HomeMy WebLinkAboutBuilding 03-0756 & 03-1018
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
q rCf) it df).;- r-J;'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION U ~
iT FINAL If \:. C I
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
Ilr)/-I) ">
3 -7~C;
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/ 1
( /" If)-
\ (/ I _~~
~~
"-
~~
I-- /'L ~
I ~
~
------
IWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~R~." FOR REINSPECTION BEFORE COVERING
Inspector: /I vr./ OWner/Contr:
- ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/o.-l-~
ADDRESS
4~1- ~ t;,j\--'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:s - 7~"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
0..,J y~~
r/J~
o "!9RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT W~R~LL FOR REINSPECTlON BEFORE COVERING
Inspector: (VI/I 0- %ff1 OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
'.-... -T---- n_.._. ---.--..-. ----.. . ...
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
~tJ9Z
Cbv/tL <!/IIC-.
Date Rec' d
5.. 2-/- 03
I. White File I PERMIT NO I
2. Pink City . O? - ~ 1'5 1- .
3. Yellow Applicant ? V V
rG
LEGAL DESCRu'uON (office use only)
LOT-z4LOCK ~ADDITION ,P e-t () At: s ou77f
OWNER ~oJJ ~ KeAlj ~
(Name) _
(Address) '-IY<rJ.. eak~ t;-" , JIZ. Pf'l~'" ~,ke
ZONING (office use)
;e/SD
PID2.~- O/7-r/713-U
M.N
tis ~ '1'17- 6 3> 7~
J..:5" 3 7 )....
(Phone)
BUILDER ~ tJ'J l()"'~ t: J "c.. ~;).. t.J{)~. cr6'1r cite (
(Name) (Phone)
(Contact Name) _ ~I 1)~"\.~fv,;y (Phone) 61;:). . 411' ~3t'1 ail
(Address) )~~7~ R"" ry CJ'J .&1 JvtZ. P /"I ~ ~~ MJJ SS37 ~
TYPE OF WORK
o Misc.
o New Construction
o Deck
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace ~dditiOn OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or
authorized agent for the a ove-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. 1 tha the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr 0 rfo needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
r
d
1$7R.(Joo,oo I
$ ~3q.7S.1
$ ~S L/ S,Klf I
$ 3',00 .
$
$
$
$
$
~ tJ, f) (J
~ lit)
-
L/o,oo
This Application Becomes Your Building Permit When Approved
~~?
Building Official
~!2-~:? _
Dat~
~(,. ~lo1.b3<1'l.
Contractor's License No.
1 Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
1 Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
lather
I TOTAL DUE ~ &...IO.OJ
I Paid h 5#. S7
I Date Z -II~ pJ
$.11'Q~
Date
$
$
$
$
$
$
$
$
$~544. 5,q I
~~ce1No. ~U3 I
~. I
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:a::-~-~c~/;;;_'m'-Z;:7 :;;;~..:~='m~~'"
~ Planning I'>irector f Date . Special Condo ns,~:'
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I
AMBROZ PLUMBING INC
9527588285
08/04/03 10:38am P. 001
07/30/2803 04;16
G1241H%45
EARLDRANG5TVEIT
PAGE . 01
"_....._..,..~..___..;._..~,. .,...__n_.____,...__..-.~_ ___.
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(P\euc l\'DI Dfllria~ ..,ip 1It~)_
ADDRESS ~qZ tEO/71C.-
A~ w'!b3-6'lS"
~. ~.:. ~~ PERMIT NO.O.3 -10/6 J
) (;old 4pp11.....
c -
V /Z.{I/0v
ZONING (DIlIR_)
K-IS 0
LEGAL DESCRIPTION Coffi~ lite: only)
LOT2-4aLOCK hODmON
rlc'-IOfC- S' (/ LITH
PID2.-5lJ/7 076 (J
OWNER
(Name)
(Address)
(Phone)
(AcI4mI)
~C:JlV)
(Ztp Code)
~~~ A~~~OL- P/~!.f'
(Address) b 0 Uev. ... tJf,A.ftre-..
