HomeMy WebLinkAboutBuilding Permit 01-0365
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIA1lOCE NlR I 22001
AND UTILITY CONNECTION PERMIT
(Please tvee or 'Orint and sign at bottom)
ADDRESS
3301 WOd)Dt~ ~tJG:
], While File I PERMIT NO I
2. Pi" C;,y . 01- O'7/_C"
3. Yellow Applicant =:J(O.J
I Zp::~office use) I
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK '2- ADDITION -ril€" WIUJ!7 g~
OWNER
(Name)
(Address)
BUILDER.-, ,I
(Name) ~~ -HvvtE::S I
(Address) ZtJ1~8 ~It€: A11~
I A.J c-- .
lA(L.EJJ t U..F..
TYPE OF WORK )Xl New Construction ODeck
~Lower Level Finish W Fireplace,rz..
o Misc.
PID;)S ~ ~31- 0 '-1'1-0
(Phone)
(Phone) 3Sz..-qf3~ - -f17~
962 -,]efi5- 5'159
OPorch
ORe-Roofing
ORe-Siding
OAddition OAIteration OUtiIity Connection
PROJECT COST IV ALUE (excluding land~Q.41.0110
arion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
r--r-u.1 and that all construction will conform to all existing state and local laws and will proceed in accordance with
b ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e d inspections.
I Permit Fee $ \.trB3.35""
I Plan Check Fee $ I; ! 59 . \B
I State Surcharge $ I~O.~
I Penalty $
I Plumbing Permit Fee $ -IOD.OD
Mechanical Permit Fee $ 100 .OC
Sewer & Water Permit Fee $ 35.50
I Gas Fireplace Permit Fee $ LtO.~
(8lo~meSYOmBUildin4~i;~:0;ed
Builmu( Official Date
~1~~t)7
Contractor's'Ucense No.
1- /J/1.f./
I Park Support Fee
I SAC
I Water Meter Size S/S";C!:)
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
I Paid 9~~ 53
I Date f""2/"rJ.'
I ~~c~9'.sr7
I'
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
~ b~S a temporary cernfi:;; ;z~:tan" and .nows construction to commence. Befo~ occupancy. a Certificate of Occupancy must be
. Planning Director Date ~- ~ditiO~~~
24 hour notice ror all inspections (952) 447-9850, rax (952) 447-4245
~ JIf<
-;.
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o I- ()3~S'
Till. e,...,r of the L.ke Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLl~Al1<SN~RTMENT CHECKLIST
NAME OF APPLICANT -e a f 2 / r., ff C (; AJ'T>Y-
APPLICATION RECEIVED 1./ - I) - () J
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33l?? (/)OOrldI1r!C 1) J.-
Accepted
f/
.....
Accepted With Corrections
Denied
Reviewed By: a~~
/
Comments:
Jl\k.X~LI1A.d~ 'J..tLr:, r;y~ lA)~ At-
W~ {Jr-~~ !AvJ -I-\fUo'J ~1[)dJ
'40 ~I-Y""'- Y I ...'
Date:
/jh~A {
"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."
,
>~~
01 'O~/~
Tht Ct'nll!'r of lhl!' L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT 7(a.r2!frff UAJtffr
APPLICATION RECEIVED 1../- /;:)-0 I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33t'? !()f?OrldlU:JC f) r-
Accepted
Accepted With Corrections
;(
Denied ( -:J 111:2 0
Reviewed By:~-A-
/
Comments:
Q~ alLa.fj-ackeci h~~
Date: --i..=J ~ - 2a:J...t
"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."
,/,/
OI-3~S-
White - Building
Canary - Engineering
Pink - Planning
/
,/"' ~
Th~ C~nl~r 0' lbf r...... Counlry
BUILDING PERMIT AeeLteatltmO!PARTMENT CHECKLIST
NAME OF APPLICANT -e a f 2- / (J -ff Co AJ~y.
APPLICATION RECEIVED 1../- 1;)- 0 J
,
,
The~Uiiding~ ~1'I~n~~'rin1l, ~:r~l~rlnin~'betplirtAA'6nts1ave reviewed the building permit
application for construction activity which is proposed at:
/"(.' 7/ ;'&'ti3',?,t/'7, 0.1 t[)Joflpft[}1c
~',"'~~J .. ....t....." ~" 0r ~';t' "-"II ,c;.,("fl,,-ry --
t~~ .
Accepted X Accepted With Corrections
I,.' c_>;",f,f 0.,?1,)
Dr
r'
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')"'.
./
Al1tT~
Date:
'I' /3-01
,,' .i ......
\,
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.
- 'or
~ Auacnments: 1) GraC:llng Plan, 2) EroSIOn Control Measures
3) Erosion Control Plan
'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."
rIIl.~"'(Yl '/ I / L....J.)li\fJi~
"-'tit" (JorYI.,/(fI'l $- ('f"'L .
