HomeMy WebLinkAboutBuilding Permit 99-0223
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Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
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ADDRESS
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SCHEDULED J~~:;;r~.
fr,(rW(X)d 5,
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
kJ:vo
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OjQ-Zl3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~~EWER HOOKUP
LUMBING FINAL
fl- MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Inspector:
Owner/Contr:
CALL 447-'850 FOR ;tHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQU~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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P~/OJe WooO .s-r.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
. ,
ADDRESS
LIZ-ESt-!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIOt}./ Pr
~ FINAL
to SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)(MECH FINAL
DATE TIME
99- z, z..3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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INSNOTI
CODE REQU 'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V
DATE TIME
CITY..oF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Iz/~/"
ADDRESS "2. 5 i Ih 1nA."Jo6f) ~~
OWNER CONTR. AESEAl8Ifl~1C (!DNsT:
PHONE NO. PERMIT NO. 9'_7' ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)if.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~~w ~c.:r r~E. f.I",",L "1VJf.~ tSTAlJt.uuD\
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W~ gl... . 'llttner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
1~5'f
DATE
SCHEDULED ~(t~~
~WOrlJ1I.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
A-./j:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99- ~;J-3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ISI1 FINAL
f:j SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~\
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'X. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
. I r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
QATE REQfriEQ
MM Z 6 1~J9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS L( /J /J
L} ')..S (Yi~ ;~ L. 1,- I2t11C~
, f -.J..S-'17
6~~ t1-
BLOCK ~ PID _ ;).S-:f;)7 -OQ4-1)
ADDITION tlJi\i *' ~ L1 L( f O_j \1' CA.u-1~ l li ({ ttS C IC- '# It'l ~ ~
4.0WNi!!-. fA. (NJme) / (AddjeSS) ~!I / . (Tel. No.)
r.fLf-'(9l-€- loc~L t/l ~
5. ARCHITECT (Name)
3. LEGAL DESCRIPTION
J-
LOT
(Name)
}i1~t?A1ht~
7. TYPE OF WORK Fireplace 0
New constructi~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
6. BUILDER
SETBAC~~qUired
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
sr-~
(Address)
(Address)
" L
I "" !{.
Septic 0
Addition 0
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1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-~23
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
~
13. TYPE OF CONSTRUCTION /J
~C)6')~
14. FLOOR AI ~~~NT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
/' .. I L I({ ~) OCCUPANTS
I A"'?///1 <;. ")( I' 2- SV) .. SEATS
)Jeck 0 .. 'fre-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
it:lLUE
17. COMP .~~. A\TE / jl
" ~ /~AJ'
I hereby certify that I h fumishe' ormation on this applicatio which is to the best of my knowledge true and correct. I also certily !h~1 am ttreallner or authorized agent for
the above mentioned roperty a ~t all~tio ~all .. state and local laws and will proceed in aCCOrdancebllfth submilrrl6 plans. I am aware that the
building official can ok.!! this rmit for j '. r . h gree that the city offi;j.f~r ~esigne~a7' ent upon the property to per1Q.rm need!3d inspections.
X_ . _ (Y -< 6 / - J ._~ s-~ '1 c;
Signllld'1'll ~ ~ License . Date f
Yes
No
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
//
TYPE OF CONSTRUCTION: I II III IV IY-.....
Occupancy Group A B E F ~ I M ~ S U
Division 1 2 ()' 4
Permit Fee ................................... $
I 19 0 . I')(Y
t O(!) . t:J 7J
'3S.....SU
GaS;M;ire e B .....~... ............ $ 4000
This mes ing Permit w,..~ AJlpro~r-:.
By Date '-f (- 7 7
Certificate of ~upanV .
Water Tap ................................... $
Builder's Deposit............................ $
Other ......................................... $~~. ':;()
Total Due .............................. $~cL'f
Paid LQ4S <SO Receipt No. ~~(PL!
Date 1-1&-11 By ~U
e above application ,nd a companying documents is in accordance with the City Zoning Ordinance and may proceed as request~d. This document when
tes a temporary Certifi t . ~~g compliance and allows construction to commence. Before occupancy, a Cert~icate of Occupancy must be issued.
~ ~ Special Conditions ~ any
Plan Check Fee ............................. $
State Surcharge ............................. $
Penally ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
(
City:
o
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C)
"II'} W~
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VJY
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
Pressure Reducer .1&................... :
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $.l.t
Water Tower Fee ........................... $
AS(') . 06
I ('J S"C;J. 00
q~ , eJ 0
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24 hour notice for all inspections 447-9850
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CITY OF PRIOR lAKI:. Me
16200 Eagle Crute Av. S.E. PlIlmil No_ 9q~ 7;7.3
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
j - /7- 7'1
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Date
PID. ~5-:._,3Z7- ()44-0
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r ,.....1 fJr/ L-d~" 12- 2...
UA// T +f-
Add ilioo &/1 lEi (.,6 r!..1€. f!? 6 /::'- VI L.-L-AS
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il"'.- ~\r. J} r"'"fhll.. : ~.~
Sile Address
lol
Block
Owner's Name
Address.
U1
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Healing Contraclor I1r/ S // ~7L'.'}-)< 1-:' ,
." / A - - -
Address c?-l/))'I E cd~ In,.;; .o/;~
]t;(7 ~/37
1 elephone .
FUt03ce Malle eo Model I~l 'fy.~ i..-
f ');,J
Mude4 Size /I.u./ . ")5,. ...
TYPE OF SYSTEM
Warm Air Plants
Gr avily .
Mechanical ._ ___
Air COI,uitionillg
Veot. Syst~11l
Gooo.Load
Fuel
tVf-t:
-"'S' r'"
five S il. e
Su pply Openings
__-.I ~___
S'
HEATIN.G on POWER PLANT
S1eam ______._
HolW<llAr
Fl.ad ia\i:)I1 _.
Special U~vices _______
Return Openings
Inpul ..7-( IJV{)
Edr.
OUlp1JI ~ O,t'-i;.i<....___
Olher Dovices
.-t
.-t
CD
V
V
(T)
(T)
t"-
~
l!l
crm.
TYPE Of WORK
Alter ations
_ Fleplacam enl
New Conslruction ~
N
.-t
1l9pair
__ Est Comp. Dale
Building Permit'
;.?- i,
q9 - Zz.3
/"f~\O~ ·
\ e\lI\.OING pE-I'\~J<\-r
..
.-t
~
Esl. Cost S
11l
11l
11l
.-t
""-
t"-
.-t
""-
CD
~
IIEA.TING PERMIT FEE $
STAlE SUnCHARGE S
.50
lOTAL PERMiT FEES S
necltipt ,
.' yrunw \ *rwrlll:UIf'
TYPE OF STRUCTURE
Single r alllily
Cornmefcial
~
lwo-family
Industrial
PubLic.
Multi-Family
Olher
Fee Schedule
Industrial. Commercial & Multi-Family
rlesidontial, Healing & AC
Residential. Heating Only
Residential, Gas Fireplace
Residential. Additions & Allefations
Residenlial, AG Only
, % 01 lob cosl ($39.50 minimum)
$99.50
$64_50
$39.50
$39.50
~9.50
Remember 10 add the Slate Surcharge on the boJ(om of this applicalion.
The plice of YOUf healing permit includes one rough-in and one linal inspecl~n.
Additional inspections will be bille<l al $35.00 each_
House He:tting Test Record must be submitled with llllilr1ilM.1l1eIDlil onmhflr before btJild-
illY certificale ot occupancy will be issued.
IlEAl ~8..l.~!.tLAl!...O..MS Bf:(lUlBEll wilh nllmber of supply and return openings lisled per
IOOnl with CF'M's per opening New struclures or aiktitions send lloor plan wilh supply
lHld return localions shown. I~EAT lOSS CALCULATIONS, PAYMENT ANO
APPLICATIONS M^Y BE MAILED TO THE CITY Of PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 6 a.m. . 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-iN AND FINAL) - CALL CITV HALL
441-4230
I herelJy apply for a mechanical syslems permil and I acknowledge IhBllhe
informalion above is complete and accurale; Ihat lhe work will be in conformance
wilh lhe on1inances and codes of Ihe city and with the slale building/mechanical
codes; that this form doltS nol become a permit until signed by the BUILDING
OFFICIAL; Ihal Ihe worll will be in accordance with the approved plan in Ins
case 01 all work which re~uires review and approval of plans.
'0 ,___ J~
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:AlollJIKft1l~ Sig ·
_ . _~ h_____ _ --. .
Building Offic81's Signatufe
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Oa'e-
ell '1 (qq
O(t~
1. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~~~JL~.{j f:J<.L1. --el-~--~'/: -{/ .
Address: C: (fi ( ~~ r _:J.. <lc: 5'1
Signature: A /' J4 ;/..,.)
Legal Description( L,.ot ' v - Block S>>b e;t1Gf..,G ~K-
Site Address: LLJ . 5-. ~/ ~ FA '- t. 7-r'"",,F Jt:.7--
Building Permit # 6(JI'-1~~ PID# 2~...32?-n4-4-0
NOTE: This permit will not be processed without complete information.
PP No. 99 - z. 2...~
Phone: L(C/ ] 7 V'?
t'f./ Q b S' r-~-,l~
The Center of the Lake Counlry
Quantity
.3
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3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shall compl . I res t with the ordinances
of the State Plumbin bn9me9ls thereof.
. 'O/~/91 DATE
, ,
ATTEST
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE i: ~~L ?~~licant
PLUMBING PERMIT # qq -c7.3
n u h,rJ ;Je/:_l!v.-<~Phone:~I.oL[/) -(~7(/1t.(
I
Th. (".ot., or Ih. ...k. Couolry
Applicant:
Address:
Signature:
Legal Description: Lot I Block ( Sub Llttif-#4L(fQCj _ c./Ji...
Site Address: LJ;)- <-7)C:/~~ fb.J/'JL.- ~:.O/fJ~
Building Permit # 0<< -L,L-3 PID #~~ -.~~ ,--CJL/ L{ -()_
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower l Rough-ins
l Dishwasher I Water Heater
( I Floor Drain 1 Water Softner
~ Lavatory (bathroom sink) I Stand Pipe (washing machine)
01 Laundry Tray (lor 2 compartment sink) /7 Sewage Ejector
J I -
Shower Stall { Backflow Assembly (RPZ, Double Check, PVB)
,'?-I Sinks (> Backflow Assembly Test
,,'
t;1 Bar Sink / Lawn Sprinkler
:J- Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
bt.~
~~~~V")
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
RECEIPT NO. DATE
. ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
,_.~.. ...,;-:.... . ;,..,:\' '-""-
(jCl - 21-3
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TN Cum .f .IM ...... c...ory
White - Building
Canary - Engineering
'Pink - Planning
BUILDIN(ifERMIT APPLICATION QEf.ARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'~-[ llLJ-l (ilU l,~("LI( (0-;'72.>+.
3, 2&: .eft
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con~ruction .~.c ti~ty which is proposed at:
L.IZ 'jl~ II L l $ ] L~'O(J d sf,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: J:)ALTffl
E.., R. tt..s... ;IN i\.J
Date:
of/5/VY
, ..
Comments: SEE 'aUI&..O'N~ ?€ot....,.,. :it 99- ZZ& (~2.'50 ?A'O'hJOO~ s-rJ
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INFotl.~A-n<l"'\ .
(! D W"( lilt E.AJr<.
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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..
QQ-ZL3
~'h~~61'i'~e:2:L/
Tht' Crntrr of Ihr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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3 ~2~-q1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ,~ctiV~Y which is PropO';'d at
LIZ 9-J ~/LlM UJ0<yJ d fJ,
Accepted
Accepted With Corrections ~
Denied
Q-2 rL<k
I
Date:
c(-{-1i
Reviewed By:
Comments:
I. See- -:R+>.::\:t: ~l- ~~ ~c:lr b~s. S~~. J {J~rN>~. qtJ~ 5'k
\ ". I 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."
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Th~ Center or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a~tivity which is proposed at:
: I ,. ( .~. .i
\, I '. ! ( } i (~'\! J ( ',I I
Accepted
~
Accepted With Corrections
Denied
~.Ii~
Date:
Lf-I-c;~
Reviewed By:
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."
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_ ,_.. _, . ~<_ _....._._...- .... .....-~.__..,_...' <.__. _ L>, ...............,.,~. -~"'. .~..........-"'~ . ..... _
PRiOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Li ']SLJ P.it"\t'\.&.:lCQ& ~ t-
NATURE OF WORK ~.euJ QCSV\ ~huc..~,'dVL.
USE OF BUILDING S\= A
PERMIT NO. 41- ~::J3 DATE ISSUED 4- [-j1
CONTRACTOR Hp~ v.n-;\A ~ (I~"L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1 FOOTING I:> ,5 I 1- l' -?1 "Pz,2j" 1M 1'w
I FOUNDATION (Prior to Backfill) I Jj), (1/ 1/.;J.I>/r1 I 7-;) 7 -,~ I
PLACE NO CONCRETE UNTIL AEtC>VE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC r'
FRAMING fib \-t.,-\le \,JC- rtJ
INSULATION ~
ELECTRICAL
PLUMBING ~iJ)
HEATING (if required) ft II...\Uo
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
~
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/( --/7 -'(7
~,
/0 9-qi
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/1-/ &-11
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~I I 1
FIN A L S I' fA., 11 h J.J..'J.. U
t Wt JJ."Jo fJ'1
f~ Ivlll/ero
.
1\
,--~ -:-:!
GRADING (Prior to Sodding)
BUILDINGf.(;.o...bJj 1/1/". (I. It{''L~I~or
\
\ ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
\"1 '701 or;
v '"'" 'I
/ ,
BEEN SIGNEb
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 all inspections
FOR ALL INSPECTIONS (612) 447-9850