HomeMy WebLinkAboutBuilding Permit 99-0359
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~. ~~; ~trtificatt of (!Dcmpanry . ~
tl CITY OF PRIOR LAKE.~;
'1.' jDtpartmtnt of .uilbing 3Jn~ptction ~i~
I '~r )l(Final Permitted 0 Conditional C.O. Expires 'I:JJ
! ...t This Certifidlte is;ued pursuant to the requirements of Section 307 of the Uniform Building Code
. \.:~ certifying that at the time of issuance this structure was in compliance with the various ordinances a/the
';1 City of Prior Lake regulating building construction or use. For the following:
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Use Classification SINGLE FAMT!.:,! Bldg. PennitNo. 99-359
Occupancy Type
R3
VN
N/A
Zoning District R 1
Type Construction
Fire Zone
Legal Description
1.4 B1 MAPLE HILLS 2ND ADDITION
14095 BLUEBIRD TRAIL
Owner of Building
. Site Address
Contractor's Name & Address KEYLAND HOMES 1707' FlSHPOINT RD SE, PRIOR LAKE MN 55372
-i
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ROBERT D. HUTCHINS /l4:ity Planner
Building Official
/d-,2J-'l? Date:
POST IN A CONSPICUOUS PLACE
JENNI TOVAR
Date:
... .' . -'
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-15-1!L
II:~
ADDRESS 14oq5 Btueb~ TR.
OWNER
CONTR.
PHONE NO.
PERMIT NO,
'1C) - 359'
o FOOTING It 0 PLUMBING RI C 'L 0 EXC/GRAD/FILLING
o FRAMING )(MECHANICAL IN 0 LKSHORElWETLAND
.0 JNSULATION WO WATER HOOKUP 0 COMPLAINT
~ ~INAL 0 SEWER HOOKUP 0 SEPTIC FINAL
o FOUNDATION . 0 SEPTIC INSTALL 0 FIREPLACE
o DEMOLITION ~LUMBING FINAL 0
o FIRE PREVo B'SITE IN~ECTION r:ef I ~
CQMMENTS: VCAr"t1o ~ ,~ U ~
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o WO ATISFACTORY. PROCEED
RRECT ACTION A PROCEED
RECT WOR ,C L SPECTION BEFORE COVERING
Inspector: I Owner/Contr:
IL/'
CALL 447~230 FO! THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ ~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
"-'" J
.:rE / TIME
SCHEDULED ~i 9 '.30
\. 4;;o~ S bLU E-E> \cz.D
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
~ WATER HOOKUP
~SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
9q-~
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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w' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL ~ REINSPECTION BEFORE COVERING
Inspector. ~ {., Owner/Contr.
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White
2. Pink
3. YelIow
File
City
AppliCaIlt
.. flllt
-l q. 3 5,\
Permit No.
. 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
1"l.JOC,5 elt.lt~Ip..(71f{"IL
1. DATE
OY~07-q9
(2. - \
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) 2,1' (W~~~6' (Depth) ~Z ·
12. NO. OF STpRIES
DAlt
13. TYPE OF CONSTRUCTION
F<.3
14. FLOOR AREA APPORTIONMENT USE
MAI~J (\JX7R 9B4
3. LEGAL DESCRIPTION
'-I
ADDITION M APl.. E
I
f(5~ ~t~ -oof- 0
BLOCK I
1-/ ILL- 2- MP
PID
LOT
(Tel. No.)
(Address)
(Name)
4. OWNER
(Tel. No.)
(Address)
5. ARCHITECT
(Name)
(Tel. No.)
~HD - qA./DO
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
/102/ f/sJpC/fJ, f<f? S.E:.
P~IO ~ lAKe I 1"1 tJ
6. BUILDER (Name)
~CVLA.~I? I~DI'1(S
SEATS
16. PROJECT COSTNALUE
QS. L./i)(). -
17. COMPLETION DATE
,../LILi I~ I Iqqq
Re-roofing Cl Porch Cl
Re-siding Cl Finish Basement Cl
Deck Cl
Finish Attic Cl
Septic Cl
Addition Cl
Fireplace Cl
Alterations Cl
7. TYPE OF WORK
New Construction)(
Chimney Cl Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. \ :)91ou ' 5
"-
\
10. CULVERT SIZE
Yes ;i
9. PROPERTY DIMENSIONS
Width ee. Depth \5b .1\
I hereby certify that I have furnished inform on 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin . . I can revoke this pe' Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
rrrL d A/t (L,.I /5.5. ~ (yo"; - tJ'1- q 9
Signature License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION q B I /to . dO
PLANS & SPECS Cl
SURVEY Cl
SETS
COPIES
SF\->.
USE OF BUILDING
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV 6'i'
Occupancy Group A B E F HIM l1{ S U
. Division 1 2 ~ 4 1/1S-
Permit Fee .............. ..................... $ R 7 't..
<) Cs, a . 5'1
~,\.oO
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
~ s;-o . QQ...
( O~.I")C)
Collective Street Fee ....................... $
Sewer Tap ................................... $
':Jle" $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $ t ~ 5 .00
Sewer & Water Connection Fee ........... $~(') ,06
WaterTowerFee ........................... $ f)()(j, dj
Water Tap ................................... $
Builder's Deposit ............................ $ L: ':J""'C)Q .~
Other......................................... $ .
Total Due ........'I................... $;] I Cf, < 'S LL
Paid 1/ "'"1. ~'f' Receipt No. "! n t '1
Issued ill "
Date erj3/ ti 1 By I'J{}t( ./
This is to c~.gest ;::: application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s req~ed. This document when
sig~' :stitutes a tempo~:Y~lt'2 4mPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
<-' City Planner Date Special Conditions ff any
24 hour notice for all inspections 447-4230
Plan Check Fee ............................. $
&; fA~
-:\
'/)
\X
State Surcharge ............................. $
([ ~ , 00
Penalty ....................................... $
\DO'OO
I 00 -00
.3 5 . 'jD
Plumbing Permit Fee ....................... $
MeChanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
~~",,,"I.;",:::: rf:'2"!-"1Il'I
Certnicate of Occupancy
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, "Permit# .
oJobAddr_ l'ItJ~Liltt~ I:!../" v-rL
;. "Heating Contractor METRO AIR
: oT esters/Signature
Date
"Gas Una
PreSsurized
Inspected
Time
Pounds
Pressure
. Percent CO2
~ERFORMANCE TEST
!LI
"f, 1
.Percent co fJ
.StackTemp.t?Y'~
. Percent 02
Final Inspection
Date
.oj'.
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CJTY O~KE--';"-" ,. ...: . . .... .... - .. .~-, .".'-" j-: ""J." . .'- ~. '.. k. ">,,,. ..... .i....,..'.."'"
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'Ire{c: 1_ E"!..--. . .. $.E.;.,!'....n.tlo. qq-35? '. C:; :'. .". '.', .. . TVPEOF. STRUCTURE ..' '...: . ..,..'.
._.~ . ~~.PrtorUiKlt:~m.~.l. ,"'. ",' ' ..'" . ' ' . ,.' ',' :., ' .,' '.. . . . .
~~{~eAi1~G.'~CA~ip~t.: ... $;;v. ~~ X .' .. ~F.imi,. .'.-' ~'F"';;/ .
_ 0:'" ;:~~ :c. '\ 'I" .' .Y~ ~~; ~ '2.5-3<13:' 004- -'0 .' i:c.....,;,IaI. itldlllllial" . public' .' oti.e; .
s;:~\'-\ t\ '" '-; 6\ \...d~;;..^~ r-~; '- ·
I.d . " "Block \. Adciitlon. ~'Q, 'l> ~ ~ \\ ~ ~~-
Ownen Name '<.s t \.1\'" \. ~ \.\'i\-\.S .
Address .\"' \.) d \. ~,~ '{'1 \-. t-~
HealIng ContradDr ~ q:\ rl' ~ ~,... -i... () ( ·
Addre. \ \0 ~~t\ \\\l \.\' ~.clN- t\VL- R('\ O("\\~\l&j
Telephone' . ~~J~ ~ \d \.\
Furnace Make & Mod.1 (t.,.v-r, V
Mode' Size " i\ "" \).:; 0
Conn. Load "-\ \ '\ ~ '\
Fue' \'t\~" ,. ;11I8~iZ8 '\ \I
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(T)
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Supply Openings {
, 'Retum Openings ,,--\
InpU1 ~,1}~ OUIpu, 51~()\:)
Edr. .
Cfm..
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(T)
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TYPE Of WORK
Replacement New Cons1ruction
>(
l hereby apply for a mechanical systems permit and I acknowledge that the
inJolmatlon above is CQmplete and acculate; that the work will be in conformance
with the ordinances and codes o' the cily and with the state bulldlnglmechanical
codes; that this form does not become a permit until signed by the BUlLDING
OFFICIAL; that the work will be in accordance with the approved plan in the
~~f .11 work which ..~res revlow and approval at pt~~~ Cl- q l:\
r S'. Date
5/II/qq
Building Otlic8l's ~lgnatUre Date
Alterations
Fee Schedule
IndUS1rial, Comrnerclal & 'Multl-Family ,
Residential, Heating & AC
Residential. Heating On~
Resklential, Gas Fireplace
Residential, Additions &. Alterations
Residefltial, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$$9.50
139.50
$39.50
.1'.
Remember to add the State Surcharge on the bottom of thIs application,
TYPE Of S~S1EM
Warm Air Plants
Gravity
MechanIcal ><
Air Cond~lonin" X
Vent. System
HEAlING OR POWER PLANT
Steam
Hot Wafs'
Radiation .
Special Dev~es
The price of your healing permit includes one rough-in and one linal inspection.
Additional inspections will be billed at $35.00 each.
House Heating Tesl Record must be submitted with bYjldina permit nllmbP., before bu~d.
ing: certfficale of occupancy will be issued.
HEAT CAlCUlJIJ'rONS Ri=(,\l IIRFnwith number of supply and retum. openings listed per
room with CFM's peT opel)ing, New s1ruclures or'additions send floor plan with supply
and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND-
AP-PLlCATlONS MAV BE MAlLED.TO THE CITY OF PRlOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Other Devices
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.-IN AND FINAL) - CALL CITY HALL
447-4230
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Repair Est. Comp, Dale.
Est, Cost $ :, '\ (JQ ", BuDding Permit #I . ~ ~ - ~ s 4
is)
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HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.-A\lD-WrrH
.50 .BUI1J)ING PERMIT
)-
a:
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Receipt /I .
May-21-99 10:41 D&D MECHANICAL INC_
612-S90-4650
P_02
MAY 2 5 1999
CITY OF PRIOR LAKE t ~~~.. ~:ijCUI
PLUMBING PERMIT PPNo. QQ-3.!::.:>Cj
Applicant: D+ D lYlee.J.I. ~, .L na... . Phone:.x.J 6 - 5? ;>- 'ii't
Address: 7} I} Lv ./ :Jt,-fI:. .~. .sAul ~ ,1)"53::lB
Signature: ~'~~ ."l - / .' . '
Legal Description: Lot J.j Bloc;k I Sub 7YJofL~ ~ ~ --,No
SHe Address: I J./ I> 'IS /.?J t Ie. <-'=' I t"- d -rf2- .
Building Permit" ~ - ,35 '! PIO #....25-.,3'-1-3 - 004--0
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
r.. c........ 0' III. uk. Cu_"'"
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Rough-ins
Water Heater
Floor Drain
lavatory (bathroom sink)
Laundry Tray <1 or 2 compartment sink)
Shower Stall
Water Softner
Stand Pipe (washing machine)
Sewage Eje'ctor
Backflow Assembly (APZ, Double Check, PI/B)
Backflow Assembly Test
lawn Sprinkler
Other
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Induslrial, Commerciat & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ Q'1..S()
$
$ .50
$ /4tJ. b) t' B1
e)V.
GRAND TOTAL
This permit is gramcd upon the cxpress condition that said
contractor. shall comply in all respects with the ordinances
or the StlllC Plumbing Code and the ame9dmc?ls thereof.
-- REC&fJt~. 5.126/"19 DATE
/WA ATIEST
Call for all insp~ons 2~ hours in advance:,
/' 1'~~~f\t-A\"(
'l6U\\.,Ot
16200 Eagle Creek Av. S.E,. Prior Lake, Minnesola. 55372/ Ph. (612) 447-4230 / FA..X (612) 47 -4245
An Equal Opponunity Employcr
05/03/99 MON 12:38 FAX
141001
IIIIED - ......
n:u.ow - AP'PUCAIIT
GOUI . CITY
C!TY OF PRIOR LAKE NO. QQ-3SQ
SEWER AND WATER PE~IT'
NOTE: Sever and Water
contractors must
be registered
with the City.
APPLI CANT: DC Meeha.n ical/ S ~ocker Excava t:1.ng
ADDRESS:
SIGNATURE:
SITE ADDRESS:
8247 est: 12~< s~~
fA, .. I --.
l T . ....
",
" '
PHONE:
5~DATE:
890-4241
5/3/99
140Q<; 'R111",r.;,..rt T...."il
SLDG _ PERMIT # qq.. 35'1
PID# 25-.34-3 - 004--0
FILL IN THE BLANKS
1. Estimated length of ~ater service
feet",
2. Size of ~ater service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ASS
PVC 'lr
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
::::~::~~:=:=-~i:-:~:~::~~~~==-=---=====
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FEES:
$
S
S
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually lS $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the buildin~ pe~it card at the time of issuance
to insure that no dupl~cate se~er and water permits are
issued. ^~, ~~>
PAID ..\'-' ",/ AMOUNT
// ' t,,:~G:Y
(' ..~~
'JJ
PAID
REC/D BY ~
DATE
RECEIPT '#
16200 P",,~le Creek Av. S.E.. Prior Lake. Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
!VI Equal Opponunity Employer
cr 9. 35(
Kf" ::f
13u'[.,",,-,c, i
White - Building
Canary - Engineering
Pink - Planning
ThE' Ctnler of the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f.C (L1 I....;C\/'-. {)
t\'I~I'1l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '1D15
1?LvE~ Ii
Accepted
v'
Accepted With Corrections
Denied
Reviewed By: ~EI{ E H~~A^,Al
Date: o/Z3/19
Comments: iJSE. Cl4uTIOtJ wHEN
(! oNS-'~U(:nOl\/
1'1(.. TI vI iT' C) 4e...J ItS 0 N 0It
J~
CeiVc.AETE' 1oJ.&JC. .D.v.tMe:O P"'N€L.S LAl'(...L i3E REPr..r4c.~O Pt110~
'10 SIGAJ ()FF.
RIJIJ.!JFF= Mc.J.ST '3E
Co,JeJc'r'E-Q T"o AND IJUJt.JCa Pa.AliU~c,E.
w4,,J() OT\L.\T-( E:A~EM~ A~ MUC.H A< %i'n~TICAL.,
-<)f~ r\l\e: A8DtJr
Co.vc..~(UJ..s. WITI-i.
GRA 01 Nt:. Pn..latt ""R;) h AJ A~
r..RAOIAJ(~ ,
S,{F. /NF'ellJl1t1f1JoiJ
ON
REIIEIlSE.
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01,,/1" ~.h4V Ml1S.T"' BE A M A lC. 'MlJ"" c'} t= Z-'1 I+r
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An-AC,",J'1fAln: I. ht.J~ (JltAOE JA.J~Pf.C1"t(}N iNFORMATION
l. alfAO/NG
P(...AAJ
~, EltoSlo~ (J.(JlJT~OL ME41u.nE.~
tJ. E R05/01\J t!.o,JTtt.tJ L 'f1..14A1
'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."
I(j1
--.-.........'--..'.'..-..-.--oor---
(9.35'{
Th~ ('"nfer of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~<1 t-AAD
411'),\ '1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lLl(1lS- 'KQW01-Ad ',rc~
Accepted
Accepted With Corrections ,<'
Denied
Reviewed By: Q C8.-7~
Comments:
Date: ~23r99
\, 1\.a.11A.~~l-\. )h.,~ICM Q.~~~
2, e.~ & Ctt1.:i.cW ~ oJ-
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
~.....
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White - Building
Canary - Engineering
Pink - Planning
Th. ern I.. of Ih. Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t'\ i I:, ':'1' 'I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~~
Date:
t1 '" n 1JfJt
Comments:
~ ~ ",WAM IAlr..<A1
<0-e- ~'1 )~ ~L{-
I AArffri o.~
,
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 140'15 ~\\)P.\Q\t-& ~o.\t
NATURE OF WORK Neu.\ OmlShvc'-'dV\,
USE'OF BUILDING ~FD
PERMIT NO. 1'~-359 DATE ISSUED q-~""3,-71
CONTRACTOR \({>'\ \o..M~ ~e~
NO-fE: THIS IS NO. A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ::J.. \-\. I ~-S--va.
I FOUNDATION (Prior to Backfill) (ffJ-.:>(a-tI I
PLACE NO CONCRETE UrtYlL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ -eq./
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST eP 6/J"Lj."-:1
COVER NO WOrtk UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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R.II
5-~5'-ii
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t/ld/9q
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fJ/ ti /1 ",/" ,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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C\J ,,-( s -qq
lJ I j 7-f~0f1
OCCUPY UNTIL ABOVE HA'V' BEEN 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850