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HomeMy WebLinkAboutBuilding Permit 03-0422 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd :3 - 21- Cf3 ; ~;~:' ~::y I PERMIT NO. /)?_ 0 A '")""') I 3. Yellow Applicant U...::>' ~~ (Please tvD~ or Print and siJro at bottom) ADDRESS 50Q3 Y()I1A\P~1Q/IA-7AO_ C,F LEGAL DESCRIPTION (offi~e use only) LOT 1 BLOCK \ ADDITION 1\.,?~pJ~, .1?fJv OWNER (Name) (Address) BUILDER"" '-;) \ (Name) .I} YI. ~ (~\'/\-r~ (ContactNam~). :5tev<'- S!'LL~ff1 (Address) ~9BIoO ~1:r)FRJcl-'~Zl'OU W:t ~ D",^ \ 1/. t'Y\ (ltF r:;c:;D TYPE OF WORK o Misc. JiC New Construction DLower Level Finish DDeck o Fireplace PROJECT COST IV ALUE (excluding land) $ ~3d ZONING (office use) ,leI PID2;;-39'1- 007-0 (Phone) (Phone) 0c..,'L.-qS1~-18a~ (Phone) C>fSZ-2'"2.k- I~?I.J DPorch ORe-Roofing DRe.Siding DUtility Connection t.tr,r 'f 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 submitt plans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;ter on epropertyJoperfi 'nspe . ns. AOOD~S-1 ;),/2-I/O:z, v I Permit Valuation I Permit Fee 1 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 Sign )3), ,~[: 00 1 $ 1,73tr,.r.s+ $ I''''JO, Of. -I $ "' .50-1 $ I $ /IX], OD I $ 11>0 ,()() I $ l.f'SO 1 $ QO.oo 1 , ]u7EsYomBuildingpe~:~~A;ved Building Official Date I $ $ $ $ $ $ $ $ $q, ofJO " (; I / ; I I ~~c~o. 4-4 z./z-- U DAddition DAlteration Date <g~O.OrJ I l).. 7..r.00 1 2m.oo 1 4~.otJ 1 JJ...oo.{)() I 700.do I / r;-oo.Of) I 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 si by the lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Contractor's License No. 1 Park Support Fee 1 SAC 1 Water Meter Siz{5/S); 1"; I Pressure Reducer 1 Ci.y SAC and WAC I Water Tower Fee I Builder's Deposit lather I TOTAL DUE # # # # 4-4..'0"1 fl..d.. ill/ 11H-r j -i- 1f.>1rdd"r Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle CreekAvenue Prior Lake. MN 55372 I Paid I Date q /),rO ft7l ",4--/7.0'3" .. . .5'd'l3 /'..&- E/~ Heating Contractor ~)9Jv7 ~ ~~n . 9/2/P3 +1>.~ % ~ 'iL> ,l...?i I dq or I Combustion air is adequately supplied per UMC Sec. 606 ~ /'/a' hi; t3 7c./ Job Address Name of Tester Date Percent 0, Percent CO Percent CO, Stack Temp input . " ~1 White - Building Canary - Engineering Pink - Planning Th~('fnlfrof lhf I.lh('OUIllry BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .0 12. HOe.TVN .3 - 24- -()5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5095 ~o/l./OSt=:-u~ /.-IrA/6 s: 6- Accepted Accepted With Corrections v- Denied i!<<~ {J,.,d . cd! MI-,. '> Date: 4- 7-0 "3 Reviewed By: Comments: -t~ "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." ~~ White - Building Canary - Engineering Pink - Planning Th~ ("..nl..r or Ih..I..kf Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED iJ. Ie'. j-/(kTC/\j Z c.r - (;.:: -:> --- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,r .:::... (~/'; r(/; !f; C /....)(:; C j..//I.iL ) (:;.... . Accepted Accepted With Corrections ~ Denied liu~ (2--1 t:(1( r1ol-/s Date: 4-7-03 Reviewed By: Comments: -I-- /-kwrdo..rt "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." L ~ .~~ TIw ('t..," a' IHI..llt C_.II1') White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION OePARTMI;.NT CHECKLIST NAME OF APPLICANT .0 /2. j-j tlc.TV 1'\/ .:s - 24-.- 05 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..c::' /. /",-,. /) / ,'-, r r::-J')..-:::' ,-- I j..:n ,," j--. ,::- . _- v j-/ r' U!\,;L}.J ~. t../ \..:l,t;:.... f-I //\) c:> '-" Accepted Denied x Accepted With Corrections Reviewed By: /v1'ti3 Date: L.f ~ 3 -03 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." . May. :. :003 1 1:14AM GENZ RVAN PLUMBING A~D HEATING No 1381 P. 4 11 , Date Rec'd CITy.oF PRIOR LAKE SE\VER AND WATER PERMIT J O~'" F;I. I PERMIT NO :2. Y~!Iow Cjtt~ . t-J _ J Gald APPIl4l<nl ,-J L/ ,.?~ (P1eas~ tv'Pc: or?riDt and siJ?;J1 a[ bottClm) ADDRESS 911,3 T1JncV\f~ Un c.S'E: u ZONING (ollie,",c) I LEGAL PESCRIPTION (office use only) LOT {BLOCK 1 ADPmON b~f1dc4 ~ PID OWNER.. (Name) "D u__o__ ~o_ (Address) 2.0 &DO Keinei<.\!::f::e.. C:r S'-;-p.1 M (Add",,) (phone) _ La.~\Jille... (City) qs2 -Qss-7...8..DA.__ ."7~I...Ju. (Zip Code) APPUCANT (Name' Genz-Rys.n Plumbing & Heacing (phone) 651-423-1144 (Address) J.4745 So Robert Trail Rosemount. HN G<\.ddrcss) . (City) (CO/ltact Person) _ 011 t<-Ls-h ~ (Phone) ',IeANT SIGNATURE (\~.A ~. ~~_l,( /0._.__ DATE 55068 (Zip Code) 651-423-1144 6~ ;),-0 ~_._ APPLlCA1~T }'LEASE COlVIPLETE 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 required) located at _ feet from structure. feet. o Cast Iron Residential sewer and water !lne connection Sewer cOWlection only FEE SCHEDULE $35 SO Industrial, Com'j & Mujti-fmnily 1 % of job cost wIth a $39 50 mIDIDlUro $17.50 Water cOJJJlectio/l only $17.50 Estimated Cost $ Building Pennit # SEViER AND WATER PERM1T FEE STATE SURCHARGE TOTAL PERi\1lT FEE $ $ $ .50 p~ SUllO. 0 f.4n.... , .. '1IvG":"'/f ' Pl:~". (Office Uti!: Ol1ly) I This Applic..tion Becomes Your Building Permit When Approved Paid I Receipt No. ~.. .,",~- ~ ..,,,",. .,:,:.._," .~MJt:)~~~~o~ ~ (', ff I I By f~~ '>~.+'lv O"tl'- ~'SV,,,\t:,'''J.,,\,lv,"S '.\~"."'''''''''''" ~it.~~~~,;~,~~:: Mal. :. :003 I 1:14AM GENZ RVAN PLUMBING AND HEATING 110 1331 P 5. II " D..te Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I Blue IiHe I PEn~'rrl' NO ,. "",. o;~ "'-' T. .;;? .--/ .i.::l " 1. Ye:llow Apf'lianl J - V7 (./ c::::7'r q?le~eMe orn.rju.t l).ndSi$!'Tl arbottonl) I ADDR:EsSr:)Dq~' fbh.ctnedC10 hn ~. \l I ZON1NG (ofaO! "',) LEGAL DESCRlJ'TION (o/fico use only) LOT I BLOCK I ADDITION b~.Jtl~,1 ~ 91n PID OWNER (Nilme) DR Horton Custom Homes (Phone) (Address) 962' q l7 fi - i3D!) 2O~t.;D }.(~X1B~Il)GC. Cr Sre ILD UdL.LVd Ie. j.U N SE'.CLP-./ Al'PLICAJ.'IT (N'.im.e)...r-"'........_P~,,,.... p~..,:rv'1:-~,...c ~- u""......r....3 (Address) 14745 So Robert Trail (Contact Person) (phone) -65.1 _f,? <_1 14/, II J ~AddreSS) VV I }V~11 fot u. \ rAA..~~ Rosemount (City) MN 55068 (Zip Code) (phone) 651-42.3-1144 0/2-() 3 DATE APPLICANT SIGNATURE Quantity ,;l... I j ((? I ?-.. I 4 APPLICANT PLEASE COMPLETE BELOW Type of Fip:ul'e I QU:l.ntity Bath Tub with or without shower .3 Rough-ins Dishwasher I I . Water Heater Floor Drain I Water Softoe,r 1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartmeut sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other Type of Fixture I I I I I I j I I I FEE SL.J:lLJJ ULE IndustrIal, CommerCIal & Multi-f.nJlly 1% of job cost wIth. $3950 minimum Residennal, Now Ooe & Two-family $9950 ResIdential, Additions & Alterations $39.50 EstJmated Cost .$ Buildmg Permit # 9, P-41D 'l.I!t..Q'AtG ~ . ';~".. PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ 50 (Office tilt OnJ)') This Application Becomes Your Building Permit When Approved Pai Building Official DQ,te Je@1E 0 ~ ~c~eir No. . W;;....>M, I rt oJ LUU , X (952) 447-4245 J By 24 hour notice for all inspections (952) 447-9850, CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please.!roe or1?rint and sism at bottom) ADDRESS "509-? 4/7../-'~ ~~f ,/ // 7/;/57 ;;;,':':., ~:~ I PERMIT NO. 3 II,., '11 3. Yellow Applicant -q c:^ 0-... .~~ 56 I ZONING(officeuse) LEGAL DESCRIPTION (office use only) LOT~OCK / ADDITION pm OWNER DR HORTON (Name) - 20860 KENBRIDOE CT (Address) LAKEVILLE, MN 55044 (phone) ~;;~~~/ h A....,.L ~/"1~4/C-~ (phone) -C- _.e,-/- tV"~75- (Address) . ~~ /t:/.-?A-' .6"" ./J/. ~d.q~ 55/.-?-:7 - ./'1 (Addre;~ . (lliI015 (Zip Code) (Contact Person) /7a:/.i~~~/ (phone) ~5"/- s/5O?-..,.,?77<:" APPLICANT SIGNATUP_- ~ -- J --: _ DATE , APPLICANT PLEASE COMPLETE BELOW ~W CONSTR)II7ION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL ~"1/~~ 9""?~ FUEL /Lk~. t?-S FLUE SIZE __ =?.P'V ('!. RETURN OPENINGS INPUT ~ OUTPUT ~ ~) TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 St~am ~1'Vlty 0 Hot W.t~r ... ird~~~~%ni~g B~~~o~eVices , nt. System 0 Oth~r Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into R~quir~d Sid~ Yard S~tbacks FIREPLACE MAKE AND MODEL 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 Residential, Heating & NC (New Construction) Residential, Heating Only (New COnstruction) $39.50 $39.50 Estimated Cost $ 2~Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $~/A~~ $ ....50 $ r~ , f:Jl4~A//() ~G~h ,o~ It '9~)- (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official :\.~j ~ ~J~ ~ 0 W rP ~ By Date I~i JUN I} 4 ZBC3 "I. 24 hour notice for all inspections (952) 44' !.lkl50, fax (952) 447-4245 :J Receipt No, flY By__ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd L Pink 2_ Green 3. Yellow ~:~ I PERMIT NO. 3 -/ h ~I Applicant r~ (Please type or print and si2ll at bottom) ADDRESS 5093 PONDSEDGE LANE S.E. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm OWNER (Name) DR HORTON (Phone) (Address) APPLICANT (Name) ATT.TRD FTRRSTDR DBA FTRRSTDR HRARTH & HOMR 2700 NORTH F AIRVIEW AVENUE (Address) (Phone) ROSEVILLE (City) 651-633-256 I (Address) 'i5 II 3_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE /\/17/03 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 HEATING OR POWER PLANT DWarm Air Plants DGravity D Mechanical DAir Conditioning DVent. System D Steam D Hot Water D Radiation D Special Devices o 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 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pennit # $ $ $ .50 PAID WITH BUILDING PERMI, (Office Use Only) HuUdine: Official - -=l r,\ \,!l~ ~ G ~ ~ ~ \\. Receipt No. \ !~DajlJN 2 5 Z003 \i ~ By Or LJ . , V 24 hour nolice for all iuspections (952) 447. }850, fax (952) 447-4245 . 8y_---.-.J Date This Application Becomes Your Building Permit When Approved PRIOR LAKE INSPECTION RECORD SITE ADDRESS f'o 0 P...J~B,I'I.~ J.iI~ NATUREOFWORK ~tv ~--r;;;;t USE OF BUILDING S. ~. PERMIT NO. '-:>. 047~7 - DATE ISSUED ~.. "'..3_ CONTRACTOR ~ PHONE..!.rJ.-UC. I'D'" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUilDING AND INSPECTION '1 . INSPECTOR OATE I FOOTING C}yL - vt 17--') /03 I FOUNDATION (Prior to Backfill) I JIt1/7 I s. s-': OJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS np - vvyr 111H' SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING (),e.... v1If" Y-f-t/=' '~;i'Ol{;'js4-ffO HEATING (if required) fVV7;"" '7-(Orch FIREPLACE tr1/f /'1- (o--if) GAS LINE AIR TEST M;/ J - ( D -d) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS AIR 1.a.o. It.) A /#d S ;'7-d]. 7-((}"0 7- f4-cfJ GRADING (Prior to Sodding) BUILDING 'lfl'\f ELECTRICAL PLUMBING HEATING DO NOT OCCUPY , ". II-I-O} 9//.JYcy' //l1/' M7 UNTIL ABOVE HAS 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. BEEN 1- {'-tfj t(-{, in SIGNED FOR All INSPECTIONS (952) 447-9850 @rrfifirafr of <IDrmpauru CITY OF PRIOR LAKE ~rpctrf1ttlmt of ~uilMng Jlnsprdion ~nal Permitted 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 VN Fire Zone Bldg. Permit No. N/A Zoning District 03-0422 Rl Use Classification SINGLE FAMILY Legal Description 17, 81, DEERFlELD EIGHTH Owner of Building Site Address 5093 PONDSEDGE LANE S.E. Conl,"ctor'sName&Address D.R. HORTON, 208&0 KENBRJDGE CT., SUITE 100, LAKEVILLE _ ROBERT D. HUTCHINS ~ CilyPlonne' DON RYE C~ / BuiJdfyrng ficial Date 0/?/t:1~ Date: '/ ;. ",,'., ......... .~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS s093 /tdse~ OWNER CONlR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .=e-t'1flAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE ~y{~ , . ~ TIME C)S- y'// o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ /c?/ /) / // {~4de (O"~/e 7e.d ...------ ~~ ") ../ ~ ---- / / ./?",:? \(_ /6Se. ~ ----- , WORK SATISFACTORY. PROCEEO o CORRECT ACTION AND PROCEED o CORRECT WO::V~R REINSPECTlON BEFORE COVERING Inspector: /" F'-7- - Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ,/,"1'j /-?" / e... INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS .f01J f(),Ild.$ej",<!:. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o I~ULATION -Ef1!iNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o .eJ.UMBING FINAL ..III"'MECH FINAL COMMENTS: ro lJ) (i) A-coI ~ t..-n.... Sl"al /M.-ritli..,/.q I t'rh, H~/.+U_ n '" rI..~ IF //P l'I.r7"fJr",-rl ..f!'h'''' ~r.. r-( -CfM.~ uwfr / DATE TillE q-/, "]~t.(J.-L o EXfGRADIFILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o -h> Pac 1- ~ , 1Jt''''~ . /I-/-o~ o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: K q -It; -11> Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. fN9I<<>TI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED q-5"-O"J ADDRESS XOqj. P <fvt CS-t" ct,.. OWNER CONTR. PHONE NO. PERMIT NO. 3-'11..L... 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 o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: "- (il ((Wtok roofea(:!; o WORK SATISFACTORY, PROCEED ,cORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: (l;y? q- ~ -V6wner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! U<SNOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~O~3 p,.,,,..A~ [,., OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION COMMENTS: rf:rcuh-o J(. CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL [db !3or-/?IC... DATE nile 7-20-0-; D~- flvfr,~ O'!.-LtZ7.. ~~'LLING o co INT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COveRING Inspector: ~~ e..- ..;... .mer/Cantr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """,m