,
Date Rec:'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
: ~ ~\~. I PERMIT NO'/1/_ 7>3 h 5' I
3. Gold Applu:ant V( (/
(Please t.V'DC! or orint and sim at bottom)
ADDRESS
3 In IoU Cl~D Ou.. LI[
O/t. ,
ZONING (office use)
PUJ)
P~S-~ 33?-Otfif-6
LEGAL DESCRIPTION (office use only)
LOTto BLOCK ::i ADDITION {J).Jff..L} ~ rd
OWNER
(Name) (Z,f r"2.[ of~
(Address)
CONS r.
(Phone)
(Address)
(City)
(Zip Code)
APPLICANT
(Name' OR_H/4UL
tf-)\.C
I} S'J -.f (1)-10 'V(.
I (. 1/ [{ ! OPt. LJ
(Address)
(Contact Person) e. l 1'1 'fr~ If) /I. lIlI t /'I.-
APPLICANT SIGNATURE ~_ f)--"-,, ~ -
<-V I1c -I
(Phone)
L,IL VL.
(City)
$" .)'0 'I Lf
(Zip Code)
(Address)
(Phone)
DATE ~~~ I
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. 0 ABC I lEI PVC
Estimated length of sewer line '-10 feet.
Clean out (if required) located at ~ feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
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
to
Estimated Cost $ "10 0 '
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 '
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Paid
I Date
Receipt No.
-
Building Official
l(- 30-0 I
By ff-(...,;
V
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
Oh:b-Ul U~: n AM HUM FGTN, PL~ HTG
TU bll4414l4b,.
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I
nete Rec'lI
CITY OF PRIOR LAKE PLUMBING PERMIT
1 t': ~:~ I PERMIT NO. /_ -:J./ ----. .
) Vii...... ARlic.w ..-'t.4"';>-
tP1euc "p!. or oria' and Ii... It bonom)
ADDRESS
. 3307
ZONING (........,
WO~clc.l.Lk
I.OT
I_ROM.. DBSCRlPTION(olli",_only)
PID
~~:e~~r.r ~INIP~
(Address) L4Js,e..J;1I e..
APPLICANT
(Name) 1=a.""""I"'~OV\ PI
(Addrcss) .l'~4 g,,~~V1J(l.IC
(AUres:I)
(Contact Person) ~"'-
APPLICANT SIGNATURE !lo.f) Q_
I-Quantity
t ;,;..
i
I J
I LI
I J
I 1
I ,
I
I :;
BLOCK
ADDITION
(Phone)
(Phone) ..kiS , - L./ lI>':\ -7 g ~ 4
'''''''I."k.... .Cc;oa~
(City) fl (ZIp Cccle)
(Phone)
,
DAn: ~ l.I-OZ-
APPLICANT PLEASE COMPLETE BELOW
Type or PIston
Bath Tub with or without shower
Dishwasher
Flocr Drain
Lavatory (Sa( . ., Sink)
Laundry Tray (I or 2 compartment sink
Showcr Stall
Sinks
Bar Sink
Water cioset (Toilet)
Type or I'bttun
Quantity
3
I
Rough-ins
Water Heaw
Water Softner
Stand Pipe (Wuhing MlIChine)
I
Sewage EJcctor
BlICkflow A'lIellIbly
backflow Asserii6ly Test
Lawn Sprinkler
I Other
RE SCHEDULE
Indullri.l, Commeroial & Multi.family 1% o(job COil with. 539.50 minimum Resldcnlial. New One & Two.Family 599.'0
RuidanllaJ. AddilioM ole AII...liOll' S39.50
(omCI! v. Onl)')
&tlmaled COSI S
Bulldlnc permil ~
PLUMBING PERMIT FEE
STATBSURCHAROE
. TOTAL PERMIT FEE
S
$ _50
5
--
P~I"
.. <.:uW/7';
"',~ ()!:-~~,
'.';'/"'r
This Applleetllln Bceollla Your Bulldlnc Pennlt Wile.. Approved
~ipt No.
D..~
I Paid
I Date .JI.I~i? ~
BY~
V
!Su..... onIda'
U hour nolice ror.n In,,,,'loo. (952) ",.9ISO. r.s (952) "7"'2'5
Model SIn
Conn. La"
FII8I.J.Jf1-
S1IppIy 0peI1Inv.
Relum Oprilg.
Inplll
eo,.
Cfm,.
Ahrlllomi
RepaIr
Esl CoIl $
0/- {)3kr5-/ .s;," Lllomo . or
d. - &$ rll'e? It-ce PPE OF SmUCTURE l.l'eII...
