HomeMy WebLinkAboutBldg Permit 01-1263
~~ ~f;lt
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER.l.IJ:41CATE OF ZONING COMPLIANCE
AND lJ llLITY CONNE\..110N PERMIT
Date Rec'd
~.J- Ex.
I () .. -() I
q>1ease ~ or DriDt and Am at L . .....)
ADDRESS
1. Wha File
2. Fink City
3. Yellow A, " . "
J
~
~"'OIJk '" e.rt/l AI tAt
LEGAL DESCRIPTION (office use only)
LOTS6BLOCK Z ADDmON
l1eJtJW UiSd
OWNER
(Name)
U"j-ex fIo,."e s
IlqaJ ti)A;i~~
/l(),
(Phone)~S2- 9J ,- ~83J
h/~",~4.. H;tJ f.fJ~-?
./
SjUIe
Pro
/
(Address)
BUILDER '_ 1_
(Name) C~~ ~t!c;
(Contact Name) ~ d /J 'UAhl?H
PID,-
25'3K4--QSl,-O
A,
j
(phone) !/SZ -if J t,- )/(r~
(phone)Jll- 3"- 3~'3
(Address)
~1J'e.
.5ee.
TYPE OF WORK.
){New Construction
OLower Level Finish
o Fireplace
~
OPordl
OAddition
ORe-Roofing
OAlteration
o Misc.
PROJECfCOSTIVALUE (excludiDg1and) S
"B I 0t!J0
J
ORe-SicIiDg
OUtilityCOIIJleCtion
I hereby certifY that I have furnished information on this .....:.,....lion which is to the best of my knowledge true and ...,...... I also certifY that I am the owner or
authorized asent for the above-mentioned .. '. ... -..J and that all con...., . .:on will ..._l.._ to all existiDg state and local laws and will .. ,. ... J in accordance with
suL:.,.t1 plans. I am aware that the bui1ding official can revoke this r __.:. for just cause. Furthermme, I hereby ~ that the city ofticial or a desigDee may
=teruPonthe"'1Jiif~irupectiO~' ZtJO '7~'.3' IO/3/tJ /
Signature Contractor's License No. , Dm
Permit Valuation IJel00~ Park Support Fee
Permit Fee $ I.~.~ SAC
I Plan Check Fee $ 111 . ~.la- Water Meter Size S/8"; I";
IStateSurcharge $ 5~ .00 r . ........re Reducer
I Penalty $ Sewer/Water Connection Fee
I Plumbing Permit Fee S IOf:).oO I Wa~ Tower Fee
Mechanical Permit Fee $ I~o .6)0 I Builder's Deposit
Sewer & Water Permit Fee $ 3C:;. ~O I Other
Gas Fireplace Permit Fee $ L(" . t)O I TOTALDUE
~t"y----- Paid ~."
Date 11- z--/ -() J
--t' -.!()- u:;"- ~r
. fticial Date
.. ..
$ RCSO.oo
$ '- I ~-o. (:)l>
$ . 0
$ 0
S/.20(?OO
S - l~.OD
$ 'C-
$
$ ~,090.51
~,q<#,~
#
#
#
#
This is 10 tcnify that the ~ in the above app1Icalion and a....".' ..,.iDI documents is in accordaDc:e with die City ZoalDa 0nIlnuJce aDd may. '. ...J u requated. TbIs document
wben signed by the City Planner ....." :.Jtes a __.. "'..1 CerIificate of ZocIini ....",.':IIIICUnd allows COIlStl'JJClicl to ..... ..!:e. JIeftft 0l.'CIIpIDCy. a Cenificale ofOc:cupallcy D1stbe
issued.
~rA,~_____ ~ <~A Af1C~L.ll~A~
~ Director Date Special Conditions, if lilY
24 hour notice for all inspections (952) 447-98S0, fax (952) 447....245
<
"
,
~
Th. ('.nl., of Ih. Lob ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
APPLICATION RECEIVED
~ENThf HotvJ65
I()-S- 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ~
Accepted With Corrections
Denied
Reviewed By: ~~ //)<-.f"'~
Date: U /~/e1
.... -
Conments:
Q ~eL1, ~ 1,l-Jp ~ ~~.c,
~ f1~J.Il-.~. ~ ~
~Qc!h A LJ,y "'\.,1 ~
'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. valig."
Th. ('.nl., of 'h. I.akf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f~~X t1DM 55
10-0-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'1'-1 ~G Rr(JoKiftcf( - Blvd
lX
Accepted
...........
Accepted With Corrections
Denied
Reviewed By:
Comments:
/IIJ1f3
Date: / /--/9 - 01
5{ ~ (V1c,,( '1\
F/I~
('Ill,l/\ (, 1(..
"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."
Thf Cfnlff of thf tokf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~FdJIE.X rlm15S
ID-5-QI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By:Qi~
()
Comments:
~~ Ma.',~Q~.
Date: {C)--fS-- ~/
liThe 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."
CITY OF PRIOR LAKE PLUlVIBING PERi"IIT
Date Rec'd
IP!c::ue type or Drint and silO'l at bottom)
ADDRESS
/ tLt/;Zb
$l'lYdCJ1tPI"P
I>j~
LOT
LEGAL DESCRlPTION (office use only)
AD DrTION
BLOCK
OW"NER /f) J...' /
(Name) [/lt1 AYPtp
(Address)
. ~;;~~^rYalll!~j)/1'
(Address) ? 00 f2u.L.fJY' 1Jf!./
(Address)
(Cont:lC: Person)
APPLICANT SIGNATURE ~
Quantity
,:;
I
/
.Y
I
I
I
S
I
U4A~
~.~: ~~ PER1\HT NO.O J" ,2.,:11
), Yellow AppliClllI ~
ZONING (office use)
PID
. (Phone)
(Phone) ~2'?I'42 /P?/02/
~1M6A - .~~~ J/
- (City) (Zip Code)
(Phone)
-
J!)V./2-l"o /
DATE
APPLICANT PLEASE COMPLETE BELOW
Tr~e of Fixture
Estimated Cost S
Quantity
\', "
)
/
Rou~h-ins
Water Heater
i Water Softner
Stand Pipe (Washing Machine)
Sewa~e EjeCtor .
, Backflow' Assembly
Backt10w Assemblv Test
Lawn Sorinkler .
Other "
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
I.
FEE S'--t1J!.DULE
Industrial. Commercial &; Multi.family 1 % of job cost with a $39.50 minim~
Residential, New One &; Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.5~,\O \N~d&&r1'
i}UU.O\NG ~... ,J
(Office tse Only)
This Application Becomes Your Suildinl Permit When Approved Paid
Bulldl.. omdaJ
Date
14 hour notice (or all inspectioas (951) 447-9850, fax (951) 447-4145
Receipt No.
Date
By
~
IfiZ,<i!J - 01- I Z(p 3
CITY OF PRIOR LAKE Me NY 2.(, - 0 I ' 12-(, Z-
18200 Eagle Creek AVo 8.E. Permit No. 1+12 t.f - (j { , I Z (, /
PrIor L.u, MH U372 I" '{ 22.. ' 0/- IUO
Si1gIe FamIly
TYPE OF SmUCTURE
J. ......
HEATING APPUCAllON I PERMIT
0IIe 1- ~o . D~ PID,
sa. AdcIr_ l'f~ J. ~ ..2.'- - 2.,. .2.2..
Lot Block Addlbn
o ,. Nllme (J..L;, I--e...x:.
Addr...
Helling Conlrllelor He<\. \:-~ ~ 'l (,M> ( , "1
Addre.. I q, S's- 0 (l.~ ~ ~ ~d ~ I
TlJIephon.' 1 f" >. 4'J.9, -N.71
Furnace Mak.. Mod.1 _Z.~..P 3 (,0 (f
Model SIz. 10. .X',,,> (?1"f
Com. Load
.i F.-I G-....S Flu. Slz. /J II
Supply Openings J~
RlIIUm Openlnge 7
Inpul 1,)..,,/ OUIpul s:r:~/)
Edr.
Cfm.
TYPE OF WORK
Allerallonl
RlIJIIa-nenl
EeL Comp. Dale
Repair
Ell. Coil $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTALPERMITFEES $
BuIldIng Permll ,
8"._1c. -.-... 11.' lID ~
J.I "'.J'...L >
T:.d
TYPE OF SYSTEM
WJIJ'm Nr Planle
GrIVlly
MI;",:"l
AJr Condbkri1g
VenL Sylllem
HEAlING OR POWER PLANT
SI.am
Hal W.er
RadIalIon
SpedeI D.vlcee
01"" Devices
New ConslrucUon
v
.50
~~
~
Recelpl ,
Commen:lal
lWo-FamIy
IncIu8lri8I
,/
NIle
M'*'FBmIr
Ohr
Fee Sc:heduIe
InduIlrI8I, Comm.e....1 ~FemIIy
\R88Iden1l8l, Healng &
ResIdenlIaI, ~allng Only -
RealdenUaI, au F1repllce
r".).', 8l,AddiIIons&AII, ".I."
ResIdendeI, AC Only
1% 01 Job CDI\ ($31I.60"**num)
$119.60 ,.. ~
$84.50
$39.50
$311.50
S38.50
Remember 10 add lhe Sial. Surcharge onlhe bollum of lhIa eppIIc8IIon.
The prlce of your healing permlllncfud8a one rouglHn and _ IIneI fnspectIon.
AddiUonaI /nspIclIon8 wi! be bAlad at $35.00 each.
House Heeling Tesl ReconI must be 8llbmIIled wllh IIIIIIIIIng RlUIDIlIllllllllll: before build-
Ing cerBllcale of occupancy wID be Iuued.
HEAl ~..\l1.J.rnQMS ~aulRED wllh number of euppJy end relum opennge "'led per
room wIlh CFM's per opening. New lIlJUCturee or addIlfonJJ aend Iloor plan wIlh eupply
and relurn IocaUons shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 18200 EAGLE
CREEK AVE. S.E. ,','".. ,., lAKE, MN 65372-
Cll}' Hall business houre are 8 am. . 4:30 p.rn.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNALJ . CALL em' HALL
447-4230
I hereby apply for a mechanical eyeleme pennlt and I acknowledge that !he
InformaUon above 18 complele and JJCOIIrate: Ihat the work will be In conformance
wllh Ihe ordlnanc.. end cod.. 01 the oily and wllh the elel. bulldlnghnechanloal
codes; Ihat Ihls 101m doel not become a permll unUl atgned by the BUILDING
OFFICIAL; lhat Ih. work will be In accordance wllh !he approved plan In the
case 01 all work which ~qulr.. reYlllW and approval of plana.
.~ IlL 1-10 ~ d,~
,. ~ Date
/-30 -0:>-
D81te
1B:49 651 633 BBB4 FIRESIDE CORNER #0076 P.003/006
\..111 UJ.'l rKlUK LA~ OldIe B8c'd
HEAI1J.~G/AIR CONDITIONlNGIFIREPLACE PERMIT
/'N~
~ &J 6JI.~
~: =- !'l.l P~~"'I NOod/_1 Z. ,,~
ZO..I,I.&I,G (al'IlceWR)
If'- C9p Dr DfiaI: Iftd.... ItbaaDm1
AJJ""IA\ESS
LEGAL DESCIlu: ....ON ,,,lib UIC ODly)
LOT
BLOCK ADD~ON
1
1i"J-li~ ~
, r I
pm
. OWNER.
(Name)
(Phone)
(Addrus)
APPIJCANT
(Name) ALLmD FI:R2SIDB DBA FIN!:SIDE CO......I..::.l!\
(PhoDc) 651-63~-2561
(A.cfdftss) 2700 If. FAI:RVrmr AVENpZ
(AddteII)
(Contact Person) BRENDA HU~
APPLICANT SIGNA~ OAh..J1. 1:L.Jf'--
RQi~TT.~.'P! ~
(CCy)
(phone) 651-633-2561
DATE f,"JJ~L
~ltl'~
(Zip Code)
APPLICANT PLEASE COMPLJLIJL BELOW
~c-N CONsnUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIlE REnJRN OPENINGS INPUT OUTPUT
TYPE OP SYSTEM HEATING OIl POWER PLANT
::JWIItlTI Air PIIII1S B SUIIIft
~Gra\llty Hot WIter
Mechlnlllll . 0 ladfadcm
Air Ccmdldonlng 8 Specll'DmccI
. , :JV.nt S71CCm OCher eo-fllCS
PIREPl.ACE MAKE AND MODEL -1lu.r P ~ .k. ~
PLEASE NOTE:
Aft Condidoner Unlu
Canuot En~ . II,!. imD
lUqulnld Side Va
SatbICks
PEE SClDDULE
lftdullCr'llJ. Comm~laJ " MlIltI-FamUy I,. of Job cost RcaldCll'lCial. GIll FlrepJ8ce
$39.50 mInimum
~t1aJ. Hadin, &: Ale (New ConlYnlctlan) $99..50 Rclidr:adal. AddltfonJ" A,,*-Ions
Residential. Headn, Onl)' (New C. "... JcClon) $64.'" RelldeQtlaI, At; Only
$39.S0
539.50
$39.50
Estfmatad COlt S
BulJclingPermft II al-lz,fJ Z-
HEAT1NG PS1lMIT PSE
STATE SURCHARGE
TOTAL PERMlT PEE
$
s
$
.50
(OftIce tl.. 0_11)
nit Applladoa 8ecama You, ..,.lln. Pernllt Wllea Approved 'aid
8lllI4Ill11 0lIIcII1
Data
DIre. 24m
?
14 ho... nolllle t'Dr alf ........ _) .t41....., 1'.. (951) 44'7"'~
10/07/2002 12:00 5
___'.' -.. -_-.:,:w ......,~ ......,.,..
el1\" 0' ..101 1.\1I
PAGE 14
...1
Dat. ...,
~.. / or ."0. LAX!
DWOAND WATUl.aua'f
i =- :S"t.1 ! nIUIIT I'U. 1- I c7(P I
~II/d Att/q /S"
-
U'
I &aN1NG~...
i
I
UOAl. PlSCSD'l'%OII ,.......
t.OT .I.oa
A.,.'1ilI6' ..ON
I'JD
i OW)lb
.~)
I
I~}
c~
/~"ICO tJ~'r Sf 00
" , ........
en-) 1..9-&- 7333
/J7KJJJdAlp,. ..NV SS"??t(3
, (CIJt1' CllllSiIIt'.
I API't.IC.AJlIT
i (N....I
I(~)
I
I 952.758.6247
i (eo..c.....) 8t~
,
I APPUC"..-rIlONI\'!'UU
K &. R ConoactinC. Inc.
3245 Lake Avenue
New Prague. MN 56071
(PDe)
I
I,
IQIrJ
~
DATa
~~
-.
ARLlCAJIrr "'.JAA COMPUTI: BELOW
sa. of.... .... I'" iIIIIlMI. .
LOCIICi.. ofDJ ~ haa~'f.t.O ...
Type fJI.... pipI. L'] ABC 3PVC 0 c..1Iar1
I'" - ...... or_11M J4l-
o.a out (ir~ -- II ...fiL_.........
nz SC'IID'UU
....~ ............., 1M IIU ~ t!!,JI lilt ......... c:.'l..........., '" tfjalt_.tta 11J'.51.......
s... =-a..... _~ 111.50 .......-.., lauo
~ ~-4 Coli I ....ldiaa...' ·
SIWD AND WATD.nIM1TftI S
.T"'IB~ I
1Ot~ nNII'I' I'D I
.9,
~ ~A9DWrTH
~!H J".,<,- "
~"'...-.......;-
..... u.. 0llIJ)
'niw ....... . ..- Y................... AI....... . ......
..... .....
'~
JGT I 6 2In, .,
Cf~
.........
-
...
M ......... .... .
~ (JIll......... &MIl ..,.oM
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~tfld, 6tal~MofJ'ot- 7it.tl
NATURE OF WORK . Noew LJ \1\ i \- . "l5 ~
USE OF BUILDING 3FA- L
PERMIT NO. 0 1- r2J~ DATE ISSUED I/J _ 6 - tJ ( .
CONTRACTOR (\~'y c:::. PHONE-'d2. - ~L,.CY - ~~8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~~!l4. M<llo.. 4.i'I~
DEPARTMEN .
BUILDING AND INSPECTION
I FOOTING 1vva~1
I FOUNDATION (Prior to Backfill) "'~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~"
INSPECTOR
DATE
SEWER/WATER/SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING u.~. f1rr. III ~ I/) v
HEAnNG (If required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIG,NED
I I
FINALS
'U.\a-..
~~ \
~.
~.... (4...c>~
:J... - IS;- "'0 ;L
dl'
1> \ c;JMIt ~ -1\ - Oil.
~\.~ B..--(t\-o.:t
j
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~ \)~ 4 )bJ..s-i 0)-
l '.
U'~ I 4.J,~~~
I ~ \ ~ l~();t-
UNTIL ABOVE HA~EEN 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.
Call between 8:00 and 9:00 A.M. for alllnsp8ctlons
FOR ALL INSPECTIONS (952) 447-9850
. ' .
\
ItrtitkaIi 'at IaJq1IIIqJ
CITY OF PRIOR LAkE
Jaepartment of _uilbing J~tttian
pQ' F\Dal P ..",,,:,tted ,t;?Conditional C.O. E,I':~"""
77W C4niJict* lRud pumlllllllo dw ,.,."._ of Smion 307 of 1M Ullifonra Bllildillg CoM
c.nIfyIn, thtII at 1M ti1rw ofiuuGnc. thjs slnu:IIU't wtU ill Ct1IIIp~ with . WJriou.r orrIiN.JncaofIM
City of Prior LoU rqukmn, btlildi1aI COIIStrru:tiofI or ru.. For 1M foUowinI:
SINGLE FAMILY
VN
Type CanItnIclian
L56, B2, MEADOW VIEW
R3
BIdI. PermitNf' 01-1263
N I A Zoaiaa DiIIrict R2
u. c..ific:llicp
~Typc
Lcplr.. .',,:.,
Fa loDe
Owner oIl1ui1diq
SifeAddraa 14426 BROOKMERE BOULEVARD
CENTEX HOMES, 12400 WHlTEWATER DR., SUITE 120, MINNETONKA
CoaInctIDr. J N-. & Addreu ,
ROBERT D. HUTCHINS I. A ~ I~aty ~
BlIiIdIIII 0IIk:ieI ' I' vr
/-).;3.,0 q o.e:
./
DON RYE
Dale:
~~
DAT! TIME
CITY OF PRIOR LAKE ~
INSPEcnON NonCE SCHEDULED
ADDRESS ~'-
OWNER CONTR.
PHONE NO. PERMIT NO. 2 -2c{.1
C FOOTING [J PLUMBING RI C EXlGRADIFIWNG
C FOUNDATION C MECH RI C COMPLAINT
C FRAMING C WATER HOOKUP C FIREPLACE RI
~LATION C SEWER HOOKUP C FIREPLACE FINAL
FINAL C PLUMBING FINAL C GASUNE AIR TIT
C SITE INSPECTION [J IlECH FINAL [J
COMMENTS:
~ ~~.~..J-
.-----
~RK SATISFACTORY, PROCEED
C CORRECT A AND PROCEED
C CORRECT LL FOR RElNSPECTlON BEFORE COVERING
Inspector:
OwnerlContr:
CA
FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH .. SAFBTYI
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
14'1 ;J.C
(S~~.
CONTR.
PHONE NO.
PERMIT NO.
DATE T..:
1- 2.1-<1'(
1-I.uS
C FOOTING
C FOUNDATION
a FRAMING
o INSULAnON
C FINAL
a SITE INSPECTION
C PLUMBING RI 0 EXlGRADlFlWNG
C MECH RI C COMPLAINT
C WATER HOOKUP C FIREPLACE RI
C SEWER HOOKUP 0 FIREPLACE FINAL
C PLUMBING FINAL C GASUNE AIR TST
C MECH FINAL 0
> d... -J- ~:s
COMMENTS:
~ -:-(
f /' ..
~ ~.U)-C..
~
---
...
.........
"~
VI )
(~~
~
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
C CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector. ~
CMner/Contr:
CALL .u7-1850 FOR THE NEXT INSPECTION 241 HOURS IN ADVANce..
CODE REQUlREMENTS.ARE FOR YOUR PEJSONAL HE.4LTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTiON NOTiCE
DATE TIME
~ 3:oV
I ~U $/!.d7J,t::.n~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"/~/U'-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATiON
~ FINAL
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
1t\ PLUMBING FINAL
o MECH FINAL
D EXIGRADlFILLlNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
I CO"7"'IiNTS:
.~ +~,-~t+--e,~s:
...~ ~1IEf~ ~\,eJ-
o WORK SATiSFACTORY, PROCEED
CJ ~CT ACTION AND PROCEED
'CORRECT WOP"; CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~... n. A 11 Owner/Contr:
(tAL;I~E NEXT INSPECTION 2.. HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH Ii SAFETY!
l1ISNOn
DATE T1111!
CITY OF PRIOR UKE 1J ","'l.c ","1 ~ "'""
INSPECTION NOTICE SCHEDULED 7 (70 C7"'-- a. (fJ'-'
ADDRESS 11/1I;;"~J~a.~/?-~ d~ ~ ft1~
OWNER CONTR. / f tt-
PHONE NO. PERMIT NO. {) /"::/.:Z:;)- lJ. b3
a FOOTING C PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ,0 0 WATER HOOKUP
\.....~SULAT!9bl, '.;;' C SEWERHooKUP
A INAL 1<.. -e ' 0 PLUMBING FINAL
, 0 ITE INSpiCTlON C MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o AREPLACE RI
o FIREPLACE ANAL
o GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
a CORRECT WORK CALL FOR REINSPECTlON BEFORE COVERING
Inspector: <6, \};::~ Owner/Contr:
CALL ~7.9850--=tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn