HomeMy WebLinkAbout2008-P11163 - new structure " �''" PERMIT
CITY OF URONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11163
Crystal Bay, h9innesota 55323 Permit Type: lvew Structure
(952) 249-4600 Date Issued: 5/27/2008
SITE ADDRESS: 3534 Ivy Pl Unit#
Wayzata,MN 55391
P��� 20-117-23-42-0019
DESCRIPTION: UBC Occupancy R3
Conshucrion Type VN
Proposed Use: Residential Census Code 101
Permit Class: Building
New Structure Permit Sub-type(s): New Home-Single Family
Permit Type: �
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection Irrigation Electrical
(state)
NOTICES/REMARKS:
RECLAIM SAC CREDIT-SAC Pd. 12/28/73#3849
FEE SUMMARY: Permit Fee: $ 4,421.25 Valuation: $ 750,000.00
Plan Review Fee: $ 2,873.81
State Surcharge Fee: $ 375.00
TOTAL FEE: $ 7,670.06
APPLICANT: The Dan�yCompany OWNER: Ted&Nancy Capra
4410 Shoreline Dr 3534 Iry Pl
Spring Park,MN 55384 Wayzata MN 55391 ���'�
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,
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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LICANT PERMI SIGNATURE SSUED BY SIGNATURE
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Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �
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Total Fee: $ 7(p 7�. D�p � Date Received: ' !� •b
Entered By: � Permit#• �LLlL03
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print atl information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: ��'?j � �,�V y �L �p: _��
Will this be a Parade of Homes,Remodelers Showcase 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 a ' rrew, rates
su�cient on-site parking is available. Non permitted events will t be a wed.
NAME OF OWNER: �Ol 1'"� PHONE: om�) ��Z �y7—Z��p
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MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: N.�t/'r`�- D PHONE: �Z �-y7���S� Z
CONTACT PERSON: MOBILE/PAGE 0
MAILING ADDRESS: �G � i�C �"' CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: �� PHONE: 7��"'� ''�f�' 7
MAILING RESS: g/OG `wK�'.� CITY: ��x L ZIP: Y�
NAME: �� REGISTRATION: #
'TYPE OF WORK: New Home '� Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding,Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�:
��� p�,�� � .
STORIES: Z SQ.FEET OF EACH FLOO�Zr'�'��l� �""�"�t �a ,
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_
� �..� •�.fi
ESTIMATED CONSTRUCTION VALUATION(excluding`l�nd):�$���►Q� ,
t<,..�. ;��^ •
I hereby apply for a�bu��'f'ng�iek nit and I acic-�d'v�le�lge that the information abc��'s�4c�mmplete'��t 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 wlthout a permit;and that the work will be
in accordance with the approved plan. � �
APPLICANT'S SIGNATURE: � ' � '��'� DATE: �Z� Q
,
31 ,
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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 shal l be
informed o£ (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 mayplace the notice required under this subdivision in the individual income tax or prqperty 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,ahd 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,shal]be informed of the content and
mg 1��g.qf't�hat at� After an individual has been shown the(�i�aty data and�iRl�nned of4(sfnerdnin�ttlE�tlata need not be disclosed to him for six
montl�s U�'e u�ss a dispute or action pursuant to this secAon�s pen�n�+br add�ional d�ta�thevndividua]has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe 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. [f 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 apntest th�accuracy pr completeness of public or private data
,A ,,1•i 5 ��•1.11o1ic,�m.jpg�tithsplf.To exercise this right,an individual shall notify in wriung e�g�po ible authoriq�describitfg the nature ofthe disagreement. The
��� �esponsible autfic�l-i{y shall within 30 days either: (a)correct the data foQt�d�be tna�alirate or inco�pl�te�nd attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)noNfy 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. � � �
<� �. �1 R..••.a . �" !s 1r. � r �..F•
� � � ' 'l `, �. •. .ti� ., DATA PR�VACY A�S�S��'Y3'� 'i''i�
•..• a.,'� ry
�'� � a:,.�
In accordance with M.S. 13.04,Subd.2,"RigtA��f sE�bjCit���';,c�eq�ib�a�ite to inform you that your request
for a permit or license from the City of Orono or any of its departme�•m���e'quire you to furnish certain private or
confidential information.
, !.h M '. .,.. • ,.» �...4 � •�
"`��'�c`.`� `�it are$Sati�d that: ��. t + �
��':���Z c�' "� ri'ti�a��.. ��,•V r iW r .' �:� ',.,����
� 1. The information you furnish will�`�sed to determine your qualification for�ie�ermit or license
requested.
2. You may refuse to supply data,but refusal may require tJ�at the City deny the permit or license.
3. The information may be shazed 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
publia
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.
.
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First Z, Middle Las't
��T�•�� *w/r'-1 ��
Address •
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City State Zip Phone
I understand my rights as stated a v .
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Signature • � •
.
32
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � �5 N �"�,J� (7�CZ
PID:
DESCRIPTION OF WORK: nJ'L,w �?.�;S
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ZONING REVIEW BY: DATEAPPROVED: � I� G 7
BUILDING REVIEW BY.• �( ,.,_ DATEAPPROT�ED: 9 ��� —�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes� No
PLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes_�� No WATER CONNECTION �
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No_�/ SITEINSPECTION
Numbe��of SAC Units ,s A� l�A,e� ,2• Z�•�3 +�39y°I OTHER (spec�)
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ZONING CHECK LIST Zoning Dist�-ict: •
Fire Department• ' Post Office: � School District:
i
Lot Area: Sq.ft. 7i��� Acres � 1 ��.� Width � `�� ��� � � Depth
Survey Submitted: Yes ` No Date of Survey: l� U l . , �
Proposed Setbucks: �(p� �G�C_... � �� � / - �
Front(Lake): � �Cj����;',�,�i. �2'rg�tt Side; `
L
�l� S �
Rear(Street): � �Side: �
Adjacent Structures: Welland: '
/ . / .. . ,
Building Height: Def Hgt. Peak Hgtr � �/� �
Lot Coverage: ��C� ����
Gi�ading: StaffApprova/Date: ��l,v�� I3y. _ Counci/Approval Date: �-�� e��
>
Septic: StaffApproval Date: By: �V
' � C�"1
Zoning File: # �"� { Resolution: #��/ Resolution Date: � �)
Shoreland District: ��j MCWD Permit: � '�� �
�
Avg. Selback: B1uffSetback: LotCove�•age: ---
Existing Propos d 1 ,
flardcover: 0-7�' j��?� �
75-250' ��� � � '
2�0-500' Y�� v '
500-1000'
G� �:
Hardcover Variance Required: I'es No__ Date of Council Approval: � Z �
REMARKS(in Izouse):
33 „i�'j 1
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.
BUILDING REVIEW CHECKLIST
UBC: �� CONSTRUCTION TYPE: _�/�
Sq Footage $Per Sg Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Va[ue: $ �7 ���d�4 0�
Inspections Required: Work Requiring Separate Permits: ��
Site �Plumbing Fire
Hardcover Removal _�Mechanical _�Water Connection
_�Footing Septic ( Sewer Connection
�_Framing _�t Fireplace _�Lawn Irrigation
�_Insulation (Masonry) Other
�_Wall Board _ ,�c (Mjg.) Wedl(State Permit)
oc Final Grading/Filling �_Electrical(State Permit)
Other
_�
REMARKS(INHOUSE):
XEVIEW BY OTHERS: DATE:
Access.• Fxisting New .
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
34
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�� DATE TIME �`
CITY OF ORONO CALLED IN «'-Z�
INSPECTION N I SCHEDULED �Z' �/=�D
PERMIT NO. ��O-3 COMPLETED
ADDRESS 35.�� v
OWNER CONTR.
TELEPHONE NO. ��Z �1 r �S�Z
� DESCRIPTION �h/Y�P /
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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 ❑ HARO COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. 1..� � l � � �
White Copyllnspector's Flle Canary CopylSite Notice
C�� �"" /�DAT TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION NOTICE���`6 SCHEDULED /�?-9-D //�ofl
PERMIT NO.�' � COMPLEfED
ADDRESS �S3 � �Uy /�/QG�
OWNER CONTR. �
TELEPHONE N0. 952 �7/ DS,� 2
� DESCRIPTION /�s��'`'���"''t /��/�a��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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
v ❑ 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
ti COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITlONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlConVactor on site:
Inspector. . �r -
White Copyllnspector's File Canary CopylSite Notice
J � ' ��%� DAT TIME �
CITY OF ORONO CALLED IN 0
INSPECTIO NO I SCHEDULED �"
PERMIT NO. � COMPLETED
ADDRESS �S 3 ��
OWNER C�c►�.+�'G CO R. � /�;�u.-�'N
TELEPHONE NO. �� �7 � O�^� c�—
� DESCRIPTION T��'"`f-� G'� .
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
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 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO
� C MMENTS: ���� �•�` Utih�t ���� �S 1
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� ❑CORRECT WORK&PROCEED �(SSUE CE ATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContractor on s'te:
Inspector. � S
White CopyllnspectoPs File Canary CopylSite Notice
� ` ( - DAT TIME
OF ORONO CALLED IN � �
INSPECTION�OTICE SCHEDULED '
PERMIT NO /ll�O.3 co PLETED
ADDRESS .3 S � ��
OWNER ONTR.
TELEPHONE NO. l a1— aSD -��O
� DESCRIPTION � ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXC V/ RADING/FILLING
Q �MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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 ❑ WARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORK SATISFACTORY:PROGEED ❑ PROJECT COMPLEf���"
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE QF O�CUP�Y
O�RRECT WORK,CALL FOR REINSPECTION TEMPORARY ���
V EFORECOVERING PERMANENT
�CORRECTUNSAFECONDITlONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.GALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Cali for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP p PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEf YOU YES_NO
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V BEFOREC�IERING PERMANENT
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
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Inspector. '
White Copy/inspector's File Canary CopylSite Notice
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D� �� TIME
CITY OF ORONO CALLED IN �� ��
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PERMIT NO. /�l COMPLETED
ADDRESS �� �
OWNER CONTR. �J •
TELEPHONE NO. ' � o _ ��
� DESCRIPTION � � i%+�� � ' `-`� �����
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOILOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECQVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on si�e:
Inspector. `! �� '�
White Copyllnspector's File Canary Copy/Site Notice