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HomeMy WebLinkAbout2007-P10794 - addn/remodel/repair :A ` PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p1o794 Crystal Bay, Minnesota 55323 Pe�mlt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 7/9/2007 SITE ADDRESS: 1940 Sixth Ave N Unit# Long Lake,MN 55356 P��� 27-118-23-42-0003 DESCRIPTION: UBC occupancy R3 Conshuction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Pernvt Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pemuts required: Plumbing Mechanical Septic Fireplace Electrical(state) NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 2,113.75 valuation: $ 300,000.00 Plan Review Fee: $ 1,373.94 State Surcharge Fee: $ 150.00 TOTAL FEE: $ 3,637.69 APPLICANT: Brian Stephenson Construction Inc. OWNER: Jim&Judy Pierpont 2025 Pawnee Rd. 1801 West Farm Road Medina,MN 55340 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. I . � APPLICANT PERMITEE SIGNA RE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 _ �; . Total Fee: $ �r � ''� � - � 1 Date Received: `�� �[� � �� Entered By: ��� , Permit#: � - 2�-(� 7 �_/' t%' .l (_(_ .� } „ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before �lan review will be started. (please p��int all inforniation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle oste) OWNER OR CONTRACTOR JOB SITE ADDRESS: 6 �S�L' S txf�� ,��U�f��+h �o.v�/�K�' ZIP: �*���v5 G Will this be a Parade of Homes, Remoclelers Showcase Home or other Display Home? ❑ YCS �NO ITyes, a specic�l eveht permit is requir�ed tivith Police Depcu�tmef�t n�7d Ciry Counci!app��oval 60 da�,s prror to the ei��ent. Shut�Ie Gzrs service 1-vil!be reqirired a�mless applicar�t demonsU•ates sa��cient of�-side parking is available. Non-per��riiltecf eve��ts tivill r7ot be allotived. NAM�OFG1W1�1E1�: �i�n � Svc1��p i�'�e��,rt�r PHONE: (home)`P�v?-Gi'�5��`ll�l..3 (work) MAILING ADDR�SS: /��71 �L�'-��F�r1� k'd� CITY: ���L�rX ZIP: Ct)r�TRA�TO�: ,�jR\.ft-�S-����hc-v�.sc�a C��;�s�-, �L"�:.'t... PI-�Ol\TE: 7�:� .�17�' "�.?z`'.�1. � CONTACT PERSON: (�R�it-� 5-fC�.���St•,� MOBILE/PAGER: G"�!vZ` y�`1-c.3�1 T 7 MAILING ADDRESS:,,`��� i�yu:v,�� k',�_CITY: jY'l�cl�.%�',fi- ZIP: . ".S �_3-t v STATE LICENSE: #�a,�,�,�, yj"9 �XPIRATION DATE: 3~3% -v 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # T'YPE OF WORK: New Home Elddition � Accessory Structure Move Home RemodeVAlteratio►1 (ie: Sidiiig, Windows) Any earth movement may re uire MCWD review and permits ! PIZ�POSED W�RK(descril�e in detuil�: _,q�,D vC n� �1C�tiZ, (�-.�n.�;�: ��rrL,�t��C�'++� STORIES: � SQ.FEET OF EACH FLOOR: I Z,jL'� NO. OF BEDR001VIS: r� GARAGF. STALLS: ATTACHEI�� DETACHED_ c�£a ES'TIIVIA'�d'ED CONSrI'12UC�'IOI�t VAL;UAZ'IOl!'(e�clucling lancl): � _:j��`�,��t� � 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 E3uildin� Code;thaC I understand this is not a permit and worlc is not to start�vithout a permit;ancl that the��vork will be in accordance with the approved plan. , APPLICANT'S SIGNATURE: � � � I�AT�: �+�`" �� 31 . c, . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential dataconcerning himseifshall be informed of: (a)the purpose and intended use of die requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities suthorized by state or federal law to receive the data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. The cotnmissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual.Upon request to a responsible authority,an individual shall be inforn�ed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to this section is pending or additional daca on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible autltoriry may require the requesting person to pay the actual costs of making,certitiying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individua(may contest the accuracy or completeness of publ ic or private data concerning himsel£ To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement.The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The detertnination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY , In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",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 M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. c�R �/;'%li � �JIJL"S� ���C'V45C).C� First Middle Last o��� �1'twN�� �� Address �If t..d 1�r1 m�r �.�31/D 713=�-6�"d� City Statc Zip Phone I understa my rights tate abov Signsture ' Reset Form 3' s . . . CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE US ONLY j���>�— , ADDRESS OR LEGAL: �i`�`� ��L�/` ' /X 11 Gv1�` PID: DESCRIPTION OF WORK �1(,�U r+ �ltk�t( �l a,r.4 y',�., Z��d S/��L� c`.x.✓ �»-i 4��r,a/ h cus�= rsai*�'� ----------C�-�-��`"�----��"-��J`�LG.lr�_.���..L'�c.-�c�]------�-�------------------------------------------- �'dc���c� -------- 1 1 ZONING REVIEW BY: �/- DATEAPPROVED: Q BUILDING REVIEW BY: wQ,�.,�r:.,.A..- DATEAPPROVED: (�,•��{ �u-"7 -------------------------------------�- ��------------------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculatecl By.� PERMIT Yes�_ No PLAN REVIEW Yes L No SEWER CONNECTION STATE SURCHARGE Yes �-� No WATER CONNECTION INVESTIGATION FEE Yes No �--'" PARK FL'E SAC Yes No �,,.- SITEINSPECTION Na�mber of SAC Units OTHER (spec�) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST 7oning Drstrict: �� ' �� Fire Deparh�ze��t: Post Office: Schoo!Dish•ict: . ,� � Lot Ar•ea: Sq.ft. .9c��es �i��2- GVidth Depth ��7`�" Stuvey St�bnlitted: 1'es �� No Date of St�rvey: �P�� V / Proposed Setbacks: h t�� �+ Front.�Lcrlce}� ��_ �kt Side: -T F � Rear CCt,...N�}: �Z.(�E f be}'E Side: �� Adjacent Str•arctures: ri f=k Y�'etland: Vl� Bzrr(cfingHeight: Def. Hgt. ZZ� +' PeakHgt. G.�'}�t GY�d¢.,�-a ��"S��t�`''� '� ���� – �'�.b�' ��c=��r Got Coverage: ���f��-� �. �y, �: S /0 Grading: StaJf Approva!Uate: .By; Council Approval Date: ( � �= �� a �� .. . . _ . Septic: StnffApprovalDate: }: 7v�zing File: # Resolittiorr: # Resolutior�Date: Shorelafid District: / AICIf�D Permit: Avg. Setback: 13h ff Setbncic: Lot Coverage.• 6xisting P��oposed Ha��dcoi�er: 0-7.i' ?�-2.i 0' zso-sno� soo-i000� Har•dcovei• [�"ariance Required: }as fVo Dare of Coc�ncil�1pp�•oval: REMARKS(in hocrse): - --�.:—�:-� , _. / -4,�1/lSA�J C�w�U L Z J >; . . . i B UILDING RE vIEW CHECK LIST UBC: � �- CONSTRUCTION TYPE: Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage ,r = x = TOT,�L Estimated Construction Value: $ Inspections Required: 63�ork Requiriirg Separate Permits: Site �'"Plumbing Fire Hardcover Re»toval �Sylechanica! Yt�ater•Connection �Footiag t/Septic Seiver Connectia� •,c Fr•an:ing ✓�Fireplace Lmvn Irrigation _�Insarlatiorz _ ([Llasoniy) Other �GVa/1 Board t/ (Nlfg.) Well(State Per•rnit) Fina/ Grading/Filling _f�Electyical(State Per•niit) Other REMARKS(INHOUSE): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access App��ovnl: Date B}� ------------------------------------------------------------------------------------------------------------------------ REMARKS (TD BE NOTED ON PERMIT): —�?r�l�.�.,a� % - --� -� ' - � -_/ �r��'S'�'�;*+����I c�.�4�x ,� 34 v- "�/� �� D TIME / CITY OF ORONO CALLED IN � INSPECTION N IC SCHEDULED __�� __� PERMIT NO. COMPLETE ADDRESS �9�D � . /Cl . OWNER CONTR. � TELEPHONE NO. �l o� l7O a o2�� � DESCRIPTION / l � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 � 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 (�(� 7`YUcic. uJt� G�Gc,¢.tP Gr ,c�.�i' a � j O � c�c5-f�� S S b f� � �-z-��' 0 � W � Q � � ��..�S� � �,� �.� z � U� c � �*�� ���'� '�nv �-+ — � T� C_ Cc��Q —r-r� =��1T f�•e� �-- � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. (G�c White Copyllnspector's File Canary CopylSite Notice ' J l OD� TIME CITY OF ORONO CALLED IN l �//���� INSPECTION NQ�1��7n, / SCHEDULED � '� 7 �,t� PERMIT NO. ` 7 `"f' COMPLETED ADDRESS f 9.����� �'47J`P� OWNER CONTR. G����'`.7' TELEPHONE NO. lO�a ��lO lS�oZ�/ � DESCRIPTION ��O�n G� t� 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � 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-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT J 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �D� ��e SpAsr�nr / orCi� �. � � �K � ��c�-� W � Q � z W � W � j d � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on sit •• Inspector. � � White Copyllnspector's File Canary CopylSite Notice � D TIME CITY OF ORONO CALLED IN _� INSPECTIONN TIC�E7/� SCHEDULED /D� -b7 /t� PERMIT NO. �l� `7� COMPLETED ADDRESS �7U� dS��'S��- � � ` OWNER CONTR.�S C� TELEPHONE NO. ��o� o�� � T�� � DESCRIPTION �al�'l / � ❑ FOOTING ❑ MECHANICAL I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMM�NTS: � w a o i [�#"--t 'i r f� S , !��Sy �. � 0 � W � Q ti Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O �RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �� CITATION ISSUED D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� �CWI� DA TIME � CITY OF ORONO CALLED IN � �� INSPECTION N SCHEDULED �=�-�� Q� PERMIT NO. � COMPLETED ADDRESS � OWNER CONTR. `(s2�-�� TELEPHONE NO.�1�� � / � �7 � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. � FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL p FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j /''�� 0 � o ��("/ '' ,� S� l r�� � 0 � W � Q � 2 W � W � j d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CO�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e- - ' Inspector.� �_, _ White Copyllnspecto�'s File Canary CopylSite Notice 1���1�- � CITY OF ORONO CALLED IN —F�--�� T� INSPECTION NO CE SCHEDULED �v � : O j'1�l PERMIT NO. D C MPLETE ADDRESS � C� Nn OWNER CONTR. G i - TELEPHONE NO. � � � DESCRIPTION � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATiON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � (ZlL 7� c�� 0 � � 0 � W � Q � � W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector._�� � White Copyllnspector's File Canary Copy/Site Notice � ��- �� ����, / D � TIME CITY OF ORONO CALLED IN I �� INSPECTION NOTICE SCHEDULED � � PERMIT NO. �� �� COA�LETED /� �3f-G7 3'>'b ' ADDRESS ,- l � J\ �� `�- 1�• OWNER CONTR. � �o�� "_„'�' TELEPHO O. � �� ��� � DESCRIPTION �Irn��-' `f' 1 1 `r UC� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � V C o T b �rv<Pc�cj �. � 0 � W � Q � z W � W � � a W ❑WORKSATISFACTORY:PROCEED CI PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �-j pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site Inspector. ''� l � White Copyllnspector's File Canary CopylSite Notice