HomeMy WebLinkAboutBuilding Permit 01-0277
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3-zerOI
(Please wee or print and sign at bottom)
ADDRESS
~AY';<7 ~ C.::'C/'"'i"TJE
I. While
Z Pink
3_ Yellow
File
City
Applicant
I PERMIT NO. nt, D'L11
. I
ZONING (office use)
K.2-
LEGAL DESCRIPTION (office use only)
~'Y' p/l/,,/7"/6
~ 4-i!1,9CK I ADDITION 'Ch!ii'e~."q.6'Z.cJ ...3~~
OWNER
(Name)
(Address)
BUILDER
(Name)
./1.,<:(. ~ nYv. ~.
,
PlD 25 -373-0o-:r-o
(Phone)
(Phone)
657-~ -?/~
(Address) ,3'-"/5P Ah";?S)<""'~ ~ ~ ..::?c7..y
,l..-,.. -.e..--". ~-(../
~.;:? ;:;!
OLower Level Finish
~ New Construction
o Fireplace
I hereby certify that I have fumished 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 property to perform needed inspections.
~~
$
$
$
$
Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee . $ t.( () . ocJ
(;2;rr-u=&~~--^-
. tJ~~ C(, [, . 7nd
Building Official Date
/
TYPE OF WORK
o Misc.
x
v
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
ODeck
'l'lt).7S-1
f::;-,~. q-q I
~~.q) I
I
I 00 .{YO I
I tf)('J .t>O I
I
I
OPorch
ORe-Roofing
ORe-Siding
OAddition
OUtility Connection
OAlteration
PROJECT COST/VALUE (excluding land) $ ?'eP?, /.t?C:?
d'l ~ S'""6S-7
..3-.;( 7-<:7/
Contractor's License No.
Date
I Park Support Fee
I SAC .~#
I Water Meter Siz~
I Pressure Reducer e' kJ 0 Me "te,-
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE
~soool
1./5:/').~
,.. -
#
,-
.-
( ,'"). ()o. c:O
'70C).(:5d
Paid
Date
54-eO.~
1'10/L/
I Rece~~1!t. .X9 SVr,
BYr~
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mly proceed as requested. This document
z;gn;;;w;:;= tempo'~ ce~/;~iance and allows construction to commence. Befoce occupanq a Certificate of Oceupanq must be
.(. Planning Dicector Date Special Cond'hOns, ,f any
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary . Engineering
Pink - Planning
Th.. Cenl... of tbel..k.. Count!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. HO R-WrJ
3- 2~-O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-2-7
I
fflWN Ci)U~1
Accepted ~ Accepted With Corrections
Denied 1)/1 /l ()
Reviewed By: (./6 (A;,~
~ XJL (/}o~,
Date:
~t--CQcJ/
,
Comments:
,/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."
Th.. e..n.... of th.. L.h eountry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-- - !
jj k . llu g! C Iv
--::- ZYrG I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~-4-27
F;i II, /'
i L; i__ I
-
Accepted
,/
Accepted With Corrections
Denied
Co
~.~~
o ~L'<~ ~ /";t'~.J! lA.
~/J.~" ~~ h-v- _ 3-J.~,
Date:
L(/6/g; /
Reviewed By:
N.o ~~ &J!.. '~k~ LVe_ /tV ~k
~D ~,,~~ ~f'?v- w~~ ~~'-'e4'
"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."
~~
tJl-272
White . Building
Canary . Engineering
Pink - Planning
The- C..nle, of the- L.h Counlry
aUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. ffO 1<- TL-'lJ
-3- 2PrO I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-2-7
I
FAWN evU/LI
Accepted x
Denied
Accepted With Corrections
Reviewed By:
Comments:
NIJ g
f, (,( /11'1"/\ Ff Ie
Date:
S-: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."
Apr, 2, 2001 10:13AM
GENZ RVAN PLUMBING AND HEATING
No, 0911
P, 26/41
TR Cm:1~ IIC tI:l<r W. 01..,,,
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant r-,yyz.-t?1 ~Ol~ iJsrh
Address: \ U-, L~,c=... ~ ~ ~ T ,YLl
Signature: It 1 ~'
Legal Description: Lot"---.J
Site Address: PiJ'?_-'
Building Permit It
NOTE: This permit ~III not be precessed w~hout complete information.
FIXTURE UNITS
I.. BIue
.. ""'"
3. "X'e]Jaw
fil.
e"
Applig,ut
# ()/-OZ77
Phone: ( ON - l4 7 ~ -114-U
11,,-~ 1fV"bt"LIrIT ~
Block Sub i-Xb:f;-dD 3a-D
s::qll i".) (l f!>rI La.::t S6.
DI- 0 Z I' . PID# Z.5 - 373- 004--0
~'.:'I
j
Quantity Type otRxture I Quantity I Type of Fixture
I Bath Tub with or without shower I j Rough-ins
I I Dishwasher I I Water Heater
l I Roor Drain I I Water Soflner
~ ~ I Lavatory (bathroom sink) I I Stand Pipe (washing machine)
\ I Laundry Tray (1 or 2 compartment sink) I I Sewage Ejector
I I Shower Stall I I Backflow Assembly (RPZ, Double Check, PV8)
\ I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
,7--- I Water Closet (toilet) I I Other
FEE SCHEDULE
. Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
Sf PA~2:~W\l,^\i
8\)\\D>"
-.:
Thls pennir 105 gnma:i upon the express condJ.bon that 5a1d
cont<>ctor. ,holl CO.PI i 011 "'peets with the ordinances
o( the $tale Plumbing e ';f",dmen.. thereof.
. "IO-OLDATE
Jj' ~ ATTEST
Call for all in.1f'ctioDS 24 hoUl'S in advance.
16200 Eagle Creek Av. S.n., Pnor Lake, Minnesota 55372 f Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportumty Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:" ~::y I PERMIT NO/) /- -") '7
3. YeHCw AppllCllnl V ,c;:r /"
(Please tvv~ or Drint and sign at bottom)
ADDRESS
,&)'-'11-1 H1WYl (!A-.'
LEGAL DESCRIPTION (office use only)
LOT Yf BLOCK / ADDITION I QytJ~y>>J{'Jl :3 y cl
~':e~Rl)Q. \-h>Y'M
(Address) .~~ Wlt<iklh01m1, AvL
~:;~~ANUtllaJ1f VYl(CJltU1/CaJ
(Address) .~rt6D lU.nV1f.bfr.ll)( ,\til-k \
, (Address) .
(Contact Person) Jf.-ftt~ l 7AYn1?'IP~YYlt;U'V
APPLICANT SIGNATURE . trr
ZONING (office use)
PI~'373~t)::J(l-O
_ (Phone)
~ MI0 55122-
(Phone) ltfj{ 452.-2.1--16'
Sw-k 1JL/
(City) (Zip Code)
(Phone) idS I 4'5Z" 2.,76
(~DATE L/-IZ3/0/
. APPLICANT PLEASE COMPLETE BELOW
[Bl'ffiw CONSlRUCnON 0 REPLACEMENT 0 ALtERATIONS
FURNACE MAKE AND MODEL BI'~./- 2>g)k..f~VD2J.JD1D FUEL f\tt:h.ual
FLUE SIZE L.\l\ G\QSS e, RETURN OPENINGS if. INPUT 1D, ODD OUTPUT 5/0, bb()
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Waler
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
OGravily
o Mechanical
W.ir Conditioning
u;pv"ent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
i% of job cost Residential, Gas Fireplace
$39.50 miilirtlUm
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pe11llit #
REA 11NG PERMIT FEE
8T A TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Dat'il~,~.5 -1)/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOtE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$3950
$39.50
PAID WITH
BUILDING PERMIT
r.
I Receipt No.
I By
()z
U
GENZ RVAN PLUMBING AND HEATING
P, 31/41
APr, 2, 2001 10:15AM
l.
2.
J.
--.. 4.
S.
6.
No, 0 9 II
IaUW - Pa.1!
".u"ow . APPuca.T
.-out .. CITy
CI'l'Y OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. O/~07-77
NOTE: Sewer and Water
contractors must
DOl registered
with the City.
APPLICANT:F....."II'l~. - ~bl~ U,lJ'T'IA)('~ PHONE:jo51-4t-3-114L.l
ADDRESS: I'oi'"ll./o &, 1l~4-T "''''L ~~,.. STcl&l DATE: L//2 ltJ I
SIGNATURE: Ik h \l '\L 0 _ _ BLDG. PERMIT 1! D/-Ol..77
SITE ADDRESS: 6ili:::0 ~. ,-"-,,.,.j fIN 16 st:- PID!! 2.5 ':::'}/3 - ()O4--0
FILL IN THE BLANKS
40'
Estimated length of water service
"
feet.
Size of water service
inch(es).
Location of any couplings from s~ructure
feet.
Type of 'sewer pipe. ABS PVC X
Estimated length of sewer lin~~'
Cast Iron
feet.
Clean out (if required), located at
structure.
feet
from
=~~=~~~-~~~=~====-----~=~~~~~=~~~==~===~_M====
This applicat
co~es your permit wnen appr~ved.
....;-- D~TE: ~ --I 0 ~D I
BY
===========::::;:;:;;
-===========~===================~~~===~===========~==
FEES:
$
$
$
Sewer and water line connection permit.
Surcharge
TOTAL
35.00
.50
35.50
* 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 building permit card at the time of issuance
to insure that no duplicate SeWer and water permits are
issued. ~O~\1~~~\1
DATE PAID AMOUNT PAID ~~G ~e
RECEIPT 11 REC'D BY ~
, 4629 Dakota St. SE., Prior Lake, Minnosota 55372 I Ph.. (612) 4474230 I Fax (612) 447-4.245
AN EQUAL,OPPORTUNm' El'1PLDYER
06:56 651 633 BBB4
FI RES IDE CORNER
CITY OF PRIOR LAKE
BEATING/AIR CONDITIONINGIFIREPLACE PERMIT
#1663 P.002l004
JJale .I:'.':ll;" U
;:;;:.~:;, I PERMlTNO.O/-02. 771
3, V.lIgw ,l.pplicllln)
(Please!VU~ Or mint IInd. !ljl:i1l1.t bottOm)
ADDRESS
So/).7 e::9~ ~ Or J:'e
ZONlNG (ol!l", ,,"')
LEGAL DESCRIPTION (ollle!: use only)
LOT BLOCK ADDITION
PID
. OWNER ~l ,
(Name) rDt2 ~
(Phone)
(Address)
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Address) 2700 N_ FArRv:rW~ll'i'
(Add.....)
ERmiDA !lUST.ON
(Contacr Person) ~ _ (Phone)
APPLICANTSIGNATTJRE ~ ~~. DATE
APPLICANT PI.EASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SlZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANt'
::JWarmAlrPI,Ims 0 So:om
::JOr.vi!)' 0 HlIt Woter
:J M""h",ical 0 Radiation
:JAir Condition inK 0 Special Devlc;:e.
JV""T_ Sy.lcm 0 Other Devlc;:es
FlREPI..ACE MAKE AND MODEL ~JU- "V (fir.:, ..5L- 7~
'Cjl?C'.1="I'7'!'TT~
(CilYl
653.-633-2561
5~l' ~
(Zip Code)
ql:J!~1
PLEASE NOTE:
Air COIlditiorler Unrr.,
Cllllnot Encroach inlO
Required Side Yard
Setbacks
Jndu,,,ial. Cornmen:lol & Mulr.l-FomUy
FEE SCIlEDULE
,% of jo~ .os! Resldenlilll, Gas Flrophu;c
S39.S0 minimum
S99,So Residenlial, Additions & Allcrution.
$64.50 Resldenti.l, AC Only
$39.50
Residen.tial. Hea~j"g &. Ale (New ConstnJ,aion)
Residential, Healing OnJy (New Con_.lion)
539.50
$39.'0
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:Ii
$
:Ii
*~ii~~
. . ~\\J)~~
-----
(om" 'JOt Only)
T~is Applioatlon aecome. Your Building Permit When Approved
nutl4Jng O1lldal
Date
::-----
Dateq ~ 7 ---0 I
-
IR~
I By j#--
24 hour noliCe for aU 'n'peet'o.' (!J!J) 447-9~50, r.. (9!J) 447..4J4S
PRIOR LAKE . DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESSc;-t./:;2'7 fii.1.J.JtA (J 1--- .
NATURE OF WORK Al.e.....LJ
USE OF BUILDING ~ C)I=4
PERMIT NO. 01- on" DATE ISSUED L?-(P~~I
CONTRACTOR -DP. ~ PHONE c"c:;-I- 25t-7/"?f.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~ ~. ~1\\lol I I
IFOUNDATION(priorto'BaCkfill)ftf.a f!?,.., ~/31/6J tt>\L ~;zg!6(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN-~IGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~. W ~. I ~ /'/&1
ELECTRICAL
. . ~
PLUMBING~ \~,Q,. ~. 5"l3ltol ~ <.J,..JJ. ~Q,.f?r-. t;.h,fd{ /~I ~
HEATING (ifrequired).\='JL/~. 5/3 r /01 -r~. ~. &(~{ 6:,.. 9/d-7~1
FIREPLACE ~, 'T7t1:r7 M/
~ .
GAS LINE AIR TEST ~ FJ ~ 1/a--7Ml
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~ ~, r/b~/
d
~'I
0/:-7/dl
1/~~/tJ1
GRADING (Prior to Sodding)
BUILDING. -r.t.o.~. 8'/\ ID'l.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
I
FINALS
~l (),
;;q tI /1,101
fb
\\/&;(01
or -I)) ~ rl--
~
I.ft?,..
~
/f/lt{/Ol
1/// &/0 I
BEEN! 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 ~~.plac~d near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
HOUSE
SLJ;:t'lI=<......"" c...\.. 'St>
ADDRESS
OCCUPANT _
HEAT LOSS_
SOLD BY
Electrical Work By
TYPE OF HEA T
DATE HTG. INST. _ (1/(--,\
HEATING TEST RECORD
APT._FLOOR_CITY
'~WNER
JOB #
Vd::[~JiUR8
- INSTALLED BY r-(C'4r~u,"~o '""'"'
- l '-... ,-.
Gas Line By ,
GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
MAKE ~C<~ t GAS DESI~N
Model _~~ ~ (\\.:)t~~7 u
Se.;ol J\ (\ laD 7/
INPUT l..1..L/y-.,h 0TU I-!
CO.l'qROLS
THERMOSTAT UOI\CU~eot Plug
Volve L- "' '^\_\,.-~ (lr-k:f"
Limit
Limit $effing
Fan Setting
Pilot Typ'"
Pilot Mole:...
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure ..._=? 1<;
Input CFH
Stack Temo.nn
Fo.m 235
/
11 ",1
H'}..\/
Percent CO2 ~ ,~
Percent O2 1\
Percent CO J:2
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACF
Model
Vent Size
L,\ 1\
KIND OF LINER
Draft Hood
Fi Iters Size_
Chimney Location
Chimney Construction
Smoke Bomb
Draft
Door Pressure
CONVERSION
SIZl' _NqNE
RegulaTor f'c..........,... i. 't"fO \
Number
Inside ~ Outside
Wiring
Test Tag
lighting Inst.
\o-;:}.'-t-O\
Date Tested
Company Testing I\.lli~n; ~~~al)ica.L ~q,5~ Kennebec Dr., Eagan, MN 55122
Name of Tester A-L_J.'-tV ~ L- 'I'" I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S '1 ;;l- '7
~ ex-:-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION~
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
ffi) 0 PLUMBING FINAL
l[)/ )1 MECH FINAL
COMMENTS:
(fJ I~ ~ ~
1,('.C,
<'l/1/O1--
f'rv.u.Jf ~,
DATE TIME
\\{\'-(Ol jt:"d
66 -:;)77
o EX/GRAD/FILLING
o COMPLAINT
~ FIREPLACE RI
. FIREPLACE FINAL
o GASLINE AIR TST
o
I'i\ WORK SATISFACTORY, PROCEED
;!CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1_ 1/3'0
ADDRESS
-SLid 7
~ (!f-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-"::;7 ?
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ((iJ WATER HOOKUP
o INSULATION J SEWER HOOKUP
o FINAL !l',PLUMBING FINAL
o SITE INSPECTION fO MECH FINAL
COMMENTS((}) fft,..,..-1
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
/
A
~~~
M~~ rrt--
j!uWORK SATISFACTORY, PROCEED
10 CORRECT ACTION AND PROCEED
:S:::ECT WOR~ FOR REINS:::::::::FORE COVERING
CALL 447-98S0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSl'iOTl
DATE TIME
CITY OF PRIOR LAKE g'. ::l...-
INSPECTION NOTICE SCHEDULED - /;?---()O -
,f) 'IdS - ;P7 f=(;:ulfl7 -t-
ADDRESS. ~ t.j;;1L.., - d-? /'iw /J1 /J1.MdtJ-uJ
OWNER
PHONE NO.
CONTR.
m-~75 ,FJ'-
PERMIT NO. .':l 7 -l :iIiIifi ;x?f?'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
2)7-7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.
/)!(
/\1 )
f ~l R ~
_ I
/ /1 / /l c,e
( A(/-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~RK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 1 f:>r-- Owner/Contr:
'<:-/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
------ - --~-~--