HomeMy WebLinkAbout2000-P03232 - addn/remodel/repair } PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P03232
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 11/16/20
SITE ADDRESS: 650 Tonkawa Rd
LONG LAKE, MN 55356
PID: 05-117-23-33-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: iviecnanicai Eiectricai(stale)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 19,000.00
Plan Review Fee: $ 199.68
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 516.43
APPLICANT: RICHTER CONSTRUCTION OWNER: F W ADAIR&T M ADAIR TRSTES
18217 WOOLMAN DRIVE 650 TONKAWA RD
MINNETONKA,MN 55345 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.
APPLICANT PERMITEE SIGNATURE IS UEDl SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
Total Fee: $ a7a , y3 Date Received: /) -
Entered By: .46- Permit#: ��)
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZIP: j
NAME OF OWNER: Mi Ka- A v/-,�I iZ PHONE: (home)4-7(-
(work) 47t-l- Z t-ZE3
MAILING ADDRESS: c JA {�7, CITY: 0 2oI4 c-> ZIP:5,5 3,5,
Jz Z S 9
CONTRACTOR: PHONE: Q 74 -�� ,z,� s.tS j
CONTACT PERSON: MOBILE/PAGER: 9L5- 1( ,70
MAILING ADDRESS: 16�Z(7 CITY: ZIP: ,-2,��3c�
STATE LICENSE: #AI-e--
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): V l,4 ►'rIE
i
STORIES: / SQ. FEET OF EACH FLOOR: / 00
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1!14 006)
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 will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: ,�L DATE: /00
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
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 data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system; (b)
whether he may refuse or is legally 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 authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner 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 informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further 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 informed of its meaning, the data need not be disclosed to him for six months
thereafter unless a dispute or action pursuant to this section is pending or additional data 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 authority may require the
requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the
date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within
that time,he shall so inform the individual,and may have an additional five 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 individual may contest the accuracy or completeness of public or private data
concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority 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 determination of the responsible authority 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
10
• P
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: &SO T 0 N tcA w A IZAA,O
PID:
DESCRIPTION OF WORK: A 60 t o n1
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: a DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L2- I C3
Fire Department: I—ON a LA w Post Office: LuN 6 (A u,,c School District: 012-z�-o
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes c No Date of Survey: 10 -t-1- O 0
Proposed Setbacks: ,
Front(Lake): X2.0 7 + Right Side: (oO
Rear (Street): ISSZ Left Side: Zet Q
Adjacent Structures: Al to" Wetland:
Building Height: Def. Hgt. Peak Hgt. C� �•
Lot Coverage: 0, I<-
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: sjt5,
Avg. Setback. Bluff Setback: IVA Lot Coverage:
Existing Proposed
Hardcover: 0-75' I.i q I-Cii -
75-250' /-C 15.52-
250-500' 38. I o 3b• o
500-1000'
Hardcover Variance Required: Yes No o` Date of Council Approval:
REMARKS (in house):
27
BUILDING REVIEW CHECK LIST
UBC: /Z ' 3 CONSTRUCTION TYPE: V/j
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 1 q ,U oy
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical, Water Connection
_71- Footing Septic Sewer Connection
ot, Framing Fireplace Lawn Irrigation
c/ Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
o(- Final Grading/Filling O�, Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
28
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HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE` 00-75' 75-250' 250-500' 500-1000'
FXISTINGHARDCOVER IN ZOJNT
A. House _ x = S.F.
Largth 'Width
x = S.F.
—_ x = S.F.
x = S.F.
B. Garage __ x _ = S.F.
C. x = _S.F.
. Btivcnnay --
x O _ i 6 S.F.
_
D. Sidewalk _�_��--_ x —_� — — lam¢ S.F.
$eco��III l. 5 LiA x 5 = 9 S.F.
E, Patio/Deck la"0/ x — 3.6 _ = ZS.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other _ x -- = S.F.
TOTAL HARDCOVER IN ZONE - / _S.F. A
TOTAL PROPERTY AREA IN ZONE - 770c S.F. B
A �,� - B
7670 x 100 = !. 9�%
PROPOSED HARD COVER;TI Q,. ' = S.F.
A. House _ _ _ x
Length Width
x -- = S.F.
--- x = S.F.
x — -- _ -S.F.
B. Garage —_ x = S.F.
C. Driveway — x _— _ = S.F.
x ---- = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain _- x = S.F.
-- = S.F.
By Plastic — x
Or Fabric
G. Other _ —_.._ x ----- = S.F.
TOTAL IIr1RDCOVER IN ZC'vL:; S.F. A
TOTAL PROPERTY AREA IN ZONE S.F. B
A —--------- B ---- x 100 =
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARD COVER R LLONE
A. House x = 1(14-0 S.F.
Length Width
x S.F.
x = S.F.
- - x = S.F.
B. e /Z. x 8 2 = /O D S.F.
C. Driveway x _ _ !3� S.F.
x 37
D. Sidewalk // x /,5 = 17 S.F.
x - 58 S.F.
2�5,ccwG -
E. Patio/Deck x = 2/7 S.F.
W.00.0 x __. _ /55 S.F.
F. Landscape x __. _ = Z(-Z S.F.
Underlain x = 5 Z S.F.
By Plastic x = l 4-5 S.F.
Or Fabric
,� _ /¢ S.F.
G. Other --
- -fire rjy/� _
TOTAL HARDCOVER IN ZONE ZS�3 S.F. A
TOTAL PROPERTY AF,EA.IN ZONTE _ /77,?o S.F. B
A oe _ B /7794 x 100 = /S. c12 %
RROPOSED HARDCOVER IN Z(2NE' = S.F.
A. House x —
Length Width
x = S.F.
x = S.F.
x - -S.F.
B. Garage x = S.F.
C. Driveway x S.F.
x S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x _ = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZOI'FE —S.F. A
TOTAL PROPERTY AREA 111,41ZONE S.F. B
A _ _ B x 100 = %
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CERCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = ¢11-62 S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C Driveway x _ _ 375 S.F.
STA,t/�GU/2B /6� x
D.-Sidew&lir x = S.F.
B2iGe x O.¢ _ // S.F.
E. Patio/Deck x = S.F.
x _ _ /S S.F. _
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - ��I18 S.F. A
TOTAL PROPERTY AREA IN ZONE 1-4o4to S.F. B
A 4968 1 B /Jo¢o x 100
PROPOSED HAPD COVER LN ZONE'
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x
B. Garage x = S.F.
C. Driveway x S.F. M1
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck _ x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain _ x = S.F.
By Plastic x = S.F.
Or Fabric -
G. Other _ x = S.F.
TOTAL 1-I.ARDCO VER IN ZONE S.F. A
TOTAL PROPERTY AREA IN ZONE S.F. B
A B _ x 100 = _ %
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE, SCHEDULED
PERMIT NO. 3.,z 5 COMPLETED
ADDRESS A70 /5�7 0�_�✓`��`
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
tw .Ot FOOTING,' 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02''FR,AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
Z 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
LU
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W
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W
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W
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W _N�N/ORKSATISFACTORY:PROCEED CI PROJECT COMPLETE
c ❑ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E', PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
Inspector. :
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN -�'-od 3- a>m
INSPECTION SCHEDULED
PERMIT NO. � � COMPLETED
ADDRESS 6 -7—MAt�� X;v�
OWNER `� CONTR.
TELEPHONE NO. � S Co 3 �
DESCRIPTION
01 F 6—� 11 MECHANICAL FI 19 EXCAVLAKES GR E/WETLAND G
Q 2 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0 SULATION 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
h 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES—NO
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4!j ) 1(VORKSATISFACTORY&.PROCEED C PROJECTCOMPLETE
W CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO 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. 249-4600
Owner/Cont ctor on site:
Inspectorm- 4�,
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN Z-2
INSPECTION NQTIC SCHEDULED
PERMIT NO. CPI-COMPLETED 12—_-C'C> zz'' `�
ADDRESS S V T
OWNER CONTR.
TELEPHONE NO. 0 SO �'l 57C)
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�MIMSOLATION 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
r 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
CcQ_ L
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W
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W ElWORK SATISFACTORY.,PROCEED C: PROJECT COMPLETE
CC .�T,CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTOTAKEN
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. 249-4600
Owner/Cont actor on site:
Inspector/��iC��ec.liJ3
White Copy/inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ^���
INSPECTIONNO ICE2 SCHEDULED l
PERMIT NO. DJ� 3 COMPLETEDn I I
ADDRESS `` (�5O �r)ti ,�r c:. )CcV,
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OWNER t W_, CONTRX`c 4fer 0uNstr
TELEPHONE NO. q ST 2 C/7 P& 9
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEFLANDS
O 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 L 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTOTAKEN
INSPECTOR WILL RETURN
STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio 4 hours in advance. 249-4600
Owner/Contractor
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N I SCHEDULED
PERMIT NO. y COMPLETED -D 2rp0
ADDRESS
OWNER � /2 CONTR.
TELEPHONE NO. 752, Lf-71-
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
U_ 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
=WALLBD.
24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q
OWNER/CONTRACTOR TO MEET YOU:_YES NO
Z
COMMENTS:
W
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W
O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
r
Inspector. ��oA/1 _�
White Copy/inspector's File Canary Copy/Site Notice