HomeMy WebLinkAboutBuilding Permit 01-0391
~~
DATE RECEIVED CITY OF PRIOR LAKE
f- ;? ,/-01 TEMP~~~~~N;E~~~~~~TE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.CATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~%.). () I
BING INFORMATION
1,. SIZE OF STRUCTURE
(Helgl"(, q~ "'JkLc." (OZ"~~r
12. NO. OF STORIES
:l-
13. TYPE OF CONSTRUCTION
tJtl..l !.F.J>
14. FLOOR AREA APPORTIONMENT USE
R/
12. SITE ADDRESS
!.n1Jz.. J~" Hu.,.
3. LEGAL DESCRIPTION
10
tJIILO~
IttJ J
PID;15" - .~ '7$- tJd5-0
BLOCK 3
~-i"l( AOfI,UdJJ
LOT
ADDmON
. 4. OWNER ~Name) (Addrass) ,\.n.-1'l"el. No.)
Otubf8Dh ~~..,,/.., 11\ /bWl> 1II{I.f ,,.. S.J./.f /7.1-'1711
5. ARCHITECT (Name) (Addrass) V (Tel. No.)
II !" 'I II
6. BUILDER (Name) (Address) (Tel. No.)
I' II '" 'I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
Re-roofing LI Porch LI
Re-siding 0 Finish Basement (']
Deck 0
Finish Attic 0
SepticLJ
Addition LI
Fireplace 0
Alterations 0
7. TYPE OF WORK
New constructio~
Chimney 0 MISc.
8. PROPERTY AR.EA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq.FI. p.f <:1<;" Wldlh ')2... Depth n t Ves ~
.1 ..~
I hereby certify that I have furnished inlcnnelion on this application which is to the best of my knowledge true and correct. I also certify that I am the o+mBr 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
bUI~ermlt for just cause. Furthermore, I hereby agree lhal tho city official or a designee may enter upon the property to pertorm needed Inspeotfons.
X ' OJ)'LV L{~l '>-01
Signature I License No. Date
16. PROJECT COSTNALUE
+ '-1.. DOl)
17. COMPLETION DATE
/VoJ. 0 I
FOR ADMINISTRATIVE USE
.
MATERIAL FILED WITH APPLICATION
SOIL TESTS tI ENERGV DATA tI
PILING LOGS L.1 PERCOLATION TESTS n
SETBACKS: Required
Actual
S~e
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ~c,9.~.od
SETS
COPIES
PLANS & SPECS L.1
SURVEY tI
PLOT PLAN L.1
t:, F f}
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
QccupancyGroup A B E F HIM R S U
Permit Fee ..........~.~~.~...1...~...~..~... $--L!l9 O. (S-
Plan Check Fee ............................. ~-i2-c, ( . !fl-
Slate Sun:harge ............................. $ 13 Cf . ")[)
Amount Brought Forward .................. $
Park Support Fee ........................... $ p.~
SAC ......................................... L--4/c;o.a:::.
Collective Street Fee ....................... $
Sewer Tap ................................... '*=
tl\ $
Pressure Reducer .......................... $
City:
<5""0.0/1
:ill
'71'> ' 0&
I. 200.~
?.16 .6)6-
Penalty ....................................... ~
It!)() . cSJ ~
Meter Hom ................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $_/190 .CP?:L-
3'=;. ....-r~
Sewer & Water Permit ...................... $
:iT'^"f.;n~;:..""'~::: "
By .(j";.1t ~ Date -'t . '~.?4JoL
Certificate of Occupancy
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... ~
Builders Deposit ............................ $ I. <)/)11 . lPti
r,
Other ......................................... $
Paid TOq~ i.l:..i~:,~;~o$ fJ~cJ z,
Date c;--Q--o I By ~
uest in the above application and accompanying documents Is In accordance with the C~ity zOrllng Ordinance and may proceed a~uested. This document when
00 J._~rary~1intmpllan~~me~~~itv
P ner Date - special Conditions W any
JP.
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Issued
Th~~
24 hour notice for all inspections (952) 447~9850
~~
White - Building
Canary - Engineering
Pink - Planning
ThO' C..nl.., or lh.. L.h Country
BUILDING PERIIIllLAPPLlCATION DEPARTMENT CHECKUSI
NAME OF APPLICANT Dee..r b t'OOk 00J1.J.sI-r,
APPLICATION RECEIVED tf- .;?Lf-O I
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
/6Bq~- B'd iAcn-JU Pa.5S
Accepted With Corrections <
Accepted
Denied /J;::) I!
Reviewed Byl &\.D4'-
- r
Date: if,. ~.~ (
. ,
cO~~_c;(XL ~ ~ o-~
"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. Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.~\
_u.~
b 1.-0111
Th~ C"dlu of tht' l.akt' Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT Der:::A t;.,. )'<
APPLICATION RECEIVED q-;?t(--O /
"
i 1,/' .c:../ r
l.._.........'J/',-"1 ..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Is S' q d - d I tOO f \ 0 i "J f)o. S5
)
Accepted
v
Accepted With Corrections
Denied oo
RevieWedBY:~~
Date:
\,-/?./&> 1
Comments:
~.LIM.AMM .2-&-/ Fr- ~I"'~ fA)I'~
-fr Pv~f:v~ LJ~ q-..'TI1V.l ~.D<tJ
Gd (1~ J
"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
Tht Ct'nlll'f of lht L.ke Counlry
BUILDING PERMIT APPLICATION D.EeARTNlENT CHECKLIST
NAME OF APPLICANT Dee,.,r b'rook COIV.sf r,
APPLICATION RECEIVED t/- c:?L(-O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/C3Cj;;).~ B'3 ~f-:IOr,J PO--SS
X
,
Accepted
Accepted With Corrections
Denied
Reviewed By:
lY/lB
. Date:
L/_ 30 -0)
Comments: See Reverse Side for Additional Information!
"
-
.;:)~e ....macnmems: l} l:iraolng Plan, 2) Erosion Control Measures
3) Erosion Contrnl PI'in
"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."
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~ ~ii~. I PERMIT NO./h/_ -:::Jq I I
3. Gold Applicant V ~
(Please ~ or nrint and sUm at bottom)
ADDRESS
I ~39"2 13"167 I-Jol€y!} rA-SS
ZONING (office use)
.A/.. t.AJ . rR \
LEGAL DESCRIPTION (office use ooly)
LOT fa BLOCK -3 ADDITION / v drtXl S7JC
PID d.~ -:=<,/9- /)$:" ~
OWNER
(Name)
(Address)
T7{;;..c:-ytiStZ.oo~ c.,f.A-I>,.
//J3,-/D V IILll\Jq I/fL
(Address)
(Phone) <i?2'f - 77/1
b7J~~~ ~~Ll4
(City) (Zip Code)
~~;~~ANT ~~Y JA>;#~
(Address) ) ~4 V 1.)1/+1"11:::: fJA-LC
. (Address)-
C--z.;frt.. 'f (j A$~t;;;-n ~
I.~
i/P!..
QY<6>ZI'L
Ltf..1s t/f-- L7 ~ -) t<6
(City) (Zip Code)
(Phone) _ 4lf<1 t;z f Z-
DATE 10, J~- -0)
(Phone)
(CDntact Person)
APPLICANT SIGNATURE
\. , l/
APPLICANT PLEASE COMPLETE BELOW
Size of water service -----L- inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC ~VC
Estimated length of sewer line 5" ~- feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 IDdustrial, CDm'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water cODnecriDn only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
l3u PI1ID
. {LOlA, fIov""'H
'YGP€
RIV:rr
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Receiot Nn -
24 hour notice for all inspections (952) 447-9850, x (952) 447-4245
B~
SEP-17-01 10:40 PM
STEWRRT PLUMBING
6124281733
~
,
I
.I'afe Rec'd
CITY OF PRIOR LAKE PLUMBING PER.'\IIIT
1-/evo I
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... J \ ZON l<<i~.....) \
-'~ M2e 01 M1nt M4 Ii", II "ottDm)
'}.DDUSS
t. ..--15 34J. B)~,~ ~c,,<;
i U:OAL U;;C~YTlON (011I<<.... .nly)
i , L.OT 10 BLOCK' AnDITloN"""'TX,... Wi IJ~
.1': 'OWN:Sll. r"'\__ r b L
\ \(N~m.)_ ~ ""f<,U-
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L0'cd'""') __...
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(' Q['l1~-fIJ~kon.
pm
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"(Pilon.)
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t:D9J!f$' /'Hjf./.
~it)') (Zi' Codoo)
(plIone) 7(,3 - 1/,,; ~.-/i' J_~ .
__ t)A~ '1./11/(/) -.-
,." AtPLICA1'>" ,; I_
"l (N&l'IlI' ~(Jor+ PI,.)"", ~_raI--
;>oj (Mdrm) Mas;> ~~k. r t.IJ.
(A.dd..~
N.- (eonla,lp,,,,,n) ~(Jff ~*&...)ad
>i, APPL.ICANT ~lGNATUK'P. ~. ~
I Qu&ntll1'
1- ;:}
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1,-,-:1
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APPL1CA1~i PLEASE COMPLETE'BELOW
m ,... '1'rr. oi;;'Ni'-; ,--"'- Qua.til)'
Sath "fUb .,..Itn or withOut .nower 3
Di.h......ner .. - I
Floor Unln
l..&vatary i'8&thfDom s.lil<l
l.allno;l'Y) T!Y II ofi eOI::~:' .tIIentsink
!nClwer :>"11
fj\nll.
lSar5ini..
I Weter f..lo.cI(Toilel)
,
TYIM an'~ :!..~_.-I
R.,up--Ins --"'"l
Wale; Heater - I
W&1", Saftner "",'
'" S18l1d ~I~ S'!fashina MA-a . ~
~,w:Ae EjectQr
" rIYI ......mbly : '
S...kflCIW -......mbly Test :
Lewn SpriU1tlcr i
I OtIIarl-'
I
I
-..
I
I
L..-
-
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;
laid,nt,.I, N." On.. T....P""'i~ i S~9,5('
llloidolltl,I, A~4iIIQnl. AlforatlQIII ; 539,'0
FiE SCIBlltiLE
lnd'~.mtl, Con\J'!u:rClaJ .. Multi-tamll)' \'_ IiIf jab aOlt "'ilk. s)q.,n rn!nimlJ~
",
ESllrnal.d C.., S
Buildin& pennl' .
p~IO f(tJ<-
BUI'-'O
~
PL.UMlIIl'lO Pi~ FEE S
STATE SUllCHA1l0E S
Tar AL PERMlT FEE S
.s~
Catllllet]MOnIV)
\ Tbl, Application "'om~. Yeur. 'uiullnc '.rmlt W~.n AoP,......oI
..."'in, Oft\"~\ D.,I
IPald~
T,D&lIq-/0-0 I
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JA boor non.. far .n 1..,0011..' "n) ~'dlI5II
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10'1111
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-_....~..--_...,-
AUTOMATIC GARAGE FRIDLEY
. taJ007 I
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A a. : ii'
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~:~ I PERMIT N~ r' - ., ......,t<-.L
Appli~t (;;,) . I
i\\
JL.
CITY OF PRIOR LAKE
HEATING/AIR CO~1)ITIONlNGIFIREPLACE PERl\itltf
'j'
I.l"lnlr.
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J. v.now
(Plca.sc t'Yl!c or In'\nC md SilU1 a.t bottom)
ADDRESS
16~ "BI~ ~12.N~
LEGAL DESCRIPTION (office we only)
LOT (o BLOCK '3 ADDmON
<
W~d/l ~
I z~to_w.) \
PID ;:J5' - ~7,)-o ~$-o
. OWNER.......
(Name) .l--_.....:....Ht?.L:r\~
(Address) 1034 t) ~ llLl ~ ~
. (Phone)~1
~lc6, ~ ~A,IZI~ 55?J.J4
APPUCANT
(Name) AUTOMATTr. GARAGE DOOR & FTRFPI ~
(Address) 9210 WYOMING AVE N
(Addless)
(Contact Person) DIANA M
APPLICANT SIGNATURE 'tIIIQ
'" I /
(1;~,fJ!.c+
(phone) 763-315-7500
BROOKLYN PARK, MN 55445
(City) (Zip Code)
(phone) 763. 315-7500
DATE ::Z)
APPLICANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
DO...vity
o Mechanical
OAir Conditioning
OVenL System
DStc:am
o HOI Wau:r
o Radiation
o Special Devices
o Other Devices
~12..N
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setback!
FIREPLACE MAKE AND MODEL t...t~...:lIttlr .
-.---.--..--- ~
FEE SCHEDULE
I~"'Q of job cOSt R=sidc:ntilll. Gas Fireplacc
SJ9.jO minimum
.599.50 Rcsidcntial. Additions de Altcrations
S64.:50 Residen[ial, AC Only
S39.50
Industria!. Commercial & Multi.Family
Residential. Heating &. Ale (New Construction)
Rcsidential. Heating Only (New Construction)
S39.50
S39.50
Estimated Cost S J ~ de)
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
/3lJli.~""'D lA,
'1A1G vV77'/i
PI:.
lYlI4/'r
(Office Use Only)
oUI:
1 Paid ---
I Date -1-C;-of
Receipt No.
This Application Becomes Your Building Permit When Approved
Suildlnc Omcial
By ff-
:4 hour notice for:lll inspections (952) 447-9850, [ax (952) 447-6245
FROM : SABER Heating and A/C
PHONE NO. : 6124738565
Jun. 22 2001 06:01AM P1 -
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .J5.3ja '5,'c kt'l rIA ~G' "l. "
NATURE OF WORK 1\Jpt.J <.....J
USE OF BUILDING -3"FD
PERMIT NO. nl-tY7ff I DATE ISSUED t.{-3o.200(
CONTRACTOR _~.u\ot~~.~, ~~-77 / /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING S' ol.:?\
I FOUNDATION (Prior to Backfill) I I~. ~b(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI,GNED
ROUGH - ~NS
SEWER I WATER I SEPTIC ~ \t~ '/ I. I () or
FRAMING ~. \)JJ.A,.W ::.~81()1
INSULATION ~ _ U.wJ ,#
ELECTRICAL I 1
PLUMBING, 'R \ fLWI (// f ;;l010\
HEATING (if required) I <R_ \ o..Ju ..., biD I
FIREPLACE I <l,. \.f~ -; ql.pr
GAS LINE AIR TEST f?t'l11;, I'- l ?!~-'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
N[5
~- \k.w,
I \ \
:~~
OCCUpy UNTIL ABOVE t-\AS
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.
ATE
, ,,, - . - .,. -~,
J
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I'?!~/~ /
c:r S1 01
, lr
cr) S- Or
G ~ fJ.T
BEEN' 'SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
i
/
---
Itrtifkau of I....upanry
CITY OF PRIOR LAKE
Department of .uilbing Jn~pedion
}(final Permitted 0 Conditional C.O. Expires
7hi.r Certificate issued punlUllll to tM requiremenlS of Section 307 of the Uniform Building Cotk
certifying tlrDt at the time of iss/lQllCe this structure was in compliance with the various ordi1lQ1lCes of the
City of Prior I..aU regulDling building construction or use. For the following:
SINGLE FAMILY
u.. CIassi_
BId.. Permil Nc
01-0391
OccupoacyType R3 Type~...__.;ion . VN FireZooo .JUA
LeplDesc:riplion LtO, B3, THE WILDS FIFTH ADDITION
OwnerofBuiJdi... 'lite_ 15392 BIG HORN PASS
DEERBROOKE ClNSTRUCTION. INC.
~'. N.....t; Addres'
_ ROBER.! D., HUTCHINS ~ \ _ City _ DON RYE
ZoniDa Diatrict R 1
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-5"-01
PlY)
PHONE NO.
/63'tJ. BiD hor,,' PCfSS
v CONTR. j'kerbreol:. Cah.-f...
PERMIT NO. ('!) 1- srI
ADDRESS
OWNER
o FOOTING
o FRAMING
.s. ~NSULATIDN
l,Do.t.lNAL
o FDUNDATIDN
o DEMOLITION
o FIRE PREY.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTfON
XEX~ILLlNG
o LKSHOREnMETLAND
o CDMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
hltitU - OJ(
(or'" f.t.,,,,~ ",,-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
A? ..(I'
Inspector: ? /c:>t') ~ - -- --- - Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJ^I~ IIM~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/53'72-
SCHEDULED ,/30/01 ItJ,'bO
1tj~1i-
CONTR.
OWNER
PHONE NO.
PERMIT NO.
lJ(-~/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
AE.. SEWER HOOKUP
Fl ~ PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
roRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ .\)~ Owner/CDntr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~.,?'jd)
~~
J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
I'v- 0 INSULATION
-11 III FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
"' /'. /'If
I,SSIJ.p.; L-.-t.L/
~e ~'-lp/
DATE TIME
~
fJ~
9:Y~
{}/ - :3'9/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREiR0::~OR REINSPECTION BEFORE COVERING
Inspector: - Owner/Contr.
CALL "7-9860 FOR,.LE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALm & SAFETY/