HomeMy WebLinkAboutBuilding Permit 03-1122
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~ -1-03
See Main Fi~~t ~:~Ii"" I PERMIT NO. 03-//2-2-.1
(Please tvo~ or orint and sign at bottom)
ADDRESS '"
11"310 1 Leu~~ 1:>r,'\A:=;
'SF
LEGAL DESCRIPTION (office use OnIY~
LOTS" BLOCK 2- ADDITION 1)'".rf{,,1ol. ~
OWNER
(Name)
(Address)
BUlLDERl--. () \ I
(Name) , Y-K. ""t"\"Df+9"0 ...L.n.C.
(Contact Na~e) ~ (x-l c\6;(;V"\
(Address) ').J>'O(PO. /. br..v c+. ~.l ()D
-L.il:::i>AA I ,. Mt-.'f g:;-ol! 4-
~
TYPE OF WORK
)1f New Construction
DLower Level Finish
DMisc.
I I ZOR~Offi""") I
PID.:2S- LlotJ--03LJ-O
(Phone)
(Phone) ~9,C:-I2J.LQ,
(Phone) ~2f_ - 1':J,:i,'-f
DDeck
DPorch
ORe. Roofing
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ CJ2;. S::l{o
ORe-Siding
DUtility 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 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
entercxthe y.vyC.., tq per~d insp'ic~ons. ..!I.., =.r---1 7- "3 0 -0 2..
X Il "A ., 11 -<->\ ~ 1AJl--J '1uOflJWO> I J
I ~..... Signature Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
{?3. tJCJO, - I
ql./L/.'15 I
(,/4 09 I
LJt.,S-C I
I
I
I
I
I
ItJt},--
((lt1 ,--
. :? ..,-,50
'10.-
This Application Becomes Your Building Permit When Approved
~ 7'~ ?/~3
Building Official Date
$
$
$
$
$
$
$
$
$
Ii
I Receipt 86.
'(f
Park Support Fee
#
[(50,-
~ 7<;' -
d-.SO ----
1../5".-
/;;>..00.-
700 -
I
I
"QfJO,~4 I
~.L4 ;r
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
~~:'~~~i~p~'mpo'~certill;;;:::~"~dillow"onsttuSee'nMaIiLEIi;'rup~~ mll"b,
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
SAC
I Water Meter Si~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
Paid
Date
l, 'l..ffl./ d r
fl. ,V.oj
v
.,
Job Address /63{,7 j;:J:!JVJr.e(~ ()).
Heating Contraclor CJ. ({ k;wi yVtJ:u)-,
Name of Tester J1.f ~ S.
Date I zit 0 In",
. ,
.
Percenl 0,
Percent CO
Percenl CO,
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
~(p K
/
'.
~~
ue~
See Main File
White - Building
~anarv - EnaineerinqJ
Pink - Pla~ning
Th.. {"",un of Iht t.kII' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.4
/,,(
./1"_7";::, '1 /'
,"' /t'(J ;,''._/
g- 7-{)3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prClPosed at: .
,/ /;' 36 7 / .'2 ~"J-c.k.iU} lie".
. ,
Accepted
(<.,
Accepted With Corrections
Denied
Reviewed By:
Comments:
.l\f1~~:1 '--
Date: <g( 1'3 (0)
"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."
~
o.~
See Main File
<"thite - BuildiiiV
Canary - Engmeering
Pink - Planning
-
The ('rnl.. n' the I....r Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L/J f/2 1/&iFJ7t/
g- 1-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru;~;:vi; which ; ~rtJ /f1,.
~- u ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,
-::; ~J.J
Date:
5?/d~O 3
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,"
&~'i
See Main File
'\
-
lhr ('~nt..r of thO' 1.1k... Countf)'
White .. Building
Canary .. En<lineering
.pfnk .. Plannlri!l)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
';-
1/
.,
I
" The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
I // '3/' -7
,/)
/'(, I
" i'
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
-:; ~j..J
Date:
P~;Ho3
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Q?lease ~ or mint and sign at bottom)
ADDRESS
#;7:539
;:~ ~:~ I PERMIT NO. 3- 1/"\ -, J
3.Yellow Apphcant ~~
/73(:., '7
/k/'A/c/
a
5:~
I ZONING(Offi,,"se) I
LEGAL DESCRIPTION (office use only)
LOT~LOCK d ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT A, /, _ , / ~
(Name) /7'/~ r../A4/r-/
(AddresS)~ ~,(J~", ~ /'2-:
;!:
(Contact Person) A ~ . <<,. ~
APPLICANT SIGNATURE ::::;--- ~3 -.
(Phone) h,S""/.. 4'~.,,?- ,,?/75'
~~~ 5""".5;LJJ "1
(~ (Zip Code)
(Phone) ~/- .;./~--177S
DATE
< APPLICANT PLEASE COMPLETE BELOW
.3INEW CO~TRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMOD~/r.,6~~. ;'/oAAtA:::k?'/070 FUEL -L'I2 -Hf~-..e
FLUESIZE.y'~~~.A RETURN OPENINGS q' INPUTc;~ ~ OUTPUT 6"Z_/~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D. Mechanical
~ir Conditioning
~ent. System
o Steam
o Hol 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
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Addilions & Alteralions
$64.50 Residential, AC Only
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approve111 i
/U J
Building Official Date ~>': '
Estimated Cost $ ..3sza a::> Building Permit # ,,(). I:J
.~~ "1~
HEATING PERMIT FEE $~/ ~......../~bq,~ I1?h
STATE SURCHARGE $ _ .50 '-' ,o~'Y
TOTAL PERMIT FEE $? "'$14,,,.
~1Jfid2 7 2003
I Date
]
I Receipt No.
I By [J-
- ==.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
A ' !' '0 0 ~J
II o. ,. _
904AM
GENZ RVAN PLUMBING AND HEATING
N0.6474
P 6 g
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
....... "-'1
; ~~!w ~~~. I PERMIT NO. ;) -- I , d
l,. Gold APPUClIlIt
~k3sc: ~c or print md. ~1$'J1 at bottom)
ADDRESS 11 _ _. _ 11
I 737J; 7 IJfO/ILf7fi d .;j~ cSG
ZONlliG (offiaua,)
. LEGAL DESCRIPTION (office use only)
LOT 6""~LOCKd ADDITION !\ffJzJiel cl. qth
PID
OWNER
(Name) -IlJ? u_____ ~~-- ,,~---
(Phone) _ q.s2. -Q8S-i8I..ll\
(Address)
2oSi.DO Kev1iOK\~ CrSw.lf'f"\
(Add=')
Lak:L\Jille....
(CS",)
0QC'}-IU
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robext Trail
(Contact Person). (JIJ i~~iZ Ii! 15
'JCANT SIGNA~ &-1 J~
<~ 11 //J
R08"l'Loun t. MN
(City)
(phone)
55068
(Zip Code)
DATE
651-423-1144
%-- /,J)::l?-3
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pve
Estimated length of sewer line feet.
Clean out (if required) located at _ feet :from strucmre.
feet.
o Cast Iron
ResidentIal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'I & Multi-furnily 1% of Job cost with a $39.50 mmimum
$1750 Water connection only $17.50
Estimated Cost $
Building PeJlJ).jt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
~/, ;I)...
-VIII). --;1()
'~~h
;I)~ I)l
""--9411)-
(Office u.. Only)
I This Application Become.. Your Building Perm.it When Approved fl') Paid ' '.' ~ . .
II} All ~.,.
". .....t:1I,. r; _"" ~ - I' ,j
iJU Dare- 2'~Z:iJUJ ,,'
U.
Building Offic:i3.1 Date: '
, r
'- 24 hour notice for 311 iospectiom (952) ~:~~~;~;~~-~-=-~;--- - .. . ..-
Receipt No.
I
g-I
By
~~.\+~
~~m
,,<\;>:;.--.,;t'^"Nl!lSO'tl-
.*~1.~' .
A~~
Aug.12. 2003 9:04AM
GENZ RVAN PLUMBING AND HEATING
N0.6474 P 71
Date Rec'd
CITY OF PRIOR LAKE PLUMBlNG PERMIT
I Bl.... :rile
2. Gold Ciry
.t YdlClIll AppJl:am
[PERMIT NO. 3- 11;rp-
(PJ'.:ast: ~c: or print md Siea. arbottomb
ADDRESS .
11~1 f f;efA
~
ZONING (offi",,,,.)
LEGAL DESCRIPTION (office "" only)
LOTe BLOCKd.. ADDITION ~-A.f&1 ~
PID
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)
9t;2-Q;?t=, -7BDO
:2O'SlcD kh1B~IDGe.. CT S,e IDD
udu..v;IIG I<UN EC6/..j LJ
, APPUCANT
(Na.me)Geoz p:~"T'1 'D'n.,.,,'\-,-f.....~ ^' 'q(.>~I"';.,,-Z
(phone) <" -"- ?~-" "-"-
Rosemount
MN
55068
(Zip Code)
(Address) 14745 So Robert Trail
(City)
() .' (Ac;.dre~s) r., 11
(Contact Person) (1fIJ€/Sf!taliJ ~
APPLICANT SIGNATURE ().J /t.,.Jj;) '-:::/7;.1/__
-- ~.,
.~'\.
. ,.,
Qu...ntity
I
f
t
fI..
I
I
:J
(Phone) 651-423-1144
DATE ~--/J-r{}'b
APPLICANT PLEASE COMPLETE BELOW
I Type of :Fi:tture I Quantity
Bath Tub with or witl:tout shower I Rough-ins
I Dishwasher I' Water Heater
I Floor Drain (j'J;: Water Softner
j Lavatory (Bathroom Sink) ! Stand Pipe (Washing Machine)
I Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink La'wn Sprinkler
I Water Closet (Toilet) Other
Type of Future
FEE SCHEDULE
Industrial, Commercial & Muln-famliy 1% of job cost WIth a $39.50 minimum ResIdentIal, New One & Two-F"nlly $9950
Residential, AdditioJUl &: AlIeraUons $39.50
PLU1v.!BING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\fiT FEE $
(Offic:C! Use Only) 7
I This Application Becomes Your Building Permit When APpro~f;j A;,:11~dZ ;r]n~ II! #
_ t I Date L~'I
I '. Bulldiag Ofn<lAI DAte t:!x- I
24 hour Dotiee ror all inspections (952;:4~-98~2)'':;IJ45
Estlmatcd Cost $
Building Permit #
50
-9(4, ~~
~DIJ\tG ~~
~~...~
''''Il'
Receipt No.
l'
"
By
A---
110
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe or mint and sip at bottom\
ADDRESS
17367 DEERFIELD DRIVE S.E.
~.~ORW ~l~icant I PERMIT NO-.::S_I/ crd1
ZONING (office "")
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AU .TRD FTRESTDE DRA FTRESTDE HEARTH & HOME
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Phone)
ROSEVIT T F
(City)
tis 1.n~3.25ti 1
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633.2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/28/03
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
OWarm Air Plants
OOravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL.750TR.C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PA'D .
SUiLO'~G WlrH
PERM,.,.
(Office Use Only)
HuUdine: Official
I P<li<!
I {)llle NUV ~,3 l6tf3,By
j' , '(
, I
24 hour notice for all inspections (952) 447.985O,fax {952H~74~ . ",J
L_______._._
R~eipt No.
This Applic<ltion Becomes Your Building Permit When Approved
Date
~'
PRIOR LAKE
,
INSPECTION RECORD
/7~' '7- D&t4.,.-PlelcJ Dt-
Al~ l.U
USE OF BUILDING <\F- 1=1
PERMIT NO. 03- I.L1;Z- . DATE ISSUED
CONTRACTOR 1) 1l ~OV PHON~~ ,,- 183L.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee MaIn }-tile
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
I FOOTING \Mt\i- I I
I FOUNDATION (Prior to Backfill) wi'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
t\A.<i~
M/
vw
/1-7-IJ '3
IH~-n
1/- ~-o;.
//- 7-1J J
1/-7-0->
/ (. l-tr':>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS _ J
GRADING (Prior to Soddin~l <...Yee /ff<?/, ~
BUILDING ~ u ~:::~..?:....J/r #/d
ELECTRICAL ' ~
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
V1.tY' _
~
t1f7
A,
~
117/ j//
H/-1;L
,k/e I
/' ftf/cxj
/ -Z.b-1 AJ
i;2- J.. j.~
7 Ob/oif
- I
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
HOUSE HEATING TEST RECORD
B GilP DESIGN
MAKE v~V-
Model ;~~11f (y, k 7n
Senal A ':l9:0p.-'t
INPUT '" _ (-='.
CONTROLS
THERMOSTAT
Valve Heat Plun
Limit .~ ~~ AJ
Limit Selling exGlj'- _'" F
Fan Setting I ~ fA Y
Pilot Type \-\- C ~ (
Pilot Make
Pilol Model ~1_
PilotTiming ~r> c:..6::: <R~l
L.w. Cut Off -IJ et,V-e. J
Pressure. J. r;; II ~ Percent CO, !5 '(0
Input CFH l-.I., Percenl 0, I Q "i 0
Slack Temp. ~''?It'V:l ~ Percent CO ~
MAKE OF BURNER _
Model
Max. BTU Rating
MAKE OF FURNACE
Model
I't./ {I
Vent Size
KIND OF LINER
Draft Hood N D.v6
Filters ~ Size _ -
Chimney Location
Chimney Construction
JOB #
f:ONVERSION
X
c V~
It
"IZE _ NONE
Regulator -<2,? -<:: - '1 { _
Number
Inside
(",
V~ide
v
v
J
Smoke Bomb . Wiring
Draft-1='U)IL~n ~ Test Tag
Door Pressure _ _ Lighting lnst.
Dale Tested .} 2-/LO/D_<
Company Testing Alliant Mechanic..!!, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester 1I\(l1 K.J:>. ::::::>,
QIrdifitab of @ttupanq!
CITY OF PRIOR LAKE
@.rparfunmf of ~uilMug J1usprdiou
pinal Permitted D Conditional e.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:
Use Classification
SINGLE FAMILY
. Bldg. Permit N"
03-1122
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L5, B2, DEERFIELD 9TH
Owner of Buildine:
Site Address 17367 DEERFIELD DRIVE S. E.
20860 KENBRIDGE CT.. SUITE 100, LAKEVILLE
Contractor's Name & Address D. R. HORTON, INC~,
ROBERT D. HUTCHINS~
Da'e -:-6 ~~7cial
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
/2-2;l-t:/?
ADDRESS
!/1{.;
Okr,r(i..,lld
OWNER
CONTR.
PERMIT NO. ~
~-I rl).,
PHONE 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
/It PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,('CPIit,1/,<.L.. rmAfJs
o WORK SATISFACTORY, PROCEED
;pt"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'N<NOn
- ._-~---'-'--'-_._-",---,-"---,,-,
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS / / fh 7
OWNER
PHONE NO.
o FOOTING
o FOUNOA TION
o FRAMING
o .!!ISULA nON
YFINAL
o SITE INSPECTION
COMMEI+TS:
~c i?-~9-1
hr~ ..?7hce.
lA---/ Uk.,
DATE TIME
SCHEDULED ~k
/Jeer4ld d
CONTR.
PERMIT NO.
~-//.22
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
A!rMECH FINAL
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
- FIREPLACE FINAL
o GASLINE AIR TST
o
-
-
hi... /
~,..
/~~~?" .
hh,/ ~"
~ ~""'J ,~/,..(
/ -
~c'k, hh-t / t<Yk
&t'",,/~~-rI &:.-~G r- 7er..7
(!) /1'/':'c,ihZ-r~_~if. .::?/O(.}~ /"
~S'ep ~r;' ,..;(;.
- ~< "'. _.~
<~~__/W' ~-~- ~R' ~'-
:: ~~v<t ~~,..~,.~ ~..-""~r
.--- - ----- /" '-;:
/' r- Yo \",.:> hI k_ )
o WORKSA~ORY. PROCEED' ~
~CORRECT ACTION AND PROCEED
o CORRECT WOR':..C~';;~R RElNSPECTlON B€FORE COVERING
Inspector. ~,-- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UUNOT<
..~.~_.".._--_.._.._._- .-. "~-'-'-""'-