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Home My WebLink AboutBuilding Permit 04-0359 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd Ij -p--01 I PERMIT NO. 04 -f)3SQ I Main File (Please.!'Pe or print and sial at bottom) ADDRESS l/?3iJ ;/ eJb~r;, 6t.L1FF LEGAL DESCRIPTION (office use only) I. White 2 Pink 3_ Yellow File City Applicant ..-.- I JL4-( L ZONING (office use) PUD LOT3(.BLOCK I ADDITION -1IrnROl t/us'r PAt2Jt. PID as-l/oJ-lJ~I:,-{) OWNER (Name) ~/J..re.. JloMr<> (Address) f1IS tVoi2T#U/Jr.r /?"2iL.tl14.U , BUILDER (Name) (Contact Name) (Address) SIffl1{3.. tV/2.r BlASc# Jto TYPE OF WORK / a;a"New Construction DLower Level Finish o Mise j,t:..{!, ~ . Sill}; (Phone) -'~5/- 9.SZ -SZoo /~o. 'fA..6 A--h (Phone) (Phone) rr1Y1 55/ZJ 6/z -Z-Z/- ~~.Y5"' ODeck OPorch ORe-Roofing o Fireplace OAddition DAlteration PROJECT COST IV ALUE (excluding land) $ 9b,/lV ORe-Siding DUtility 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 t'WY"-HJ 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 ;teru7~q2':::7tions Be -/37 J JI i~D/)atYe // ., - Signature Contractor's License No. jI' ~ I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Jjfj".PJl},O~ I $ 1~Z.7.Sol $ (pf.,7.2'i I $ --19', DO I $ I $ $ $ $ Sewer & Water Permit Fee I Gas Fireplace Permit Fee lotJ. ,,() /(M. DO 3s,~~ L/O.OO ~=nB~uildingpemri:h1;oved Building Official ~~ I I I I $~ I)f03.PJPJ I I Receipt)(o. I?fAi '1;"; I By /~. I o Park Support Fee SAC # # $ $ r<,sQ,OO $ ~'5""CJ. (') 0 $ ~S.tJO $ /2-tJO.OO $ 7(H). 00 $ / !>t:Jt:J. 0" $ 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 cons.titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~~~,J ~~'f ~~ a-4 ~.4kd: Planning Director Date Special Coafttions, if any 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ WaterMeter( Size"-;&l': 1'" ~" Pressure Reducer I I I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # I Paid I Date 'l~c,~Jr ",-,~-~ ~~ Main File cy.,hite - Buildinv Canary - engmeering Pink - Planning Th~ ('~nlu of th I..k. ('ount~' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 9~~ Lj-,?-Q Lj APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity WhiC~i proposed at: L/q3~ ~ (h - U Accepted Accepted With Corrections / Denied Reviewed By: ~ -:in ' .0 /..J /f.u..f2 tU...f' ~ Date: ~/ C).g'1o 'I 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." s~~ Main File White - Building Canary - 1::1" ineering (" Pln,h - Plann,n The ('fnlnof the L.kr('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST - NAME OF APPLICANT APPLICATION RECEIVED --;;'-,', ,: _~/l._ ( .,-".... , ,/ L/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , ";2// .- // (,~./",/~~/ "t...,;..~.L/l/\ :~" .....)- "a Accepted Accepted With Corrections ,..,.--- Denied Reviewed By: ~ ~;:.; ~ m.J--.J..e 4-Ct t.-.,t.J ~ .b"l/",' - (J J/ J' A 17 ~ "" " _ ~ -J-. U , ~~-' '.~.,.p. /U!go ./~_~<-CA~ Date: ,y~P/o'l , , Comments: t '~ "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." @~ Main File While . Building .-c-=~n~w .. En..:::. ...-!0;-::-;~ Pink - Plannfng Th"("..nft'toflh..I,.h<:ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \. . /~~ JA<t/~ ~r...-. _....'-~ 7;!Ft.J~::"~'""'~-'" APPLICATION RECEIVED / ,-. /' I " i ' -'" ..,-,- _-( ) l.._.' 1 ;' i '.- " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . _' j ,- -:::l . 1/" .' ..I' t:".F.21' -;;'_, L../01 )<:/ ~l. "" ;;.t'~L.-I!I- r/, .' ~_y-.-r.,..., (1-1- i - , ."~(,,,.- / ',r i 'i' .......-'\;0',. \~. ,- , " .f Accepted ,~ Accepted With Corrections Denied Reviewed By: ~ Date: 'l- 27-07' Comments: -S~F! RF>v~r!;~ Sirl~ for Aciciitionallnformation! See Attachments: P Grading Plan, 2) Erosion rnntrol 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." ApI" DB 04 09:46a METRO GENERAL SERVICES 763-42B-2968 1".2 GIllEM. flU VEllOW . APPLICANT GOlD - en" NOTE: Sewer and Water contractors must be registered with the City. APPLICANT:~) :,.lkllJNlt Seftl~iONE: 7{j)3-i!lK~'Jfl3~ ADDRESS'_ P';fJ4t) (jjJ(lnt w_ IJf DATE: .. i)tI,,"~Jtth', - BLDG. PERMIT II SITE ADDFESS: 11~~' ;?/~ ~1i~~\ ~PID* .FILL...IN THE BLANKS /50 feet. CITY OF PRIOR LAKE SEWER' AND WATER PERMIT FA'/-.. qS~ J/'I7-'1'J,1/.r' S.w. No,'JY-3SC1 SIGNATURE, 1. Estirated length of water service . It I inch(es) . 2. size of water service I. Loca~lon of any couplings 4. Type of sewer pipe. ASS from structure ('j J II pvc.i'1 Cast Iron_ 4() feet. 3. '-....... 5. Estinated length of sewer line feet. 6. Clean out (if required), located at feet from stru~ture. ~/;1 ===~===~==============~======================~-=======~======:=~== This apflication becomes your permit when approved. I BY DATE: :===;==~~===T=.=========:_----================~==============~=~=== Pu-I/e.d l.J.'H" . FEES: f] tel.. P<!.-I,of- _ Sewer and water line connection permit. "cc: '" surcharge ;Va I-e.e- TOTAL * fee for either sewer or. water individually is $20.00 plus $ 'fO surcharge. Sewer and water permits' issued for new construction must be rec)rded on the building permit card at the time of issuance to insure that no 'duplicate sewer and water permits are iss.led. / * .' .' .;:d;j.~()' /-,::-':"'1"'>; ~.. ..'-. ,,'-' -.,:-.;.,,',' ...-.,.<-...... .. 'DATE;)E.l'\ t.p flAY 0 1i./..I1I.i.4.-: AMOUNT PAID REC'D BY , . RECEIl?T4! .-. :'G>;:~)';i: "",';:'.. 16200Eagl~:~reekAv. S.B., Prior Lake/Minnesota 55372/ Ph. ('152) 447-4230/ FAX (qI12) 447-4245 An EaiJal Opportunity Employer --~ ~~-- ----- ~AY-07-2004 FRI 04:06 PM VALLEY PLUMBING JORDAN FAX NO. 9524922617 P. 02 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~ ~:: ~::, I PERMIT NO.O .A. 0 ?sq I ','leUI)" ^ppliaull Y .;> (Ple:u:e t\I'~ or nOnt and sil!J\ at bonom) ADDRESS YC\314 ~~ 1i.ci~jJLoi.Q ZONlNG (01110,",,) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD OWNER.Jf) _ ~ (Name) y iu h (Address) _ (Phone) APPLICANT . (Name) \JQ ~.J~ Plu ffilo~ (Address) ~lD() G> ~ \1IJe... (Address) (Comact Pc"on) &n. h1 X:,"\}J APPLICANT SIGNATURE (~AAf.. 7h. ~ I I I I I I I I L3 Quantity ~ I \ ~ \ \ I (Phone) CI~;;)-L.lqd-;n:J) dlW\(j)OS\ 5535d U (City) (Zip Code) (Phone) CfSa. -L1Cla-7aOC\ DATE 5-7-0LI , I APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity 3 1 I Type or Fixture I Rough-ins I Water Heater I Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler Other FEE SCHEDULE InduStrill:1. Comm~rei3.1 & Multi-family 1 % of job cost with a S39.50 minimum Residential. New One & Two-Family 599.50 Residential. Additions &. Alteralions 539.50 Estimated Cost $ Building Pennit # ~ PLUMBING PERMITFEE $ I PAID YV ITtI STATE SURCHARGE $ I -SJiJILDIN TOTAL PERMIT FEE $ I 1)[ . G ~~~ I Thi. Application Becomes Your Building Permit When Approved 1rd@ -- m: Date By 8ulht1n~ Official DMe :j 24 hour notice lor.n inspection. (951) 441. SO, lax (952) 447-4245 16200 EaeIe Creek Ave., S.E., Prior L ~ MN S537H 714 . .'-'--~,"."""",,,_.----_._,"._----- --"'-'--'--"~"-"--------'--'----"-- ;952 894 0925 # 2/ 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT !J j ~ . I ~ .,J ili LOT BLOCK ADDITION PID OWNER,\\ f",". l. ) (Name) ~. ~~{Y\" (Address) J< \ c::, iNr ~Jj1lX K1 J N Jh I Y {d(uJI } -{/=. ILf() (phone) {():=..