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Home My WebLink AboutBuilding Permit 03-0501 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File ~lease tvpe or mint and sism at bottom) ADDRESS Il ~8Z; ~t;"ciL Lrl~ ~. Date Rec'd c.r-.30 -0] ~. 'i;~:' ~::, I PERMIT NO. OJ -OS 0 / 3. Yellow Applicant LEGAL DESCRIPTION (office use only) LOT 3 BLOCK 'J-, ADDITION De-er.Q~J J... ~ OWNER (Name) (Address) I ZONING (ollk,",,) Il~ PID2&'- 406 .on - 0 (Phone) BUILDER -;--.., ? I I . I ,_-... (Name) .1./ .l". ~ I -l-Y\ L (Contact Name) qe.V-L- !f!.r.d:.\VV'- , (Address) LDBlrD ~K: (r cot cle .Ii){) Lak'u/dlt. Ml'\ t:F.olJ~ TYPE OF WORK 18' New Construction oDeck oPorch o Misc. DLower Level Finish (Phone) ClS2-'1 IlS-7 EOl-l (Phone) ~'Zr~'2..I/ 13"'~ ORe-Roofing o Fireplace DAddition DAlteration PROJECTCOST/VALUE (exc1udingland) $ q9, 211 ORe-Siding OUtility 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 local laws and will proceed in accordance with submi plans. I am Itware tha e building 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 rfo d insPI~ons. X (~ )..{c-.;;. cXdcvgS-7 L/-"}.(J-()?, S gnarure 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 I Gas Fireplace Permit Fee 99000.00 $ '9GiP 7~ I $ to 4/.39 I $ 4-q~7J I $ I $ I $ I $ I $ /00, .. () /U() .0]) 35. ~-D 4-0. vo This Application Becomes Your Building Permit When Approved ~; 9-~P $'/..;l--h,7 Building Official oate $ 850.00 $ / Z 1s.00 $ 7- f7J . Cfl) $ t/(' () cJ $ /. io () .() 0 $ . 700. {)v $ /500_0 () $ '{ . $'7 rlrJ..l./4-. I PaidS' ,. //,/.; 3./y I Receipt No, {~...5q:6 I Date .'f-~-o_~ Bv ~ - U I Park Support Fee I SAC I Water Meter Size5/8"j 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # # # 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 documen' ~::th: :ry PIann" constitu~s a tempotary Certificate of Zoning complian" and a!10w:;struction to commence, Befote accopancy, a C,rtificate of Occopancy must, _' ~ ~.....(J~ 5p/d3 A'-4.iJ aD _,: 4..... -1-...0 Planning Director Date Special Conditi~s, if any - -----.--..-.---- 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 .. " .)00 Address Heating Contractor . Name of Tester Date Percent 02 Percent CO lIP Percent CO, Stack Temp /73 i? 5'" kkrk t.f #4~ ~C!L At;c/~ \3. Id~IaJ B.Yl., _4-;.; 7,{% 3(~ q::: Combustion air is adequately supplied per UMC See, 606 y~ input t, q tla1 i) T<.I ~~ ..... wnlle _ - ~Ullaln..9) Canary - I:ngineering Pink - Planning ThO' ('..nl.-. nlth..I.lk.. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKL/SI NAME OF APPLICANT APPLICATION RECEIVED D. R. Horz.;mrJ lU 4-,.:50 - 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 11365 D55i2-FIE:LD oelv~ Accepted Accepted With Corrections ~ Denied Reviewed By: ~ Jtj;~ ?~ Date: S/,;-!tJ.:s t:U.f ~..:; -:'10 , 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." ~~ White - Building ~ - Enaineering C Pin~_ - Plannin9':> Th~ ('rnlt. of Ihr t..kr <.'ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~/. i, U , .'( ! i rr /\-.1 APPLICATION RECEIVED (~-l -','- / ') -~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i j .~i._/ )i t fL C\".--, L"-!-, f\_ t~ Accepted v Accepted With Corrections Denied Reviewed By: ~ ?<12-<-()f-J Date: 5,9/63 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." ~~ White . Building ~v .. t:.llullleennlt"') Pink - Planning Th.. ('rnlp, of lh 1._A<..Councry BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT [), (~ I I " " ~ ) t- U f(- TD 1"-1 APPLICATION RECEIVED fJ c:.i ?(....' ,.-, ~'--') -.-J '-.-- (,~~; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1'-1 ;- .-;:.. r:- 1', 'IC' r ic!,C,' L (' (, ," ":' II ;,..-- . __ c' --./ L.' - \..-' I I ,c, __J-' (_) k_ I \/ t~~ Accepted x Accepted With Corrections Denied Reviewed By: .IJ14- is Date: Comments: See Reverse Side for Additional Information! b- 5'"- c9~ /YJDf I \t1 h'/( See Attachment": 1) Gradin2' 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." ~~: +'NlYES01.... CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd .#'7/33 ; ~;,~" ~:;, I PERMIT NO.,:? ~7 0/ I 3_ Yellow ApphCIIllt ") (Please type or Print and sim at bottom) ADDRESS /7575 L/eL/k/c:/L2 ZONING (olliceuse) ~~-- LEGAL DESCRIPTION (office use only) LOT3 BLOCK ,-:7( ADDITION PID ~':e~RD.~. Hor1on f\u.sfum (Address)dO&too ~hric:\Qp. (!-t.- .J ' APPLICANTA II' t M h- (Name) I Clt1 e~ ..L-tM, (Phone) 105/- 45:L -rf?775 (Address)3{p5cJ l<le.nnebe.('J:x,- Sfp #/ j.~QfJQn 55/.2-2. (Address) v (City) (Zip COde) (Contact Person) ~r-Pr Z;l'"l1ffiprj'l').l~,n (Phone) 1/)51-~~/)- bl77f5 17.&~ DATE Home..... Lo.kevi IIp. (Phone) C(5a - q '?0 -7~7.2.. 550~J..1 Mf\) APPLICANT SIGNATU v 'V APP ICANT PLEASE COMPLETE BELOW [0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL 1>r~+- 3~A-vll?llL>; () FUEL I'JClJUl'lA I FLUE SIZE 't'lcla.S'D "'B.... RETURN OPENINGS '4- INPUT ,O,ceo OUTPUT 5lD.f)O 0 TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical ~ Conditioning ~ent. System o Steam o Hot 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 I % of job cost Residential, Gas Fireplace $39,50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential. AC Only $39.50 Residential, Heating & AIC (New Construction) Residential. Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ LJ/ &..u7c/"r lJlJll.~-4//J~ $ ,50 '1lvG p"I'f $ (7 'l::11A,frr- (Office Use Only) This Application Becomes Your Building Permit When Approved Paid IIni ~ @ r,~ ~'7Rr:!1'., ..lNo. _ .IItJ 'L~l.J \ J ~ i; Build;ngOmclat Date Date I~AY 2 1 ?l~~!:j r 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ! By - .._.__.. =J ~~ 1/R/O-!, , 5 ?" ~\ ~. u LJ~ m \"-;;';;:,.~:'~~eso"," ~~~~~~~:; May, 2, 200111:14AM GEN2 RVAN PLUMBING AND HEATING No,I881 P 7 II , Date Rec'd CITY OF PRIOR LAKE PLUlVIBING PERMIT 11\1\111 File ::., ('.old Cit}o ~,YoN~w Appji~ [PERMlTNO. ~-5D/ I (PlasE ~ or priIlC and $l$!n at bottOm) ADDR:ESSI138'S- ~R-J7-e{ot ~3E- ZONING (oiE,,",,) I LEGAL DESCRIPTION (office we only) LOT '-~ BLOC~ ADDITION b.eee-f7f1cl Cf/h PID 'OWNER (Name) DR Hort:on Custom Homes (phone) rAddrc"s) 9S2-Q'if>=: -'72D() 2C'S~D KeI1l?)~t~ CT Sre IDO utfuyd Ie:. j,1.AfJ .scoi-J t.J APPUCANT ~amet~.;l,,:':":_'9~~":]'" P1HTrI'hi'l"tg ~. ~e::.~riu;:. (phone) ,,,,_/.?"_'1~~ Rosemount MN 55068 (Zip Code) (Address) 14745 So Robert Trail (Address) (Contact Person) ~'bY(j ~ tJ Ft1 ( I ) . APPUCANT SIGNATURE 1) J 1 t;':J;j --:ff Pi /) I I I I ~ I Quantity \ ( ;).... I I )).. (City) (Phone) 651-423-1144 '.'.__" DATE '5---,?- --O~ APPLICANT PLEASE COJVIPLETE BELOW Type of Fixture I Quantity I Type of Fixture Bath Tub with or without shower I I Rough-ins Dishwasher l ' Water Heater Floor Drain I I Wate; Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (lor 2 ccmpartment sink I Sewage Ejector Shower Stall I Backflow Assembly I Sinks I I BackfJow Assembly Test Bar Sink I I Lawn Spiinkler I Water Closet (Toilet) Other . I I I I I I I 1 FEE SCHEDULE Indu.tl'1a1, CommercIal & MU!I1-falmly 1 % of Job cost wHh a $39.50 minimum ReSldenbal, New One & Two-Fa,mly S99 $0 ResldectiaJ, Additions & Alterations $3950 (Olli.. Us< Only) This Application Becomes Your Building Permit When Approved Estllllated COSt $ Building Pelmlt # PLUMBlNG PERMlT FEE $ STATESURCBARGE $ TOTAL PERMIT FEE $ I3lJll.~-4ID Wn-J . '1NG p." , ,.., 'l:11A,frr .50 Building: Ofl'icial Date r ~i ~ @ ~ 0 ill l; I D\~I l:u MAY - fi ZOO 'Jpt No. I ifW 24 hour notice for all iospections (%2) 447-9850 fax (952) 4474245 By May, 0 2003 1 i: 14AM 'GEN2 RVAN PLUMBING AND HEATING No 1831 P 6 II ., Date Rec'd CITY.oF PRIOR LAKE SEWER AND WATER PERMIT i ~ g~ I PERMIT NO. .";;l_LC) / ~. ~1d AppllbU'lt .7 .;::> (}'Iease.!Y1'C: orprmt and si,e:n at bottom) ADDRESS 116cgS- ~reAJ O~Se:> ZONING (oJ'liceI.l1e) LEGAL DESCRIPTION (offic< u,e only) LOT ,?, BLOCK ~ ADDITION~K-. Frer.d Cf.cff/\. PID OWNER (Name) no u__>__ ~ u__o_ (Address) 20 &(,0 KeYi~i<-\ SY:::e C:r .'Sn? .J i'>l'. (Addms) (phone) _ . La'u~IIIe... (City) o/.J2. -q a5- I R lV', &j(:.QWU (Zip Code) APPLICANT ~~e) Genz-Ryan Plumbing & Heating (phone) 651-42.3-1144 (Addr~) 14745 So Robert Trail (l, CA.ddress) LI (CoJltactPersoo), (;//] y({~h ~0--U \ "XANTSIGNATURE~~PI/l , . r Rosemount. MN (City) 55068 (ZIp Code) (pbone) 651-423-1144 DATE t::>- 8--0.:::<-.. 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 sewu and water line connection Sewer cOlUlecUon only FEE SCHEDULE $35.50 Industrial, Com') & Multi-family 1% of Job cost wIth . $39.50 minimum $17,50 WatercoonectioJl only $1750 Estimated Cost $ Building Penn it # SEWER AND WATER PERMIT FEE STATE SURCHARGE l'Ol'AL PER1\1IT FEE $ $ $ 503lJ PAID J.1n.... _ 1l.DING -;;;,., ) r;:'RMI7" (Office Un Only) I This Applkation Becomes Your Building Permit When Approved l,..,,, Bulldl.g Offici.1 ..Wi ReceIpt No, ~r~I-lmrs] ~ L; u U ~_. ly Date MA T - a LUU3 U 24 hour notice for .n i..peetions (95:2) 447-9 fax (952) 447-4245 (I' By CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please tvDe or orlnt and sian at bottom) ADDRESS ~;;:" ~:~ I PERMIT NO. .--::z~ rD' II 3_Yellow Applicant J .::;::/ 17385 DEERFIELD DRIVE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name)---Al.LTED FIRESIDE DBA FIRESIDE HEARTH &. HOME (Phone) 1\5] ,633-2561 (Address) ?700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRFNDA HUSTON DATE ZONING (office use) PID 55113_ (Zip Code) R/1R/OJ 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 OGravity o Mechanical DAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation D Special Devices o Other Devices FIREPLACE MAKE AND MODEL HEATN 01.0 SL-750TRC 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 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ _50 (Office Use Only) This Application Becomes Your Building Permit When Approved ,1Tl.;:' IIU ;? 'i I'I! I',: Li]~ ISf b LJ l:J Lb I i'~at~UG 2 1 2003 , Buildine Official Date 24 hour notice for all inspections (952) 447- !!!~. fax (952) 447--4245 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 BU PAID WITH ILDING PERMIT 1 R.eceipt No. ! By rr- -, PRIOR LAKE INSPECTION RECORD i!.. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ NATURE OF WORK ~A USE OF BUILDING ~A , PERMIT NO. DAr~ ]$SUED CONTRACTOR W PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I IV. ~ )A-~. l I FOUNDATION (Prior to Backfill) I t/YY'" / V\fV? I C::3-eJ] / ~- /I-fj PLACE NO CONCRETE UNTIL ABOVE/HAS BEEN SIG,QED ROUGH - INS IlIlIN\ I b Jt'f// t/lY 1M! SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING Uf..,) Vv(J ('/IQ-6 HEATING (if required) '/w-<d ~ 'y11' FIREPLACE GAS LINE AIR TEST C-IIJ-c/J :?r p(.---Q'( (,< - J-C-ii> , /,t1;Y? f/!/P ~ S--I tf-rJ'> ~-j..(~ go- - L. /-u1. GRADING (Prior to Sodding) BUILDING 'f-{.....t? lMhl ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ;1(Z.5 I v. 'f_ V .##- Lf- J~-Q'} - .. 7/Sd/~Y to.. /.S'-(/1, OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE - - I/W' /U/' /0- >---03 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 ~ @rdificafr of OOuupancu CITY OF PRIOR LAKE , ~tpadmtnf Df IiuilMng ~nsptdiDn %Final 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: Use Classification SINGLE FAMILY Occupancy Type R 3 Type Construction VN Bldg, Pennit No 03-0501 Fire Zone N / A Zoning District R2 Legal Description L3. B2. DEERFIELD 9TH Owne, of Buildino Site Address 17385 DEERFIELD DRIVE S.E. Contractor's Name & Ad<:ta.,R. HORTON. ;~S.:./. 20860 KEN BRIDGE CT.. SUITE 100. LAKEVILLE ROBERT D. HUTCHINS /#-':;Z City Planner DON RYE <?h.-?B~~cial v Date: '/ / ' Date: . DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED jo- J-tJ;l AODRESS /7 ]g-;~ fJ.u.rh..J J OWNER CONTR. PHONE NO. PERMIT NO. 3~ GQ{ 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 EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: J{Mf[V<- ~G#lf?$' o ~ORK SATISFACTORY. PROCEED JOf"'CORRECT ACTION AND PROCEED o CORRECT ~RK'lfLL FOR REINSPECTION BEFORE COVERING Inspector: ( vr / {O ~ Y 0 ~,"er/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COPE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI tNSNOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 173 '5s Ot.~/~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o IflSULA TION I!I"FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL .Iil' MECH FINAL COMMENTS: ~ ..j.. r ,..,....'.5 a~ d,,_fll17 Wf-t'Wf ,.,-- , </-c-t? t/l1t; I DATE nile /(),/.('-P!> 0... '3 -,s-O( o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o 11- Jd-t73 o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: t1P 10'/'1_ Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. uaNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE nilE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED IOJi-aJ PHONE NO. /73 g___C; Darr:t?J DfI~ CONTR. D R !-It?,- /r;"" PERMIT NO. n?,-50( ADDRESS OWNER D FOOTING D FOUNDATION D FRAMING D INSULATION ~NAL D SITE INSPECTION D PLUMBING RI D MECH Rl D WATER HOOKUP D SEWER HOOKUP D PLUMBING FINAL D MECH FINAL Cli( EXIGRADlFILLlNG D COMPLAINT D FIREPLACE Rl D FIREPLACE FINAL D GASLlNE AIR TST D COMMENTS: h/'tiYlp_ (Y) It ( I J I h f?,o~-{ 0( iJ( WORK SATISFACTORY, PROCEED D CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. #~ Owner/Cantr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """"" DATE ~cft~ /73~ ~c?r4/d a CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNOATION o FRAMING o INSULATION ...8'"FIRAL o SITE INSPECTION COMMENTS: ~ / /? "- C7 tDs-e TIME SCHEDULED CONTR. PERMIT NO. C8 -S'(:) / 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 GASLINE AIR TST o - ../1/ ~ r/e / ------ NORKSATISFACTORY, PROCEEO o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/ IIiSNOn