HomeMy WebLinkAboutBuilding Permit 03-1585
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White
2 Pink
3. Yellow
\?./)..-[)3
I PERMIT NO. 03. / 5' ~s-I
File
City
Applicant
(Please'!vp~ or print and sign at bottom)
ADDRESS
2Jl/7
Pv.H\
ZONING (office use)
(<:/
C043U
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ;;
ADDITION
Ct.;:lis ;1!oy f'"
PID2.5:. 4-04. 0 '2-(, ,0
OWNER
(Namel,
(Phone)
(Address)
~~~;~)ER (~d J j(< &..1 C, ( 1-[; .11
(Contact Name) J')J! II(: (;". ~ t../\
(Address) 22 J-?] La;....\ ~~'i'
,7?..dck/,j (Phone) 0S'l'i(,9-1bf!
(Phone) Jt./2 . 32 rf 4 g L b
Ld4u;/le/ fhn. <ny.fI.J
TYPE OF WORK
t(J New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/YALUE (excluding land) $ J4 q ODD
o Misc.
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
s itted plans. I am a:~at the building official can revoke this permit fot just cause. F. urthermore, I hereby agree that the city official or a designee may
;tet1 th:=;:.) tj ~~inspections !Jl. '1 !i- 2-Q}
/" (/ Signature Contractor's License No. Date
,
I Permit Valuation 340.000,00 I 1 Patk Support Fee # $
I Permit Fee $ ~~ 7. 75'1 I SAC # $ 12-7'5,00
I Plan Check Fee $ /5/9. sV I Water Meter Size 5/8'(.0 $ .3o~.<90
I State Surcharge $ 170, eo I Pressure Reducer $ 70.00
I Penalty $ I City SAC and WAC # $ I '2-60 . 0 0
I Plumbing Permit Fee $ loc), DO I Water Tower Fee # $ 70 () . 0 Cl I
I Mechanical Permit Fee $ /00. DCl I Builder's Deposit $ /,500.00 I
I Sewer & Water Permit Fee $ 3S-. '>0 IOthet $ I
1 Gas Fireplace Permit Fee $ '-10. 0 0 1 TOTAL DUE t'J1uEf) 12./s.o3 $<1'547.7Q I
This Application Becomes Your Building Permit When Approved I Paid C; Sil'7- /7 ~ Receipt No. -J5F;io'3 I
~. ~ /-?j.Jo3 I Date . l'or ~D--O By 0__ I
U
I .
Building Official 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
/~;f3 /f,~ ~ial&{~'4#c5-)
24 hour notice for all inspections (952) 447,9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ ~I-J
Planning Director
.
..
Job Address
7;7J.f1C~
. .
Healing Contractor GlealW.ter Plumbing & Heetlng
Name of Tester
Date
-1Jt1/h:..-
(j - Z/t[ -0 <{
I(L--
1.0-
6fffh
IVi
Percent O2
Percent CO
,
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
,
~\
White 'Bu.i.ldlno
("Canary ,Enaineering '\
PInk ' Planning
ThrCrnlproflh.L.bCOllnlry
B.UJJ..D1NG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/1,,.. ('):;... ..::1:_
, .,--+- c::H-
/l :' ~ I
> I ...1/') i )
. ::-1.<.( I ~ ( (:7(/'.~}-\,./
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,/ p'" tr-A............,
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\~....,.".~' ....'1...'\./ L" ,c' /
;. /
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-1 /; '/'-".7
,:;:,"/', I ' 1-
.'''\
i-.,.,/;.-;:, [
>~~t:/ f~-{t.f'('t.-';~'" ;?
"
r.._
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
#4f3
Date:
/2-IZ-03
Comments: See Reverse Side for Additionallnformationl
"
See Attachments' 1) ('Tl"~rling Pl~n, 'J) Erosion Control MeaSUff""
"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."
~~
r.while . Buildinv
Canary . Engineering
Pink ' Planning
Th~ ('tnln of lh..l..kt COUnl1')
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
';<""3
c).... 'fi'-~ ~
~aA<J{b//7 &~
u
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
do? L/1- (7~c;au PtLtJ.-
,
Accepted
Accepted With Corrections /
Denied
Comments:
Q J '/'l.,
Reviewed By: _ oO(l.A~ ~
~J2 ...k....-1l ~ ~ ...........,. T-~
I"~ --d ~f~~
Date:
/c7-// s h '?
, ,
,
~
"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."
12/31/2883 18:52
5877445565
BADGER EXC
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PAGE 81
1010 II 1,,/1 'l\""..i\ ~.'\l\'"
Date Rtt'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
rr~u, tvD:! Dr DMIIDd 'lit at bon'O'IIlo)
I ADDRESS
:XI Lt., lbl.<'lCa/t
p~
I LEGAL DESCR.IP'110N (011I00... '""1)
l LOT BLOCK ADDITION
: ~:. ~'~ I PERMIT NO'3 - / 5 ~S l
'0.14 ~.... ..
I ZONING to"" ..) l
PIP
I OWNER I' I 'fl
! (N.me) L.V..r.JcJ....{lJ-/'r\ v..."S-lWn 13(~I'/dPv-_<; (Pharle);; r- ;)- </{,,'?-/{..I(
I (Addles,):::;u., ~~ h,v.c-.. ~~ Wf>U(!!( 3rulet/
loU<IIo"'! 10M (ZIo C..ul
I APPLICANT?
I (N,mt) D<< o.W'-^-
i (Adilms) X.3"1 S'
cX'cc,uc:J:;:;::.,.."
LV 7 o~ S1v.u:t-
(Ad4><..> .
(Con..'" Penon) S~ ,,--<)t. Y1"'-~
i A.PPLICANT SIONATURE ~~ ~~
(Phone) _507- rY'-(- .s ~."
L. C#'\.c. cJa.4> SS-Oyc..,
lei.,.) (l~ Code)
(phone) S u..---.-.-e
!:lATE I;l.-.!}/-O ~
APPLICANT PLEASE COMPLETE BELOW
SIze: of WILler service ...L- inches,
Location of lilY co~pJlng' from ltl1.lclllre ~ feet.
Type of lewer pipe 0 ABC ~ PYC 0 Cut Iron
E:Jlimated lenith of sewer line ~ feet.
CleM OUt (if required) located 11.:::- feet from StIUClUre.
FEE SCHEDULE
Rc:id,ntial""," &lid \II"..lilIe oOMeOllon $3~.50 '"dustri.l, Com" '" MyJti.rlUTldy 1% of job co!! with, $3UO mil\lmum
s.v..rconn.ttio" onl~ $17,50 Wiler connection onl~ 517.50
E.tim&wJ Cost S
Bulldinl Permit N, ,.- ,.
SEWER AND WATER PERMIT fEE
STATE SURCHARGE
TOTAL PERMrTFltI:
(om~r lit 0"1)'\
"
I Thll ^~pll..tion S.comu Your Build In, P"mlt Wl1.n Appro"ld
I
I
IwI4i..omllll
$
$
$
,~o PAID WITH
BUILDING PERMIT
P&I~
I ~.eclpt No,
I
D.te
16y'
rc)
DIU
H hn, n.tl" for .\lIMp,,"." (95%) 44'~9.50. f~%)q,~..?JlO3
\
,~ . ~
03/03/2004 13:43 9524401740
"J./~~/V'" .lUJ:, u.:~~ l'AJ. l:)J,Z"4/44:4~
ALTA CLEARWATER
~ln Ur' r'IUUII 1..!UU'
PAGE 02
IjfJ 001
';i~;~. :.~ .:.
CITY OF PRIOR LAKE
BEAU.l'lu/AlR COr.,....'.......ONJNGJFIREPLACE ~.t.......uT
Darek'd
~::. ~ l.~"'.~A ~O:::a...,. ~t5
.- .."...,. itiiI' . ./~'
~'t\POI1I_tlllllloia.lt_
.IfGI1 ())\A~rA JC. W+:1lli
1........~,a(_1I!IO) I
LBGALDESCR.cuV.. [o5cc_llIIIJ'l
LOT
BLOCK
AJJJ.lluON
PID
PLEAd 1'lOTE: .
Air CoaditlOIUll' Units
CalIIlat 'I11ltIoIdl intlJ
~ Side YIld
3....1..u!...,
FlllEPLAcr MA.kB AND MODEL
PIE s......w..JLE
1% of Job CO!! lteoldeatlal, GuFIRpI8=.,
$39.$0 minimum . ,. ,_.,.
Re.i_. Hc:IlIng'" Ale (N<w Col\I!l\I.ClloIl) $99_$0. llaidmtia!, Addlti...." AI_OIl'
ResIdential, HellllnI OnlY (New C6nsln&eliotl) $64.$0 Rc!idelllial, AC Only ,
EctimIlL'd ColtS 1 1.1 \1....,0'2-- I. SQ Bl1lldlng Pennilll ..._
HBATINO PERMIT FllE S .~.:<)O
STATE SUllCHARGE . S .50
TOTALPI:llMlTFU S / (7t"? 0=
!nduIIri1l. Colllmtn:ial '" Muld,FllIl\Uy
$J9.5O
S39.S0
$39.50
\. ,
(OlII.. Un 00Iy}
Dill A... .J... ,... Becom.. Y...r BlIIldllll PumlI WIle. AP1'nmd
-
'.
PlIV1
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. /'".
".-1",'
.~NO.
B._dial OR'1CiI1
Dolt
DflMR 4 2004
fly
(I
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.
ZU... nod.. '.roll i . , _.; . o. (952) 44a-llt$O, I,x <,$1) 447..0.4S
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y
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03/03/2004 13:43
~lease ~ OT Drinc Otnd siC!'J1 at bottom)
A~~1~\ (_f)A (~f1V Pfl-\-1./U
9524401 740
ALTA CLEARWATER
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1.9111.1: FlIp.
2. GoW CitY
l Vftlolll AMII:a.TIl
Pt:KMrT No.~.tS"6~
ZONING (olT"'..,")
~ DESCRIPTION (ollice u.. only)
I LOT 1 BLOCK ADDITION
.~
~=~ ~ lAr1rt \ grLV1 () ,Knyln I tiOYY1f~
(Address)
PID
(Phon4~JJ'-I-Sl-I LJ &.'
~;;;~ -Hta q;, vld1 (PhOne{~)LJUn - ~779
(Address) .lfl2la./l \Vll A~wM m. V6.Dv III Ilf ~ 2,;7_
(\ (Address) h / . (City) ).,Zip Code)
(Contact Person) J 1ASi1 /i1 ,vi }iLf- (phone) t;E2.JHY n -5771
APPUCANTSIGNATURE ~~ DATF, ,:s.-2;-OI.j
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial &. MlIlti~.ramily 1% of job COSI wittJ a $39.50 minimum Residential, New On~i(l-F"'"
2 Rcsidentinl AdllPm,. .,..-ations
Estimated Cost $llBI11"~ Building Permit # ·
, -
.-..,-r. !S'b-
.50
Quantity
'//
I
I
c...,
'4
Type of Fixture
Bath Tub with or without shower
Dishwasher
floor Drain
I Layatory (Bathroom Sink)
Laundry Tray (1 or 2 comPllrtment sink
I Shower St..!! '
Sinks
I Bar Sink
WllterCloset (Toilet)
Quantity
:l
I
Type of Fi;o:tllre
I
I.
I
I
I
I
I
l
Rough-ins
Water Heater
I Water Sottller
Stand Pipe (Wash ing Ma.chi ne)
I Sewage Eiector
I Backflow"Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other r
..
$99,50
$!9,SO.
.
PLUMBING PERMJT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$.
$
$
/.1':'/, _ ~.c::::..
(Orne. Use Only)
This Application Becomes Yonr Building Permit When Approved
RnOdln! Omtl.1
I Paid
I Date.
MAR
4 2004
Receipt No.
By
,
~--
D'l<
24 bour notl.., for nn insp.ctions (952) 447-9~Sli. f.. (95:1.) 447,4245
16200 Eagl. Cre.k Av... S.E., Prior L.k'\< l'1N 55372,1714
FIRESIDE HEARTH AND HOME
#0382 P.OOl/OOS
rPleJlIJl!'trPe t.l:r l)ri.nt.alld liieTl at I",ttom)
ADDRESS
CITY OF P&LAKE
HEATING/AIR CONDlTIO~ " /FIREPLACE PERMIT
FIRESIDR- J~",~ I PERMIT NO.o3.QlBS
Date Rcc'd
J:i.J::ART H.trJ:t U M 1:.'"
ZONING (om"
U~)
2747 COUGAR PATH
LEGAL DESCRIPTION (ollice"^" only)
LOT
BLOCK
ADDlTlON
PID
OWNER
(Name) CUDDlGAN CUSTOM
/Phone)
(Addmss)
APPUCANT
(Name) AUJED FIRESIDE DBA FIRESIDE CORNER
(Address) _,,___ 2700 NORTH. F AIRVIEW A VENUE
(Ad1rc..)
(Phone)
~,~1,633.256!.
ROSEVILLP
(Cily)
55113_
(Zip Code)
(Conl:acl: Person)
BRENDA HUSTON
. APPLlCANTSIGNATURE
BRENDA HUSTON
(phone) _651,633,2561
I t:1UJ.J02.; :>- q -0 Y
DATE
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AtTERATIONS
FURNACE MAKE AND MODEL FUEL
FUJE SIZE ,__ RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PtANT
OWlll'It\ Air PIM',
OGroviry
o Meeh.nieal
OAir Condilioning
OVen!. SYSlcm
o ST..om
o lioT Worer
o Radiation
o Spec;. i Devices
o Other Devices
PI,EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Rcquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT 1'1 GLD 6000TR,OAK
Residenr.iol, HenT,ing &. NC (New CQnSlrucl,ion)
Residential, nearing Only (New Cnn<trUCllcm)
FEE SCHEDULE
I % of job cost Rc!:lidcnti:d, Gag FiJ1:placc
$39.50 minimum
$99.S0 Residential, Additions &. AlIerations
$64.S0 ResidentiaL AC Only
$39.50
$39.50
$39.50
IndlJ"ria', Commcrci,,l & Multi-Fomily
Estimated Cost S
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit If
$
$
$
.50
(Om,e IJ" Only)
A l1.ea,rflr 10' n(,mc; ;(::':;," '''(}F-~
MPPllcatlon Bewme. Your Bulldine Permit When A'pprov~d . Paid I Recc:ipT No.
I Bu~r~~'n
~ C ' 2700 F.irv,cw Avenue Nortl1 Rosevillc, MN 55113 >h~~hl'633.2561 fax 65lj6a,..S884
.~".;;1n'i Cf.l;;/ulIdlne Ome'o!850 West Highway 13 RurnlMtle. MN 55337 Pion. ~'i7.R~().IJ"R ~"()",R~O~!lR
~,
1......
iiU~~AS!'O:I~
""""'.ON'..BIQtI15ft,l!/)flJ MN (1'lntmrflr IJ~(n~.e II 211119{)91'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Ate. PATti .
NATURE OF WORK N sr2Lc..c:,r. ON
USE OF BUILDING S. F:' · .
PERMIT NO. 03. 15B S- DATE ISSUED ll/'"2.1 (3 ,
CONTRACTOR c.u.OO;G" ~ CJ..t\~*"'- ~tblZ s. PHONE& - 3m-'lRl/II
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~CTOR
II'~
, FOUNDATION (Prior to Backfill) I ~p '--- I ,7 -t"o
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC t'1b
FRAMING rJI-1I~\tAl i'D ~f-~ '
INSULATION ~6 .').~~
, ELECTRICAL _
'PLUMBING rb S--/j
I HEATING (if required) 0=r' <3 ({ (, ({) tf
, FIREPLACE &:t- 31/ 'loll
I GAS LINE AIR TEST tA~~ ~ .p. (f;r' 5// f; j(J '1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IlA'171E /(!.JJtTUAElJ ~;VG I I
. ,
FINALS
GRADING (Prior to. Sodding) I1t1A~.I'
BUILDING /~~ 11\0'.1''1\ Id-I""\ ~ tlb
ELECTRICAL ~
PLUMBING ~ fr."~o
HEATING Vl ~l S- ( J--i.L1
I ,
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
DATE
, FOOTING
I /e~" (
I" e,'O
~ -'1...( - ~ vi
7-<':>
FOR ALL INSPECTIONS (952) 447-9850
I
I
I
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
);fl.{ '7 (tAJt., /'-v p", 1h
Of
CONTR.
OWNER
PHONE NO.
PERMIT NO.
a FOOTING
a FOUNDATION
a FRAMING
a INSULATION
a FINAL
a SITE INSPECTION
a PLUMBING RI
a MECH RI
a WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--ffJ ~OA / A /-/U O/,',eH
-Pf:-j F)(Jy,,~ .Sk/?J an.
..........
DATE TIME
S/Jvv
~ -- / (-<f' S-
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
a GASLINE AIR TST
a
g- J..'<I ~ -r /L/
~Vf1v-. A/r v..r.J.. ) . -h\..4.- ,J
u</' 1'1./1/" run';'"
r
r))Ol-/1 5'~ -"1"".-4", J
/$ 5cf
r;:,.:w I PI...-v.k. ""4,:.7_"",, I
C;l1d ... 'TJ.-y-(} O~_ d-<!vdtp(7~+
~
(v
.::-&.bJ-
~fjJ
/"'"
(' /-elM{'/' V<17-i!
v.-( J, I dJ""".i <!
[?- /-<X)
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
1I"CORRECT ~~~ALL FOR REINSPECTION BEFORE COVERING
Inspector: I Y r ~-6<< 1 Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,NSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REALm.. SAFETY!
t-J./-dI-
2 ? 17 (/Xtr:.1 (JOJ~
CONTR. -L~b/"e; 11/
() 3 ;f~'g.5
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...r'c'...,Al
, .
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(./ f'C. '"
/ Ak 4 )~..j,\
6/~ 1<~/"J'V'} / &",\u
~~~'/ tJT'
DATE TIME
$~l!l!-_LLING
o C...' ;,......rr.JT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f:, -/-t:Jw4' .f1w.,
---------
RKSA~TORY.P~
ECT ACTION AND !'ROCEED
RK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: /P ~ ._ .'}wner/Contr.
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"'$NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS ? 7 (j '7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I. ~u-<Qh,LD
DATE TIME
SCHEDULED (1- 3'O'O(
(OIJC;e.\ ~~
CONTR.
{ - I ,,1K"
PERMIT NO.
~UMBING RI
~MECH RI
o WATER HOOKUP
o SEWER HOOKUP
p'PLUMBING FINAL
o MECH FINAL
-
~i=' r7-...if^
;;l.. (\. U 1 +-:/)~ rJ\ 'IJ
d. ~ -b:tu\<. Q..-:;' ~
j. I.LJ..~.
~ ~ j\."A_
r1
o EXIGRADIFILL/NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
L{t/'l- 're't~
o WORK SATISFACTORY. PROCEED
)(CORRECT ACTION AND PROCEED
o CORREWCALL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CAL 7 9 S~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~REMENTSARE FOR YOUR PERSONAL HEALTH'" SAFETY!
-..on