HomeMy WebLinkAboutPermits 04-0505 & 04-1255
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -"
AND UTILITY CONNECTION PERMIT if- 3/J--oL-/
(Me~ ~ M:t md R: at OOUO:
I AD;::~~~. C{ x.d 11./AI'L TV:
1_ While
2_ Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 04-. 050st
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
1="0<:11
(Address)
'Tq1j
BUILDER ~
(Company Name)
(c-rtN~) '-t ;),;;;1
(Address) '. '. '
Ere..tl1
(Phone)
ZONING (office use)
1:2-
PID 044- 0
~k) 77Jr''I'IYj_!
(Phone) @1ht) 2'7u"4~1
(Phone)~- .
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~.R.C. OLB.C.
Type o~struction:
Occupancy Group: A B
Division:
II
F
I
IIIIV(!lA4i)
H Mc:!OSU
245
I
E
PROJECT COST IV ALUE
(excluding land)
$ ?J7 t\. o::n
.
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 O( authonzcd agent fOf t
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
officia can revoke this ~mit for just cause_ Furthermore, I hereby agree that the city offtcial or a designee may enter upon the property to perform needed Inspections.
X 2-D \ Y 2.ic:f-\- ..; / ;J1>1u!
Signarure Contractor's License No. 'Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
130M- .;, . ~.~~
Buililin . OtTicial
5(, <./(0 i
I Date
Park Support Fee
SAC #
Water Meter Size 5/8" ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
r":~,()V
#
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 a _requt..'S
when signrd by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate (
i'~.fh': ~ of{q~t/" ,. ~
Planning Director ....Lf Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-42 .
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT, rzfz'tlor Dat
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
and si at bottom
'I ~S- ?v
f) C"1" Uot. T 12- '-
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK] ADDITION
[. White File
2 Pink City
3 Yellow Applicant
o ceuse)
f., ([;[)
,
Wl L4. AJ..,,H..
PID U'. to 4-. 0 +-1-, 0
OWNER
(Name)
(Phone)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe-Siding
DAddition DAlteration DUtility Connection D Misc.
CODE: -dlI.R.C. OI.B.C.
Type of ~stroction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
BUILDER
(Company Name)
(Contact Name)
(Address)
V"^"'''-'7 1tM1~/
&n(.19- r./......
fhro tz-z~4'
(Phone)
(Phone)
Ziti, -J'IJ"
'1fi...- Z-'2-C"~1(;
ower Level Finish
"aFireplace
PROJECT COST IV ALUE $
(excluding land)
Z-o 600-c.)
.
I hereby certify that 1 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 propclty 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.
X ~ '2U/'t 2..').r'1 /2- ~Z!i-()Y
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee teN\",
Mechanical Permit Fee
Sewer & Water Permit Fee
-
2..0 ()
. " .p
'd. tJ"
This Application Becomes Your Building Pennit When Approved
~~
.. . -.
BUlldm' Of Icml
12.1z- .,10 i
, Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ 1&. Vf-#~ $ /69.25
~
Paid
Date
It;, 7-:/:; /~
Receipt No,
By
ThIS is to cenify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a.'i requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccnificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Th.. (...nl... of Ih..l.a... ('ounl.,..
C White - Buildlna--,.
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Y1JRWA y
if. 3() 0 t.f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/55 WOOD C-A-(UeJ:::- ne...
Accepted
Accepted With Corrections
~
Denied
,..
6~~7"
Reviewed By:
Comments:
~ ;;k,f],....., Date:
f3,pt!) o.-Lf ~~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."
, "'~~x PR/0Ij>(
!::: ~
U en
White - Building
. ~;:~ry. s::.,~ineering
ri . k - Plannirlb
. The,C-..ol.., of Ih.. L.k.. ("ounlry
BUILDING PERMIT APPUCATIQN,OEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Y1.LR vV A Y
if. 30. 0 t.f
,<,,'j)"
. ....
.' Accepted
Accepted With Corrections
Denied
2D4"- .:
+<< .Ji;J
Date:
s/;c//t;y
.
