HomeMy WebLinkAboutBuilding Permit #00-0086
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CITY OF PRIOR LAKE MAl N 1=1~6 1. White
BUILDING PERMIT, :tOO'" ODB+;: ~:'~ow
FEB J I 2000 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1JjJ' b / y/V 14)41'fll"
3. LEGAL DESCRIIJ10N
LOT (, BLOCK
C/flA/(AhAT'I'r
(Name)
, I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that a construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offjial can reVOke7!hi. ermit f ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /:J~ /YStf' ;:J.-//-OtJ
c. ,/,/, /J Signature License No. Date
fI f
SETBACKS: Require
Actual
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
WtNS/nI/iN/V
j.J()1n fJ
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
~q.Ft.
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
s,:h
File
City
Applicant
Permit No.1lD -0081.0
1. DATE
T rll" /
~- J 1- r;20() 0
I<Z.SO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/\/ 4J
12. NO. OF STORIES
~
~
Ne'
PID;J.f-.J (,5., oa 9-tJ
rAe/&!
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Ad~s) A
,;95' r142~ vr
I~~(}/V /lJ1V
!1Septic 0 Deck 0
AdcAtion 0 Finish Attic 0
(Tel. No.)
t,~/- ~o6.. ~YOj)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
o
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 1001000. C)"O
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
a:o .r.:r:L
I,~ I C,X) . O(J'
Amount Brought Forward . .. . .. . .. .. .. .. ... $
Park Support Fee ........................... $
SAC .. . .. . .. . .. .. . .. . .. . . . . . . . . . . . .. . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~/!> ~ $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ - t) ---
Other......................................... $
PakJ Tom I Due ............... .... ~~~~~~~$ ;:.f!~ w,
, 'fy th ' h bo I" d 'd . , d .thth c~atze ~Od~ d BYd V1 d Th' doc wh
This IS to certi that e request In tea ve app ICation an accompanYing ocuments IS In accor ance WI e Ity omng r Inance an may procee as requeste. IS ument en
signed by the City, P ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
? ~/8-6C)
C Planner ,..- Date Special Conditions if any
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
eaJ. ~~
S 1l.D .[L
50 .()e]
I 00 . (!)c:J
100 .00
35', ~'O
t(O.co
4';)-. 00
I 1'25'.00
\So
J I 2 CJ(") · t!JO>
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24 hour notice for all inspections 447-9850
Tht Ctnltr of Iht bkt COUnlf)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST"
NAME OF APPLICANT
APPLICATION RECEIVED
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"7 / I I 00
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3':5' c) qLVN v\J A ( t:-: k l2.f-\ \ L-
I
Accepted
Denied
./
"Accepted With Corrections
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nt::VJ~W~U oy. 1i'\J"&.1 t:J( ~I'tNN
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Comments: ~ W...,.,.. PM 3314 (;.1."'ltJlAJflTEP.. MAIL- FDa fJ".;,CtJ,.,~.
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"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, anyviolation 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. II
~~'-~
00- 08'G,
The ("enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\;'J ~ NS ~. A N ~
7/1 100
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3':5{ S ~LVN WA I Ck
t
l 1<.1-\ \ (
-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: k)AL. T"EIl Fwttfsp1,tI4I\1N
Date: ...z,j1'1!D(J
Comments: ~ ~",,-r hit 3314 C, "(,.JlI4J'IlTEa.. MAle.. ~Il A7TI4c.t/,.,~.
,
j,.JF.. tl.~r4'" loAl , CO~ ~ .
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.1I
~
White - Building
Canary - Engineering
Pink - Planning
The {'enter of the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"~"-,:. (/- (.~-'. .'. -
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Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~ Date: 2rl~~60
Comments:
~.. ~,~ \~ ~Sie-& ~ ~ (~Ur~ ~
\\Ao C-.0dJ. dMJ. ~d (J~ ,-~&-r
~Jtv ?vtJ ~'~~61A.
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{ct~J) Nt>'L'tu/e... ~,~ ~ . tAiN ~ L&:{.
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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.1I
1'>
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Job A~ress '3j/~ G/~ ~ f'; ",
Heating Contractor Gt'I1Z j/y~i'\
Name of Tester f{ ~ (:
Date -6- - I~ -00
Percent 0 ~ 7
Percent CO2 ~
Percent CO 0
Stack Temp. 3 S-S-
,.
FEB. 29. 2000 10:36AM
GENZ RYAN 6513226147
NO. 289
P.3/5
_.... .
Y'ILUM . AfIIlUCAIrr
CIDIJ>> .. \"'.
CITY OF PltIOR LAD No.Do ..Q[)0~
SEWER AND WATER .t'.t.!dD:'I'
NOTE: Sewer and Water
contractors must
be reqistered
with the City.
APPLICANT: j?,? .\fi"Z...- e ~ f""I
AOORESS:JUr'-l<\" ~~ ~ ~~V1'1
- -. SIGNATURE: ~
SITE ADDRESS: ~\~ ~~r,.I't2..L.
FILL IN THE BLANlCS
, . ,
1. Estimated length of water service ~
, \ (
2. Size of water service inch(es).
PHONE: ~S\-U7~ -t ,Ut.t
DATE: zl "2. or (era
BLDG. PERM:tT f DO -Qcteft;
P:Iot "7 'f- ~o - OD1-0
feet.
()
3. Location of any couplings from s~ructur~ feet.
4.. Type of sewer pipe. ABS PVC X Cast Iron
,
5. Estimated length of sewer lin, ~ feet.
6. Clean out (if required), located at feet
. . s.t.ructure .
from
------------r--- -""-
Thi;;S apPlication~#s your
BY ~~ .,~~
.
-----.... --
---===--------- -
FEES: $ 35.00
$ .50
$ 35.50
permit,~ ~n.en approved. /
. D~TE: ?:, f I d ()
~-"""'-"I~' I ~llll .1._..___...._.--......__
Sewer and water line connection permit.
'Surcharge
TOTAL
* Fee for either aeweror water individually is $20.00 plUS
$ . 50 s.urcharqA-'.
~"~.'
* Sewer and water permits issued for new construction must be
recorded on., the buildinq permit c;ard at the time of issuance
to insur~that no duplicate sewer and water permits are
issued.
(0
DATE :PAID
RECEIPT.#
_.~
AMOt,TNT P~~\~~~(:R\'lI\1,
REC'D BY !,U\\.O\
· 4629 Dakota St. S.E., Prior Lake, Minnesota 55372' I Ph. (612) 4474230 J Fax (612) 4474245
N4 EQUAL OPPORTUNrtY EMPlCYER
MAR. 6.2000 11:12AM
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Quantity
2-
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GENZ RYAN 6513226147
NO. 475
P.10/1 t-
r
CITY OF PRIOR LAKE
. PLUMBING PERMIT #
AppOcant. (2/ 112 .- e L:fL,n Phone:--'e.S"" I -- IJ "Z~ - "t14
Address: l.!:!'7uC r~O ~1ki'1I2:-"- -r.e...L- ~~
Signature: ~
.'Legal Desc:rtptjon: Let ~ Brock 2. Sub. 6LVN WA~ z]JD
Site Address: 33 (8). C;I~.. ..... . ~ Te-III L- V -s,o
Bunding Permit # , OJ) - () ?5 b PIO t. 2..~- 3ft,S - 00 q - 0
I
NOTE: This permit '#{ill not be processed without complete information.
FIXTURE UNI' ~
I. .. fD8
1. 0I1d apt
3. \'cllo. AppDc:a
DO ~()O~
-.-'
Type of FIXture
QUiU1tity
Type of Fixture
3
,
Bath Tub with or without shower
Dishwasher
Floor Drain
lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-Ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejeetcr ,
Backflow Assembly (RPZ. Cauble Check. PVB)
Backflow Assembly Test
Lawn Sprinkter
Other
FEE SCHEDULE .
Industrial. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential. New One & Two Famny
I
Residential, Additions & Alterations
State Surcharge
s
$.
