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Home My WebLink AboutBuilding Permit 03-1227 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ~/,-,3 L White File 2. Pink City J. Yellow Applicant I PERMIT NO.03_ /Z2,7 (Please ~e or print and sien at bottom) ADDRESS /4 9-/-3 ~ ~ ZONING (ollice use) 1</ LEGAL DESCRIPTION (office use only) LOT I BLOCK l./. ADDITION ~-' i'1J ~ . - PID;;;:5 - L104- D'S .J;--() ~w:,e~~~ +f1~ P 0"17;-4 ~ ~ (Phone) 21-. ~- ~ ~ / - eCJ 7' C, (Address) ~O't'11 ~ s.:t:._, I ~ ~,' m /lJ -$"S:3,,3n BUILDER I l' / ~!fr, ~ :;:) (Name) Vi! ""'Vld'hJaJ..'1>A' .. ~ ~ (Phone) ~ ~2 ~ 4, ~ 4lJ[(. (Contact Name) j)A A ^_1..-~ _' _ '-"""" ~ ) (Phone) _X' \ f) 2- (Address) l'-l3 J I ~ ~ .s,.fl=-~~ ~/\A',dtJ(l 'I /f)/tJ<:~:~I)t, ) . , - . TYPE OF WORK o Fireplace DAddition DAlteration OUtility Connection PROJECTCOSTIVALUE (excludingiand) $ t<,<:, / nlJ 7) , I 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 ~ PfoY.l to perf~rm needed inSp.ection'l j \ J J X /) JU." ~~ ' ;::).J J..Ir.. ,..."...-.J ~ I '1 'I '7 IS" n......<., -- Signature r co;~seNo. ~ Date . v ~ew Construction DLower Level Finish ODeck OPorch ORe-Roofing ORe-Siding o Mise, I Permit Valuation I QS, DDD I Park Support Fee # $ - I Permit Fee $ ISds: 76' I SAC # $ Idl.~,- /~ I Plan Check Fee $ . cji;/""'74 I \ Water Meter Size 5/S"@ $ 3~.- State Surcharge $ c/7,50 I I Pressure Reducer $ 70.- Penalty $ I I Sewer/Water Connection Fee # $ 1;).00. - I Plumbing Permit Fee $ tOO.- I \ Water Tower Fee # $ 7OJ.-- I Mechanical Permit Fee $ /()!1. - I I Builder's Deposit $ 15'()(), - \ Sewer & Water Permit Fee $ .3-5..,-v1 lather ~ v". $ I Gas Fireplace Permit Fee $ LltJ,-\ I TOTAL DUE DJ" $ ttCJ 35. ,-;cl This Application Becomes Your Building Permit When Approved I Paid '/q;?v -, v(q- I ReceiPtN# t:j .%0< ~ ~f-' !'1Ic7-!o3 I Date ('" - d- CI~ Bv r;'~ (; Building Official bate . 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 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 ~~ 1.a<.b f/P/o3 Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 , . . White . Building <::lo/'narv . clIqin.......-r--, Pink - Planning - T.... C",..lfT of 1M 1..1I1!' Co...". BUILDING PERMIT APPLICATION DI;fART~T CHECKLIST NAME OF APPLICANT /~d-/3 / " I ~". " /.;/i7' "'~ r-h" ?.-' 'l- /{,- 03 // A ,/.'/ /. i.'::'-<.--!..-<!._ ~C APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;' ~ ..... ;;'..,.' /. '/ ,. -'V/' '/':'1.,., ., ,., . ,(~-,,/y~.:>.;;,,' ~L.~~"::~?:~:"-(J( ':"':'./ 1',,4>'.--!.:(..--'--..'..-" Accepted x Accepted With Corrections Denied Reviewed By: ~I'~f _ Dat~: 1 11-t. f 0'\ Comments: See Reverse Side for Additional InformatIon! See Attachments: I) Grading Plan, 2) Erosion Control Measures "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." t~, r_ \Alhit.:. _ Buildin~ Canary - Engineering Pink - Planning The ('tnler of lht I..kt COUnlrl' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED IC/~/3 !3M~~ 'l- Ie. - 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity \ll(hich is proposed at: :ttJ~~d #~ Accepted Denied Accepted With Corrections ~ Reviewed By: r- ~7~ 1(~ a.LI ~~ ~ Date: m>~~ Comments: "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." ,,;_.- - The ('enlu of the l..kt Counlr}' While - Building Canary - En ineering c1:jiik - Plan",n BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j//; / 1/;> ~_.c,C,/ .>['--'-..,/ '- APPLICATION RECEIVED ~/ /Gj:3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;' \/ --~' Accepted ~ Accepted With Corrections Denied Reviewed By: " ~ ~ Date: 5'/;2/03 ~efefa.Lf' ~~ I Comments: . , "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." 3:28PM \1ETRO A:R 952-44HI26RLAKE NO. 531 '-".I....... VA' A.,n..I.V I HEATING/AIR CONDITIONING/I?IREPLACE PERMIT rPlS-U'l.lVDC or orln[ and 11m at hOltom) AOqRESS \,,~ \~ ~ 4 ~ ,,~__ \.'\r(.~ LIlG(\L DESCRIPTION (omce use only) LlJ'l 1 BLOC~ ADDITION P 1 JJRle Rec't1 : ~~, ~!:, I PERMIT NO. 3-(:? -'JA1 ), ",UI'lW "JljIt,elru. C7 ~ ZONING (,n~,",,) \r\; \~~ N ~,~ PID ~:C~R ''y\ ~ 1\.0.. \ri (J~~ ~\::lI\'\3.~ \ (Mdle..) \,-\:, \, .(".'v4'. ,,\ ~.J.\ ~ AJll'PCANl" '^ I '-,. Cl'lar~el \<\'l.:~n., ''''' ~ --4- v, l, (A~d{.sS) \ \..'-1 ~ ~ ~') \.j '" \ I, (.'n., (\ \I '- N (Addr...) (C4nl~ct Person) c.., VI '--\1 S G~ ~ '-- \ '- APPjJCANT SIGNATURE J..f\VI/V-\ 1l1.\ Jv.. , . (Phon.) C1\~ J._ 'l? ~~ -~ '1\.\ ~ ()\A.-....,!>\\,\\s S S-:\Cll^ (Phone) ~ S :), l\ \.\ l- ~ \ ::;J.. \.( (lr,o- \....\~ t'''-J .s~~Id. (CiIY) (Zip Codr.) (Phone) 9S;-~- \'\\..\,. ~ $)\..\ DAm . AI'PLlCANT PLEASE COMI'LETE BELOW K!NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS + FU~~ACE MAKE AND MODEl.. c: <-,-~', ,- M \I r 15\;) fUEl.. ($ 11 FLV~ SIZE l' V l RETURN OPENINGS D INPUT ~ tJ. 6 ~ OUTPUTl \ ,~ TYPE OF SYSTEM HEATING OR POWER PLANT . . ~"D1 Air I'lanls 0 SICom DOravliy -0 Hol Walor o Mechallic,,1 0 Radiation RAir COlldhloning 0 Special Devices ;l<[Jenl. System 0 Olher Oe'VIc~5 FEE SCHEDULE I % of job cost Rcsh.lential, Gus Fir<<!plllce $39.50 millilnulll $99.50 Resldelltial, AUdiliolls 8< Altorntioll' $64.50 Resldelltial, AC Only ~'I~E~LACE MAKE AND MODEL IndllSllial, u,mmeroiat & Multj.['amily Relld~rtial. Hea'ing & A/C (New ConSlruction) RCIl(J~linl. Healmg Only (New Construction) Estimated Co.t $ \ ~, ~\ \l HEATING PERMIT FEE STATE SURCHARGE TOTAL PEIU\1IT FEE (0111.. 1I.. Only) Thl~ Application Deeomes Your Dull~lng Permit When Approved PLEASE NOTE, Air Condilioner Units Cannol Encroach into Required Side Yard SOlback.! $.19.50 $.19.50 $39.50 Buildil,g Pennlt # $ $ $ .50 PAID WITH BUILDING PERMIT PaId IReceipl No. .'Dale : 3y Uale : ' C:J:P ?