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Home My WebLink AboutBldg Permit 04-0558 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .IJ- I;:}-O '-( See Main FilA.wp,h,~, Fe',',', I PERMI~I'NO "1 Y'"~ A"I;,,,, n. '04-- 055f3\ (Please type or 'Print and siJm at bottom) ADDRESS . \$~"3c;j.{ -ffi LEGAL DE$CRlPTION (office use ooly) , /0 LOT '2\ BtOCK '2 ADDITION . \L- f::::L 1-;:-) \ Date Rec'd I/-L,,' . ~~,,-~> <", ZONING (otlkeu,,) e/ OWNER (Name) (Address) BUILDER (\. C \ ' \ (Name) ~.Dll-{'.q{ ~ _\ 'I.'\--r----\1)y\ \lS, (Contact Na1r'e) f::'(.1(:h c- G\ ,,-n( -tC'---__~ (Address) ~CYLC l.et k..c '-_ I \ L~ 1-')\ \J cI . TYPE OF ~ORK , ?J.. New ConSb11ction DLower Level Finish CV-tS \ __P1Dd!J--glb'D39-() (Phone) (Phone) (Phone) l D IUi'vIILe. \\\ rt YC;Z-- u 0Cl . Ie (/0(; \oIZ. [(HoC'; -)2CC} 560L1L) ODeck OPorch ORe-Roofing ORe-Siding o Misc. o Fireplace DAddition DAlteration DUtility Connection PROJECT COST IV ALUE (excludiog land) $ ,~L1t /;~O(J I -- 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 agel.t ~the above-mentloned property and that all construction will conform to all existmg state and local laws and will proceed In accordance With Ie' (I aiD awareEfle building official can revoke this permit for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon to pe needed Inspections I' - \ / I J (. X I I ;\LL 'I(J€ 1,''---- /2LL-t S II eLl' Signature_ Contractor's License No ' DAte - II I Permit V alua~on I Permit Fee I Plan Check Fte I Slale Surchar$e I Penalty I Plumbing Perinil Fee I Mechanical Prrmil Fee I Sewer & Wat~r Permit Fee I Gas Fireplac~ Permit Fee $ $ $ $ $ $ $ $ ~L(d-, (>>rJ jCjf1 i}:J;" 0 t;:;:J, K ,C:;'i? Y /,:4), tJ(; .-- IOn .00 II'J/) .0 () 35,50 L!CJ ,00 . This Applica~on Becomes Your Building Pennit When Approved ~,. ~-' ...t: JJt-< b/Z/cicr ~fficial -bate I I 35'0 ,00 I d-.56,ct:J, II tit!J.oV i a. DO. 00 I 7r?CJ ,~i) I I Park Support Fee # $ SAC # $ Water Meter Size S/S"j 1"; $ I Pressure Reducer $ I City SAC and WAC # $ I Water Tower Fee # $ I Builder's Deposit $ I Other $ I TOTAL DUE $~. 773. 5'fJ I Paid 0 '/~/;;' ,j--g-' I ReceiptNo, Lf b,)- (p c"f I Date I/J-I,---/-I---/ Bv c;- O '< < This is to certify hat the request in the above application and accompanying documents is in aCCordances the C~~ ~anre-and may ~ l~sted. This document ~en signed by yle City Planner constitu:es a temporary Cenificate or Zoning compliance and allows co evmITl~tftanrn1:lr Occupancy must be ~,~r-. AhA" I Planning Director _ _ _ _' Date _ _ _ _ ,speci~ Conditions, if any 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 Ifi?()() FSlP]e: Creek Avenue Prior Lake. MN 55372 x PRjOIr~ .~/ --'. . k .- /' €J. t. , ~_/ See Main File White - Building 6~"'?ry I::"'gineering . Pink -- PlannlnQ) - Th~ Ctoft' of' thr l.akt Counl." ". ..,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST i, to. i N4ME OF APPLICANT i .a.,A~PLlCATION RECEIVED ":'-' ! / ! /'.,/" /' / ; . <:; .' , -. ::..-~-' / ../ ..... i -.-:rf Building, Engineering, and Planning Departments have reviewed the building permit a I.~ation for construction activity which is proposed at: . ! ..