HomeMy WebLinkAboutBldg Permit 05-0355
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+,/S:as-
Main File
(Please type or lIrint and sicn at bottom)
ADDRESS
I1Y'Y/J {,Ja,1u- h /1
I. White File
2. Pink City
3 Yellow Applicant
PERMIT NO. 05. 0355
r CJV~r ...1ItJ
ZONING (office use)
(LI!
LEGAL DESCRIPTION (office use only)
i.j 7 J....
PID;JJ-rlf -0'/-0
LOTJ~BLOCK 1 ADDITION ~~NJm"A//V
B~D~ 1/
(Company NameLU..lfNflnq/VN I"" d /nt'../'
(Contact Name) ~ar y JOANf6/V
(Address) /3'95' J'kz d- j)r
.---
TYPE OF WORK erNew Construction ODeck OPorch ORe-Roofing ORe-Siding
o Addition OAlteration DUtility Connection 0 Misc.
OWNER
(Name)
(Address)
(Phone)
[IX ?O/V
.J
(Phone) /'.57- 'YO~ - "/Yo()
(Phone) ;; /.;1- .:J"? - ?~ / .J-..
MJV
DLower Level Finish
o Fireplace
s/,25 OblJ erlJ
CODE: 2!I.R.C. OI.B.C. PROJECT COST /V ALUE
Type of onstnlction: I II III IV V A B (excluding land) ,
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-mentIOned property and that aU construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cia~ permit f02e:.;;rt;::e. I hereby agree that the city official or a djy;:..;r upon the property to perform ne; ~;;:sO ..;-
- / {J Si"",,,,,, Coo",ctoc, Li=" No. D..
.-'
r15K; ()6' t!J, f) tJ
$ .I Z?I , ~O
$ V?, 2. , 97
$ &1,0 D
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I $
I()().oo
l()tJ.o ()
l
3S-,5""
41J, {)O
I
This Application Becomes Your Building Permit When Approved
~~
Building Ollicial
#z-7~S
Date
Park Support Fee
#
$
$ 1~5"o,t)O
$ 2.~eJ.Ot)
$ '>0, {)o
$ /5 df) , OD
$ 1000,00
$ / S-Ot),()O I
$ . - I
$ 'j'(},081)/'F! J
SAC
Water Meter (siz:' 5/~1";
Pressure Reducer
#
I Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
I Other
I TOTAL DUE
I Paid <6' d-..O Y)" qg-
I Date 8
I
Receil't No. 4~V
BY_-?-- ~
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
~-!~ #7~S -tW at{~;~)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts'
Reviewed by: ~ t~
Date: .11"2.. 7/0~
Building Permit #
Address: / if 3Lfa / 'f 3 1.(7-
/ I
Legal: L/3} It.!, B -1
I~, 1'-
Existing Structure? YES @
PID: Zoning:
/43L(4) IL('S t.{~ ~~, tJ,uJ .
Subdivision: tJ~.. _tJ-/'f1...
Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NAI FAILSI COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed ~. ~
'Zt(..<<$' -f~fL~
( .
~~ 22.-.
11'1 -to f'~
~--
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating 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'
25,3' ~ pi..,.
.QVL-\ b~'
fJO JJ6
N~
75' or setback average of
adjacent structures, but no
less than 50'
tJA
, Floor Area Ratio: NA I FAILS I ~
.30 Maximum
I . ~ (JU 0
. Yard Encroachments: NA I FAILVC"OMPLI~
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feetto a lot line (Easements).
Ale and other equipment cannot encroach on interior
. side yards.
Standard
Proposed
t-J~
rV~
. Tree Preservation{(~1 FAILS I COMPLIES
. Total caliper inches
. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
12:1
L: \ TE:NIPLA TE\BLDGLIST.DOC
.-..,.
I Driveway: NA 1 F AIL$1 COMPLI~ Standard Proposed
. Maximum width at property line 24' l8' -(~)
. Required setback 5' from side lot line or r
30' from r-o-w on corner lots ~S"
I · Maximum slope 10% 4.'5_ S".'-. ~.o. &,.!>~CJ
All parking areas to be paved including R-Vor .
.
spaces adjacent to the QaraQe ~
I · Location to match subdivision qradinQ plan ~
~
J Buildin~ Hei~ht: (gOMPl.!EJ1 FAILS 35' Maximum ~
I Shoreland District:(,NA I) FAILS 1 COMPLIES Standard I Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
I Minimum lot width 50' Rip, 57.3' Non-rip
I Shoreland alterations
, Impervious surface 30% Maximum
I Bluff in Shoreland:~ FAILS 1 COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. EnQineerinQ certification submitted/approved By City EnQineer
. GradinQ in bluff or bluff impact zone No importinR/exportinQ
I FloodPlain1~ FAILS 1 COMPLIES Standard Proposed
. 100 yeatflood elevation 908.9' Prior Lake
914.4' SprinQ lake
. lowest floor elevation 909.9' Prior Lake 1
915.4' SprinQ lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
hiqher
. Road access must be no more than 2 feet below 907.9' for Prior lake
ReQulatory Flood Protection Elevation 913.4' for SprinQ lake
Accessory Structure~ ~AILS 1 COMPLIES I Standard I Proposed
· Size I 832 sq.ft. or 25% rear yard
. Not located in front yard (Materials) I
I · Side yard and rear yard setbacks I 10'
I · Maximum heiQht 15'
I · Materials compatible with principle structure
L:\TENIPLA TE\BLDGLIST.DOC
~"',f.iii"aIII-
-- ...;~. ;it illi\.i
.. ~'.nI ...-.- I ....I&.J.. .," ~.; ..,..:.~ .---- ___...i ..~,~
~o~ PRIO~ <'
t: ~
U /'ff
~
Main File
White - Buildln9..
r'", c;''!8rv - Engineer .ij\:t..>
Pink . . Planning
BUILDING PERMIT APPIJ..C.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tll/6NS" /Jr//i NA./ ffo/~J65
4. /5. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.I 4340 fIf/117E/~RLJ-, CCU/C--( Ni'V
Accepted
Denied
I)(
....
Accepted With Corrections
Reviewed By:
Ii'J&iIJ
Date:
'1-:? /,..I>,s-
Comments: See Reverse Side for Additional Information!
/114/"1 hi,
'-
Main File
See Attachments: 1) Gradine Plan. 2) Erosion Control Measures
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."
Main File
(' Whit!t - Buildlns...)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPUCATION DEfARTI\4eNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6/V'sn/J;vtJ /lrJH6S
4. /5, os-
The Building, Engineering, and Planning Departments have reviewed the building permit
application Ii 4:;~n aw~ ~:~~at: (!OU/4 I1IN
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments:
~~ ~~
~~cJf~,
Date:
~b/~s
. ,
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. II
.w:"
Main File
j3UILDING PERMIT APPI.ICATION DEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tit' C/V:;-/l-j r) lv'IJ /-fe/L? &:::
4/ Ie- () c-
~ -'.
. .-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4340 fvlrl7c/~H'-L-- (:.C0/c::--r Nle!
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~ '{~
Jf~ a-ef'
Date:
Lj/Z,7/oS-
, ,
Comments:
,
;n;;i.:;
.&ir-GullJ.iLiu.ll~J.- C:U.u:. ilili.t....: r-rl'G\..lt.cUai..:.f'~
Units Cannot Encroach into Req:rlred
-- - -
~l(le lara ~e1DaCXg
"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."
05/09/2005 MON 16:03 FAX 952 767 1900 GENZ-RYAN
~002/013
3t/P ~. ..
w ~ ~HW
(.' "''FJiiiF---
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CPtease t'{I!e or Print andaiJlnatl..:';'.__)
ADDRESS .
I~y-.O lJJeuff+aJ
i =.; 'PERMlTNO.O".A.~~
" Gold Appli_ WI ~
Ci- f\ uJ
ZONlNG (albllSe)
LEGAL DESCRu- nON (office use only)
LOT BLOCK
ADDmON
OWNER l \ (. '\ L
(Name) 1 )FA0~ \'YV)J"\V'l -mn.jCS
(Address) i ~Q 5 PI OtW.; D ( . S1c.(~{A)
(Address)
APPLICANT fl. n
(Name) l.:;/da1-- I?-U a fll
(Address) L 1JJO \IV. 1 .t-hAL1-L3
(Contact Person) Kl rY~ddress :< fJ\ V i. 'I \ 0
!lLICANT SIGNATURE ('J<;~?1J( ___rZtL1.t.-1jjl{
........... I ,-_.
PID
(phone) loF;j- Q05- ~nCl:;7
EQJjo.n MN 55/.:4;1.
(6l'r) (Zip Code)
(phone) fj f)2 - 7lP7 - (DOl)
Bu tV! S Vi II-t- fV\N c:J;?;3-L
(City) (Zip Code)
(phone) q?:). -7& 7 - J!f1.fJ I
~ DATE 51,! /05
APPLICANT PLEASE COMPLETE BELOW
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 feet.
Clean out (if required) located at _ feet from structure.
liJ!.,,ll.;SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'1 & Multi-family I % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.s0
Estimated Cost $
SEWER AND W AlBR PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omce Use Only)
I This AppliCltion Becomes Your BuUdine PerMit Wben Approved
Building arndt'
Date
Building Pennit #
$ ~ ~5~ PAID WITH
$ BUaDING PERMIT
$ ..L/ (). LU
~ U; [( II \Ii ~\rpt No.
I ~atlAy 1 0 2005 fry
24 hour notiee for all inspections (952) 447~ ~. fax (952) 447....Z4S
05/09/2005 MON 16:03 FAX 952 767 1900 GENZ-RYAN
raJ 003/013
I LO. {.(;1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l. 8l1K Fil. PERMIT NO.A~ A.1It~
;~:Ii_ ~
(Please type or print and si.Rn at botIDm)
ADDRESS ~
. Il-~ 'SL\ D l A ) (1-1-{j(: .~(l
l I '\
G- ~\ U ).
I ZONING (olfil:e use)
LEGAL DESCRlr .l.lON (office use only)
LOT BLOCK
ADDmON
PID
~=R \ lJfif) VYlf1 Y)() HrxvtS
(Address) I ~qf) Pi o\w.... Dv~. '2;+e. ~)
(hi {)/'{::/2-J(.....,I'}.
(phone) [.) 1-(".) -:) I ~"-I
i~~Lt C1 (1 VI [VI N 55 f ~~
J
APPLICANT Il.. ,., IJ' _ 1)
(Name) ~- ~iJ~V1
(Address) 1-Wo W. H1:\J [; 1..1.>
. ..CAddress)rj ~ .
(Contact Person) ~I Vf) :"..Cl\ VI U
. i /:11l I'.') tJ /./1 /,t -j1 f
APPLICANT SIGNATURE /../~.j/ ..... --I--'1-dU){fjj J
............- { 1 ,-.
(phone) qZ:;L.--/lR1 ,. {ODO
[./)C-t)l.VIC,V /' {If, [VI N ~37
(City) (Zip Code)
(phone) Of6/i-7(J.7 - /ft~~ /
6/t} /()O
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity
~
I
\
~
I
Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 comparbnent sink
I Shower Stall
I Sinks
I Bar Sink
.J- I Water Closet (Toilet)
Quantity
3-
)
(2/1
, I
I
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
,.;) I Bacldiow Assembly
.-.. I BackfJow Assembly Test
I Lawn Sprinkler
I Other '
JlJ!,ES\..nJ!,I.IULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
IL~...ated Cost $ (./ ~(j{) .- Building Permit #
aq 50 PAID WITH
PLUMBING PERMIT FEE $ 7. ~.I ILDING PERMIT
STATE SURCHARGE $ 1::98"
TOTAL PERMIT FEE $ I eX), co
(omee Use O.ly)
This Application Becomes Your Building Permit When Approved ~d l0 [~ 0 ~J ~ -:'teceiPt No.
II DsflAY 1 0 200SW
Building Official Dlte
24 hour notice for all inspections (952) 447 ~O. fax (951) 447-4245
05/09/2005 MON 16:04 FAX 952 767 1900 GENZ-RYAN
III 004/013
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: =. ~ I PERMIT NO.A~ A..uJ:'
J. Vlllow A"'iClllt ~
(Please ttP_e or pri11t and eiKn at bottom)
ADDRESS
I~ 3/-10 l~j()drc:vk,
();f-. 1\' uJ
ZONING (oUb
use)
LEGAL DESCRIPfION (office use only)
LOT BLOCK
ADDITION
PID
~=R \~ )tl'\Snj(LI11'l ~~VrYL~
(Address) I gq5 rJI aLC~ D\/, SAc. XO
(Phone) (pf5/-. Gt[f).. 370(1
F/1.C1(A{\ [v\ t\f
.- . ..)... .
5.:> I ;)~.
APPLICANT r Q
(Name) c::reV)l.- -cljOj"l (Phone) qF)~;"7[P1-IOOO
(Address)~~ UJ. MWvj 13 61lY1f\Svi 11(; 553'j-7
).' (Adch~ rutJo j' cOty).... (ZiP.Code)
/' J. )..?/ P i tJhtJ "'/. 7 I (;'1 I
(Contact Person) _ '---ill1 . -<..( , V (phone) Z ~?'":I- /f.k! - /\ (l,7
,.l/;~l{ '~71/) / 't.j r:;!/) 1'(. V'~-
APPLICANT SIGNATURE 11"(/lb , . 1/.1/(/'// DATE ':.;..-/. LfIL/.-J.
. APPLIC. LEASE COMPLETE BELOW
~CON~UCTION DREPLA~..., DAL;aRATIONS
FURNACE MAKE AND MODEL L.etYJOj &c.)OLI H -~?ll-7U FUEL ../JJrf..... r:,a6
FLUE SIZE RETURN OPENINGS ~ INPUT /(~ ill) OlITPUT "5..~f 10")
TYPE OF SYSTEM HEATING OR POWER PLANT
!lSiWarm Air Plants 0 Steam
iraVjty 0 Hot Water
{ echanical 0 Radiation
ir Conditioning 0 Special Devices
. ent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~,.~ _,_,______u,.' .__.___.___:,-
~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New ConstNction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
ho-:;2.fy. \-
Estimated Cost $_"J:...A.--L/ Building Pe~it #
HEATING PERMIT FEE $ "1Cf .5'0
STATE SURCHARGE $ .sO
TOTAL PERMIT FEE $ I DO . tV
(omee Us~ Ollly) J
nI. ~ Uocom.. Y.., U._g P.....k Whe. Appo-ov'" ~:: ~ ~1 2~05~ l~l,i' :"~,' N..
BuUdlol Olllelal Date ~ U .
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
24 hour notice for all inspedlons (952) 4 ~8S0. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I~a"lo wATa~A'(., CA"~r IJ.W.
NATURE OF WORK N61AJ CIII4J~N (I..c.. ~
USE OF BUILDING s: ,:; A . .
PERMIT NO. t!J5~ ~ DATE ISSUED $'& ~
CONTRACTOR-W.t-J~ ....,1&.6'~ PHONE .,~- '.'1.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
,BUILDING AND INSPECTION
FOOTING I (y'(j;"CfOR I sfik I
FOUNDATION (Prior to Backflll)( 49 ~ /?> .s.-j? 0 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS I I
~ SEWER I WATER I SEPTIC LJ ~ , !7/f S/<S-'hD
:FRAMING Wt'. {2i ;' /"h~/~
· INSULATION n IO/'8A;
ELECTRICAL .
PLUMBING .1 f/~ 6V/..~t'
HEATING (If required) ~. (J /4 bd
I r
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I./ArNLtJI'IIUIdAAP I I
FINALS
fliP
(//15
, c
GRADING (Prior to Sodding)
BUILDING'-~ +6 ~-l""O(P
ELECTRICAL
PLUMBING
HEATING
DO NOT
'lrcU.4~
51 i/,~
.......~ I
it" P 1/ /~"
I fib r. ~ fu:;l~(,
OCCUPY UNTIL ABOVE HAS BEE~ 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.
F9R ALL INSPECTIONS (952) 447-9850
l'.;l."
.'it,;)>"'"
".~f.,,",. ."
'1
"f _ ~
"":,"'liIiIilIII""
,-;,,,,:;;~,,,,,,:'~;;;",(i;..~'J'~ .~.; ':&-';;', ,'i'~ ,~'
-...
'.IIi
, ......
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ) l{ ~t{()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I.NSULATION
~NAL
o SITE INSPECTION
DATE
SCHEDULED ,(~
LU~d, ~
nilE
CONTR.
PERMIT NO.
05' - 'r) "Y)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.).. r:;~. Ct-JfL t(&. ~' ~,... "C/J.. t:tB30
SoJl .1-1 ~
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORR K, CALL FOR REINSPECTION BEFORE COVERING
Inspectc f: ......... Owner/Contr:
CAL . JI.9850 FJ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~ R~QUI~NTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
~ msNOn
~. "-
DATE TillE "
CITY OF PRIOR LAKE ~.~
INSPECTION NOTICE SCHEDULED
ADDRESS 14 :JID W~r~ ~t-
OWNER CONTR.
PHONE NO. PERMIT NO. 5-0355
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION [J MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP [J FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL )(PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~, G /I D~ ~\'
MT~J
C'-,(~^- 4
~~ 1 f~
Q 0 lJ -.J (~~
~ - ~ ,--
z,~
3. ~f'.}."l~r7~
t{
~RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED .
o CORR' WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~ , ----J Owner/Contr:
CALL L7.9~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE~IREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY!
1NSNOn