Reviewed By:
Comments:
,e~~
a.Lf c,.~ k. -.
,
-
..-7:,~
,,;,:
...
.,
"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."
wp . ;t1dr
r--Jti . Englneerfii!r:>
In - ann ng
Tht (""11" fir Ih, I..kt ('OURlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.\V/\ ~
Lf.30 oLf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4- J 55 i,/V 0 0 D C_.H U C'JC- T7c...
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J11-p
Date: .s;-- / / - 0-$1
Comments~SeA RAv~rsA Ride for Additional Information!
See Attachments' I) Gracling Plan, 2) Erosion Control Measures
"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 Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~D;;SS print md sign at bottom)
W \55 ~~ooAd"m(\-l- \70..:\\
; =w g~. I PERMIT NO()q _C-a:f
3. Gold Applicant ::;)..
LEGAL DESCRIPTION (office use only)
LOT \ BLOCK3 ADDrnO
ZONING (office use)
h
PIn
OWNE~ ~
(Name) ()nl \ .\)..~\oVY\
(Address{OD(')/ Efl~(}V\ t\(, Jp_
(Address)
\\()m~ ~~\d~)'S
~'1'''-k. 1<60
(Phone) q5 d - ~~ - 3l.{-34
Sa0~",- 553"78
(City) (Zip Code)
APPLIc;ANT
(Name)t"\('\.o..\
(Address) 13\5
~'{a.d<2- l r.r
Nt. o..vn "" 'S\-<- e.d-
(Address)
(Contact Person)
APPLICANT SIGNATURE
(Phone) Q'5 ';;l.. -;;1.'3 ?:,- t Cl-OO
S\\o..kD0e...e 5~ 3/9_
(City) (Zip Code)
(Phone) ct"5 d - d- 33 -( &-DO
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. DABC ~PVC 0 CastIron
Estimated length of sewer lineS 5 feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Offic' U.e Only)
This Application Becomes Your Building Permit When Approved Paid
Date
24 hour notice for an in.pection. (952) 447-9850, fax (952) 447-4245
Building Omtial
..
~,
.-..j ...-;.:,
.~..... ilNo..
. ....:....-
9:04AM METRO AIR 95H4H12601'LAKE'
'-"1.1. J. va.' 1.-1'\.1..' i
HEATING/Am CONDITI0NINGIIfIREPLACE PERMIT
NO, 036
p, 9
Dale Rec'd
PI Del eor r1manllsi l~tbuUOD1
A DRnSS
, \ '" \ S S' \..j 0 I:l ~ (. '" \1\\..\, \')o-~ ; \.
:: ~'.~" ~:~ I PERMIT NO. 0 f () O'ltf'
" VIlIIa", AiIf\IilKlll , . ::::::::::J
';, ,. I ;,." ,1.1 ZONING (nm,e...)
L~QAL DESCRIPTION (om"... only)
Lp'r BLOCK
ADDITlON
plD
~~~e~R 'j tY' W c.('-j ~ () 1'1""'->
(Mdross) ,,'a ~\,," ~~
P~l'\)-
(Phono) \1 \ ~ . ~ ~.> - \ 1..\ Cl \ _
':rl d.,
(Phone) <; S :)" \.\ '-\ l- ~ \ ';)-':1_
\l r, ()- \..l.,\ll.. N0 Ss..~I~
(City) (Zip Code)
(Phone) 9 ~ ~ - "\ '-I f. ~ \ l).~
DATE
AllPLlCANT .,., 1 ___
(l'{ame) \I\~~~~" r- -_1_ Y\ <..,
(Alidress) \ "" 'I ~ ~ \-J ~ \ U..l"'-\. fI. V '-
(Addrel~
(CynLRet Pe.,on) N ~\ 1/'1 ~\L ~ L.~!(, '- \ \,
APPLICANT SIGNATURE ...J{\ \WW\ 1 J..llh
.
APPLICANT PLEASE COMPLETE BELOW
El,NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FUf-NACE MMli AND MODEL MX f\ - \ ~~- ~I:) C t.....,.~ I'" J'UEL 'IV ,,1"-
PLJ)E SIZE (J \/ (. RBl'UltN OPENINGS 'b INPUT 1.~ l'I II (,It\ OUTPUT J ~. ~
. . ,
'I"l1'B OJ.? SYSTEM HEATING OR POWER PLANT
" t!gWann Ai,l'lanls o SLealll I'LEASE NOTE:
OO,avily o Hal WILe, Air Conditioner Vnits
~ MechfllllCftl o Itadlallon Cannot Enervlch into
Ai' COl1~iliollln8 o Special Dcviec. Required Side Yard
..:QVlnt. System o Olhe, Pevice. Sethacks
I'II\EPLACE MAKE AND MODEL
FEE SCHEDULE
InUI,strial, <';oO\lOe,oisl &. MuILi-Pamily 1% uf jOb .o.t Resluelllial, Oos Flreplaoe
SJ9,lO minimulll
1l~ltlential, Hoaling &. AlC (New Con.lnlctlon) S99,50 Rt.liulnlill. Addilions '" AI\o"Liuns
Il...idontial, llCllLing Only (New Conslruction) . SGUO Rcsidlll1Lial, AC Ol1ly
Eslimated Cost $ I () crCIJ!Q... Buil~ing Permit #
SJ9,jO
$l9,jO
$39,lO
--OuIlUII110mela'
Dille
HEATING PERMIT FEE $
5T A TB SURCHARGE $
'fOr AL PEltMI'f FEE S
\01\1" Un Ollly)
1'111' A(lllllcaliulI Decume. YOuf Dulldlng Pe,mit When Allproved
2~ Ilou,' iloilo. for all fJIII,eeUOII' (952) ~47-
"
Ilo.-.---..~" .
-- -
S@p 22 04 07:06a
J@TT Sch@,.@,.
952-447-6735
p.l
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~DY~
~:: ~~ I PERMIT NO.^",-. 0 -=^-W"
J.VakNApplicanl. ~ ~
I I ZONING (o_uxl I
(P1ease tYPe or print aad sign At bottom)
I ADDRESS. . - - \
\4\'5":> WCDdc1u~ TY'.
LEGAL DESCRIPTION (o!lice use OIlIy)
LOT BLOCK
ADDmON
PID
IOWNER
(Name)
(Address)
(phone)
APPUCANT c:..,. 'v-./Hr ('\ \ 1_ '
(Name) J\::..\ "-"leY" t' ~mu\~
(Address) ~~CO R d\io.C'\ Cixd.JL cc..
,,(Address)
(Contact Person) ~e. \, ~e(
t.l'\QAtJ.1
~. (phone) q")a -l\4-'-~ 13L/
flU\' Lo..\Q fOtJ ;:)'5"370-.
(City) (Zip Code)
(phone) ~ b[)-7l.i7-3CR3
9/;;' ;;'/0'-1
DATE
APPUCANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of FQ:ture Qaautity Type of Fixture
':1 Bath Tub with or without shower ? Rough-ins
I Dishwasher j Water Heater
I Floor Drain Water Soflner
'-l Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Ifray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.'J Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, CMnmerciaJ &. Multi.family 1% of job cost with a $39,50 minimum Residential, New One & Two-Family 599.50
Residential, Additions &. Alterations 539.50
Estimated Cost $
ERMIT FEE $
CHARGE $
PERMIT FEE $
F:~~D lj~~'~li'f
.50 fJUWWSPalMIT
(orr... Use Only)
This Application Becomes Yonr Building Permit Whea Approved
~ 1:
DSEP 2 9 2004
Receipt No.
By
BuUding ORielol
Dot<
24 hour notice for all io.pettions (952) 44 ~~so. fax (952) 447~:z45
~
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1-4"'" 14 15'5 Woo~ CIiY.cJl T/2.L.
NATURE OF WORK NEL.\J t'O~'STw.c::t.iQji:)
USE OF BUILDING -s..Y:' 'b,
PERMIT NO. ~.05lJS DATE ISSUED ~( 0'"
CONTRACTOR WA.V ~i/O~ PHONE~k"2?<'''~'''
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPE IbNS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
Go -I ~
FOUNDATION (Prior to Backfill) t;'..i"tr
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - S
6~
.
0c
/e!'-e; -"
/tIT - /V
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.
FOR ALL INSPECTIONS (952) 447-9850
'-.
Q1:erfinrat:e of @rrupanru
CITY OF PRIOR LAKE
'. ~:epadtU:enf of ~nilMng Jlnsp:edion
t Final Pennitted 0 Conditional C.O. Expires
'his Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use, For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
04-0505
R2
R3
VN
Occupancy Type
Type Construction
Lll. B3, THE WILDS NORTH
Zoning District
Legal Description
Owner of Building
Contractor's Name & Address YORWAY. 6001
Site Address 14155 WOOD CHUCK TRAIL
EGAN DRIVE, SUITE 180. SAVAGE. MN 55378
City Planner DON RYE
RO ERT D. HUTCHINS
Building Official
Date:
Date:
,\.
, .
F,.
"',',}
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ -'1~>
ADDRESS 1'1 ISf} w~C41!~ K TN
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(;)'I-S"oe;-
Ke~ILLlNG
"OcOiill:AiNT
[J FIREPLACE R1
[J FIREPLACE FINAL
[J GASLINE AIR TST
o
o FOOTING
a FOUNDATION
a FRAMING
a INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(;FG'LL - rOt
5rrT
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & So4FETY!
11iSNC1f1
CITY OF PRIOR LAKE
INSPECTlON NOTICE
SCHEDULED
ADDRESS ill.9:') W..-Q. C\N.IC.~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o lTE INSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIllE
5j4L
O"'_~C;o'5""
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;:~S~AIR TST
c/:: .to c tacu.. ~
)r( WORK SATISFACTORY, PROCEED
/0 "CORRECT ACTION AND PROCEED
o CORR~ CALL FOR REINSPECTION BEFORE COVERING
Inspect.or.~ Owner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTlON 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I~
ADDRESS B\SS' l.~ 'Dark
OWNER CONTR.
PHONE NO.
PERMIT NO.
" - ~os-
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
.e'"FINAL
[] SITE INSPECTION
[] PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
lJ SEWER HOOKUP
lJ PLUMBING FINAL
lJ MECH FINAL
[] EXIGRADlFILLING
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
COMMENTS:
0<<'M\...f., N!....~ ~~.
'2. N.-..l ~t..,.,. I:> 0..w
~ FiovJ.~~~ ~
~,~ 0- '4J.,I..,. L72(~
~. ,"",..\.0...:...... ~I>ou ~;;:::f
L.
.--
E?- I - 0 ":l
~c.oy 0 _~.., Cl
[] WORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
X CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /"1 s5
OWNER
DATE TIlle
SCHEDULED ~
uJ~
CONTR.
PERMIT NO.
PHONE 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
)l:C!LUMBING FINAL
o MECH FINAL
COMMENTS:
(.fb'''-U ~
l: ~'2:~c I... Q
tf - SO"?r"
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
{ .e. ,,?
-
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o COR CALL FOR REINSPECTlON BEFORE COVERING
Owner/Conlr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVA CEo
....."
TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J:ij D)
lt~
-
OWNER
CONTR.
PHONE NO.
PERMIT NO,
L/ . Si:::J:)
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~INAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASUNE AIR TST
D
;k
tl-
oz.
*t.
':It 4.
~, ~~ o.~~ ~~V.
~c.. .:n: (.::1-,. ~~
atJo~ ~t~),
D )lI8llK SATISFACTORY, PROCEED
)!l" CORRE N AND PROCEED
D COR CT , CALL FOR REINSPECTION BEFORE COVERING
Inspect
OWner/Conlr.
C
R THE NEXT INSPECTION 24 HOURS IN A VANCE.
CODE IUlQUlIUlMENTS A.IUl FOR YOUR PERSONAL HEALTH" SAFETYI
~I
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