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Home My WebLink AboutBuilding Permit 04-0072 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Ree'd I. 22-,04- (Please type or Print and sign at bottom) ADDRESS ~ ~ J) '1 ~ net' t.... ! Whl" FII. I PERMIT N(' zI- 2. Plok c"," 04 007 3. Yellow Applicant .. f) \R.+1L.. \ 1~IO(L L+I<G) A11U I ZONING (officeu"j ! I< / LEGAL DESCRIPTION (office use only) LOT!l. BLOCK I ADDITION W ( L. 9 c;: to ~ /J{)P J TJ ~ PIDZ5. +tZ,()03, n OWNER (Name) ~ 1>~).1h J (Phone) (Address) BUILDE~ . D a (Name) M\~~Or '!>fl.ol"J.lE/l.~ .)S~ " ~d~;-- ~-- (Phone) ftJ,S'I-1'2."L -1./1'10 ( ) ,,~~'z..'2..-?,?" J . FAx (Contact Name) (Address) TYPE OF WORK ./ ~ew Construction DDeck DPorch ORe-Roofing [ JRe-Siding DLower Level Finish o Fireplace DAddition OAlteration [ JUtility Connection PROJECTCOSTiVALUE (excluding land) $ -'3q '?, o-o,~ o Misc. \. e.. C!.. . c..e Des I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also celt fy that I am the owner or au . ed age r t above-mentioned property and that all construction will conform to all existing state and loca11aws and will pi oceed in accordance with su itte p I are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city Fcia! oJ a designee may e er upo perfo~ needed i~spections. w1. l( L( '1 0 1/2/ /7.tJO c..{ Signature Contractor's License No. f Da'te I Permit Valuation <1( ~q 7. 000.001 I Park Support Fee # .' I I Permit Fee $ z.:~ 35; 5"01 I SAC # 1350.00 I I Plan Check Fee $ 18l./3.olrl' I Water Meter Size 5/8'8 , ...300. 0 0 I ' , .' I State Surcharge $ 19R.5o.1 I Pressure Reducer ?O.OO I I Penalty $ - I I City SAC and WAC # I ZOO .DO I I Plumbing Permit Fee $ 100.00 I I Water Tower Fee # 70D. 00 I \ Mechanical Permit Fee $ roo. 00 I I Builder's Deposit " ISoc. 'DO I I Sewer & Water Permit Fee $ :S~. 50 I I Other I I Gas Fireplace Permit Fee $ L{o.OO I I TOTAL DUE ;/0/ z'7Z~1 This Application Becomes Your Building Permit When Approved I Paid IV, ,~' 1c:J.. .'J "Y I ReceiptN(.l/~~(/ I ~ ~ 2.( 2-- /01 I Date .::J - / '-t -ex.1 Bv ,(.~ . I - ~r----., Building Official DAe 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 eer ificate of Occupancy must be ~ ~/..J z/z/ac.( 12~ fi.u~~~ Planning Director f Date Special Conditions, if ~y 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ 0~~ White . Building a~ . Engineerinlf) ~lnK . Planning Thf ('rnlunr IhO'I..k.. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED i'l iTTC<- I . <~Ti- I C ("''1 -.~-', I' \ (~_ U 1 Z -, f! A - / l~. , j'r B' ,- . . ,.-. 'k~C~ . The Building, Engineering, and Planning Departments have reviewed the buildIng permit application for construction activity which is proposed at: ::: Z: -7 7 r-- '-!.- --{/:\ I L. -rk~J,\ II Accepted x Accepted With Corrections Denied Reviewed By: IYI'7I.5 Date: :J.-~-o"l Comments: Sf!f! Revf!r!;p Side for Addition::!1 Infnrm<ltinnl See Attachment~. 1) Gr"rling P11'n. ") H"r')siou Control Mell~lITe~ "The issuance or granting of a permit or approval of plans, specifical ions and computations shall not be construed to be a permit for, or an approval of, any v olation 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." -- nlf Cenlrr nf lilt l..kf Counlr~ ,..---white . BuildinQ) Canary . Englneerlllg Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Ii /TTBLSlJi EDT B tGo5, . , J - 2-2-.n4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 32. 77 FoX- (A I L- --rtU\I' Accepted Denied Reviewed BY:~' ~t-- Date:Z!z.../o <I Comments: ;(' ~ cu.f .-A~1h.:t::. ~... ,'" _~) - ( ~ "".f2 ~ ~._'I?~~_") J:jJ2n ~~ ~ ~/} ~A-/ I V / Accepted With Corrections ~ "The issuance or granting of a permit or approval of plans, specifica :ions and computations shall not be construed to be a permit for, or an approval of, any \ iolation 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 White . Building CanarY . En ineering rl'ink . Plannl - Th~ Crnlrr uf thr Lakr (.ount..... BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I i i-n [ L I) \ C i)"T I' i< ( ~=: . I.. Z2-.(4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,__ ! Y ,. i l_ -f \ i L-- Accepted ~ Accepted With Corrections Denied ~ ~~ Date: ~01-~ ~ Reviewed By: Comments: "The issuance or granting of a permit or approval of plans, specifica :ions and computations shall not be construed to be a permit for, or an approval of, any liolation of any of the provisions of this code or of any other ordinance of the jurisdictior. Permits presuming to give authority to violate or cancel the provisions of this codl i or other ordinances of the jurisdiction shall not be valid." 02/19/04 THU 13:05 FAX 6128902753 STOCKER EXCAVATING ~9.Q.L. Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT e;;;,"" ~:~. I PERMIT. ~O. GDld Apphc.un 04-0072 (Plea.sc tvD! or Drinr and sil!'Jl at bottom) ADDRESS 3277 Foxtail Trail ZONING (office "'ej LEGAL DESCRIPTION (office us<: only) LOT 3 BLOCK 1 ADDITrON Wilds 6th PID O'WNER (Name) (Address) Mittlestaedt Brothers (Phone) 651/322-4140 2520 151st Court W.. Suite 100. Rosemount. MN 55068 (Address) (City) (Zip Code) APPLICANT (Name' STOCKER EXCAVATiNG COMPANY, INC. (Address) 12336 Boone Avenue Sava(!e. }IN (Addr1' /) (Contact PeISon) Curt I ___ f/ / I AP!'LICANT SIGNATURE p~ B1h~ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings Irom structure feel. Type of5ewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. __.0.:~n out (If required) located ar _ feet from structure. (Phone) 952/890-4241 55378 (City) (Zip Code) same (Phone) DATE _2.-18-04 Estimated Cost $ FEE SCHEDULE $35.50 [ndustrial, Com'l & Multi-family 1% of Job cost wi h a $39.50 minimum $17 50 Water connection only $17.50 Building Permit # -.D4-. 0011- Residential sewer and water line connection Sewer connection only SeWER AND WATER PERM1T FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ PARD! 'Nrm ~~...o'f\lG I'iEIP:'.mr (OfficI: US-I: Only) This Application Becomes Your Building Permit When Approved Building Official Date I P~~B 1 8 2004 I Date ReceiF [No. By __.~._____._____ _ _ ______ ________.~__ __~.:.::J 24 hour nolite ror all in'pectlon, (952) 447.9850. fax (952) 447-4245 3-24-04; 11: 17AM; ;~52 894 0925 # 2/ 3 I CITY OF PRIOR LAKE HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT Date Rec'd : ~:~ ~:;, I PERMIT NO. , J.. -,.., I ) Yellow Apphcant ..." , ~ I (?lease ~ or Drint and siszn at bottom) ADDRESS ~;;L 7'"7_ -JD7fHu:; /rCL--1/ ZO NING (offictw,) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) Ih, f/,~j[ h?J l/- B,o S (Phone) dSdO IS-I Sf- C/ 0 'Zse.WLO~ ~I ;).0 if- ,,";) 3jLs-' .s ..s7J b P APPLICANT /J I / I 1 ,1j (Name) QlUvYtJIl;/ '-i' NecJ.t^r :P/\ ~ (Address) l2J.vJ I ~ cJ, ;a~ j S' (Address) (Phone) 9 r- J-rfti V ~o,') J~ cG.uCL-fA- ' /P7n .\-5.3 7 f' i:1 ~ ~~. ir'; (City) (i ip Code) (Contact Person) .....-. ,--.. ( j.Lf,O/ (phone) DATE 3 -;;'</-0 (t APPLICANT SIGNATURE cJkf 1vJ" APPLICANT PLEASE COMPLETE BELOW I8NEW CONSTRUCTION D REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL /,0..,/1/)'(' G,<)/kP<lRc? -o9CJ FUEL ;U cO",.! FLUE SIZE RETURN OPENINGS / / INPUT q (J,rnO OUTPUT 'r/OOO TYPE OF SYSTEM HEATING OR POWER PLANT ~I \I ~$ :,1 OWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System o Slearn o Hot Water o Radiation o Special Devices o Otner Devices PLEASE NOTE: Air Cond itioner Units Cannot E 1croach 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 $64.50 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE , Residential, Additions & Alterations Residential, AC Only BUilds'""'''' 'Y.. .50 $ / '\ $39.50 $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ ':".a~b ')9iJtpf;~~ "i'>""",," ~t'"'/;../(r (Office Use Only) This Application Becomes Your Building Permit When Approved I Paid ::I! ~I',"eipt No. Building Official D,t. I pate MAR 2 6 2004 11~l 24 hour notice for all inspections (952) 447-98;',' . 'l1lx (952) 447-4245 I_J I' 16200 Eagle Creek Avenue, Prior Lak ,MN 55372 ..J/ ~______..__..._______ I y;-' I 1/ Mar 23 04 03:0?p Emil~ Radant 09/19/01 WED 15: U PAl 8aU7424~ "... ~. . -._-- 651-451-4809 p.1 Da~ Rte'd mY OF :PjfRJOR LAKE PLIDUD.u\G PERMIT ~:::.; I PERMIT NO..--'" U _M,,;lJ J. y.... At9I... / / ' I ~_..__Ili...",_..l ADDRESS ?/L II ~}(+r.(l \ Ivik\ \ I ZONlNG~~ I LEGAL DBSClUPTION <_ u.seOol,l LOT 7:> BLOCK \ ADDmON lli~, \,~.J, \ (\ s \ c -\-1 Ac\~\'\ +$J \l1'1D ~'':'':~'\(\'I~f'k-\-r;.A'\t ~-.;t~f(::J ~')-n-,.(r-fuIY\ l"Tnc (Phol1e)(z[J-,z, 27-'{IVi", CAd<bas)2..52J\~ IV; \ ~j Cl\\.u;JJ.ji-l'r~ ,~,~P ICD ~"f.h~/V \\t~_ =~A "Id n r \ I I ro.b..i n '\ ~C Ht:(~n(, " . (Phone) i n"l I - l.{ ~t\ - .: I C(" (Addtess) ill); t'\ \ ""l::" n Dr' l \!..C. _ f---II \ '+1 n,"\ <., , f'\1 kl <;\(y~ 2, (Addxess) J (City) (Zip C ode) (ConmctPelSCI$.J3.eb Kad (Id __. (phoIIe) I n'\l - .~ -1&1'7\- APPLICANT SIGNATURE '\2, 0.1 :;:;.1!5~_ nA1'Jl 5[t3 j 0'-/ - "". ~-~.-._..--~ -. AFPU(:Al''f PLEASE COMPLETE BELOW Q_atity :..J. \ \ ~ I I I l'ype of F\x1lJ.." a.lIt -rub with orwithoul.he,,,' ,r Dishwasher Floor Drain LavatorY(B.,~ ...".j Sink) LaImcIry Tray (I or Z compeau: 1m! sin!: ShoweT Sl8Il Suiks I Bar Sink ,~ I wlit.,.- Closet (Toilet) I" ~;ti~ I_lf.o~-ln. I I WBlI:.H_ (1 Water SoOncr \ I Stand Pi!", (WashiDg M8cbin. ) () , '-IS-age ~ieClllr ' -rS ~ sa.:kflow Asiembly -1'\ 8acidlow Assembty.T<ost TyJM! of Fistar~ ; I i ~ Lawn SptrJ.~Jer Cl IOthe.- FEE S~""-,",, .....1: IftdUSViaL ............,_..:11.. Multi~famil)' 1% of job ':CISI rd'!h II $39.50 minimum R.csi~. New One a. Two-Pamily $ ~.SO ~.~::_.:.~Additia"'&Ab....'"?n' $I19.SO Estimated COst S Bl1ildiD& Pennit # (om..1J.. Oolr) 11IiI APJIlication ...._... You. Balldtu. p"",, ',: WI_ AP......ed l>ai4 : i c' , ' ~ ".'F!ffiO~ ' ~",.,}".4I . .-.\i;'~~_ _.,....--.,_.-."....v~ IR~Na. lar 0r ( .50 PLUMUNG PEltMlT FEE: S STATE 'CunalARGE Sl TOT ,U. 1'EJIlMIT:ru: $ "1Id1ftl: O8IIdtIl -~'---'D_ .:pate W-M^D 'I liZQQ4 . , ). ,.0 ,lnIpoctio.. ~)..., .. r"19SZ) "7......5 14-liIIeur "~l:H fc1 By" ~-- --~- CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Ree'd I,Pink 2. Green 3. Yellow ~::y I PERMIT NI).A~-.AI't"I' Applicant ~~ (Please type or Print and shoo. at bottom) ADDRESS ZONING (office use) 3277 FOXTAIL TRAIL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MTTTLESTAEDTBROTHRRS (Phone) (Address) APPLICANT (Name) AT J -THD PT'RESTT1R DBA FTRESTDE HEARTH & HOME (Phone) 65 I -633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 "5113 (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 4/12/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o St.eam o Hot Water D Radiation D Special Devices D Other Devices PLEI $E NOTE: Air C mditioner Units Cannl ft Encroach into Required Side Yard Setba oks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK X 2 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 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ~ lilDlNG ...~ttNllT (Office Use Only) Buildine: Official Date I Paid I Date :JiPt '0 G" This Application Becomes Your Building Permit When Approved 24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~'1" FC)(T"A/L 74A/~ NATURE OF WORK NEw CCNS'77tua",o~ USE OF BUILDING S.5=: b, . PERMIT NO. 04.0077 DATE ISSUED ZIz"/dl/ CONTRACTOR ~"Tra.srAEO'j~. Cb~, PHONE(.'SI- ~~z. -"I.L!LfJ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION , FOOTING , FOUNDATION (Prior to Backfill) ~ 7.:;)" I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH~ INS SEWER I WATER I SEPTIC I?L) ?- Y _. FRAMING 1J?r.:r. 1/1~loc( INSULATION t ~ - f/-IC ELECTRICAL 1'1- PLUMBING ,,-ci J'.? S- .. HEATING (If required) f5;r 1/ J 3( ~ If FIREPLACE (~\ /M--, 1}JJ /oc/ GAS LINE AIR TEST ~. 1.,1...( ~~:}. ~-~ flB.. i.//13/oc{ C~VER NO WORK UNTIL ABOVE HAS B~N SIGNE[I lJ.ArIlE/ t!JJt.1ltUlJ 3nl/6' I V v r / I (ej- l-trv] FINALS p~ h'Vt,'l4.t i1/ /)' " "<J INSPECTOr;) DATE J--2~ I J GRADING (Prior to Sodding) BUILDING rr~ rh 8 -1 . 0'( ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTiCE L. <;~t! ) '~,..., <I( w<- {IS (J/'J (., - tb /,;,-)/.., BEEN SIGNIED This card must be posted near an electrical service cabinet prior to rough-in Inspec :tions and maintained until all inspections have been approved. On buildings and add tions where no service cabinet Is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447.9850 Qlerfifieaf:e of @ernpanell CITY OF PRIOR LAKE ~rp~dmrnf of ~uilMnB Jlnsprdion /~Final Permitted ::::J Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code Cel tifying that at the time of issuance this structure was in compliance with the various ordinances of the City ~ ~ Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. 04-0072 Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District RI Legal Description L3, BI, TilE WILDS SIXTH ADDITION Owner of Building Contraclor's Name & Addre" MITTELSTAEDT ,gp.6lS. ROBERT D~ HUTCHINS 1. ; 1, Building Official/ r, ,..". (-0' Date:,rJ SileAddress 3277 FOX TAIL TRAIL CONSTR., 2520 I5IST CT. W.. City Planner DON RYE Date: ~ - ~, '.. CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIllE 8-9( "$"2.-(7 1;.. t...:::1 ~ ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION COMMENTS: f)~~ SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FtNAL o\{- OO~ '- o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ..,~ ~,I C ~~ . w'<-[, \2 ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORR1J!.RK' CALL FOR REINSPECTION BEFORE COVERING Inspeeto Owner/Contr: CA ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY! 'H$NO" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 32 '7"'> ~~ 1. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FDUNDA TION o FRAMING o INSULATION )(.fINAL o SITE INSPECTION o PLUMBING R' o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL )!f MECH FINAL DATE TIME ~ -llrtJ Y r-:-... "r- l{ -6cJ 7 C o EXIGRADfFlLLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: I.~~ ~~;.. 6(/7.... (\(u.w.... J.R4, ~.l >- H......l rQ.~ Q... ;~ I,.,X",'iP s.~ fl. S'.,J) &- 7i-P~ (.lr2r cOAA.J...O_b~-J. ~\Q..A.u. S, 'F..... 0, :5.L...__...~ ............ +- Ct.,~. ~~Q. 60.. l.aJLO ~r- "-In ') Dt:8. f1~,.<u I I!er:...... CL,uJ,'u~ ~u.. <:; .{.~"" I-c:, ~(J C/ ....-f": /J +.:. '''''''-, ~-I.()<.f ! L~ ~IL~ ",K- - 7>e..-.d- h......-d ../ o WORK SATISFACTORY, PROCEED R:r.o f.:;b~ r ~Jod-..( o CORRECT ACTION AND PROCEED X CORREn'AALL FOR REINSPECTIDN BEFORE COVERING Inspector: ~J Owner/Contr: CAl trJ!~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE'1;;REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OATE TillE ~-21-o'l ADDRESS 327' Fox T;,,. I T~e",' / , OWNER CONlR. !YJ,'Hd.sJ-.D PHONE NO. PERMIT NO. ('')1./_ >~ 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 o MECH FINAL COMMENTS: 5 {u,/L kb llWp f{ fk'),,;Il~ w..11 1<-('I,:~,tI 1'l,411;::" 8. ( a-JJ6/G) i.....,: I ~GRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o b.t~ (~Q"""'r- 13}' ~ ftldr/ 44-1.Q637 o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED X. CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector4-~ _ :: . .rIContr' CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. '''''"''' CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!