HomeMy WebLinkAboutBuilding Permit 03-0472
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(please !yp<:. or orint and sis at bottom)
ADD~Oo::' 13ohcgnr1tU.(
Date Rec'd
1j,,:J.-OJ
I PERMIT NO'O+q'i~
-.
ZONING (office use)
1</
7tu, w~9-urf, ~rf101IDd5-:~8J-D/]~-b
cg..v::.e~~f It:r YsMu6 f/11SJ.--Ch/J tl-tcd7m.
(Address) f D, ,!;Ox 24911r:~ vafPet1, !11d,
_ I' V , 1.../'
'~~~~)ER /!;ut/.er~cXJ1ij rfJ&'1IJ.
(Contact Name) rl e YJ n L1 f:::l~ '
(Address) f? (), ij-;;x 2-LJS'ct 7. ~/!et?
. Vi))
LEGAL DESCRIPTION (ollice use only)
LOT IBBLOCK.:3 ADDITION
TYPE OF WORK
OM!sc.
}It'New Construction
OLower Level Finish
(PhonefbIZ) 3z8-ZIM
5512-<f
(Phone(0/2-) 32-8 - 2-/1>'3
(Phone) ((p/2--) -3~ - Z-/'6ff
111M 5512-f
, .
ODeck
OPorch
ORe-Roofing
OAlteration
PROJECTCOST/YALUE (excluding land) $
o Fireplace
OAddition
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. I 'also certify that I am the owner or
authorized agent for the above-mentioned y'~y-'.J and that all construction will conform to all existing state and local laws ud will proceed in accordance with
submitted plans. I am aware that the . g o:~ revoke this permit for just cause. Furthermore, I hereby agree that the city ollicial or a designee may
enter.o er._r__:Jtope ~. SfJe~ # /7/S- 4/1 k3
XC J (Signatu - Contractor's License No. . Date
\ .
1f2..ZI) 000.001
$ I CD 7/. '3<;.
I Permit Valuation
I Pemtit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
lop,t...~r
IID.60'
I
I
I
I
I
100.00
100.00
c~S :>0
'1o,(JO
This Application Becomes Your Building Permit When Approved
~~ "i!L.~/-J
Building Ollicial
4/~31o;1
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8'" 1 ".
, ,
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
qOJY.?(
L./7.4,,/]7
7 , 'T /
#
#
#
#
$ ~. tJ(J
$ /Z,7S.00
$ 300.00
$ 70.00
$ / Zc(j,(!}O
$ 7tJtJ. tJ ()
$ /'5CO. (') 0
$
-
$Cfm3 5(. I::J
n
I Reoeipl}(o. "i:iJr~ c..-
By L.
o
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. nus document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 9~P ~3/t;3 ~~ ad ~*':"J ~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/
,/
~~
Jhite - Building
anarv - En9ineering
'.. mk - Plannh~
Th.. ("..nIProf Iht'I..kt('ountl'J'
.B.UU-DING PERMIT APPLJOMlOMDEPARTNlENT C~
NAME OF APPLICANT
APPLICATION RECEIVED
(~>.Lta.A---- / i;';' ~Ju;t-. (~(;r~.
1./- j -(.i .3
" The Building, Engineering, and Planning Departments have reviewed th", building permit
application for construction activity which is proposed at: '
.) ..- ~1;' + -r
;;:.. 0 C ! - 0() ....- /1 '0/tV
I
Accepted
Accepted With Corrections l/'
Denied
Reviewed By:
~
A (! , t. ' _ .~
,.
~~t-,
&.- ~ '(-
Date: ~JA8lQ3'
~ 1~'1l.;;-J)
,
'.1\'"
Comments:
..dd- ~ e.L.-J .
J
"The issuance or granting of a permit or approval of plans, s~ecifications and
computations shall not be construed to be a permit for, or an approval ot 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." .
~\
~te . Buildln9>
Canary . Engineering
Pink . Planning
Tht'(".nlt'fuflht'l.abCountry
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
(j- d- -0 3
(]~.
/
The Building, Engineering, and Planning Departments have reyiewed the building permit
application for construction activity which is proposed at:
3003- ~tJ~~-t ~
Accepted
Denied
Reviewed By: ~ --:j.fJ i 12t.J Date: _ tI/.;l.JM:;>
Comments: ~.AJ ~ ~ ~ - .o.-::io.
Accepted With Corrections ~
"The issuance or granting of a permit or approval of plans, sj:pecifications 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."
TIle ('Nt.... .., _ r..1I. e.....,
~Ite - auIfdUla
arv . Engineering.)
fiik - t'lalllllllY
6UILDlNG PERMIT APPLICATION DEPARTa.tfNT CHEC~L'ST
NAME OFAPPLlCANT
,,>, itL1J
,. r -I"
( ',"-.- . f!.~,1.--
':4""/;;-0; _' "; .' ...~., /'
/ ~ l... tL ~L...ep" ,.O' ...-J.._
.i"'---)
/' I -~
, ,~7/\
\..~I ~ {/ ';...or i-
f
APPLICATION RECEIVED
c/- .;( -0 3
The Building, Engineering, and Planning Departments have reviewed tHe building permit
application for construction activity which is proposed at:
. .:::;; . 'J i -'- _.
~) (:)Ci ,~, - /..\:) I~i(.~/.l C ~",j/y..J
Accepted c><.
Accepted With Corrections
Denied
Reviewed By: A74 fl>
Date:
Lf-I S'i()_~
Comments: SAe Reverse Side for Additional Information!
See Attachment'!. 1) Grading Plan, 2) Erosion C:ontrol MP.~S11T"~
"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." .
05/02/2003 09:54 9528959394
UC'1I,u2 tt.:E I) 10' FAX e1ZU7UU
ALLIED EXCAVATING
(; 11. 0 F PRIOIl WE
PAGE 01
lZIuol
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
D8te Rec' II
~-"'_...!...._\
I ^OOIUlSS --
L3c::n ~ f6 j p co. -t '''' c.. \ \ Pi ; ~--{ Lc; tr
UlOAL DBSC~N (._.. GlIb)
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~=Il R..l.L!u ~\)::>iY\C..
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I ZONINO_J
P10
I
(Ph~) ~1;:):.~-dlB2L
(.\d.dIa.)
,..._,
lelM
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APPUCANT Y\.\ " ,..S C'
(Name' ..... ~~.L.~l\.(!...o.\IC \-\'l'\P.. (Phon~) 9Sd -R9l/..:..R3<U\
(Ad4NII) J '-I a II iL,...:)l d lo -\'~ 'S.* '-' ~\ta9 C) Y't'\(,U S",<;BI?J
(Adn~ (CIly) \J . ' (Ji, c:.l
(CoIltac:t Penan) ~ \ c.... , . (Phone) 0, ~ A
APPLlCANTSIGN.t . .....~!.'0. . DATJl_0-";>-o.:?
I
APPLICANT PLEASE COMPLETE BELOW
Sluofwaterservlce --L,inchea. ~
t.o.:.!I. OIl of uy couplillllS frolQ mact\lJc teet.
type of Woftr pipe, n ~ PVC 0 CUI (ron
Bttinutted 1.ngth c1_er Tin. .
Clean out (irNCjulred) Iocaled at feet from ~e.
PlK SCHEDVLI:
Rft\cllnt'tl_.r IIl4 . "'IIM ~ullon 533.50 lJuIuttrlaI, Com'l'" Millti.l'amll)' 1% of)ob ~ wlrlla S)9.'0 mllll_
SOWerCOl\llaetlOllonly SI7.50 WtW_etllclnoaly SIUO
EstIm.ttd Coat $
SuUdin. Permil tl ..-
SBWBIlAND W A il!Jl. PElMJT PEE
STATE SU1CHARGE
TOTALPlItMIT 81
s
s
S
.'~
~~~() Ith...
~Q o:...'1t
~-9..f,~
(0lII0c \lit OIl/JI
Thlt 4pplk.lloa ... .... v_ ........ Pentll Wh.. 4pp.......
........ Olio..
Dllt
I 1'1I4 I Jl.I<<IPt 1'10.
.I~ lB)".'
('5S) ~J,i.&a~~]
R MAY - 5 2003 .
//1-
vV'
a4 hn,._ ....II. "
By_
"
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
!Please tvDe or mint and sim at bottom)
ADDRESS ~OD~ ~t~rl ~lIk
1. Pink
,."-
]. Yellow
~:~ I PE~T NO. 34'7,;)- I
AppheNll
ZONING (office...)
LEGAL DESCRIPTION (office use only)
LOT
BLorK
ADDITION
PID
(~.Al6t HtusliJ6
~IJ,~ ,14517
-
APPLICANT J J "" ~ I ()
(Name) 1""\,... 11../u /). (Phone) #tI/:<-s'a.s~6?l-7
(Address) L{1"~1 HICIf& l1 f? -JJ1~ f. MAl ~5~7
\~'A.' /~dm;S~ L. (City) (Zip Code)
(Contact Person) ~)(!.1,1lnL.JVl. L (Phone) "If), -'f',-'(;tzW
APPLICANTSIGNATURE~0~ :! ~A DATE
-. ~PLlC~NT PLEAS~MPLETE BELO;
[3NEW CONS~CTION 0 RliPLACEMENT 0 ALTERA rtON~ I. L).
FURNACE MAKE AND MODEL ':]...;f!U J~ 7/..1'1...1/J..i) FUEL iV/J..1 GIS _
FLUE SIZE J /I f v..L RETURN OPENINGS ? INPUT I ",p;1J1IZ> OUTPUT I~i/oab
TYPE OF SYSTEM HEATING OR POWER PLANT
, , ~arm Air Plants 0 Steam
Dyravity 0 Hot Water
0')Aechanica1 . 0 Radiation
g'~r Conditioning 0 Special Devices
0Vent. System I!V A~b ((l! /JI...J.JIIJta 0 Other Devices
OWNER
(Name)
(Phone) 9$~ - -4' .;r I. 4'/ 3:J.
(Address)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential. AC Ooly
$39,50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Ollice Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
. PAID w.-.
SOILO/NG';;':' ,.,
t;;;RM/T
Estimated Cost $ Building Pennit #
Building Official
Date
n1 trc; ~ n nn Ie ~f' Receipt No.
~ . . I~!
< Date By
J R -'IIN III ZQQ3 J c;r-
-9850, fax (952) 447-4245 J
By
24 hour notice for an inspections (952)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q>1~... ~ or Drint and slm at bottom)
ADDRESS
3003 BOBCAT TRAIL
~. =.. ~:~ I PERMIT NO. 3- 1 rJI t
3. Yellow Apphcam ....., O"'-'f
ZONING (office use)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PIO
OWNER
(Name) RUTT,RR HOUSING
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOM"
(Phone)
6<;1.633.2<;61
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
llRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
'i5113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
6126/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATINGORPUW~APLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
HEA TN GLD 6000TRI
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
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
$39.50
I3JJI~AID W/77.i
tNG PEFlM".
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
BuUdlnl! Official
J!~.@ [E~WreiPtNo.
-Iije .JUI'/ :/: 7 Z003 I J, /J
Date .:J ( ,I})
!i I/J"
24 hour notice for all inspections (952) 447-98 )ta. 1!l5J) H?.oI'45
(Office Use Only)
This Application Becomes Your Building Permit When Approved
FROM: WELTER & BLAYLOCK
PHONE tlO.
612 8828573
Jill. 02 2003 11: 58At1 PI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Plea~e ~ or onnt and Sb?,A a.t bottom)
ADDRESS
2003 J30h e Q.-t
-r;.Q; /
LOT
LEGAL DESCRlPTION (office use only)
BLOCK
ADDITION
OWNER f3
(Name) u fleY'
(Address) PD /30 \(
I-I-D k S. WJ C!'lJ 1";0
~l/S97 j)t/,/e r/4//e,!, mAl
APPLICANT .
(Name) LJel-l-er Qj. Bfa-v /0 ('.k
I .
(Address) lS'oq c: J-/lA,)" /3
(Address) .
/.3/I-!- ?>r
(Contact Person)
;~~ ~::, Ir.l!.l<..lvlITNO. 3-J./7"JL-..
J. VdJow ,4,pllliC/lrll 7 c:r---
ZONING (offic,u"l
PIP
(phone) '175-'- 43)- tjJ.3 .:t
_ ~ S"J cJ. 1/
,
(phone) 9'S..:l-??'/{ d - Rt, 2'1
f3 U. 1"11 S u ~/l'C) S-S:? "<; '7
(City) (Zip Code)
(phone) 9'.5;J - 9'% d - '2? b g- I
DATE 7- ::2-0 3
-:Jud../
I
U),-,'~ a. '1f~
, u ~
APPLICANT SIGNATURE
Quantity
o:?.
I
..:J..
S
.:1
/
I
3
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ~
Dishwasher I
I Floor Drain C I
Lavatory (Bathroom Sink) .I
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Smk
I Water Closet (Toilet)
3
FEE SCHEDULE
tndustrial. Commcreial &. Multi-family I % of job cost with a $,39.50 minimum
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other &<< S -7're""I"e~. drller
4 tt .f;'repIQ eoCJ '
Residential. New One & Two-Family $99,50
Residenti.l. Additions & Alterations $39.50
Estimated Cost $ IS ooc"O(:;)
"
Building Permit # 03- '-17 .;l.
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .50 \ . J
$' d/V
y,,~\
I Paid vVI j-' . Receipt No.
(Olfice V" Only)
This Application Becomes Your B~i1ding Permit When Approved
Buildine: Otfi<i.1
Dllte
IDa~_I_ 'i
By Ur(/
(j
24 hour no'l.e Cor alUn,p<:<ti... (952) 447-9850, Ca. (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE DEPA'RTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 300 ~ , _ r Tee.
NATURE OF WORK '-l _ ~~ .
USE OF BUILDING 4J- ~.ff ~.
PERMIT NO. -123- 4/'7;?- pATE ISSUED !/Z2,(j2
CONTRACTOFrlSf,lT...eR KcaSrW'\ caa,. PHONEGt'~".n~"Z(ft
NOTE: THIS IS NOT A PERMIT FOR M OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOl'
DATE
I FOOTING .,v /b 1 I t/ --.;(~
I FOUNDATION (Prior to Backfill) I p-(' I S/;/~
PLACE NO CONCRETE UNTIL ABOVE HAS~BEEN SIGNED
ROUGH - INS
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
.
PLUMBING g 6 I 1-,...)
HEATING (if required) j/i5 I 17-/
FIREPLACE I I
GAS LINE AIR TEST /1!> 17-(
COVER NO WORK ~NTIL ABOVE HAS BEEN SIGNED
'C/U.17MDJ ~1IJiJ./~ I
, FINALS
~ 13RADING (Prior to Sodding)
)~ rBUILDING.....,:e....., -.1- 0 t I ~ 1 ~ tJ '/
v~. ELECTRICAL' ''/
PLUMBING
HEATING
DO NOT
We
fI~
PC /~Jli
1
R,)/j S' h/~
)-J
vA~
f\\9
OCCUpy UNTIL ABOVE HAS
NOTICE
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.
FOR ALL INSPECTIONS1952) 447-9850
dtrrfifiraft of OI)rrnpanq!
CITY OF PRIOR LAKE
~tpnrfmtut of ~uilMug Jfusptdiou
~Fina1 Permitted D Conditional C.O. Expires _
This Certificate issued pursuan, to ,he requirements of Sec,ion 307 of the Unifonn Building Code certifying
that at the time of issuance this struc'ure 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
VN
Fire Zone
R3
Occupancy Type
Legal Description _ L 18 ,
_ Type Construction
03~0472
Bldg. Permit No.
N/ A Zoning District _ R1
Owner of Building _
B3, THE WILDS SOUTH ADDITION
Site Address 3003 BOBCAT TRAIL,
BUTLER HOUSING, P.O. BOX 24597, APPLE VALLEY, 55124
Contractor's Name & Address
Date:
ROBERT D. HUTCHINS
, Ii )Building Official
!.;II
I' ,
,
,
City Planne"
.~ -.'.-.. ~";;~'-'" ~. ,"-'-.., 'j ,~,~"",,: i;,i;
~,j,,' _~. "-',,,';:'.;- ;,-;. ...' -1.;~~':';':'\a""""',..'",''':'I)' y' ',:,;_
DON RYE
Date:
":..".,,
,
."
- .'",'. ~. ',-, .:'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:)003 '"& Ioccd-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.ir"FINAL
- O'sITE INSPECTION
cONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~~I~
'2. ~ rt- \I n.JU/j
~,
\ -
to
DATE TIllE
8~ <fl\ f :Otl
b~ -l./~2
o EXlGRADlFILLING
o COMPLAINT
o AREPLAcE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~\"-L Sa....{
I I I
If - ~ 03
-
( / \.
t>>.-t \~ ~,,~ v---~ Yuor ~Y'''-(#
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)(,CORREcT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector: Owner/Contr:
o FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,"""'"
DATE Tl1IE
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
~',l.{~
ADDRESS
]()6J ~bift
OWNER
...-...^.
PHONE NO.
PERMIT NO.
'?~472..
o FOOTING
o FOUNDATION
cr FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP @
o SEWER HOOKUP
)iI"'l>LUMBING FINAL
'MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
^
((J
~
(4)
\.../
!+onl: v{? ~VWl t? chi,,,,,, ~ hllVJ o;p~
'131 iN:-/( 94,fro' -&'n-r ,( 11t:.)
f,~ i V ~ dtlt?~ t'----1J.- S';k1
ci-- <('J.-v.....~ r.:4- e:-k1A{1/1?~.,,-r-
0,,:.... l/l~'-'^' v eKt'rrcl r 2'1' it j ;)..Y'
art- p,u.;;'r /,;... I
lLo.. (oIL J 3U- 4(/-{TJ
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT ~R51ALL FOR REINSPEcTION BEFORE COVERING
Inspector. f vr / t r J 7--v1 Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTlON:hI HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,..,.,.,