> \ - \...("'7. - ,S 7..00 Fn 06 ("). t?1.61. SS I 2 / ,; APPLICANT (Namr1,__. Burnsville-Heatlrig-a; Alc, LLC 12481 Rhode Island Ave. So. Sevege. MN 5Ci@118a*122 (phone) C'p,<) . ~Q LJ.-t:XXJ~.::> (Address) (City) (Zip Code) (Contact Person) _ . (phone) APPLICANTSIGNATURE6UY7, ~fj!J.O/llV1 Ita /7 DATE (0- / )-0(/ APPLICANT PLEASE COMPLETE BELOW rzJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL i ~ I1r1('N' GS\ M(/-..7L1 6 -(::i---lS FUEL -4n -/- Gt1 LJ FLUE SIZE RETURN OPENINGS 5 INPUT 4~r{JOO OUTPUT .Y~/OO TYPE OF SYSTEM OWarm Air Plants DGravity o Mechanical ~ir Conditioning OVent. System HEATING OR POWER PLANT o Steam . o Hot Water o Radiation o Special Devices o Other Devices 1:~, i}p I PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks '!REPLACE MAKE AND MODEL .duslrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential. Gas Fireplace 539.50 minimum 599.50 564.50 539.50 .esidential. Heating & AlC (New Construction) esidential, Heating Only (New Construction) , Residential, Additions & Alterations Residential, AC Only HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ;X' 539.50 $39.50 ~~ "'<-!~G '12A bt:. , r rAd~i;:<<Y . " "il:la,;: _ ~ V~--i:..s::, Estimated Cost $ Building Permit # .50 'ffic.c Use Only) . Building Official 11\it~ -@ ~ U \'!J \1 ~\ eceipt No. nat. fme JUN l 5 2004 ! L 24 hour notice for all inspections (952) 447.981~8:x (952) 447-4245 16200 Eagl. Creek Avenue, Prior LakmN 55372 - (j This Application Becomes Your Building Permit When Approved gru~ ~~ <VNE SO CITY OF PRIOR LAKE HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or print and siJtD at bottom) ADDRESS i ~:~w ~i,m I PERMIT NO. t(~ '3~ ZONING (office use) 4934 BLUFF HEIGHTS TRAIL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name PULTE HOMES (Phone) (Address) APPLICANT (Name) AT-URn FTRFSTDR DBA FlRFSTDF HEARTH & HOME (Phone) 651-633-25/1 1 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (CIty) 05113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE /1/29/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System INPUT HEATING OR POWER PLANT o Stearn o Hot Water o Radiation D Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks I FIREPLACE MAKE AND MODEL HEATN GLO SL-550TR-D 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 )... /:41 ..-:.:..,~ -..l/J;,' ""/:-""r.. .. l.',,~&ti,':~, ~l~i;~J . ",;,,,-, '.:"11.,. 'oIJ/~ "./ ./ (Office Use Only) Duildin!! Official Date 1~1~ ~ lE u \D ~rWeiPtNo i~J JUL 7 2004 ~ CO' This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9851 tt"yX (952) 447-4245 PRIOR LAKE DEPARTMENT OF l\JI'n~_ POl BUILDING AND INspll~J. 1 e INSPECTION RECORQain File SITE ADDRESS ~q ~l./ ~ tttS r.... NATURE OF WORK N~ LU ' USE OF BUILDING 5 r= tc:l PERMIT NO. () 'I" rJ.~9 DATE ISSUED CONTRACTOR fJu..~ PHO~ l.:a. ~~J. 1./,,1) NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTqJS' DATE I FOOTING I iMf &1- 30-0&\ I FOUNDATION (Prior to Backfill) I W / 1MI' I \/ {(r1JL( / 5-/t.J+1 PLACE NO CONCRETE UNTIL AB6vE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL J. / 1 I PLUMBING fftIjJ 7//0/tx1 HEATING (if required) , . I FIREPLACE , GAS LINE AIR TESr...((,"h L.;f/ -fL ~-/ , / / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS A/tJ K'.;rS". 0" KL/ N4- /Y.,(J . 7/N~ ?~2,/6r 7/;J.<:Iftl ,C;v h-or.1 ?i;i7 7?/' gt/ ,?/Jro:/ - If&; //'1// ~/- //1$ ~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING ffi 7'/;~i ?/3/!P'f 8' ~f/tJ1 R7..?u/~ /J 1-' DO~<?T jOCFUPY UNTIL ABOVE HAS BEEN SIGNED /SS/f;I' d f;1"f,}A-e d NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until ail inspections have been approved. On buildings and additions where no service cabinet is available, card shail be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 ~._-_.__.~--~-----~~--_.---_._--~ (!lrdifitafr of (@ttupanqz CITY OF PRIOR LAKE /' ~tpadmtnf of ~uilMng ~nsptdion I2(Final Permitted ::::J Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 o.fthe 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 Bldg. Permit No. 04,(;359 Occupancy Type R3 Type Construction _ VN Fire Zone N/A Zoning District PUD Legal Description L36, Bl, TIMBER CREST PARK Owner of Building Site Address 4934 BLUFF HEIGHTS TRAIL SE Contractor's Name & AddressPULTE HOMES, 815 .NORTHWEST . ~f City Piano"" ROBERT D. i{\lTCHINS d /./"ftildiJlll Offi . I ?~/f/,>-~;r PKI\'Y., SUITE 140, EAGAN DON RYE 55121 Date: Date: J CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ~{~y ~7J>t/ &# ~ -r:/ SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. cW-5sY o FOOTING o FOUND....TION o FRAMING o INSULATION ".:C-f'lRAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI A3-1'fREPLACE FINAL o G....SLINE ....IR TST o ~M.iNTSY' _ _ -4 ~r0t"~ I hh-./ ~ X'ftr-!~ ...... / --- h)~Gt"o€,,~. ~4/ , <::91~ ~ T/h~. / ( ./ C7fc ~ /" - l (/"?/ )r '/ ( ~ laSe. rr Ie / \... ....-/' ~ORK S....TIS~ORY. PROCEEO- o CORRECT ....CTION ....ND PROCEED o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING Inspector: /~ OwnerlConlr: C....LL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADV....NCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSIiOTl DATE TIME /(/ir::~ y'9Jc/ /luffJ ~ fr CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 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 :;J.:LUMBING FINAL /'" MECH FINAL (3ij_. ~)9" o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ..AI' " /" /' /' ,.., /P"/':;/1-~ ~ /c- r J r- o-z--- . r;:;~r4h<~H'" . /~/h &-~_, A/? ;L- k..r/ d &:J~ /' /' . , - ./ ./ hhe;/ - ./ t!/ /<. , . / / 4/ /7 /" / j / . //&/-t'/ " ~ {~f//-</ IJ.-,).:h//rd. /t? /~~. ~/. 40RK SATISFACTORY. PROCEED ~ ~'ORRECT ACTION AND PROCEED o CORRECT WORKj ~Y,?INSPECTION BEFORE COVERING Inspector: )' ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNQn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE , ,/ /../ :::::~:ON;;~~ ;;q; A~~ OWNER CONTR. PHONE NO. PERMIT NO. 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 ~MBING FINAL o MECH FINAL COMMENTS: ~~/#e ttr' k;: /J / /' ~J Reed ~-;/-Js7 o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o / OIL , ~u , / ,/ "~7//(?d ..... / ~ .J/( "'l/ /' C?tedc... ;;hI .4 /.: ~ /~~"Yd.,;f o WORKSATISFACTORy:;'ROCEED'/ . tf ~ ". CORRECT ACTION AND PROCEED ~ ~ORRECT WO~~ ';.~'Y'OR REINSPECTION BEFORE OVERING Inspector. F~",-- OwnerlContr: r CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. "aN'''' CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! 'l7Jf B/vfP IIl.r Td CONTR. Pe/l-e. Jiuk! ~--3si CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION COMMENTS: &~.t:, - t9K- SCHEDULED PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL /..Ao g.,1"~ - ~IV DATE TlME f?~0I-J.. , ~LLlNG o COIfilt\iNT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /J)(WORK SATISFACTORY. PROCEED "'0 eoRRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING InspectordJV - OwnerlConlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <\ SAFETY! 'N$NOn