- SIngle FII11iIy V lWo-Flmly Mulll-FamIly _
C . . ,.- II lndvllllal Public 0..
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Pe/fnllilv.
Prior lak", NN 65372
Flu. Slz. 1" PV'--
/.~
C,
TYPE OF SYSTEM
'N1IIl1 fW PlIlnIt
Grawlly
Ner:h8nk:al
Nt CondllloMtl
Vlnl Sylllm
~
_HEATING APPLICATION I PERMIT
Dale 43C-r"'d PfH'J..fi -3317--- Ot/u-n
Sh Mdr... r"f3~ 7 ~&::l ttA.tc/ :J),., r .
Lo! -b.. B10clI a Addlion ! j );Y (fu ~ tt::1
own,,', Ham. ,f/.4h/A r;.,~f-
Mdlll. 3?:c\ 7 ~ J1rR f;Jv>,
HIlling ConblCtor GAl h.nll...,\)" co l",
AddIe~/;;)IC\ P-r..,<"" .!.~~. hJ;;:. .~~.
, - {J
Telophone' -11'~ - ~a:;>-:1.
FUlnlCl Mike 4. Model '/hi AX.
I ./
J/
Oulpul
.IEA11tIG on POWER PLANT
Sl.....
HoI WIlIK
RadlIlIon
Spedal nlvlce.
OIller Dl/Y1I:e,
"TYPE OF WORK
AeplllC8l11enl New Cons\JUcllon
Esl. Comp. Dale .
. Buldlng p.,mIl.
v
IlEATlNG PERMIT FEE $
STATE SURCHARGE $
TOTAl PERMIT FEES $
. .50
PAID WITH
BUILDING PERMIT
RKe\ll'
F.. Sch.dute
IndusIr1at, Commerclal & MulI~F8IllIy
Ruldlllllel, HeaIlng II. NJ
Ruld..1aI, Heeling Only
Residenlel, GII Fhplace
Ru1denlal, AddIlono & Ah",.1lono
Resldon1l8l, NJ Only
o
...
"'
....
o
"'
...
o
o
...
18:
o
Z
...
...
1% 01 Job cosl(S39.60 IIINmuaI
$99.50
$64.50
$3D.50
$39.50
$39.50
..
...
...
-""!j
~.~
:c"
....
...
...
'"
o
'"
...
....
'"
Re ..' " 10 Idd '18 SleIe Surctwve 0Il1hll boIlom oI"IIppIca~n.
nl8 pra 01 JOUI' heallnlJ per'" lncIud.. 0IllI r~ and DrI! IiMI i '. ,', "
AddlIionallnopeclione wlI be bIIed III 135.00 88dI.
H_ Hoet1ng Tesl RlICIlId mutt be IllbI1lllled wlIh IddIJg IlIDIIIllIIIIIIKbdutw INId-
Inv cot lllcele 01 0CCUJ>8I1CY wI1 be Iuued. .
I:1El\I QAl&ILl.Il:lll2!iS Bf'OUIRBJ wllh number of e""'" end ,.Ium , , " ...........
.oom wIIh CFM'. per opening. New "rllelll",e or IddIIonJ......1Ioor plenllh IItIPf1
ell" r.IU"'loc~U""" "'......" HEAT LOSS CALCULA1lONS, P/lYMEtfT ,.,.,
APPlICATIONS MAV BE MAIlED TO THE CITY OF PRIOR LA~~ lS2.EMU:
CREEK AVE. S.E. PRIOR lAKE. MN 65372.
cny Hal ballne.. houn ..,. S Lm.. 4:30 p.m.
ALL WonK MUST BE INSPECTED (ROUGH-IN AND FlHALI- CALL mUlML
447-4230
n
o
~
o
~
..
~
....
'"
I h"reb, ..ppiy lor. meet_lculS)'II""" permll and I eeknowtldgllhllt lIt.
Inlo.madon ebove II campll'e ..nd ..oo..ale: thai'" work wHl be In CIIIIIlo__
wlll1lhe ordlnancee and COdel allha clfy .nd with 111. Ilale buU...~-..aJ
,
codel: Ihlllhll hum dllle nol became . Pl.mll unln II lined by ..lIUllD.O
OFFICIAL: Illallhl work wm bIt In locardancI wllh !he .pplD.,......1& ..
: C8JlI 01 .11 work which 'Iqulrel I"vlew lIIld apprD'l.1 01 plene.
kjZd;~$ .f~ :5(5-07
1\ppIcanI" SlgnalUre __
~. ' ~/I/{)/
BUklIo~ Ol"c~ Slgnatur. IJlIIIII
I!!il
.0
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PRIOR LAKE DEPARJMCNTOF
. BUIL[)ING AND INSPECTION
.
INSPECTION RECORD
SITE ADDRESS -:?'?cJ'7 LJ~~ '("Jock.. Dr
NATURE OF WORK tJQj,u .
USE OF BUILDING ~F n
PERMIT NO. ~()3\oS- DATE ISSUED tf-I'S-2k,f
CONTRACTOR Rd-\~~ ~ C,5z-'i8'S-<l/7r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I 1lj~ I ~~Ol
I FOUNDATION (Prior to Backfill) I "i.d \ I 5} I() 1m
PLACE NO CONCRETE UNTIL ABOVE HAS BEENSIt'3NED
1'/16 57tJP ,eelt</S"P "6-7 7-31- /)/ R 0 UGH - INS
SEWER I Wf4.. :TER I SEPTI,
FRAMING 1Gi\li~ (.1!lIO( ~ .:b'-;;_~\~
INSULATION n ~ \J
ELECTRICAL
-
PLUMBING <k'~ /,. );:2$\ \111
HEATING (if required) vt _ \' \
FIREPLACE . ~-\l~ '1 q\.e,
GAS LINE AIR TEST "f '1lll, 'R -~n,utJ "I~\o(
COVER NO WORK UNTIL ABOVE \iAS BEEN SIGNED
l~ I I
FINALS
.~~~
'l'(\k:
<1-'\ "
OCCUPY UNTIL ABOVE bAS
NOTICE
This card must be posted near an electrical service 'cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and a!lditions
where no service cabinet Is available, card shall be placed near main entrance.
INSPECTOR
I FOOTING
1 \ a\e t
...Ah tJ.
. ~
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
h~ d(~O,f\
B z.-u Ol fJv -t-JrJ..
I \
" ,
a bO-)or
~ ba 1l!
BEEN S1GN'ED
Call between 8:00 and 9:00 A.M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~~ -.-.~~
f_."-""
; :":'" ".:-v::; 't' ", ;~. Io;,,;~ '-'10;"...:" 110;, ,,!!"'-"'tr;,; _~".
, r"~ ..l!!:~".je~.
~l~' ~~t-r..~~',r.;;V---- "t.'f....OlI1
~ -
~.:;: QLemfkau of ~rmpanry
~.:.~: C.l.li OF PRIOR LAKE
. ~~I J)tpattmtnt of .uilbiug J~ptttion
~t R1 Final Permitted 0 Conditional C.O. Expires
\ i
This CeniJicale issued purslUllll to the require..wlll.r of Section 307 of the Uniform Building Code
cenitying thDt at the Ii_ of isstlQ1lCe this structure WQ$ in compliance with the \'driOIlS ordi1lQ1lCes of the
City of Prior l.AU regulDling building co1t$truction or up. For the following:
SINGLE FAMILY
Use ClassificatiOl'"
01-0365
_ ZoniD8 Distric:t POD
VN
_ Fire Zone
Bldg. Permit N^
N/A
R3
TypeC_tion
O<:cuponcy Type
Lepl [_.....:..
L6,
B2, THE WILDS THIRD ADDITION
Si..AddJas 3307 WOOD DUCK DRIVE
20730 HOLYOKE AVE" LAKEVILLE
Owner oflluildini
RATZLAFF HOMES,
c ." 's Name a: AddJas
ROBERT D, HUTCHINS City PIaDner DON RYE
BuildiJlg OIIlCw
Do..: ..f?J!/I/~___ _ Date: I~ -tfi(Y'
. I U POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3Jn~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~,
~~
\.p/
1"\
~/
II )r-b-
( if tv
U/
DATE
TIME
~I fll~
~e'
A.T;
~,
6/-J'S
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector:
OWner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
s~7 WJl?uc.ILPr.
CONTR. /(qfZ/r-fr
PERMIT NO. /')/, 2,?,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~"""I~L
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'y~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C.~~1o &.?C-~!,
Gr..dt -() t::-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~r/ ~ OWner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTJ
ADDRESS
33'a7
DATE TIME
SCHEDULED 'IJ'$OfOI /1:DtJ
~ c:t.~, ck
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()l- :H,S"
o FOOTING
o FOUNDATION
o FRAMING
^/D INSULATION
ff FINAL
. ~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~.
- ~ro&" "-~ k u\-i
+UM
../ sJ- aA eP~ f~ ~e\~f J
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR CALL FORREINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN&NQT'
DATE TillE
SCHEDULED B/,SO/(j' q: S=o
~t>~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3307
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION JL 0 SEWER HODKUP
o FINAL t'1"" )ll:.PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: (((12,-' "v ..,p,
I
M tM1.O -1IA ph,r 0 \::::
wv:l-&l"' $,.eal~
O( - 3'S;-
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO . CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Conlr:
CALL 447.9850 FOR E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/