HomeMy WebLinkAboutBuilding Permit 01-0351
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
33;;;..4
1, White
2. Pink
), Yellow
File
City
Applicant
I PERMIT NO
/,'1
I iJ()() ci
Th- ii/oj
Du.cK
. LEGAL DESCRIPTION (office use only)
LOT~ I BLOCK I ADDITION (,V ILl) S
OWNER
(Name)
3--td
PID ;) 5'- -=3 Y7 -O,;)../-D
H01l1es
f)-r. SU.ric ;100
We-Yl5rnfl'J1Y\
16' "16' - h It Z fl
(Phone)
f.,fJ-/- '7 D6 -4400
(Address)
BUILDER
(Name)
5Atl'le
(Address)
E. J4c; ,q fl .
I'M.."
(Phone)
\
"
-
TYPE OF WORK ~New Construction
DLower Level Finish I
o Misc.
o Deck
Dporch
Date Rec'd
I ;035 I
ZONING (office use)
PU-O
ORe-Siding
00 Fireplace
DAddition DAlteration DUtility Connection
PROJECT COST/VALUE (excluding land) $ 3 7~ !Joo
$
$
$
$
$
$
$
$
f 3'tz5~o
~ ,S33./:T I Park Support Fee
I (P4ft,.&j1 I SAC ...,..
I I f3? . ro I Water Meter Size 5/8"UY
. I I Pressure Reducer
/ DO. 00 I I Sewer/Water Connection Fee
'tJ{) . of) I I Water Tower Fee
35 . 60 I I Builder's Deposit
L{{) . tJ{) I I Other
I TOTAL DUE
#
#
ORe-Roofing
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 rev~.this-petffiff1QT ~tt-~more, I hereby agree that the city official or a designee may
;teru~U::;;I:Jr~~Tf~:O~ ~ Wr- Fg' f 4 - I:? - t) I
Vsignature Contractor's License No. Date __
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/' I ^
t/rnBtYourBuildffi~;~~i:;:;;d
~cial Date
#
#
$ fJC)(). o:D
$ 1. I~.O$
$ ., ;QS[),~
$ T)tJ .cJ/)
$ I :~60 . ~
$ ~OtJ,/'
$ J. i:v'Jf) . (')0
$ . I -
$ /O,3tA3. (pC;
I Paid //), ,?~:5 '(0'1
I Date "UJ.. ~ 0 -0 I
I Receipt No.? 9'5 ;Cd
By <A-C/
U
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
mg irector
---
tJ /'ZOh I
~"- ~'~~o~~~~~~
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
@~
b I-oJ$' I
White . Building
Canary - Engineering
Pink - Planning
Thr C.nlr. of lh. L.k. Country
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
if)' " k I.n " "
" . I; f . ii, f
.' .._. v ,,~. " J
/, /)-c)/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
7 '), (I . / (/ I(~ . / Iv /I)
Accepted
Accepted With Corrections
v
Denied
Reviewed By:
~ ~- - - )I
Date:
f-/ /J-o/e1
L/
Comments:
-l!:1btJc\'\MJ..AI.M ~t{ F-'Qa~~_\)~ 1/'\)~d'J1; AT-
~p.r~ LW~] r<tD~_) k;
('.1 A/ ~ .
- ~
Ji/c- ~~~ ~q~ '
~lJ\ ~~~~~~ tr~tQa/" ~
IjlY11 ~ to 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."
~~
DI-03r I
Thf ('''otfr of Ih" Lakf Country
While . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DePARTMENT CHECKLIST
NAME OF APPLICANT _! J )WS rna VA) ~orne~
APPLICATION RECEIVED t./- /d ~O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 3~ l/ WaJd nw j~ ,'h r JJ0
Accepted Accepted With Corrections V
Denied ...-... Ii) , iJ
Reviewed By: l};/.-O.~ Date: tl- /3 ~ t.0:1r
CommentS:
~,d~~ !vJ;~
"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,"
MaY. 9. 2001 10:35AM GENZ RVAN PLUMBING AND HEATING No.3453 p. 2/6
CITY OF PRIOR LAKE Date Rec'iI
BEATING/AIR CONDmONlNGIFIREPLACE PERMIT
q'loaSe.!YE< or_ and sl2Il at boaI>...,
ADDRESS,". 63 'd- L\-
V VV Il~-h~\ Y. It
, f\t,
HZ.. s.... ~PERMITNO'O/_3.57
ZONING (oJIkc...)
pafJ
LEGAL DESClUPTION (01&0:115< oaly)
LOT'll BLOCK' ADDmON '1ltu... ~ \ <;) '::. ~
PID.?S- ~3 7 - 0;;21-4
OWNER
(phon~ ~~1 Qn~_,7nQ
~~~ YQnQM~nn Rnm~Q
. (Address) 1895 Plaza Dr St.. 200
Eagan, MN
55122
APPLICANT
(Nam.e)~nz-Rv~n Plumbi1"~ ~ ~~
(Phone) ~~l_"n_." ~
(City)
55068
(Zip Cod<)
(Address) 14745 So Robert: Trl
(AddnlsI)
Rosa-mounc, M.N
(CoIltactPerSOIl) M'"..v n1 q...n 1 (l'hone) ~<1_"', 11"&
I APPUCANT SIGNATURE ...l.~ - DATE ~ I=LicLI
APPLI~~E COMPI.F:TE BEI,OW
; . -
~W CONSTRUCTION D REPLACEMENT D A,LIERAUONS
FURNACE MAICE AND MODEL lb. \l'\.fXj~..7~'I~ _ FUEL~J~ r-.('}$.
FLUE SIZE RE'IURN opENINGS I '.::::> INPUT 1'2..':, I coO OUIl'UT ~,..,. Dm. ") .
TYPE OF ... ....,...{ HEATING OR POWl!RPLANT
I1lwlIt1ll AIr PllUlts 0 S1eam
[j<mvi1y 0 HotW8IGI'
o Mec",",j~ 0 lUdiatioD
IlDAir COllditionlng 0 Spcciol Dcvi_
OVcmt Syslah 0 Othor Devices
PLEASE NOTE:
Air COIlditiOJJIll' Units
Caunal BnCt'Ollch into
hquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
lndustrtol, Comme~ &: Multi-Family
FKE S...Di.uu...E
1% of job cost Residential, 0". Firepl_
$~9.50 minimu.In
$99.50 Residential, MdltiOllS oil: AI_ons
$64,50 Residential, AC Only
$39.50
Rcstdcnt.ol, Heatill& oil: Ale (New ConstnlClion)
ReSidential, Healing OnlY (:Now Construction)
$39,50
$39.50
Estimated CDst $
Building Ponnil #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AI. PERMIT FEE
S
$
S
.50
r
BU,&/O WITH
, ING PER,"I.IT
I R=eipt No.
(r-"l: UIe p..I)'}
lIuildilll C)djdol.
flak
I Paid
I Date
S-//-o/
I By?~_-
\ _.aD ApplicatioD Becomt:ll Your BuDding Permit When Approved
14 hour noti.. for all iIlspectiolll (!151) 447-98S0, fu (95%) 447-4W
MaY. 9. 2001 10:36AM
GENZ RYAN PLUMBING AND HEATING
No.3453 p. 3/6
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~ tyPe t\r~_ tn4 sl...1It1lottDDi)
ADDRESS .,.. .
)('( ( lJ. ~ 'DtL
i= ~ fPERMITNOo/)/_Jt::""'J I
. 3. v.u.:- Awti-t (.// ;/ J /
jZpuo(-->
LEGAL DESCRIPTION (odiO: "'" oDly)
LOT 2\ BLOCK \ .AJ.JLJJ.UON "t1tu.. l,L)\ \~" '2..n 0
OWNER
(Name) lJensmann Homes
(A~) 1895 Plaza Dr
APPUCANT
(Nwrne) Genz-Ryan Plumbing & Heating
(A~~ 14745 So Robe~t T~l
(Address)
Quantity
Z
I
J
c:::,
f
l
I
PID,;25 - ~~ 7- ();)J-c.
(Phone) 651-905-3709
Eallan. MN 55122
(Phone) 651-423-1144
Rosemount:, :HN
(City)
55068
(Zip Code)
Type of FIxtu....
I
I
1
I
I
I
1
1
I
J
(ComactPezson) Marv Olson ~ ~ ., \8 ,....., (Phone) 651-423-1144
APPUCANTSIGNATURE l~ ~ DATE
APP~E COMPLETE BELOW
I Type of FIxture I QlIaatity
I Bath Tub with or without shower I,,~
I Dishwasher I .I
I Floor Drain I R.. I I
1 Lavatory (Bathroom Sink) I I
I Laundry Tray (lor 2 compar1ment sink I
I .Shower Stall I
I Sinks I
IBMSink I
. ~ I Waw Closet (Toilet) I
Rough-ins
water Heater
I Watzor Soflna
I Sblnd Pipe (Washing Machine)
I Sewage: Ejector
I Bac1d1ow Assembly
I Backflow Assembly Test
I Lawn SprinJda
I Other
FEE S............VLE
industrial. COJJIIIIercial &. Multi-liunily 1% of job cost With. $39.50 minim_ Residenual, New One &. Two-Famlly $9950
Residential. Additions &. Altcralions $39.50
(OfDcc Uac Ouly)
Estimated Cost S
Buuding Pennit 1/
:50
r
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
BUILDING PER;,;,.,
....
Tbio .AppligtioQ B,n:Oll1'" Your Bulldiag Permit When Approved I Paid I Receipt No.
I DldIl L:" - "/_ /II ,':By c:jJ2--
BWldi.g 011I0101 llo... -.:J { ,v (;
~4 hoor noli.. for alllu.pectlo.. (952) 447-9850, fa>: (952) 447-4245
I
]
MaY. 9. 2001 10:36AM
GENZ RVAN PLUMBING AND HEATING
No.3453 p. 4/6
Date Rec'd
\..u X OF PRIOR LAKE
SEWER AND WATER PERMIT
. ~ 5- L I PERMlTNO. t'/~3?1
~ ~ ondnt&l1d._,.hoflDml.
ADDlUlSS c" :' . .
'Y...,,-"" \ l~f~_\)(L
ZONlNG (.lIlo....)
PUtP
LEGAL DESCRIPTION (0/11",.... ooly)
LOT'Zl BLOCK \ ADDmON 'I"IA...L LD\ \'D~ ~
PID ;).tj - ~?j)- citf 'C
OWNER
(Name) Wensmann Hamas
(phone) 651-905-3709
(Adibess) 1895 Plaza Dr St" 200
(Addr<o.o)
Eal!.an, MN 55122
(CilJ) (ZP> Co&)
A1:'PUCANT
(N~~ Genz-Rvan.P1umhin2 & Hea~inR
(phone) 651-423_1144
L-J
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 AB~ 0 PVC
Estimatcci length of sewer line feet.
. :CIC!lIl out. (if ........;."'d) l~at feet from structure.
ll.nt=liuonnt:_ ""N
(City)
(phon~ 6,J-42~-1144
DATE, ...'
'15(1611
(Zip Coda)
(Address) lili5 Sn R~ 1'~1
(Address)
(Contact Person) _ Marv QJ gon
"UCANT SIGNA'I111U!
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer 8I1d water lw.c =ecti011 $35.50 Industrial. C='l &: Mwti-lim1i1y 1% of job cO$t with a $39.50 minimum
Sewerconnectiononly $17.50 Watcrconnecti011only $17.50
Estimated Cost $
Building Pmnit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
,BUILDING PER,'folT
(OfJitt TJ.~ Only)
J).'"
I Paid
I Date
Receipt No.
TIIis Application Becomes Yo",," Building l'_it WheD Approved
BlIlIdlatloalrJal
--
C;-lj-tJ I
- ,
B&
{j-
24 hoar DOIicto for .lllnopeetioDl (952) 447-9150, fax (952) 447..c.45
FIRESIDE CORNER
#5803 P.001/00l
lJall! !CK'O
1.1'1"'"
,......
1. yo;t,....
E_ I PERMIT NO. 1- ~ [;"1 I
rPI.... ""'" or orilll and Ii... at bollDmJ
. ADD1Uiss
33~f.{ WDO.l DJak- ~
ZONING C_...)
PIAD
LEGAL DESCRIPTION (oflio.1ISe only)
\
LOTO BLOCK \ ADDITION
fLJ ddkY g vel-
PID ;;2,5--3 3'} ,/ O,:?-/--, 'J
OWNER
(Name)
I~IL-' ~.>
. (Phone)
(Address)
APPUCANT
(Name) ALLIEO FIMSID& DBA FIRESIDE CORN&R
. (Phone) 651-633-2561
(Addzess) 2700 N _ FAI1'tV1'EIIT "'IIENUl<
(Address)
(Contact Person) BllENDA HUS'rON
APPLICANT SIGNATURE _~4...x=;:;.
J
'PCE~7"T'.T.':; IlA1
(City)
651-633-2561
. (phone)
,r;.c." II
(Zip Code)
o ATE
~Itr.b
APPLICANT PLEASE COMPLETE BEI.OW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AT. TERA TIONS
FURNACE MAKE AND MODET. FUEL
FLUE SIZE RE~ OPENINGS JlI/J?UT OUTPUT
'I'YI'E OF OJ.( OJ u:.WI HEATING OR POWER PLANT
OWarm Air Plants 0 SteolTI
DGr,..lty J Hot Won;r
o M.<hanll;l1/ J RadiatiDn
OAir Condilioning :J Speeial Dm"."
OVenL Sys""" ] 0Ih... Devi"'"
FTREPLACE MAKE AND MODEL JJ,u A I ?;[;. ~~::!Jz..-_.-_..-~-
PLEASE NOTE:
Air Conditioner Uni13
Cann.at Bncroach into
R.equirecl SIde y.rd
Setbneks
Industrial. Commercial & Mulli.Funily
FEE SCHEDULE
I % of job co.t Rcsldonlia/, Go. Firopl_
539.50 minimum
599.50 Re$idontia/, Addition. & Altel"liDlU
$64.50 Rl:sidcntial, AC Only
539.50
Residential, Heating & NC (New ConstnJetion)
Rcsldenlial, Heating Only (New Con.lnletion)
$39.50
$;39.50
Es1:imal<d Coat $
Building Permit #
IlEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$-
.50
SUI(t,WGWITH
PERMIT
(om"" 11.. Only)
001141"" omdo'
,paid
Dote I Oalc ~I /r/fJ!
. I I '
Z4 ho.., notl.. '0' all 'n'pe<:lion, (9!Z) 447-98!0, rox (g!Z) 447-4Z4!
=
I Rece~
I By C1U
U
Till. Application Becomell Your Building Pormit Whon Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 33~t/ kJ~ Dl)Ck'Dr:
NATURE OF WORK 1\\."" I')
USE OF BUILDING ::; ~ n
PERMIT NO. n 1- .~C) I DATE ISSUED 4- I"!;- )col
CONTRACTOR ~ )P\N~..IM{).AA,^ ~/I.oc.. ($1- Lf()(; - e.l<loo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
K/,4ol
('" tlO\O f
U, l.x.iYJ o(
I I
I
t ] 11{/ 0 I
I I
{"/~(7/tlV . .Id
~ lvtG>t iO'l~ ~
<<
I 6$1/0101
.
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 'b~ placed near main entrance.
INSPECTOR J DATE
I FOOTING I "1l .~CWo{ I 5"11 Ol .
I FOUNDATION (Prior to Backfill) 1 '11-0~ .bi4/01 I '3:\r~ ~/qi"f
PLACE NO CONCRETE UNTIL ABOVE H'AS'BEEN SIGNlEb
ROUGH - INS
1~\lM
I <g ~f.v-<-<<
I ~ _Do.v.v -
I , I
I bAf~
I ~ ~,~ tu\i.o),l:I\
I "R 0 (x.-v1 (. ~1 0\
1 ~ J~ t8 ! [$101
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
11.1fJf."1-fl:.~ 1 I
FINALS
f1/~
~l~
i~M.t\&'_ /
13 \] /J,.t.W
OCCUpy UNTIL ABOVE KAS
NOTICE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1ifI'o-~.-~-~~~ .
" ,-., ~',~ . 0.." . '" ,.., "i ;01--' 10; ....'. ,,\:_''''''_'':ol' . "'Z"""i "'.......
;', T~''''~' ~ .~.... ,....,'\I.t ~....... , r~
:, ~i il ~trtifirau of (Jrmpancy
:~,~l Cll'f OF PRIOR LAKE
i~..~: . ~tpartmtnt .~f .uilbin~ Jn~ptttion
(~~ 1 Fmal Pemutted 0 Condlttonal C.O. Expires
i.,; -t 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 ordiNUlCes of the
;., ~ City of Prior lAke reguwting building construction or use. For the following:
(~.; UseClassificati"" SINGLE FAMILY Bldg. Penni.N.'
.(_'11I-
:.~
:t:
':F-
't:-
t
~:'i __
(fg~ . _' .,' ., it ", t... ~.;;o!i." ..,... "': ....i"" .'~' '"..
01-0351
Occuponcy Type
R3
.iliA
Zoning District
I'lln
VN
_ Fire Zone
Type Construction
Legal [_".,..
L21, Bl, THE WILDS THIRD ADDN.
Owner of BuUding
Site Address
3324 WOOD DUCK DRIVE NW
Contractor's Name &. Address
WENSMANN HOMES, 1895 PLAZA DR., SUITE 200, EAGAN, 55122
Date:
ROBERT D. HUTCHINS City PIaMer
1') \1111-~i1ding ~~ r; , Uk:...- Date:
:/ - I POST IN A CONSPICUOUS PLACE
DON RYE
t -27<Jz-
33")'1 wJ V()(;f(. Dr.
CONTR. W ("~n fll'YIH~
01, 0 J:>I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'i('FINAL
'D1lITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C"rh &",<..-0>1::...
DATE TIME
:::s::J;~-ILLlNG
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
Inspect~~~ ~ Owner/Contc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/iOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33dL/
SCHEDULED 9-7-0 ( , "r ~o
!0i~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 3s-/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
fr: 0 SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
DEll/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR,~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . <b .IU Q).qj _ Owner/Conte
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
e-"1-0 I
zr~
ADDRESS
.3324- WGOD DU('.!C-
Cf ISO(
t ~
fmlpl /KJI.J
\
~.JA
~ FA' cbP_'q'tMPffi+-
/'
~StA~ ~-f>-I^.AT
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'ii( FINAL
/D SITE INSPECTION
COMMENTS: 10 1
..;:,oA () IAJ
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o 'JECH ilNAL
/-35/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(~A'ty-t=-IA 1
(:-J) ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ .\.)~ Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl