HomeMy WebLinkAboutBldg Permit 01-0610
(Please type or vrint and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/5395 8/e,
HtJ/2A/ P/lS5
LEGAL DESCRl.t'TlON (office use only)
LOT ~ BLOCK 2- ADDITION
OWNER
(Name)
(Address)
ltJ,. J,j ~
I. White File
2. Pink City
3. Yellow Applicant
~ 1~
IJ r.JrI _
(Phone)
~
'\. /~ l",~ 0
- JI,4 ~ '"
""'"'
rU.~ 1" \..... Melkt 5
BUILDER ""';-1;1 .
(Name) _1 M '"I
(Contact Name) ~ 't'
(Address) 7';> /:< Y/r)( W' 00 J
, -
, .
("{)\.L -r ...,...
TYPE OF WORK
-----
~onsttuction
OLower Level Finish
DMisc,
Date Rec' d
V eLl 0/
ZONING (office use)
)2/
PIDZS-375-0//-0
(Phone) W~ - f.2 Y -- [I r~
(Phone) ----G /.) - r 6 Y- '7 s "f 0
r:;'Vf1(/ e <-S- J L <7
/I1~{jJ~
ODeck
o Porch
ORe-Roofing
OAlteration
o Fireplace
OAddition
PROJECTCOST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
19'7 JI'vV).~
'15~"~5"
~1Cf. 07.
'18 . S-O
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized agent for the above-met'oned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ~ropertY'tQ perfjrn eeded inspections.
X ( ~ 1\-~<./'----' ,- '1-~'c ,
"-.. f ~ r: (sigrl ,ture Contractor's License No. Date
I J:()V
I Permit V~luynon
I Permit Fk
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
(Jj) .0 &ro..
Bu d' g Official
I~() . ~O
ItP6 .c:>v I
~.SS:s-D I
l(() . t9 7/ I
Building Permit When Approved
Co -$.-~{
Date
I Park Support Fee
I SAC
I Water Meter SiZ~
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
ORe-Siding
OUtility Connection
/'
#
#
"1
I
#
#
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 as requested. This document
~bym'Ci~p--_.ru~'''~CatiE;7;;;;'-mds-~~':;.c:;.~.
~ v Planning Director Date Special Conditions, if any I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I
6f.D&{O
Th. ('.nler of th. "ok. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT,.J l;
APPLICATION RECEIVED
.,f
, .' (1,,\/ J
~,.rv
-1.-1-. 0/
I :
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-"
f-'
,)' -
;
,I
" )
I \_~
Accepted ~
Accepted With Corrections
Denied / 11 _
Reviewed By: ~~-~~ Date: t/lltf-4 (
Comments:
t;~vr~ ~,/ ~~_ ,4-'t-~~~-: ~
,,(L,_ L;~fll'L/L ~l~~ ~~ '\0 ~J3BF-i-
~ ~t4'{ ~k (-
- " "-
~~ 2-L/ R-: a~~~7t!id~ ~
t ..(l9'v\'i . pr~1 ~ +- -yt\Y0 ,Otl,J (f),
~?~ r1~~,
'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."
OI~O(P1 0
Th. C.nlt' of th. \.ok. Coonlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J ao V ~ ~...uOfffln-, ~
APPLICATION RECEIVED {a -l/-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const/~n3qv} :hiCh 8~:;ed ~ p ~
(/
~
Accepted
Accepted With Corrections
Denied /l,/?...
Reviewed By:~~f-
Comments:
jJ /itrJ (1-ita~ 1;hJ~
Date: ~ -6'-Cao/
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."
~---"--'--~'_'_'_"''''_~'''_'''''-~''~'''"''''-''''- ... ....-.. '., -..._'''....__ "--" .__.______.____._.____,;__~,.W.h>..~__..~'..."....__,.."__.__~_.~",_'.__."'''._m._..'_,.._._,__.~~"_____
D ( ,0(0 { D
Tht ('tnltr nf Iht tob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J(1A()
APPLICATION RECEIVED
,,7dlVJ1AIJ)U (7 ~~
(0 -4-01
""
/,~ on1~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is I~~op_osed at: (). )
1!53q~- /jAh ~ y~A/
u
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
#,I9-B
Date:
0-/3 -0/
I Comments:
-
See Reverse Sipe for Additional Information!
/0+ tnvs-l b..... CiC(eSS<t::! .cOY"l e'f h~r,^ PC,(~ f!)Y11y{!
~
"ee Attacnments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
11/14/2001 07:43
7632592299
SCHULTIES PLUMBING
CITY OF PRIOR LAKE
PAGE 01/02
ltIoOl
11/08/01 ~ 14:18 FAX fi124~7424G
""..
C.l I' ~ OF PRIOR LAKE PLUMBING PERl\-.LiJ.
I
Date Rec'd
. ~.. ' .
...-'...
C'PIcue ~I: or DrizlE lIlld siJ!D al: battDml
ADDRESS .
. (53J., ~1 .~ ~A~
LEGA'LPBSCR.1r.uON(~~) . ' ",
LOT? BLOCKd ADDmO~ //..)./ ~ I. ~ ~ ~
~w.:::-h~ .~ ~ ryh<1t1e)~-';{l/-ljNq,
(Address) IO~()8 -m/~~(J4-:~~ ~4 ~. ~Dt'4. ~ .
~~~AN4~1L~.~A ~~~ ~~ (Phllllc) 7b~ -7Jl.G oJ slM 7
(Adclr~) /s;g; '1~ ~ ~. ~.-(~ -' ~ 'b:/{/i/.tJ
(~ (Cf) (:Zip Cod.e)
(Co~act PeI8on('2j)/~ ,~' . (ph ne) ..ffi-5 - U - ~ 7
APPUCANTSIGNAroRW' tb~ ~ DATE ?'/~d/o;;y)/
.. (/
APPLIC~LEASr, COMPLE~ BELOW
Type ofFixtul"e Quutity I
Bath Tub with or without !Shower ~
D~h~her I
Floor Drain.
Lava.tory (Bathroom Sink)
LaundI}' Tray (1 or 2 compartment sink
ShCJWel' Still
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
,
I
I
'3
~
J
I
,
. - ;::;l..
....._-"""..... . 0'
I
~: = ~ I PERMIT NO. /-&/{)
1. "011_ Appl_1
ZONING (lIbllH)
'Rl
pn:b)S- ~ -
Type of Fixture
Ro~~-ins
Water Heater'
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Back1low .Assembly
Backflow Assembly Te5t
LAwn Sprinkler
Other
FE~ SCHEDULE
Inclusllinl, Corn!t1~ill1 & Mvllj.famlly 1 % of job aJ!lt with a $39..50 minimum. a.c.sidc:nt:ial. l'Tew One & Two-F arnily S!W .SO
Residential, Additions & Al=-atil:llls S~9.50
~timated Cost $
Building pe mit #
PLUMBING PERMIT FEE S
ST ATE SURCHARGE $
TOTAL PERMlT FEE $
(Ollicc list Olaly)
This ApplieatioD Beeomes Your Building "'~r.it When Approved
BWJdl1lK Ofliclal '
D.ce
24 bour notice for all inspections ('s)} 447-9SSQ fax (952) 447~S
I
I
I
raid
Dr
.s~
!Jr", P..{)'A!D 11'/
-'.. ,ING ~!':!
,Receipt No. ....; '~J ..;tr
I j./ !tf-f
Bycjjv
v
11/14/~001 07:43
7632592299
SCHULTIES PLUMBING
CITY' OF PRIOR LAKE
PAGE 02/02
III 002
I11DBI01 TBU 14:18 FAX 6124474245
." .,;',...' :
. . . ..
Date Ree'd
CITY O:F PRIOR LAKE
SEWER AND WATER PER.Ml'l'
(P~ 1'l!I'c ot...nm IIDd. sic III bottbm.~
ADDRESS
15395 ~\ .~_ ~
LEGAL DBSCRu- lION C~. ~..ly) -
LOTt# BLOC!<. t?1 AllOlnON ~/4(~ 5~
OWNER~n; ~ ~ # .
(Name:)' ~ ~ ~ /~ (Phone) ~.-'7'4/-~/9"~
(Add=) A ~ ~~r4ird' Crr.-..._~~, 5~;q3:?
. (Addnss) I (Oo/Y': (Zip Olde)
I APFUCA,NT A. / .L-/- 4/ ~ /:'" n
(Name)_ .A:#~b////-/r~ ,X4~
(Address) /Si?/ -fq~~)-~
(A ~ ,
(Contact Person) dJ)~
A1'PLICANT SIONA~U
I. ~ File I D"Il'l'DlL... - 0
l. YlIlID.. dIy ~~T.ui..I.;.
,.lJo>ltl ~
I-~/D I
ZONING (atMelllll)
K\
PID05- 375- Oll-()
(phone) ~~7&~-t/1LJ7
~ //h.;. 55'4cJ7
(City) ~ Cock:)
(phone) 7~3 -_~ - Iff) 7
DATE JI//aVd?Ll2/
r
{)
. APPLICANT PLEASE COMPLETE BELOW
Size ofwatet service I " inches.
Location of any couplings from structure ~feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at 11/fLlfeet from Wucture,
FEE &. .t:II~.nULE
Residential sewer and water line connection S3S ,SO Indu.Mial, Com'l &. Multi-family 1% of Job cost with a $39.50 miDimum
Sewer c;ollD.Cction only $17,50 Wate.. connec:tiott ~nly $17.50
Estimated Cost $
SEWER ANP W ATBR.. PERMIT FEE
STATE SURCHARGE
TOTALfERMlTFEE
(omQI Vat: Only)
--
This Appli=tlob :Be~ome!l Y (JUt BuUdi.,g Per'dlit Whea Approved
BlIlld!D~ Official
Catc
14 hour hotice: for.llU IlIlpect1DIIS ('SZ) 447.'sso, fax (9S2) 44'....:145
Building Permit :ft.. --- -." .
$
$
S
~so
I Paid
I Date/1j4_1
(',
. ~~~I~/f/"f
_ Pp:',-"
~~1J-V ""';l"
{j
t'1A,(- 29- 2003 18: 55 I) I ERECK F I REPLACE 861 0456
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:: /~! \\ ~\) HEATING/AIR CONDITION!i\GIFIREPLACE PERiVIIT
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P.01/01
Date Rcc'd
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"" APPL C..-\;\'T l)LE.'\SE CO,vlPLETE HELO\'"
( ,.... ~'E\i\' c0:"::3'[' Id, :-i:ii5s ,"n Rr::PLACDfE;-':T 0 ALH:li.ATlm~;"'--
FLi~"',,'..\C!: \f.-\KE A0i1) MODEL. /~__ ._. FUEL
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FU':F. SI/I. PFflJR>:' O?E\'fNGS
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_u. J:';PUT ..._.___...._ UUTPlJ'f
TYPE OF SYSTEM
nWC;;;'1 Air PI:',;"i\5
OGravitl
o ,\!:d~.'.(li~J.1
, 0.'\:. Cr,rdl,IOr,"J'l"
I nV';;l( System
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L:~~. R~ P I .l. C L: ~ f:\ K [ A. >: D .~.r () 1l!.: L MtI-:J
HEAlli':C OR POV/ER. PLA N-r
O~\~'lm
[l111)( \\';!c:r
g ~~di~:;I);~ .
U );l;;CI:tII.J~"'II:::; _
[J (Jrh<:r L\;\' II:~,~ __
PLEASf:.: !\'OTE:
.t\ir Ci)r.d;[ion~r Urir;
C::"ilut E'1cl".)~(:h 1011,'
R;;<1IJIi'<:.:1 Sick Yard
S;;tc>a.:ks
~4-c..-._~,V-3-h---E~-N .
r"1:,:l.Js;II:tI, CC':'iT:i;:~lli ,~.;. 1\(ulii.f:I:r1i'.'
r'[ ESe H J.; !) U u:
1 ",-;~ i)fjl)b ~()~t R~,{;,.:::~~:'?:' 02:\ Fircpi:.<.::
S39.50 mlr:irnllr,'1
S)951)
;~":''iid'~:H\;d r:'~~~~;i',:.; I::; .~..'C (~:c.".. Co;,~:~!"'~,:rj\:)j:)
P;'~~ltJ~,'::L~I, F::~~::~,~ (,)~;:i I}:'';'\. C~'r.~::-..;,:.ic,:1)
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LtJ~~I-( ST:l,TF ')URU!.-\){(j!:
r' -./ TOT..\I. FER.,\IIT FEE
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8L:il\!".~ P':i7T1it
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ThL, Aflpljc~lIl"l Bccome~ \'(lllr Building Pel'llIit \\h.;n Appro,'ed
P.~~d
[)uildin~ oriiCl;ll
-- -~'
.... ..____' ,_ '~'~' ~ ~ -\JiB- 'j':'
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:;4 how:- notic~ for :lllln~p~ctin"S (9:52) <lX. , 50JUK-9~::) ~429_~4~ ~
: Re,'.ttpt :-<0
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TOTAL P.01
P RIO R LA KE DEPARTMENT OF
~ BUILDING AND INSPECTION
~
INSPECTION RECORD
SITEADDRESS 15S9S K~ bb ~S~
NATURE OF WORK ~
USE OF BUILDING -s'FD
PERMIT NO, . (j.f dJ V; /0 DATE ISSUED '-8'"2ss(
CONTRACTOR -:Jt;~ ~ ~k~_ PHONEk/2 -~ -?JJr;;tfn
NOTE: THIS IS NO'J-.A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 11>~~PEcro" I q)1)O~TE
J FOUNDATION (Prior to Backfill) I 1?{}~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS! . \.'
SEWER/WATER/SEPTIC ~\J~ 'H Jt,l)(
FRAMING ~ t ~ "t
INSULATION 1D~{. ~ ;~ O~
ELECTRICAL ) ,
"
PLUMBING ,\ ~fI. 141(6 ~ I
HEATING (if required) 'b~ liNt! II -;b\ f) ')J
FIREPLACE (~U~ \
GAS LINE AIR TEST
GRADING (Prior to $odding)
BUILDING /( -t~ (l uA\1' l 1/O/3-~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1\1# () .0
f/1J)
~ . (
A
@:r.
I/tr
/0./0. () j
Pz- :>
'l/3/0?'"
q~1-oJ
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 be placed near main entrance.
... ,"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~trtincau of ODcmpanry
CItY OF PRIOR LAKE
J)tpartmtnt of _uUlling Jn~ptction
,~Final Pennitted 0 Conditional C.O. Expires
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 ordinances of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY
Use ClassificatiOll
Bldg. Permit No.
01-0610
Occupancy Type _ R3
Type Consll'Uction
VN
Fire Zone __..B./ A Zoning District
R1
Legal Description
L6, B2, THE WILDS FIFTH ADDITION
SileAddress 15395 BIG HORN PASS
CT" MAPLE GROVE, MN 55369
JAY
Owner of Building
JOHNSON CUSTOM HOMES. 7312 KIRKWOOD
Contractor's Name &: Address I
ROBERT D, HUTCHINS J/J \
Building Official; /I'
} ~~ ~
,/ - .:;.:'
--- --)---
City Planner
DON RYE
l,./
Dale:
Dale:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
--'
ADDRESS 15 -S'1':;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
SITE INSPECTION
COMMENTS:
/./
Or--
I
DATE TIME
SCHEDULED
/ 2r- "? -t:fJ
/
D'J ~ C?~
CONTR.
PERMIT NO.
D I - &/0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, \ ,^ . \'~
J I _ n /~ ~\ \fd
Tp C l{:?~
./
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
/Jc,S5
J'" Co Y ,J oJ"..so '" J-l ~
.
n{ -(,/0
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
/S"3'iS /3,'", hoo'l
v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cs:..=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
LUlb J3t2/' - C) ~
DATE TillE
)f) -11/ 'oj
CJ!'exJGRADlFILLlNG
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
InSpecto~-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
q- J- C??
ADDRESS
lCj tir- 6-0, /lvd" ~ S,5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-
tv
0)
l-bfD
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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IV::?l C)"3
o WORK SATISFACTORY, PROCEED
)T'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ q - 3..... 0>- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
/539S
DATE
~k2/ 11:t)O
&:c ~~
J
CONTR.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
PHONE NO.
PERMIT NO.
tJ I -t/O
o FOOliNG 0 PLUMBING RI 0 EXIGRAD/FllLlNG
o FOUNDA liON 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ,e= PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
~\lIMENT5(fJ $ ~J"\. ~ ~~,
(2,)/ ~. !1.m1 cq;o
~~ p~ MJ
f4eJ ~~ -~
~.-N~-\o~
~~~~~QeJ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'fA 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 &: SAFETY/
INSNOTl