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HomeMy WebLinkAboutBuilding Permit 03-1423 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I ~ 0;;;'- 0 t3 (!'lease .!VP~ or orint and siRll at bottom) ADDRESS :2~3S GL-ori'I."" ?afL did. I. While File 2. Pink City 3. Yellow Applicant I PERMIT NO. 03- 14.-23 ZONING (office u",) tzlsD LEGAL DESCRIPTION (office use only) I.U / a ~ -rk W, tfS Norl'l.. LOT BLOCK ADDITION PID;J5-tfo4- tJ,JL-() OWNER (Name) (Phone) (Address) BlITLDER ,J (Name) IrlL~V,.1I- 1N1o.L~ (Contact Name) MrrLJIL W.L/hM (Address) IJ;1s;l A/'-UJIJ~f 4LA..t.." ~L.r~Sl/,1lr I (Phone) (Phone) 9s;z- i'9o- 1'7.2.2 MAl .~.s7 7) TYPE OF WORK jSlNew ConstIUction OLower Level Finish ODeck OPorch OAddition ORe-Roofing ORe.Siding OUtility Connection o Fireplace DAlteration DMisc. PROJECTCOST/VALUE (exc1udingland) S &StI.eIVO 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 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 enter upon the pro~ to perform needed inspections. X 4,,: &./~ uJdL.' ,2tJt!3."I/I~ /11-.2"'.3 Signature Contractor's License No. Date I Permit Valuation ::1SD,COO I Park Support Fee # $ - I Permit Fee $ 1f?~3.15 . I SAC Size 5/S"V # $ 1;;:75. - I Plan Check Fee 1$ /IQ1.qt/ I Water Meter $ 3<X)- I State Surcharge I $ 1-::J.5'. - I Pressure Reducer $ 7n - I Penalty I $ I City SAC and WAC # $ I~,- I Plumbing Permit Fee 1$ I Dt) .- I Water Tower Fee # $ 7tJO,- I Mechanical Permit Fee 1$ Ion. - I Builder's Deposit $ /Sl){). - I Sewer & Water Permit Fee I: a5.50 lather $ I Gas Fireplace Permit Fee L{(J _--- I TOTAL DUE tAl,WD 10 v.f-.03 $~4--7/. I~_ ~ I ReceiptNo, lb"8fff I This Application Becomes Your Building Permit When Approved I Paid '6'1'//. /7 ~~ /()II~~ I Date /fJ- :::J.!ij--'.:) Bv f./J_ t7 Building Official ' Dte 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 c~tutes a temporary Certificate of Zoning compliance and allows construction to h____.___~. Before occupancy, a Certificate of Occupancy must be ~~ ~.{J4J lot/Llfo'J tf'~ ail ~ L f.". ~ Planning Director ' Dare Special c~~y 24 hour notice for all inspections (952) 447-9850, fax (952) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 n. ('..,un .1 1M LaP Cn.try White - Building r r.~nAfy:y ,.: ., ...:,;..-' filnk . - Pla"nfng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APP~ICANT APPLICATION RECEIVED , .. '.! / .' ~..;'J<;..,')/ ,.' . ~ ,-:'1' . _1...,2:.......,., ~/ /'~ 1,-" i -;.........L.".,.;. ",-r-..,/"!"//i-"i,.~.,.....~ , ..~.r ,_ ..~ _' ,. .... -, ,_.- ,..~.. &-' f ... //1- .~,.:;:<. ; U '.-:r .,J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which. is proposed at: "'. r...~ ........ "'" j'_."~"..-,..;..I-...j,l~ ,__.../ .k,' .:-' ') i:. /- . l .:1',' ,~~,~..... -- / 1/ t' )., "Ir;rf../t,./.--, .- ,-..-'...., '-'_' ......--.. I' :.,...- Accepted Denied ~ Accepted With Corrections Reviewed By: /Y1l-J~ Date: j{J-/t -t:)3 Comments: ~ee Reverse Side for Additional Information! W""~v SU"I/,'r l /l71/\1 ~w G,r.I 41 t'19//tV I ~ Dor /V{"1/t,/' 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 vi~late or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." -:- - ~1 White - Building Canary . g!'l~ring cPillK - !"!~!,,nln~ the> n~nlC'r of lhe> l..kf ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /J/(/ l{ (/! ~'ii>)1 '"~ /^ ....., :::< V- d.' .J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..;) f:3 s- (~!!ln7Y0V ....71 . '. I III' .... ~ Accepted Accepted With Corrections /./ Denied ~ ~ Date: IO;;7"~3 Comments: A,e. ~~~~ v ~, f 'jO~ "'-": J) -...J I~ O(J .~&-.- <"f' ~ .- ~ <H,,>-~ a' ~ r--- ~'~O'L ~ ...fA- ~. ~... {/ Reviewed By: ....J> /' 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." Th~ (.~nl~r of lh~ t.h Counlry c- Wh!....~ - Buil!li.!W> ...anary - ~ngineerlng Pink - Planning BUll,.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT JJJ(1~~ /t)- d-,-3 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for constru~o~3a~~ Wh~S proposed at: ,/!_" / 0( 6 ~ ( ;' 6n,,(~ Jt:U:_~ '--""' (j 7 - Accepted Denied Accepted With Corrections ~ Reviewed By: . ~~ /C ~ ~ ~ a-r.:f:, &vJ~ L-L '- ~, J '-../ Date: ICJ;/ </k 'J' Comments: JJ.f)~~ d "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," F~B.09'2004 10:59 651 633 8884 FIRESIDE CORNER #1846 ?,001/002 Dllte Rec'd .. CITY OF p~ LAKE lJEATING/AIR CONDlTIO(r ." /FIREPLACE PERMIT FIRESIDB. (1'1.... tn. 0..,ri.lan4 oj"".t bollnml ADDRESS I: LA. ~ T Te: n ':' ~'H E~ ~~ I PERMIT NO.^" UL.,.r;r ~n' ~ ZONING (offiO: ...j 2835 COUGAR PATH LEGAl. DF.5CRIPTfON (office U$e only) LOT m.oa< A'J'J/'ION Pro OWJI/ER (Ns.mel MCDEVITT HOMES IPhone) (Address) APFUCANT (Name) ALUED FIRE.'5mF. DBA FIRESIDE CORNER (phone) 651.~'561 . . (Address) 2700 NORTH FAIRVlEW AVENUE (A"drcs.) (Con"'c': Person) 13RENDA HUSTON ROSEV/UE (City) (phone) _651-633-2561 5511.3_ (Zl.p Code) APPLICANT SIGNAtuRE BRFNDA HU:;TON DATE 2-9-04 APPLICANT PLEASE COMPLETE BELOW xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. rEM TIONS FURNACE MAKE AND MODEL FUEl. F1.UE SIZE RE11JRN OPENrNGS rNPUT "UTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OW.rm Air Pln.nls 0 Ste.m OGravity 0 Hot. Waltr o M<chsnical 0 Radiation ONr Conditionine 0 Special Device. OVenl. System 0 Other Oeviees Pf.EASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbod<s FIREPLACE MAKE AND MODEL HEA T 111 GLe SL-750TR Indu$triaJ. C,mmcrcial & Mull,i-F,mily R<:sident.t". Hearing &; NC (New Construction) Re,ldcntilll. HCllI.ing Only (New ConSU'lJc1inn) FEESCHEDUU f% o(job cost Relidenli,!. GIS rircpl,ee $39.50 minimum $99.50 Re.idcntj.I, Addition. & Aherat;on, $64.50 Residential, AC o"ly S)~UO $39.50 $39.50 Estimated Cost $ Building PetTllit /I HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PRRMTT FEE S (OIlier Ute Only) A ffetJrlI, 4< 110m" Tee/",o"'gr<<s,~qmrt. .PJlcatJOll ~~~b~~~i~~ :~~~~n~:;r,m~~,:~:~f~/fsf13'i. ~~, :i~lif- -2;61' f:a~x ~SI I fi~.3..: ~ti4NO, ~'l""';'.' C','~, 3850 West H;~w"y 13 Burn.villc. MN 55337 PIon. . 751li-'al( '. ~08 BulldfoK OGJd., "".....".n,QI\lAA,51l.tom MN C,nlrl'lctlJ 1.ltl: 1l2r"11 . J . "-~....._J ~~ITH .~ILDING PERMIT 'l~/OZ TKU 14:41 YAA GIZ4474Z4$ -_...--..~ . un U~. rKlUK IAN: It!J....\,I.. .----- CITY ~AKE PLUMBING PERMIT ..ll5YLrve: 'r....' __.'~lIa.l ADDllBSS ;;J g'~S Co lA 'j;.."'-t LEGAL DesClUPTION (......... ..lyl LOT BLOCK ADDmaN ~:1l /' n c L/e..... ;-; J (Address) . APPLICANT (Name\ u . rRIlIllliln I".UIftUlng ""Rllllll, InG. 1'0.Qell. ~~...') (~!MN 55122-0172 (Ccm..ct PwIon) I'h ~ 'i<.... \;' < 1-. l j.k APPLlCANTstON~TURI! /?2~ ~ . (Addft:ss) Date Ree'd ;.:::. I PERMlTNO... ~... J.Y~.... ~ ~ -+1." I ZONING '0010..1<) I PID (Pbone) 9. s 2... e~ -I 7 , z.. . (phone) (City) (Zip Code) G, SJ- c.. If J~ '! 2...$ ~ DATE /~ L J~ () t; ... (PlIone) APPLICANT PLEASE COMPLETE BELOW Q., ~ t .;:l. 4 I I I I TJpe of 'l'btBft! BIIIh Tub with or ...., Ihowa I Dilhwuher I Floor Drain uvatoly lBalhroom Sinlt) La"D~ Tray (i or i companmclll sink Sllower 51al1 Sinks Bar Sink Vi..- CIOICt (Toil~) ? fJ-llty l.J I i ~ Type or Fl1d1ate Roul":-ins Water Heater Water Soilner Stand Pille (Washing Machine) :-:- .' I ,~. EjeCtor Ba<okhow Assembly B.ddIow Assembly Test Lawn Sprinkler Other I FEE SCHEDULE IndulVill. Commercial A Mulli-f-.n,ty I%or.iob 1tO:It with. $39.50 lI'linift'l\l1\\ Ilaidcn'i", New One A Two-Pamily S99.S0 I\..idcntial. Additions" AI_,;OI\$ 139.50 Eolinuad CosI S lIuiklina Pamit ~ PLUMBING PERMIT fEE S STATE SURCHARGE S TOTAL PJ:RM1T FEE S PAID WITH ~ILDING PERMI/ (Olli.. v.. 00Iy1 TIlls A"'btIoa Ilecvmes VOIIr Blllldilll hl1llit Wltca Apprantl , F\'Iid i." , !JW:cjPl ND. -- ___k: .... ...~,.;..~.:.6..: I. '" j tQ..E.altC_"....S.&.Pwio.\.......""~l1l4_ -- --- U I . '" SOEBIBSISS Z.114"S ;"'nw e02'1I YO 12 ue~ 02/10/2004 10:03 9528947939 ANDERSON AIR INC, PAGE 03 CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERMIT l!'lnltl'(p!, '" Ml,,,IIICI_ a. b....".} ADDRESS ).3J5" COU.,.,,4.K /?;.+J... LEGAL DB5CR.1P'I10N (oll1ct Iltl! ODIy) LOT BLOCK ADDITION . OWNER /]A f) . 11- J I (Name) I' Ie f./~(/ ITJ /"1Ort'tt:-5 (Address) AFPUCANT /J /I , - (Name) f-tIln~I?f(s" /-+(~ .1 ,,"<- (Address) .~()3 tJ4C(c",. ;/.t'~ IlJ , (Add....1 (ConlactPerson) .J>lln Al'U'Jc~srt</ APPLICANT SIGNATURE ~ A ./.b.Jl___ .... . l>ate 1\ec:'d ;;~ ~ =. ~I:, I PERMIT N~"Z "~~''': 1.'.new ...... - ........~ I ZONING (oftIer ...) - PID (Phone) .9S"~ - 8>70 -17;:l~ (Phone) 95"~ -1f'lt:.f -7" 3 'I 7.31A.1'/.,",;v~/u :>D 3 7 (Clly) (ZIp Code) (phone) DATEd -/f}-(;t( I APPLICANT PLEASE COMPLETE BELOW EJ1'IEW CONSTRUCTION 0 REPLACEMENT 0 ALTBRATIONS FURNACEMAKEANDMODEL ~YM,;( 3,'iQ/YI{1-/JOgJA/DO FUEL /1/1..J.-."A J FLUE SIZE f ilL RETURN OPENINGS ~ INPUT ..J.t)JfdrJd OUTPUT .!l4-ADO TYPE OF SYSTEM HEATING OR POWER PLANT . OWII1lI Air PIGllts 0 StOll1l DOravity 0 H.t Watt. .01'iechonical 0 Rlldiati.n .QJl!I' Conditioning 0 SJlIClat Davl... .0<fonl. Systeln 0 Other Dnicca FlREPt.ACE MAKE AND MODIlL PLEASE NOTE: Air Conditioner Unitl Cannot SntrMCh into Required Side yllrtl Setb1ck5 FEE SCHI!.DULE Industrial. CommerciaJ & Mulli-Fomily 1 % of Job COli ll.esldeatial, 0., Firepface $39.50.minillllllll ResidentiaJ. Healin, &. A/C (New Conslnlclion) $99.50 Re.ldential. Add'JiIom a AlteratiDnJ Residential, Heal!na Only (New ConstnlClion) $64,50 Resiclcntlal. AC Only ~ .50 PAID WITH s tsu'LDING PERMIT ~--- ['1 ~Il\ I Receiptt 1 ,,' 'I II ~B 1 0 20Of'fL' ,By ..... _ . Dllt i '", %4 bour notice for AlIlnspecllo.. (952) 44iuso, .. (9SR#1:4Zt5:=J \..., Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (0Ili.. u.. Only) . Thll ApplicaUolI Becoml!.l'Your 81111d11ll PermltWheJI Approved _.. om.lal 539,50 $39.50 S39.50 Building Pennit ~ 02/17/04 TUE 09:22 FAX 6128902753 STOCKER EXCAVATING @002 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Pll!Ul:!: ~ or "rint aa.d sicr.n at bottoml I ADDRESS 2835 Cougar Path ; ;::. ~~,~ rr€RMIT N ). Colli ^ppJil:anl I - ZONING (ollice u..) LEGAL DESCRIPTION (011\.. uoe only) LOT 2 BLOCK 2 ADDITION The Wilds North PID OWNER ~ame) McDevitt Romes (Address) 12252 Nicollet Ave (Ad4r.,,) (Phone) .952/890-8722 BurnsviJle. MN 5~337 (Ciry) (Zip Code) APPLICANT (Nam~\ STOCKER EXCAVATING COMPANY. INC. (Phone) 952/890-4241 (Addre$9) 12336 Boone Aven,ue Sava~e. MN 55378 (2d4rm1 (City) Curt ~~ (Contact Person) __. _ ~ APPLICANT SIGNATURE 'i~ ~ V- v cr- (Zip Code) (phone) . DATE __ 2:1~04 same APPLICANT PLEASE COMPLETE BELOW Size of waTer service inches, Location of any couplings from structure Type of sewer pipe. 0 ABC 0 pve Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron Residential sewer and Water line conncc[ion Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-ramil~ 1% of job cost with .$39.50 minimum S17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND W ^ TER PERMIT FBE STATE SURCHARGE TOTA-I. PERMIT FEE $ $ $ ,so !:IA. ' - r".O WITH . SWLOING ~MIT (Office Un Only) This Application Becomes Your Building Permit Whell Approved "-:~~""-'~f Receipt No .-.- 00. 1;1 ~~ ': ~ ,:..j" r 24 hour notice ror aU,nspeetions (952) 44' ~O, en (952) 447-4245 ' I '..'1 --'PRIOR LAKE DEPARTMENT OF BUILDING AND'INSPECTION INSPECTION RECORD SITE ADDRESS II~JI~ ~ArH N.eel. NATURE OF WORK . ~ USE OF BUILDING , . ~ PERMIT NO. DATE ISSUED I~ CONTRACTOR C' 'fillies" PHON -~e. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT - , I!!S~CTOR I FOOTING !tZ(, I () ') ~ I FOUNDATION (Prior to Backfill) I ~ 11-13 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC /.0 /;"~/t FRAMING r~/c- 1jU9#'~ ....../)~ INSULATION VI' / C 2. (L1--{D !of ~ ELECTRICA~ . PLUMBING'2:tt'r:.~b ~ HEATING (If required) ~ FIREPLACE # :;--f GAS LINE AIR TEST 1?r.;QJ~. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS N~ ~_ i .' I . GRADING (Pri,gr to Sodding) BUILDING ' \~ to ~-I-oV ELECTRICAL PLUMBING HEATING DO NOT f/4 II-/? DATE 7-/C? Co,,! ~~'i-t'A I J I. rz..04- 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. FOR ALL INSPECTIONS (952) 447-9850 dlnfinrat:e of ~rtupanr\! CITY OF PRIOR LAKE , I @.tpadmenf of ~uilMng Jlnspedion 1iFinal Permitted D Conditional C,Q, 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 R3 _ Type Construction VN Fire Zone Bldg. Permit No. N/A ZotringDistrict _ R1SD 03-1423 Legal Description L2, B2, THE WILDS NORTH Owner of Building _ Contractor's Name & Addres' MCDEVITT HOMES, f7ROBERT D. HUTCHINS (\ \L Building Official Date: ~ \1 Site Address 2835 COUGAR PATH N.W. 12252 NICOLLET AVE., BURNSVILLE MN 55337 City Planner DON RYE Date: '. ~ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED LJ~ ADDRESS:2B3S""" Ol"lol1fr-' ~ OWNER CONTR, PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: -,. Q.,. .......<'I-tJ 2. (.t,l,l P PERMIT NO. ~ - J <(2.;5 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )llPLUMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~F Oa.r IIA. ('\...~ rn.~' o WORK SATISFACTORY, PROCEED [)f...CORRECT ACTION AND PROCEED o CORRE~K' CALL FOR REINSPECTION BEFORE COVERING .~ Inspector: ,'.. ~ OWner/Contr: CAL 7'~R THE NEXT INSPECTION 24 HOURS IN ADVANCE, .~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """"" CITY OF PRIOR LAKE INSPECTION NOTICE DATE SCHEDULED l/.-2?-o1 2B< r I.)U<:{ t ~ ~ CONTR, T1IlE ADDRESS OWNER PHONE NO. PERMIT NO. "< _ 11..("2-3 o FOOTING o FOUNDATION o FRAMING o INSULATION 1lt FINAL "0 'lI1TE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o pLUMBING FINAL ,J;I"MECH FINAL o EXlGRADlFIWNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: ,.. F;IIICo.t ~~ '~ /_- 1\I\a.:....\-.... ~ ~ . oz.. ~ %j-: ~'tl>U~~" IM(>.'X '2.tc.l~ ~ LC-~. ~ I'"{DLh p~~~.....O,.J 1-- fk-. 5. ['~. ~\I{."'~'\l" ffis l<. .r R""IL ~~ .k..:.J~.4.t~~. \:),Q \,.,,\,s ~ ~"..r . I O.A~6 ~ ~o >1 -I - 0 '-II I -.:6....'"""'->t V\I'\t- .1.~IA;4..u..,.l o WORK SATISFACTORY, PROCEED o CORRECT CTION AND PROCEED l:...ORRE , CALL FOR REINSPECTION BEFORE COVERING Inspecto Owner/Conlr: ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. C CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ UUNOT' DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 11-/2 '(!f ADDRESS ~9JS- Cci{Jt:/ ~~ OWNER CONTR. n'lL./).,VJ '+ HOJl'1~I PHONE NO, PERMITNO. 03 -1'1 Z3 [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION [] FINAL [] SITE INSPECTION [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL ;:.(...~ ..LING [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST [] COMMENTS: b/~.,t.- ~,.r (~(j(b &r~ ol( IVWORK SATISFACTORY. PROCEED VO'eORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~;>[ 1 ",.~ _ Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SltFETYI JJaNOrJ