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Home My WebLink AboutBuilding Permit #00-0140 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ;f;J;o - 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 \ Y1- /3 ~(\JE.~ ~ trl) TV-- to.E. 3. LEGAL DESCRIPTION LOT , , BLOCK 7.- ADDITION \-Z t\ 0 "P'i ~~ll Y ...~ /Ab\>. 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) 1. DATE 5/'~/oo ,e/ PID Zc,,- 3b2,.'OZk,O (Tel. No.) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) \ . ~bG~ 2.~)-h.~tE. -J. -. 0AGE-VV\f\)j ~CMeS ~(1... Yb'-~ZSZ- 1. White 2. Pink 3. Yellow File City Applicant Permit No. Dr) {) ~D BUILDING IHFORMA TION 11. SIZE OF STRUCTURE (Height) {Width) (Depth) \ C?; r.::> "". "t~ 12. NO. OF STORIES \ 13. TYPE OF CONSTRUCTION ~) \=.-~ 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction)( Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE Chimney 0 Misc. \ ~O .000 +- Lb 1- 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. \ ~ I b'4 b Width Bb Depth 20(,L \f~S Yes No C:7/ 13/00 ( reby 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 ove mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the uildi official can revtke this ~for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X, .. * . \\...A--/cY"\.~ Z.Otl~101 ~J(:YCO . Signature ('\ . License No. Date '-.J SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION FOR ADMINISTRATIVE USE Side Side USE OF BUILDING $rO OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I <<=to: ccx::>. c:2..c) TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee............................. $ t ' ~3TJ. CS; -8 (0'1. 2,J q~.~ State Su rcharge ............................. $ Penalty ....................................... $ I~O.oO leJO . (pO 3~. S'e> Gas Fireplace Permit ....................... $ 40. ~ Thisfrtcome~ur Buildina Permit When Approved. By ~ Date ~-1O.tt:> (/ - Certificate of Occupancy Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ I!J.5.C> · oe SAC ......................................... $--4-1 Of::) ..~ Collective Street Fee ....................... $ Sewer Tap ................................... $ City: <<-,t $ Pressure Reducer .... 7f?................. $ Meter Horn........... .... . .... .... .... ....... $ ~ ~ 4',5:00 I 25,~ Sewer & Water Connection Fee ........... $ ,. ? I""}O .OiS' , I{) "" . "" ~ Water Tower Fee ........................... $ \",001" "" \.01 Water Meter ................................. $ Water Tap ............................ ....... $ Builder's Deposit ............................ $~ ' 0Cl Other......................................... $ Paid T~;;;~~.;;~......~~1fI181 ~: :t> Issued ~ " Date 3~~ (eo By ~ ~~.. Ofp 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 cIocument when s~ ~)I nerconstttutes a temporary C:3e~li~~Plian~s <Jstructio~ t~ cOrmi1UKU~ZY' ~ of~~ \~t.~.(. - C' Planner Date ~ ~ - Special Conditions if any -" 24 hour notice for all inspections 447-9850 ..t *Permit# --- ----- ----- -..-. -- _..~. .......' - ........... *Job Address.J..!:P. 7 ~ -.,,~; fLl> TtI . "~ *Heating Connctor ~~,J A, fL~<: , .TesteralSign.ture~ . *Gas Un. " Pr~ llispected · Percent c~ .Percent 02 Final Inspection Date Time Pounds Pressure 706 7% PERFORMANCE TEST . 1'\6.1: .Percent co ..J..,J:L(\ .Stack Temp. t)34 0 Date p. '~ ~ OD - (;;~ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J~ L. WAq6MAN 3//4/00 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4273 L3LIJ5i3/RO / R/1/ ( , Accepted Accepted With Corrections ><-.. Denied Reviewed By' Date: 3"2::1-~ Comments: ~Jj~~ 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 . .._,...~...............-,...,,-,..,..,......,.~-~,,~-.--._, -. -....--.......-...--.- ---------~.-....~._~-. .~ ()U - (4-() The Center of the take Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .:J. L. I V II ~ C tv i II tJ 2/14/{j() ('-J) - '4-{;1 . I ( , .J ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /42 -Z__3. / ~!;/ ( / t> rj / 1<) LJ / /.../ /) / L- Accepted v Accepted With Corrections Denied Reviewed By: c::;e.AA- ~~ Date: ~ - w-eo Comments: AIL 4- V\Aev~fuJ '~~~ S;~ b--LM ~C-V~ ~ \:~'tW~ ~. Ytu'~s ~ 1 \ r\ ~i~ -S...'{ t,~ f&v- '6>~_ ~t-V&S , L L-{ &:> f-:: \ LVa.L' - L-{DF D:="- Co (f" 7'- 2..-, ~ ~ '/ F, +- W F=~ 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." (XJ-/LfO Thl' Cl'ntl'f of thl' Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ::r. L. rVf q6 ;VIA tJ S//4/00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4Zi3 .Ai 1JF;/~/;:20 / i<~/ L AcceRted" Jf Accepted With Corrections Denied Reviewed By: WALIEIl EH{{~SM.ANI\J Date: 3/ I~ /99 Comments: SEE' \NFoR..MAliOAJ ON IHE 'KEJDe.5?E SiOE.. ...D11,JEWAY Ct4f\J ONL\( 8 E: I ,.,j ~ TA LL E1;::) (-) F'T ElL TrI E F"'u,U{lE. PRof'o::,E1) Si O.E:uJAL-K:. IS iNS. mu.. clJ SEEft'rrAC-;-/MEJsI~ ':: j # hNA~ItAo.E:. t"-isPEc.:noN I NFoRJ'",q"OI\J ~. 2, Qa.A.o1 ^-.lb P'-ItN '3 EQOSiD!\l C.ON'f'12,.lf>L M€A~~3 4-. EP.OSfDN COI\.IT71..0L PLArJ 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." GREEN - FILE YELLOW - APPLICANT GOLD - CIT., CITY OF PRIOR LAKE SEWER AND WATER PERMIT APPLICANT: (J 1LtJ'1-I-6/l ~)l ( . . ADDRESS: l~lt~ :JO{J<...-:L-J WAY (tit-ilL.) SIGNATURE: C' ~ ~_ SITE ADDRESS: III 1 7.3 E LlA.c:&~ tJ T/L. FILL IN THE BLANKS 1. Estimated length of water service 2. Size of water service ) C t inch(es) . C):J_1LJ.ti S.W. No. ,. '-' NOTE: Sewer and Water contractors must be registered with the city. PHONE: f 7.!l-( ~ 1/ t DATE: 3/.2Y" 0 BLDG. PERMIT # ~-I4-o PID# Z--S--S~ Z ~-o ,ro feet. 3. Location of any couplings from structure Cast Iron 4. Type of sewer pipe. ABS PVC )( 5. Estimated length of sewer line ~o feet. feet. 6. Clean out (if required), located at structure. ::::-::~t:~~:::-::::~:::::~;~--------- -- I (I feet from FEES: ------------------------------------------------------------------ ------------------------------------------------------------------ $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is ~,.~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. r"PAtD V"iT:-' DATE PAID EtJHr':. :" AMOUNT PAID RECEIPT # REC'O BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: C> L(.C', N P Lvt Y'r.~GJ' Phone:f..LJ L.L3...J.. 91) I ~ Address: b "'1m J3J ~ :\ -r..D · .p f{Jl.;{ V./H /.1' Y /hV5,<: ,W, t.j Signature: \.4, --'~ Legal Description: Lot , \ Block:.l Sub ~ l' ab \-+\lJ ~-f}nfI1JJ Site Address: J 4 d 7-< B Lt~ 'f & l<:JJ ,(( ~ Building Permit # (1 r) - (") \ LJ f1 PID #.515" - <<~-()~b-O NOTE: This permit will not be processed without complete information. The Center of the L.b Country Quantity ~ I I , , I j tl, FIXTURE UNITS Type of Fixture Quantity 1. Blue 2, Gold 3. Yellow File City Applicant Bath Tub with or without shower J I j I # ...0.0 - () 1 L{b Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other ""- "',.._...._.~.__.. ~ --'-'-'--"""-" _..._".~ . -, - --..... ,-.-. ~ ..-...; r- ---", " ~- f ,_"' .. 1 ;.....~ , ,i ~~ ,,;" ~ ~ _~ MAY I_ $ $ qq,so $ $ .50 $ ICXJ. em . ~ ~~V ~ 16200 Eagle Creek Av. S.E., P . r Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E" Permit No. Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date .57Jv/UJ PIO, ~S """' .':) ~ d - Od0--(J , I - Site Addntss /V.J;J? IJI'udJ.Lf~V lA, AJc- lot \ Block Q Addition hrY\.Q')\/1 . . '-./ Ownol's Nam& (\/, LJ~ tJ.hM.) 1/- () Aoor8'ss Hea'ing Conlraclor ALLIED FIRES IDE dba FIRES IDE CORFER Addra9s 2 700 N . FA I R VI E\ol. R 0 S R V ILL E. MN 5 511.3 Telephone t# 651- 633 - 2. 5 61 FIREPLACE , J ~ Mak9 & Model ~4~ JJ to ~ . l - Model S[l~ ..sr-. ?i!c-' Conn. load Fuel ~ Flu. Size Suppry Openings Return Openings Input Oulpul VO.t'2U Edf. elm. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Ai Conditioning Vaol SysCem HEAllNG OR poweR PLANT Steam Hot Water Radialion Special Oavic9s Other Devices Alterations Rgplacemenl , TYPE OF WORK New Conslruction )()C R~air Est Comp. Date 5hll~ . . I Est Cost $ ! / 00 1;~ BuUding Permft 1# (Jb - b r L( () . .~ HEATING PERMIT FEE S ~~r~~ -M.O ~~ STATE SURCHARGE $ .50 ~~ TOTAlPERMtTFEES $ Receipt" - , --' en (I) ::::J I r'i.... - file r+ 1. (in:r" . 0., OJ 3. Yehw . ('OMK_ '< TYPE OF STRUCTURE Single Fami~ CommelCial Two-family Industriar Fee Schedule Industria', Commercial & Mulli.Family Residentia;, Heatjng & AC Res idenliaf, Heating Onry Resioonlial, Gas Firep""" ~ ResidenCiaf, AddiUons &. Alterations Residential, AC Only MulU-Famity Pubt;c , Other " 1-'" ""1 (I) (I) 1-" a. tD n o ""1 ::::J tD ""1 1 % o' job cosl (139.50 mnmumt $99.50 $64.50 $39.50 MAY' 82000 $39.50 $39.50 Remember to add the Slate Surcharge on Ihe boltom 01 (his application. (J) U1 ..... Addilional inspeclions wit be billed al $35.00 each. The price 01 your heating permit includes one rough-in and one Ioal ilspeclion. (J) U) U) CI) CI) CI) House Healing Test Record must be submiUed wilh bIiJs8ng I'lP.rmh nfl~ berexe build....fi; ing cerlificate 01 oocupancy win be issued. HEAT CALCUl AT IONS RFOWRFn with number 01 suppty and return opetWJgs 151ed 1M room wi1h CFM's per opemg. t~ew structures or additiimS send loor plan wih Iuppfy and rel",n locatioN shawn. HEAT lOSS CAlCULATIONS, PAYMENT AND APPUCATIONS MAY BE MALEC TO THE CITY OF PRIOR '-"KEf 16200 EAGLE CREEK AVE. S.E. PA10R LAKE. MN 55372. City Half business hours are 8 a.m. - 4:30 p.m. I ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL C'TY HALL 447~Z30 , ~reby apply for a mechanlcar systems permit and' Icknow4edge that the intormation above is complete and accurAte; Ihat the work wiU be in conform.nee win, Ihe ordrnsnces and codes of the city and with the st.le buildinglmechenlc8 cDd~s: that this form does not become B permit unlil signed by the BUflOiNG OFFIC IAL; that Ihe work will be in accordanee wtth the 8pproved plan in the case 01 all work which requires review and approval of plans. 4A1l. . /l..;/A.- - 5J,)/w I jGu~~-n:;~ ~;/~ '(j" Building OIIjiars Slgnalura / Dale 3: 0> '< , ..... o , o o ..... ~ ..... )> 3: " 0> to tD ~ - U) PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS .Jt.12 L~ ~ (J ~. J NATURE OF WORK }Jew {)t:n1..~~KJ~ bIV\ USE OF BUILDING SF-D PERMIT NO. ()O - 614-0 DATE ISSUED 3 -~ - 2Qoa CONTRACTOR Wa.~~~ \;t~ . NOTE: THIS IS NOT'1.\ PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INS~TOR \ 'DATE FOOTING ^ \~) 3 ~\ ~ FOUNDATION (Prior to Backfill) ( ~ ~ i 7 AiD I PLACE NO CONCRETE UNTIVBbvE HAS BEEN SIGNED ROUGH -A.NS SEWER I WATER I SEPTIC . ~ FRAMING iJ/t- I~, ( J6/q~ INSULATION t. d I,i! t'JO I . ELECTRICAL /1 PLUMBING ~fj~(fD HEATING (if required) 5fl3;o~ FIREPLACE , '5i,z,!& tJ . GAS LINE, AIR TEST ' ... ~J~ COVER NO WORK UNTIL f/aOVE HAS BEEN SIGNED ~B"'.AB v L/ J7 ) o1J I' I GRADING (Prior to Sodding) BUILDING 11A> 11) 4{ (I f1J L7? [;/ z4; ) ELECTRICAL v / PLUMBING (f/, /a')jJ{(() HEATING l/ v !;h DO NOT OCCUpy UNTIL ABOV("HAS NCTICE FINALS ~R-~ ffir 7"'} ,-. ()1- 7 /d-S /cJ 2/ A / 0/~~ J BEEN SIGNED 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 \- .,. ; (j:... . - ': (~~f (~"d (~~-. :r. .,1 ~ '~9" .- ( ::. ~. ' . , ( , . , Qrtrtificau of (Occupancy CITY Off PRIOR LAKE Jltpartmtnt of .utIbing lnsptttion )4Final Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. 00-0140 Occupancy Type R3 Fire Zone Type Construction VN N/A _ Zoning District . R 1 Legal Description L11, B2, Knob Hill 4th Addition Owner of Building Site Address 14273 Bluebird Trail Northeast Contractor's Narne&AddressJ · L. Wa~eman Homes, 8625 237th St., E., Lakeville, 55044 Jenni Tovar Date: _ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER Ir~73 B//I~ B/rd T r<1ifr1 CONTR. J. L, W~(,m'i" PERMIT NO. C!X.? -I'to ADDRESS PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION oIt.FlNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~E~ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: t"--L'JJ..~~ .oA~ D~_ )f.. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~4 Owner/Contr CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE 6/~~ ~lrJO ADDRESS B~? 3 ~vP~'rd Tro 1/ SCHEDULED PHONE NO. CONTR. PERMIT NO. UlJ - ("!f5. ./ .L( ) 40 OWNER o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING ~ 0 WATER HOOKUP [] FIREPLACE RI .&JNSULA TION 0 SEWER HOOKUP 0 FIREPLACE FINAL ~ FINAL G L 1) C::J 0 PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION 0 M~CH FINAL 0 ~O~MENTS: '(~ ~ ~ ~ ~ t:.W\oJL Ot/\ lffiu.J.f (\t\c.. ~ C0~ ~ _ -tr. ^ U~ ~ :V ~~ ~ff r~7V"l ti.ebJ:-<; ~~~N ~\u~~~<; ') ~.) f (\r~ <:::,~ ~. t1.-n-- h) l(Mo~ vr? ~__ "l-n-s~,f-- ~ IV- ~. - ~ --------- L ~ ~i..""Y1 C,O' TV vr~~ ~ .~ ---- ------------ /. ~RKSA~FACTORY' PROCEED CORREC A D PROCEED RRECT 0 . CA FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL ~-985~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REMMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ILf~ 7 3 SCHEDULED 1/;)3 ~1.-- A-? T: S~~ OWNER CONTR. PHONE NO. PERMIT NO. () 1- /<10 o FOOTING o FOUNDATION o FRAMING e o INSULATION N )r3 FINAL o SITE INSPEC. "10 . 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: S~' { , i /'J _.r- ~ (<(/~.' fJU: r:--L~ ~~'7-.-''- ,>>ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO Inspector: Owner/Contr: ALL FOR REINSPECTION BEFORE COVERING CALL 447-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \ 4-1.13> BL.u--,~,vJ- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP Ll. D~ HOOKUP III ~PLUMBING FINAL o MECH FINAL lJ~TS~,,- dA- ~~ /lAn~ f4? r;~ r)~ V () - ~~ {:: c r- n?~ \ " dV\. DA TY . TIME ~21 jKJ _6:~ l.r o - \40 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI ~CE FINAL ~ :- ~ \;IIASLlNE AIR TST . ~ QI/L-/ ~K, CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: CALL 447-98)0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~QUlfEMENT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY! \J ,_on