The URL can be used to link to this page

Home My WebLink AboutBldg Permit 03-1424 (Please type or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File .3~S.2. If a.s..,),,,orr 7' ;(,- /~." oJ LEGAL DESCRIPTION (office use only) ,,-:- LOTIo BLOCK J ADDITION J I' r h r.J~ OWNER (Name) (Address) BUILDER , I (Name)~ I"N S In~ IV III Al61n ~ f' Gat" Y' .::J6), IV J tJ N ~ (Address) I tf9S- /'~ 2~ (Contact Name) J.)r TYPE OF WORK /2r'ffew Construction o Misc. OLower Level Finish I. White File 2. Pink City 3 . Yellow Applicant Ac/ AI lJ Date Rec' d lD / ~...V?:J PERMIT NO. 03 -1t{Zt! ZONING (office use) PID~-375--0J~ -0 (Phone) k 5/ - YtI ~ - .l/j/tJ tJ (PhoneLt /.2 ~ J" f - ?~ /:J- /JJ /V 5.5 /,;. ~ Jo't rt.. . (Phone) (Ct f~/V -.J ODeck OPorch ORe-Roofing ORe-Siding PROJECT COST IV ALUE (excluding land) $ /5' J 6 () I) OUtility Connection O~ $ $ $ $ I $ $ $ $ /55ior) 0 I.~O;', 7S- 0''16 ,. I t./ ~ /J/},56 o Fireplace DAddition OAlteration 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 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo~ property tokerfi need inspections. X / J~ r, /YSr /O-J--(JJ ~ r/ /: Signature Contractor's License No. Date V 1/ Permit Valuation ~ Permit Fee 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 100..-- /tJtJ.-- 35'~5-0 (j() . - Application Becomes Your Building Permit When Approved ~ ~ ---Lr!d f(~.? Building Official Date I I . I I I I I I I I Park Support Fee I SAC I Water Meter Size 5/8"; 1 "; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE $ $ $ $ $ $ $ $ $ 'l41tJ. ~q /J . ,/J Rece~o. ~/Y By 0 # # # # I~"?S. - ~SO r-- ,/~ --- c:~. - / ;)O{) - 'I tJtJ. - 15{)1). -- 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consttuction to commence. Before occupancy, a Certificate of Occupancy must be isS~, ':JedlP /tJ;!S/l3 Planning Director I Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 I Paid I Date ./ ?~7d/n tr/.-]l.. OJ ~~ Main File ~l:tit8 - ~uildinQ'"':::) Canary - Engineering Pink - Planning Tht" Cf'nff'r or fht" L.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L//~~ /0-3-03 The Building, Engineering, and Planning Departments have reviewed the building permit application fO]8:;-~on acti~:c::&::d iq I ~k D ~ f2d , {/ --r Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Comments: p~ aL/ '- Date: /CJ/IS-),.7 t ~-~~~ - 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." '" Main File White - Building Canary - Enaineering r: t"InK - Plannin9) Thr ('rnlrr of Ihr takr Counlry NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ),'.' /,j/) ..A.A~ :)../) /" ( 'J ,-j YVI..,...__ U" '/. /) ~/ - - I . k::/ i) ~ 1....'oj........ ''V'--J I '... ," I'\.,.,. " ",,' ......< .' T~./~ APPLICATION RECEIVED , ........,. - - l..)';: The Building, Engineering, and Planning Departments have reviewed the building permit ,tyJplication for construction activity which is proposed at: " .~.... ., j I t / '/0...12.../ , ~J 'c. 1,~~~~ ~. / Accepted Accepted With Corrections ~ Denied Reviewed By: ~ i&~ .... ~~ Date: ;a/ls-/'ds ~f \,J~ / 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." Main File White . Building - I ~ !..;:lI~!'Y . cnglneerlnlr) Pink - Planning Tht fpnltr of Iht ukp Counlry BUILDING 'PERMIT APPLICATION DEPARTMENT CHECKLlSr NAME OF APPtlCANT APPLICATION RECEIVED ./ I~./ ..;7...."'17 ~ ,": ,','~,.~, '. j L,r' to" __iC,.-" {;'/I,,(' ; '"..' ~...#-""'~~'\.'~ . -' ,"",~ , '" , ,.. llr1- ' /\-?_....; --1.,4,,1 ::' ./' _~-" ! ..J "'.J., ...,.,.-~ ... ,,- ~:~') -, 3' - c)~:3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;:? ~. ~'7\ ~_: r' '-/"2.1 / ;/~;~~. .t~{.2~ ,j Accepted x ...... Accepted With Corrections Denied Reviewed By: ID915 Date: /0 -/C--o 3 CommentsSee Reverse Side for Additional Information! !r7Cf/v... r. '{ <: See Attachments. 1) Grading Plan, 2) Erosion routroLMeasur~s "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." .. ---- ~_M__"~"'---~ -~ lO/21/01 WED 11'22 FAX 61ZJ41~Z~5 r. I TY 0 F PRIOR LAKE \o...."fr\C>..,,( ~~ \. ~f""''-' V "\ I .J 14.1 001 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT :. ~~ ~~\:r I PERMI.T N~ ? Jd*7IL J Y.,_ AF;"-' ~ ZONIN G Mllec IlK) (plea'C t'ftIe or print ~G .ip! a.t bonom) ADDRESS G \ \:\' \'\ ~ \ 38S~ ~~beA'\~ 'K~,^~e- ~ r- ~ LEGAL DESCRIPTION (office I1Ir o.nIy) LOT BLOCK ~~R .k\~mO,J'\Y\ ~ome...s:> (phone) 6Sj-'iDb -ti'loo (Address) 12>~S-'Po.:Z-o-.~. ~\~.Q.DO ~~ jlMn.. ~':~J;;Z'Z ~;~:~Al'fT LJ~d ~\c~ ~\\ \~ ~. (Phone) ~/-Lf5;2- /s0S (Address) 17/D l\~~~~ \~J, _~ ~n... Mn. S~/c2l ~ _ (A~) .,; (Ciry) (Zip Code).- (Con<"" Penon) \Ted. \-\.~~~I' (Phone) tsl-1D-J5bS APPLlCANTSIGl'JATURE d~ DATE c?/b/6Lf ~LICANT PLEASE COMPLl!, 1 L BELOW Type of Fixture Quantity I Bath Tub with or without shoWVI' I Rough-ins Dishwasher I Water Heater Floor Drain Water Softner I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machinef I Laundry Tray (I or 2 compartment sink I Sewage Ejector I Shower Stall Bac:kflow AS5e",bly Sinks BaeXtlow Assembly Test I Bar Sink Lawn Sprinkler Water Closc;t (Toilet) Other QUBlltity I I i q , a 1 ~ ADDITION Pm Type of futon FEE SCHEDULE Industrial. Comrnercllll &: Multi.famlly 1% of job cost with a $39.50 minimum Residential. Nc:w One &: Two-FAJ'I'\II;y S99.50 Re;,idential, Additions &. Alte.nmons SJ9.50 ,SQ ~tVJ ~~. keceipt No. Da~ ~ r~ DIIC' "fJ -,/ ~. :4 hO~"l)oticfl 10r ,II inJpcetio". (~J..'i.:;c;~. r..lI. \9~;;-:""-'U4:S V d EEvES0098v 'O~/a:8 'lS/8~:8 VO ,9 'C; (IB:l) L9EO-C;Sv-IS9 :JNIlV3H ~ :JNI8Wfl1d 13ZN3A\ ;~OB:l (Olfln Un: O"Ly) EstimlStCd Cost S Building PermIt # PLUMBING PERMIT FEE $ ST A TE SURCHARGE S TOT AI. PERMIT FEE $ Thi5 Application Bec:omes Your Buildin~ P~nnit When APPTO\led Paid Bundl~ Officii' 02/16/04 16:48 FAX 6518949955 WENZEL HEATING & AC 141004 CITY OF PRIOR LAKE HEATING/AIR CONDill0NING/J.4'U<EPL-ACE-PERMIT Date Rec'd S-/~t/ i =.. ~~. I PERMIT N 3. Y dlow Appllc.IIll rPteue type or vrmt aJld. sim at bOlIOm\ ADDRESS 38$~ '. ./.~~f:pRbj I . : LEGAL DESCR1r J. ,LON (office use oo1y) 8j~ ~{ / ZONING (oflicl: llSe) LbT I OWNER (Name) BLOCK ADDITION PID ~/ff\ ~ (phone) '" 51 ~-44--:<L-. (Address) .' APPLICANT" J_ / ~ /. / (Name) ~"^/ /0/ ~ff.""j'~ , - / (Address) 41]/ d-/ 4/&// n/b/J1 . (Addn:!s) / . (COntact Person) ~ AJ (phone) h~/-~4~ ~ftfJ/'1 ~icy) "'-) <-.., /2,2- Cup Coll.c) APPLICANT SIGNATURE (phone) DATE APPLICAJ.'lT PLEASE COMPLETE BELO\V ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURi'\;ACE MAKE AND MODEL ./PN/1/t;' b S-I &~ ., S- FUEL .,..,bl- FLUE SIZE .;)- ~,I RETURN OPENINGS ~ INPUT 7S [Xi) OUTPUT b i 5l::O TYPE OF SYSTEM HEATING OR POWER PLANT ~arm Air Plants 0 Steam O~~ O~W~ ~ Mechanical 0 Radiation .wir Conditioning 0 Special Dcvic~s ]2:1 ent. System 0 Other Devices PLEASE NOTE: Air Conditioner UnitS Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL - ..- . -- - ." -'--- -" l~dustrial. Commercial &. Multi.Farnily FEE SCHEDULE 1% of job cOSt Residential, G-as Fireplllce $39.50 minimum $99.50 Residential, Additions &. Alterations $64.50 Residential, AC Only S39.S0 Rcsidential. Heating &. NC (New ConStruCtion) Residential. Heating Only (New ConstrUction) $39.50 $39.50 Estimated Cost $ Building Penn it # REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 aUI&PAlO wm., . .l>O''''G PeRMIT (OfJite u,c Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. BuildIng Official ~. 1 7 20U4 By ~. - DalC - - - - .,. - - o..____ -_.- _.. ... -" - -_.- "0 f-.. .' _-.'.- _- ...._ 24 hour notice for nil inspections (9~2) 447-9850. fu: (952) 4414245 :..../ v'- ..../ /( "f:'}~{'-;O"" teO ""r:-,.,-f \ . " '-..-\ - ' \ \ ~ r- \ ';>- V! \,\:: ,"'"'''''''' \ '7'" \ ' ~I I~ . ~-;... , .lr I . 0" . ',~. :v." E. ., - ../ ------------ C.fllI( ,_'" - , 1(J: yr:ll.J:i" , ......1>\.WJ,.H I;IjI.O . crr 1 .... ~r.1 l..~' I. ~. oJ _ ."., I, I II " _ I I. . I. . 'I . ,.',. .I",,'I-,j, I II ~,. _" ,.... I l II'. II ", I , . I j., "." I I. I U" .~...." I C!~y OF ?~IOR LAr~ S r.;\~p, pJH) WhTER ?~?-.:~I'!' NO 1J1J$Z'f Sewe!" and ;'1 a 'Cer contractors must. be reg ist.~rc.d with the City. hPPLIChNT: W~t:..\ ~~ PHONE:riSJ--L/.9-Jc::t5 :~~:~~~~;~~?-~~-?-~-~-- --:::: :_~!,~~:.. ---- NOTE: ::LL IN TEE 5L~~KS 2. Size 0: wate~ se=vic~ of water ser/ice / , 30 --==0- .. -- '- . 1. Es~i~2te~ leng~h 4, ~y?e 0: sewe~ pipe. irtc~ (es) . ~ from S~=',lc'ture ~I '^ PVC K C2St I Iron fe-at. J . Lccatic~ of any co~?li~gs AES 5. ~sti~2~ed leng~h of se',;e:r- line ,3CJ 6, C!.~a~ cut (if s'*:.='...lc-:.u::.-e.. ~ec:;:uirec.) , loca":.ec. f eel ~ IlIl.. at ~feet f=-crn ====~==~==~~~====:~~=~;=-~=============~=======;~====-;=========== ?~:s ?-~9Llc~'Cicn cecones ~O~~ pe~~t N~en 2p~~ovec. B'! Di\TE: -==========;====~========;~==:==;=;--=~=~=~=~=~========~=========~ :-=::::s: s S 5 35,00 .50 35.50 Se~er and wa~e~ line connection ~e~~it. Su::-charge TOT .~!. .. :- :;; e f c -= e:. the ~ s e ','; e ::- c ~ .... 2. t e :: i :-, c. i v i c.',la ::.. l y is S 2 0 . 0 0 p :. \J 5 S .51) s',l=cha rg~ . '" s~~~~ a~c ....2te~ pe=~its issuec :o~ new constr,lction ~us'C b~ ~oco--4e"" on t'-I=' b":l~;nr-: ne~;- c:o~": "," -....<:> t;,.,.,..,. 0<= ;S"'U:>.1C~ _ _ ,_....."-' . ~ ~ _ """" ~ ....... _ ~ t' - ~~~ - ..... "- - ~ ~ - '-;. l - - .~~ - ~ 7' ~ - - - ..~ ':1<::'._~ --"," no c.u""l'ca"o. se.'e- ar:c. ';Ja"e"" ~\..s 2re O^.,,}::~~~~- - ;~~" 0 ~ ~ - -- · >;'OC'~ ?~.:~~\ ..- -1J(.~~~~- ~",:;. .::: : :=.I'~ ;. E~ C I D '3 .~ -,' . '. , t.... I. ~. ~ ..,I. ;. ~ i" .::-: ~ ....,. ..., ".1 ,"" :;.. 8 d EEvES0098v 'ON/U:8 'lS/8~:8 VO ,9 .~ (IBd) L9EO-~Sv-IS9 0NIlV3H ~ 0N18Wfl1d 13ZN3M WOB3 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pink File 2. Green City 3. Yellow Applicant PERMITNg-/~LI ZONING (office use) (Please type or print and sign at b, ,.,. _ _ ) ADDRESS 3852 RASPBERRY RIDGE RD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name WENSMANN HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRFNDA HUSTON DATE 5/18/05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT OUTPUT DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. System o Steam D Hot Water o Radiation D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial, Commercial & Multi-Family REA TN GLO 6000TR-OAK FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39,50 minimum $99,50 $64,50 $39,50 FIREPLACE MAKE AND MODEL Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Residential, Additions & Alterations $39,50 Residential, AC Only ~" ~.fArtp~$39'50 Building Permit # CIl}VIJ~ $ ~ ,()~ ~ ,50 ''1)>4f~ Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No, Date By ~ Buildine Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE DEPARTMENT OF \Jfo~n pel BUILDING AND INSPEcnW"- 1 e INSPECTION RECORD " SITEADDRESS \.~~ Rt'dpbl/!!."""h XJ.'4e.. 72J NATURE OF WORK _~~'~ ~ USE OF BUILDING ~F ". , PERMIT NO. --D3- J4-24- DATE ISSUED /O.Z~.Q3 CONTRACTOR ~"'AIVIV PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ 'U:111E la~TP/lCJ') SllJIJtI I FINALS " t.J(5 vt /P7 I W , FOOTING' AI.A 0-v'--C\';:) ~G ' FOUNDATION (Prior to Backfill) 4 ~ VI? I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - IN~ . ~I.M~ t'^ /d:f ~ 'C::> /'" 1\ 1 ,1 e3 ~-th ~"L/ y,~ (Yif - (~ ~ b-7.D-~ GRADING (Prior to Sodding) BUILDING 4f~J) (Q~ ~_ . ELECTRICAL . v PLUMBING HEATING 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. jfJ.,t{.'J t~ ~ "28 1 .- @/$/ar' FOR ALL INSPECTIONS (952) 447-9850 <tTrrfifitafr lIf (l)ttUflautl! CITY OF PRIOR LAKE ~tpZtrfmtuf Df Iiuil~iug J1usptrfiDu ..r:(Pinal Permitted 0 Conditional e.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: Use Classification SINGLE FAMILY Occupancy Type R3 Type Construction VN LI0, Bl, JEFFERS SOUTH Fire Zone Bldg, Permit No, N/A . Zoning District 03-1424 R2 Legal Description _ Owner of Building Contractor's Name & AddressWENSMANN H~S, ROBERT D. HUTCHINS f1/tJ Building Official /<'./t,t: .- Site Address 3852 RASPBERRY RIDGE ROAD NW 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122 City Planner DON RYE Date: Date: DATE TIME CITY OF PRIOR LAKE ~/~crJ INSPECTION NOTICE SCHEDULED ADDRESS 38S~ (2~9' ~ OWNER CONTR. PHONE NO. PERMIT NO. I- )'J2l o FOOTING o PLUMBING RI o EXIGRAD/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI ~UL.ATION o SEWER HOOKUP ~PLACE FINAL FINAL o PLUMBING FINAL GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: I. +:~_ ~r~ -t~p. '1Cf?-1813 ~~ ~_r- - ~~ OI2t-C; Ot- o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )t CORR~ERK' CALL FOR REINSPECTlON BEFORE COVERING Inspector Owner/Contr: CALt. 9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. V: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSIIOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /fJl4-o5' ADDRESS 3gs--:2 R~~O~/ri Rick RJ . I ~ CONTR. '4l"5~N\ OWNER PHONE NO. PERMIT NO. 03-1'1),1.{ 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 o PLUMBING FINAL o MECH FINAL ~EXI.JMv.~ILLING D~INT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: (9 rr:. rL e - ro r-- G "i!::> 14,,. J. ' A r( -. - / ~ORK 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/ lNSNOTl DATE TIME b/~J -- 3 oS2 ~r-/ler'Y' '~~~/ / / CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER <../ PHONE NO. PERMIT NO. 0-.5 ,/y.z~ " /r vc--r "- o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o ~R HOOKUP A!f'PLUMBING FINAL o MECH FINAL COMMENTS: / ~~~ t"'7 / 7(?J r r ~) .- (4/ ~~/k <2'~;e d /' ~# ./ ~ I j--;,hc; / d- TIS FACTORY. PROCEED o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o / (~/C 4 r t/~ -r / o CORRECT WORK',C~L':~NSPECTION BEFORE COVERING Inspector: ~~er/Contr: -- CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSl<<JTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI