HomeMy WebLinkAbout2007-P10765 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10765
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodevRepair
(952) 249-4F.�0 Date Issued: 7/11/2007
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SITE ADDRESS: 500 Oxford Rd Unit#
Long Lake,MN 55356
PID: 05-117-23-41-0015
DESCRIPTION: UBC Occupancy R3
Constnzction Type VN
Proposed Use: Residenrial Census Code 434
Permit Class: Building
Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Two additions, convert crawl space to basement; convert full basement to front w
FEE SUMMARY: Pernut Fee: $ 3,708.75 vatuation: $ 600,000.00
Plan Review Fee: $ 2,410.69
State Surcharge Fee: $ 300.00
TOTAL FEE: $ 6,419.44
APPLICANT: Jerid Adickes Construction OWNER: Albin&Susan Nelson
P.O.Box 92 500 Oxford Rd
Montrose,MN 55363 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.
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AP ICANT PERMITE SIGNATURE ISSUED BY SIGNATURE
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Copies: 1-File(SigriaturesRequired), ]-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page I
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Toxal Fee: ��,�q ��' � DateReceived: ..� 12-- Zvv�7 _
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Lnterecl By: �]_Vt� � Perinit#:�jC�7(�`J�
CI�['Y O� ORONO - BUILDING P�12MI'I' APPLICATION
� �SII infoi-mation mi�st be subrnitYed in t'uli befo►•e plan revie�v ��r°ill be starYca.
�� (��lecr�se��t•itit all in fo�v�r�rtio�i) �
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'Tf�.� APl'�ICE4N�1' ��: c�rcle o�re O WNTR O C'O ,TRAC�
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�r���iz�r,�vDi�ss: � �� U��� � d � L L zi�: SS 35�
� � � Will this be �� Paracle oi'Iio��ies, Ren�odclers Showcase I�ome or o4lier Dis��lay Home?
❑ �es �l°do If ye,s, a spec•ial ereiil pernrrl rs reqtrired rni[h Police Depai•GiT�e��t and Crry Caz�nci!n;:proval
� � 60 dcrt-.�'prror 10/he e��enG Sliutlle bz�s service�i�ill be�•eyzrii ed uraless nppliccnrt clemonsU•ar��
� sarf icier�i o��-siie paricit�g is cri�uilable. ��'o��-perrrrit/eclei�er��ts ivzll nu�Ge all�>i���d.
NAIVIE OI'OVVN]CR: �� �;,`r� �,.,�� ,t,'�'- �1 V f� ��a n PIION�: (home) t;��.�_ C..�7 3 - 3 J��J�
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MAILING ADDR�SS: �� CITY: �' ZIP: ''
(:Ol!'7CIZACT'��2: .��%r •C� h►��c.���� �io n��I�,K.�', ,i%-� PHONE: `l�3- ��g- ��.��
CONTA�'lC PERSON: SC.�� c� f�c��� �� MOBIL�/I'AGEI': �' ��
IV�AITi,iI�Tc��TuJ�t�Ss: y� 3r� c� , �v �i'�'i': �,Iti,�� �°i: 53���
STAT�LIC�liTS]C: # �,L, �����`�^7 fy L`�PIRATION llAT�'�: 3 3 �"
EIRCHIT'EC'�'/�IiTCTINI:L�2: �,J�� X C.l��.,, C�.,�ep�5 P�-IOI9�I;: `16�5 - ��� -��`� 1)
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�t���: ���{:����rr�����.��: #
� '�'�'P�' �� �VC9�2_��; New IIom� �ddition X Accessory Struct�n-e
� Nlove 1-Ioi��e Remodel/Alteratioil (ie: �icling, Wi�ldows) _�_
Any earth movement may requir� MCWD review and permits !