('- 1/ / ~ , . '0- .; ,. .' ,),/ - -- J Ac cepted /' Accepted With Corrections DE'nied , ~R1viewed By: ~ .:k~ '/2,(/ -,- ! Cci>mments: Date: t, fz..1e <{ , , - "1 he issuance or granting of a permit or approval of plans, specifications and ccmputations shall not be construed to be a permit for, or an approval of, any violation of allY of the provisions of this code or of any other ordinance of the jurisdiction. Permits pi esuming to give authority to violate or cancel the provisions of this code or other oldinances of the jurisdiction shall not be valid." ~ t~~ See Main File ctlJJlle - Buildiii!D Canary - Engineering Pink -- Planning / Ih~ ("tnl!'! nr lhr J.Mkr ("ounlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NtMEOFAPPLlCANT a;f--/~ 0/71 xI~ A~PLlCATION RECEIVED a - / d--~{!.f) THe Building, Engineering, and Planning Departments have reviewed the building permit aRplication for construction activity which is proposed at: , /5 335' 9~ ?Ci-5S /' Mcepted Accepted With Corrections DEilnied R$viewed By: ~ l~ Date: ~/z...-}> <{ C<I>mments: "lthe issuance or granting of a permit or approval of plans, specifications and ccjlmputations shall not be construed to be a permit for, or an approval of, any violation of a~y of the provisions of this code or of any other ordinance of the jurisdiction. Permits p~esuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~~~ u~~ See Main File While - Building ~ ......,arv - t:.n9,lneera"CL.-) Pink - Planning Tht' Crnlrt flf lhr I..kt' Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST N.+,ME OF APPLICANT A~PLlCATION RECEIVED ,/l-i ." ,'.' -t~(/,('I-l~ ." f . T~e Building, Engineering, and Planning Departments have reviewed the building permit a~plication for construction activity which is proposed at: ! .-) (., J .j' j A$cepted D~nied R~viewed By: ! x.. Accepted With Corrections C~mments: ~A Su. !Yl&'f" fd e.. Date: '5'2s-oy "The issuance or granting of a permit or approval of plans, specifications and c )mputations shall not be construed to be a permit for, or an approval of, any violation of a,y of the provisions of this code or of any other ordinance of the jurisdiction, Permits p 'esuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid," JUN. 10. 2004 2. 04PM GENZ RYAN SERVICE CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFlREPLACE PERMIT /, . ,.,\ . NO. 9 52 P. 4 Date Rec'd g' "', lPloaSClYP.e on"", aDd ,11lIl at bottom) ADDRESS /5335 Jel'+k-rs -:pass . .<t . :.,::'.':j , """i"}'1 : ~.~ ~7, I. PE~T N~~.fJ' I ._.r 11:"I0 " YMllow ApplleW ' ,~..~..<? "".,~' ~IO - ' ;, . ZONING (o!!lce:.;.), :~, '- LEGAL DESt::lUPTION (olllco use only) LOT 2/ B4:>CK :2 ADDITION PID &':~~{ ~ )VJr. (Address) 14W WtVII}fJ., l~'/}[d, I LdILtV/11f: fb.n ffl)L/t.! ~~;AN: P1f,~Z-- !fUAJLll . (phone) r61-LIC)6~ ((C/L/ (AddreSS)J~11~S ,S, ~bfJQf1W:J ~i, nw tj~(~ (A.ddre..) (City) (Zip Code) (ContactPell1.on) r.lttY'j~h PaM $_ ~ n (phone) J PS/- 4;:;-0- /tL/L/ (' l../';"--"" \ ~ IJ/J/J tlJ.JllA .) ~~DATE (till%l/ . I APPLICANT PLEASE COMPLETE BELOW . . ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL \,.,OYl/llt)'i. ~ 2.L2Q~ -, c::; . FUEL NM - Q,,AS FLUE SIZE RETIJRN OPENINGS <{ INPUT -t~()()() . OUTPUT ~q 000 TYPE OF SYSTEM HEATING OR POWER pLANT t&Warrn Air Plants 0 Steam OOravill' 0 !iotWater o Mechanical . 