$
$
.50 r\ .:
/ \O\Nrr ,",' -\:\
\ e\l\r~~NG \'\?.-~...\
599.50
$39.50
GRAND TOTAL
$
~~
: - r
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordin&UlCCS
of the SbUc Plumbing d am~.~ u thereof.
, ?JG./(jO OA'tl!
""' AllJ::ST
I,'
MAR 6
Call for all in
16200 Eagle Creek Av. S.E., Prior Lake, MInnesota 55372/ Ph. (612) 4474230 J FAX (612) 447-42~S
An Equal Oppommity Empl~yer
~~~~~ . CITY OF PRIOR LAKE. ~.-.J
,Ii r..,~ . 18200 Eagle Creek Av. S.E. Pennlt No. 00 -()oPio
~ \~\.. P,lor Lake. UN 55372
;:: , IiEAnNG APPLICAnON I PERMIT Single Family
.~ (oJ()Q PIO'r 25- 3Cob- (j 0'1-0
~ 91e Address 3?t'b - h (~\J.X\...p rc. 1r7 JlII_ R2.S0 Fe. Schedule
2 Lot I to Brock. 2- Addftlon 'is LVN W ftTE.R.. L ND
OWn.'" Name ( 1 ), lh:..rlV\ t\.Vl ~.S
~S-'.P\PlZA ~ s,-,,_ 21m ~rJ
Healing Conlnldor (?(xiz - ,l-~ - -
Adilresa, U1l!S" ~fnlat~,~ --Lit"..... ff....<<rl ~~
lO~\,U?b.. ,\U U
a..
Oat.
Address
Telephone' ,
Fwnace Make & Model ~ ~ ~
Model Size ~ 2?Jf)2. '~-'1 c:-
r-- Conn. Load.
"" 1'" II It
~ FUll AIM ( -()~ Rue SIze -, P;~'tJ1t-
N .
N
~ SURJIr Openings , I ,
~ ReturR Openings . ~
~ Input 1 li":6lID Output \, f), Mf)
N
z
W
l!)
Edr. _
elm.,
TYPE OF SVSlEM
Warm Air Plan!1 i
Gravfty ,
Mechanical
Air Condlllonlng. >'..
Vent. System.
HEAliNG OR POWER PLANT
Sleam
Hot Walll
Radiation ,
Special Devices.
Other Devices
Replacement
TYPE OF WORK
New CoMlrucllon
x
E
a:
(T)
:: Mlrellans
~
~
Ell CGmp. Date ,
Bul~ding Permit. ,
()n- onrrk
Repslr,
~
~ Eat. Cost . ,
N
u1 HEATING PERMIT FEE $
s: STATE SURCHARGE $,
E .. .1_.'
TOTAL PERMrr FEES $c
.50
1 'PAID WITH
- BU1LDING PEH\\:HT
Recetpt " .. .
TYPE OF STRUCTURE
I. Pf:Dk~
'l. Ore r
1. YeD~
File
alJ
0IIIInd0r
x
lWO-Famtly
InduslrT.t
Commercial
Induatrlaf. Commercial I Mufll-FamllV
Resfdentral. H..tlng & AC
ResIdential. Heating Only.
ResJdentlal. Gas flreplace
Resldannal, Adftilloos & Atteratlons
Residential, AC Only
Pubic
MulU-Famlly ;
Olle,
1 % of lob COS. (139.60 minimum)
$99.SO
$64.50
$39.50
$39.50
S39.50
to
I
Remember 10 add the Siale Surcharge on the bottom 0' thIs appllce~lon.
i .c
The.ptlel 01 your tleatlng p8lmlt Includes one rough.fn and one ,rnallnspecllon.
Addillonal Jnspedlona will be bil1ed at $55.00 each.
House Healing Test Record mus' be submitted with buRding IUWDiI ~,.".,~~, belor. build-
Ing cetlOcale ot occtJplncy will be lasued.