�'��t0�'��S�ll�/�12��(d��scribe iez�fcPcei!):��_�� �_. �.,� �i �C. GI r, rntikt, ,'-�
�� ����1 h��,t�.,�e,-,� �i�C� �,4d � ��� � �:; -I�n (30,��, o ha���r,
s�o����: 1 ��.a�,�,��o��:��x��,�o��: � ��I�j --
I�10. OF ��I)1���I��: G����� s'�'�1L�,�: ��'1'1 f�CI-�➢':�� ���,���C�-���
��;��'�:I�i1����+.���'���1�"�'���J�"�.���@� ������JA�'��l�i(������aac�fl�a������c�): � E�4 �ot� _
I hereby apply for a buildin��permii and 1 acl:no�-vledge tl�at the informat�ion above is complete�anc(acc�u�ate;
that the w�orl: ��-ill t�e in conl�ormance with the ordinances anci codes o�Ft}���.e Citv and ��vith the StaCe 13uilding
� � Code;that 1 understand this is not a}�ermit anci�vorlc is not to st'art�vilhout a permit;and that tho worl:��vi I I be
i❑ accordai�ce �vit�h the appro�Fcd plan.
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Scc.13.04 RIGHTS OF SUBJGCTS OP'DATr�
Subd. l. Type of data. The ri�hts of individual on�vhom the data is stored or to be stored shall be as set forth in this section.
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Subd.2. Infonnation required to be�iven individuaL An individual asked to supply private or cont5dential data concerning himselfshall be
informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may retuse or is legally required to supply the rcquested data;(c)any kno���n consequence arising from his supplying or rcYusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to recei�e die data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.52,subdivision 5,to a law enforcetnent ot'ficer.
The commissioner of revenue mayplace Nie notice requircd under this subdivision in the individual income fax or property tax rctund
instructions instead of on those forms.
Subd.3. nccess ro data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of
stored dafa on individuals,and whether it is classitied as public,private or confidential. Upon his furfher request,an individual who is the subject of
sfored private or public data on individuals shall be sho�vn the data without any charge to him 1nd,if he desires,shall be informed of[he content and
meaning of that data. At�er an individual has been shown the private data and infonned ot'its meanin�,the data need not be disclosed to him for six
months thereafter unless a dispuce or action pursuanc to this section is pending or additional data on che individual has been col Iccted or created. The
responsible aulhority shall providc copies of the private or public data upon request by the individual subject of thc data. The responsible authority
may require the requesting person to pay the actual costs of making,ccrtifying,and compiling the copies.
Thc responsible authority shall comply immediatcly,iPpossible,with any request made pursuant to this subdivision,or���ithin tive daVs of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,il'immediale compliance is not possible. If he cannot comply«�ith khe request
within that time,he shall so inf'orm the individual,and may have an additional five days within���hich to comply wilh the request,e�cluding S�ciuda�,�s,
Sundays and legal holidays.
Subd.d. Procedure when dat�is not accurate or cornplete. An individual may confest the accuracy or completeness of public or privatc data
concerning himsclf. To eaercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The
responsible authority shall within 30 dlys either (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including rec.ipients named by Ihe individual;or(h)noli'ty the individual that he belicves lhe data to be correct. Data in
dispufe shall be disclosed only ifthe individual's stacement oPdisagreement is includcd�+�ith the disclosed data.
The determination of the responsible authority inay be appealed pursuant to the provisions of the administrative procedure act relating co
cor�;csted c��ses.
DATA PRIVACY ADVIS7RY
In accordance with M.S. 13.04,Subd.2,"Ri�hts of subjects oFdata",we would lilce to inform you that your rec�uest
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 informatioii you furnish will be used to deteimine 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 inforn�ation may be shared with other local, state or federal agencies to the extent necessary to
process the pem�it or license.
4. If your requested permit or license rec�uires Council action to approve, some information may become
public.
5. You have certain rigllts under M.S. 1.i.04(available upon request)to review private data on yourself.
6. Your Full name is i•equired to process this application or permit.
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F��-st n��ddic i.:�s�
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Citv State %ip Phonc
I understand m��rights as stnted above.
