HomeMy WebLinkAboutBuilding Permit #00-0179
~
DA TI;.BE9EIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.22 am
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
33~~
3. LEGAL DESCRIPTION
C/v/V wa.1tr
,
T (' tA~ / /
LOT
ADDITION
4. OWNER
/0 BLOCK
G/yNWA.Tfr
(Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
WeNJlntiN/V
/JDl'hfJ,.f"
7. TYPE OF WORK Fireplace 0
New Constructionp/' Alterations LJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
3
~ /v;
1'1/11#
PILlE
1. White
2. Pink
3. Yellow
File
City
Applicant >.,
Permit No.
OO-OI1!j
I
1. DATE
3-;;;z-oo
N tJ /<2-5D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID :;u-- 3 t, 5- - ();;l ~.. 0
a,l/, 1/ L1.1V
13. TYPE OF CONSTRUCTION
Back
Division 1 2 3 4
Permit Fee.................. ............. .... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
(Address)
(Address)
(Address)
I f 9 $" 1'/6 2 ~ Dr
flJ,ti~. /lJ/V
~tic o' Deck 0
Addition LJ Finish Attic LJ
9. PROPERTY DIMENSIONS
Width Depth
8e~. ~ ~
5'1 ro/?l
50 .ot::J
100.00
{{16,oo
.3<;-.60
our Building Permit Wher+Approved.
Date 3-21.2000
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
~.sl- .ytJ" -ry () c
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
Yes No
17. COMPLt: IluN DATE
I hereby certify that I have furnished 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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0~1 can revoke th,iJ'Permi~jUst cause. Furthermore. I hereby agree that the city official or a desiQ.'J,ee may enter upon the property to perform needed inspections.
X ~J~ y ~ /Y..>K .J"''}:2-~Otl.)
- - / r / Signature License No. Date
V FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $~()O. ro
Other......................................... $
Total Due .............................. $~Z6?r tfb
Paid Receipt No. n \.3
Issued -
T . . 'fy th th . h bo I" d . d . . d . h h c~atze ~ iJo ~) t{. .aD By L
hiS IS to cerli t e request In tea ve app Ication an accompanYing ocuments IS In accor ance Wit t e Ity omng rdlnance and may proceed a
s~'. C' lanner constitutes a temporary Certificate of Zoning compliance and allows co struction to commence. Bef re occupancy. a Certificat of
;'. 3"' 2-~-u;Q . f f rCZv"
Planner Date Special Conditions if any
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFA-
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION /(JO"t!)oO. ~
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ 8..SYl . c:xs
SAC ..... ............ ..... ................... $ ~ '-D 0 . on
Collective Street Fee ....................... $
Sewer Tap ................................... $
"- t. $
Pressure Reducer ....!lJ................... $
'ltb",oo
~ 14 ~~
Y"2;)
~.
Meter Horn................................... $
I as . ~O
Water Meter ................................. $
Sewer & Water Connection Fee ........... $ -it 2..0>~ . ~ ~
Water Tower Fee ........................... $ ~ C)C> · C'O
24 hour notice for all inspections 447-9850
The Cenler of Ihe Lake Counlry
~
AIVl ~ p/ White _ Building
.~'/ ';: ~ Canary _ Engineering
6 Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENS MANN
3/22-/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
337~ 6LVIllW/1/6/Z- -/L
Accepted
Accepted With Corrections >L
Denied
{j()/?--;~
Date: "3 -;J.Cf..i)ooc
Reviewed By:
Comments:
I. f<u..L o.lJ. ~ ~
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."
tl'
The Cenler of lhe Lake Counlry
,I
/
, ! /~./.rv
") f I .-,
~j' .' ~.v. r ,; / White - Building
/ ;'1 r Canary - Engineering
.<.j Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
[V E.. IV S /L~J II /~/lV
~:s/ Z 2-/0 0
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
#?".2 ...? l-:: (/:....-/1. I f/'( //"1 ///'/>7--7--./<../ -7~
"'-" -.J /' -.-.'. .-' ._.., I.... v L.-.- '.-.
..
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~. ~
Comments:
~~ ~f"r'\ ~ D ~ ~<: ~
't. ~ c; .ctP. .~. .~oveJ pcvt] p;-
("r'1~ J~ A~'1'~"
H~ ~J&NrL ~ 0~ W~~kM.
~ ~t-e.~ [~0AvVL ~~
-:A.-C#JtW~
Date:
3~251'19O
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. II
.
""
....
Job Address33.2~ C klfl48e;f., /
Heating Contrac~#Z Xye"r
Name of Tester l \. ( -
Date ~ : /' ,.C>o
Percent 02
7
eJ
6beJ
<6
Percent co
Stack Temp.
Percent C02
'"
Thl' Cl'nlrr or thr Lakt Country
/
/
; /&tvrrv'
-1' } '. f p/ While - Building
I -1 r Canary - Engineering
d Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~VENS MfI/\/N
~3/ZZ-./00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
332 6' 6LVNfl/r/ /c-/2 .. / P .,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: hl~T€(t e:..H1E:Sr'\AI\W
Date: 3/%.'/00
Comments: Dit\"'Ev-I~'C'~ ""CIS. 13~ IN srf.H.l.t 0 AFrm '-HE: PrtoPtl..1.f.O CC)tJc..I\F-.n=;
..a'S)OE-WALK J~ JIoJ,srALLE:O.
SEE.
JNFoittMAt12A) ON Rt:\Jf:R.Sf:. S IQ C.
.sEE A"TT"AcH~I.s: LJi,.)A'-~AO( JNSP€.~ JAlFGItM"Int1N Z. (;IlAOtl,J(!) PtJJ.t.J
3. Eaos,o^, COIJj/{Of.- f11{4~v((fS
</-. tR..oSftMJ COJ.JTfl.OL. HAN
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."
CITY OF PRIOR LAKE '-..~ _)
. 18200 Eagle CreekAv. S.E. Permit No. CJO ....Of1Q
Prior Laka,lIN 55372
TYPE OF STRUCTURE
.. P.I_ -'-, File
I. an . J OIJ
J. Ydl. J c...an.:..
Building Permit. 00- 6 "Of
l.D
T"'f
"-
CD
cL Date
cs,)
"'t
l()
o
z
Telephone"
Furnace Make & Model \ ..D_Jr\~ ~
ModelSlz8 C??~2 _\~-~
.
Conn. Load
~ Fwl Mm-~ ('~~Jue Size ~ Jtf!Jvurr
T"'f
l.D
RJ Supply Openings I ,
{"I'}
@ Return Opentngs LJ
~ Inpul.'~ rmo OutpulL-Oj oao
>-
Ct: -
N Edr.
z
~ elm_
TYPE OF WORK
E
85 Altera'lone
l()
CD Repafr
R.placelllent
Ell. Comp. Dale
cs,) Est. Coli .
cs,)
~ HEATING PERMIT FEE S
l()
. STATE SURCHARGE I
Ct: .
& TOTAL PERMIT FEES .
.50
Single Faml~
Commercral
)(
Mulll-Famlty ,
plJ:)lrc Olh.,
Two-Famly
Industrial
Fee ScheduJe
1% 01 rob cosl ($39.60 ~ WliH
$99.50 BUILDING P2Fi.\~IT
164.50 _ J
$39.m ...........
$.19.60
$39.60
'T" I .
Induslrtat. Commerotal & Mum.Famlly
Realdentlal. Heating & AC
ResldentJaI. Heatrng Only
FEn ~AN t"S-/2.. "L RNldenffal. Gas Fir.race
Resld&ntfal. Additions & Aherations
Residential. AC Only
R ^V .rrGl..tll
. ~lt Remember to add the Slate Surcharge on the bottom of Ihfa apptfca~ion,
APR - 5 .
lYPE OF SYSTEM
Warm Arr Pluta \}.
Grevhv
Mechantcal
At CondftlonJng ~
Vent.Svllem
HEAMB OR POWER PLANT
Ste.m
Hot Water
Radiation
Special Dwfc.s
The.price of your h&atrng perml 'neludes one rough-In and one Dnal rnapectlon.
AddfttonallnSpecllons wilt be bitled. at $35.00 euh.
H QUae Healing Tesl Record musl be submitted wfth b.'~ '''~"g rA'",-- ."..,.,Ivl., bebe buUd.
Ino c&rtificale o' occupancy wit be Issued.
HFAT ~..~, ,. .Tln~l~ A~(\I..ql=J1 with "umbe. or 80ppty and ,elum openings listed per
room with CFM.I per optlnlng. New alruclufN 01 .ddflons &end flOOl plan with aupPti
and relum locations shown. HEAT LOSS CALCtJLATlONS. PAYMENT AND
APPUCATlONS MAV BE MA'LED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR ~KE. UN 66372.
City Han buslnes. hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
I helebv applv 'or a mechanIca' svstems permit and I acknowledge 1hal the
fn'armallon above I. comprele and accurate: Ihalthe work will be In con'ormance
with 'he ordinanc84 and codes 0' the cdly and wllh the s181e bulldlng/methanlc.'
codea; that thl. form does not become a permit until srgned bV the BUILDING
OFFiCIAL; that the work wHl be In .neoldanee with the approved pran in 'he
case 01 all work which requires review and approval 01 plan..
Ol_ · lJ/S.'Ja
App~nll8 ""alure . 'Oate
... 0. '1/ / f}JdD~~A~ -:J 't h/rm
Bulfding Offiear ~ronature / .., Dale
OIher Devices c
New Construdlon
'l_
Receipt t
---
MAR.30.2000 4:58PM
GENZ RYAN 6513226147
NO. 357
P.2/7
--.~
YIUOW - AIIftJCUIT
..... . en.
CITY OF PRIOR LAKE NO.Cf)- 0 \-r{
SEwJ:..K AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be reqis~ered
with the city.
APPLICANT: ~'7.- - ~
ADDRESS: lU'1U, ~ ~1""" .T teL-
1.
PHONE: r" ~I- 4~~n 4-LJ
DATE: 31 ~ (OU
BLDG. PERMIT t()Q- 0/79
33ZS (-..1 ~" ~ -n:Jl'L -r,e.L-PIDt as. ?kb' -Q9f;LO
FILL IN THE BLANKS
40,
Estimated length of water service
rH
size of water service inch(es).
SIGNATURE:
SITE ADDRESS:
feet.
.3'.
2.
.~
I .L
3. Location cf any couplinqs from s~ructure
4. Type of sewer pipe. ABS PVC ~ cast Iron
5. Estimated lenqth or se~er lin~ ~' feet.
6. Clean cut (it required), located at feet
struot.ure.
feet.
from
..-.-....!!!!!!I --............ __________~_
-=_-.s--=========
licatio~co~es ~our pe~it when approved. .
· ~/ ~fiu.2) D~TE: ~ IrS I CJf)
L .____ _____ ___I I
7'-- ------- --- -- - -
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and wa~er permits issued for new construction must be
recorded on the buildini permit card at the time at issuance
to insure that no dupllcate sewer and water permits are
issued. - P'/\.ID\/\/. ..'
p r . ,., Ii:
DATE PAID AMOUNT PAID BUILDli\~U }-,-: .,j r
.: }
......~
RECEIPT t
REC/D 8Y
. 4629 Dakota Sl S.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL. OPPORTUNm' DfPlOYER
8:54AM
P.2/16 q
/11
I." "00 f
2.. CiDW CIf L
3. Yel" AppIiaII J
o PLUMBING PERMIT # .o.o-Ol'ia 0\/
AppRcant: . ~"?-- Q,.~~ ^ Ph~ne:~SI-~'Z?-\I"'~
Address: tl\.'-'S: ~ ~ -rLL- ~
Signature: ~ . ·
Legal DlIllCripllon;~ Block ~ sub<ol~ ~Mt AID
Site Address: ~~S- 6l~ -n.-,..c:> l' I ~ h..
Bu~ding Permit' CI:;) - 01. q PIC #~- 36Y-Oab-O 0
N\.II 1;: This permit v.;1I not be processed without complete information.
FIXTURE UNITS
CITY OF PRIOR LAKE
APR. 5.2000
GENZ RYAN 6513226147
NO. 540
TIle Cd1ft' ar.. '--lie 611II",
Quantity Type of FIXture Quantity Type af FIXture
a Bath Tub with or without shower 5 Rough-ins
\ Dishwasher , Water Heater
\ Floor Drain Water Scftner
2 Lavatory (bathroom sink) \ Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compa. t...ent sink) Sewage Ejector
t Shower Stall Backtlow Assembly (RPz. Double Check, PVB)
\ Sinks Backftow Assembly Test
Bar Sink Lawn Sprinkler
~". .-
2- Water Closet (toilet) Other
FEE SCHEDULE ,
Industrial1 Commercial & Multi-Family
(10ID of job cost, $3Q.SO minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRANO TOTAL
$
, SUI, P41D
'l..PI/V G '1}'!:ll
,/_.. I
1...:, '
,/;,.
-
. 'j
\ ..
---
This ..._...it is sranttd upon the cxr......s condidon that said
conr.ractor. shall comply in all . "'t'eqs with the ordinances
o! the State Plumbi~g Code and the: am enulhereof.
r~NO
APR - 5 ~
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~S
An Equal Opportunity Employer
-
PRIOR LAKE DEPARJMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .3rt;~~ ~\jV\lA)r\...~r-' \t~\ \
NATURE OF WORK lJe.u) ~hlrt".o-n
USE OF BUILDING St="A-
PERMIT NO. iJQ-- O/7Q DATE ISSUED .~-a5-2.COCJ
I
CONTRACTOR ,^/e..V\SaMG..,^V\ \--\OW\u
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/7 JNSP.ECTOR(\.. ~ DATE
FOOTING ,II1/.n1dJ \ N Jr f!:.,.fO'
- FOUNDATION (Prior to Backfill)ftb"- \I-f4-13-aO~. i~ i}j;r j(}!l
. PLACE NO CONCRETE UNTIL ABOVE H1j StEi<.! SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC , ,
FRAMING J ) 1\. Ait7
INSULATION TV -.~
ELECTRICAL 7~ /3, rJ P ~ /
PLUMBING \C) 7ft1(t/I
HEATING (if required) ~ " ~ ,;0
GAS LINE AIR TEST {b (,/~/ JrL])
FIREPL::EVER NO WORK UNTIL a-OV.E HAS :EEN SIG~ED
-
FINALS
GRADING (Prior to Sodding) f~ /
BUILDING~ ftJ 1()./~'oU
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
r"
lj (, 7
H~S
BEEN
.
7>/ 11 .K'
lJ "L ~
SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ap~roved. 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
l>,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
1;2 . " '0'
33D2 ~ G) IJ 11 LlkRler t!A,
t
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D~NSULA TION
~ FINAL
A 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
f$.SU P
(\(bE
c'o~
-flf p
~~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORf' CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~.\ ) 0JJt I Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
33~s- t/VI1(J-o.-h, 7> (
I' .
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
;1-/ I cJ[
DATE TIME
IZ-II-of
~1'7
W'tV[J~
66-/7i
c;-g(EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~---:\. _ - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,
ADDRESS 33 9~ .~ ~ 3~'7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
A.. 0 MECH RI
rr>>A TER t:iOOKUP
^ ~~~R HOOKUP
rr. 0 PL NAL
ECH FINAL
DATE TIME
~ ,~:3()
G,\~f)A..PA iu
00- 0)7'1
o a - OJ~t"J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~T~: , . '- 612-: v,
~'3' ~- q.o <-.0 'Yilt, - - \. 1l ~ K
G,f~ -tJo(~ - ~o ~
4~l ~~~ -.''1c, - l ~ 1l tL
Ctr-y- ~ lJo ~ No ~~
~v :4rc
6) ~~ + ^~ ~ ~,,'u
(3)~ W.~ -Gv~
S~ f.'~ ~
/)
Dt> ~ Se..JUJ lU .
c..o Y\. r ,tr II ~
L~hJLS
~SATISFACTORY, PROCEED
~CORRECTAC~OCEED
o CORRECT W .' ..ALL R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447[9851 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REJtJ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE al H.. ~ q~"~
INSPECTION NOTICE SCHEDULED
ADDRESS 3325 ~!,~I~
u
OWNER CONTR.
PHONE NO. PERMIT NO. C>-~ 119
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA TI~ 'P( A ~EWER HOOKUP o FIREPLACE FINAL
~INAL A PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
W ~V\6..Q F &1(JY\~e rf~ ~
(2) Sod. O~&. -tv-US; ~ ~~
~ P~,hc., ~t- G..ffr-lfI~
(~ ~vt. ~~*{e(\ ~~
~~tn ~J..:J:l.)
_~M____ &rr~_ ~ ~ <;.~
. (1) lh0)lN1A_u ~~s ~~ dlr--
r--~ Il- vr- 1U c.L1. _ ~. -
(~J' (o,.~r. ~/J ~~ +- b~ ~)~~(^ ~)L
VVV~ . r - iV ~
~v~
r (0 fb, \ .L~o r~(\ ~ · ~ ftAp ("^ elk.
6 r ~ d' -~"'\.; 0 V'---
~l~- . \A.J~ ~
owe; ATISFACTORY,PROCEED !?~ ~ ~
REC~TION AND PROCEED
ORREC K, ALL FOR REINSPECTION BEFORE COVERING
Inspector: - ~ Owner/Contr:
CALL ~~,o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~ fA-.