'$dd(cSl)
(Contact Penion) ~ f.I I L {
APPUCANTSIGNATt1~ ~ tavJlu~
, V
(Phon!:) l(,j"d'- 7'Ji'- I. ;~b<.S-
Ai G<..J ~ (.L~.qjj ~_ ..$"b () -11'
(City) \f - (Zip Codr)
(Phone) %d- d-1-} - Lj t{ /..1
. '- DA,!,E tt/'tjIJ3
----, 1
APPLICANT PLEASE COMPLETE BELOW
Size ofwatec s~ice inches.
Location of any couplings from structure feet.
Type ofsewer pipe. 0 ABC lQI'pvc 0 Cast Iron
Estimated length of sewer line 'fcet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer Al)d water line cOMectioJl $JS.SO Industrial, Com '\ & Multi-family 1 % llfjob cost with. $39.S0 minimum
Sewer connection only S17.S0 Water connection only $17.50
Estimated Cost S
Building Permit #I
SEWER AND WATER PERMTT FEE
STATE SURCHARGE
TOTAL PIRMIT FEE
$ /7.50
$ .50
$ I~~(}O
(otnce Vu Olll,)
T.i, Appllr.atio.. lbeoma YOWl' 8IlDdlnc Pu...iC WIICD Approved I
-.".... 0,....
DI.
Paid /fj. U 0
Da~. 4,OJ
I Rcceipt 16.2-0 7
IBY /. --:[.
-~
%4 ".ur lICltk. for all inapettion, (951) 447-!1I!O, I.. (9~1; '"'7....24~
White - Building
Canary - Enqineering
(P~ - Planning;:>
Tht' ('tnler of Ihe takr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~///C" L.
./""".
_~. Z I
U'" 'r
....)
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-& ~7 7 (I c"LJ/"/ /Z- (~/ lc.:...s'E
Accepted
Accepted With Corrections
/'
Denied
,.....
Reviewed By:
(kJ
~ .,,=;2~ Date: 0/~:i>
L9~ (~~) a--Q 4J~
, ~ - ",
~ ~_ ~~ 2~t~~~
AOY-!~-~ ~~~
~ ~ ~~,
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
c-1VfiIte ~ Bui~
Canary - Engineering
Pink . Planning
Tht" C("nler of the L.kf' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
F;/7/LL D~
s: 2-1. (l3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-897 et/ O/rie- U It:- SE
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ~
Comments: ~ ~ ~ ~ 1-0
~ ~~ o:f- ~. jj~ /---p~
.~ ~ ~ -a-d kcJ....... I
Date: ~/2-/0 s
k
~~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
- -
White - Eluilding
< Canary - Engineering.,)
Pink - Planning
Tht ("rnlff of tht r..kf' ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~=,/) Ie' {_ D 5
.L: /?
._::;". 2 /, (.J-;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/2-0 (,7? ..../i F>. '~V7/L (1 1.1// r.:.:'/-::-
I (/ I L-- t_ "-"' t_~ /' \.../. If- .-.' C.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
m1-T~
Date:
6,. ?-o]
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the Jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-r I
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2 Districts
ReviewedbY:~ J~I-- Date: tP/~!03
Building Permit #
Site Address: 1 ~9 Z-
Legal: L;.r , B ~
PID:
~~
Zoning:
S'.6,
Existing Structure? ~ / NO
Subdivision: ~~ ~
Existing Nonconforming structure~
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: N/A / FAILS(eOMPLIES '\
. Front Yard (setback average ifm.-filllot)
I. Side Yard (25' if abutting a street)
I. Side Yard (Easements)
. Sidewall exceeding 50 feet required additional
side setback of2" for every foot over 50' long
I. Rear Yard (Easements)
I. From 100 year flood elevation of wetland
. From OHW (Prior or Spring Lake)
Standard
25'
10'
10'
Wall over 50'?
Proposed
~7r
. , L'
10,11
.~'5 '
25'
30'
75' or setback average of
adjacent structures no less
than 50"
No rJ6.
-z.S,2 '
,JA
rJl'r
J ..
I Floor Area Ratio: N/A I FAILSQ...COMPLIES;J
.30 Maximum
z,a. 5 ~o
~ Yard Encroachments: NA I FAILS tqOMPLIES'~
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
Standard
Proposed
J&1'\A-
~(j)UL...
Tree Preservatio~FAILS I COMPLIES
. T ota! caliper inches
. Can remove 25% oftota!
. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
Yz:l
L:\TEMPLATE\BLDGLIST.DOC
Tuesday, June 24, 20032;21 PM
ll~Ol flU lO~FAl e12U7~
Lofgren Htg 8: Ale 651-4601208
CITY OF PJUOK l..U.t
p,02
_.....~""
~lliO'PR10RLAn
BEATING/AIR CONDmONlNG,.'I.dPLACE PERMIT
BaOt ~e'd
~;;"IIIIl~Jl""\
1 ?9 ';J ~~ tv' GJ\.
\
ttl:. ?LI PEIlMITNO. -:3--7,%
ZONING tellullJd j
I
LEGAL DKSClUPJ'lON (... _D6lr)
LOT BLOCK
~~4uON
plD
0_ r ~cir
(Name) Q ~~
(Addma)~;. p ('.J:\ ~} j f2
~~A ~ IY\ [.Jjp.. 'I- f't Jr (fb0M) .t.'!' J. .y?1/J 73 D
(Ad&eosl-< ,,'<.::i ld i--"~ ti Lv 41-1 fo./1 JYlJ.lT/l1J Jff) n <<{ <1),:)'/
~A ) [Cly1 (Zip <:041)
(CoDDa Pmoa) JJ.Q1.J/\ (t l' C. (I) r J ; ~ (Phooc)
~SJGNA'roU , ._ ~ ", /.!l.J.~k~ DAl]! -k -d ~ -t.tk g..oJJ.'J!. ~
APPLI PLEASECOMPUDBILOW i\~ ~~
CJN&W CONsn.ucn~ 'u REi'LA~ mAL tERA1lONS
FlJ1\NACEMAlCEAND",~",.,:,L Lt.u\~ t.-tJJ\/YV'~ to\- A-! C..- nm.
FLU2 SIZE RE"Jt1IN OPEND>lGS 1NPUT OUTPUT
TYPE OF S'YS1'Dl KEATING Ok pOWEJr. PlANT
~ Air PWlG, Cl s....
;1)/ ~HlKW*,
III.. ., I w.ioG
tJAIr C~tin& Spctd 01"1_
DV- S)IItCftl OdIcrDcllicllS _
FUlEP.l..A~ MAD: ANI) MODEJ..
(Pboac)
PUAn...on;
Nt CoUlciol1C1 Ulllts
CIDnot E.nc:Nach lnto
Jleqllftcl Sido Yvd
SeIb.w
ra SCJD))UU
1Il~. C~ . M~-b n. 0',10&.. Raadc:aQll., Gu rlrlplw.e SJ9.~
''',10 m, ",... ..
"nt.oaS. ..... a AJC ~ COMDucDoe) StUll II~ Nldidala. AI.... $39.30
"'_11. HeaUBa (111)1 (New CUodblacti...,,) SMJQ ..bfrl-\ AC ()Ily S39.~O
~ eo"s
81.lildlnal ",,,.,It .,
8lJIL~~D WitH
G PFiRMrr
HEATING PEIlMITFEE S
8T A lE SUJ.CHAllOE S .so
TOYAL PtllMlT ru s ___ ,
(OIlwU.o..,l _ - \\fl ~ \\
n.......-_y__--_ ~..I't\ [, ~ \:J )
-._ ... ~ "'.!tJN 2, 5 7nn~ I
.. ...._.........- _J_ ".l. ~ 44'J~_~~=""O"~
'\8v~
~
No.
"I' i
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
~f)92- ~/!1e.-
e./te;J6
8. /4.03
03-07Sb
~. ~I~ ~i~y I PERMIT NO.,,,:,?' v.7i
3. Yellow Applicant e_ .....,~"fl
I
ZONING (office use)
:/<!..1f"O
LEGAL DESCRIPTION (office use only)
Lo1Z-hLOCK 4-ADDITION Pel ()K- S (J t/TH
PID 25. () 17. () 7c9. 0
OWNER
(Name)
(Phone)
(Address)
APPLICAN'I; n (
(Name) r a. LL
.
(Address) ~ c1 {
,al\.~ V'(')"L- /A kA~I\(!)'L P /1 q I
. I ~
Pev. fA.. IJ~/<J...L-
(Address)
(Contact Person) ~ Lt-- (
APPLICANT SIGNA;URE -1?~ ~~ ,
(Phone)
zr8-- 6;) 6.J
(City)
(Zip Code)
(Phone)
DATE
ff livid?
,
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Official
Date
Building Permit # ~ J/
\ f '" ofAl.J
\ I .50 1 e'1 0 V
~___/ . 6~
P~ ,~r
-Da~l ILt. 6 ~ By t :-,
o
$
$
$
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
'lis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S,E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
IiEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or print and sian at bottom)
ADDRESS
I. Pink File PERMIT N 5-
2. Green City O. ./.. -1C:----1
3. Yellow Applicant 10 \0
4892 CEDAR CIRCLE SE
LEGAL DESCRu- J.10N (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name EARL D'S CONSTRUCTIN
(Phone)
(Address)
APPLICANT
(Name) ALJ,Jf.D FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
(l51-(l33-'?561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRFNI)A H(J.5TON
DATE
ZONING (office use)
PID
55113
(Zip Code)
8/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
REA TN GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$-
.50
(Office Use Only)
r~~:'\ti @;Iu
. ,
f e AUG 2 1
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-98 iD~52).M2-42.4S
-
I
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
e. .b..cf.
~~D ~~
~!j/,..
. '" .
",
"
!\
LS Rl ~ceipt No.
1'1
! I,
!JI a--
(J
Z003
.
..
Job Address '-t'6<!Z- (js-D(#l. ell ~
Heating Contractor Co f~
L~
If)' /~ 'o-s
,
7%
670
Lt3()
, ~%
Name of Tester
Date
Percent O2
Percent CO
Stack Temp.
Percent CO2
PRIOR LAKE" -DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4Sf:J, ~ S. E ·
NATURE OF WORK ~ Jj/JJJm;;J,
USE OF BUILDING ~ I). -
PERMIT NO. 03 --07~(o _ DATE ISSUED '1"/41
CONTRACTOR ~ ~Intld"lilll ,l~HONE!I.SZ- &fL"" 3-15.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-
I FOOTING V~/hC11 ("UXJ~ l~Af/
...
FOUNDATION (Prior to Backfill) jI~ ~ 7/ J It! 3 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING [/1.,1&/
INSULATION {I(yJ
ELECTRICAL
PLUMBING VW/
HEATING (if required) VW
FIREPLACE Vvf'
GAS LINE AIR TEST ;vP ~,'UP ,,!8
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
?''' ). &'- VJ
~ ~)-.11 - r/!?
B- -/1-{f7
~ ' J.-Y, f1
tt I f-'c v'>
..
, I
ILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
j/VY/ /I- "'/ V')
10 ,J~U3
((--- p(-(])
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
wrJ'
JIlif
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
I !
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l/-(~"t%-
ADDRESS ---it-J>fZ C~/ (, t",
OWNER CONTR.
PHONE NO.
PERMIT NO,
.bJ.. 75'*>
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/t/{ rr> IL
X.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ ~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl