HomeMy WebLinkAboutBuilding 02-0532
. '
:J 0 0 5\ (") 000000 "tl 0 )> -0
Ul :J: ~ 0 Z_
"0 0 0 :E 0 en"T1Z"T1"T1"T1 0 C ~~
8 ClI 0 0 0 ~ :::jzen~OO Z z ::0
0 0 m mo
)> 0 ;lJ ;lJ ;lJ 3: m>c co m ::0 m ~"
t:I r :-! ;0 ;lJ ;:.; -r>~Z~ Z en
t'l r m m en m Z zOz 9 en -"tl
::... 0 0 )> z ~ :::!G)~G) 0::0
t ~ ~ z-
t'l \J > ~ ~ m 0 - zO
lC ~ 0 Ui CJ) o Z 0 0::0
S; <0 ~ "T1 ~ Z
co 0 > 0 -. ::!>
>:i 01 0
~ 0 Z ~ Z ...J 0;:.;
" 0 > 0 mm
~ 0 -t > Z ;lJ ~
::0 r 0 .-<
~ -I I r <'\
- "T1 "tl "tl
;l.. :J: ~ 0 ;0 ;lJ f"o
~ m ~ ;lJ 0 0 ~OOOOOO
Z ;lJ 0 0
m m m
~ >< !!! m m ~ ~"tlen::!:~"tl
~ ~ Z C c fL.... mr~)lOmr ~
en OC ~oc
~ C5 z 0 "tl :I:3: m:I:3: "tl 0 en
~ en ~ m ,,!!!;lJ;lJ;lJ!!! m 0 ~ 0
"tl :J 0 zZ:I::I:-Z ::0 Z :J:
::! ~ m ClI ~ >G)OO G) 3: -I m
~ 0
~ 0 0 r"T100 ;lJ :::j ::0 0
-I 0 Z z;:';;:'; - Z C
~ 0 ~ OJ >cc r
Z :-! m r"tl"tl 9 m
~ "T1 0
I>) 0 ~
~
~ ;lJ
:J: m
~ 0 0 \v
c (\
::0 0 ~
<
en m 000000 I
:t! z C! G)""T1om ~ j 0
>-
)> Z >::5::50~ -4
Roo 0 G) ~mm~G) m
52 < _"tl"tl"tl~
)> ~>>>c
~ Z
0 >ooz:;;
""l rn _mm~_
~ ;lJ"T1;lJ r of
~-_ r i:
enz z m
~~ G)
:J 0 0 ~ (") o~oooo "tl 0 )> -0
Ul :J: ~ 0 z_
"0 0 0 :E 0 en"T1Z"T1"T1"T1 0 0 ~~
g ClI 0 0 0 3: :::jzen~OO z Z ::0
0 0 m mO
)> ~ ;lJ ;lJ ;lJ 3: m>C CO m ::0 m ~"
;0 ;0 ;:.; -r>~z~ en
t'l r m m m Z -0- z en -"tl
r ~ 0 en en ~~>~ 9 0::0
::... t ~ > Z "tl - ~ z-
t'l > ~ ~ m 0 - zO
lC ~ 0 Ui CJ) o z 0 0::0
S; <0 ~ "T1 ~ Z
co > 0 ::!>
>:i 01 0 0 -
~ 0 Z -I Z ...j 0"
"T1 0 > 0 N mm
~ 0 ~ > Z ;lJ
::0 r 0 :< '"
r
~ -I "T1 "tl "tl \\ "
;l.. :J: 0 ;0 ;lJ
~ m ;lJ 0 0 ~ooooo
z p7 ;lJ 0 0 C
~ m m m m -1) 3:"tlen::!:~"tl ~
>< Z m m mr~)lOmr
-I c C oC ~oC
::... en 0
~ C5 z 0 "tl :I:~ m:I:3: "tl 0 ~ en
~ en ~ m ~ ,,!!!;lJ;lJ;lJ!!! m 0 , 0
'" ~ "tl :J 0 zZ:I::I:-Z ::0 Z ~ :J:
::! m ClI ~ >G)OO G) 3: -I m
~ 0 <i
'1:l 0 0 r"T100 ;lJ :::j ::0 iJ c
~ ~ 0 Z Vi z;:';;:'; - C
(5 ~ OJ ~r >CC Z r
Z :'"l m -,... r"tl"tl 9 m
~ "T1 .... , il:- 0
I>) 0 -
~
~ :J: ;lJ
m f-
~ 0 0 }..j
C
::0 0 S ~
< ~ 000000
en m
5:1 z ;0 G)"T1"T1om (3 0
z >-
)> W >;;;;O~ -4
Roo 0 G) ~mm3:G) ~ m
52 < "" _"tl"tl"tl~
,
~ )> F ~>>>c
Z >ooz:;;
""l 0 _mm~_ ~
~ rn ;lJ"T1;lJ r of
~-_ r i:
enz z , m
~~ G) -.
~
:;- 0 o~, (") 000000 "tl 0 > -0
Ul :J: ~ 0 Z_
1il 0 0 ~ 0 en"T1Z"T1"T1"T1 0 Z 0 ~~
8 0 Sl 0 0 ~ :::jzen~oo Z m ::0 mo
)> 0 ;lJ ::0 ::0 3: ~>c~~~ m ::0 m 0"
t:I r :'"l ;lJ ;lJ ;:.; r-\ zr!;zoz z en ::!"tl
t'l r m m en m 9 en
::... 0 0 > ~ z ~ :::!G)~G) 0::0
t ~ ~ z-
t'l t-~ > ~ ~ m 0 - zO
lC ...... 0 Ui ~ CJ) o z 0 0::0
S ~ ~ " ~- ~ z
co > 0 _. ::!!j:
~ 01 0 0
0 Z -I Z ~ 0"
" 0 > 0 ~ mm
~ 0 - > z ~
::0 r
0 r 0
~ -I I "T1 "tl "tl ~
;l.. :J: i 0 ;lJ ;lJ
~ m ;lJ 0 0 O~ 0 0 0 0
z ;lJ 0 0
~ m m m m 3:"tlen~3:"tl
>< r z m m mr~)lOmr
-I 0 0 OC ~oc ~
~ z en :I:~ m:I:~ "tl 0 en
I "tl
C5 en m "T1!!!::O::O;lJ!!! m 0 0
"tl :J 0 ZZ:J::J:-Z ::0 Z ~ J:
::! ~ m (1) ~ >(;)00 (;) 3: -I m
0 ~ (5 r::!!~~ C! =i ::0 ~. 0
~ 0
::l 0 z Z C
~ 0 ~ OJ zcc r
~"tl"tl p ~ m
Z :'"l m 0
~ " iv\
I>) 0
~
~ ::0 ~
J: m ~
~ 0 0 L.
C 0 ~
::0
en < 000000 I
m \',
:t! z ::0 (;)""O~ ~
> Z >::5::50 -4
$lo C> ~mm3:C> ~ m
C
52 ~ _"tl"tl"tl~ \,J
~ Z ~!;!;!;o 1"
0 >OOz:;;
~ _mm~_
rn ;lJ"T1;lJ r of
~-- r i
enz z m
~~ (;)
/'
/'
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/(),.~s~z-
ADDRESS J 7~~~ #A1'6A{,'~W Ln.
OWNER CONTR. D. R. HfJrlDn
PHONE NO. PERMIT NO. 02.. - .5""3/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o ~TE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
f 7).~ Z. Lt!lW'<J LVI":; i36~ Flv~h WIt:5
f.:, r~
IIJ.~~I LBVt/(/ {,.,/Ib I~ Flv~ 4 \,"".fL-,
6r~"( _
17 ~~~
L/9W~/ L.lllh !3Lji- Flvi>L..
l-vl'~ &rlt~.
br~,('C - (/1<..
~r:?T
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
I/'1SNOTl
\
\
i
i
\
L See +-k MuiV\ hlJ{.
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1- -Z4'OI-
I. White File I PERMIT NO I
2, Pink City . 02 -oC:3Z---
3, YeHow Applicant J,
e or rint and si
ADDRESS ZONING (office use)
112.~Y K~~~-Re\J ~"'t?SE 1<.2-
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK' ADDITION bee,h'.e.ltl t.f~ PID'?s - 3 f.W - 0 oS' - 0
I OWNER
(N ame)
(Address)
(Phone)
BUILDER~J I \ A ~
(N ame) .) /.-1"). TUY1lNl ~e.
(Contact Name) S+~ue EYLLItJ~
(Address) e> ~"'D 1<e.c.Abrt~t . <$k.u)D
I I.{
(Phone) qt;1..-Cf 'i3~-l~()fs
(Phone) g5l- 2-u,,- 1~3t/
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
ORe-Siding
o Porch
ORe-Roofing
o Fireplace OAddition o Alteration
PROJECT COST IV ALUE (excluding land) $ 811311
o Misc.
OUtility Connection
I hereby certify that I hav mished 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 bo e-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi lans. I am at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter pon e prope e rm needed inspections.
x
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
our Building Permit When Approved
s- 7--vL
Date
oJ/) l) 0 '>"1R1
Contractor's License No.
Park Support Fee
SAC
#
#
~ /22-/02
,
Date
$
$
$
$
$
$
$
$
$,5tl?
sso - (){)
200 ,00
O.D{J
s-. 0 C;
2CJO.oo
(JCJ.CJ 0
TOTAL DUE
'err f;/;;i
,
I ~;ceiPt No. ilFf: S4-
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss~_l^-:-~~~ ,1) /[3/02- ~ AKLtL~ ('~~~
~ctor Date -- Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
I Paid
Date
Apr,:!~, 2002 1:01PM
GENZ RVAN PLUMBING AND HEATING
No.2143 p, 11: 7
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t
JIll... Fil.
,,' 2. Gold City
l Yellolll A~plj_t
l5~1:~~_U~Uo ~~. SE.
I PERMIT NO. ~ - S .:5 ~.
ZONING (c.ffice 11$")
LEGAL DESCRIPTION (office we only)
LOT
BLOCK , ADDITION
~
Fm
OWNER
(Name) DR Horton Cust:om Homes
(phone:)
962 - q f{ 5 - 7'6DC
(Address)
ZO'6~o )(.b'1B l ~ CO' Sre~ I D
E~~W
APPLICANT
(Name) r;",.,.,.,.-RY<>R PhnRb::i:ng '" J.l..",.,..1-ng
(Address) 14745 So Rober~ Trail
(Address)
(phone:) ~ c; 1 473 1 144
Rose.m.ount MN
(City)
55068
(Zip Code)
(Contact Person) Mary
(Phone)
'2-
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of FUture
I Bath Tub with or without shower Rough-ins
, Disbwasher . Water Heater
I Floor Drain 121 , Water Softner
i Lavatory (Bathroom Sink) , I Stand Pipe (Washing Machine) --
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Back;flow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
ASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Commercial & Multi-fa.ullly 1 % of job cost wIth a $39,50 minimum Residcnnal, New One & Two-Fmmly $9950
Residt:lltial, Additions & Alterations $3950
Estunated Cost $
BuUding Permit #
PLmv:tBING PERMIT FEE $
STA 1E SURCHARGE $
TOTAL PERMIT FEE $
..50
v
(Offi(e Use Only)
This Application Becomes Your Building peJ"mit When Approved
Paid.
Receipt No,
'\,..:. -.'
"'-~ ,
, <I i
Building ,Oftlc:ial
Dare
Dat~ .
1V14Y
By
Z4 hour notice for all in!lpediOns (952) 447-9850, fax (952) 447-4245,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
,.
~'~f::n ~~~y. I PERMIT NO" -~~ .:L-I
3. Yellow Applicant , t::7"- J
ZONING (office use)
111104-
Ml1Y% tl'e1d__Ln
LEGAL DESCRIPTION (office use only)
LOT..5 BLOCK I ADDITION
PID
(Phone)
(Address)
5+e, #/
(Phone) (p5/-45:L-cf?775
j--;aaan 55/.22
C1 (City) (Zip Code)
(Phone) (P5/- 45!J - ;?77~
DATE 5/10 /b7-
[0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 3~A-vtQu.o,O FUEL ,uoJlAm I
FLUE SIZE ~llclClS~ B RETURN OPENINGS ~ INPUT ,0. bOC OUTPUT 61.D~~Oo
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~r Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r
r:'~'t.
1130,. " "i!; 1,
f:t. '/!1i ~"". "-. .
"., !;.I",\,I,"-
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
.
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr .29. 2002 1 :01PM
GENZ RVAN PLUMBING AND HEATING
No.2143
p. 1 :1/27
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
i. ~ ~~ I PERMIT NO. d-c-3d-t
), CiQld A.l>pll""Qt " ,J -
~
ADDRESS.. SV1\l;M
/..o.YLe- S~
t:tJ
ZONlNG (office 11$C)
LEGAL DESCRll'TION (ofIice use only)
LOT 5.BLOCK ADDITION
Pro
,
OWNER
lName) n'R ll...,-rcon Cust:gm lIomils,
,
(phone) ~
Cf62-Q85-t800
,'?COLl4
(Zjp Code)
(Address)
20&.00 ~ei<-\t:6e. Cr Siy /l'J)
(Addn:ss)
LaU\Ji l!~
(City)
APPLICANT
~~e) Genz-Ryan Plumbing & Heatin~
(Phone) 651-423-1144
'UCANT SIGNATtTRE
Rosemount. MN 55068
(City) (Zip Code)
(phone)
DATE
(Address) 14745 So Robert Trail
(Address)
(Contact Person) Mar
LEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet
Type of sewer pipe. D ABC 0 PVC 0 CastIron
Estimated length of sewer line feet.
Clean, out (if required) located at feet from structure.
ReSldentlal sewer and wa.ter line connection
Sewer connectioJ:J. only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$1750 Watli:f cOllllection only
1 % of job ccst with a $39..50 minimum
.$17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
,
I'
(
(Office Use Only)
This Application BecDme~ Your Building Permit When Approved
Pilid
Rc:ceipt No.
, "
'-'--
Building Offldal
Date
NAY 2
By
)late
14 hour notice for all i":lpectitm$ (952) 447-9850, fax (?S2) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~~~nw ~l~icant I PERMIT NO. .~ - :5 ~}d-I
ZONING (office use)
17264 MARSHFIELD LANE S.E
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/7/2
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Buildinl!: Official
Date
I PMd
Date
I ::"iP' No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The Crntt'f nf the Lakf COUnl1")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D, 12-. HORTON
4 - ~4- - oz-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
nzeoLt- HARSH FIE-LD l-ANt:
Accepted Y
Accepted With Corrections
Denied & i
Reviewed BY,l" . ~~
Comments:
::JeSL +-t-e tj Cu'~ ~I'[ 12
Date: S- 1-0:Z
"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."
.,,"P!ll:M 8q lOU IIB4s UO!P!pspnf 84l ~o S8:JUBU!PJO
J84l0 JO 8pO:J S!4l !O SUO!s!^oJd 84l 18:JUB:J;.....O 8lBIO!^ Ol ^lP04lnB 8^!5 Ol 5U!WnS8Jd
Sl!WJ8d "UO!p!ps!Jnf 84l !O 8:JUBU!pJO J84l0 ^UB !O JO 8pO:J S!4l !O SUO!s!^oJd 84l !O ^UB
10 UO!lBIO!^ ^UB '10 IB^OJddB UB JO 'JOIl!WJ8d B aq Ol panJlSuo::> aq lOU IIB4s SUO!lBlndwo::>
pUB SUO!lB:J!~!:J8ds 'SUBld ~o IB^OJddB JO l!WJ8d B ~o 5UnUBJ5 JO 8:JuBnSS! 841."
'I
LCl/El/Y
:8lBO
~~ -6 :A8p8M8!Aalj
P8!U80
SUO!P8.1.108 4l!M P8ld8:J:J'v'
/7
p8lde:J:J'v'
/~
, I "-.,;'
.' ~..,
/1-;".:
I ,
'H
,1 I I '
--:;'
"\ .oj l ,I
: / r
, L.
:lB p8sodo.ld S! 4:J!4M ^l!^!PB UO!pn.llsuo:J .I0~ UO!lB:J!lddB
l!W.l8d 5u!pl!nq 84l P8M8!^8.1 8^B4 SlU8Wl-lBd80 5U!UUBld pUB '5Upa8U!5u3 '5u!PI!ns 841.
--'" .-k?
(~ )' -' f.-"" (_
1'~~')
03^1383t1 NOI1.'v'8Ildd'v'
I ,'\ ' -,! ' '" i JI
(\, , ./ I i/ I..!
"1
.--r
i
;
1.N'v'8Ildd'v' ~O 3L^J'v'N
lSI1)103HO IN3V\11l:lVd30 NOIIVOl1ddV IlV\ll:l3d DNI011na
6U!UUE!ld - )jU!d
6u!JaaU!6u3 - AJE!UE!:)
6u!PI!ns - al!4M
.Uluno.) .1'111'1 .Jill JU J.JIU.J.) .Jltl
White - Building
Canary - Engineering
Pink - Planning
Tht' C'f'nlt'r or Ihr Lakt ("oun.F)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. /2.. 1-1 0 {<-TO rJ
4-z4-- OL
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
nZCo4- jvlAR5HFlbLD '-ANb
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
MiffS
S<< /YIc,/" F,"(
Date:
S""-,-o L
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."
PRIOR LAKE
INSPECTION RECORD
5e.-e M fV( a-t!A. f-r 1.f
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '72 Lt ~ Mf1rs'^tri& Kn..
NATURE OF WORK kJ ~
USE OF BUILDING S F~
PERMIT NO. () 2 - 0_:;-32- DATE ISSUED S' - 1 -Oc
CONTRACTOR D Q. f-6r ~ PHONE '152 - 72{P - { 5sL/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) lP /, ?f) ~ v
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U ~Gr.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
to 81tJv
8-7/
971
8-QJ
$ ---t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
V)
10-1{;" ()L.
-if-Ct-
I ! )&-01-
OCCUpy UNTIL ABOVE HAS BEEN. SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have Qep,n .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 all inspections
FOR ALL INSPECTIONS (952) 447-9850