HomeMy WebLinkAboutBldg Permit 04-1108
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CITY OF PRIOR LAKE BUILDING PERMIT, C:uW@ [€ ~m ~I]'
TEMPORARY CERTIFICATE OF ZONING COMPLIANCI \ DI OCT 1 2 2004
AND UTILITY CONNECTION PERMIT UU
See Main File
(Please me or print and sim at bottom)
ADDRESS "
While
Pink
Yellow
I PERML~'-;}'04-. / I 0 i3
File
City
Applicant
ZONING (office use)
Vl.3S7
/1I1L--O OI9/CS 75~~
RJ.fLJ
'BUILDER <O.k~ L L
(Company Name) '-\~'\~ f"1v,tP..s:;. C,
(Contact Name) En. r 1-' I'--'t--ev--
,(AddreSS)?O'BOY ~ Cf 0 (t;'q3Af\t)l~ v()(JL~J.AA""
LEGAL DESCRIPTION (office use only)
L01/'0BLOCK / ADDITION(,J./i/rf On ks-
OWNER
(Name)
(Address)
PID ZS. 3(,+.01 e. ()
(Phone)
(Phone) (b [:1,-~"'-cti~lt
.~
(Phone)
,;:;(") J';)... ~
v- '---
TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing
OAddltlOn DAlteration DUtility ConnectIOn D Misc.
I hereby certifY that I have fiJmishcd mformation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authoflzcd agent for the
above-mentIOned property and that all co uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this permit for JU t c se urthermore, I hereby agree that the city official or a designee may enter upon the propelty to perform needed 'mspcctions
xtLi.. '#Y1~ ~Qq'{~q/O lo//olo~
ignature ~ Contractor's License No. ~ l6a~e
..
Ilf2. (S.o~,D1l1
$ /7'-(3. ~o I
$ 11 3:$. 2'i I
$ I 07. ~O I
$ I
$ loo, 0 0 1
$ loo.n€) I
$ 3S .<5"0 I
$ '-(O,OO I
CODE: i:iIIJ.R.C. DJ.B.c.
Type of <knstruction:
Occupancy Group: A B
Division:
II
F
I
illrvVA
HIM R
2 3 4 5
I
E
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Penuit When Approved
~
~
It:) /U/ct/
I Date"
BuildillgOfticial
ORe-Siding
o Lower Level Finish
o Fireplace
B
S U
PROJECT COST IV ALUE $
(excluding land)
~oo -
.f
I Park Support Fee
I SAC
I Water Meter (Si'ie5/83i)";
I Pressure Reducer
1
1 Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
$ aSO.OO
$ 13so.0~
$ 2-S0,D6
$ lf~ fOE)
$ t2...co,Oo
$ '1PO. 00
$
$
#
I
I
I
I
I
I
1
1
$ 7. lIef4- 781
#
Sewer/Water Connection Fee
#
#
Paid
Date
-7
,/(,-,4 ?tf
1'2 7. 0 .F-
I ~~o, ~nJ7
ThiS IS to certifY that the request in the above applicatlon and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested. ThiS document
~~ Pb~"mpOmY C~1if"'te of ~~;::/:~d ,!low, conSISeemenoe Bdoce o,~'p,",y, C""f:'" oraoe"p'n" m"sl be
Pl,nningDireclOl f Date ~e
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~
See Main File
c:::W!!ite' :Suildirnt--..
Canary - "'Engrneiring
Pink - Planning
Th~ C~nlu of lh~ L.kr <-'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~
16 - I d..--O L/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(P3S7 il/dp~~
Accepted
J
Accepted With Corrections
Denied
~~1~
Date:
)~;Iz- ~r
Reviewed By:
Comments:
See Main File
"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,"
See Main File
White - Building
........., '~narv - t:.ngmP.flru~
Pink - Planning
Th~ ('..n.t'r of Iht' I..kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'J
;..,. ,--"f'-
...,7" ,,_. J ",:,
\/"__/~./'~,."f_.(,~
!t'..'./,:,....~..,.., ,,',/ ..,.,.../
.....,. ' ) ..~/,'-
.... ' c.-" "'.l....:..<__
APPLICATION RECEIVED
/;-~. ~-
/._' f
/) 'j"
",...-(., c_
.- .t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
/,~, '::s' r /7 /1 ilJ/J) 2-1////, '" );:"',{ .,,;; / \1:, ,;
. '1-" ,..' '.......;; i' ,/'j'_"/~(...""'f"....t.. ...A.::....(.. ....'.,;...~7.'f-:;;r.';--,__......(....:_,.~-.r;: -
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
m<fA
Date:
It) .-2{-o<'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,"
~~
See Main File
White - Building
Canary - Engineering
..-;:PInk _.:.!'lann"'!D
-
Thf ernlr. or Ihr 1.lkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{',.U 1<J
/1 'J'Z4( jJ
1/, -
,j
/ ;;'-, ) L/
.-.,
The Building, Engineering, and Planning Departments have reviewed the building permit
~ application for construction activity which is proposed at:
(p '3 S / / /I~(f;,~f / )/.I~'ti V:~AJie / .~
Accepted
v
Accepted With Corrections
Denied
.
Reviewed By:
~
("
~~
Date:
/"/2. z..~</
Comments:
See l\1laiu-Filc
"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."
11/04/04 THU 09:55 FAX 952 890 2753
STOCKER EXCAVATING
141002
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Ple3se ~.2..rinl and ~i~l.t, bOrT.om)
ADDRESS
6357 Wild Oaks Terrace
. 1)#---'1D8
;' ~~":. ~',~ IP"F:RMlT NO. 04-1108 'I
), Cold AQ-r11c.<nl L _....
"_~'^_""'.."._-,-,-.-
ZONING (offic, "so)
LEGAL DESCRlPTI0N (offiee us. only)
tOT IS BLOCK I ADDITION
PTD
OWNER
(Name)
Barts Homes
(Phone) ~/306-4384
(Address) _
P.O. BOX 240593
(Addrc:s:s)
Apple Vall~y, MN 55124
(Cioy)
(Zip Cod.)
APPLIGANT
(Name) STOCKER EXCAVATING COMPANY, INC.
(Phone) 952/890-4241
12336 Boone Avenue Savage, MN
(Add",,,)
Curt l A ;1
(Contact Person) I _ II /1 //
APPUCANTSIGNATURE /" A'-;(~Md#-u
,
V
(Address)
55378
(City)
(Zip Cad')
(phone)
DATE
same
ll-Z-04
'V
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplingsfrom stnlcture
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure,
feet.
o Cast Iron
Residential sewer and water line connection
Sower connection only
FEE SCHEDULE
$35.50 Inclustrial, Com') & Multi-family 1% of job cost with a $39,50 minimum
$17,50 Water connection only $17.50
Estimated Cost $
Building Permil # _..
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
re_i:;,~'"
,j'", ,:""'~I i~
'H,~., ", ,~
. Nt'" , "'.
~ r\;" '''' .,I
,!,(>..~:.',
'... ~r,~+ ~.
(omc~ U~t Only)
This AppliciltiOtl Becomt::s Your Building Permit Wht:n Approved"
6l.lildinr, oencilll
-'Pai':!;
101,1,::)
::1: L,:
!)(Ite
.. i Nnv 0 9 7nn4
II,!
_'1",1
24 hour notice for.1I inspections (952)447-91 50, fax (952) 4474245
, Receipt No.
r3v _.___
" _:ff-
01tt
05/03/2005 12:42
9528947972
LAKE SIDE PLUMBING
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i ~~ ~:~ I PERMIT NO./ /-IIJ(J" I
t y,IIDW !'.PpJlulll '-1 ~
(Pleu!: r:vne ottlMtandtim arbottom)
ADDRESS ZONING (011\<< "",
{,,3S1 lJ.);l~ OAlK
LOT
LEGAL DESCRIPTION (ollice uso only)
PID
BLOCK
ADDITION
OWNER
(Name) ~k ll-!I.
APPUCANT 0 11
(Name) d<>.M. .:s.~ ~1....J..,....
I
(Address) l;)u~ ?: ~~~" tw__
(Address)
(Contact Person) J\;,.~
APPLICANT SIGNATURE ~t & I<~
~
(Address)
Quantity
\
\
I
1-\
l
;;).
\
3>
_ (phone)
(Phone) ~5'.J- ~1<I-?t.,.",
-~;f
.:55'3'1 i'
(Zip Code)
(Phone)
-",\"""",,-
DATE
"H.of
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
Floor Drain
L1vatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity, I Type of Fi~ture
I Rough-ins
Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backfiow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with. $39.50 minimum
(Omeo U,e Only)
Resid<YItia.l. Now Ono & Two-Family $99,50
Residential. Addieions & Allcration, $39,50
Estimated COSt $ ~
Building Petlllit #
BuiJdlne Omeinl
-e;
~,:o
I~~
I paid B t( r ~e~etPt No,
I Date b"1- & By cJ )
24 hour notiee ror ,II/n.peetion. ~52) 447-9850, rax (952) 447-4245
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Thi.. Application Become. Your Building Permit When Approved
DAte
JUL-20-05 11:57 AM JUDKINS
6514234189
P.01
"UUl ',,I .
."~I'
I (,:,~<'
, -", {
t~ S- I PERMIT NO.~ ;!i~;/<
I I ZONING ltlNo,J,.,i aill,'," i'flf,J, ~
" If,: I, :~
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,: :,:I~l~,I,:i,:", ,',r it'..
I, I~"'" I,'j
v'" .,
:;rrt:~,,:':';-i;t.
OWNER -n..~ _.1.- ~- ' 1_1""1_ '7.rv~ .14' "
(Name) t....U-r",~? -'.JQ'()\ 0 h (phone) ~ - -, , ;
(M4res,) 'Po, b(TI. 240C)C1~ ".*w~ V III ~ 01 i..1Y.lV\ ,~~,
~~~lriV l',V1C ~ ~'L V- (Ph,onel(05'1-4~"2,+,I:n,' tJzr .,1,1,...,'::..,.,'.',:
tAdlIleSl)'l'5L~,C) {\~sd LDCR..Lf. r.Z~.t..et:" . ,: ';~', '1i1!
(-~- txu..g'22U\.~). ""'" ":& '51- 11;>"'-~~ ' W,.~,:,',:.."i,.,.,',;"i" !
.APPI.1CANiSIGN.AT11RE ,..J..~ PATE, ' 'M'~:i
, ' APPLICANT PLEASE COMPLETE BELOW ~'>,x
~NEW C01'lSTRUC'TION (J RJiPLACEMBNr Cl AL"ffiRATlONS ,'}I;I"
FUJl.NACIM~I~NDMOD!L L:t.(W\t'I-./ Gu~,c:-"""ra.:.a:I/') _ Ft.;EL ~4, .'t;:,', i
fLUE SIZE , 'PJ ('. RETUlll, OPENINGS -'.fL INPUT ...!JO.ooc> _ OU11'U't ..k , /);~ ji ..j
,::~:~;~~M ';~=GORPOW1ltPLWl' 'L"~~" . .;i,..,.~,.i,'" J
~Omi1y CJ H., w_ AJr CcjIl<Ili ", "." !;
MoollOllleal , DbIllllllll CIllll~IJlll, ' ~",1, :i
Air Condlllo.in~ 0 Special Devi",' llaq\lljlld, Sido jN,.,',," .." J
v...,Sl"lem CJOthtro.,;co. SelbaC.... ! ,! ,'.f
PlREPLACE MAKE AND MODIlL: ,j} " ~)
q~
If' ~
~ 'I
~ f~~1: J
~'''" ,
'~, ...10, I
~ ',r. '<' II(
,,J!f'( ,(:.
Pt~
;1 '!:,!i'i
WED 11:00 FAX 6l~~47..I~
Cl.~ U~ ~~lUK ~<
ClTY OF PRIOR LAKE
HEATINGI AIR COr'un ~..{)NINGIFIREPLACE PERMIT
.K:sfl'lialud"""lbbmlllll
G;ofJ1 \\J i la Oa.k-S
"L1\QAL DI.$C:lt..c "I....,.~ ~o.tkc Ute l!Jl\ly)
lOT
BLOCK _._.~DJnOJ!.._._._..__.__.._________
PIP
IdUlU1&!. C4IMI...", &. MuIU. F&IlIlly
FEE SCHJ.DULr. , ~..)-
l%aljob DOll lI.e.ldll\t~~I~l~.
S39,$4minimUlll -' ,,-
599,$4 R..i4a\llal, AdclJllon:; '" A'Io'.II.n.
$64.50 Resldlo1lial. lie 01\'1
'I.Ui.._,tlwlna Il.NC (Now C.r"tI\letiDll)
l'.e1l'on,Ia,.lIdU^, Only (New CCJN1!\1u'on)
E.~",.'.4 Casl 5
BulldlrIa Pe""k #
HEA1iNCPERMITFEE. $ PAID WITH
STATE SURCHARGE $ RI JI20ING PERMIT
'I01'AL PERMIT FEE $ _~" , .
(OJkoV"Ool)) .. , "... \1 ,'r.' [-'I ,.......'
nlfAppllc.llonD..oIllUYOUrDUllclin~perlSllIWhOnApPl'CvJ,D ~~' , ',~ ~I 'l'i,ir-:k.o'~NO'
1'1 ~II \I8f1" Z 1 LllU:! J: By
8o!l4IJl1' 0tl\t1'1 \Io~', \ lj r .J
Z.4 ho.r aou.. lar .lIlup...;.., (,95Z, "MUll, III (J5~) "'7-4'45
,8Y ___=.=---"C::=
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 1036, ~'LD 0"''/.$ 7~1J.N:..C
NATURE OF WORK ,.,~ ~6A)iJ"~I.~
USE OF BUILDING ~.s::A.
PERMIT NO. ,,04-. //08 DATE ISSUED t C 1......(..,
CONTRACTOR ~~ ~~ S PHONE 14 !'l.LIO"l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
lNSPECTOR ~ DA:rE /
I FOOTING Iii! 0"- r IJ-<J. M 'f).s;1j.s- /JI/If / ,2/;</ /ot/
I FOUNDATION (Prior to Backfill)A:>/.JNJ! U/",d/ "":~-N I f'z.fjt%~o/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I W~TER I SEPTIC ,/1/ /2/ ..:u..,hJy
FRAMING 'F1r6/v",// ,enr-/~ ~,~/r~- "'." *- I"J ~.?, ,,-
"'ri'V......// _.-/< ~_~ //~//..r- .rl'C-/r 7/r/ov
INSULATioN' . . rh71- - <7'~e/o'\-'
ELECTRICAL.. J"'//6/t1T
PLUMBING $1 7/J-{~ $' ~L' //lA/" (,,_(~-O<;
HEATING (if required) L.L /4 J'/~~ J- 1%1 7 /~J-
FIREPLACE (;t) #aI- II h.ej/o~~
. GASLlNEAIRTEST#/-" r,.lr:1! ~ 7,6~M~
COVER NO WORK UNTrL ABOVE HAS BEEN SIGNED
I~C / ~U$'!: ""'1RA,tJ In;;' 1/~j.,r I
t .
FINALS
GRADING ~rior to Sodding) ,I Se e /~, /, ;r/e
BUILDIN~'" /J-P/J, I/''''/;/ ~h0b Ad '~zb~
ELECTRICAL'
PLUMBING ylt/' r
HEATING ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
/ Z/Z/Ic,j -
/Z-po/os-'
/z/zz/cr
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.
FOR ALL INSPECTIONS (952) 447-9850
QItrfifiraft Ilf @rmpanrl!
CITY OF PRIOR LAKE
~tpctrfmtuf of 'lluil~iug Jlusptdiou
final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the C! Residential / II International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the/allowing:
SINGLE FAMILY 04-1108
Use Classification
Bldg. Pennit No.
Occupancy Type
R3
VN
Zoning District
R1SD
Legal Description
Type Constructioo_
L18, B1, WILD OAKS
Owner of Building
Site Address
6357 WILD OAKS TERRACE
55124
BARTS HOMES, P.O. BOX 240593, APPLE VALLEY
Contractor's Name & Address _ /
ROBERT D HUTCHINS ~~ JANE KANSIER
/r/~ City Planner
/ ~ /~2'cial Date
I' /
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6:s..s7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~LATION
~NAL
o SITE INSPECTION
COMMENTS:
.-
;:; ~~
.
---- ...---
//'
( ~/-
\. ~lO~-e
~
DATE TlIIE
SCHEDULED ~~~~
to, '/ / 6')-rds /Err
CONTR.
PERMIT NO.
0/- //tJ ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLl.INT
o FIREPLl.CE RI
o FIREPLl.CE FINAL
o GASLINE AIR TST
o
/
I
/
(~Ic
.~ -------.. ~
"\
, " \,
// --: / \ )
~/ Ie ./
~
-
~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W05~~L.? REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Cantr:
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNO"
DATE TIME
/0.?/~
I 1
U// './ / C!):;ks :/V-r
CITY OF PRIOR LAKE
INSPECTION NOTICE
~
SCHEDULED
ADDRESS
h.P7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o IN.!lIlA TION
..P'"fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..-'M'IECH FINAL
.t/- / / tJ r'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
..A-i'!REPLACE FINAL
o GASLINE AIR TST
o
COMJAfNTS:, I ..,/' /
~ / -1".-L- n-I 'io Mh" ( /.:z-/ Z/ k r-
4c~/v~('/ /4~ ~&./~" ;q/d~
~ -' / ./
~~- /7",,-4' r91C
....-- ~
--4 /-; r-e- /4CGr
(1/ YN>>d h.A'
([)/ %rs fi~ - /~ ~k/
~;y /~,rh~/d
(!) /~U/ ~~~~.".{ c.;~:-:" @ ~~
J"'Ck"v ~ 71-b, ~r - -:;e-~ /S /
/'bv.o-ecf ~/ d~lf>.rd GJ '/ZS 77~
// /
o WORK SATISFACTORY, PROCEED C;;~,r--
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ONner/conlr:
/
/7k/J //
#6 /- ~........sk .
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
CllY OF PRIOR LAKE
INSPECTION NOTICE
( ~LED
ADDRESS
I~.r/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/..2-/2.V~
o FOOTING
o FOUNDATION
o FRAMING
o IN~TION
.)iIH'rNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o ~BING FINAL
~ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
~MMENJS: I - ;1 - / I '
(}J f ~e-d r p: {~,~--l'r<<'~~ / n
14/ .x:1-t:::.r,h..?'T- q~~ ~'J'76---
, //
/ /~ J
/ /'~ 72'/ '~~~
/ ~
_ r:;// ~r hkt'/ j~~te ~~
:a__ ~CP ~ /t:'~e'--ed
?J/t2t'r' . /'
V
.-r- ./'l L2
'/~'*L? ~ 0,
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
/
~{G
Inspector:
,
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI