � �� /� � � O � W � Q � Z W � W � � d C WORK SATISFACTORY:PROCEED W� � PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor on site: Inspector.��-C.�.��'c�.�-�1 S /White Copyllnspector's File Canary Copy/Site Notice