J.F~ ~.~ ~. " AT~n~l~ ~,F"r 4IR-=n with N,lmber of supplv and return openings IlIled per
room wilt. CFM'. per opening. New .tructures or additions send floor pr.. wfth suppfy
and ralUm Iocatlons ehOWft. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE crrv OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. UN 66372.
City Hall bUtme. haulS are 8 8.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN\ND FINAL) . CALL CITY HALL
447-4230
I hereby applvfor 8 me<:hanlcal systems permit end I acknowledge Ih.. Ihe
'n'ormalron above 11 complete and Bcc{J'a'e~ thallbe wo,k will be In conrormance
with the ordlnanc&s Bnd oodes of the cltv end with Ihe alale bulldtnglm.~hllnlcal
codel; that thrs form does nol become a permit unlll algned bv the BUILDING
OFFICIAL; that 'he work will be rn accordance wJlh It\e eppJoyed pre" In the
case of arl \'Iork which requires review and approval 01 plans.
~~Jili~_...__ - .~.It<iD7'G
3/' ()O
Dat8
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.3~ I p, Gl '\A ~~
NATURE OF WORK 'r-J~ ~ -
USE OF BUILDING SFA
PERMIT NO. OD - DATE ISSUED 2 - (7- LOcnc:>
CONTRACTOR W ev..S\Ma.v.."', ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"-
FOOTING ~I , ~ /)., ?,6lrIJJ
. FOUNDATION (Prior tdBaC~II) : . 7 ) 3/1
PLACE NO CONCRETE UNTIL~BOVE HAS BEEN SIGNED
ROUG~INS
SEWER I WATER I SEPTIC \ /))?~ /~ ,
FRAMING 1-..1--' f}r c,jJZ/~ ~ . 5/~ /bt> ,11--' (P/IP/,o P;.-
INSULATION t" 1, I ~ Lo.l I ~/~ ~~ ~/i/t; 0 . ·
ELECTRICAL ,/l
PLUMBING k/_~/lvt;f)
HEATING (if required)t-;l//~"'~I t/IZ/~ /~! I
FIREPLACE
GAS LINE AIR TEST ~ ~. $'8f~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
DATE
~/3~~
, /
GRADING (Prior to Sodding)
BUILDING1.c..D. ~ fJlllob~,
ELECTRICAL
PLUMBING
HEATING
DO NOT
ID 1.,)-A. 60.
· !~/,?!/1)1)
7/?/tnJ
7/7/or:>.
J/'7/~()
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FINALS
~~
~
th.
1ft.
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have b~n approved. On buildings and additions
where no service cabinet is available, card shall be piaced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
City OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7"7.dlJ
3}U) - 4-
112- .
ADDRESS
33/<v
GLVNW/lI~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(fD '()()B~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ 0 SEWER HOOKUP
(~XPLUMBING FINAL
u:JXMECH FINAL
COMMENTS:W-6:) ~ .(l~ ~ ~
~~.- ~~ (~~ ~~~
c1) Jtf1 Ac. ~ ~.:!!-:- ~\() - -
(t{J~~tN-~ 0 ~~~,
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
XFINAL
o SITE IN ECTION
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
yv\t? ~~ . ,
~~
f!~,4J(~ (~ ff7
~- 61---.
-eM. ~/~.~. 7/7/"0
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:':::O:ECT WO~LL FOR REINS:~::/::~:FORE COVERING
, I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I/VS/VOTl
ClTY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 33/ g
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~RA ING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
t1d~ if 4&~
DATE
SCHEDULED ~~
G~dff h,!
CONTR. !4J11.sfl1~I1~
TIME
PERMIT NO.
t::ZJ- ~
~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT '7' CA~ ~.?PECTION BEFORE VERING
Inspector: ~~~ Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/c/~fo." A ~ t;:
I
ADDRESS 33 (? ~ 7JL
OWNER CONTR.
PHONE NO.
PERMIT NO.
tJ - g~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'5a1 FINAL
tlv SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Iii III.: 1 1
" I I I lo... ll' - __, ... .......ILWU..
Yf WORK SATISFACTORY. PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECT WO~ 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!
INSNOTI