-Z-7nnl' --fJ.-- 24 h.ur "ollce 101' oil in.pettlo". (952) 441-r's'o, rax (952) 441-4145 _~] ,J I:J'! _______.___________._ l Oulldlng Omela' Date Ree'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please .!VD~ or orint and si211 at bottom) ADDRESS J'I.JJ.] fS/?.o6bz CfL. ~;:w ~\:~. I PERMIT NO. 3- - ((7d- ~ CkIld Applicant 'I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) W:;;:...J"~ooLJ W"M~S (Phone) (Address) (Address) (City) (Zip Code) APPLICANT . (Name) J) (l E..f' 1/ U ,f'LC . (Phone) 9SJ-~'1J-b9()/; L J<:-tlL. (City) ~SI!.I{L/ (Zip Code) l{~ II Q ~()h.'t:-I w ftt (Address) {ll.A'r C II , APPLICANT SIGNATURE ~ ,~~k-- (Address) (Contact Person) (Phone) DATE J6/l/0( APPLICANT PLEASE COMPLETE BELOW Size of water service J inches. Location of any couplings from structure -- Type of sewer pipe. 0 ABC r IE1 PVC Estimated length of sewer line ~ () feet. Clean out (if required) located at ~ feet from structure. feet. o Cast Iron Estimated Cost $ $35.50 $17.50 SOOO, c {) FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only I % of job cost with a $39,50 minimum $17.50 Residential sewer and water line connection Sewer connection only Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official I Paid I Date Ur Date ,./1.. 24 hour notice for all inspeetions (952) 447-9850, fax (952) 447~245 vi{ B\OJJ Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved BY'O';z-3 10-20-2003 10:14AM MATTHEW DANIELS, INC. 423 3017 P.01 Date Rec'd (Pie.... tYI>~ ororint and 'lit" at bottom) ADDRESS /~fO ~ ~ V LEGAL DESCRIPTION (ollice use only) LOT 7 BLOCK .j. ADDITION .JL'ItI.,) ~~ CITY OF PRIOR LAKE PLUMBING PERMIT ;~: ~:~ I PERl"IIT NO. ""':it -'ZZ7 ]. Y<;l!o.'" Apoti'::l~! , ~, , ZONING (ofll<e ...) PID OWNE~' d) (Name) , Ii ~.JI ... ~ ~ (Phone) 9.9. .1(QE> . >i'~ ~?J .'-IL -56:35'7 (Address) l-klf ,j, (I; ~.o. tlu.L. ~. {J' APPLlCAN~ _ . ~ (Name)~n-l,,?l /J,,, "I" l. ~jllI. (Phone) f,S'1. 4.J.3. ...37.~n (Address)...iSJ'VJ (I...,J,}d 'IXJ..I! _ %, J- G4Ja1.D' . n I r~ ;) ...s:ro~8 (Address) ~ ; I (City) (Zip Code) (Contact Person) /J1l 1. ; I /) If \.. ~+~) (Phone)' t.f>/. ..),UJ. J?'1.3O APPLICANTSlGNATURE ~T'!'" IUI~~/ DATE IOkk:=?' .. V APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity I Bath Tub with or without shower, Rough-ins Dishwasher , Water Heater floor Draip / AJ.. Water Softner Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink I Sewage Ejector Shower Stall I Backf10w Assembly I. Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet (Toilet) ! Other Quantity z... I , .) 