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HomeMy WebLinkAboutBldg Permit 05-0666 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r' AND UTILITY CONNECTION PERMIT /;; _ f. (J I White 2. Pink ) Yellow File City Applicant PERMIT NO. 05l0&&fd (Please type or p~. tans' at bottom) r11:: .:J ' ADDRESS ~ T J~ I ~~ tV 0 L. ,: ~'O~ lA.<e. M~ . - C)ltC-l..C, et;t;~71- ZONING (office use) PuIJ LEGAL DESCRIPTION (office use only) Lofi OBLOCK \ ADDITION ~S A,.~ WtLJ)$ ~ 1/~ PID 3g3-0'-lO-6 OWNEIO.. ..._L (Name)~ (Phone) (Address) BUILDER (Company Name) (Contact Name) IVI rrri.l..S fJ9~ r ~ ,-)l.CJL~ c:. ~ , ~'9~~""'DN (Phone) -=a'2'"1- ~JYO ~ crJJ!/11lat...S~'" n (PhOne).J~ 2'" ')'1" l (Address)~,~ 'S)- ~l lAJ5.~r) I'-i/JCSC~r-! JI1~ -!:.-S:-b~s--. ~ TYPE OF WO~ New Construction ODeck l!llPorch ORe-Roofing ORe.Siding , OAddition OAlteration ou{ility Connection CODE: MI.R.C. OI.B.C. Type of ~stmction: Occupancy Group: A B Division: o Misc. ~ poLower Level Finish ~~ }t( Fireplace I E II F I III IV H I 2 3 V M 4 A R 5 B S U PROJECT COST IV ALUE (excluding land) $ 5S"'O J t;j&-() x I ished mformation on this application which is to the best of my knowledge true and correct. 'also certify that' am the owner or authonzed agent for the that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg r Just ca<<se Furthermor:, hereby agree that the City offWa'!;gi:( q ;r upon the property to perform C;d~:P(i' _ ~:::a--'" Contractor's License No. Date I Permit Valuation l15S0. 000,00 I Park Support Fee # $ eSt) . O~ I I Permit fee $ 3(, ;7, 7S SAC # $ 1t(S"o.oo I I Plan Check Fee $ Z3~, 0, ~C( Water Meter Size 5/S@ $ 300.(} 0 I I State Surcharge $ , Pressure Reducer $ 7.5".00 I Z-7S.oo I Penalty $ Sewer/Water Connection Fee # $ \ ~oo.o 0 I I Plumbing Permit Fee $ f 00 t ()-() Water Tower Fee # $ 1000.00 I I Mechanical Permit Fee $ I 0 o. D 0 Builder's Deposit $ I~oo.oo I I Sewer & Water Permit Fee $ 3s, S-o Other I $ I I Gas Fireplace Permit Fee $ Lfo .00 TOTAL DUE ljf v~eD 7.13.05 I $13l 293.711 I This Application Becomes Your Building Pennit When Approved Paid 1.3. ZCl3. -; CJ Receipt ~ 498 M- I ~~~ ~ /z,(J /or Date 7: /3 t).s,- By '--^-- I cr Building Otlicial , Date ThiS IS to certify that the request in the above applicatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document when signed by the City Planner consutute' a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~~; ~ - Plannilfg Director #2-0,<~~ &44-RJ ~.,~ Special C~itions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Reviewed by: Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts' r . . ~ ~ Date: .~(z.c-ldS- Building Permit # Address: 3( q 9. Legal: L 46 , B I Existing Structure? ~ , PID: .- Zoning: T~t ~ 0 Subdivision: ~ 0 ~ ~. Existing Nonconforming Structure? YE~ CONFORMS TO ZONING ORDINANCE YES NO . Yard Setbacks: NAI FAI~{)MPLlE~ · Front Yard (can be 20' if avg. w/in 150') · Side Yards Standard 25' 10'1 25' if abutting a street Proposed Z~S' 10, "5"' · Sidewall exceeding 50' requires additional side 2" setback for evert l' over 50' in length I. Rear Yard · Patio Door: provide for minimum 10' deck or sign statement indicatinq no deck will be built in the future · From 100 year flood elevation of wetland/NURP pond · From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' /1J,r-1 ~ 2S' AlA NA - 75' or setback average of adjacent structures, but no less than 50' tUlT I Floor Area Ratio: NA 1 FAILS((COMP[iES)) .30 Maximum OlO, 2. S-% I Yard Encroachments: NA I FAIL~<D'fJIPLI~ Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). AlG and other equipment cannot encroach on interior side yards. Standard Proposed tJo~€""" fJo .Je- Tree Preservation~ FAILS I COMPLIES · Total caliper inches · Permit 25% Removal · Caliper Inches Removed · Caliper Inches Preserved I. Replacement Standard Proposed Y2:1 L\TEMPLA TE\BLDGLIST.DOC L:\TENIPLA TE\BLDGLlST.DOC ~- ;J^'- '!Wi',_ _ ..~ . ","(",,: ! .,+ :"l~ ';, Ill- ';, ';,F~; I. . ~~;_'w:<:: ":'~.'" White - Bu~ ~ - Engineerin~ Pink - i5'lsnnlng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /'L/.' l i j' -t:--/ ---;-?-II=-;.. j /-- t/._. j /,>..' (,.~ _~ . . / I L. '-_, __._.l.., 1.__ ,/ _ _ /'-. _ __ l", ..... . II r-: ~..I::' (,. \"...' '---' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .-:::> i /.'), (/' - - (i .. fi ( ,- ., ..( ,./ --, "/--/ Iv.' /"? r:- i,_' / 'I /';,. /- ',_ I f- c. _.,.c::.- ~__~. . ..' J ,.. ___.... '_" I .~_._ . ....' \...- ~_,I t Accepted x Accepted With Corrections Denied Reviewed By: /i1ff:> Date: ~-II-OS- Comments: See Rp.v.ErS.e Side for Additional Information! \ See Attachments: 1) Grading Plan, 2) ErQsion 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." White - Building 9~ - F; .neering .--P'filk - Plannln BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /LI/ 7-7 C L .~,-/)/ f:;- I> / //:/, / ~_-;. / r ('r-' (/'. '/. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .....-:J I /,." ' . /' / / .-'-"''''- / - l..- '." .t~' l / I / / / /, L. / '- " / ( ;:- / .f ( .- _ I, c_c:... Accepted Accepted With Corrections / ~,A -.,,"1' Denied ~ ~ M4-J ~ ~ ~ ~D Ix s' ~ ~ b .12.'!. Date: b/U/oS JJ~ Reviewed By: Comments: Air Conrlitioner aLd 0 Jier l'~!!ed&anicRJ'. umts uarnot Encroach into Required Side Yard Setba(,:ks "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." ~~him -Bu~ anllr t -..:, 'll:I" ,,,-,arlng Pink . Planning BUILDING PERMIT APPUCATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1"11/ /t;LSTJ9EOT BROS. ~. 6.05 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3/qq Tln061eJ1/0vP e/~U& Accepted Accepted With Corrections V Denied . r- ~ ~.-fJ Date: ~/2~~S- . , I J(12~ a.Lt ~~ & nt~ o--P - - Reviewed By: Comments: k-z. A e "'c.J"-l ~ I -' ~_.R_7~ ~ ~J/' ,t" ~1J - "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." 07/19/05 TUE 11:56 FAX 952 890 2753 STOCKER EXCAVATING I4J 001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I, OreEn Pile PERMIT NO ~. Yr.ll~", I:ily . . J. Cold ^P~Ii<"1 05-0666 J?lease ~~ ortlrinr a.nd sim at bonpm) ADDRESS F WOL 3199 Timber ~ Circle NW ZONING (otr-.ceuse) ..," . LEGAL DESCRIPTION (office \ISC only) LOT 40BLOCK 1 ADDlTION The Woods @ the Wilds prD OWNER (N ;.l.me) Micclestaedt Brothers (phone) 2520 151st Courc W., Suite 100, Rosemounc, MN 55068 JAddress) (City) 651-322-l~ 1llO (Address) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. _ (Phon~ 952/890-4241 (Address) _ 12336 Boo(l.C A.venue Sava,ge) MN (AJ.ldress) . Curt: h . ~ A (Contact Person) ~ //,/ // APPLICANT SIGNATURE :!: ~:t>?~. .- - ~. -l7"' .- /' //- .. APPLICANT PLEASE COMPLETE BELOW 55378 (City) (Zip Code) (Phone) same .__DA T~..--2:~8:05 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 feeL Clean out \if requir_ed) located at _,,~ feet from srruc:ure, Residential sewer and watl!:r line connection Sewer conne.clion only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cost wilh a $39.50 minimum $17.50 Water connectlon only $17_50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOT AI. PERMIT FEE $ $ .$ .5tpAID WITH BUttOING PERMIT . (Ollke Use Only) BuihJing Official ~ I ~t!~rtlg l'~' n \ ~ J' \ f; i i. ':.1 Receipt No. ,n I L. \ \.__ ___I !I- j- I ' ", Date ,I ~ By : n JUl 2 1 2005 U IL UL -::7 . 24 hour notice for 311 inspections (952) 44' -9850, f~x (952) 447-4:l4S 8 V ---------- D~re 1'his Apvlication Becomes Your Building Permit When Approved 9:30AM; ;952 894 0925 # 2/ 3 CITY OF PRIOR LAKE HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~: ~::n ~~~. I PERMIT NQ6~ .,., ~ ~ l. Yellow AppbC4l1I '- b (Please tvtle or print and siltll at bottom) ADDRESS 3/qq Jim bey wolP Ctvc.lu ZONING (offiet uSt) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) . m.l.tt~I.$J::~'~/t+- ~5;{D /5/ s-l- ~+ l'?J Y itS W (Phone) b 5/- 3~;{. +, LfD /21JSe fY1 tll-Gn +- APPLICANT n. l t -+ - d f.} J c,. g "J (Name) I') ill vnSv I G I elL~1 (It('J (phone) q 5 ;{ - 17 - () b 0 5" (Address) ,~LI51 u) RL,cYrJ5\J Ill.~ pf-vU,/ gl;tvY75vd/t: 5'5331 (Address) J (City) (Zip Code) Bc111 . (Phone) 15;(-gqL( -0005 gi:?5/~5 (Address) . (Contact Person) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW - ...e:fNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACEMAKEANDMODEL LeJ1 no I.- C"*l Lf,::] IA r::lf%e.r-o / /() FUELtJrl-hA. val FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Me.chanical DAir Conditioning DVenL System INPUT HEATING OR POWER PLANT o Steam . o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-FamHy FEESCHEI)ULE 1% 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 & Ale (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # . (Office Use Only) I Receipt No. I By v; REA TING PERMIT FEE STATESURQ~(}E. ..TOTALPEl{l\1JTF'EE .5oPAfDWITH 'BUIL.DINGPERMfT This Application Becomes Y ourBllildll1g Permit When~pproved Date Building Official Date J 24 hour notice for all inspections (952) 447.9850, fax (952) 4474245 16200 Eagle Creek Avenue, Prior Lake,[\fNS5372 . :. ,.. '. . . . ..... - ',' . '. '. ,.... : -'.' -' >-, . ',", ". ~'!: tf.~ r~~j,: I i I ;:<':;::;- I ;;:i;:i,:;,:; ::.::,.,~ I i!.:!W4 ',.::~::, I !i~! ~;'i:<;:':': ":,~":'.; ~:.';,>;:'. iff! t. f@ , .~ 'Im.....'..~'..~:..'.. ~. " , Nov 16 05 12:44p Emil~ RC3dC3nt 651-451-4809 p. 1 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT t ~:~.. ~~.- I PERMIT NO.05. ,"'" (please type or print aod sign at bottom.' ADDRESS 's/11 'lI'VJW,.""J} 11 ZONING (office usc) tl- I LEGAL DESCR..1r uON (office use only) LOT BLOCK ADDmON PID OWNER (Name) ;/l; !k/J-J f &'?5. Uf/1sl . (Phone) 32 z - Yf'-(C) -I l~1 J:- d- ,;./., I APPLICANT /...,,7 , ~/ 1- / (Name) ///1;;/ ,5TA"1e //~t-'lh' tJ/SffJ ft~ (Address) ;'z'A/I t,5?u /f; y_e-~ _I;,-:;''V ,,;r (Address) (Address) :()71 ./~, ft ~ l/A:5rtA/6 S. (Phone) LIf;'o - j/5r (Contact Person) ~P'I' (City) (Phone) .;It I y' 76 '7~ 11M) - S'::.-U 3 3 (Zip Code) .'":;> /J APPLICANT SIGNATURE <+::- 6.{ ./ DATE ~I APPLl,CANT PLEASE COMPLETE BELOW Quantity I Type of FiX1ture Quantity Bath Tub with or without shower Dishwasher I Floor Drain I Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink ShowerStlil I Sinks I Bar Sink Water Closet (Toilet) Ty~e of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ei ector Backflow Assembly Backflow Assembly Test Lawn Sprinkler I Other FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions &Alterations $39.50 Estimated Cost $ ,. Building Permit # Pi UMBING PERMIT FEE SljATE SURCHARGE T(~T AL PERMIT FEE (om~u~~~ I This Application Becomes Your Buildin~ Permit When Approved $ $ $ .50 PAID WITH BU'LrnN~ pf;Rr Paid I Receipt N DalNOV 1 7 2005 I By _ C Buildiru! Of'fidal Date 24 hour Dl tice for all inspections (952) 447-!J850, fax (952) 447-4245 162011 Ea21e Creek Ave.. s.E.. Prior Lake. MN 55372-1714 PRIOR LAKE INSPECTION RECORD SITE ADDRESS -..31" J M.Ba. WDL~ dlt.C.c.E - - NATUREOFWORK ~. ~,'~Cwl Ca,l, t=i~rH) USE OF BUILDING ~~ · . PERMIT NO. 05.0000 DATE ISSUED t.~ CONTRACTOR tAiTr'~' ~ftP.S PHONE~&-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INS~; f FOOTING /-- r FOUNDATION (Prior to Backfill) I Ih ? ~? I PLACE NO CONCRETE UNTIL ABOVE HA-8 BEEN SIGNED ROUGH - INS -. SEWER I WATER I SEPTIC iD/-J'7./]/./ FRAMING U <- rr j INSULATION PIS ~r / QS. ELECTRICAL ~.~. .~ PLUMBING { A -{ (() HEATING (if required) r "' C/L::;} 9~? FIREPLACE ~ ) ~ q-~ GAS LINE AIR TEST ~~r~.. . COVER NO WORK UWTIL ABOVE HAS BEEN SIGNED IATlIE/ H,1Ul ~ I~ ~,c//~ I FINALS / , - - - N/J ~6 IJ (, A 7JL; :/c(d / . i J J rr /? ,,:'/at~- I _ 1:'/0 . r/lu~ OCCUpy UNTIL ABOVE '-HAS BEEN/ SIGNED NOTICE GRADING (Prior to Sodding) BUH...DING .\-C~ lJ"~\I\ &-( -ou ELECTRICAL ~ PLUMBING HEATING DO NOT DEPARTMeNT OF BUILDING AND INSPECTION OJTE / 7/.ut"J -7- J4,-'?::; cr -<7 ) 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 ~~ ' <1lrrfifitafr of @ttupantll CITY OF PRIOR LAKE ~tparfttttnf nf ~uil~ing Jf nspttfinn AFinal Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 05-0666 Use Classification _ Bldg. Permit No. Legal Description Type Construction L40, B1. WOODS AT THE WILDS R3 VN PUD Occupancy Type _ Zoning District , Site Address MITTELSTAED'I).BROS., 2520 151ST Contractor's Name & Address J I ROBER~ D. HUTCHINS ,.., " 3199 TIMBERWOLF CIRCLE . Owner of Buildinl! CT. W., ROSEMOUNT, MN 55068 JANE KANSIER _,! (I Building Official Date:. I i 7 f t5 l1 I _ City Planner Date: ~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS -.3 Pi! OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATION FINAL o ITE INSPECTION COMMENTS: I DATE TIME SCHEDULED 'l ~6' ~ANG)- U.~ 1/ CONTR. PERMIT NO. t; ,. (/J(M o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ;~urAIRTST o ,o/,Ji,#~C _. :1/ X- WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CO E:T:~ CALL FOR REINSPECTION BefORE COVERING Ins ctor: 1') Owner/Contr: v ~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. - '-/ U . CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED f,A,d ADDRESS ~~/rr Ti" !J,ft,JO/{ C,'/ OWNER CONTR. tYJ,f-kIsk:.//.. PHONE NO. PERMIT NO. (:)S -", 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 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: GLib ,~10 1:< (",,,,. ../1,_ h JI! r_~b ~ ~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! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME /I-li--()~ 3/ q q 1't ~ bt,.-/Nr/!F- Ct;.. ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: ( I) (t) ktAC1 I - 5d.s:!. SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL c.- Ut: o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o c:; -q ~ ~"" e. /? ~ ch c-.., .r 1 ,r(~ '-) - ~ -f..~ Ul/1 h J I . G/(~C4 o WORK SATISFACTORY, PROCEED ...r::r"CORRECT ACTION AND PROCEED o CORRECT W~~K'.ACrOR REINSPECTION BEFORE COVERING Inspector: r V r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 31'1'1 - }/.;b.r W~ 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 ~PLUMBING FINAL o MECH FINAL COMMENTS: ~~Dd _ 2,. ~(V.D (\~"....- on~ DATE TIME I~ s-~ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o COR~ WORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto 0 Owner/Contr: CAL.: ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /NSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! \