HomeMy WebLinkAbout2000-P02942 - addn/remodel/repair • � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2942
Crystal Bay, Minnesota 55323 P@1'1111t Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: loisi2oo
SITE ADDRESS: 1973 Fagerness Point Rd
WAYZATA,MN 55391
P I D: 18-117-23-14-0008
DESCRIPTION: UBC occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: �+e�/Remodel/Repair Permit Sub-type(s): Single Family
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DETAILS:
Approved per resolution#:
Separate permits required: rium oing iviec;nanicai r,iecu�icai�state j Oiner-�Cu r rvic icETHiivii�G "w,yi,i,�j
NOTICES/REMARKS:
ATITITTT(1NAi. RF(li TiRFTI F(1R RFTATNI7�1(:\a7Ai T C PT er
FEE SUMMARY: PermitFee: $ 492.25 Valuation: $ 35,000.00
Plan Review Fee: $ 319.98
State Surcharge Fee: $ 17.50
TOTAL FEE: $ 829J3
APPLICANT: MANLEY BROTHERS CONSTRUCTIO OWNER: KURTIS L. MANLEY
3338 FREMONT AVE S 1973 FAGERNESS POINT RD
MINNEAPOLIS, MN 55408 WAYZATA MN 55391
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.
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APPLI ANT PERMITEE I NATURE ISSUGD BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ �;����� . � Date Received: q- /Z-
Entered By: Pernut#: ��� ��.
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: I �'-13 �" � t �*-►�ss�-r'.�. ZIP: 55 3ci 1
NAME OF OWNER: �.�e.r M��.�.� PHONE: (home)��� .81s•9a��i
(work) `.�a. ��. y���
MAILING ADDRESS: 333 a �-ti-r►�+�--�` CITY: m+��s . ZIP: 55 y�8
t�iJE.. Sc._.o-r,d
CONTRACTOR: mc��...E.�t �z vr-Nr_,s.s C..E,..�s-r. PHONE: �-��• �s�. '-b<-��-
CONTACT PERSON: IC•.•re�- r�,s,�`�.,y MOBILE/PAGER: c�� �. �s�• �l���-
MAILING ADDRESS:.�33�'s�'z.tr.r+o..� ��..s. CITY: m�+-s . ZIP: 5�y�8
STATE LICENSE: #�-�Sy3��
ARCHITECT/ENGINEER: �n - � �.�'-�,.�` PHONE: css� •89�1 • 3�r90
�1AILING ADDRESS: �5�0���.-y CITY: f,�,�.�..., ZIP: 531�.
vAME; --rL7n.� c"'�s'"`m,�, � ��� REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detai�: � .J-r-+�.z.,«�. �R--�•��- , Gt.A,�.�-�o•.�--
�Z�,.� o u- -
STORIES: I �I�. SQ. �EET OF EACH FLOOR: � � 1 �� �� �S
NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. �
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3'S cx��.��
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 SIGNATi r T � -� '�y�' DATE: -r'j • I�• �
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.
Sec.13.04 RIGHTS OF SUBJECTS OF DaT,�
Subd. 1. Type of data. "Ihe rights of individual on whom the data is s[ored or co be s[ored shall be as set forth in this secrion.
Subd.'_'. Information reqirired to be given individual. An individual asked to supply private or confidendal dara concerning himseif shall
be informed of: (a) the purpose and intended use of the requested data within the collecting"state agency, polibcal subdivision,or sratewide system;
(b)whether he may refuse oi is legally required ro suppty the requested data;(c)any known consequence arising fmm his supplying or refusing to supply
priva[e or confidendal data;and(d)the identiry of other persons or entines authorized by state or federal law to receive the data. This requirement shall
not appty when an individual is asked to supply invesriearive dara, pur�uant ro secrion 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav p(ace the norice mauired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whe[her it is classified as public, private or confidendal. Upon his further requesc,an individual who is the subject
of s�ored private or public data on individuals shall be shown the data wirhout any charge to him and, if he desires, shall be informed of the content
and meaning uf 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 acrion pursuanc to this secdon is pending or addiaonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by[he individual subject of the data. The responsible authoriry
may require[he requesting person to pay the aEaiai cosu of makine, certifying,and compiling che copies.
The responsible authoriry shall comply immediately, if possibie, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Sa[urdays,Sundays and leeal holidays,if immedia[e compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excluding Saturdays,
Sundays and legai holidays.
Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or complzteness of public or private
data concerning himself. To exercise this rieht,an individuai shall notify in wriang the responsible authoriry describing[he nature of the disagreement.
The responsible au[horiry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of
inaccurate or incomplete data, including recipie�ts named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individuai's sratement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant ro the provisions of the administrarive procedure act reladng 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 permi[ 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 wili 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 pemut or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
�. 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.
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First �tiddle Last
33 3 $ .�,�.�.�„�� ���. s.
Address
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C�� State Zip Phone
I understand my ri;hts as stated above.
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Signanire
� � CHECK OFF LIST FOR ISSUAI�TCE OF PERI�IITS
_ FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � �,� 3 Fr�c�i_2rUES S Po��vT 1Z-op.r�
PID:
DESCRIPTION OF WORK: (Z-�=vVvpip�=Z
ZOti�G RE'V�`V BY: DATE APPROVED: g z�-�
BUILDTi�tG REVIE`V BY: DATE APPROVID: �i' - Z� -�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r� No :�
PLAN REVIEW Yes v' No SEWER CO�TNECITON
STATE SURCHARGE Yes �-- No WATERCONNEC"ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI:�tG CH�CK LIST Zoning District: ,�o Gff�-n/'� _
Fire Deparcment: Post Office: School District:
L,ot Area: Sq.ft. Acres Width Depth
Survev Submitted: Yes No Date of Survey:
Proposed Setbacks:
Fron[ (Lake): Righ[Side:
Rear (Street): Left Side:
Adjacent Structures: We land: .
Buildin, Heigh[: Def. H�t. Pe �Hgt.
Lot Covera�e:
Gradin;: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
Zonin,File: # Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Setback I.ot Covera�e:
Existin� Proposed
a
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Da[e of Council Approval:
REI�iARKS (in house):
7
. .
BIJILDING REVIEW CHECK LIST
UBC: I� '� CONSTRUCTION TYPE: �((' "
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd F1oor x =
Garage x =
x =
TOTAL
0
Estimated Construction Value: $ 3'S,(�00
Inspections Required: Work Requiring Separate Permits:
Site �C Plumbing � Fire
Hardcover Removal pC Mechanical Water Connection
p< Footing Septic Sewer Connection
�_ Framing Fireplace Lawn Irrigation
L Insulation (Masonry) �_Other C v P �=o�- �-�i��^`s ���
�_Wall Board (Mfg.) �Vell (State Permit)
�_ Final Grading/Filling L Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
----------- -----------------------------------------------------------------------------------------------
REv�ARKS (TO BE NOTED ON PERMI�: 14 Q(�(LQ u�. (2�;4 v �/I.�►� �
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DATE TIME �
CITY OF ORONO 2 Cl��Z CALLED IN %- .�c' "t-'� C' 'x"� ��
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INSPECTION NOTI�E SCHEDULED ��"" -� � - �%
PERMIT NO. �J � �� COMPLETED �� ' 2�
ADDRESS �� -7 � /- �< <i� �/'1�'!-�-�' { /�rf.
OWNER CONTR. 7C�/��' ` ����
TELEPHONENO. 1���� -���� <�� �� /
� DESCRIPTION �1'�7i�//x� /�/C'l� t r�f
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 14 SEWER HOOK-UP 06 PROGRESS
Q 05 FINAL
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR 0 MEET YOU:_YES_NO
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN f CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlCont or on site:
InspectorJ i���YG�-✓71
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO Z CALLED IN _�'�O �'�r��✓�
INSPECTION N IC c� SCHEDULED
PERMITNO. ���/�� COMPLETED /�� �� y5
ADDRESS�f�' �%'l_G-2v'dJ e�S' ,_
OWNER CONTR. �'�'
TELEPHONE N0. Z-����'��6 Z� ('�j�O-`��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�J/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 OS FINAL 14 SEWER HOOK-UP 06 P GRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. �21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: h�%��- �--�'1L.�tq ��- �""�v; ���
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL FiETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr ctor on sit •
Inspector. ����"�c''�'�
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�a��ZSCHEDULED � -�
�ERMIT NO. COMPLETED /-� ��-�
ADDRESS__1�rI�� �" �h-t./-e ��-' � .
OWNER CONTR. L%C�l1.C��P,�i �J✓LaS .
TELEPHONE NO. ���� 02 q�D l�d ! �
� DESCRIPTION / ` �,,i,���
� 01 FOOTING 11 MECHANIC RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARFANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. Y/ � ���
White Copyllnspector's File Canary Copy/Site Notice
/
��j� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE C� SCHEDULED __S� �
PERMIT N0. � ! � � COMPLETED � �
ADDRESS � � /:� f—Q��t � �_ �� • ��-
OWNER CONTR. �l� ' �
TELEPHONE NO. �� Ci �
�� � PTION °:� .���P "���2L��
lLi 01 FOOTING 11 MECHANI�AL RI 18 EXCAV/GRADING/FILLING
Q ING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
s�•� 12 WATER HOOK-UP 17 SITE INSPECTION
`�OS FINAL 14 SEWER HOOK-UP O6 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 AEMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContract n sit •
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE T ME
CITY OF ORONQ �9 CAILED IN '�`��? ��� y G�{J
INSPECTj IC�" �[ SCHEDULED �- _ - C / 4 C�P�
PERMI 0 �` �7� COMPLETED 7`"�I �- ��
ADDRESS /�
OWNER c� � �' CONTR.
TELEPHONE NO. � C� o
� DESCRIPTION �-�-�-C- - �'Y�-
� 01 FOOTING ` 11 MECHANI AL RI 8 EXCA�/ LING
�RAMING__� 13 MECHANICAL FINAL 1 ESHOR NDS
Q 03�1a5 fON 24/25 WOOD BURNER/FIREPLACE 34 TRE OV
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPEC
Q 05 FINAL 14 SEWER HOOK-UP O6 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
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION RE�UtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector. l�� � �.�Gc.�1
White Copyll�spector's File Canary Copy/Site Notice
/ �� DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION NOT E SCHEDULED �� �NQ�_.
PERMIT N0. � COMPLETED �
ADDRESS !� 7 � �C?��L��Z�-�
OWNER CONTR.
TELEPHONE NO. � '
� DESCRIPTION � �Q-� ' �1�� • �� •
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac on si .
Inspector.
White Copylinspector's File Canary CopylSite Notice
<L� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE c/ SCHEDULED _ 31-�/ 3 v
PERMIT N0. Q -r COMPLETED > "��� I�G
ADDRESS � -3 ��
OWNER SLS ONTR. J��";�.-f�
TELEPHONE N0. �s�� �S`� � �-�� c:��
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l� Ot FOOTING 1�NiC RI 18 EXCAV/G ADING/FILLING
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y 03 INSULATION OD BURNER/FIREPLACE 34 TREE REMOVAL
ZL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FI � 14 SEWER HOOK-UP O6 PROGRESS
EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
._,_ 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI L 36 FOUNDATION/REMOVAL
� ERICONTR R MEET YOU: YES_N ,
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W � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� �p�:ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V���BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP OR�ER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector.�"�.��-!�,� �� �
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