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HomeMy WebLinkAboutBuilding Permit 01-0085 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 DATE RECEIVED I-ZC;-ol DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type ar I sign at bottom) 2. SITE ADDRESS J!i33.) - J,G +- ~ttrJ -~ 3. LEGAL DESCRIPTISl-~ LOT '1 BLOCK L./1/U/ s: f~'n ADDITION ~ ~WNER (Name) --:-> (Address) S ~O 7.:...--l '2.-C t:lVGe'::' .. ARCHITECT (Name) (Address) SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION USE OF BUILDING _ SF/? TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U ParmitFee ..........~i~~~~~...l...~...~..~... $~ . 35" Plan Check Fee ............................. LI, ~ I ~. <18 State Surcharge ............................. $~ $...S'L.) Penalty ...................... ................. $ loa.de) 100.Co 3'S" s () Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Issued t. White 2. Pink 3. Yellow File City Applicaac: 1. DATE "," Permit NO'.~ BUIL,r,l"INFORMATION 11. SIZE OF STAUC~A~ ~J J /_ (~ . ~r:Nidtr{J (/ (Dee'"'1 (p 12. NO. OF STORIES '?-.-.. , 1~ TYPE OF CO~..!~UCTION <-vc9<:> p H~f'IE 14. FLOOR AREA APPORT}0'tJM':NT USE Ill);;' L€ ~/J.h c. -Pt}s.$ . " (!) 1-2Q-"2.M> \ rei 0/1- b-, J<E PID ?f)-375-()14~6 (1rJ<;;. j't~ HC ;;e~;J (&S'S~N~)2 -)771 (Tel. No.) ~ 1\ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTP SEAT~ FOR ADMINISTRATIVE USE Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 ~/UI~~~~ (N1e)~ Ui. S'~T"dreshs T V A,.JVtV<.. . ~()E j-.fEJGAT5 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New constructi~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 ~JiCl C~AOLUE Chim,;,ey 0 ,.,(c. ~ ., - ~ , \ ~ (./ IS. PROPEATY AREA OA ACRES 19 PROPERJYDIMENSIONS / 1'0 CULVERT SIZE 17 CQlttPLE'tIONS9AT.:....L..... I Sq. Ft. Width l8 lP Depth I '7 ((J Yes No (!) 5 ~ / . vcr {./ (' I h eby certi . that I have u Ist'lel;llnformatlon on this application which IS to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for (the ve n <I.".J. ".. <I." ....... ...,,, ..."".....1 Will conform to all eXisting state and local laws and Will proceed In accordance WIth submitted plans I am aware that the buildi ffi I c r ok . Furthennore, I hereby agree thai the ~f{;lli~gnee may enter upon the property t08'r:. ?~qi~~nL .. License No. ......, I1ale . OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll SPACES REO. PLANS & SPECS Ll SETS SPACES ON PLAN SURVEY Ll COPIES PERMIT VALUATION ~ _ (")/'} PLOT PLAN Ll Sewer Tap ................................... $ Pressure Reducer .."~.,,J.,,'.'...~ ~~~...-.!:J Meter Horn................................... $ ~ It).oC Water Meter ................................. $ ~fI~. O~- Sewer & Water Connection Fee ........... $_1. "'-'(j .C)O '':) 0 WaterTowerFee ........................... $ N'J. 7J Water Tap ................................... $ Builders Deposit ............................ $ I I S'tl/l. () d Other ..... .... ............. .... .... .... ....... $ Total Due .............................. $ q 74:.17. 2f5 Paid q 74tJ..3': Rece~Pt ' 'MIS ~, Date 2-/J~tJ / By . e request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedA requested. This document when erconstnmesare~raP{ce27~.j$grmPliance~:;:~~~~~~ssued City anner Date Special Conditions d any '!5 Side City: ~ ...-1'3 V Amount Brought Forward .................. $ Park Support Fee ........................... $ ~~O-Ol) SAC ......................................... L.1r' ~ ~ Collective Street Fee ....................... <t 24 hour notice for all inspections (952) 447-9850 02/15/01 THlT 13:45 FAX 6128902753 STOCKER EXCAVATING 1aJ001 4IrCu - Al.:I: Tlnl.ilI_ - .....PUC.a.en' ~ - CITy CITY OF PRIOR LAKE NO. 01- 0085 SEWER AND WATER PERMIT NOTE: Sewer and Water contx:-actors must be registered with th.. City. APPLICANT: DD Mechanical/S~ocker Excavating ADDRESS: B2~ West 125th S~.t7S8YaRe~ SIGNATURE: )J!t-Aj~i/ .dir~ SITE ADDRES : 15335 Bill Horn Pan PHONE: ~nTh...DATE : 890-4241 Feb 16/01 BLOG. PERMIT # 01-0085 PIOi!.2.5-375-014--0 fILL IN THE BLANKS 1. Estimated length of water service feet.'. 2. siz.. of wat.er service inch(es) . J. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVCv cast Iron S. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ~ ........~_.._ =____~o;:::=-__=!:::lt:==<;li~'llII'____=_=____~_~=::;;;J;~;;;;.::=.==2____:::;:=:;;;===__=====z:;;:;:;:= This apPlicatio~~s your permit when approved. BY 11Jf.Lfffi.- DATE: 2-/5-0/ ~~=~==="'=~~==I==~=;~==~~==-="--, ~~ -===--==;===--=======~"'-==>;=== FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the buildin~ permit card at the time of issuance to insure that no dupl~cate sewer and water permits are issued. . ~\"{~ DATE PAID AMOUNT PAID ~p~~ RECEIPT # REC'O BY ~"~- * 16200 Eagle Creek A.V. S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-42301 FAX (612) 447-4245 An. Equal Opportunity Employer ...... -~........ ...- "'--......-..-".... .............. '.I~' ~nJ.Vl\ ,l....t1J.\..C ~VV.L CITY OF PRIOR LAKE l. Blue- fite 2. Gokt City J. Yellow ,^rrliCllllI PLUMBING PERMIT APplicant:tJa~f.1 f'/J~ 4 {;.rt Address: ~f/t? tY/.{{lCt// t/~, \J/J//'~ If, Signature' CJ-...t~ (l~ Legal Description: Lot Block Site AddrBss: /.~5J~ .f.I/d 11/;//1 H:UJ Building Permit # 6/ y () 08,") PID # 2-5 - 37$ -() /4 -0 NOTE: This permit will not be prDcessed without completB information. ,"'. ('t'",,,'totlfl4'J..1lt C'n",.j" " Quantity ..;t I / -:; / I / .3 FIXTURE UNITS Type of Fixture Quantity # Of-(J()A5 Phone: 7(.5Z..t7?2/2/.2/ fll It.. . -f'sS5 Z. Sub Type of Fixture ADugh-ins Water Heater Water Sollner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, DDuble Check. PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ $ .50 ~f>-\Q '-JIJ~~\,j'Si ~\\5J\~G. - \:-, This permit is granted upon the express condition that said IJ COnlroetor. shall comply in all re.'pccl. with the ordin,me.. MAR I 9 LIJ' \ or the State Plumbin8 1JJI) amendment. thereof. ______ RF.C 3.-;zOZ-OI....O^Tl! V ATIEST Call for all inspe#ions 24 hours in advance. 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245 An EquoJ Opportunity Employer Bath TuD with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) laundry Tray (lor 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) :J / I FEE SCHEDULE IndustriBI. Commercial & Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL ~1 o \ ' oo~S' Thr ('.,nln of lhr L.kr Country White . Building Canary . Engineering Pink . Planning BUlJ..DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED M J J , b. u;mE:i ) I f3e..rb. / - 7_Q - 0 I - I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5335 ~19 H()/Cf\J PA<'S . . Accepted Accepted With Corrections Denied Reviewed By: Date: 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." ~ ~\ Ol 'oo~5 Th., C~.,nl..r of ,hI' L8k.. Cour...., White - Building Canary - Engineering Pink - Planning B.UllDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED li'IITTi::: L. ~-n,\rl JI- j....... ,-' '- ' '/ c.., _>1.-:_(_' 1-./7(~-CI I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I I I, ;.\ ,...-(""- ('/ (, i'~ . r/-\ J r- =}'---~,C 'M I I Accepted ~ Accepted With Corrections Denied -'7 Reviewed By: ~ ~~. Date: J-/tV~ l Comments: ,4/ C-J_ v1~O~-4_ \ ~ c:g/N~ /JAo;r: ~_ ~~uO ,ct: ~NVV"~J ~r4 t;?V~ 'J!Js;~! I~~. lt0P1~ /AL~Ue ~ .2L{ K- .M.6-,JIMu#. ~Jv~ 0l~ -,~ p-~ \~V1,LMM- ~~DIc9I?tJ ~ ''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." ~~ O/-9~ ~ The Crnll'r of lhl' Like Cuunlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED M I I It::;. ISm EDT f3f:?JJS /-79-01 The Building, Engine~[ing, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I C) 335 PJ6 .I-I (j Ie f\J PA<'C:" I ., Accepted / Accepted With Corrections Denied Reviewed By: LLL Date: 2 -If?. - 0/ Comments: See Reverse Side for Additional Information! - GMOE I/J .5iOE Yf}f<.O .5w/lt....t5 '/P ;<t:Z"P Of?/1 U)/1(3G" &1771//1/ r/l€ E/J.5E/nE/l/73/ >< See Attachments: 1) Grading Plan, 2) Erosion Control M~asures 3) Erosion Control Plan' "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." FROM : SABER Heating and A/C PHONE NO. : 5124738c.'-~ !U'V.f.. 4AU 4..~1 r~ o~~._~...~ ul .; " . IU ...... ........ .,'" t"~.~,, _~~_, I . f ,~ I .. ., i' i . J fir;' II I jf IJ!~ . ~ flllll f .' j f I i j! i ~ I I s~' ,. . !!,:.. j l~ttBj 'fl," i t <~ r r I ~ J Jill] i i 1~! i ~ ...... I I' . ' I ? 0 -l I' - \ " . I <:) ~ -S . ~ i I :i. ? ~) ~\j,~ I' .' J' I~~~':J ~.' c.! I ~ I I ~ ll~ <1 '" ~ I" '~; ~~ ~:f~ ?II , I ,If . I ~.~" ~~\ ~ u; sl' I" ;:, I ~ ~ c\ ! " : . ....... V ~ 11"11' l ~ \., ~ .... ~,~ ~~, I J J ~ , ~ . ~d~Hfn- ~ ,~'\ '\ 1 J rl'r. 21 213131 135: 45AM P2 -, .~ ~jJ" . ..," " :$ ~ ~ I ~.; ~, ;-5:- '- ; l~.' ~Jl' :1 ... J I'! ,,;.J~l .. .1 ! id'!. , If j 'j ~! l ,$. i:i .. " \3/ ~j N ~ I ~ ~; 1-. ~ '5 (C ~ E~ <J ~(!) 'J OZ i il, , , j. j Ii! . .... . iji: ! i ,.- i ~i I , , II CITY OF PRIOR LAKE Me 162(J{J Eagle Creek Av. S.E. Permit No. 0 (~ () 085" Prior lab, MN 55:172 HEATING APPLICATION J PERMIT Dale ..3(.:Jt/OJ PIDf. ZS-37S- 014--0 sa. !\<ImeM /.~33.) .&~ ~ Ar lol Blocll Addillun Ownor'.Namu !h,.Ules/tl.,Jr k. Mdr.ss Healing Conlraclo' ALLIED FIRESIDE dba FIRESIDE CORNER Addr.ss 2700 N. FAIRVIEN. ROSEVILI.E. Ifll 55113 Telephonu' _ 651-63~-2'j61 FIREPI.ACE J. LJ 1lW1t!llb Maku & Model ~jJ r:;iA Model Sile. t,(;(}t, -rX'_ Conn. Load Fuel~ TYPE OF SYSTEM Warm Air Planls GnMly Mecl1ank:aJ Air CondUloning VenL Syslom HEAllNG QR POWER PLANT Sleam Hal Waler Radialion Special O.viee. Flue Sile Supply Opll~ R.1IIm Openings lopUI Edr. OUlpul ,:n OlD Olher Cavleas elm. lYPE OF WonK Meratlons _ Roplacemenl New CollS\ruction ~ ~~/Ol 01- 0085 Rspan . Es\. Comp. Dale Esl. Cost $ -/lOO.D:> 8uUding Purma. . HEATlt>lG PERMIT FEE $ PAID wr\\-I BUn.OING \-,~r,;..i\T STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 Race". II 1.i'EId 1.0- J. Yr:IhM f;" or, ~ CoM",. )::1 J'fl'E QUTRUCTURI; Single FarniIy . Two-f&mDy Industrial Commerciol Fee Scl1edu1B lnduslria~ G....'I'~.~''''';.d & Mum-Family Aesjdelllla~ HeaP"!! & AC Residential, Healing Only R"sld<!nlla~ Gas ArnplaCll Residential, AUdition. & AR.....tions Residelllia~ AC Only '" ~ Public MufHemily Olhe, - '" '" ~ ~ ~ '" '" '" I % 0/ lob co5l/$39.50 minimum) $119.50 $64.50 $39.50 $39.50 $39.50 '" '" ~ '" Co> Co> rn rn rn = Remember 10 add Ihe Stale Sureharge on lhe ballom ,,' Ihis epplic8tion. The price 01 "'UT healing perrmllncludes eoo rough-In and llI1ll fB1lllm..".,.;liu... Additional fMpecllons will he billed al S35.00 each. ... H '" '" '" H d '" Heuse Healing Test Reconl must he submitled Wllh buildinv IlIlIllil.IllIId!lll before bull( CI ing cer1ificale ,,' occupancy wi. be issued. ~ '" HEAT CAlC:lIlATIONR REO\IIIlF.!l with number 01 S\Jpply and relIIm openings lI!IltJd l '" room wilh CFM'sper .."';' 'I- N.... slrul:lures tlr addilions send""'" plan wi'" StIJlllIY alld return IocaIim1s shown. HEAT LOSS CALCULJrnONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR U\KE, 16200 EAGLE CREEK AVE. RE. PRIOR lAKE. MN 55372- Cijy Hall business hOlmlllflf 8 a.m. - ":30 p.m. , ALL WORK MUST BE INSPECTEl} (llDUGfHN ANI) FINAL). CALL CITY /fALL 447-4Z30 1 hereby apply lor a mechallical systems permil and I acknowllldgll lhat\he ~ inlomalion above is complete and accUTllte; thatlhe work wiU be in con'onnanc~ wilh Ihe ordinances and codes 01 Ihe city and wilh the sial. bufldfnglmechllnlc= codes: that thIs form does nol become a JleTmil unlll signed by .Ihe BUILOlN:U OFFICIAL; Ihatlhe work will be in accordance with tile approved plan in Ihe g case 01 all work whlcl1/requlres revIew and a"",ova' 01 plans. ~ '" '" ~ , ,1Ul1l BuilTIfir;aJ'S Signaturl ~ MARll~ Dale FLD PRIOR LAKE INSPECTION RECORD SITE ADDRESS 15335 \f3iS tio.rvvt \~ NATURE OF WORK tVe4'! _ .....,- USE OF BUILDING . $Fu PERMIT NO. OJ-On05 gATE ISSUED a -6-2001 CONTRACTOR ~~ ~_ PHONE "1- ,fT~.S62-1')?1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION I FOOTING . 1/6. JCU::;PECTOR I o"I;t~T~, I FOUNDATION (Prior to Backfill) I'K~ ~/CI,iot I ",,/;'-;t\o'\ PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SI'GNED ROUGH - INS SEWER I WATER I SEPTIC 15 .V(.WU '0 E>"{ <'( FRAMING <;;.~~., .-s.}J.? ~ _y~ .~. ~ol or INSULATION ~ ~~ 4-IJl9/ ELECTRICAL f I. , PLUMBING ~ d~ "517.0) 01 HEATING (if required) !t'j - 1 ~h(')Jel FIREPLACE "i2 .\ ~t~6}OJ GAS LiNE AIR TEST ~ J ~1~~1JQJ COVER NO WORK UNTIL ABOVE H).S BEEN SIGNED I I FINALS Nt 'R-\J~ ~ '\)11 A#'. "B ,0~ OCCUPY UNTIL ABOVE HlAS NOTICE This card must be posted near an electrlcal.serv.lce 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. " GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 'f~/~'~J {, 1~41(;/f ~ v4)ol e. 04 )01 BEEN ~IGNE'D Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 I I CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 'l>>.()) /IT- ADDRESS /5 ~$S /3/6 )-/t)JG,;{/ p/J5S OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL .:50J?/~ COMMENTS: ::r..s.~u e C ~O l -c..ll9se ~~\e )- (JoBS o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 1S ,\L Owner/Contr: CALL 447-9850 FoJTHE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 5'1-'1.0 f 4-: en) ADDRESS /533..5" B/q fttJ,re...N' P/I..$.5 OWNER CONTR. PHONE NO. PERMIT NO. (J/- 0086 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP MSEWER HOOKUP PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: J _ ~ \ -r'PN\,T f)1A I,AlrO '^-O S~df'./ ~ir~ - 6i&f avcl/l)~/ ktJ~ a a.fM p/ ~ ~ o ~RK SATISFACTORY, PROCEED YCORRECT AC ION AND PROCEED o CORRE~' K, CALL FOR REINSPECTION BEFORE COVERING Inspector: .0.... Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. , CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ':;-1:1. -of hVf OWNER /5?>3S BictHOrn Pc.Y CONTR. fJ'J/f-l-e.IS-Ilfedf PERMIT NO. f?1-~S- ADDRESS PHONE NO. o FOOTING o FRAMING D.J,NSULATION C:C.E!NAL o FOUNDATION o DEMOLITION o FIRE P~EV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION XEXC~ILLlNG o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: Gu d:) [l,,,.,c.. - () 1<' &r""h -/01: No s ~ WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECT10N BEFORE COVERING 'nspector:~~ - Owner/Conlr: CALL 447-423D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME 0- ,/-0/ Lf;d7J k~ jO~ {/ CONTR. SCHEDULED ADDRESS /t2: 3"3S- OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING pr 0 INSULATION ~NAL o SITE INSPECTION COMMENTS: /()/ r~r;~~( PERMIT NO. II _ ~PLUMBING RI tl'D MECHRI o WATER HOOKUP o SEWER HOOKUP " _ 0 PLUMBING FINAL '(\ L.J mlE.CH FINAL F5 ort'f , I D1nff6u'J 1i\ eht ~t')l/h\d,. tN>~.s , ISSIlP_ 1---;' S- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o L . I l{)r.J L.t't", \.. \ ~~ Ife.- d~feJnf',{;l~+- INS!l/OTl - LAJ~ /~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR,K.{CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ '. \J~ OWner/Contr: CALL 447-98S0 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE. ~{) CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/