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Home My WebLink AboutBuilding Permit #00-0275 ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ;;~;;;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 45 "C1 SeQ..~V \ \ ~\rc.}e 3. LEGAL DESCRIPTION I 0 BLOCK lL ^O b ' II~ II ADDITION n r " 1-T LOT 3 d- nd Add 1. DATE N.E.. 4- --,-eo IZ/ PID 2.5- 33 9 - Q[8---0 (Address) ',b4J; -::run i Qe,V' Pa+h (Address) La 147 ,V I' II ~ (Address) (Tel. No.) 8Qd.-liOO (Tel. No.) 4. OWNER (Name) mu..r:rCh n ~O r. 5. ARCHITECT (Name) 6. BUILDER (Name) Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 7. TYPE OF WORK New construction)( Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth (Tel. No.) Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 1 O. CULVERT SIZE Yes No )( 1. White 2. Pink 3. Yellow File City Applicant Permit No. ()O ~OZ"75 - . BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) '3 1 (Depth) ;t 4 12. NO. OF STORIES ~ 13. TYPE OF CONSTRUCTION 5r:=H 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJ :CT COSTNALUE ~~tOOO 17. COMPLETION 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X --ra A..--- ~dOI A-,-C2C.) I ~~ ~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -it, ~O.~" SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION USE OF BUILDING 5FD 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............................. $ I., ~~. 2C:;- '7'-18 , 't ~ llP.st) State Surcharge............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ ItJO.()D , f) 1'1 .CJd" :S~ t SD Mechanical Permit Fee ..................... $ FOR ADMINISTRATIVE USE Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS COPIES SURVEY 0 PLOT PLAN 0 City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . . .. . .. . .. . . . . .. . . .. . .. . . .. . . .. . .... $ ~.oo L J ( 00 .r:ll.J ~ t~.6b kV 24 hour notice for all inspections 447-9850 Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .~.................... $ Meter Horn................................... $ Water Meter ................................. $ I '2.- c;:- . 00 Sewer & Water Connection Fee ........... $ ',~OO. 0 t:::J Water Tower Fee ........................... $' 'tJ...ao. 0 0 Water Tap ................................... $ Builder's Deposit ............................ $---L &:;QD . 00 Other......................................... $ Total Due .............................. $ Paid ~7 ~1.). a ) Receipt No. '] ~ ~y Issued J. V 0 Date ~(;J ao By ( This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning drdinan!;;d may proceed as ~ q ested. This document when sign~ ~n:r :~n~t~utes a temporary Certificate of Zoning comPlian~ws construction to commence. Before occupancy, a Certificate of upancy must be issued. ~ ~-cAO ~ (\~~^T: C~<~ Ca.r- City Planner ' Dale ~ . Special Conditions~ f{.s.oo ;#'" /" ;~ 2/5 ,.- The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /r i /' I 1 'i;' e '-("-T. +-. / '\ i ./'~. f V L" tv "_~.' I ! ./'l / /_<' / (/ L/ '/ / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .y / I c; t./ L L I k:) c':' L- t-." - 'C.. Accepted ~ Accepted With Corrections Denied Reviewed By: ~ il:.~ Date: l{ -2--0 - tR:) Comments: A./r . 4- ~\;'4r ~).C.J ~V~~~ ~t ~ ~V/~ :1 ;^-1-iW"~ ~~ ~v~, J..-Vlf"r ~~~ ~~VL~ W~~ ~ f2.,r~ ~~1 I~ +ThYv fd...,(). &J <to L.t.wlo", 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 i!15 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED )1W J()HN~ON 4-)13 ftO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-6 ~q selt~tJ~L- {;,/~~ N6 Accepted Accepted With Corrections v Denied 2 Reviewed BY:l ~~/A. -= Comments: Date: Lf --2J;, ,?000 ~ ~ ~ ~~J 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." , " ,"!,if j 2/~ Thr Crnlrr of lhr takr Counlry \ White - Building Canary - Engineering Pink - Planning APPLICATION RECEIVED BUILDING PERMIT APPL~ON DEPARTMENT CHECKLIST . I If It") / '. J' 1'1f-i 1\ :' (.r,^ ;' II l, I ;/ V \... L/ I V ~ lj J 4//3 /00 / I , NAME OF APPLICANT The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-5t~;c; ~5t;;-}C3Ji/LL C/!f::CL.E; Iv/6 Accepted ./ Accepted With Corrections Denied Reviewed By: ItJI4 L.-Tt;R. EH Ilf:.Sf4<4,J,v Date: "lz..4/00 Comments: COAJ~',(.~o1oAl c.1E.KIC-t...~S r"tUsl oAJI...y EJJr~1t... IHIS Lor FIUM S~~ Cln~LE. s~c JAJFOtlMArlOAJ Ou R/5:."E/l..,c. 'SrOE... Se.!, "!:t,.-nqCIo4 M F" 1JT < : I. F. NAe- bMaE JAJSf'EcrU)I\) /AlFoItJlfATIDtU z. (J4AD,...J (;' RAN .5 EItc-'ScolU C 0 t..JTltoL..~f~4)()Re.s l/: &'''$(01\.1 C.OIJTltot,. 11 AN "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." -.I ORSAT TEST JobAddress ~6' 'I $1.11*"1.& "'..~ Heating Contractor SIP 8~ C ! Date ff.. 9-1J(J Pressure ,.,.~ Percent 02 '1 ~.- PercentCO (> Percent C02 -8 " Stock Temp31JI/ 4) . 1'. 612-452-0367 (FRI) 05.12' 00 07: 48/8T. 07: 48/NQ. 3561851651 PIlI . . ,. \. " ~.~IC...T " ..... . _. , -- . ..... CITY OF PRIOR LAKE SEWER AND WATER PERMIT No..rm- Od7S- L of / () f3i 1e..:5 i<Y\.{) b H1/ J O1fld ftODN APPLICANT:~ ~j,Af) ADDRESS: 1'1:59 JJu,/h7IIJ4.1 ~~ SIGNATURE: '1'tJAJ!~ ~. ~h~~ SITE ADDRESS: 4 6 ~ ? ~-'A 1r(./~ FILL IN THE NOTE: Sewer ana Water contractors must De reqlstered with the city.. PHONE: ~SI-t;51t -IS4,S DAT:E: ~_/~_~ BLDG. PERMIT' CfD-Oa7S I eo) A1E:..PID#a()-~39 - O)~-O BLANKS 1. Estimated lenqth or water service feet. 2. Size of yater service inch(es) . 3. Location of any couplings from structure feet. 4. Type o~ sewer pipe. ABS pvcX Cast Iron 5. Estimated length of se~er line teet. 6. Clean out (if required), located at structure. feet from =--~~--==~----~~---==::==*===~=~~~_~_.=::=%=~=:==s_s====_=====_~~~ This apPl~cation,~omes'lyour permit when approved. BY (/fo.,r.ryf.t/. -/ j,/('k..-A~~ DATE: :5//;;/00 ::~--:--~::~=--=~=:::::::::-:::::=::::;::::::::::=::::::~-== $ .50 Surcharqe $ 35.50 TOTAL * Fee for either se~er or water individually is $*1.60 plus 5 .50 surcharqe. * Sewer and yater 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. ~~~ ~O~\'~~ ~,.; DATE PAID ~~ocrNT PAID RECEIPT # REC'D BY 4629 Dakotll St. S.E., Prior lake:. Minnnota 55372 I Ph_ (612) 447-4230 I Fu (612) 4474245 AN EQUAL OPPOIn"UNIT'Y EMPlD'tER ~ ! j ~ ,I. I i ~ [ f J "I~ f I f f~ '" f f ~ ,f ~ ~ ;tI I e! . , i ~ .f[[ ~, .. ,~' G f 0 .~ ~l I, I I ,. '0 0,", J1 j .S- ~.I ;l:: \>J ~ 1 ... __ - f 0 -t. _ Vj ( . \a m 20- Q_~~~~>~~~I ':, ... ,:, ~, ;I 0\:'., () ~ "'" }i I~::-, -C) J Q ~,'~, '" f, ~' '.J; ~'>~ >~ ~"~~,~, ~,~ I Jl~ l#'" t!I ~ I r I ill - ?- )(\ ~ ::t:""'o}.~ ~ j' 11ft <\J I '"\(. I Iil . . i=>, ~ 1,0>, ~ 'K ,0 - i,J f' I. C'0,'l ~ f:- -, '5 J- c- i II I.. i I. r'" f I J " 'Ii f J~ f j f i ~ ~ '~ ~ ::t: ~ ~! I ~ i ~ Q f i' I f' I: ~ ~ > ~ ' 1 I . ~~? I I I'> i z~ Ii )::! :/J:ts<; .~ ~ " ~.z, 0 . I i * ;::: l-- , ~ tv I I ..oO~ ~ i >... 0. .~ a, . ~ u{ >< i! &j ~~~~~ 8 ~. · J e>::5 P1J 6 I C) .. ' .llJ · " I" .-.J Vl I' J.:r It I: f. f !; I ~ I 1 j 1 r I t I f J II I ~ ~1' J!i~li i i I;lli II t I i iri~i j I ! !.tj ! r j;~ I I. It l !~ i1llill. siij ,. J i f lIil'!f l.:II IJi,'1 i ~Jfl I i iSiS ", ;f I Jll ~ · ~'fl'i ~ illt I I I ft I I ~ ~ 'I:rii. ! I '1' , I J. ': I i j ili r+ i' I r ,! 9 iI, J t ~ t .. , .g 8 i i ~ .! "i f I ' - f flu et~tltt"rA YVd LC:Zl OB1 18/90)ot I'ftn...... "Tn T ,;r .r .xt'. T" f.... CITY OF PRIOR LAKE 1. Blue 2. Gold 3. Yellow File City Applicant The Center of the Lake Country Applicant: /~~~!f::'~:MIT Phone~P~ii!!:~~~ Address: .{~~d hE a) Signature: /~_/\~ '''"10'--_ Legal Description: Lot LO Block 3 Sub ktJOC HI~L- 2ND Site Address: ~ ~~9-{lC.;C._ ~~~~ ~ Building Permit # 02> -0 -z. 7S- PID # 25 -337- o It' -Q NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture / I / 9- / / / Bath Tub with or without shower. Dishwasher / / f< 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 Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Floor Drain 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 This permit is granted upon the e contractor, shall comply in, r of the State Plumbing R s condition that said s with the ordinances amen me}!s thereof. r,/ Ca/ DATE All hST Call for all ins ections 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 I Ph (612) 447-9850 I FAX (612) 447-4245 An Equal Opportunity Employer ~~ @ CITY OF PRrOR LAKE Me 16200 Eagle Creek Av. S~E. PellT1it No, 00 -C;;;:-s Prior Lake. MN 55372 HEATING APPLICATION I PERMIT Date W;~/r]n PnJ' ~"5 - ~3~ - 0 ,~- 0 SiIe Address I Y5'&9,.-S;~ u-R,t fMd.. Ak. lol \0 Block:3 Add~,~N'b \-h\\ ~"-4.A\)hN IYJ/i.) ,'/).~^rd}. V . Owner.s Name Address Heating Contract!>r ~LL lHD FIRES IDE d ba FIRE S IDE CORNER Addrsss, 2700 N. FAIRVIEW. ROSEVILLE, MN 55113 Tele~SWn9' . 6 5 1- 6 3 3 - 2 j 61 PIREPLACE II . ~ Make & Model _ '!JfC";.J- jJ 0~ Model Sil~ ftr~.;ff Coon. load Fval (,~s. Flue Size S \J pprV Openings Return Openmgs Input Oulpu1 r.J j.v.XJ Edr. efm. TYPE OF SYSTEM Warm Air Plan1s Gravity Mechanical Air CondiLiOIllng Vent. S)fstem HEAnNO OR POWER PLANT Sleam Hot Water Radialian Special Devi:es Other Dev~es Ale ralio ns TYPE OF WORK , ~4 Q" Conslruction ..:y Repair Replacement . ~sl. Compo Date Uf.t:;/Cb , I (Jt) - () a'1 S Est Cost S /ICD-tD Building Permft, I' HEATjl<<3 PERMfT FEE $ / STATE SURCHARGE $ / .50 TOTAL PERMIT FEES /' Recelpl ". _ .. TYPE OF STRUCTURE, en I PI"" - RIe ~ 2. Gnn - at1 r+ 3. Y~Ilo", . CoIIIIKI. OJ '< S;ngle Famify ." ..... "1 CD (/) ..... a. CD " o "1 ::s CD "1 Two-FamIJy lndus1rlal MuJti-Famitj . Public Other Commercial Fee Scnedule Induslrial, Commerciat & Multi-Family Residential, Heating & AC Residenlial. Healing Only Aesidentia1, Gas Fireplace Residential, Additions & A1teJaUons flesidenUal, AC Only 1 ~ 01 fob cost {$39.50 minimum} $99.50 $&4_50JU $39..50 N, 3 $39.50 $39.50 Rem ember to add Ihe Slate Surcharge on the OOtto m or this applica lion. (J) U1 The prrce of your heating permit includes one rough-in and one (Inal inspection. (J) w w Addilional nspections wi be bled at $35.00 each. OD OD House Healing Tesl Record must be submitled wilh ~Iilft~ Mr,nJ~1 InIDIm before bu.ld ~ ing cerUficale of occupancy will be issued. HEAT CALCULATIONS REOUjAED Mlh number of supply and return openings Iisled pi reom wilh CFM'. per opening. New slructures or additions send ftoor pian wilh IUppty and relurn tocations shown. HEAT lOSS CALCULAT~ONS, PAYMENT AND APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE. 16200 EAGLE CREEK AVE. S.E. PAIOR LAKE, MN 55372. City Harl busfrntss houls are I 3.m. - 4;30 p.m. L I:: ::s , .... W I o o I ALL WORK MUST BE INSPECTED iROUGH-IN AND FINAL) - CALL CITY HALL 447-4230 ..... I hereby appry lor a mechanica' systems permit and I acknowle<fge that the ~ information above is comp1ele and accurate; thal1he work will be in con(o,manc8 ... with the ordinances and codes or the cily and wilh the stIle building/mechanIcal codes; Ihallhis form does not bec.Dme a permit unlil signed by the BUilDING OFFrCIAL~ tnat the work win be in accordance wjth the approved plan jn the case or aU work wh~ch requfres revjew and approval 0' plans. R,. . // . . I. //"1/ BUIL&-a- Ih~ _ I~II '1/C> ~::t71Jd,.~~~,~ ~;/O:;ltJl) ~ BWlding Ollk:al's rlUri / DaI6 · '1J Q) <0 (I) PRIOR LAKE INSPECTION RECORD DEPARTMENT OF " BUILDING AND INSPECTION SITE ADDRESS fJ5q(" ~\.tll C,... NATURE OF WORK ~~") USE OF BUILDING S~'D PERMIT NO. {)O .-02 7~ DATE ISSUED cf.2Co"(J8:oe CONTRACTOR \\\J ..~<'~~_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INS~TOR I ~TE - FOOTING - \ N 5 I~' jf(J FOUNDATION (Prior to Backfill) ~~ ~I G/f1/';t, (lfl. 51 ~~ P ,. PLACE NO CONCRETE UNTIL ABOVE' HAS BEEN SIGNED ROUGH - INS vMv tJr, 6/( 7kv .. . I l'A>) ~~ /#!r. I. ~ .) '.' ~ ~I#)f h 'J ~~1.(( r~ .. " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . -JHI;J .M:r~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required)\ IOE:~ - / -E~L,","t;. t GAS LINE AIR TEST I ?W1p .1 ( 7 1/6 ~ ~~ ("P-~/ ~ FINALS f1~ J /j1?-. 4/~! I OJ /? - . ~. . ~ g////ro' ) HEATING ' \K \J 1>' "f ~ DO NOT OCCUpy UNTIL ABOVE H ~S\ BEEN S\GNtD NOTICE \ This card must be posted near an electrical service cabinet ),rJor to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available,..card. s~all be placed near main entrance. GRADING (Prior to Sodding) BUILDING~\/~ ~bO.et ~ ~'1D fJD ELECTRICAL PLUMBING to-I:} . crt' Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 SCHEDULED ~l~~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE Il:~ ADDRESS 4fkq s~~ v OWNER CONTR. PHONE NO. PERMIT NO. 0- Z7~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI ;A;J .~ECH RI \~ ~~ATER HOOKUP 'AR ~E~RHOOKUP (t)( 0 PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS:~ h-. ~~.' ~ Jtt(~~~ ~;~yJ tJ/!fL ..A ?r'(A)..};~ #~.;J ~ ~"o/P.JI!..:k.~I--'.J I ;;JJ ~~ ~~?t~~ 13,)~ ~ ~.~r ",1f> /?J~~, I ()~/ ~ ~.f5) ~. SJ:J::L ~ ~ J ~I \ T .r K q / ~ - ~ 1.4 _t2-L . -c...;..eJ ~ OJ.~ 'r I ~~_ VA .J~~ jJ/., -I-~ J. 1'\ ' ~v 1f.Ci-. il In^--- (,.<..~ .~-<<-,...i ~ ,~ ~~~ - NEeJ To ~ --- ... .- -..----- - - - 33' L/{( Ar~~, ~1 f"'t/C.5~ ~ ~ _~~ A.T, ~5 o WORK SATISFACTORY, PROCEED ')( CORRECT ACTION AND PROCEED ( 0- CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING I ?:}-( I Inspector: 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 4~q ~ ^~J~Q G~ CONTR. OWNER PHONE NO. PERMIT NO. '"'. J DAJE ~I t!,(jt) TIME , 0 -:-QJ 0-'21) o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~EWER HOOKUP o FINAL MBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS:(r) ~~ ~ ~ J (tf) ~~ ~'/~~~~,,-) ~~ J ~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o uJ~ 1J:tN. ~ - ~ 01- 1Vl~ L'I /)j,&{, ~ ~ .~~~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! SCHEDULED ~;;;~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE J \ :-bb ADDRESS 4 5~ ~ Se.arou..P p. (~ . OWNER CONTR. PHONE NO. PERMIT NO. 0- L 7'; o FOOTING o FOUNDATION o FRAMING ~ qjNSULATION h ~INAL -^,-J r o SITE INSPatCTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP E !.LUMBING FINA~ tx. mECH FINAL -{4 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: l!J ~ pet fV'/?.'Yae:u IV\~ d..uo:t. r>> Sed ~.cR.. U{yU-~ J P_0 Jw~b~ &-oS~ ~/ ~ S~ ~ v L ~ tv-tLcl\Jf\V\ cl<hr--I S &::Ik 1J~~. ~V~-~~,~ -l~ ~'er> w-:-~w~ ~ fttLrll ~ MoT ~ l-WAr C\~ tl ' /"'... RY,PROCEED ~ OC D ORRE T W K, CA FO REINSPECTION FORE COVERING Inspector: \. Uwner/Contr: CALL ~7-;;;;;'R "'~HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE fQUIRBMEf-s ARE FOR YOUR PERSONAL HEALTH & SAFETYI V I~Tl