The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0963 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT -fl.Ap= ~1=r.~::'IVl=n .... J L_._____~. ".____ DIREcnONS _____ __~_" ..~. SPACES NUMBERED 1 THRU 17 MUST BE FILLEDn-l BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12,SITEADDRESSS<(2.<j A,.J,tv.-cJ (),.{~ 3, LEGAL DESCRIPTION 1. DATE JOJI3/(J() R/ LOT ADDITION Ii> 7+~ BLOCK A.l.L'1- ~ I PID Z5-L~4-6- 008,0 h N.r+l-. $h.,.... 0..."-1 I 7. TYPE OF WORK New construction~ Chimney 0 Misc. la, PROPERTY AREA OR ACRES 19' PROPERTY 91MENSIONS 1'0. CULVERT SIZE "" 0 LOt) A__ - ~:r 12- , Sq. Ft. .. ...... ,. -- Widt .,..,., Depth 130) Yes No I hereby certify that I have furnished infonnation 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 fOf th~ ~bove ~.entio ~e '~. II construction will conform to all existing state an? IOC~1 ~aws and ~i11 proceed in accordance with submitted plans. I am ,aware that the bUilding OffiCI ok ~rAtist cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~~~ Inspections. X ~ _____ IDAvOO - Signa~ ) License No. ~ Date OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 1kD ~OC . 0 c) 14. OWNER (Name) P...-t &. ~V'^ne.. a w.lle.'-I 15. ARCHITECT (Name) I s~ 6. BUILDER (Name) (Address) ~O<lo l(..".. (;....1&. N (Address) (Address) 1"............ Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 r I SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION Back USE OF BUILDING _5~{) TYPE OF CONSTRUCTION: I It III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 S U Permit Fee ................................... $ I, 18'7 . -;;t.,- 17/ .71 p,o .(')0 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ loo."~ I. cO .r') 0 ~~..~ Gas Firepl"'O Permit ....................... $ 40.00 This ArJl~n ~es YO~permit Wpen ApRroved. By .{IT f-L ~7\C ~ate /(") - "2.7-2000 Certificate of OcClJpancy Plumbing Permit Fee ....................... ~, t4echanical Permit Fee ..................... $ SewS'; \. Water Permit ...................... $ (Tel. No,) (7<.:n 8.._Jd~^ '..,k 'fsYt4l '12.>1-T22'l (Tel. No.) (Tel. No,) Ae-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 FOR ADMINISTRATIVE USE Side Side 11. SIZE OF (Height) 12, NO, OF STORIES :L 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16, PROJECT COSTNALUE I fs:t). act:) .... 17, COMPLETION DATE MATERIAL FILED WITH APPLlCA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Par1<SupportFee ..""""""""........, $ ~S"O. 00 SAC .""""""...""""".".."........ $--4' OO.Ot'L Collective Street Fee ......... .... .... ...... $ City: Sewer Tap ................................... $ ~ Pressure Reducer .i.~..................: 00 MelerHorn................................... $ Water Meter ................................. $ II' I' II~QJfJ Sewer & Water Connection Fee ........... $ '1 WaterTowerFee ........................... ~ ~~ q O_ClO /2S:0U) I. ':! DO . 0 ~ 700 .0(;) Water Tap ...................................4: Builders Deposi' ............................ $--L. '-,-oO.DO . Other ......................................... $_ Total Due .............................. L ~. 83 tf.. 1/-6 Paid '.? P:J.1tf.~t,Rece/lit!67fd'? Date //./", 'r/O By 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 <t'requested. This document when Si9~~=~': ~emporary Cerlficat of Zoning eomPlianL;~~ws ns1ructio~to co menee Before occupllney, a Certifica1e 0 Oeeu aney ~s: be issued, - City Planner Ie Spe ial Conditi s n any - Issued 24 hour notice for all inspections (952) 447-9850 . .. ~ Job Address .:5424 4~~ 'k Heating Contracto;::::'" ",-, <= ~.-JAN;(A.- Name of Tester ^^ . &<2.~ J.l) Date -<l/zz../ol , ~.Pi% t5~% .001(,% I 40"'-g::: Percent 0 Percent CO2 Percent CO Stack Temp. &~~ ~ 60 -01& 3 Thr Cfoln of thf L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (.. ;,"! 1::-,' ,\ " / ! 1_ L \_ ( I( . //. ." . APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~t .::.~- / " ..J.~ f);'~,. Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~&.~..;......... Comments: Date: /M-3 / tfb Pi.-n- ~{IMA1AM_ ~'-"1-//lJ~j-t7~ -Pr~~ L~- ~~ i/I...f9.tJ ~ ~b, "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." ~~ ~ 0-0 q~3 White - Building Canary - Engineering Pink - Planning Thf Crnlu of Ihr Lakr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED QU A L-t.A~y' /0. /(/?- nO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5424- A-/'1l3tE NooD DR.. Accepted Denied ~? Reviewed BY:~_ Accepted With Corrections K Comments: Date: 1"'0 -'27-'2000 /. Rcu:l "l U. ~~c!.v...e:R ~ ~ "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 o b '0103 Th~ C~nlt'r of lh~ Lalit Counlry White - Building Canary - Engineering Pink - Planning 6U1LDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED OUr! LL..F:V' I /0 . 1(,,' (.0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5424- A/~/;:;':{ElVCOL) D/<.. Accepted i/' Accepted With Corrections Denied Reviewed By: L.1-..J.... Date: /O-Z(P-OO ~ the.. lWef:5e.. sitk -\W ~mo"'"l IrI-Pnr.maT7M. Comments: " ~EE 1J7/I'KHm~A~_";J)r;rJIIL G&lP";- TVSPECTlO/l) L~7//JJI) 2) Gr/lRllJl1z fbw 3) E RD5i1Jlr/ QJJtJ77Cr?t... 1lJe7lsq'P"3 4) E 1?oS/~A./ ~ fc.AAJ ''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 I ~ ~ .,....." I ~ '" ~ .. ~ < ~ ... .,....." I - 0:: i ~ <> - 0:: ... ... 0 >< ~ - u = - . . ~ - ~ ....., '" = ... e-- '" ... ... = ... = ... .,....." '" , .... ~ ... = , .. = < -= ... ~ <> .... e-- ----- "" ~ .... = >< = CITY OF PRIOR LAKE Me qC2.. 16200 E89f- Creek Av. S.E. P9rmh No. 00 - 0 l()J Prior lake, MN 55372 TYPE OF STRUCTURE I. PiDt 2, llRco J. YeUow Ale City Coutr. HEATING APPLICATION I PERMIT / / a / ()/ HI.-#'#""" Addr&ss 5-" <;"'t:) "'-'t!..-f ..J,,fJO""'Jz ~+-, Telephonel/ ~S /- -ytf, 3- ?'~~O Furnace Malee & Madel 7:"....,,, sfar- AIR "', "'. "ONER'UNITS CANNOT ENCROACK INTO SIOEYARD SETBACKS. Model SiZ9 Ll;?o. EJoO I" ",..-I- J1 T IJ'~ , Conn. load Fuel..v...l~~1 c<> l:lue Siz9 Supply Openings 1JII!)~r _~".~;,,)~ Return Openings ~ 'Fe.. + __...1, Input Edr. Clm, Output TYPE OF WORK Afteratians h"""",;",,~/~;tI'. nJ,-"n , TYPE OF SYSTEM Warm Air Plants s<:: Gravity Mechanical . Air Condftionjna X- Vent. Systam HEATING OR POWER PLANT Steam Hot Water Radjalian Special Davices Other Devices ReFlllir Replacement. N9w Construction Est. Comp. Date --P K7 ,",' I d- i'Ht , '>I. Buildinn PArmit II .50 r PAID WITH P MtG PERMIT ~.- Receipt 1/ Single Family Commercial )( Two-Famijy Industrial Mult~Famiiy Olher_ ~ Esl. Cost $ '! QCJ6.dD "" gJ--HEATINGPEAMITFEE $ El ~ ' .... STATE SURCHARGE $ <> ;;; TOTAL PERMIT FEES $ <> "- - <> Public Fee Schedule Industrial, Commeteial & Multi.Family rN:~.",ja~ Heating & AC ResidenlieJ, Healing Only Residential, Gas Fireplace ResidenHal, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39,50 Remember to add the Stale Surcharge on the bottom 01 this application. The price 01 your heating permit includes one rough-in and one linal inspection, Additional inspections will be blaed at $35.00 each, House Heating Tesl Record must be submilled w~h bUilding l!J!!Di! number before bu ing certilicate 01 occupancy will be issued. I::!m CALCULATIONS REOUIRED with number 01 supply and return openings listed room wilh CFM's per opening. New struclures or additions send lioor plan with Sllpp~ and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. 5.10, PRiOR LAKE. MN 55372, City Hair business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) _ CALL CITY HALL PlIone: (952) 447-9850 Fax: (952) 447-4245 I hereby apply far a mechanical syslems permit and I acknowledge that the 'information above is complete and accurate; that the work will be in conforman< wilh the ordinances and codes of the city and with the state building/mechani< codes; thaI this lorm does not become a permit until signed by the BUILDIN OFFICIAL; thatlhe work will be in accordance with the approved plan in the t'!.qlC:A ""f sail .......r.... ......l...l. .__. .1__ _ _~ . ...... _ . . . . _____ ___h_'__~__. Applic:jljtJi Billl1lllure Date L=JJ -- 0 I Dale .- Rx ~ale/Time JAHH~~l(rUc) U:I~ OIWHHJ CITY OF PRIOR LAKE ~, ~~ I ~OOl Thl!' (:Ulrr., 1ft.. LI' C.~"It'7 .,. CITY OF. PRIOR LAkE . PLUMBING PERMIT . ,Applicant: ~-f,dt. /JJ4,d:.~;_....l ]~-;,c, .'.Address: --' -r"'~a t4'L?O.-H :sl;.<.~ ". Slgnature:~. ~_ '.r-- . , ..., Legal Description: Lot _ P Block . Si.leAddress: S'Id..J.. I!l,"bk~()()" Or, . .,: Building Permit If - .PID.# . 'NOTE: This permit will nol b~ processed without complete Information. FIXTURE UNITS I, HI..', !;Ie 2. Gold. '" . City , PP No.3. nO .(jcff02 . Phone:~o~ J/(, S - f';;;..:;...O ;:;';''''//11';'''''' ?h.... ' .s-!S()'2,.'L / C;ub Quantity I. "" Type of F.lxture Bath Tub with or wi.lhoul shower Dishwasher , , I I :' Quantity TYll9 of Fixture.' .:L / / L/ / : ''''J .1 ~"I J,... , . .::.,,: I Rough-ins Waler Heater oltner pe (washing machine) Ejector " Assembly (RPZ, Double Check, PVB) w, Assembly Test, . prinkler J Floor Drain , Water S LavatorY (bathroom sink) ..... ,,', / Stand Pi i Laundry Tray (1 or 2 compartment sink) Sewage Shower Stall . !lackflow Sinks ,,' . , . , Backflo Bar Sink Lawn 5 Waler Closet (loilet). , . Other. . , I' ;.~:: . ,:' . t :. Lj. , . I EE SCHEDULE I ' I ". , . '1 dustrial, Commercial & Multi-Family 1% of job cost, $39.50 minimum) . I: 3sldenlial, New One & Two Family .,'. ii 3slde~li~I, Ad~:~ions & AI.teratlons :1 ate S~rcharge ", .' $99.50 $39.50 . $ $ .$ '..' $ .50,- ....... "',.:,,;':>' ) . ,:" , , . , . .n,,;'" ,.'. ',' ": r.. $r P~\ov-i~\l ~~..... . GRAND TOTAL '....: ",! , 'I " . !'.:: '., . .. '" . . , , . ',Thi. Perinit is grililted upon lhe contractor, shall eompl~ i I r of the Stale Plumbing ( ) d ......... . .., . REJ rms Condition that said . IS, with the ordinances . amendments (he"'of. 1..,./1--() DATB . J, _ . ." ' ATTEST . '" " ':',,' ',"'. \~, i.' .'" Call for ali ins . i1s 24 hours in advance. . ~ :.;', .., .... '. . '''',,': , .... ';".., ""." ".,.: 16200] agleC~k Av, S.B. Prior Lake, MN 55372/ Ph (612) 447~98501 FAX (612) 447,.4245 '.., '. '.j,," . ,', ... " .:".' A.. C....._l ,,__........._=.... .......1.., ",,' , '_:,_"_,"___:~:_'__~~_:~__,,_____..,,"__",,__,_~,__ __ .. __ _ _ ....,'. '. . . . " . ..'.. I I': ;.", ,'. Rx hte/rime fEHH~~1 (lH~) ~Ul bjWl~W ~, ~~ I ~001 02/08/01 THU 19:36 FAX 6124474245 CITY OF PRIOR LAKE .... . "'1 'YELLOW. aplll..lCAll1' 80LII - ClTf CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. S.W.No. 00 -0903 APPLI':ANT: --.5Ia-lc..IlJ"et,m,c.( 711C, . ADDRE::S: S~ S{) I>>~ d :J~O j~ _d h""','1J" J..~ ~ --,/", SIGNll:URE:/~ /. ~/-::;'~N' ,""""'- ~ vi SITE.DDRESS:..,<J.02Y d",bf""""/J/ /j,.; J.e,. PHONE: &5/-'1.3- ?;'J.-o. ;;../r/ol DATE: 111;.,,,, BLDG. PERMIT # ~o- t' 9it:3 PID# 2.5-840-008-0 1. FILL IN THE BLANKS ,-..../l / Ii .timated length of water service .:l r ./ feet. , 2. !! lze of water service II' inch(es) . 3. Jj, )cation of any couplings tromstructure ()"n~ feet. 4. ~i'(pe of sewer pipe. ABS PVC tL Cast Iron 5. I':;timated length of sewer line c::::nl feet. 6. ~lean out (if required), located at i!: cructure . feet from FEES: $ " $ , $ ~ ~ur permit when approved. 2.-1-0/ DATE: ~!!!!!!!!=l: ,:!!!!!!!!!!!!!!!!!!!!!==!!!!:::::~ =~~~~==~=~=!!!!!!!!!!!!~~~=~~==!!!!!!!!===~===!!!!=:==--=--====~ Thisl applicatio BY I ====:! ========= _===~=~!!!!!!!!!!!!!!!!!!!!======~======!!!!==~====~=========m_===_. 35.00 .50 35.50 Sewer and water line connection permit. surCharge TOTAL * lee for either sewer or water individually is $;!1t.n plus :: .50 surcharge. * j. ewer and water permits issued for new construction must be :.: ecorded on the building permit card at the time of issuance ;:0 insure that no duplicate sewer and water permits are : ssued. ft"\O~"S't DATE' PAID AMOUNT PAID ~\~(lT RECE'PT # REC'O BY 16200 Ell; Ie Creek Av. S.B., Prior Lake, Minnesota 553721 Ph, (612) 447-42301 FAX (612) 447-4245 An Equal Opportunity Employer P R I 0 R LA KE DEPARTMENT OF .' BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ,C) L/;;< (/ ~m Iol-.p,. ,acrO Dr- . NATURE OF WORK tJ2k.J ~_ USE OF BUILDING SF,~ PERMIT NO. fJ () . OC?h. 3 DATE ISSUED /0 - '2..?- 200 C> CONTRACTOR Qu....((~ /r,3-1/'2<{- 9220 NOTE: THIS IS NOT A PER1IIIIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING J1 INSPECTOR 1&. J I FOUNDATION (Prior to Backfill)J.:.~ I ~ /1.&-1 tb I PLACE NO CONCRETE UNTIL ABdv'E HAS BEEN SIGNED ROUGH ;.INS w/c it /br, DATE I \"2. (I/!/i) SEWER / WATER / SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~'itll^- ~ ~. I k (lnl LlM...Ie-{-;J. ';i5'jo4~Jlb.- HEATING (if required) '&r. r .;J. ~((Jf L-.L.. fA, 3/5/a f FIREPLACE /,...v, h ~('~?fal ' GAS LINE AIR TEST ~ b?rc '3f616( COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED _ ~.~. ~. 1/~!b/ 1 , , " FINALS GRADING (Prior to Sodding) Nt 8_ .... BUILDING -reo -ro ?-f5-of ,,11. AJ2-~. bl ~. ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE cJI/ ii/f), . .;2 /;;..0 i 6 / ~,)./;}./A lYI j/:J..../:.h., [..,/-. /fr.;.. ,~h/o { I . 9/,,).,4"jtJ/ ~.u~ rS.J~ ~ 4/ :2,1I/lJ / 4/.:J.4/t> I 'I " BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections hav!! been approved. On buildings and additions where no service cabinet is available, card shali be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 - CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS b424- AHBl.ZV'JOOD OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ji( WATER HOOKUP o INSULATION )lCSEWER HOOKUP o FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS~R~_ t ~ , '-b "'~_, @@'& ~ I MJ hr. / /z,,[ DATE TIME 2.'[+01 4,c!D () -q(g,~ o EXlGRAO/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o (l~J-~ ()- ~ u- J(I~.L.I<......~-~ \.l~ (II ., r . \A.b (~, 11;[1 PtI('_ ~. '-10 - s-= I);T, -o-Pl o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED :s:::o:ECT f;~L FOR REINS:~::/::~:FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI DATE TIME CITY OF PRIOR LAKE 'l/~,- 9:tJO INSPECTION NOTICE SCHEDULED ADDRESS 5'1:J'I ~J~ OWNER CONTR. PHONE NO. PERMIT NO. D - 9l:JJ o FOOTING o PLUMBING RI o EXlGRAO/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING (PJ o WATER HOOKUP o FIREPLACE RI o INSULA nON o SEWER HOOKUP o FIREPLACE FINAL ~ FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECT o MECH FINAL 0 COMMENTS: S'~l' rf/~, f) /QWORK SATISFACTORY, PROCEEO o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~/ I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl crtv OF PR"IOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ADDRESS 54 'J. '-I Amble vl'lPOU Dr. ',/'(> OWNER CONTR. PHONE NO. PERMIT NO, 00/9&3 o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL )( Ex.€ilAtwFILLING o CO~NT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: " J :' .}/h &,-1.- 1'\ r br~ p(-<. - /JK- T IVI) tnd. X WORK SATISFACTORY. PROCEEO o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector~~Ao# ~ Owner/Contr: ~. CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS S4Z4- /'rn$L6 WOaD OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION t>.E.)iEWER HOOKUP A'gFINAl ~~lUMBING FINAL o SITE INSPECTION "f>MECH, FINAL COMMENTS; flOUS6 ~ polU-H N n r1.e.c.k: ::::> DATE TIME 4-z4...(JL I)~ 1ftJtJSf5 00 - 0 'f(p3 p~et!.I:/ 6/-00Z? o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o (t(J)}e\(1)flM~ IAA/1A .. e.r()~ IMptp........- .6ec..tt:d ~ORK SATISFACTORY, PROCEED o CORRECT ACTION ANO PROCEED o CORRECT WORV CAll FOR REINSPECTION BEFORE COVERING Inspector: <j), ' ()M.fJ Owner/Contr: CAll 447-9850 FOR TLE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl