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HomeMy WebLinkAbout1998-010958 - new septic w PERMIT x;ITY OF ORONO PERMIT TYPE: �� � �� � ,;:-:,f� - 27�0 Kelle Parkwa P.O. Box 66 �='���'"�� �-"' �` ` �'`� y y Permit Number: �.t��.s�-�'_�_� Cryst2l Bay, Minnesota 55323 � � - - - - (612) �73-7357 Date Issued: ? _�'t a'::;`_};-� SITE ADDRESS: _r:�.i_�i_� i��_,;. =� i �°i_� �� . _. . ':i �:j i�y.....{ ' i�"'—— r - _:l_/i:_ DESCRIPTION: -.��:{ _. . � . �.. . _ '_'�:�{�`.�'�� _. �:h�^4•��� �•�°t�t i���. i �i�'�': �u�tir� ....__. . _ . . � .. REMARKS: FEE SUMMARY: _ _..: ��t��.: - _ __.____ ___. ,-;; - ;�._� - ti �" _ . CONTRACTOR: �— :�����_ ?�_.�s xc� — OWNER: ' __�,'i,.�.�.. •_�F�t�v���� ,�,�lvt,. 6'�i.l s_; i L { ii "1{_j�'•� �%:_f�ui—i�_�{ . ..�...�.�.t�!f"'t{�. . ... _ _ _ . . _.,.._. v� a, . ` ' v . : .-�..—.:. ,�r.-� — — _ _ `J j,`:_;.�t 1 t_ , � ��'i_� ;�:.�,; _ . _ _ s _.. — • — — — :�z'�.i_�1.., 't-f f:E `��.._.. E"�}....t,�. �'`i`'� _ _ _ _ _ i_�`,r:�;_.t�'S:_1 !°!jy .-i:'_��:_;: . _ ._._ . . _ _ ...:�'t'� ; �-t:, .i'`�j tF-.. .'�.i+�%��:`wi' . .__. ._._ . #.''..�'.�; i`- ��.re;.- - — —;_I1''J � t_€ �'ii-'i�'._. ! i.f"' �.".=. .__ _ �'.__�+, .E _..{�y 1 - �i�--— •. ,,. . ,.. - — - .—.—.:---�=S'""""", ".;'.t�i�, _,;. .�._. —,� : ' i:—��,;,c' -_ _ _ _ . �i.:y � j�; _ _��''!'-I ��� . . . . . _ . . ._ _ . _ _. . __ .. _ ..- — — . . _. .,_: w -i�'" :�_:! �-s:,.�_ � •.�i : ; : `.;,;;_: r3f,_L_ �:z.._ �S` [ ��i' �;ir:,`_1�11 �f 4 i ;�: . t"'{t_�r'��e.;:':�::: � — :-i( {•; �__ i_ii•' i'1_, , Sr:-:1:�t-t'+ __.-`�<'J`•.,- t_t__ __ . ._. _. ._�. _... . , _. . 4.s ' �' r � r . i;3.. : !i� �yi_�vr-�ur_.�."' .� _� { _. _ . ti�+�v L _ . ._ _ , � �y�- r�-t APPUCANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE � y _. �'�✓U C� `� �' �i��; �� � � - CITY OF ORONO SEPT'IC SYSTEI�I PER��-IIT APPLICATIO�t Box 66 (2750 Kelley Parkway) Crystal Bay, 11�1�t 5�323 = Jos srr� �D�ss: -3 �o � � , -�`�` Occupancs• Type: Residential �_ Commercial Other - -- -- Permit T�•pe: � Netiv or Repiacement S 'ste �100.000 .� �- Repair Exi ing ystem, � 50.0 (Tanks or Drainfield) 0.50 State surcharge added to above fees � *See fee schedule for non-residential permit fees Owner's I�`ame• .✓q�d ��!.Sd.✓� Phone\Tumber• Nlailing Address: City: �' Contractor's I�'ame• � dtll� .v Phonell'umber: . � - �S IYlailing Address:T 3 0 � � �`s City: e �P� s� DO \TOT ti7AII.. PAYI�'1ENT ti�I'TH THIS APPLICATIOtiT GF,��,rERAI, .J�'STRUCTIONS 1, Applications for septic system permits may be mailed or submitted in person at the Ciry Offices; however, permits wi11 not be mailed out. The permit must be picked up in. person at the Ciry Offices and work must not be;in unless the permit card is on the job site. � 2, permits will be issued only to contractors holdin� a City of Orono Septic System Installers License. 3, AlI work must be done in accordance �vith the approved septic system desi�n. Desi�n reports are not considered approved unless accompanied by the "City of Orono Septic System Approval" cover shee[ si�ned by the City Inspector. 4, The followin� inspections will be required for all septic systems: _ . A. Pre-installation site inspection to include inspector, installer, and general contractor. B. Tank installation prior to coverin�. C. Drainfield trench inscallation prior to coverin�. For mounds, inspection is required afcer rouQh-up buc prior to sand placemenc (sand will be jar tested for silt content), and a�ain durin� pressure distribution pipin� installation in the rock bed. D. Final inspection to verify proper final cover depchs and to verify that all pump station (where required) components are functional and comply with codes. 5, Individual holdin�MPCA Installer Certificate shall be present durin� inspections: A 2`�" hour notice is required for all inspections. ~ ' � - . NOTE: Applicanc rriusc initial alI spaces. Fill in all appropriace blanks, check all appropriate boxes. . 1. I have received a copy of the system desijn includin� the Ciry of Orono Septic System Approval Cover Sheet. � 2. I will be installin� the followinQ: A. Tanks: � precast Concrete Other Manufacturer Tank Capacities: 1) gal. 2) Qal. 3) Qal. � o � B• Pump Station (if required) Pump make & model � q� ��� (attach pump curve & literature); system desi�n requires �_ gpm at ��_ feet of head. , Hi�h �vater alarm make & model _ � ��t�( Outside � electrical work to be completed by installer �_ electrician other IrLside electrical work must be completed by electrician. C. Treatmen[ System: 3O� Trenches: s.f. �_ Mound � Depth of rock below pipe " Rock bed dimensions /o 'x //Z Drop Boxes Sand bed dimensions 'x�.�.. , �-r Distribution Box Pressure Dist. Pipe Diam. .,�" � Maniford Pipe Diam. /%:._" D. Final Cover/Topsoil to be: �_ borrowed from site (show location on site pla�) trucked in � The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation permit, a�rees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies [hat all statements made on this application are complete, true and correct: ; Si�natureofApplicant: Date: � �-- –�j'— �� MPCA Certification No.:_ ,�� - Staff Reviesv: Approv Denial ReFietiver: iG'(� D . �� ate. / ��{� Reason for Den.ial: D TM n CITY OF ORONO CALLED IN I� � � ��� INSPECTION NOTICE � ` scHEou�E� � G�j 5 t� ' PERMIT NO. ��' coMP�ET t�� �� ADDRESS � OWNER CONTR. � TELEPHONE NO. � DESCRIPTION � l� 01 FOOTWG 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 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 06 PROGRESS � 07 DEMO-SITE S INT. 21 COMPLAINT � 07 DEMO-FINAL �EPTIC INSTA 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVA OOWNERICONTRACTO+RiTO MEET YQ • YES NO f ^ � Y-'^� ����;{',�. v, COMMENTS: �u 1� � I� � � �► ��- ,.� � J O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED I PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � C CORRECT WORK,CALL FOR REINSPECTION7"` TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION iSSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-73�J7 OwnerlContra r ' e: Inspector. � � �- � White opyllnspector's File Canary CopylSite Notice DATE TIM�F CITY OF ORONO �� CALLED w )I ` �-� �� � /� ��� INSPECTION NOTICE �.� SCHEDULED ��. � ��� PERMIT NO. � COMPLETED '� � ADDRESS �� 'TCC]D �yC � OWNER_.Fc� I�� CONTRI�o � �v � IC�,tic�u� TELEPHONE NO. �-I -1 c7 - I S`�� � DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 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 Q = 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVF�R REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTORTOMEETYOU: YES NO � COMMENTS: � !�' � � W `-.' a � J '- O � � O ) � � ti � �[ — Q � Z W °` � �. ��� � /.�' � r�" _ a � ❑WORK SATISFACTORY:PROCEED ': PROJECT COMPLETE W ❑CORRECT WORK&PROCEED := ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN INSPECTOR WILL RETURN i' CITATION ISSUED G'STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i dvance.473-73rJ7 OwnerlContractor inspector. � r ,�i'�_� White Copyllnspector's File Canary CopylSite Notice . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �y, c� SCHEDULED � PERMIT NO. �C1"�I J �� '� CO PLETED ADDRESS J <S OWNER CONTR. TELEPHONE NO. 1� � DESCRIPTION, ✓ /�n � 01 FOOTING 11 H ICAL 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 ���iiv���+�+— 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTHACTOR TO ME�OU: YES NO l � COMMENTS: � �"' � o �m ' 11J � � - r�-� �� J O � � O � W � Q � Z W � W � j a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W` ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call forthe�ext inspection 24 hours in a vance.473-73�J7 OwnerlContra�3�i s+te:��� . f �'` '' �' �,,, /� /+�/'1,,,��.t-. Inspector. �`-�: . - �- - White Copyllnspector's File Canary CopylSite Notice � � DATE IME CITY OF ORONO 1�'`��� CALLED IN � i L� INSPECTION NOTICE scHEou�Eo PERMIT NO. • COMPLETED `� ADDRESS � OWNER CONTR. � TELEPHONE NO. � DESCRIPTION ���/i�_ L�L� ���tX�� ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC 21 COMPLAINT v 07 DEMO-FINAL 1 22 FOL�OW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET U: ' Y S - O Z / a COMMENTS: '� � a '� a s� � j "�' � ,S ,� i O � O � W � Q � (�� � 1��7� W � � � � � /� d�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � C�CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION 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.473-73�J7 Owner/Contract - Inspector. � ��� White Copyllnspector's File Canary Copy/Site Notice DATE TIME� CITY OF ORONO � CALLED IN ` � INSPECTION NOTICE U�'�� SCHEDULED � � S� �ERMIT NO. COMPLETED � � __� ADDRESS V � OWNER CONTR. TELEPHONE NO. � DESCRIPTION �C�,I�C. � 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES,�NO / / � COMMENTS: '— a � j � � � J '�" O � � _"" /", o _, „ �. /�, � . w � Q � z W � W � J d W� ; WORKSATISFACTORY:PROCEED C. PROJECTCOMPLETE W Li CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspe tion 24 hours in advance.473-73�J7 OwnerlContractor n ' e: Inspector. White Copyll spector's File Canary CopylSite Notice D TE TIMnE CITY OF ORONO CALLED IN �� � �CJO INSPECTION NOTICE j()�'� SCHEDULED � — -R� PERMIT N O. i " COMPLETED L i � ADDRESS � � f OWNER CONTR. � TELEPHONE NO. � DESCRIPTION � �_ :� � l� 01 FOOTING 11 ME ICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/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-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL SEpTIC INSTAL . 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC AL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES i NO � COMMENTS: 1 � . � � � � r � . J O �. � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED u PROJECT COMPLETE W � ,O CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract' Pr Inspector. ' � � ;� .. v White Copyllnspector's File Canary Copy/Site Notice AT � TIM�- CITY OF ORONO CALLED IN t:� P� INSPECTION NOTICE � SCHEDULED _� PERMIT N0. � ��� COMPL TED ' � L ADDRESS � � � I OWN ER CONTR. TELEPHONE N0. � DESCRIPTION �� ' + l� 01 FOOTING 11 ECHANIC L RI 18 EXCAV/GRADING/FILLING � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC M 21 COMPLAINT J 07 DEMO-FINAL SEPTIC INSTAL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU/�Y S_NO � COMMENTS: � �'Q' r� �` r'�.� � .' � � — �', �. � ` J O >. � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ' Ci ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR i: CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 � OwnedContracto Inspector. �' ���'� White Copy Inspector's File Canary CopylSite Notice � �� � ATE TIME CITY OF ORONO CALLED W ���� INSPECTION NOTICE SCHEDUIED // i� `�� �?:r�u PERMIT NO. � COMPLETED � �� ADDRESS ' OWNER CONTR. �� ^ TELEPHONE NO. � DESCRIPTION ��.�t � � "� LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE EPTIC MAI 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 ME YOU:_YES_NO � COMMENTS: �� /'�� ' iC �1�� Lr� � � Y� � � ��n� Z � �� /� �� �.� j .� �" !� � � �` O � W � Q � g `�.��' 'aC' 'r " �-�J�' �i� �' W � j ` � �dWORKSATISFACTORY:PROCEED /Z� �;� �� PROJECTCOMPLETE W�❑ CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION� �� TEMPORARY � BEFORECOVERING �� `-"' PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN��. ,-,, pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7557 OwnerlContracto Inspector. White Copyllnspector's File Canary Copy/Site Notice T —^� / TIME CITY OF ORONO CALLED IN 7 �� INSPECTION NOTICE `�� ��'� SCHEDULED = PERMIT NO. L' � ` co PLETED �� ADDRESS < <� � OWNER CONTR. (� TELEPHONE NO. � DESCRIPTION O' � 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 = 09 PLUMBING RI 23 S FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO ME YOU:_ ES_NO � / � COMMENTS: '— O(J � � � � -- �' — Lyi/ j (�' Q' � O - � �1� 0 � W � Q � Z W � W � j d�WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor n it • Inspector. �-�— White Copyllnspector's File Canary Copy/Site Notice