HomeMy WebLinkAboutBuilding Permit 03-0027
SEE
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!VDe or Print and sign at bottom)
ADDRESS
.3. 7\c,
,....:\
"'--fc~\
t-hJ
ro~
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK ;;z. ADDITION We\'\<~
OWNER
(Name) We~
(Address) \~')
HnIY'h } rV'C-
?k.2..Q.. DC'<ve
BUILDER
(Name)_ -~
(Contact Name)
(Address)
Qe,
DaJ
o..bo.R
~
TYPE OF WORK
~ew Construction
DLower Level Finish
Sx.....'k
ODeck
o Fireplace
fV\A t'N
FiLe
Date K~
/ I-zs ~Oz.
_ Od-DOd1
PERMIT NOoVI ~'" -,--. I
1. White
2. Pink
3. Yellow
File
City
Applicant
o Misc.
PROJECTCOST/VALUE (excluding land) $ 9.5 I C:ccl
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/t;o 0 f} CJ
lOt) 0 DO
35. 5'~
~C). OCJ
i,=Be~~ding;;;~;?~Ved
Building Official Date
~~
ZONING (office use)
!?2-
PID ;l.S - .385 -()44-C,
(Phone{bSl) 1...(0(0 - 4'106
(Y\\..l
~o
.f!.COCf'\
J
.ss 1.22
~ '-No - 4.58 7
ORe-Siding
OUtility Connection
t'"L~
Contractor's License No.
~..:lf-J ~
Date
$
r!J- '15'/1- $
$
$
$
$
$
$
(Phone)
(Phone)
<=is.:!.
1
I
1
1
I
I
_I
I
1 TOTAL DUE $ 6- to !. 1'4-1
A.I-.' ~ - . i C!9' G.-: J-J.-Lf.q '-I
Paid-Ll l:J cI- r7'"1' _ I Receipt No. (./L//Jc;-.7, I
Date L; - -J - () .~ '-; Bv t;. c..-- ' I
o
DPorch
ORe-Roofing
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 loca11aws 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 I ,.) ~IN'"N'OJ\- f\ I-bf't'e ~, ..I Y'C-
Signature ,^,\ J)",.. b Il ~
~.
95 otJt2, 0 0
$ ~ 958, 7-S'
$ 6~3./9
$ 47,50
$
$
$
$
$
DAddition
DAlteration
~CJ. 00
11!~ ~', ." _1
2-50,00
~5.00
/z..co.DO
760, 0 0
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
~anr~ ~S-~eL- ~ ~~ditiont1u
24 hour notice for all inspectious (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
1 Park Support Fee
I SAC
':7"" -
1 Water Meter ~; 1";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
#
#
#
Job Address
..
Heating Coiltractor
Name of Tester
Date
Percent O2
Percent CO
Percent C02
Stack Temp_
3"?1I" Ik ~'I +-,'{
&1,,2- /2_
~.I<M
7/1 I o_~
7 '0
8' IInWl
,.
t.?d'3t"
3/~'"
Combustion air is adequately supplied per
UMC Sec. 606 ViS
,.
,
Input
.-
--
"
/~\
~ r1A-/i..J HLE
Tht' ("rnl..r of Ih..l..k, Counlry
White . Building
Canary - Engineering
Pink - Planning
il
H
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\N E N5 rlAN (\)
11-2~ -07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ /1 (0 FOX TAl i.- leAl L-- N VV
Accepted
Denieti
x
Accepted With Corrections
Reviewed By:
Comments:
MJ.!K
l-
Sa /Yh,;Yl, F,'/~.
Date:
/;)-3-0L
"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."
~~
tIl.A t' J FILe
Th~ ('fnlrr of thr I..kr ('oUnll'}'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
\NE:N5MANrJ
11-25 -07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
31/(0 FOX ,AlL- ifeAlv NvJ
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
~\
Th~ ("rnlrr of lhr L.h (.'ounl!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-
\J i:~,
l ; \. f ,\ [
r i f\ I, i \,.'
) ,-:::- -/ 7
L ",-__> <....../'
I i -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I (,-- f I >< )'-\ I L- -TI-- I- \ I L-- I',) vJ
Accepted
}/"
Accepted With Corrections
Denied
Reviewed By: ~.: }
.
=1..ud p
Date: jdif~Z/
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."
Dec. 1. 1001 5:36PM
GENZ RVAN PLUMBING AND HEATING
No.6167 p. Ll5
Date Rec'd
ur{ OF PRIOR LAKE
SEWER AND WATER PERMIT
(PJ....lY1!< or ~nnr and Iilon at Ooocm)
I ADDRESS '7 } & FiK-r cu:y I V /
03-00J1
~. ~ ~~'. I PERMIT' NO;;r:'J L~ 1
). Gold AppII~ "
I ZONlNG (olli......)
LEGAL DESCR,u- UUl.'l (o!lice we only) .
LOT5 BLOCK.:1 ADDUM" W RJ7 ~ maJU.
dr&!-
PID
OWNER
(Na.me) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr See ZOO
(Address)
Eagan. MN
(City)
55122
(Zip Cede)
, APPIlCANT
(Nwn~ Genz-Rvan Plumbing & Heating
(Phone) 65I-423-1144
(AddIess) 14745 So Rnh"rt Trl Rosemount:- ''N 55068
(Address) (City) (Zip Cede)
(ContactPeIson) ~ J WhAYll m _,_'"' _~ fPl'3~~).-;~1-423-1144
.TJICANTSIGNATIJRE (-;J;lfnJ ~/)( Y L~' 10-.- / -00-
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
TyPe of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
'Clean out (if ICijuired) locatelfat feet from structure.
feet.
o Cast Iron
Residential sewer and water line <o.nne<tton
S.wer <anncCliott only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-fillnily
$11.50 Water cOIlIl""tion only
1 % of jiS~ CO$! with a $39.50 minmIum
$11.50"
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEE
$
$
$
_50
.;<~"""~
(om.. Uoc o.ly)
I.::.i' AppUoation Becom~ Your Building P.rmit Wheu Approved
y,!f,~':;;;~i
;';. ,:;,~~:::'- BuiJdiDB Offici.l Date
"'. P,Aq",c
Ui!.JI!!{i';,'u..J'Ir!7P-.u
. '--ZJr~f"", 'q
O"'::'\';f,~,;::".:,
Paid
R.ceipt No.
I'
~
I
Date
II:C - 9 2flJ?
By
14 bnur noti... fnr alllnspe<:ttol1s <'51) 447.9850, fax (95Z) 4474:Z4!
Jlln i i003 liOSPlt. GEIE RVAN PLUMBING AND HEATING--"d-
"'No567
p. 9 36...:.'.;...........0:..
Date Rec'd
crrv OF PRIOR LAKE PLUMBING PERi\1lT
\ BllI<i: file
2.GoJd City
3: YeUQw AppllCl(l\
I PEMUT NO:3 ~ ;)-'7
(P}.e.ce ~e OTunnt and .~jJO'l a[bottom)
ADDRESS 3"1//"
{I lf/ fox fad r ~t.
ZONING (_,use)
LEGAL DESCRlPTION (ofiice use ooIy)
LOT ;:)BLOCK'~ ADDITION III J V1(,rJJ/1tu-? Y1 C2rt.ot. ..
PID
OWNER
~aroe\ Wensmann Homes
(phone) 651-905-.3709
(Address) 1895 Plaza Dr
Eagan, l1N 55122
APPLICANT
(N~cl Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert: Trl
(Address)
(Contact PeISon) _00 JeA.sfJ h /Lt
(Yj,( PA'~)-;-)-I::LJ~
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(phone) _ 651-421-1144
DATE (p~1~()..~
APPLICANT SIGNATURE
QU:uJtity
;9..
I
I
<S
i
0<
I
4f
APPLlCANT PLEASE COMPLETE BELOW
I Type of Fixture I Quao1ity
I Bath Tub with or without shower I
Dishwasher I I
I Floor Drain J2.-E.
1 Lavatory (Bathroom Sink) f
Laundry Tray (l or 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softoer
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
I Other
FEE S....I:uwULE
IndustrlaJ, Commemal & Multi-fundy 1 % of Job cost with. $39.;0 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Al\l:r.1tions $3950
Estimated Cost $
Building Pernl1t #
i:sUlin141D 1M.... -_ -
liNG -;;, , ,.,
'l:FI""rr
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(OlD.. Us< Only)
I.,}!!.is Application Becomes Your Building Permit When Approved
I~'" -' BuDdlog Otlicial
I Receipt No.
I PaId
Due I~~ l0 ~ U \;ij ~ ilPY
24 hour ootice for aU iospectiou.s (~) 441-~ ~,rJ4W2)I1.Aa3 ~
{j&
By
Jun. 2. 2003'1205PM-c.GENZ RVAfI PLUMBING ANC' HEATING-"
No 5677 P 10. .16 '.-"'-"
,- CITY OF PRIOR LAKE
HEATING/AIR CONDITlONlNGIFIREPLACE PERl\1JT
Date Rec'd
I Pin!: P"1e
;~w i~i=' fPERMITNO'5- CJ 71
(PleJ<e rvn~ Of DriIlt and silln at oonnm)
ADDRESS
311/; Ax 1?JifL iPI
ZONING (otace""c)
LEGAL DESCRIPTION (ollil:e we oDly)
LOT tfBLOCK ,r) ADDITION lAm Jr/IJ.J1YL ancL.
PID
OWNER
Cl'Tame) TJpnr:1I'~'I"In Hnm#Oc
(PhOll~) _<~LO"C~7"O
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
A?PLICANT
(Name"} Gen?-Rv..a.o......E..l11mhiu:, F.t 'R'p~r-l'T1CF
(Address) 14745 So Robert rrl
(Contact Person) _Cri J(JJ IzAtlJirefzr jjJ
APPLICANTSIGNA~ rJ(jj~ -::;/;; tJ./7
(PhOllC) ,,<; 1 _L. ? <_ 1 1 b6.
Rosemount, MN
(Cicy)
55068
(ZipCO<le)
(phone)
DATE
,,<1 _" ? ~_ 1 '_6/..
(o~1-()~
\ APPLICANT PLEASE COMPLETE BELOW
-"".1:>' ~w CONSTRUCTION 0 J2PLACEMENT ..JJ ALTERATIONS
FURNACEMAKEANDMODEL C/fJJI1<<Y qL~A-!l~:fZofJ.-q/) FUEL j/yd~~
FLUE SIZE RETURN OPENINGS 'J lNPUT ~.if[)) OUTPUT lfl)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm A1r Plants
DGravity
o Mc:ehamcal
ClAir Conditiomng
DVent System
FIREPLACE MAKE AND MODEL
o Steam
o Hnt Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner UUlts
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Indu,trial, CommercJ.al It Multi.Family 1 % of job cost Residential. Gas Fireplace
$39_50 minimum
Rcs,dentJal, Heating & Ale (New ConstrUction) $9950 ReSidential, Addltinns & Alterations
RC3idcntial, Heating Only (New ConstrUction) $6450 Residential, AC Only
$39.50
EStimated Cost $ Bwlding Pennll # '
8. ,04&9, '0
1I1{Dlk"!1.~~
G /)~~
rtJ"f/1'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Buildiag Ofticial
~rc rrc [c ~ :';.\
I ~ 'dl-L '11n lE, '''' \, i
l:R\ec~ipt No.
I .
i' D l lilt.! If 4 ?~n'1
Ilj!!fe -By
D~. I
24 hour notice for ali iD.5I)(:c:tion~ (952) 4~7-98~ ~~~r;:J:::';~I~"''''~---=:'=~'~--~'-'
{)(j/
,
(0"'..' U..O.Jy)
J' ,. .
- :,.,.~ Application Becoroes Youl' Building Pennit Wben Approved
"
€~:
.r,.'h'I'W"E!lQ"I,'"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Fle'ase t'YJl= or oriDc 3.c.d rim ilt boCttlm1
ADDRESS ,
3~llo ~T~
i ~ ~~ I PERMIT NO. <-4. -'-1.:
), Yrllgw ....."'II~I <...-../ C7
ZONING (om,,",,)
LEGAL DESCRIPTION (office lUe only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) l J)D~JY>r>--. ~
,
(phone) loSI-'-K)L,-'-NOO
(Address) I "695 P~~:-i:\::~
APPLIC~T .. . -,. _
(Name} J':\_lbm).r>-:'I-_._~.;... 1-{:I.J\D...gQ \'roD + s..UL;~C~ (Phone) ;-;lj,-:>-3/5-7~CO
(Address) Cl::J 1 0 UlC"In: '(1~1 . I -eJJ; (.\1.('("*-O:r"'" R::~ Jt III n SO::; li'-! C;;
'.. rj.ddres,) 0 (City) (Zip Code)
(Contact Person) -k' ~\~. fJ. . _ (Phone) '1G;3~31 S-75/G>
A?PUCANTSIGNATURE 7'f:u;:' ../111 ~'-"fna,~ DATI (o//3/o~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . F;UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TY1'E OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
REA TING OR POWER PLANT
o Steam
o Hot Wa~
o RadiaLlon
o Sp~al Dcvices
o Other O""iccs
PLEASE NOTE:
Air Conditioner UnitS
Cannot Encroaell into
Required Side Yard
Setbacks
F1REPLACE MAKE AND MODEL -/11~-, 3R/.3Dvr~ /lJ
V
Industrial. Commercial &. Multi~F.unjly
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39.50 minimum
S99.50 Rcidential. Additions & Altenuions
564.50 Residential. AC Only
S3950
Residerllial. HCOlEing & Ale (New Constnlction)
Residential. HC3ting Only (New Construction)
53950
53950
Estimated Cost 5
Building Pencit #
(omCle Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
_50
PAID 'WITH .
BUILDING PERMIT
Duildlng Official
I pm ~ (Z IE D [.'1:' ~. ~Pt No.
ll", I D'~I JUN j 6 7nnl ,~ J! (JC/
24 hour notice for.1I in'ptttion. (952) 4~7'98~l-441~245__ - i U
---- .-.-----1
.OLOSIC.19 XVd Ll:ll CO/Cl/90
X31UIHd 3~VHV~ JI1VNOlilV
This Applitation Become. Your Building Permit When Approved
.f)f) I2i
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3~ Fot ~;L.. ~ f-l. W.
NATURE OF WORK - tJ.eW ~ ST"rLlL.al~~
USEOFBUILDI~,G:V~D;71-11 SF:".
PERMIT NO. Uj1 DATE ISSUED J2/!S/O'L .
CONTRACTOR W ~t.) 6...es. iNC. PH~Z..I(".I{S8?
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.:5E;E:- vKA r' N hi-e-
DEPARTMENT 0
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
i
j
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
P/f c-/_ 5' I
~~~ / '7/2-
tt46' (,-;Cl
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I
IflJ 6-1/
I UJ (~
I
I
I
/ ) 2---1
I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING I..} k- <{"'e.vJ)..U. D q;~ D ~
ELECTRICAL r0c::
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
ju,
5-70
/;JA,o
~
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FOR ALL INSPECTIONS (952) 447-9850
QItrfifiraft of <IDrrnpanq!
CITY OF PRIOR LAKE
~rp(trfmruf of ~uilMug Jlusprtfiou
.~aLYermitted D 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:
Occupancy Type _ R3
Type Construction
'IN
Fire Zone
_ Bldg. Permit No.
N/A
Zoning District
0:'-l566
R'c
Use.C1assification .
SINGLE FAllILY
Legal Description _
L5, B2, WENSMANN SECOND ADDITION
Owner of Building
Contractor's Name & Address WENSMANN/ttOMES,
;, J!\
ROBERT D. HUTCHINS '. i/.' j
i;;"j_ L; _OIjU!~. !ng Official \j' /
Date: I) j
Site Address
3716 FOX TAIL TRAIL N.W.
l895 PT,AZA DRIVE, SUITE 200, EAGAN 55122
DON RYE
City Planner
Date:
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J~ "] !
,
ADDRESS
I. 7/(.
kY~j/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"3 ~(}o;.. (
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
.iil'PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r-G YI1II v< .....-alf Ul (J :;,
o WORK SATISFACTORY, PROCEED
;CORRECT ACTION AND PROCEED
o CORRECT wLL FOR REINSPECTION BEFORE COVERING
- 1 "{- o-t
Inspector: . .... / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
$t2-0/20
.~7L0 h>x '1~ 'P~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR
PHONE ND.
PERMIT ND_
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;If FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
ji!f MECH FINAL
COMMENTS:
DATE TIMe
193.02-7
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(-~ .~(~.?-
CPA~ -L~, (M~- 'f'(:L/V\-~y1~q,
,g,l<vJ: i.(~l ~ ~
- T/eP /<; ,~-/. r'Yl .~lavt < I
. , - I r
/1
L.,
-----
I1-VU1f) .
C1j c.) t~ q /-solE< 3
Q.~ ~L:~\i
1()lK>RK SATISFACTORY, PROCEED
I?f CORRECT ACTION AND PROCEED
o CORRECT ~ C~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!