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Home My WebLink About2012-00734 - addn/remodel/repair r • " CITY OF ORONO * 2 0 1 2 - 0 0 7 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 ORONO,MN 55356- (952)249-4600 FAX: 952)249-4616 ADDRESS : 2760 SHADYWOOD RD PIN : 21-117-23-24-0040 LEGAL DESC : REG.LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 400,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,AND ELECTRICAL(STATE) 2ND STORY ADDITION APPLICANT pERMIT FEE SCHEDULE 2,856.75 CREATIVE BUILDERS INC. PLAN REVIEW 1,856.89 5958 FENNING AVE SE STATE SURCHARGE(VALUATION) 200.00 DELANO,MN 55328- (952)955-3062 TOTAL 4,913.64 Minnesota State License#:20037260 OWNER ENGLER,JEFF 3330 MARTHA LANE MINNETONKA,MN 55345- AGREEMENT AND SWORN STATEMENT The work 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 work described and does not gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period 180 days at any time after work has commenced. 'I'he ' ant is res si le or assuring all required inspections aze requested in onfo an �th the State Building Code.This permit may be revoked at t' e fo e cause ' �" , 2c�, ��z �',a�,/a- Applicant Pe 'ee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r . ' � • `�►� � _�� City of Orono � ' '�� `° ,� ` Building Permit Application � �\� for New Structures or Additions � Mailing Address: Permit number: �D/v�- do 73 O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� ,� a Street Address:' Received by: ��' �'.F, y GtiiS' 2750 Kelley Parkway Plan review fee: . �f�� t9AE3H��'� Orono, MN 55356 � - Total Fee: �/�, / � �1 Vt Main: 952-249-4600 Fax: 952-249-4616 www ci ororo mn us �P �� This application form must be completed in full and all required information mu e su mitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 2� � �: S,-�r�k� Lti��;� _ Will this be a Parade of Homes, Remodelers Showcas Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 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/APPLICA T INFORMATIOI�: Name: �J� u- c�--e� s State License# L p � � v Expiration Date: 3�3 c -Zoc 3 Phone: 6�2-�6 -Z2 Z office (cell Mailing Address: ?.� re.��(c � �� Cit : �to ZIP: Contact Person: �T.;� ,,,,,- �- Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: ct�,5- �-U� �_' aef (3 G��.v . �,cx-�- PROPERTY OWNER INFOR�ATION: Name: �e� �u f�� Phone (day): �6U �- 0� 6 7 v� Address: c2 �b�' Sh�- ,�i.c.)cx� �C�, City: ��C.9uU ZIP: � �.� 1 Email and/or Fax ARCHITECT/ ENGINEER INFORMATIONj• n Name: �;�/s2�.�� (.rzJ�-� r✓� S��t.�'i^ CU . Phone (day): 6 3 - y6 y - � � y �p Address �Zou �,.� J.;-��./ �� Cit : �f �i �h-�� ZIP: S_5 yy7 Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction �Single Family with �'Residence (�Addition attached garage ❑ Garage/Accessory Bldg. [L]-�ublic 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 require ❑ Commercial ❑ Other(specify) MCWD review 8� 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) $ l �� ls�� Packet Last Updated: 03-06-2012 -21 - aF— -- . STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction .38'' 6a + � a. Length (ft.)= Number of bedrooms= � Wood/Frame � b.Width (ft.)= 2 S 'f' 1� Number of garage stalls: ❑ Masonry Areas in square feet Attached = � ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 S`Story = y9 ❑ On-site Prefab e. 2"d Story= �� ❑ Off-site Prefab ' f. Y�Story = a ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot 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 ❑ °6� Se tic S stem Site Evaluation Re ort ❑ L� Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ 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 Certi�cate 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. Applicant's Signature: Date: �2j - �UIZ_ Owner's Signature: Date: Packet Last Updated: 03-06-2012 -22 - t + � . � DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 confidential 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 local, 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 may become public. 5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. . � .•� ��.f First Middl Last ��'S� ��-� r � �. � S.� Address �P I�� a �r� ��36�/ �iZ �6o'Z�fz City State Zip Phone I understand my rights as stated above. Signature Packet Last Updated: 03-06-2012 - 19- Pian Review Checkfist for New Structures / Additions Address J PID/ Legal: �� ; L S)�A�,`��W��C �� Description of work: �r�.�' c� ��!�`., Septic review by: ;�,l i� Date Approved: Zoning review by: � � � Date Approved:__ � -� - Z-v � Z Building review by: -� ��.ti Date Approved: � - � Z-ti:, � Grading review by: iv i c-1 Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zonin � Lot Area: SF/AC Width: De � Survey S mitted: ❑ Yes ❑ No Date of Survey: Pro osed Set cks: Front (Lake) Rear(Street) ( -N S E `W ) ( N S E W ) her Buildings Wetland Side Side Building Defined Height: ��-- Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH ABASEMENT O CRAWL SPACE: FOR UILDING ON A SLAB FOUNDATION: START WITH the distance between th basement flooN crawl S ART the distance between the slab and the highest space floor and the highes oof peak,the top of ITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the ck line of a the deck line of a mansard roof, or the mansard roof,orthe uppermos oint on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highe window d SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof antl hi hest roof eak of a itched roof SUBTRACT the distance between the basement floo rawl ADD the.distance between the slab and the highest space floor and the highest existing gr e 'thin existin rade within the foundation the foundation or 10 feet, whichever' less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District M.0 Permit Received A era e•Lakeshore Setback Bluff � s � No � N/A � Yes � No Yes D No � Yes ❑ No � N/A ermit Number: Setback: Hardcover Zones Existin Proposed Variance R uired CUP Required 0-75 � � Yes No 0 Yes 0 No 75-25 ' Type(s): Type(s): 25 -500' 500-1000' REMARKS (in-house): �� E� Updated: 09/11/2009 \ z:\forms\plan review checklist.docx � � Fees to be Charged YES 'NO Permi't ` ' .� � . . . _ ..,A .k,� .. ...,, .._; Plan Review �F - ` F ,State-�Surchar9�e ,I ,-�.'._.;, � :� {..�- investigation Fee ;�SAC :��N,��ber:of-`SAC:U�aits � „, . ., , , . . , _ .... : . , Sewer Connection i �C�l��u��r.Ci��,n��'�a. �ir�-��'�'`�"��'��5�� . ��=:" .�?.�,��•."�d.�� ::�xx�q.r�,,4��,i�. Park Fee ,., ,��,.� - . ,., . �.��'�I�s,�ec�fron��, , �, -� � , _,,. � . . .�..,r .. ..._, r.)4�: ' ' . :i� ... 4.I'� ' ''�' •, 9 n ..�.... . ...�, . . .r-,- ,...�_ -�, . t i....._ ,, Other(specify) �h9f�sr�'�a��m.�s�F�es �}.��"��'�� q . �� " �* .A..S �%7a. Y�. „Fq�. .��}y 4yc�� :{rkY.. � ...�. W+*.P .�✓^!.. n._ ..�...�V , h. ve Calculated By: Square Foota e $ per Square Foota e Basement X = $ 15' Floor X = � 2nd Floo� X = � Garage X = � Estimated Construction Value: $ ��'C?:C��C' `�� ---z Orono inspections Required Work Requiring Separate Permits Required State Permits ❑ Site �P umbing � Grading / Filling ❑ Well � Hardcover Removal echanical 0 Fire �Electrical D Footing ❑ Septic 0 Water Connection � Poured Wall ❑ Fireplace � Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. ¢�Framing ❑ Other(specify) ��Insulation � As-Built Survey �Final D Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NO New: ❑ YES ❑ 1V0 REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.doc� . , �:�nnepin County GIS - Printable Map �� Page 1 of 1 Interacti�e Property iVla s '`` �v �`�-'��. �.�.��,,-��:� p��#; Map -�,� ,� Ai, ' �. ��1J�� 7� • F�� g` � ��_'' gV, . �+b �` ` � f„�� 4i��-�. � . , �� '. �� • , ^ ��`,,,� � ��...... � -�� . � ` �,, � � � �"' M {�, ` :� � �- � . �� ,. r , � �: --� * � �� ' +�'-,,r c ,' : . . .,. � - , `� � �� . �`�� ;�F '�,\ � �,' r ••.` �� . � , • � - _�� _ �- ��,► � ��,;,�,�� , �� "' \, .,`°`,�� ' „ � _. �� •� `�a,,�„�,,,� #� a � ,� � � ':�� , :� � . , .; y � { � .�► /� � ,�, :,,�. . � .��,�a t y,.�.,_ , ��, "* ..fi�' �• h�w ` .� ^^ ��"�� '�_ � 5 ' '�j° � s:�p, � '��*'e�, �� t '�� y � . _ _ r �( , : ,; . , ,��, � . � �e� a . k . , . '� �., - . .• . t � �4. ,` � �*� . � , <... A�_ � � e ti` .,� *�� , m'� `�' � ► *` ( � � � � � �� .. ��\ . ! �, °'�L � � F a �� $r � 4�j, ;�.�.Y � `. . ..b. � � ��, � �\,X .� � ��.. �'�' � *'� x �t� A.. � � • .i41 ' /r'�'�,';.� L s.� `lt�. `� ±,�E.+i4"+ *R`�S��r.' ; . - Parcel 21-117-23-24-0040 A-T-B: Torrens Map Scale: 1"=100 ft. N ID: ; Print Date: 8/6/2012 � Owner �T Engler&E A Engler Market $1,070,000 Name: TotaL• ' Parcel 2760 Shadywood Rd Tax $12,844.06 Address: Orono, MN 55331 Total: (Payable: 2012) P rtY ! Pro e Residential Lake Shore Sale $970,000 ; Type: PI'iC@: This map is a compilation of data from various sources and is fumished"AS IS"with no Home- Sale representation or warranty expressed or j NOn-HOmeStead 01/2005 implied,induding fitness of any particular ! stead: Date: Purpose,merchantability,or the accuracy and [ `completeness of the information shown. Parcel 0.68 aCf2S Sale Warranty Deed COPYRIGHTOO HENNEPIN COUNTY 2012 Area: 29,747 sq ft Code: � ` -� Green: http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=453021.95717301243,4975185.... 8/6/2012 � T �M E " CITY OF ORONO CALIED IN Z � INSPECTION N TICE SCHEDULED � � PERMIT NO. �� C PLEfED ADDRESS a OWNER TELEP E NO;��'7��a- CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SE INAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:�ES_NO c�., COMMENTS: � � W a � �r v� d �� 1 �' e �d � T�/l/S i�C'c'f�� a ° �� !�K� �O CO c*��/� c E�� L'3o�1 'Ir � I%��-�n �' '�2 ` � X 1 (� �'i Q i Q � z ��'( S � c� Q-S -�` IL3c7 Sa j� 1 S � S��S . � �� 6�1'� � � �IORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITtON WtTHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �� < � White Copyllnspecto�'s File Canary CopylSite Notice �� J�� TE TIME � CITY OF ORONO CALLED IN l INSPECTION NOTICE SCHEDULED .� -L�-�� PERMIT NO.�/'�l�—��"�� COMPLETED ADDRESS ��D S Ckc�" � OWNER TELEPHONE NO. ��a�� CONTRACTOR �� (d� �; DESCRIPTION {��L��/� � ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW ��OORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN 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. �95Z� Z49-460� OwnerlContractor on site• Inspector. �� White Copyllnspector's File Canary CopylSite Notice S�� DATE TIME V CITY OF ORONO CALLED IN �� -a INSPECTION TICE SCHEDULED LO�L�. �.�� PERMIT NO. o -'� .3`f COMPLETED ADDRESS o�7� ��'!.c-c-CX-c.,�L.�DD�. /� OWNER TEL�PHONE NO. �O�Z 76d �Z�Z— CONTRACTOR _SL�{�V�� >; DESCRIPTION r� � � � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � / � ` C= � f 0 � W � Q � Z w � w � � � �VD6RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � l` � C� � �� i � � � v CITY OF ORONO CALLED IN � � INSPECTION NOTICE 2� / SCHEDULED � PERMIT NO.��1��'J`l COMPLETED ADDRESS ��CoO :�j� lk�i.I(� Xa�� OWNER TELEPHON NO. �l� ' ��o� � ��Z CONTRACTOR - i�c/ l�!G/�'S '�C- � DESCRIPTION `-Ld��,�-t ��- ��T l� 2��J��' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING�� Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU• YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � .,�� W AI"l WORK SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �'� White Copyllnspector's File Canary Copy/Site Notice