HomeMy WebLinkAboutBldg Permit 04-1230
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
White
Pink
Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
1,4~~ D~~<-X~ Dv. s..~.
LEGAL DESCRIPTION (office use only)
LOTI l' BLOCK ~ ADDITION ~ 'It:: ....+7--.:: f d.. I (K
OWNER
(N ame)
(Address)
(Phone)
BUILDER .~ 'j""") -
(Company Name) L), 1<... HoYio)..-. --l--IA. <.. .
(Contact Name) Wi K-c::... LClohv--.o~~
~v8&>o ''<''-c::""b'--~L~-<- L+. S\--c.....\.oD
(Address) L....o.JG-u d l...., J.J.JJ~ o~
(Phone)
(Phone)
Date Rec' d
/ J.- (p -O~
I PERMIT NO. 0 1'. /23 D
ZONING (office use)
;LZ-
PID z5. A- D7 . 04!~. D
C1~- ~ 1$<;-, ~ox
Ci~- 2>al.o- ~\3&
TYPE OF WORK 'iZf' New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
'1J:l\ddition o Alteration OUtility Connection 0 Misc.
CODE: DI.R.C. ~I.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
eA@
M e S U
4 5
1.).~,3oD~
PROJECT COST IV ALUE $
(excluding land)
WAt..--K-O fA. ( J'
I hcreby certity that I have furnished information on this application which is to the best of my knowlcdge true and correct. I also certlty that I am the owncr or alllhonzcd agcnt for the
abovc-mentlOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awarc that the building
official can revoke this per rust cause Furthermore,J-1\ereby agree that the CIty official or a designee may enter upon the property to perform necdcd mspcctions.
X ~. 6)..OOO~C:;'1 l'd-- L,- D~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
II
F
m
v
III IV
H I
2 3
I#/~ llJ (}tJ . Of)
1$ /2..'J9.5"0
I $ ?II~. (O~
1$ 70,50
I $
I $
$
$
$
/00, 00
100.00
:5~. '5""0
~().Od
This Application Becomes Your Building Permit When Approved
~.~
Buildlllg Ofticial
l.:2-hfty
, Date
Contractor's License No.
Park Support Fee
SAC
Water Meter SiZ~Y; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
'7535.1 r
12. 1..1,04-
Date
# $
# $ fS'So .00
$ Z-S-o. 00
$ 'fS,.o a
# $ I~o.oo
# $ 700,00
$ ISoo.oo
$
$1635./8
I
.7
~;C;U-"f "CrT
ThIS IS to certity thatthc request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinancc and may proceed as requcstcd. ThIS documcnt
whcn signcd by the City Planner constltutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ccrtlficatc of Occupancy must be
iS~ ~ 9.ed2/-J
Pfanning Director
/~Yi( ~ ~s~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'1
Thr Cenlt'r of Ihlf' I..klf' COunlry
White - ~uilding
~anarv - t:.ng,"eer;I'~'")
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
[) /2'. :Ii (/c:.77)/.,/
APPLICATION RECEIVED
!'/ " ,.....(-
J L.... lc, L--'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ,.? ~/;,.. /~ ;J
, 't~- t:.-:- i/ /";, /--7 . ,"' "
Lj ," i __1'-~'1"-1 c: i../,,~___I
/....J,./L../
.--
(~_.
Accepted
Accepted With Corrections
Denied
Reviewed By:
/i74-A
Date:
Comments: See Reverse Side for Additionallnformationl
J?1q/;'1 ~'Ic
See Attachments: 1) Grading Plan, 2) Erosion Control Mea~lIre~
"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."
Main File
White - Building
Canary - Engineering
/"""'t"1~!< - l-'.an.lI. I!::I,.J
The Cf"nlfr or the Like ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L./. k. 1-/(/c:T{1'
IZ. ((. {4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//4 !> (, {,it. E/ i)[ ~/j ;jl-' (, C::
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
a?~ 7-~t:J
a-t./ 'J,
Date:
/d-~Y~Y
/ .
K~
,,4.~. ~ ~ ..J).~~~
~~ AL4,~..
r
Comments:
~ ;k c/~
"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."
~f(
l~
\6'7;
~-
M. ^Fi('
am,"le'
['hI:' ("tnlt"r of tht I.akt ('ounlf)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. i2. H O,z:;rDN
/2-. {p. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7 + ft; (p Oe?32H ez.D OJt.-1 V 6
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~9~
~~.~
Date: I~Y~ r
~.
Comments:
"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."
12/14/2004 TUE 16:44 FAX 6513226147 GENZ-RYAN
III 0021009
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and sie;nat bottom)
ADDRESS _ . ,
!'1L( (J.J0 . ()uj(fi .etd Dm- ~~
I. <if..,., 1'il. I PERMIT NO atJZ30
2. Yellow CitY- .
3. Gold Applioant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT (1 BLOCK J ADDITION DutR-ft eta. {I-r-t'\
Pill
OWNER
~ame) DR HorteR Custe~ Hom~~
(Address)
20&00 ~i3K\ b6e. Cr- Sw _I (\r\
(Address)
(Phone) _
. [aU\! i lie...
(City)
gs;2.-Q'85-,80^
,&?COL4 U.
(Zip Code)
APPUCANT
~ame) Genz-Ryan Plurnbin~ & Heating
(Address) 14745 So Robert Trail
n (Address)
(Contact Person) _ .\>b')f.~.I!Bt1fa {/ s , /",.'
(' ~ \"--I~ f? ^
T..ICANT SIGNATURE Ij If /tJU'UA; -ruJ!.i.LJ
(phone)
651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
(Phone)
DATE
651-423-1144 r
;~ - i L/ -(]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 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer cOIUlection 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 Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$'
$
PAllO WITH
BUILDING PERMIT
(Office Use Only)
,
'--
This Application Becomes Your Building Permit When Approved I~ ~~..~
Ii ' '\ DaOeE C' 2 7 2004
1'1' II
jU'_
24 hour notice for all inspections (952) 447,9850, fax (952) 447-4245
By
:[; '-: : Receipt No.
I_~] 1\ 1
~\I' -8
I.,i I Y
\ ~
,-
Building Official
Date
12/14/2004 TUE 16:45 FAX 6513226147 GENZ-RYAN
[4J 003/009
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
(Please tyPe or Print and sil:Il at bottom)
ADDRESS .
/14 Le (p hPLJeJ1-el CG D1/G n
LEGAL DESCRIPTION (office use only)
LOTlq BLOCK;L ADDmON D.u1~fr.{.L~t I (t~,v
~:~~ ~~ PERMlTNO.1\L. ...-211\
J. Y.llaw Applic..t ~~
ZONING (ofliceuse)
PID
OWNER
(Name) DR Horton Custom Homes (phone)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Address)' 20SLPD lLeV1B~L tlc;e.. CT' Sre IDO
APPLICANT
(Name)-Ge.n."_"Dy,,n -p~....: ~. l;1",.,H~
(Address) 14745 So Robert Trail
Rosemount
(City)
(Contact Person)
(Address)
Ch J(jcS t-i riA (( ~ _
r}r(L~()~
APPLICANT SIGNATURE
Quantity
~
I
I
!-j
~
I
l'
'jU'
I
,,->
961- - q '8Fl -78D()
Lcdu.vilIe.. vutJ 560Lj t.J
(phone) fi'il_I1?1_11I1lL
MN
55068
(Zip Code)
(phone) DA~51-i2;~ (~~~
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
j Backflow Assembly
I BackfJow Assembly Test
I Lawn Sprinkler
I Other '
FEE SCHEDULE
Industrial, Commercial & Multi.family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
V;- \f:aid
t I : '..
\. '"
, \, pa~EC 2 7 2004
l "
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
v'- i
MID wmt
~:~~
I: ' ~
I'
,t
~y
24 hour notice for all inspections (952) 447t~5,O, fax (952) 447-4245
MAi-12-~u05'THU) 16:01
F'. UkJ 1 /(jl}~
.: . ":. '. CITY'OFPIUORLm. .
'}.~,;~A:r,'Ji~G(AIR CONDITIONlNGm'm.PLACE PERlVLf..l
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. R~ldcnlJnl; Hemw;;OnIY'W~'F?~~on)' $64.50 RL"!:,idrn~',~~;~IY .', ~.':H .:"'.: ';.':'.. : ,:$,~~jqi.\
~'.<"." '-"";""~"ol'~'--~\"'~:'~"t~"" '. . ,...... "
,E.stunated Cost $ Build.i.og ~ern?t # . ~:, .' '
'.' .... '$iuA,,~~(o/~~~m
$ '.50, .' 'l2AM'..,....
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STATE SURCHARGE
'TOTALPERiV,IIT FEE
(orner U.c Only)
, -Thi3.AppliCltion llcc~incS.youi: Building Pennit \VhclI Approved
. . . . .
Pajd
Receipt No.
Dare.
18Y
::1
()
BuildIng Officllll
Dnce
14 'hour no(ic~ for nil insp~ction3 (95:L) 447-9350, [3x(951) 447-t1-15
CITY OF PRIOR LAKE
I1EATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd .
(Please tv1Je or Print and si~ at bottom)
ADDRESS
~.~:., ~~~, I P~RMIT NO .JL ,.,-:In
3. Yellow Apphcant ---r-.. ~
ZONING (office use)
17466 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R.HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED j:1TRESlDE DB.A F!P.BSlDE HEARTR & HOME
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEATN GLO SL-750TR-D
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 ""'O~~\'T
B\J\LO\NG
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin!!: Official
Date
D~~~N 2 7 2005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 17 4 ,,~ :De'eJI,.. F:rclJ:) 1>8.. OS.e:.
NATURE OF WORK NE w c:.cWSI~'~
USE OF BUILDING S.F: ~ ~
PERMIT NO. 0+. /230 DATE ISSUED t2J,,,kl./
CONTRACTOR ]).~. f.\o1l.T6~ t I ~ · p~. tu, - ruz.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT '
Main File
INSPECTOR /1 O!,TE I
FOOTING ~ //y/~
, .. , J
FOUNDATION (Prior to BaCkfill).4I/ !YJ?J!cS' VI/1./? I (-I}-qr
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS I J
SEWER/WATER/SEPTIC yn~, ;//.1(/<.:5"-
FRAMING ' ~/j.- J/;()ft~
INSULATION 4Y J//#>.J
, ELECTRICAL , ,. , 3/r;:Cls-
PLUMBING t/&/IPf ...zMo.5' /f1'~ J'ldos
HEATING (if required) ~ ?//6~.J
,
FIREPLACE ..".." /~ jko~:5-
GAS LINE AIR TEST/6,lt ~,;;-;:; #~ j~..f-
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
.
I LArH C/ H'USE'I4JIUP I I
~er'k(/~/ /fh/~k/ FINALS .11
GRADING (Prior to Soddin,g) . 1\. f~ q. ~~J( .. I
BUILDING 1t#fj1 c:o (Ai ( ~/;/a.!' 4J' f,4~~ ~ ,?Al/~
ELECTRICAL I Ii, L///9/;JS
PLUMBING ?It/J- 1llif / dS
HEATING M(A....-- \ d" /os---
'" \ e
DO NOT 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
<11erfifirafe of <IDrrupaur1!
CITY OF PRIOR LAKE
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'pinal Pennitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 11 0 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:
SINGLE FAMILY 04-1230
Use Classification
Bldg. Permit No,
Occupancy Type
R1
Type Construction
VN
Zoning District
R2
Legal Description
LOT 19, BLOCK 2, DEERFIELD 11TH
Owner of Building
Contractor's Name & Address D R HO~RTON' .I~C.
ROBERT D HUTCHINS . City Planner
c:; / BJilding Official'
Date: //..,;;?? /6 "'-
/ n/ oJ
POST IN CONSPICUOUS PLACE
Site Address 17466 DEERFIELD DRIVE
20860 KENBRIDGE CT. STE 100. LAKEVILLLE
JANE KANSIER
Date:
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS 17~t., - /1+7 Z OcCJe-PI ~O
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
f-. /z..30
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~/ MECH FINAL
SIT
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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Awo SATISFAC~~Ry,~ROCEED' ./
~~ORRECT A ..u....:;~
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o CORRECT WORK, ~AJ FOR REINSPECTION BEFORE COVERING
Inspector: dt~/ Owner/Contr:
., ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE r ./
INSPECTION NOTICE SCHEDULED.6 /Q/6S--
ADDRESS / ,/ f/b h ~er~l/r d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COM~ENT~: ~ /'
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
.,...@f1=1REPLACE FINAL
o GASLINE AIR TST
o
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~ - I ~
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o WORK SATISFACTORY, PROCEED
~RECT 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ADDRESS
/ 71h~
DATE TIME
SCHEDULED # ~r
~~er/)el/ ;jy
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c:; t.j-/23o
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
Af'1'(UMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: .
-~/ /
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C-ft-pcfL- (.e/ p//I"(//_~ r/U'~
o WORK SATISFACTORY, PROCEED J
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR R SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &l SAFETY!
_OTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J.13~
ADDRESS 17'1" Dd:~<..f<l i),.
OWNER CONTR. --1).,e ~
PHONE NO. PERMIT NO. Ot./ - J 2J 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~"'LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
G~-O(
Curb - OK-
s'r-r
~RK 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 &: SAFETY!
IIiSltOTl
.
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APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~ ~
Name of Tester ~I?Y{ B
Sl3 jl)
Date
Job Address /71/;" ~
Heating Contractor ~~;I
Name of Tester ~ 13
S JJj.J r
~~74
,~
7. J ?t;
-3~/tJr
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~
input J?~ #P('J