2- Z- I ~ Type of Fixture 1 j 1 FEE SCHEDULE Industrial. Commercial &:. Multi-family 1% of job cost with a. S39.50 minimum Residential. New One & Two--Family S99,;O Residential, Additions &. Alterations $39.50 Estimated Cost S Building Permit # _ PLUMBING PERMIT FEE $ qq ~ PAlO WITH rom."'''' I ~i:r:.iS;':=~ : M~-';:~~P,EflIIST This Application Becomes Your Building Permit When Approved T~ Pal~ 'ii' 1,.\ I'i .\ '.' . ~ Rec1/t No. ':)r~ A 1 IS Ii By ~ Bui1d1nc Official Dal. i!i I ,; 2003 ~I J 2-4 hour no,l.. for an iDspectlo.. (952) 4 17-9850, fax (952) 447-4245 . By.::::; . 1"- v.. TOTAL P.01 €~~ +'.NrrE50-<''' .---- -- -----~----- REA TING/AIR CONDITlONINGIFIREPLACE PERMIT ~lea.se,!V1'e or Drint and siPIl at bo[IOm,) \ ADDRESS 1'-1;)./ "!-> ~o...d q e.. ~ L.1f'cJe : ~~ ~.; I PERMIT NO.A"liI ,.,~ . 3 ycnC'.... AP1'lIC11tIl \A-'. ....../ I ZONING(O_US<j I ..., LEGAL DESCRIPTION (ollie, ..., only) LOT BLOCK ADDmON PlD OWNER (Name) Lz):v1d. W010d (phone) (Address) APPLICANT fl 1'> ( (Name) _l.?lJ'i ~ t-~ 100, (de I' ~ u pp{" (phone) 7& 3 - (;, 9y - "/(,,6 3 (Address) 1 3 ~05 / s-rv... 19C/cY1 Uf jJ /'fY((()cJfh 55" 911 \ (Add!eso) . (Cioy) (Z;~ CodrJ (Contact Pason) D '" OJ\.. "" ~ J' (phone) APPLICANT SIGNATURE ~ _ ~~4tq.-c( DATE ( ~ un', ~ ~,) APPLICANT PLEASE CO~PLETE BELOW f::: I ~c. () I<=<. c. ~ ~w CONSlRUCTlON 0 REPLACEMENT 0 ALTERATIONS ~l'L.....!!!J~"MAKEANDMODEL L.~(\"^O'k ~DViJ()7.,5 (J FUEL Wt:<...l- ~c.3 _ FLUE SIZE b Ii RE1VRN OPENINGS fNPUT OUTPUT b r/ TYPE OF SYSTEM HEATING OR POWER PLANT DWann Air ~Iants DOravit)' o Mechanical . DAir Conditioning DVent. System D Steam o Hol Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner UnilS Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial. Commercin! &. Multi-Family FEE SCHEDULE l % of job co~!'t Residential, Gas Fireplace S3 9 50 minimum S9950 Residential, Additions &0 Alterations S64.50 Ro:;idential, AC Only S39.50 Resldcnrial. Hooting &: AlC (New Construction) Residential. Hoating Only (New Construction) $39.50 139.50 Estimated Cost S ;:).,CY!lf)c)O Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PER.'I1IT FEE $ PAID WITH . .s6lU'lDING PERMIT (Om,e tis< Only) Thir Application Becomes Your Building Permit When Approved Paid Receipt No. Oa~ Sr \Ji (-.1: By Building Ofih::i:.1 Dare 24 hour notice for all inspections (952) 447-9850, fax (952) 4<17-4245 .0012J Xlddns SHaalIna SH~1~ L880CSSC9L XV.! Os:gO to/HIlO PRIOR LAKE . INSP.ECTION RECORD SITE ADDRESS )1./-1.3 BQ.d~ey ~~ I~ NATURE OF WORK ~ ~ oJ - USE OF BUILDINGc:::.(i;J;)~ PERMIT NO. t!J ~ - /2 Z 7 D :TE ISSUED _vu,... S CONTRACTOR . PHONI:Q....E;J. 0 ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT /:/:")ISPECTOR DATE I FOOTING , (~r.b I ./d . 9 - , FOUNDATION (Prior to Backfill) '/Ll '/0.,., ~ d PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH -_INS r b /0-/6 DEPARTMENT OF BUILDING AND INSPECTION SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL /\-. PLUMBING ~ t'- / -<~ I HEATING (if required) I 4A- 1.l(1fd FIREPLACE ~- -;' I GAS LINE AIR TE~ rc;t;.. Ii'D , - I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lItIJrtIEJ4v~ mAle' , u..J?r" FINALS GRADING (Prior to Sodding) /1/5 /.I</- 0<( BUILDING '1~ 10 "-I-of ELECTRICAL PLUMBING HEATING DO NOT ;j ~J2Y ff,] 1"2.- \ ~ f{ (S .....- OCCUpy UNTIL ABOVE HAS NOTICE J A )/ c,./ UIe-?-ef/5 , 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 INSPECTIONS (952) 447.9850 . CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TillE ,],.) ~,g to{ <-{:.oo ADDRESS ~YU~ (S~ G,~ 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 ~ PLUMBING FINAL o MECH FINAL COMMENTS: J,. I'(~ veMA: CbM. . ;s -Jv~7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o Z--. ()~f\ Kt.. W J.#J,.;:t 0 OL '["" \A/~ . ~, ~~_~)~ ~.f- IM~ I~U,. (hu'~ /,et- (l...,( /~ V ~ ('..tJVJLt~ ~ (A~ . PA.H'~1 \ V\~lfl.e.6J'f}JA - . rd</J... o )YORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, 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! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I t.t '2..1 '<, ~ Q:.v-- 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 '€ ~LUMBlNG FINAL II'-.!!IECH FINAL DATE TIMe J-"!/-oY s- 12.2) o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o <;0MMENTS: /~.......~...L_ /-'li~ . ~lM .s:.-..C'_. ~...._.. yl/wlox'2'i:"'+PUf' {..~ ~~ttlt- a.....c~ _ .F-"",,~ Q.....A.L .- \A..Sr . _ .?tV. Sod 4- T~ ~~ V/(;.....{ rln. ?....<+ .\-,,, ~ r~rb.... ~\ ~~ / TIR!JI':&' _\ c.\,y....~~ L f\J"O~ V.-..\-l:0lMtwJ. ..QJL #> . 4- ' n ...........-- / V..\':;> f\ . ~~A- ;Jo.tJ.Cl.f""'~ ~ ~<..;J -- B-(-CJ ( r!~ 1-0 o WORK SATISFACTORY. PROCEED o CORRECT I AND PROCEED ~ORREC,[ . C L FOR REINSPECTION BEFORE COVERING Inspector: r II. Owner/Contr: CALL ~ 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFEr:! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS hLI'LI"Z ~ CM OWNER CONTR. PHONE NO. PERMIT NO. rz - J2 7-7 o FOOTING o FOUNDATION o FRAMING o INSULATION .d'~INAL /OSITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL g G~Lrr TST COMMENTS: ~) j:.~a..P I IJc' - (~J ~\^ ;i WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREC~K' CALL FOR REINSPECTlON BEFORE COVERING Inspector: Owner/Contr: CALL -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY! """"" DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7-/t( ADDRESS 1'1'),/3 &J,/ C,'r~i,_ OWNER CONTR. w''n'/WOtHI ~J PHONE NO. PERMIT NO. (t) ~ -12-2 7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~LLlNG Vo C~NT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: brt:vfA - ,., y C,,, II, /1"..-~- nIL t'if WORK SATISFACTORY, PROCEED YO 'cORRECT ACTION AND PROCEED o CORRECT WORK, 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/ 1-'>T1