Loading...
HomeMy WebLinkAboutBldg Permit 04-0905 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant Date Rec' d 7. z I. 04-- PERMIT NO. O~, OCf 05. (Please type or print and sign at bottom) ADDRESS L 140~Cj ~),..~~ LEGAL DESCRIPTION (office use only) ZONING (office use) tel SD ADDITION ~ /tl~~ OWNER ' (""\ (Name) ~ 6.A 4.C- 1 , ....~ I . I .(Address)~ ~,5, ~ I ' BUILDER I A A (Name) t1.J).~ t~ ~~ -- .~ (Phone) --!11("":J. Q 25""~ 4Jt-8 (Contact Name) ~.... ~RJ ~,,~ (Phone) 9,-~~.f) 4LJ 'it) (Address)llJ3IJ ~~-I~/Jt~ ~~, /I}/LJ s.-~~ I I . / - LOT 10 BLOCK TYPE OF WORK o Misc. ~ew Construction OLower Level Finish ODeck o Fireplace PROJECTCOST/VALUE (excluding land) $~otJ, on!:) I I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty Plumbing Permit Fee Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ~1 ~ 8trJol.O()Oc ()'(J I $ 01;253, s.o I $ I l{feJ &(.78' $ , /So,oo $ $ $ $ $ /()(). (ge 100, 00 '35:>'0 ~4, ~o ~;::r4-:;/;:D?a~ l:~d Building Official ,:I .. PID 2.5 4-0"'. 010. 0 (Phone) 3~~ t61S~4't ~ ,~~'--<~ I I Park Support Fee I SAC I Water Meter Size 5/8CFr) I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit lather \ I TOTALDUE MU0'J q.~,~ $Cf, ZC,3. 7?L )1 ""- ' · Paid ~~, 7tJ R~c:tJO. ~.77rCj Date . 9./.:7.04 B(j' . OPorch ORe-Roofing ORe-Siding OUtiIity Connection '.0 DAddition o Alteration / / eP Iv'! $ $ 13S0 , () f) $ 30D,O~ $ 70,00 $ f 2.00. 0 e:> $ 700,otJ $ '<;;00, () 0 $ 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 ~he:d. igned by the Ci; Planner constilUles a temporary Certificate of zonin,g ;mPliance and allow.:;:truction to commence. Before occupancy, a Certificate of ~cupancy must be ~ ? I z, j /0 if ,<'JU..iJ n.li ..J""'/ ~ /:-... ) Planning Director . I Ddte i Special Condition/, if any 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~19~ Contractor's'ticense No. # # # # ~hitp - '3l1ilrliRg--> Canary - Engineering Pink - Planning ThE" Cf'nlt"r of Ihf' I.akt ('oon 1 11"' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WINDWOOD 7.2..f.04 I . -_ 0 H 5 s The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-07 q 1- A AS t-,AKE: Q.,f R-(!.,G6 I Accepted Accepted With Corrections ~ Denied Reviewed By: ~~~ ~~~-~ Date: 74-'3/oct , 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." The ('("nln of Ihe l..kt Counlrl White - Building Canary - En ineering ~nk - 'planmn BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \ \ I 1\ D \, '\ C ( L) APPLICATION RECEIVED /. Z" ( 1 I L_/ ( ~ j ,.-- r r-jJ it:-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / o~7 (? II A A '~~__ L f\lr( E l~,~ ll~ ! LE / Accepted Accepted With Corrections ~ Date: :7 /.;l-.?h 0/ ,,' aJ-/ ~w A,(!, ~ .t!.J8. -~ ~~ ~ ~ ~- -!~ ~~,,:"t;-.~' /A~lj ,tle~_d17 J - I A ~ ~ ~ ~ t2. C11 ~~ ~..,,~ ~ ~#-~ fo 7~ ~.~ Denied -. Reviewed By: ~'-~ , 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." The Cf'nter of Ihf' Lakf' ('Ounln" ~ ,Allill'ling rv . Engineerilla) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED V\f I J\) C) V~; C r'\ ~., f /' j., ./'- -', --.,- U I~' t: ~ ---1 ......., , /. L ( [,:"1 ,_, I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J 4- () 7 L? l-iA A c~) L,~f\I<E. (~( l<-~LE: / Accepted Accepted With Corrections x Denied Reviewed By: #~/~. '-. Date: 9 - ::r-o LJ ComrT1ents:..s~d, Rp'vp-rse Side for Additional Informi3tinnl ~~ O'^ SDvf4t ~t'ut_ ~ ~tI!It-- c,nv/ (:;r;,1'"Q~ C/I'l G.J.- "?!, In LIS +- I FYY1V(,'! G~rM \"Ie, I- fr &11 {.9a..1l-\ Prnov/-v ~ , t ( See Attachments: l.).j;rading 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. Green File PERMIT NO. L/._~r/lL 2. Yellow City lAJ 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) JC/07~ ~S L \C. 0 e. LEGAL DESCRlt'TlON (office use only) LOT BLOCK ADDITION PID OWNER (Name) tJ..;WV ()w c) OD Ho^", ~ (Phone) (Address) (Address) (City) (Zip Code) APPLICANb (Name) . il-~S Hu ,;)<..(. (Address) ) f.. Jig ro I' L"'Z# Lv J1.v (Address) (Contact Person) ~ APPLICANT SIGNATURE r ~ ~ U (Phone) ~S-J.~ ,(!iq..'1 ~,~" ~ S ..(t)l( '" (Zip Code) L IL () L . (City) (Phone) DATE ~ 1.:11 } b~ APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure .- feet. Type of sewer pipe. 0 ABC C8 PVC 0 Cast Iron Estimated length of sewer line S 6' feet. Clean out (if required) located at feet from structure. Estimated Cost $ 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 ...0 "00 - Building Permit # Residential sewer and water line connection Sewer connection only SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official Paid bt tyO ~eoeipt No___ Date tf'- J/-f) Li By G-- I ?J 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Date (Office Use Only) This Application Becomes Your Building Permit When Approved MATTHEW DANIELS,INC. 423 3017 P.04 lJate Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT LEGAL DESC.R.u:- L LON (office lJ$e only) LOT 10 BLOCK I ADDITION *~ ~ OWNER .'. ~...I \ (Na.me) W' ~ ~ (phone) _f.JSP. . 'itlS'". 8!I:!I!i 1/,,:' ~~ fLu.. ~.. I/Jm {J!l./; Ii 7;) ,y..[;j .Qfi'l? APPLICAN!.,.j _. . ~ (Name) -~1 OJ;) Au J.d,d.. ~8. tJ." (phone) bSJ. ..j.:J...:1). ~ (Address)..JSJJ..~ (JA~i.)() 4) - .~,h. qVll1'Y III ,r "-tJ;) s:!i06f1 (Address) V (Ciry) (Zip Code) (Contact Penon) i:H J ; ,I , .c. '- 4,. -J-; ,~'k-" ') (phone) ~J. ./~. ~ APPLICANT SIGNATURE JJ,.IP.J '-ti.r~uJ;6U).'~r'"' DATE rfbt:.. IS-, .{).{)o4 '-'-T u APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower 4- Dishwasher I Floor Dra.ip I Ai.. Lavatory (Bathroom Sink) J Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink ! Water Closet (Toilet) (please type or prine and si~ ac bottom) ADDRESS 14a7q ~~ (Address) 1dQu Quantity .tL J :L .~ I I I lki... I H"'-. I ...=i FEE SCHEDULE Industrial, Commercia! & Multi-family 1% of job cost with a. $39,50 minimum Estimated Cost $ Building Permit # PLUMBIN'G PERMIT FEE $ I STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your BuDding Permit When Approved Building Ome!.1 D.~ l. alu. 'il. I PED1\IIT NO~- . :. Golcl City ~ ). Y cllo'" ^ppl i..... ZONING (office yse) pm Type of Fixture Rough-ins Water Heater Wattr Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other Residential, New One & Two-Family $99.50 Residential. Additions & Alteralions $39.50 q.,~ ,~S 2~ hour notice Co,. all inspections (952) 447"~P.!~ax (9S2} 441424S.__"... t.-:= , TOTAL P.04 NO. 832 p, 7 JJnlc Ucc'lI fJ'Ifj,!!/: tvee ur urlm Ind alJm at bU\lOfl\) A~QRESS ,'-\ t.)I '\ \~ ~~ ~ lC', \It. (,' r(.,~ ~: ~:JI ~!~ I PERMIT NO.U, - d IWi:!"'" J. V.llaw "1,pJ"'a.1 -, ~V:i) ---.. ZONING (llffice USt) LnOAL DJJSCRIP'fION Comee use only) LOT\ ~ BLOCK \ ^DDlTI~ ~ \ ~~..l N o,.~~ ~~:c~R \r~ ~ ,,~\A "'j~~ ~~~ ,(A~ldfess) '\ '-\ ~ ~ \ .(;.. ~ ~ "\ {\. -J'\- ~ o v.. ...'" ~ \} \ \\1 , PlD (Phollt~) <l\ S~... ~ ~\ ~ -~ "\\.\ ~ s s ")() ~(J AFP(.,ICANl' '^ \ .-.,--. (~arlle) \<\<:L-\:~'~' ~ -\- '" (" (Al,id !'C3S) \ ~ c\ ~ \J \J '<. \ l. (J ~ f\. V \... (A(ldreu) (Cl./lllilCC Person) f\ (,\ V\ L.\J S f....\-\ I( \... \ \. AN'LlCANT SIGNATURE Jf\~.1 ~ \}... (Pbone) ~ S :~, \-\ '-\ -/.. ~ \ ~, \,{ ~..., ()- \.LI\ ~ ~\~ ~~~) S., d. (CiIY) (Zip Cud!!) (Phone) 9 ~''),~ \;\\.\ {. ~ \ f).~ DATn AI)!'LICANT PLEASE COMIJLETE BELOW ~mw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS ~ FU~~^CE MAKE ^ND MOL)EL ~ v~ ~ l.'r\ ~ 'f \ ~~ ~ ~ ~ FUEI...f\Ili\ rqJ~ SIZI1 f \I L IU!TURN OPENINO-S \ .~ INPUT ~O, (jQ~ OUTPUT iL:L~ Q ~ TYPE OP SYSTEM HEATING OR POWER rI.,AN"r . ~Warlll Air PlnllL~ OGrnvlly o Mechllllicul ~^jr ComliliLJllillg ~Vcnt Syslem o 81elll11 o Hot WOler o Radialion o Special Devices o Olher Device~ PLI~ASE NOTE: Air CondItioner Unlls Canllot Encroach ill to Roquired Side Yard S~tbnckB 11n~EIILAc.:B MAKE AND MODEL. Elllimaced Cost $ Flm SemmULE I % of job cost ResilJcllLilll. Gas fireplace $39,jO minImum $99,50 IlesidclIlinl, Additions & ^"CTlllioJls oSMoSO ltcsidclllilll, AC Only \ 'd,: <J ('\\'\~ Buildillg Permi! ff $.19,50 InUllSII illl. l:umrnerclnl & Multi-IllIlIlily Re~luc'ltilll, "euting & NC (New Constructlon) Re~jcJ~J\llnl, HeAling Quly (New COllslnlclion) SJ9.50 .$'39.50 1)ulllllllll Otntlnl $ $ $ ~~~ ~i~ II \J - \ ~ ~ Receipt No. - .", \ faC1 '! 8 IUU4 \:I\y a 24 hour lIolle\! rOl' nlllnsl'tlclio,u (?52) ~47- \0, fnJl (952J_ 4i~ !/ B'/"-------:::/ l-IEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE .50 .tJ~'~'..,~~b,..." "'~ "'i. .'-'.' "t.Y~~\ . . .:~~I .. . 'l). , "..;"" '" . - ~ IOltie. lI!r Ollly) 1'hl~ ^JlIlllC:lltlon DtccJlues Your DuUdlllg Penult When Apl,,'ove!l 11/08/04 08:58 FAX 7635530887 GUYERS BUILDERS SUPPLY CITY OF PRIOR LAKE HEATING! AIR CONDITIONINGIFIREPLACE PERMlT ~002 Date Rec'd i~.. ~l~. I PERMIT NOIJ_ ~~ tlr l. Volle.. ^pph_ "7' 7~ . (please tyJ)e or print ami !il';l1 at bOlIOm) ADDRESS IV () 7 9 //4. Ct.. .S Lake. C, ~/f' ZONING (officcuse) LEGAL DESCRlPTION (offICe use only) LOT BLOCK ADDITION PID , I OWNER t J ( (Name) LV J I'/. 0 WOO() (phone) (Address) APPLICANT /I t'. - { (Name) ( ') v" .,0." S I~ 0 t (d~l s E J<. P re"::J'j (Phone) 7 t. ?- I - I ?/~O 5 IS-P1fl-vcllue. Plvmnuth (Address) I (City) (Contact Person) f0 D V'\.. " ~ (phone) APPLICANT SIGNATURE ~ r~ /J4d/J DATE .Lt/g /;- . APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS fURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT ~EOFSYS~M HBATmGORPOWERP~ (Address) (p 9cJ - '/ (p " ."":) ~~<f I (Zip Code) OWarm Air Plants OOravity o Mechanical . OAk Conditioning OVent. System o Steam o Hot Was.er o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Coaditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL L e t1. (to "J.. Gbv''fO~S- ua..f (1q c, Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential. Additions &. Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (NeVI Construction) Residentia.l, I-Ieating Only (New ConstrUction) Estimated Cost $ / OOO(!JO) Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PE&.~ FEE $ $ $ ~.,' " If .~ . . , .50 .~. '..... ,..Jf"; ,/''If'~;,,. ~ ~~.,. ~~ ". (Office U~C Only) This Application Becomes Your Building Permit When Approved Paid- Receipt No. Building Official Dalc Dare I'JO\l 0 9 iQQ4 By r 24 hour notice for all inspections (95Z) <<7-9850, fax (952) 447-4245 '_____,........_~.___._..._..._M:.... ,._-' -"'.~" ....',__., . PRIOR LAKE DEPARTMENT OF Bl:JI1.DING AND INSPECTION INSPECTION RECORD SITE ADDRESS It''' 79 ~ i.Aq- ClA!4J,G NATURE OF WORK N61AJ .~_e,*~ USE OF BUILDING .s:~~. _ PERMIT NO. of/. Oqor;;- DATE ISSUED 2/. ~ CONTRACTOR 1lUj.J.~..MJ ~ PHONE~4'S- m, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT (7/J FOUNDATION (Prior to Backfill) lJ//(. I ,;/If~ ~ I /~ ~ ;; I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .--. -~ 7'~~ m4 #a :: DATE t FOOTING \v(~ 19-C6 SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE . GAS LINE AIR TEST <~ W " C~VER NO",WORK UNTIL ABOVE HAS BEEN SIG~qD ,"'rllr/.rrlit~L6tu6lt61J ~ lJe,. PD I lZ/'/ibcf I I FINALS ~ ~~ I GRADING (Prior to Sodding) /113 &.;).7. 0 r" J / BUILDING .,..~ 1'0 8.l"'6~ ~ (f Jl> II. 12..1' / t5>'1 ELECTRICAL J I .... PLUMBING JIlIY'" HEATING (~'-; · , DO NOT OCCUpy UNTIL ABOVE HAS D~ t~ 1.oU:l~ NOTICE This card must be posted near an electrical s~rvice cabinet prior to rough-in inspections and maintained until all inspections haye. been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. . //~//o/ //;/,,~y ///?/co/ ~~ /~CJ2 I /?t4- I /fU- I I . I /!/~/~ I' ////fJ/Oo/ I ' [-It.-IX 1-2&,-oS- BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 - .- ~ ~.___."':_._;~___.__~___~".._..____~L_ ..... ...".,,-.--.. _. ~____,__.~ ..Ji~~. ... _:__.!!2if, '.... CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS } 40 7 cr OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~~NAL o SITE INSPECTION COMMENTS: DATE SCHEDULED "I*- J./o..e.. ~ l k- <:::j'r TIME CONTR. PERMIT NO. r-!~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~~~LfE AIR TST Q\o~ II) '-1 ""fOL IL L(" . - >t WORK SATISFACTORY. PROCEED o CORRECT CTlON AND PROCEED o CORRE T . CALL FOR REINSPECTION BEFORE COVERING Inspector: ) Owner/Contr: CAl L L7JS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. v CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ,~ l,L 'J 'EX) PHONE NO. / LIt; 77 Hqfd L~ (41'1 w ;,Jl"JoJ) ~ts ol/-7~ ;J5...~ILlING o cdlll...LAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST D CONTR. ADDRESS OWNER PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION D PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: (;l.At'h g~- ~ _ h"4~ ~ &~ ~ WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector:~~ OwnerlContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSl'IOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME (J'Z~~ ADDRESS I '-to 1. ~ tltCA9 Lk {,h- COMMENTS: " ~.:II\.~ ~tO'--\. (\mJ1J) ~. ~~ ~~O '1. '"""'--td g~r{~ t.\ . 'Z>r-t.uto ~ (~:i... ~. 0.sulk SI't:1~ - (" ~U t;t" \1~ ~ '\~F' ~J:'O~ ~6~~ t.{'n-Cf9lo 1 t CSo-t ~1~ fIJ" ~~(~ OWNER CONTR. PHONE NO. PERMIT 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 o PLUMBING FINAL o MECH FINAL M~ ~ ~6~' 0 a4- &f 01 o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o 1 2,4 o_~ ftof.I,'~ ~ +0 8-[-Cf:) ~t o WORK SATISFACTORY, PROCEED o CORRE ACT AND PROCEED o COR CT K CALL FOR REINSPECTION BEFORE COVERING Inspect!, - Owner/Contr: CAll J6~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /-/1--oT ADDRESS &071 ~S ~b cL OWNER CONTR. PHONE NO. PERMIT NO. 4,-10S" 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 S"PLUMBING FINAL o MECH FINAL o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ @) - ku$ fnr- ifyap (;, 1~ tull 4t1'td- 5cqj Lv+- (J~ ~Js OYl 5p"'lI\iJ.w rJ/7A.l~ r -r1lV/d1tc rtJ(Jf" UA..(}S v /l5.f.o,v; Ate./...,- . ~/ Lode- ~0. h;r v o ))'ORK SATISFACTORY, PROCEED }If CORRECT ACTION AND PROCEED o CORRECT WORK~ FOR REINSPECTION BEFORE COVERING Inspector: M Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl