HomeMy WebLinkAboutBuilding Permit 03-0689
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT fa -;;2.--63
See Main Fil@, ~:~y
J, Yellow Applicant
I PERMIT NO"t~3- 6N
(Please typ~ or print and sign at bottom)
ADDRESS _
11352- 'K;wr'Br-zh, ~ <;E.
ZONING (office use)
{)d.-
LEGAL DESCRIPTION (office use only)
LOT LBLOCK Ii ADDITION h&-{"~.-u ~ li1v
PID()s....3q~.-- ()fC{-C
OWNER
(Name)
(Phone)
(Address)
BUILDER ~-;) .. \ _ .
(Name) 1J 1"\ . rT])-YIOY\ "L-L c.. '
(Contact Name) ;V1,'kp V,Jo 'nflM:fktv
(Address) Z.DrlbO V.hAhr:J'I~ of-. ~te.100
)::.;~~ 't[,'.~mf) 5504'1
(Phone) q ~2-6/ ~~-7\?1J 9,
(Phone)3Sz..- U-fA-i-!732--
TYPE OF WORK
)l'New Construction
DLower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ q /) 7!;o
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 bu' 'ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter po the property to perform need ections.
\,Jt"")
':<011 D ~""V-S-7
t;:30-0'Z..
x
-/ Contractor's License No. Date
V JqZ Dad. 00
I Permit Valuation I Park Support Fee # $ f]S"o.oo
I Permit Fee $ . I I I SAC # $
137. 7 S- 1'2. 7S". 0'0
I Plan Check Fee $ '0', !>i.f I I Water Meter Size 5/8"; 1"; $ --
I State Surcharge $ Jfh.OO I I Pressure Reducer $ ---
I Penalty $ I I City SAC and WAC # $ 1"200,00 I
I Plumbing Permit Fee $ /00, D 0 I Water Tower Fee # $ 7dl),O 0 I
1 Mechanical Permit Fee $ tOIJ,OO I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ LfO.,tl<!.l I TOTAL DUE ;/5;658. zql
,
&::~ec~dingp:~;;:ed Paid ";-1' i.J:::'. 0 l2fo r-u--rv~(... I
Date 1~"I%.(j I
Building Official I Date'
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
i"U~~, 4~ r:,/tS;;'y ,h ~ ?~
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
..
.
Job Address (7lSd.- f!......,.-(l,lrrL
Healing Contractor ;. vr tNlR;./L
Name olTester . V' <3
Date ("4 (7{~ J
1!3 $%
a......'"
7,o~
3(; (;, or-
Percent 0,
Per~ent co
Percent co,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 Jle}'
input 74 ~ jfv
&~1c
See Main File
White - Building
CanarY - Enaineering
~k - Plannin!!:)
l'hr('.,nltrofthtl.akr('ountl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IJ~-I-V-d--~
/ I z / -"
(2 _ I .J
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ' !?' -
/ -/ ~
j_~,-- . UL..1..... , /a:,~,p - -c "
/'7352
.
Accepted
/
Accepted With Corrections
Denied
.'
Reviewed By:
,.
-./f'~__yt~
Date:
6/I:Sh7
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."
See Main File
CWhite - B~
Cariary . engineering
Pink - Planning
The {tnlfr of lht L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
w~
&:'/2./3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7352..- ~ Z~LJ ~/ s.c.
Accepted
Accepted With Corrections
Denied
Reviewed By:
....-;;? .' ~ :
-~, '
r
~
Date:
6./13'/03
.
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~ ('~nl~r of lh~ 1,..... ('ollnll')'
See Main File
~ - auildinQ
c;- Canary..: Engineerinp
Pink - t'.arinlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J 7 351: ~,'I/e, /3//(0 L/),
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
,-
Accepted With Corrections
Denied
Reviewed By:
Comments:
I1#JS
,
S -u. _ !'IlC(f ~
Date:
(-~ -63
I
Fr (<-
"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 CONDITIONINGIFIREPLACE PERMIT
q?lease ~ or mint and sign at bottom)
ADDRESS
/ 7.::J -5d /i3 rr"/ d /0{
r'~ "e
LEGAL DESCRIPTION (office use only)
LOj{~BLOC~/ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /7, /. A
(Name) /7'///~ 'J/'.-/AA/';-~
(Address)~ ~~A,Ir? ~
~
(Contact Person) A ez/i .4 ~
APPLICANT SIGNATURE .--;;-....... ~;___
Date Rec'd
I. Pink.
2. Green
J. Yellow
#;2;?LX:J
I
I
FII. I PERMIT N03 0 CXA
CIty . - 0 I
Appllcant
.5~
I ZONING (office use)
PID
(phone)
(phone) ~5./. 4~-'-J;??5"
~~~ ~~~17
~ (aJiIIf (Zip Code)
(phone) ~/ - c:;/~ --177,S:
DATE
, APPLICANT PLEASE COMPLETE BELOW
.3lNEW CO~TRUCTION 0 REPLACEMENT 0 AL TERA nONS -1,
FURNACE MAKE AND MOD~/r,4J ~. .?/a-4,.4~ FUEL '" ,4........:..- .e
FLUE SIZE~~...hz~.A RETURN OPENINGS - 4!/' rni>UT ~t.:; ~ OUTPUT 6'Z~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
jJilYent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & A1C (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $ .35za a:> Building Permit #
$~/ &.//~'1.6-4'D W'17t
$ ~ .50 ~NG P€
$ (7 AM,.,.
,
~~u~ ~ ;1 :~Ol~ :rNO~
24 hour notice for all inspections (952) 447-98ffly" (952) 447-4245 U
HEATINGPERNUTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
-.~,_......
J~n. 3. 2003 8:38AM
GENZ RVAN PLUMB[NG AND HEATING
No,5633 P. [7 24
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
(Plea:e cYee ororlnt and.1ie;:nat bott:oxD.)
ADDRESS .
173~;;\ RIfJd..' ~/~ Ifl SC:
; ~w ~?~ I PERMIT NO. 3- I v c::.
3" G:lJd AfphOl.l'I 'c;:) 0 t
I ZONlNG(offic.:",.)
LEGAL DESCRIPTION (olliu we only) .
LOT BLOCK ADDITION t3/~,g / !kuz.f1-c U ?1h Pro
OWNER
(Name) n~ \l?rt9"1 C"&>-- U=._
(Address)
20&1)0 ~""i<-\t:6e Cr s-n,'f\I"'I
(Addr..')
(phone) _
,La~\jllle..,
(City)
q52-q35-78M
"'jf.:{)Lj U
(Zip Cod<)
APPLICANT
(Namel Genz-Ryan Plumbing & Heating
(phone) 651-423-1.144
i (Address) 14745 So Robert Trail
i
(I, ;.A:i::n- r~ I I r
(Contact Person). --L4I' fV{C> 1'U1.A-l
".ICANT SIGNATURE C,
Rosemount. MN 55068
(City) (Zip Cod.c:)
(Phone) 651-423-1144
DATE U?/Jo/ () ~
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 required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'I & Multi-faJIllly J% of job cost with a $39.50 mmimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Pennlt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
,
r
(oruc. u.. Only)
this Application Becomes Your Building Permit When Approved
Building Officia!
Do..
I Paid
I Date
Receipt No.
I'
I
.,..,,,,.,~",'.
By
24 hour notice for all in.poctio.. (9S2) 447-9850, r~% (952) 4474245
~
.1.~....
~~r--l
Jlin. 9. 2003 3:33AM
GEN2 RVAN PLUMB[NG AND HEATING
No.6693 P. [8 24
.
CITY OF PRIOR LAKE PLUlYIBING PERMIT
Date Rec'd
I.m.... Fil.
1, (kJ<l City
l'i..na", ~pliQlltt
I PERiVUT NO'3 - 1 () ttj
(Plus!': ~e or 'Print and SWl 3.[ bottom)
ADDRESS
11.~sGJ.. I!.{f/.U'G' 6/~ lr1 Sf.
I ZONING (of!i"",e)
LOT
LEGAL DESCRll'TION (o16e, we only)
ADDITION 131M It 5/
J
BLOCX
kl2f7c!d ~
OWNER
(Name) DR Horton Custom Homes
(phone)
9t:=,2-Q'XFi -72DD
(Address)' 2-O'S~D 1Un5~1rx:<. (;r Sr€,.I{){)
APPLICANT
(Namc::tt:''''......._'D}P<:l1'1 1'1Ih'I\l-\i'"'_2 t.. l.l~""~",,:::
{..& luvi IiG put'1 C,EoL-/ lJ
(phone) _~, 1 _I.?>_' , ,,~
Rosemount
MN'
55068
(Zip Code)
(Address) 14745 So Robert Trail
(Contact Person)
(\(" (Ad4ress) D. II
U' I Ie, LS h- 17{M. ~
(). .!;~
(City)
(Phone)
651-423-1144
iflt;/OB
~
APPLICANT SIGNA11JRE
Qu:mtity
f
(
I
'l-
/
1--
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I
I Bath Tub with or without shOWeT Rough-ins
DishwasheT I . I Water Heater
I Floor Drain l2.. ~ Water Softner
Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
I Laundry Tray (J or 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assexnbly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
I Warer Closet (Toilet) I Other
Type of Fixture
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
Indus",.r, Commercllll &. Muln-famlly I % of job CO" Wlth a $39.50 minim~'
Resld'ntial, l-Iew One &. Two-F>mlly $99.50
Rcsldential, Addition, & A1t"",tions $3950
Estimated Cost .$
Building Permit #
PLUlv.1BING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
J
(Offic. Use Only)
I This Application Becomes Your Building Permit When Approved
" ,~,
\
;,
I""
Building Official
I Paid
I Dare
I Receipt No.
I By
n...
24 hour Dotice for.1I ilUpections (952) 447-9850, fn (952) 447-4245
AUG.27'2003 06:32 651 633 8884 FIRESIDE CORNER #1999 P.019
CITY OF PlUOR I..AKE
HEATING/AIR CONDITI~GlFlREfLACE fERMIT
FIRESID~ ~Zl~" IPERMJTNO.~_ (,34 I
HEARTH.&-HOMW
17352 RIVER BIRCH PLACE S.E.
~i\'\f
""~'t"
"'NESO
Date Ree'd
(Please ~e 1)( prim aJull'iiKJ] ilr bonnml
ADDRESS
ZONlNG (om<< "50)
I.-EGAJ. DESCIUl?TJON (office Ul< only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name n R HORTON
(Address)
(Phone)
APPLICANT
(Name) ALum PJ@SIDEOBA F.JEr.alDE l<R~:I.A1:!QMR
(phone)
651-633-2561
(Address)
2700 NORTH FAlRYIEW AVENUE
(Addre")
(Contact Person)
BRENDA HUSTON
ROSEYIU.F
(Ciry)
(Phone) _651-633-2561
~SI13_
(Zip Code)
APPLICANT SIGNATURE
BRENDA fllj!5Tf]N
DATE
8/27/m
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SllE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PI-ANT
OWarm Air PIon Is
OGrovity
o MecJ"nicnl
OAir Condirjoning
OVent. Sy..em
OSWllll
o Hal w,""
D R3diJ)[;on
o Speci;)! Device!
o Other Devices
Pl-EASE NOTE:
Air Conditioner Units
Cannot. Encroach into
Required Side y.,d
Setbacks
FIREPLACE MAKE AND MODEl.
!-lEA! N 01.0 SL.-750TR-C
Indl)srri.I, CommerdAl & Multi.family
FEE SCHEDULE
1% of job c"s1 Resjd~ntill.l, Gas F'jrepl~cc
$39.50 minimum
S99.50
$64.50
S39.50
Residentiel. Hooting & NC (Ne.. Construction)
Residential, He.ting Only (New Construclion)
Residential, Additions &. Alccrorions
ResidenTj.l, AC Only
S39.50
S39.50
8UI1 P"lID IA.
.DING rll'/1"It
P~!:i4ltr
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $1 .50 iC ,"[
TOTAL PERMIT FEE 51 cJ lb ~II
(Omcell.eOnly) I' . · I "7 II
!!I.G :;. _ 700J
Tilt. Application Becom.. Your Building P~r:IJ1it Whcn.ADDrqyed I ., liPoid If Receipt No.
A /fcarth &: IIddlC Jedlnl. )~-(!'~ Brnn
~ ilu;ld'"f!;j!.i!i(.~ 8ifJ2;!le_._...__._ By
'~ ." 1l"lIdln.O~'!illh r.irv;l'wAvon"oNnrth Ro,!lNnl~ ~~111 1 h~rl~~J ~J}-'~"r "-6SJ-.j3J..&l:I$4
.""",, . C".,. 3850 We,t l~i~iB'ar J,;\,I%'lt\I'j,'fjlIR,rM!1l"kH~~2j'.\'.rf'.,sm~~qJj1;~~~~2~2-890-5408
_,flruldcuUI.(O\'" !VI1\! CtJnrrnC!flr '-'<<-nst" 211f!9fmJ
PRIOR LAKE
INSPECTION RECORD
1?/()~y ijirc.A. Lrv
See Main Fi]
DEPARTMENT OF
BUILDING AND INSPECTION
/?3S"
NATURE OF WORK J/~..pJ
USE OF BUILDING .:5 FA
PERMIT NO. 0";3 - l.ct~ it DATE ISSUED
CONTRACTOR D ~ Ho~ +0 W PHON0.2~ - 4'1'3;L.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
INSPECTOR
OATE
, FOOTING W(;.J
, FOUNDATION (Prior to Backfill) ~'''' I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VlIV/ q -( 7-~
HEATING (if required) VVf / . 'f-p:t-f6
FIREPLACE ~ 1-t.~ t73
GAS LINE AIR TEST ~ q- t--~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~~~ ~~~ h/e"
~ 7/.?0r
'^^~...
.....,
(/I/{ ./
j/tp
q-2.~
q ~ j... S--tr',)
GRADING (Prior to Sodding)
BUILDING '\~"f1 iI~~a %'1-0,,"\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
VVV4
jIJ;y/
HAS BEEN
/0.-).,%-.1"'>
II - n/(Ij
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
QIrrtifirafr of OOrtupanr}J
CITY OF PRIOR LAKE
~rpttdmrnf of ~uilMng Jfnsprdion
~inal Permitted D Conditional e.O. ExpiTes
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code cenifying
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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit Nn
N/A
Zoning District
03-0689
R2
Legal Description
L2, B6, DEERFIELD 7TH
Owner of Buildinp-
SiteAddre" 17352 RIVER
20860 KENBRIDGE CT.,
DON RYE
BIRCH LANE S.E.
SUITE 100, LAKEYILLE
C trat ' N & Add D.R. HORTON, INC.,
on cors ame ress ,'h '
ROBERT D. HUTCHINS/fiJ"
. /... Bui)lllTIg O!p,ial
?/?o/Oy-
City Planner
Date:
Date:
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10 -'U--V>
ADDRESS
/7~.5L 1Z(~h,~'--I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c - Cfrr
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
W PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
V Jr 1'/N1 Olx... Y11DfZ CAP'f
o .."RK SATISFACTORY, PROCEED
P'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
UWWTl
SCHEDULED Jj~/l.-O'<
~"-';f h ..k t.. L-0
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
173~)..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
l<l"IKECH FINAL
COMMENTS:
. <;..d ...L- l' ,......~.tj
DATE TIME
'1- c,.fro/
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
IfJ.v chtd-Jt:?-'AoA-"
/
rr; /~ /7 ,~I
I \./ ,
()&r: r ra;....,,,..d.
C--/-d/P
~ I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
j CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
O<SNOTI
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH.t SAFETY!
d/oY/ TIME
//.752 /U-e.--- /S,"cL' C::A.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..R1"INAL
o SITE INSPECTION
COMMENTS:
~-
( ~/'
~ (_Il:/S-e
SCHEDULED
CONTR.
PERMIT NO.
OY-65'?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
r'/ ~
~/e- /
~
~WORKSATI~CTORY'PROCEED
o 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!
lNSNOTI