HomeMy WebLinkAboutBuilding Permit 03-0692
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tv{le or print and sien at bottom)
ADDRESS
113!?5'"RiverB;rGh 'PIllet ~6.
I. White
2. Pink
). Yellow
File
City
Applicant
I PERMIT N~_ 090<
LEGAL DESCRIPTION (office use only)
LOT I BLOCK '6 ADDITION Dee'-+;'+>j J.. ,trv
OWNER
(Name)
(Address)
BUILDER 'I"'I:K \L~ L
(Nomp) ,j./' 'T[OfTIJY1 LY\c.
(ContactName)..M~ U)~!-,,,,,~k'tv
(Add ) ?-.o!3tpO .k'u.-.b--: d'iG- c:t. b+<' .to 0
ress WKl.Mlk YVlN560tM
,
TYPE OF WORK
o Misc.
Gas Fireplace Permit Fee
li'! New Construction
DLower Level Finish
Date Rec'd
/;-,;>-03
ZONING (office uso)
re;;;>
PlD;?S- 398- OIY-<'
(Phone)
(Phone)
(Phone)
'1 SZ-Cf l(\<;~ lV'Ol3
%2:-'Z2/p-47?J2-
ODeck
OPorch
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ q/,7<;0
I ,fqz. lJt:1tJ. ~
$ . '~3Z, 7s-
$ ti?d? . sr
$ 'II?, () d
$
$
I $
I $
I $
-
/#IJ,,,O
II1O,()t3
--
Lj t), fl()
This Application : __.....__~ Your Building Pennit When Approved
~~ /:J/I3',,0~
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
submi 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
;ter p theproperty,<o~~ns ,j@/JS-r,S 7 ,t;'-~O-f)3
"-' I Signature Contractor's License No. Date
V
! Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
J Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Building Official
Date
$
$
$
$
$
$
$
$ I
~ $ S; P;5?J 2jJ
I ReceWNo. r#<':7 L. I
By Y _ I
J
Park Support Fee
#
ORe-Siding
OUtility Connection
~a,oa
/Z75:dO
-
I 2-oa, 00
7"0. (JiJ
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
~~11~1> .,;, ~ 6~J'~3 ~;M~ ~,
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 Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
! Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
I Paid
I Date
_~k" 5"0'. 2..P/
(P./.1'. 0)
Job Address ~~(
Heating Contractor 4/4#-P? ,M8ff
.. Name of Tester kn.- ~
Date ,o/ry/';.$
Percent 02 J3~
Percent CO ~.4P-i
Percent CO2 i /'f'a
Stack Temp ~<() V
Combustion air is adequately supplied per
UMC Sec. 606 PI
. input /(). IN 15-rJ
/
"
,-._-.-"-'-~- ..-----..--- .~._-,.--~.'_...,----_...,'_.__._._._.-
~PR/OI?
~~
See Main File
White . Buildinl{
" c,.narv - I::.nqmeerin!:j)
Pink . Planning
Tit.. ('tnl". of III.. l..kr ('ounlry
IDJll..DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ij
1'."".
.,P,
'{
p-.
'-~r--
i.I' ~''1 )/"< U .'
: :,j VI.--C,' l~
-,
':(' -~. ::7'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'.....' '~:;: r; ,::;-
,/ ....1/ (')..../
/~'\ , , A d '".i ,
1/,'\,'.( j <..L.."/i..e""-." ~
11__L....--
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/)1& X
Date:
0-7 ~ 0 ')
Comments:
S.ff'
,
1Ylt:.t ( /oj
FrZc
"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
White - Building
Canary - Fngineering
~ - Planniii9':>
Thr ('rnll" nr Ihrl,lkf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
,/ /<~~.
/"
\,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-'r
///Fi ....-.."""' './ (-:;
. .- ~/) -'
'l/~ ',/
" ~,
-, .-(./ ....-~
'''---:-'-
Accepted
/
Accepted With Corrections
Denied
,....
Reviewed By:
~
~
Date:
0;J3~3
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."
~1
See Main File
r White - Buildiiib
Canary . t:ngmeering
Pink - Planning
Tlu ('fnlfr of lhf L.kr <.'ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J~,~
0- ~-o6
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicationforconstructio;;~tgShiS~= ~ ~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
v~
Date:
h/;3/n3
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,"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
~lease '!yp~or mint and sim at bottom)
ADDRESS
/7~ -?S- L~ ~cA'
Date Rec'd
'#2-700
~. ~ ~:'i,,", I PERMIT NO. 3- h tld I
A t"../ ,--:::c
ZONING (officeu,,)
LEGAL DESCRIPTION (office use only)
LO;z%LOCK -51 ADDITION
. OWNER DR HORTON
(Name) - 20860 KENBRlDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /1, /. A
(Name) /?'"///tZ.,.,,? '.J'/"~A~/'''~
(Address)~ ~~~,~ ~
~
(Contact Person) Aev< . (j'~
APPLICANT SIGNATURE :;:;-: ~- _ _ __
PID
(Phone)
(Phone) ~~~ 4~.-l.,,?,?;7..s-
"..c-.-:.9~ ~~~ ? ?
(rJlJif1 (Zip Code)
(phone) ~/. q~--t77S
DATE
APPLICANT PLEASE COMPLETE BELOW
,
J.!lNEW CO~TRUCTION 0 REPLACEMENT DALTERA TI<(NS .
FURNACEMAKEANDMOD~/r""'.J~. ?/a4~.y07~ FUEL,;(~ ~.".:...~
FLUE SIZE<SI'~.k~~ RE1URN OPENINGS INPUT ~......~ OUTPUT ~~, J_" ,..
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
. q~~a::>Buildingpennit #
, L:? ....... l!JJ. P-4ID
$~/ ~.//~JllDltvG 1IVJ"l'",
$ ~ .50 Pl:f:I,
$ ~ 'A4tr
~~l0~UW~
te
JUN 2 3 2003
~
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
}Ii1Yent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
-
~ lceipt No.
W
or
24 hour notice for all inspections (952) 447-98 iO, fax (952) 447-4245
8\1
Jun. 9. 200! 8:46AM
GEN~ RVAN PLUMBING AND HEATING
No.6693 P. 2424
Date Rec'd
CITY OF PRIOR LAKE PLlJ1\.1BING PERMIT
; ~~ ~~ I PERMlT NO. :2 _ J 0...,1
J. Yellow AflpWm .J t9 -( ~
CPlc.1.~C:!ypC: or1X1Dt and Si2D. atbotnJm)
ADDRESS
/738C;; RlvtR- BIROI1
fl Sf. I ZONING(cffi<eu<e)
LOT
LEGAL DESCRIPTION (otlioo "'0 only)
ADDITION6/dcr 8/- IJurLh~ft1?1'Ptn
u
BLOC!<
OWNER
(Narnp\ DR Horton Custom Homes
(phone)
902-Q'2F, -7'6D{)
(Address)' 2-O't,1.PO ~B~lt)GG C. 5,e!Do
uduvtl IG. M N 5!5bLj Lt
APPLICANT
(Name)-G4-O-"Y.- "l"mI>iJ;lB ~ ~poH-3
(Address) 14745 So Robert Trail Rosemount
(Addre.ss) (City)
(Contact Person) r YI ~i$~fL1.L ~ (phone)
APPLICANTS1GNATURE ~ ~JJ~ DATE
,',.,,'
Quaotity
}
j
I
7
}
t.
(phone) ",'_"?~_ll!.1,
M.N
55068
(Zip Code)
651-423-1144
W1VO'g
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
I Bath Tub with or without shower ; Rough-ins
Dishwasher I I' I Water Heater
I Floor Drain 11-"';: Water Softner
I Lavatory (Bathroom Sink) I I Stand Pipe (Wasbing Machine)
I LauDdry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I I Backflow Assembly
I Sinks 1 Backflow Assembly Test
Bar Sink I Lawn Sprinkler
1 Water Closet (Toilet) I Other
Type of Future
FEE SCHEDULE
Industrial, CommercIal &; Muln.famlly 1% ofJoh cOSt Wllh. $39 50 minim~m"
Residcnoal, New One &; Two-FamIly $99.50
Residential, Additions & Alte[ations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\fiT FEE $
50
1"
r
(omce U,e Only)
I This Application Becomes Yonr Building Permit When Approved
;
\
).,
I''"~
Building Official
D...
I PaId
I Date
I ReceIpt No.
I By
24 hour notic< for all inspections (952) 447-9850, fa:s. (952) 447424S
Jun. 9. 2003 8:39AM
GEN= RVAN PLUMBING AND HEATING
No.6693 P. 23 24
'.
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
(pI~ tyl?c or print 3Dd si~at bottom)
ADDRESS .
/7 ~h 5'" t!.1 veJl!." /3/ MI1.
i; ~~. I PERMIT NO. 2_ / /J-:11
J. GnJd Al'llUr:u.t U W 7 ~
p ( cSE.
ZONlliG (oflic< "'<)
LEGAL DESCRlPTION (office ..e only)
ADDITION 13/ Mt 3/
u
LOT
BLOCK
/JuJz-fr-eU 7th PID
OWNER
(N'ame) n~ U.9!'tG>R C'ust9m HQm':':'
(phone) _ qs;2 -q'e5- ,8tVl
(Address)
20&"0 ~i3i<.\:cce Or Sw.Jf',/\
(Addr=)
La~\jllle....
(City)
_0~U
(Zlo Code)
APPUCANT
(Nam~\ Gen.z-Rvan Plumbing: & Heating
(phone)
651-423-1144
'..lCANT SIGNATURE
~hjkASh fajjs
rlu.~) ~
Rosemount ~ MN
(City)
55068
(ZipCodc)
(Address) 14745 So Robert Trail
(Contact Per.;on) .
(phone)
__ DATE
651-423-1144
!.aJ~/02,
APPLlCAt'lT 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 hon
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-fumily 1% of job cost with a $3950 minimum
$17.50 Water connection only $17.50
Building Permit #
ResIdential sewer and water line eO)lnection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PElUdIT FEE
$
$'
$
.50
I
.-
i
(Office U.!I: Only)
Bulldl.~ omcial
n...
I Paid
I Date
I ReceIpt No.
I By
This Application Becomes Your Building Permit When Approved
24 hoqr notice for.1I inspections (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER #1999 P.OI4
CITY OF P lOR LAKE
HEATING/AIR CONDITIO G/FIREPLACE PERMIT
Dllfc Rec'd
F S ,..,
(Plea... 'V'f- or~ri"t IInd of"".t b"",om) IRE I D '8'::'.
ADDRESS HEARTH6-HOMEN
17385 RIVER BIRCH, PLACE S.E.
3-0tf::<
'2:~ I PERMJTNO'J ,;"p'>..1
1.j!pfionl. ~
ZONlNG [office""',
J_EGAr. DESCRlJ'TION (office us< only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name n R HORTON
(J:'hone)
(Addless)
APPLJCANT
(Name) ALUr-W)lJ;SlDE PllA.FJRESIl2EJ:lF..6.IllH 8< HOMP.
(Phone)
6S1-633-2S61
(ConTact P~on)
BRENDA HUSTON
ROSEVIT.f. P
(Ciry)
(Phone) _651.633.2561
55113_
(Zip Code)
(Address)
2700 NORTHFAIRVIEW AVENUE
(AddT"')
APJ:'LICANT SIGNATURE
BRENDA HUSTON
DATE
8127/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FJ.UE SJZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
ow,"" Air Pion!.
OGraviry
o Mechanical
OAir Conditioning
OVenL System
B ~teom
Hor.WA1.er
o Radiotion
o Speci.) De"ice.
o Other Devices
PLEASE NOn;;
Air Conditioner UniTS
Cannot Encroach into
Required Sidc Yard
Sctbaclrs
FIREPLACE MAKE AND MODEL
HEAT 1'1 GLO SL-750TR'C
Residential, HeMing & NC (New ConstnJelion)
Res.idenllsl, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas PireplF]ce
$39.50 minimum
$99.50 Resldenti"l, Additions & AIl~ra,jons
$64.50 Re,idcnti,J, AC Only
$39,50
$39.50
S39.50
Indu,tn.I, Commercial & Multi.Family
Estim~led Cost $
J-JEA TING PERMIT FEE
STATE SURCHARGE
TOT AT_ J>ERMIT FEE
Buildin~P~;';;;I. if
$
$ i,. _ .50
$ i" MUJ -., I ,003
(OfTi" U..Only)
PAID WITH
BUILDING PERMIT
i"
L.....i
This Application Bccome9 Vo"r Building P~rJlli' WhcnADDrQYed l ~'-r- ". _ -J ReceipT No.
A 11(!(lril. &: Hilllle Jec7tmt: ~c.'i n. ...,,, ,
l~} . . Builder Di1Ij,;c" 1 ~~~ ~y
~~ Build,.. Ollj'i'np ",irview Avenue North Ro(~f110. MN 5511 U'ho. .o63.302.S.6_L.Fny ~~ 1. ..81l$<l
".,",Do.i cW._ 3850 Wcst Hii!j,'tIar ri61j~l/bP~~lri,\'(~,\i;"mM~.!lP-lj~~~7~1rL~!'./'z2?2.890.5408
W1"\'r'.flrtlld~lIlll,,{Iln I\fN (".nnlrnr'fl:lr l.Iuns'1I2009D911
See Main File
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1?3eS- ~'Ve.Y B/rc.J.. -P)4t,e..
NATURE OF WORK ~W
USE OF BUILDING .:5PA
PERMIT NO. a "3 - ~k~ DATE ISSUED
CONTRACTOR ./) R. rNJ~ PHONE~d"- l/'1~;:}-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~ tel i5=Cc:3
I FOUNDATION (Prior to Backfill)v\A~~1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 1M..,.
FRAMING IW)
INSULATION !/l1/'
ELECTRICAL ,/1 ,,11
PLUMBING V V r '1- S .....i//
HEATING (if required) J,Il.# q-( ?-c/J
I FIREPLACE t/f/t" q'f'f-(f)
I GAS LINE AIR TEST 11IP' q~(7-r.f1,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.<:~e ~'"';
~
I GRADING (Prior to Sodding)
I BUILDING ,\<JMff Vl'\i\il
ELECTRICAL
PLUMBING
HEATING
DO NOT
~'I-oV\
{IVV'"
Wj//
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
q- /7-03
'1-rQ-cf);.
hie. ,
9/30/0/
IO-/...4-v;
/ HJ.--dJ
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
(lltrfifiraft of @rrnpaut1!
CITY OF PRIOR LAKE
~rparfmruf of ~uilMug Jlusprrfiou
P Final Permitted 0 Conditional C.O. Expires
.'
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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
Occupancy Type R3 Type Construction VN
Legal Description L1, B6. DEERF1ELD 7TH
Owner of BuHdine:
Contractor's Name & Address D. R. HORTON, INC.,
_ ROBERT D. HUTCHINS ~~~
./ . B~;.'y>fficial
Date: 7/ s"y 07
Bldg. Permit No,
Fire Zone
N/A
Zoning District
Site Address 17385 RIVER BIRCH
20860 KENBRIDGE CT., SUITE
City Planner
DON RYE
Date:
03-0692
R2
PLACE S.E.
100, LAKEVILLE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ /'3"J'S-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-O-I'INAL
o SITE INSPECTION
COMMENTS:
~
( /7/
\. C--{",S~
'--
DATE nME
SCHEDULED 7Jjc:~/
i2:_d~Y g;.C~ /%c e.
-
CONTR.
PERMIT NO.
03 - b92-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
------------
v</ i)
ft / e... _______
---
xJ WORK SATISFACTORY, PROCEED
/ ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNv<<m
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7.?i?-c; i"._b;;;vf"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
a INSULATION
ift:INAL
o SITE INSPECTION
COMMENTS:
~h:::L d Te:r..r-'<>
rfrs Q. r rrbw_./
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
a WATER HOOKUP
a SEWER HOOKUP
a PLUMBING FINAL
jil!MECH FINAL
DATE TIME
/ ) -/id?
~/
s/C1L
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0,.-
.
c-J~.#HoI~-+-
(/'
/-LMr
_ J. . I
_ t" / . ,
.-.
Co>
;' - J'f
,
o WORK SATISFACTORY, PROCEED
.e-C:ORRECT 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 & SAFETYI
lNSNOTl
L()-~
l7?~ el__ h(~h PC4t:-<-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT 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
;;;r"PLUMBING FINAL
o MECH FINAL
COMMENTS:
(11 re vwtJu
17Y)h-UttIs
DATE TIME
~-(;'*L
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT ~A~OR REINSPECTION BEFORE COVERING
Inspector: -f-U Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
"""""