0 Radiation ~Air Conditioning 0 Special Devices OVent. System 0 Other Deviees (phone) qti'J-. tJ Ifq -((JqfJf) APPLICANT SIGNATUlUl PLEASE NOTE: Air Conditioner Units Cannot Encroach into ReqUired Side Yard Setback! FIREPLACE MAKE AND MODEL lndu.uial, corj1mcreial &<. Multi.PlIIlily Rooidenlial, Hlmting &<. AlC (New Construction) Retidcntial. I-1~.ting Only (New Conslluction) FEE SCHEDULE . 1% of job coat Residential, Gas Fireplaee $39.50 minimum $99.~0 Residential, Additiollll &<. AIleratlons $64.50 Residential, AC Only $39,'0 $39,50 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE .$ $ $ .50 ';\ .,;,,\,\ "'Ji~ 1..-'i:../7" ~~~~-D ~ ",\1!~ 't.~ . ~!.6.1~';V ~ "-.~a", ''<l'.I} Estimated COSI $ Building penuit # ., u.. O~y) ,Its App.cation BecomC5 Your Building Permit When Approved B~i1dlng amela' ! ~@ ~ ~ III rn ITiplNO. I II JUN 1 UunJ~1 ' 24 hOllr nollce for al\ inspections (952) 447-98 iO, fax (952) 447-4245 By Dare: ~ \ ~ '. JUN. 10.2004 204PM GE~Z RYAN SERVICE NO. 952 P J DlIteRec'd CITY OF PRIOR LAKE PLUMBING PERMIT /~ "',.''', l' ..:Sf., I. BJut Pilo 2.0014 01, ,. Y~IO\\' AOllllcalU . > .: ,~:.':',i ..-"\/i~~.z.' ." - '/r;--? - I PERMlrr.~~iW~5~t 1 I ZONING(~~.~!_ /11eue me or ~fint and siRllllt boltClm) ADDRESS /5 ?iD5. .Jz.~5 /)08) LEGAL DE$CRIPTION (office u,e only) LOT2 \ Bioct< Z ADDmON PID OWNER (Name) (Address) 1 q ')() ~ Lhr.. 1 ILlffY i IIIJ P751 Vd.. LalLevIII-f VVJ YI (phone) 11[11- 1./7-3- II ~L-/ a.oUVYlmAYIA. YvJ VI '7'-:;;,u&/6 (City) (Zip Code) (Phone) _ (rP7/- Ll2.-3-1 /Li LlI DATE (of I~Jo0 APPLICANT PLEASE COMPLETE BELOW Type of Fixture I QUlIntity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (l or 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) (Phone) 0151.-4101- /t;C(DO q])Jtf APPUCANt fl. III I J fHI (Name\ i qenr-~- yvu~,/ (Address) IH7LI<S' S. ~01)e..J2>I TI<cl. I (Adldress) (Contact peJon) (' ,VI y t.~ ~- r> , ..,t'LICA~ SIGNATURE \ .1 ).-'"G t #0 "_f." ~ Quantity i 1- i I 1 I ~41 I I \ i I I I I I I ~ Type of Fixture ( g\ ).. Rough-ins , Water Hester I W ster Softner Stand Pipe (Washing Machine) Sewage Ejector . Bsckflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, qommereiai &; Multi-family 1% of job co.t with a $39,50 minimum Estimated Cost S Building Pennit # Re.idential. New One &; Two-l'1Imily S99.50 Residential, Additions &; Alteration. S39,50 i~~~D:7 ~;~~;~'17-t.) '"-~,..... '''',., ' '".?;),' i ~ .50 PLUMBING PERMIT FEE $ STATE SURtHARGE $ TOTAL PERMIT FEE $ (omoe u.. onlY) I -\1. Appl~catton Becomes Your Building Permit When Approved Bu~dlng Offitlal DAte ,~@ ~ U ill ~ receiPt No. Jrrs!ftJN 1 5 2004 I, ~y - It '.. 24 hour notice tor III in.ptetion. (!I52) 447 ~90, tAX (952) 447-4245 JUN. 10.2004 20JPM GENZ RYAN SERVICE NO. 9 5 2 P. 2 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT , .', "l~' -. _, .. 1 .; --?:.:'.J '.'-.;J:,'" ' ~.';::;" ~. Jt;;;~1 . ";,;, J. OtW ]lilll . "'~'_"'.:--,,-:o 51'" 1. y.lI;.. "',y' I PERMIT NO. 'U.. ~ 3. &ld ^PP~ ..,. ~ . ~1ease Sl.Ee or ,rillt and .il')\ at bottom) ADDRESS ' 1'53Si5 J.e-ffers "PVlSS ZONING (o/fie, '''\ I LEGAL DESfRIP'I10N (ofllee u'e only) LOT Z I BLbcK J.. ADDITION PlD ~':~RCo! \eo(e, rA'kJ; HVYlllfs" [lI\O. (Phone) t1r:JZ-L/ft;a-lo.C1W (Address) 1f1 w Lake; jell<, '01 vd, I Lak'& vi 1/-t ,1M tJ - ~()l,l~ I (Addreu) (CIty) (Zip Codo) APPLICANl1 (J.,.ow,- _ If)/AIIlIl - u J (Name)~'J . (Phone). ij//J/- '2--3-//LJ (Address) J!:l11 y S' S, )to) 1;ulet 1W. I 0l~YV1f)]) /YI; ruVl q:;r;xJl8 ; (Add"''') ,(Ciry) , (Zip Code) (.""'",,''''i'''' I' Jw '''r-i!t~) J) . """" I ,p, I - <j 2- n -I/'N ," '1ICAN1 SIGNATURE fl f '__4d)I/1 _ DATE -1R./ /1) It') 4- '-i.,." I APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC 0 Caat Iron Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. Re,identi.l s,wer and water line connection $35.50 Sewer conneftion only $17.50 FEE SCHEDULE Industrial, Com'l & Multi.family Water connection only 1% of job cost with a $39.50 minimum $17.50 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 ". ~ J '~t~: '!D 1'1 ,.~ IVv%) 'l'~../. J'j .S;,. 'V. ~" j Estimated Cost $ Building Permit # (Office tI.e O~IYl I Tlli! App'cation Becom" Your Building Permit When Approved I P. ~ U; lG ~ Q ';!i ~ ~t No. \. 1l~11.logO!lle;.1 . DOl' . rKII JUN 1 5201 flY I r;;r-- 1 24 hour notiee for all in.peetion. (99) 441-9850, ~j(9~) 441-4243 "U .. ~. ~ - ,. ~ . ". ~ ~ . "oJ ~ (\., ",...............".,1 '-1 J. I vr fl'\J.IJI\ ~.\(\.c. ~VUJ. Date Rtc'd CITY 0.1" PRIOR LAKE SEWER AND WATER PERMIT (J'kIJC tYbe or orint iI:Od !itlJ It bottOm) I ADD~SS I... /i6 33 5' ~ {J~. I LEGA4 DESCR.lP110N (olll<< u"' ooly) I' 1 I2e. 0 ! L04\ BLOCK ~ ADDITlONC- : ~:. ~,'~ I PERMIT NO. '1_ rc{}1 l.CoI4 "'~loCIlII , .,~ , - . ZONING (0"", ",j Cr~ I O\1iNE~ r:-rf \ r^~ . I (Name)' --_ ~U ~ ~ 1 (AdcIJes~) tC().o L~Jle diu) I' (Addreul- ! A P PLl <t:Am--... r:- i (Name) I~c.~ Cy C6.. U~r>a I.. . I (Addres~) X' ~ 7') uv 7 u---rl----.. :57r .J2.0_-:t- I <Adillt..) (Contaor Perlon) S ~~ ,~.i-Y1 ur",. ~PLl1ANT SIONATURE ~ ..1.'f.- ~-14~ PlD (Phone) ~ 9))-(16q.~f'oa L.~l( S'SLft V- (City) (lio Cod<) (Phone) :sD 7-7'1 y. 0"SG. ,r 1.. ~ c.f0.--0 s-sz; r.a, (City) (Zip Code) (phone) -.!;u7-7YL/ -S~ ""\ DAT!! c::.. - /'-0 7' APPLICANT PLEASE COMPLETE BELOW Size of W1J.ter service '-/ inches. Location of any couplings from struct\Ue~ feel. Type of sewer pipe. 0 ABC (j PVC 0 Ca.lllron Estimated length of sewer line ~ feet. Clean oul (if required) located at feel from'structure, FEE SCHEDULE Re,id.n~al sewer and water line COMCOllon $)UO Indullrial, Com'l '" Multi.family 1% of job cost with a $39.50 minimum Sewer c~nncction only $17.50 Water connection only $17.50 Estimated Cost $ Bulldiag Permit N...-.. SEWER AND WATER PERMIT FEE STATB SURCHARGE TOTAL PERMIT FEE $ $ $ ~tb~.D /1 ."'401II1e ~</~. A~~ ".'1tI~' I :50 10m" L.~, O,lyl Y . Thl, 1Ppllcation B.com.. Your Bulldlnll Pormll When Apprond .:I~~. --'l; II G \'C[ ~~CCI~t No. , 11~atjUN 1 5 2004 i~ ~ ! BulldiQIOmClhl Date IU II ) Z4 hour notk. (or alllnsptttion. (~51) 4"'1~ '850, rax (~:Z) '~?..-.4J4$ By I err .! :', ~" .. ! <" , . CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ; :;~, ~::y I PERMIT NO.04-. 05..c:0.1 3. Yellow Applicant """U (Please type or vrint and SiM at bottom) ADDRESS ZONING (oflke use) 15335 JEFFERS PASS LEGAL Dj:lSCRlPTION (office use ooly) LOT JjLOCK ADDITION PID OWNER (Name ctOLLEGE CITY ROMFS (Phone) (Address) ! APPLICAt<T (Name) ATTTEDFlRESIDE DBA FTRFST1;lR HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUF (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact P~rson) BRENDA HUSTON (Phone) _651-633-2561 APPLICA~T SIGNATURE BRENDA HUSTON DATE R/26/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEiMAKE AND MODEL FUEL I FLUE SIZ!l RETURN OPENINGS INPUT OUTPUT DWarm Air Plants DGraYity o Mechanical DAir Conditioning DVent System HEATING OR POWER PLANT o Steam o Hot Water o Radiatioo o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks TYPE OF SYSTEM FIREPLAOE MAKE AND MODEL HEAT N GLO 6000TRI-IPI X 2 Industrial, C4lmmercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Ooly $39.50 Residential, Heating & Ale (New Construction) Residential, t-Ieating Only (New Construction) $39.50 $39.50 Building Permit # PAID VV I Ilf ~5oBUllDING $ ~LJ~KrT' (Offiee Use qnly) ;1--;;\ ~ (i\l Cfl~ I!! ~ I", ftl V II ~ This Application Becomes Your Building Permit Wheu Approved , ~-< If"aiW '-" - - III Receipt No. . n "r::p' -'L-!lAl'1 . I JL -D'f!re. ~ u ~Uli" 'j' By Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Ul.JiilJiueOfficial Date 24 hour notice for all inspections (952) 441~"A p~. {'1.....7.1'~_:_::-._' PRIIOR LAKE INSPECTION RECORD SITE APDRESS IS3JS' ,_Te..p.p~ NATURE OF WORK ~ USE 0: BUILDING ~ PERMIT NO. ~ O.5SB ~ED. . CONTijACTOR ~C · - PHON./.l' US" ~fli,.(J9 NOTE:I THIS IS NOT A ~ FOR ANY 0 THE INSPECTIONS BELOW j THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT <See \If ~1n Fl-le emLDING AND INSPEC:'~ INSPECTOR OATE I FOOT~NG I FOU~DATION (Prior to Backfill) I I ~LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWEtR I WATER I SEPTIC FRAfv1ING INSU~ATION ELECtRICAL PLU~BING rrtJ 9' -!S- HEATING (if required) il}) Q 'l. '7 . FIRERLACE ~<< /) 1 " I. ~AS ~INE AIR TEST fr I] C; /7 /&6 COVER NO WORK UNTIL ABOVE HAS BEEN slGrfED I I FINALS wL (J:l~ jib /O-fJJ l' -2") GRAQING (Prior to Sodding) BUILIl>>ING ELEClrRICAL PLUp.. BING HEAT NG ~O NOT rJV7 ~ flJt+- ( " ttj 7/ ~ / / ~ I'I? SIGI4ED 8-8- ~ i OCCUPY UNTIL ABOVE HAS BEEN NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections alld maintained until all inspections have been approved. On buildings and additions wJ1ere no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 ~- CllY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 15~~~ "lo~ ~ ADDRESS OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING fa INSULATION FINAL . 0 SITE INSPECTION COMMENTS: ( , tJ ~ T() , CONTR, PERMIT NO, C; - 0 s-s-;') o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~~LUMBING FINAL r MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o I C:I~ ~ f:-( 17 .~ pORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~ CORREc?tK' CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr. I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """"" DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED e- 8-0~ ADDRESS I 5"'53 < ~ OWNER CONTR, PHONE NO, PERMIT NO, 4-S"5"8 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 ~LUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COIl&JVlENTS:........ I. ~.b~ 2. P~J, ~.,:, r.,... ~I ~: ~Iu#' 0.J~ ~a+ ~:- ("WU fJk-l">f r/.: 17 v~lT ( ) - '\;:l'4Ln-~ 1fl.. IM~"-- . o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRWK' CALL FOR REINSPECTION BEFORE COVERING Inspecto . ~ . Owner/Contr: CAlC ~ 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. COlJE'"'REQUlREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! msNOTI 1