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Temporary Facility Certificate of Occupancy SampleREGIONAL OFFICE OF EDUCATION_________________________________________________________, ILLINOIS ________( ) _____- _______TEMPORARY FACILITY CERTIFICATE OF OCCUPANCY_______________________________________________________________________________Name and Number of School District_______________________________________________________________________________Name of School Building Where Unit Is Located_______________________________________________________________________________Address of School BuildingIssued this ____________ day of _______________________, ________ in _________________________ County, Illinois, byauthority conferred upon me by The School Code of Illinois, Chapter 105, ILCS, Sections 5/3-14.20, 5/3-14.21, 5/3-14.22 and23 IL Adm. Code 180, Section 180.80. The temporary unit has been inspected and found to comply with the provisions ofthe Health/Life Safety Code of the State of Illinois. Authorization is given to occupy such premises.Approved __________________________________________________Signature of Regional SuperintendentTHIS OCCUPANCY CERTIFICATE WILL EXPIRE ON ______________Form 36-30 (3/04) (Prescribed by the Regional Superintendent for the use of the Regional Superintendent) 180.230 c)5-8
CHAPTER 6CONDEMNATION/DEMOLITION PROCESS• Condemnation of School Buildings and Temporary Facilities-------------------- (Page 6-2)• Order of Condemnation – Form 36-32 (3/04)--------------------------------------------- (Page 6-3)• Demolition of School Facilities-------------------------------------------------------------- (Page 6-4)• Application for Demolition Permit – Form 36-33 (3/04)------------------------------- (Page 6-5)• Regional Superintendent Demolition Inspection Checklist– Form 36-34 (3/04) ------------------------------------------------------------------------------ (Page 6-6)6-1
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Health/LifeEffectiveMarch 20042 nd
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FOREWORDThe information in this pub
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TABLE OF CONTENTSForeword----------
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• Application for Extension of Ti
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School Building Construction/Recons
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CHAPTER 1FORMS• Application for B
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Pre-Construction Plans and Specific
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Regional Superintendent’s Verific
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SCHOOL BUILDING PERMITREGIONAL OFFI
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______________________________ COUN
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PARTIAL FACILITY OCCUPANCY RESTRICT
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Annual Building InspectionOverviewT
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CHAPTER 2FORMS• Notice of Annual
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HEALTH/LIFE SAFETY ANNUAL INSPECTIO
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Y N NA Boiler Room(s) 175 185 180 R
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Y N NA Music Practice Room 175 185
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HEALTH/LIFE SAFETY CHECKLIST/GLOSSA
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23. Hold-Open Devices (185.370b11A;
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52. Door Closers (185.390e2E; 185.3
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72. Door Closers (185.380c10E; 185.
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GREENHOUSE121. Fire Detectors (185.
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153. Hold-Open Devices (185.370b11A
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185. Illuminated Exit Signs (185.37
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228. Flammable Storage (185.370b4H;
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263. Hold-Open Devices (185.370b11A
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312. Door Closers (185.380c10E; 185
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GLOSSARYNUMBERLOCATION(i.e. Fire Ar
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Posted Occupancy NoticeNOTICEFOR YO
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REGIONAL SUPERINTENDENT’S ANNUAL
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OVERVIEW OF TEN-YEAR SURVEY PROCESS
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CHAPTER 3FORMS AND DOCUMENTS• App
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CERTIFICATE OF BUILDING COMPLIANCE(
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Form 35-84 (3/04)INSTRUCTIONS FOR C
Page 67 and 68: 5) Utility supply services (water,
Page 69 and 70: SAMPLE 10-YEAR SURVEY REPORT(To be
Page 71 and 72: paneling on stud walls with either
Page 73 and 74: water converter to heat these secti
Page 75 and 76: X. LEAD-BASED PAINT Peeling paint w
Page 77 and 78: NOTICE OF INCOMPLETE SAFETY SURVEY
Page 79 and 80: CHAPTER 4HEALTH/LIFE SAFETY AMENDME
Page 81 and 82: State Superintendent on the Approva
Page 83 and 84: Step #4The state superintendent che
Page 85 and 86: Procedures for Health/Life SafetyEm
Page 87 and 88: HEALTH/LIFE SAFETYCERTIFICATE OF AU
Page 89 and 90: Fire Prevention and Safety Funds--E
Page 91 and 92: CHAPTER 4FORMS AND DOCUMENTS• Eme
Page 93 and 94: CERTIFICATION OF NEED FOR FIRE PREV
Page 95 and 96: Instructions for CompletingSchedule
Page 97 and 98: Instructions for CompletingRecommen
Page 99 and 100: REGIONAL SUPERINTENDENT’S CERTIFI
Page 101 and 102: ORDER TO EFFECT COMPLIANCE WITH THE
Page 103 and 104: This application is to befilled out
Page 105 and 106: STATEMENT OF COMPLETION FORHEALTH/L
Page 107 and 108: REGIONAL OFFICE OF EDUCATIONAPPLICA
Page 109 and 110: Sample wording for notices of publi
Page 111 and 112: CHAPTER 5TEMPORARY FACILITIES• Te
Page 113 and 114: Temporary vs Permanent Facility Pro
Page 115 and 116: Application for Approval for Use of
Page 117: c c c 29. Is the insulation materia
Page 121 and 122: ORDER OF CONDEMNATIONDISTRICT NAME
Page 123 and 124: DISTRICT NAMEFACILITY NAMEAPPLICATI
Page 125 and 126: cccccc9. Removal of debris:Verify t
Page 127 and 128: Code InformationWhen are Part 180,
Page 129 and 130: Reference List of Codes for Public
Page 131 and 132: Asbestos Abatement for Public and P
Page 133 and 134: The Illinois Water Well and Pump In
Page 135 and 136: ARTICLE 14. CHILDREN WITH DISABILIT
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