HomeMy WebLinkAboutBuilding Permit 03-1233
(Please .!.VO~ or Drint and sign at bottom)
ADDRESS
_/!P 4!lA
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
See Main File:, ~::y
3. Yellow Applicant
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I PERMIT NO. 03 -ll3j I
77 M:8FP
~r
D;et vF
LEGAL DESCRIPTION (office use only)
LOT71BLOCK 3 ADDITION TiMReR- ~ PA;-Rk
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
S4-M.'C
Cv T:2- 'T
TYPE OF WORK
DMisc.
~v
73/ A-:-<'C J..J-Ic'D
(Phone)
J ~ uQ:::.F
/40
ZONING (office use)
PuAJ
Pro .fL;- C/O:)..- {)~c:;-(,'
/",,<}- </~~-~"
~G,tsh.1 M N.
(42 -2;21- 'r&l;8S-
ORe-Siding
OPorch
OAddition
DAlteration
'}o/ O'1~
DUtility Connection
PROJECT COST IV ALUE (excluding land) S
Of), OCZJ,-----
$ , l' 2~. ? 5
$ /"m. t...f4
$ liS . ~
$
$
$
$
$
/00_ -
'1&0.-
'35,,5" {)
1./0. -
This Application Becomes Your Building Permit When Approved
~ Construction
DLower Level Finish
9/3,1;7
i 'Date
(Phone)
(Phone)
ODeck
ORe-Roofing
'ipUL-1C- I+~E:"'S
f31s- No'f2:Tlf-WF""T
D Fireplace
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 y""'y....) 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 building OffiCIal can revoke thiS permIt for just cause Furthermore, I hereby agree that the City offiCial or a deSignee may
ent~eruponthe~~if)l"rfo~~spections// / _ /
X % ~';----f~~ Bt!- - /37/ l?'//~/OL
"v "SIgnature - Contractor's License No / DMe
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
~.
.
1'dp
Building Official
I Park Support Fee
I SAC
I Water Meter SiZ~; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
S3/-?-,~ q
q /7-u7
#
#
#
#
$ -
$ 1;:)1S.-
$ ;Lf)l)....
$ 115--
$ 1;)..00.-
$ '7~,""'"
$ ----.
$
~31().fD9
I?~'
~f<?C&
This is to certify that the request in the above application and accompanying documents is in accordance with the City~~dinan~~~y pr~ceed as ~'tThiS document
~hen signed by the City Planner cons~tutes a temporary Certificate of Zoning compliance and allows construction to ~Ceefo 1 V l~lnficar 1 pe must be
~. ~ ~bA3
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
~~~\
See Main File
White . BUildins
reanarv . ~!,a,"eer,"lJ.J
~1IIf\ - Planning
Th~(-"nlrr..flh..I..bC(J"ntry
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ~roposed at: /, .,',
/ / I,' /::> C /? /,,;. ~ (/'1" ,.,--f- I \'h
. v f/' 7 (1 ...c..'1.1'-/ r,:'-.).Y>z.-.. '-J/i...c-...........: ~_~.,. ,-...
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/Y14i3
Date:
/ - 2 -0 ]
Comments:
.Sa /fIGfI'A
.F, 'I (
"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
While . Building
Canary - EnQ.ineering
rPlnk ._' Planning;>
-
Thf Crnlnof thr I..kr(.ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ /..../ /", .=-.---
~.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.
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,
I
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Accepted
V""
Accepted With Corrections
.&
Denied
Reviewed By:
~
,
=1.fL-"tJ~
Date:
~d~..?
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
C White . BUild~
Canary . Engllleering
Pink . Planning
Thr ("rnln of Ihr I".kr ("ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C{J/.t.J1z..
9' --/t/-.0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construc;o~ a~v; ;hiCh~S= ~-r ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
-:ku'J~
Date:
~h;iJ J'
, ,
"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."
Sep 03 03 03:06p
,
1-
2.
3 .
4.
"- 5.
6.
METRO GENERAL SERVICES
763-428-2S68
p.5
GaUlt . F'U:
YELLOW. A'PLlCAN'
GOLD. CITY
FAy...
CIT~ OF PRIOR LAKE
SEWER AND WATER PERMIT
951J. 'II/7-,/"L/,r
SOW No ~ -----I ;2 5 3
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SEP 0 3 2003'
APPLICANT: (h C:-JR() (~E^)ERAj _ Sr=R.VUfRONE: rb3 -4-d-.fJ-d-.'131t
ADDRESS: .5'7Q 0 ~ uAIl"1 Ad€- NE: rive DATE: SEP 0 3 Z003
~\ '>1\ "~(' -If-\-. $1 rn 10-11 1-\F- L --"''1S'EP~'!l1l1lJ
SIGNATURE: alJo_&' ~"QJV - BLDG. Pl=:l<MIT #
SITE ADDRESS 7-1.1-.r+ qg 7;;:f2.A.f2I'vC~~. PID#
FILL" IN THE BLANKS
Estimated length of water service
6,.,
feet.
Size of water service 1"
inch(es).
Location of any couplings from structure
() feet.
Type of sewer pipe. ABS
PVC L/- (f Cast Iron
Estimated length of sewer line
5()
feet.
Clean out (if required),
structure.
feet
from
located at
NIIt-
==================================================================
This application becomes your permit when approved.
BY
DATE:
========fJ~/~:r=~~~=============================================
FEES: ~Y4 Pe~M,f- Sewer and water line connection permit.
Q ~~.;~'~~ Surcharge
No neS- TOTAL
-."..----
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
Sewer and water permit~ issued for new construction must be
recorded o~ Th~p~ilding permit card at the time of issuance
~o ins~jt~~ ~\,jd'upl'i.. cate sewer and water permits are
~ssued _\,:, ':'J :i'c;:J'i .
L""'"", ;" , "
DATE.:J'AID It:\ SEP 1 8 2003tJj\
RECEIPT j/~u "---J
, l:Jy------:;::::::::--~..
,t ,~
*
AMOUNT PAID
Dr ...~AID WITH
-- . -.P~t"'\
r '-..~/..'. ".0--.,
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1-
7j
REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('75'2) 447-4230 / FAX ('IS2) 447-4245
An EDual Oooortunity Employer
Sep 18 03 07:46a
METRO GENERAL SERVICES
763-428-2968
p.5
GIIUII . "'E
nuow . APPLICANT
QOLD. en"
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
'152.r 1{'17-'/'Z,I/.4"
S.W.No. 5 -f;2 3.3,
FAy...,
NOTE:
Sewer and Water
contractors must
be registered
with the City.
!lEI' 0 3 'l003!
APPLICANT: fh C-JR() (~EJtIERAi SER-VIC-F::OOONE: rb3 -4--d,[I-d,"13g
ADDRESS: 57q 0 Gl uAIYl AI/€. NE: rNC DATE: SEP 0 3 Z003
~\ \f\ ~r ------IP.---, sr: rn iC-li A{;L ~q;:P~-?l\Ill,1
SIGNATURE: alJor+l~, <2.-lV BLDG. P!:~IT #
SITE ADDRESS~-If,.,tJ- qg'13!JOYJ1l~"d~. PID#
,FILL, IN THE BLANKS
1. Estimated length of water service
5",
feet.
2. Size of water service 1"
inch(es).
3. Location of any couplings from structure
n feet.
4. Type of sewer pipe. ABS
PVC ~(I Cast Iron
"-
5. Estimated length of sewer line
Sn feet.
6.
Clean out (if required),
structure.
located at
tV/it-
feet
from
==========~=======================================================
This application becomes your permit when approved.
BY
DATE:
========I?~/~=~~~=============================================
FEES: ~09 Pe~M,f-Sewer and water line connection permit.
~__~~~~ ~~~~targe
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
.
\...-" '-
RECEIPT #
Sewer and water permits issued for new construction must be
recorded on the bu~~g_ing_permit card at the time of issuance
to insurer that no, duplicate sewer and water PArmi ts are
issued., ',. 8lJILD;~D WI"'H
DATE.:,P.AID SEP 2 ~Z003 AMOUNT PAID ' G ~~
CD ~rr
REC'O BY
*
....." ".'.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('152) 447.4230/ FAX ('152) 447-4245
An Eoual Oooortunity Employer
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PU,TMB(NG PERMIT FEE
STATE SURCHARGE
TOT.U PER."lIT FEE
(omell: r..:.IIC" Ol'lf~l
r;'i.~ Applic.:lCorl B<C:Qmtd Your BuiIdia;: Pennir. When. Approved
Buil4;~C om~j
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BUILDING PERMIT
I P~id
f' Dace
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IN I OJ:JN ! E1Wrlld/.3lll:i(l
~S:60 ~00c-80-1JO
12- 5-03; 3:16PM;
;952 894 0925
# 4/ 4
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
:;;:.. ~::y I PERMIT NO. -:2..J-" ? ~
3. Yellow Appllcut 0 11.7'- J Y
I
(Please'!ype or print and siJtD, at bottom)
ADDftSSLf q?; 17 fYI be-v Cresf Dr.
ZONING (0_ ">oj
LOT
BLOCK
ADDITION
PID
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(:;,'
t",t
I
LEGAL DESCRIPTION (office ose only)
~=~R Pvdk ~ S
(Address) 'l'\ '? 1\fl;0 P [Wt1. " 5 I"He I U 0 I
(phone) (p 5 (- L( 'i;< - '7.)00
caqatl, tv) I'J 55 /:2(
1/
APPLICANT
(Name)
(Phone)
cj:
- "' I\." - "- AI" L' t"
~"'III~"h,o,;,. .l:..:.'.:.',-.~-. --
12481 Rhode Island Ave. So.
;:;"'<>l:I~,,~1Mssr::7: "12;l (City)
(Contact Person) ~\ \)v\....-\. ~ (phone) Cf'5;) -_ <<9 cf
APPLICANT SIGNATURE Au~ ~ ~ ~ DATE
'- J '--1
. APPLICANT PLEASE COMPLETE BELOW
,
XJNEW CON,STRUCnON 0 REPLACEMENT 0 AL TERA nONS + '
FURNACE MAKE AND MODEL l(;11/1 oX G 5/ m p.- d cfPr 0'1 0 FUEL IUt.t - qCl5
5 INPUT 70. OOD OUTPUT (ocr, Lf 00
(Address)
(Zip Code)
r c:tJO 5
\2'ISI0~
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential. Heating Only (New Construction) $64.50 Residential, AC Only
,1 0(,.')
Estimated Cost $ '-/, DC.D - Building Penn it #
$39.50
$39.50
$39.50
flEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
IV / /j - ?d-. 'O<"'j v,u-:..Il-"",
, ~~t Wi~~\i
~ O\t-\G fI~ ,
I paid .. ReceIpt No.
I Dale DEe 8 2003 By if
v
(Office Use. Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447.9851f.'t~x (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DEPARTMENT tSee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I' '1ft Ti",J,ey c.1I"e$ 1- DI-
NATURE OF WORK ~
USE OF BUILDING ~14
PERMIT NO. O! - DATE ISSUED. _
CONTRACTOR ~ PHON~'A. ~a/" ",qgs
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 'Y\<l",,^ I
I FOUNDATION (Prior to Backfill) 1\1",,, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS ---.
114/
JIW/
I SEWER I WATER I SEPTIC
I FRAMING WI '---
I INSULATION
ELECTRICAL
PLUMBING
I HEATING (if required)
I FIREPLACE
I GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
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GRADING (Prior to Sodding)
BUILDING 'kool lMl-t1 tI,..-j-o<-(
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
jIV~
lfV07
;;. - r.o"/
J-. /q-D3 .
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
<tlrrfifiratr of @rtupanq!
CITY OF PRIOR LAKE
~rpadmruf of ~uilMug Jjusprdiou
)If Final Permitted C Conditional C.O. Expires
This Cert(ficate 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 FA/HI. Y
Occupancy Type _
R3
Type Construction
VN
Fire Zone
_ Bldg. Permit No.
N / A Zoning District
PUD
Legal Description "
L29, B3, TIMBER CREST PARK
Owner of Building
Site Address
16498 TIMBER CREST DRIVE SE
55121
Contractor's Name & Address PUL TE HOMES. 81;; NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS /#~ City Planner DON RYE
9/:;;;.71~~1fis?l Date
/ / 7'
Date:
~#'ME
~/er ~~S;/ .d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/b ~?%
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
.,A:H'INAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
COMMENTS:
CJ 3 - /..2J:$
[J EXlGRAD/FILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
--------- -----
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XWORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
:S:O::ECT ~R RElNS::::,::::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IJal<<Jn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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11 "'1 f-.-~rl:.r-"f'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It. <{cry
OWNER
CONTR_
PHONE NO.
PERMIT NO.
$ PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
WMECH FINAL
o FOOTING
o FOUNDATION
~RAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(7L ~'" rl
_tV r2aJ-1- f
~o (-<, M~v1 r
(<,) s -r- "'-4-1'7 ~Lb"-/iS..f
--.../ 1/J /J ala/...
DATE nME
S-IL'],7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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-
o WORK SATISFACTORY. PROCEED
, CORRECT ACTION AND PROCEED
10 CORRECT WO~'IIC~OR REINSPECTlON BEFORE COVERING
Inspector: II 1/(/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
l/11SNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
5' (J..3)
BUftNSVILLE
,
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for Job# (''I''; I
Address lloLf(' 1,-,,,\ t', ('It:-\- Citv -h; ,. . \.,-\'--
Occupant
. Date of Inslall
Type of HT. F/A /'HW Space HT Unit HT
Other
Make
Model
Serial
Input
1_. ""Cy
{:,-'j ({lir. ~/../ - () 7'(] - () I
5'eO? 'IV, 3()L~-<)D
'I(;J,p ,'DC.>
Pilot Type HOT SURFACE IGNITOR
- 5 D'"
Pressure -;? , CO2
,- ,- /,-:)
Input CFH C,l, Ot! ,
'.
S1ackTemp C;~ CO '-I ,./ 'V\
r
Date Tested
Company
Technician
;)hk'~/
BuFlNSVILLE HEATING & AIR CONDITIONING
:J(l~J, I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!(/{q>/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o 91SULA TION
Jl('FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 7 - / _ocl
-/
1. VI1~l""" ~. Vf'<..+-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~. I p,"I/! ':r",j,
S:icl~ lV..1e
~ <;0-1 ~ ~off'<;
.!J.1*'
'" /,7# 'ZVa !
f?-
(/~...;7 OW/-,,(
I
's -1.2-3 ~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
dv-l,;'?~
q- /-tJ t../
/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~A'70R REINSPECTlON BEFORE COVERING
Inspector: -It.../L;/ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
"""""
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?fl-oG(
, I
ADDRESS
/tllqy
tfi""'~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 -1J-3'"'(
,
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
~LUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CQMMENTS:
!V~eMaw
~C407
V
f!l WORK SATISFACTORY. PROCEED
f CORRECT ACTION AND PROCEED
o CORRECT ~O'J~L FOR REINSPECTlON BEFORE COVERING
Inspector: r 1/ r Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""