Sign.�ture
lleset Fo: .� 3?
CHECK OFF LIST FOR ISS UANCE OF PERMITS
FOR OFFICE�SE ONLY ,
ADDRESS OR LEGAL: .��r�- (� C� K �-C I ��l
� PID:
DESCRIPTIONOFWORK: �vc�� f-�c(�lr ?�?�S Cc�c�'�' ;.-,�c�l � �/l ,% �; j�i S��in�;���
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------���2��=f_�.rl1_?c�P_z�����--�- ---=.� -,�=�� -°��_---- - � � � ��=
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ZONING REVIEW BY.• �; T DATEAPPROVED: � � �
BUILDING REVIEW BY.• DATEAPPROVED: '1- 2 -v'�
FEES TO BE CHARGED: Misc. Fees Ccrlculczted By:
PERMIT Yes � No
PLAN REVIEW Yes—� No SEYVER CONNECTION
STATE SURCHARGE Yes c/ No WATER CONNECTION
INVESTIGATION FEE Yes No _� PARK FEE
SAC Yes No_� SITE INSPECTION
Nzm�ber of SAC Units OTHER (spec�)
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ZONING CHECK LIST Zoning Drstrict: L �� — I�T
Fire Depar•tment: Post Office: School Dish•ict:
�
Lot Aren: Sq.fl. Acres � /aL � Width Depth
Sznvey Submitted: Yes� No Date of Sttrvey: j l.'� �
Proposed Setbacks:
S o����✓I �ters�{f-sk�e}- �d U�� Right Side:
�'� ��c�l�h �+d r� s� �
Reaj•(�): � � Left Side:
�1'l�C� � l�C— IY1G��Z ,
Adjacent Strzrcta�res: /i l�'etland:
Building Height: Def Hgt. n 6� Peak Kgt.
Lot Coverage:
Grading.• StaJf Approval Date: By: Coamcil Approva!Date:
Septic: StaffAppr•oval Date: , By: I��.�`
� , ; Se�-�bQc� �ari�h�
�� 7_oning File: # � ��--�� Resolutiat: # ��Resoltrtioit Date: �c:� ►�ic-+�'� �ic�+(�cn�
S/�orelaf�d Distr•icl: � tt�ICWD Per�nrit:
�lvg. Selback. «�� !3/uff Setback: r� Lot Coverage:
E,risti��g Pr•oposec!
flardcover•: -�
�
.�-� 1' �� 4�,���,_
�00-1000' _��7 GICJ � U(, (
Haj•dcover ["ai�rance Re��trired: }'"es No S� Date of Coz�ncil.<ipproi�al.
REMARKS(in l:ouse):
33
BUILDING REVIEW CHECK LIST '
UBC: R '.3 CONSTRUCTION TYPE: V N
Sg Footage $Per�Sg Ftg
Basement .r =
Ist Floor x =
?nd Floa• x =
Garage x =
x =
TOTAL
Estimated Construction Vafue: $ (oOC�(��C� ��
I�ispectiais Re�uire�l: 6Vork Requiring Sepnrate Per�nits:
Site �Plun�bing Fire
Hardcover Removal _���lecha��ica( Yt�ater Connection
�C_Footing Septrc Se�ver Connection
�_Franzing �i _Fireplace Lmvn 1��rigation
�_Inszrlatia� (Nlasonry) Other•
7C �Vall Boar�d oC (A�fg.) Gl�el!('State Permit)
� Final Grading/Filling �Electrical(State Permit)
Other
REMARKS(INHOUSE):
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REVIEW BY OTHERS: DATE:
Aecess: Existing Neiv
.Access,4ppr•oval: Date By.•
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REMARKS (TO BE NOTED ONPERMIT):
3=t
- otzo�v c.�+P`1
€ �u5�'l••r I V�LSAiJ STI�b€?�'S �s t'1(��
__ �/�/,n�S � , �.UT�� ��.Q�Gt� t
y'� C•"�
� �TARDCOVER CALCULATION �VORI{S11�ET
SE ' ZONE: (CIRCLE OIVE) 0-7�' 7�-2�D' 250-500' S00-1000'
I�STTN -iARDCOVER IN ZON�
. p. �; _ �_S.F.-� �-#�t.lS�
` ��� �Vidth
.. - ;� = i?3 s.F.—5�aF17
x = D?S S.F.�a�����
._. ,� = S7 S.F.—P��- S�#�a
B. G�ge x = 1�O S.F.—�VfiLl-S
_ U2.�.. S.F.�BLAGKTaC�
C. Driveway x = '�J t�y�civ�.t,tABaC
� - S.F.
— 631 SF.—�i�^�7 w.4UC
D. Side�valk `� —
,� = Z49 s.F.-rzc�z w�ut
E. Patio/Deck x = �7 S.F.—����'�'��t(
.... . �Z-sMA+.� �a�. - ;� �3 t -�.��M�u� = S3 s.F:� q�cK 5
F. Landscape x = �7 S.F.— R�P
Underlain x = S.F.
Bv Plastic x = S.F.
Or Fabric ��C,
���C 5'rEPPrn��
u,Rs S�U�v�S v,/�D� ;I2q PR°5 - 1 G3 S.F.
G. Other Z S x .��L� Z�] —
TOTAL HARDCOVER IN ZONE - I o7 S.F. A
_ TOTAI.PROPERTY A-REA�N ZONE - 7� ��'� S.F. B
q = B x l00 = I b-37 %
PROPOSED HARDCOVER 1N ZONE' '
A. House x = S.F.
_ Length - Width - -
X = s.r.
� = S.F.
_ x = S.F.
B. Garage x = S.F.
C. Driveway � x = S.F.
- X = s.r-�: -
D. Side�valk 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 HARDGOVER IN ZONE - ` SF. �
TOTAL PROPERTY AREA IN ZONE - S.F. B
A = B x 100 = %
E �VSAN �l�LSD'1.t ST1FlOW�S �OC
._� ._..� - �H�n�S , Lor7, 1�+.�acK 1
� � HARDCOVER CALCULATIOiy �VORKSH � " ����1�`�
. S ZONE: (CIItCLE ONE) 0-7�' 75-25U' S0-50 ' 500-1000' .
� XISTING HARDCOVER IN ZONE
� . use x = S.F.
(,�n� W idth
_ - ;� = S.F.
x - _ S.F.
..._.. x = S.F.
B. Garage x = S.F.
C. Dri4eway . . X _ 4-�� S.F.
�; = S.F.
D. Sidewalk x = S.F.
• •� = S.F.
E. Patio/Deck x = S.F.
....... . .. ... _. _ x . = S.F: �
F. Landscape x = s•F�
Underlain x = S.F.
�� Bv Plastic x = S.F.
- Or Fabric
G. Other x — S.F.
TOTAL HARDCOVER IN ZONE - � �'S5� S.F. A
_ TOTAL PROPERTY A�32EA�N ZONE - q77S' S.F. B�
A = B x 100 = 4 b�` %
PROPOSED HARDCOVER IN ZONE' AJlY CN�f�G ES '�
� A. House x = S.F.
_.. . Lengih _� 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 ,c = 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 HARDGOVER INZONE . - � S.F. .A
TOTAL PROPERTY AREA IN ZONE - . S.F. B
A = B x l00 = %
' �AM�S � s cl�.,�cW N�1.SOK 7-lL-0 6 S'f�Et.Ow'S �It?�D.
_• - I,.OT �� B�.DGt< l
� - HARDCOVER CALCULATION �VORKSHEET
. SETBACK ZONE: (CIItCLE ONE) 0-75' 75-250' 250-500' S00-1000' .
EXISTING HARDCOVER IN ZOIV�
�- A. House x = S.F.
Length Width
_ - ,� = S.F.
X = S.F.
..._. x = S.F.
B. Garage x = ' S.F. --
C. Dri�eway x = S.F.
�; = S_F.
D. Side�valk :c = S.F.
.� = S.F.
E. Patio/Deck x = S.F.
.....�. . . . .. _. _ ;� . � S.F: .
F. Landscape x = S.F.
Underlain x = S.F.
�� � Bv Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER TN ZONE - S.F. A
_ TOTAL PROPERTY A�tEA�N ZONE - S.F. B�
p -{ g x 100 = %
ROPOSE HARDCOVER IN ZONE' �itiSttN� Ndu51
' A. use x = 56�� S.F.�aµtfi�ON�
._.. . Length —•- Width S"�i
X = i15 s.F.-�`A�a
x = S7 S.F..�x+5'�.Pt7oi�ih�E
.. _ . ��- x � �13= i 72 = 17 2 s.F.-��t�OS55Ep�G
w�L�s
B. Ga�ge x = �� S.F—Fanst',w�U.S
,q�tar.r✓� wEU
b S 12 s.r•.- R'u�`'�'r �'"
C. Driveway � x = �u� pR�f
...__.. . .. . ... - x = . S.F:�-
p�pn5�E fx►5 r.
D. Sidewalk x = Z�j S.F.-wA�k Ti? Poot
x = �D S.F.-E�uS�,u►�ai.1C
E. Patio/Deck X = Pf20PD5Efl
�4-36 s.F.—aEuc
$�4 -H nr�Tt� x 59, -savr�F = ►437 s.F.-P�oAv5E�9
t�ATr 0's
F. L ds pe x = 1-77$ S.F.-EP����6, P1�v�
Un lain � = S.F.
_ _ By stic ... . x = S.F.
Fabric FitiSnN�r'�"�
.--- pROPoS€m
G. Other • x = 4Z0 S.F._s2E`tAl�t�u&
�Aii4
TOTAL HARDGOVER INZONE . - � �7-��_-�_S.F. .-A
TOTAL PROPERTY AREA IN ZONE - . 7R i�i�0 S.F. B
A = B x !00 = S %
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� � � ('`� DATE TIME
CITY OF ORONO CALLED IN " -T� ���-�
INSPECTION N ICF� ----- SCHEDULED S�' ` L(n. L� --sL-l.g..Z
PERMIT NO. C�� � COMPLETED
ADDRESS `� rCy
OWNER CONTR. �l � r/�/ ��� 1�
TELEPHONE N0. �C.C�� �.���,� O� ��?
�- DESCRIPTION � � � � Tl � ` ��� � J
�
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/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 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
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_�HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex in ection 24 hours in advance. (J52� 249-4600
OwnedContr n si •
Inspector. �4•�
White Copyllnspector's File Canary CopylSite Notice
�� / D 7 r,- TIME "
ITY OF ORONO CALLED IN `/ �� �I�
INSPECTION NOTICE , SCHEDULED � -' �
PERMIT NO. � � COMPLETED
ADDRESS � �
OWNER CONTR. � � �
TELEPHONE N0. / �� �'���� "����' �Q��
� DESCRIPTION ���� C�C� ��'�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR.4MING � MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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 ❑ S TI FINAL ❑ HARD COVER REMOVAL
J ❑ PlUM81NG FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOI�• YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
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White Copyllnspector's File Canary CopylSite Notice
D� �� DAT TIME �
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� � DATE TIME �
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White Copyllnapector's File Canary CopylSite Notice
�� �� DATE TIME �
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White Copyllnspector's File Canary CopylSite Notice
� - � ` *� , DATE TIME �
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Inspector. ,�f i �
White Copyllnspector's File Canary Co{sylSite Notice
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White Copyllnspector's File Canary CopylSite Notice
� � C� DAT TIME �
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White Copyllnspector's File Canary CopylSite Notice
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Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice