HomeMy WebLinkAboutBuilding Permit 01-0327
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\-;'
Date Rec'd
I. White
Pink
J. Yellow
APR -Tv
PERMIT NO. -032-11
R~NJ.(Offi" u<oj
(Please.!YQe or orint and silw at bottom)
ADDRESS
J-Y// ,.c-~/V ("a<'"\,,T ~
File
City
Applicant
,
LEGAL DESCRIPTION (office use only)
~<J5:;3 -wv/7 Po
.LQ:I..., B1,OC~
L--01' -qj
OWNER I
(Name)
A.LJpmON ~~~
bltJ6k' f '
0'~LJ
PID ;)s- B73~ D!Y3~O
(Phone)
(Address)
BUILDER
(Name)
v'J.'_ ~~ ,~.
~:py~~~~ ~~
(Phone)
p67'e.?6t5-'?/3jf,
(Address)
...,.;.-J/t;/2.'V
$67 .;<'.;?
,
TYPE OF WORK .%l New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (minding land) $ 7-1'. /~
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 t..~y~..j' to perform needed inspections.
0c- _~kz~
Signature
~..:%ST
~--<?-t:7/
x
Contractor's License No.
Date
I Permit Fee $ -r'17, 7~ I Park Support Fee # $ .Asz:).CJr'
I Plan Check Fee $')//3.':J-q... I I SAC # $ 1.15'001"2
I State Surcharge $ 31.. of) I I Water Meter Size 5/8"; I"; $ ., ~
I Penalty $ I I Pressure Reducer $ I
I Plumbing Permit Fee $ /00 . ($)lJ> I I Sewer/Water Connection Fee # $ I; ?ll o. ob
I Mechanical Permit Fee $ 100.00 I I Water Tower Fee # $ '700 _0 d
I Sewer & Water Permit Fee $ _ I I Builder's Deposit $__ () I
I Gas Fireplace Permit Fee $ ~O . Q? I lather $ I
~A '" -f'~-:r~;;;; ~::AL;:H7-q R=.;~~:~:: I
lluild'rngOff;;{ ~ , Date' I Date #. ?/. -tJ!/ I By ;II{J;..
Thi, " to certify th,h::"qu"t in the ,bove 'pplil"ion ,nd '''omp'nying documen" " in ,,,otd,n,, with the :ty4z0ning Otdin,n" ,nd mt~:Ol"d ""qu,,"d Thi, dOlument
when signed by the '-::ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"'L:I(A.... i'\L/.//.-- 4/~b/OI ~~~~r~~~
v l.itanning Director - Date ' Special Conditions. if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
~
White . Building
Canary . Engineering
Pink . Planning
Th~ C~ntn of Ih~ Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
h P -+l~~~~~
,.- ,
ej-.::S-O)
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5'1/1- =;-~ ar 51:
Accepted
Denied
'l(
Accepted With Corrections
Reviewed By:
MfA
~ee fVlCt/" {:: If'
Date:
q-5'-OI
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."
~~
White - Building
Canary - Engineering
Pink - Planning
Th..('..nleroflh..I..b(:ounll')'
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I .' "
I
'rk/'
'('~
., )
/ -- -, ....
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,:5 'ill - ? /./( ,)-u /t- ,'5L-
Accepted
..,/
Accepted With Corrections
Denied -: )
Reviewed By: 9A.A.. ~
Comments:
~ey C~il~&z9vt< 1 r~
R~ > ~e,S< e{- Q'-t1J
Date:
l-f Irs/€!> (
~~
~ ~ Lvvue-.,
"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."
~~
White . Building
Canary - Engineering
Pink - Planning
Th~ (:.,nt..r of lh.. L.k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
hR -N~
.- J'-3-0) f
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5'///- 7~ (ij- SF
~
Accepted K
Accepted With Corrections.
Denied _ ~
Reviewed B~/
Comments:
~ k fA.,a.,v.., tr~-e
Date:
t.(- '1-3:&(
"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."
10:46 651 633 8884 FIRESIDE CORNER
CITY OF PRIOR l"AU
REA TING/AlR CONDITIONINGIFIREPLACE PERMIT
#0796 P.004/008
....it.Il,t:: ...,~.....
Q'1......lI'1?~ '" prinllUld sil!l1 "bOllXlm)
ADDRESS
51.(11 Q.. n.
..::.J~ Lor,
:~ ~~ [PERMIT NO. 1_"2 ;;1-11
l.Ye/Il:N/ AP'JIIIQlDt. V
ZONlNG (off... ....,
LEGAL DESCR.Jl'TION (olli..: u.. only)
LOT"j BLOCK I ADDITION
I ,lG uff~2&~
~.?-
FIDc!5'-373 -- 003~O
J-f
OWNER
(Name)
t"'}:)(;? ~+n_
(phone)
(Address)
APPLICANT
(Nan.eJ ALLIED F!RESIDE DBA FIRESIDE CORNER
(Phon.e) 651-633-256J.
(Ad,dxess) 2700
N. FlURVIF.W AVENUF.
(AcIdn;..J
BRENDA HUSTON
(Contact Person)
&I'JJJJ.. J-Jl.h~
'msevTT.T.F- M1'J
(City)
(l'hone) 6S1-633~25&J.
S~l"
(Zip Cc4.)
APPLICANT SIGNATURE
_ DATE
KJJrkl
APPLICANT PLEASE COM.PLETE BELOW
i:.3~EW CONSTRUCTION 0 REPI,ACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ruE!.
FLUE SIZE RE71JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PT_ANT
OWo"uAirPlnm" 0 Stenm
DOravi!)' D HOI Wna:,
D Meohlll1i...1 0 Radlotion
OAlr Condili,Dning 0 Spooi.1 DevieltS
OVen... Syslcrl1 0 Othe, O.-vices
PLEASE NOTE:
Air Con<litionCl' Unilll
Cannot Encro1lCh into
Required Side Yare!
Selhacks
FIREPLACE MAKE AND MODEL /:jpu 1J G,-,> ~ ISb
Industrial. Commerdal &. Multl-f,mily
FIE SCHEDULE
J% of Job cost R..identl.I. Oas Fireplace
$39.'0 mlnimllln
$99.'0
$64.'0
Residentl..!, Addi.t1ons &. Alt.orations
R.osid",tlal, AC Only
$39.50
539.'0
$3950
Residenti,.!. Hearing & Ale eN"'" ConSlmctJon)
Residential. Heodng Only (New Consrl\lcdon)
Estimat.ed Cost $
BuUding Penn it 1/
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-
$
$
.50
U,....(l,_"
. 'i\;(/;/11y
'l::R'R
11V4;-
romr.a:UaC:OJJJ)')
Tbi$ Applle.tilm S...,me. Your BIIlldlng Permit When Approved
B..ndine orocl.,
Dlltt:
IPa.id
I Dale ~/ d.-/-I
-+ Rece]!!, No. .
I By ~C--
U
,
j
:M hour notl"" for .lIlnopee'Jnns (95Z) 447-9850, f.. (!lSZ) ..7....Z45
-----
~
B~~
drr.o\'lVES01.t-
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
i ::;;,"., ~:;y I PERMIT NO. /[/- '3 ;;). /) .
3_ Yellow Applicant C/ _ - - f I
(Please ~e or Print and sign at bottom)
ADDRESS
541\ HJlWY1 ffifMDW 0JUXVf)
LEGAL DESCRlPTION (office use only)
LOT 11. BLOCK 3 ADDITION
ZONING (officeu,,)
PID
~~e~R l)~ \-\DYM
(Address) '?J46q Wl\.(AtL~/mt Aw/
~;;~~ANtllllaM YnUJlflflicaJ
(Address) _ :~tf)D I(lj}nf.bf0'l)( ,~'Ik \
f. (Address) . (City) (Zip Code)
(Contact Person) Jp...hrt0. lLAmmPY,"YYla.fL.- (phone) ipS I 4'51.- 2-,/6
APPLICANT SIGNATURE ~j' t 1) mtneY/rIP.I1 (~l DATE t./J 2510 I
. APPLICANT PLEASE COMPLETE BELOW
. [BIWW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL gnYA1}- 2,g'?;Jk.A'V Dl.4D7 D FUEL ~a1
FLUE SIZE yl\ Glas2J 1>> RETURN OPENINGS LJ- INPUT 1D. DnD OUTPUT 51t7, bDD
(Phone)
E:a..oah MI0 55/2.7-
J
(Phone) /if51 452--lT6'
,\J~ik lOti
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
l0f\ir Conditioning
[ilJ'ent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Farnily
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estim ated Cost $
Building Penrtit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
I Dates- - L/ -{) )
Building Official
DHte
24 hoor hOtice for all inspections (952) 447-9850, fax (952) 4474245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
13UII ~"'/D W,
'l.J1lttG p "r/-t
'E:R,v,f'r
Receipt No.
B~
()
~_.____,_L_,.,,_.__ _.
GENZ RVAN PLUMBING AND HEATING
p. 21/41
Apr. 2. 2001 10:12AM
1-
2 .
3.
~ 4.
5.
6.
No.0911
--......
YELt.Q_ . .f.ppuc..,
cil0LP - ClT...
CITY OF PRIOR lAKE Noul- 3~ 1
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: p.".n"i'- e~flPII..l""''o\~ U.~-r/.UC~ PHONE:~1-4'23-"4l-1
ADDRESS: I L.f"1lJ6 Sn ~1" -r<Z.L f<r:s~. .....1"" ~!;"Clo:li! DATE: L/ /2 llJ J
SIGNATURE: \A. b~ \L 0 - - . BLDG. PERMIT II
SITE ADDRESS:~)-.J ~,^,,>--3 ~ C~i-Se.
Estimated length
PILL IN THE BLANKS
. 40'
of water service
If
feet.
Size of water service
inch (e..) .
Location of any couplings from structure
feet.
Type at. sewer pipe. ABS pvc X
f In I
Estimated length of sewer lin~~_j
cast Iron
f.eet.
Clean out (if requir~d), located at
structure.
feet
froIn
-.......------------------------------- ,-------------------
-------------------------------------------------~------~---------
This application becomes your permit when approved.
BY
D~TE:
FEES:
=~==-=~===~~~~=~-
==~==:.:;;:;=~===:;;;:_---===~=:l::::;;;;::l=;..;;;;;;;:;;;;=;;;;;;;;:;;;;;=:;;;;;o::;;;;;;...=;;;;;o;;;;;;;;:;;;;;;;;;;
$
$
$
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 constructiop must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water ~4hb are
issued. -.:sUIJj)Ift/i WI"f1.t
DATE PAID 1)- L(-O / AMOUNT PAID G PJ:Fi4.r.. --.........
RECEIPT # REC'D BY .()v "'--......______."-..
. U'\
. 4629 Dakota St SE., PIlor Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN ~OIIA' ,....., ,,..,, lNrtV F:M1>1 nVPR'
'.
--~---...
APr. 2. 2001 10:13AM
GENZ RVAN PLUMBING AND HEATING
No.0911
P 25/41
n..c..nler..rl",,~,"c.."'1I1'7
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~Jf"17.-f.?L~Pl\rr+ 1J:n-..
Address: \ LJ, tJ. c:::" ~ .R.F>.lD' Ill. . "IU
Signature: \A.. J.. ~
Legal Descripticn: Lot~ Block SUb
Site Address: P=:;U) I H-... ,l' lI\.M. ~
Building Parmit # PID #
NOTE: This permit ~II not be processed without complete information.
1, :Blue fl]c
2. Gold at)'
3. Y_ App_,
# 0/- 3~'7
Phone: I "f'-j- 07~-11'41j
/) r-..<...i IIY'l'-r1 J.V\T ~.\&.
J-,)e..uft'&D 3-z-D
('t I II? \J(l <Q.F_
AXTlJRE UNITS
:~'?
Quantity I Type !'tFi~ra I Quantity I Type of Fixture
I I Bath Tub with or without shower I I Rough-ins
\ I Dishwasher I I Water Heater
1 I Roo r Drain I I Water Softner
3~ I Lavatory (bathroom sink) I I Stand Pipe (washing machine)
\ I Laundry Tray (1 or 2 compartment sink) I I Sewage Ejector
\ I Shower Stall I I Backflow Assembly (RPZ, Double Check, PV8)
l I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
.~I Water Closet (toilet) I I Other
FEE SCHEDULE
, Industrial, Commen;ial & Multi-Family
(1')'. of job cost, $39.50 mInimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
.$39.50
$
$
$
$
.50
GRAND TOTAL
~
Thjlji pennlt is gI'Ultcd upon the exp'(e&,s ~nditioD that :mid
contnctQr. shlill comply in all respects 'W'itb tbe ordinances
of the Stare PlumbiJ1g C~ lIIld the amendments '!>o/eof.
. RECEIPT NO. t:; - LI-tJ I DATE
Clc ~ ATTEST
Call for all inspections 24 ho~ in adv~ce.
~/l.()/o),ql() IA.
~"'G FV""""
~~p
"ilv:,.,..
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-42301 FAX (612) 447-4245
An Equal Opl'onwllty Employer
PRIOR LAKE
INSPECTION RECORD
C-t-.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,C::;411 {;., I<JlA.
NATURE OF WORK A.. }.a... ')
USE OF BUILDING 2\F= A-
PERMIT NO. 0/-0,32.-7 DATE ISSUED c.f~9-~(
CONTRACTOR ~1 PHONE G,~/-2C::;(";)-?/3r,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I J' DATE
I FOOTING ('/I.rN fb:r. &, I ;ys(~ ( I . Itf..l-. I 5/7... /oJ
, FOUNDATION (Prior to Backfill) I 13- ~~ I 5)(~ ot.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC _
FRAMING . ~ "j /7/0 (
INSULATION ~T~ ~. 1/2-1/01 ~ 9!tgJo/
ELECTRICAL .. I
PLUMBING ~LQ, U.~, 6:r, f/l/siof fk? ~B-~
HEATING(ifrequired)1~+\U ;J;;.~:J;g/rJ) ..,--~.~. hf~/6/ b-:;... ~Jh~/
FIREPLACE .. f!Jv ",hill' . ..
GAS LINE AIR TEST y\l.. F:f.. r& '. ~ / ')/1.,1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~, '81;;.-1/o( I I
,
FINALS
(VB;
fJ::r /0/2l/0) (jJfJ
,~
I GRADING (Prior to Sodding)
. BUILDING /'. C ,15 \ -till 3'1 DI !n ~
. . (
ELECTRICAL
PLUMBING
HEATING
DO NOT
( / - ({7 ~ 0 I
61, IJ-d--'
H/. /d-D
I~ . /4#101
I
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~trtifuau of ~(mpanry
C.l.l r OF PRIOR LAKE
J)epartment of .uUlIing Jn~pection
~ Final Permitted 0 Conditional C.O. Expire~
This Certificate issued purSllD/lt to the requirements of Section 307 of the Uniform Building Code
certifying t/rat at the time of isslUlllCe this structure was in compliance with the various ordiTllJ1lCes of the
City of Prior LoIce regulaling building construction or use. For the following:
SINGLE FA,,"!ILY
Occupancy Type
Type Construction
VN
Bldg. Permit No
N/A
Fire Zone
01-0327
Use Classificatior
R3
Zoning District
R2
Owner of Building
DR HORTON, 3459
Contractor's Name & Address
/11)-
ROBERT D. HUTCHINS '[; ') )
Building ~ V 'V
lifo !}--rY
LcgolDeocriplion L3, BI, DEERFIELD THIRD ADDITION (BLDG 3. UNIT 12)
SiteAddress 5411 FAWN COURT SOUTHEAST
WASHINGTON DR., SUITE 204, EAGAN 55122
r;ty Planner
DON RYE
0...:
Date:
POST IN A CONSPICUOUS PLACE
JOB #
HOUSE HEATING TEST RECORD
ADDRESS S'-\ \ \.. ~4vU ~ leu. '\ ~ <.,. (
OCCUPANT
HEAT LOSS .DATE HTG. INST."\!6\
SOLD BY INSTALLED BY Fr,c/,Ynd7S6v-.
Electric:al Work By Gas Line By If" \.. _____
TYPE OF HEAT GA _ FAX:-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
~. J... GAS DESIGN CONVERSION
MAKE ~ MAKE OF BURNER _
Mod.l L.r( _ 1'1"\;" 4C)')(", _ Mod.l
S.dol J PI. (",'::I<..1.V>. . . Mox. BTU Rot;"g
INPUT ~:nt)C) J..iI..Ul:I _ MAKE OF FURNACE
APT. _ FLOOR
OWNER
CITY
Model
, CONT lOLS
THERMQ!iTAT ""~I ~......Plug
Volv.\.l)IA ,t€ IU~(f: ~
limit.
limit S.ttin'"
Fan Setting /
Pilot Type k.....
Pilot Moke. ... VJ V
P;]ot Mod.IV"'" :../'
Pilot Timinr'-"
L.W. Cut Off
Pressur. :~ I S-
,.{ \ \
Vent Size _ ~
KIND OF LlNEP
Draft Hood
Fi Iters Size
Chimney Location
Chimney Construction
. SIZE
ReguloTor
__Number
Insid. '>C Outside
Smoke Bomb
Draft
_ Wiring
_.Test Tog
Lighting Inst.
- Door Pressur~
Dot. Test.d 't -\1- 0,
_ Company T estin1\ AJ1Wnt [vte"hanical, 3650 Kennebec
_ Nome of Test.r f-\.-f'.JL..- L<..JI. \ \
Input CFH_
Stock Temp.
Form 235
Percent CO2.2r-. (:)
Percent 02~"'1
Percent CO _ (')
,:1,,,..1'/
_SUBURB
.NONE
Dr., Eagan, MN 55122
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
-5 L///
SCHEDULED /0'-/7-/ 2,'01)
~ aurrJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(-3;;)1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~LUMBlNG FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
() iJ~ //
11.PA.u'\)J.2 ~ h
lJ
()
~~
/
o ~SATISFACTORY, PROCEED
/ CORRECT ACTION AND PROCEED
o CO~R fl' CALL FOR REINSPECTlON BEFORE COVERING
Ins ro t I Owner/Contr
L1!44J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~v
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VSNOTl
.
DATE T1?:
CITY OF PRIOR LAKE /7 / '-0-'
INSPECTION NOTICE SCHEDULED '-1' - ;(-;;2., -/O'-.Jo
SJ/Of- /0 ~.rhn-~r'qg-W
ADDRESS K L/1?9 - / ) ' :Jaa/ n (17
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CJ ( -0 3d.Q - 3;;;.--5>-
..5 ~(., - 6C}-'/
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~Tr
()/!
(l/t ~ fJ
f\ , J
rf/~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:~:ECT oitLL FOR REINS:::::::FORE COVERING
, ,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n