HomeMy WebLinkAboutBuilding Permit 03-0067
)" "/
'}
-~ .
J- ......
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.r6{G
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
(i1,1Il JS<' d" <-
I
DATE TIME
7-(q-<f]
CONTR.
PERMIT NO. -s--c-,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<;Arl / ,1'h.; \
l
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
---
~
/ r
/ /_. I IU-
( ( /11"-
'~
r,t)
~
~
---- --
w'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: M 7-1l1'~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
-ill 03
$05(0 fauOS fi)G~ L,()
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() ~ -O()(Q 7
o EXI.ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,... ~~,.. 0 v....
\
- Gu~~ ~-,<..- DK
- "
MP~. &A.()'~~0 (~[ M.-rf:. Affi:ZOA.vt\ ~
~<..U.6rl.-~. D A._~ l- ~
o WORK SATISFACTORY, PROCEED
)r( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ..I'ff:_J~^a Owner/Contr:
CALL:~8:0 ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/tSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~ PCJv1el$cj~ L-vt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
OJNSULATION
FFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ..eLUMBING FINAL
ZMECH FINAL
g COMMENTS:
1'2,fr''''tA I &-~ Ct(?J~ )
1-) f~r H1 ,~'" t d y-,v:~ il
0" TE TIME
t,- ~ S- ..e1)
7-(,7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ SdeJ of. .1J...,.of' '.5
r(-( WlP f/~ +-i J
C>{StIt -r rlf( l-tc,.(. .J
f-/-()s
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREC~;{,,):;?fALL FOR REINSPECTION BEFORE COVERING
Inspector: f V 1./ (p ~ 2-SvO:> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
5-21
ADDRESS
OWNER
SOS-G
Pu:1clH'cL "
- -.
CONTR.
PHONE NO.
PERMIT NO.
S-(,.7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.et'"PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r e tA1 (/'Ix
rV1J(&:t If? ~
o ~K SATISFACTORY, PROCEED
)1 CORRECT ACTION AND PROCEED
o CORRECT.{ffO . CALL FOR REINSPECTlON BEFORE COVERING
S/). 9-rh
Inspector: // Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink Cily
3. Yellow Applicant
(Please type or print an~-
ADDRESS )
~ DY"Id~_, LA'n.o.. StJ!5c, ~~.
LEGAL DESCRIPTION (office use only) I:
LOT ~ BLOCK:l ADDITION b-npJJ_
v
OWNER
(Name)
(Address)
BUILDE~\ m \ \ '.
(Name) .J../ - ~ . \-\uY'~..\..JA (' -
(Contact Name) :-:1':_ v-e... ~ c-\6~
(Address) LDE'J.,o ,(\O.4X Io~: b',\!- . ~. l 00
klt-lll ~'.iuI M \a 6044
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
~
(Phone)
Date Rec' d
IZ-5-0L
PERMIT NO'Q3_ oOftl1l
I
ZONING (office use)
PID
s~
(Phone) 951--e=J ~t;....., '2&53
(Phone) qsz..-- '-~ - \ 3 '3y
o Porch
ORe-Roofing
o Misc.
o Fireplace OAddition OAlteration
PROJECT COST/VALUE (excluding land) $ I ~~: If Iv
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
au agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
su itted Ians. I am aware that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e er upon e property to pe .0 ~~:'f)-
_ , ~lt1--- ~7/1)t)O ~S 7
Contractor's License No.
/,
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/ q t) fJOD.oo
- I
$ 'jt{97. 75.
$ '; 7 3 ' 5"1/ .
$ q~"o
$
$
$
$
$
/O(J,oO
lot), fJ{)
3;;.50
~O~(){)
This Application Becomes Your Building Permit When Approved
.~/~
Building Official
/tiL;6 3'h~
I
Date
I Park Support Fee
I SAC
I Water Meter SiZ~I";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid R0lo I. ~11
I Date J - I 3 - O::2:J
ORe-Siding
OUtility Connection
~?
$ ftc; (J rOO
$ / Z7o, 0 0
$ ~5o,oO
$ LfS' .." l)
$ I ZtJO. DO
$ 7tJCJ ,00
$ I 'SC (J ,l) 0
$
$ 8; (Pf4/. 7!/
"- ~/1~"
Receipt No.'I':7'! '? 7
By f}12 /"
#
#
#
#
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~ -M~
Planning Director
~~~
,
fe;2./d 3~ 'l.-
I 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
The ("enler or Ihr Lab ('oUnlf)'
[White - BUildin;:J
Canary - Engineenng
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,l) lZ/IorUJ
I -
/:J -tt -0 d.-
o ..-/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
aP5b~Zco:9;:t;ZhL:proposed at: ~:: ~ ~
Ir I ~ -
Accepted _
Accepted With Corrections
/
Denied
Reviewed By:
~~p
.~~
Date: ~ ~~
-<J /~ ~ _ ~ -o-:::t:;,
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."
White - Building
Canary - En~ineering
Cpink - PlannlrqfJ
Thr ('rn.rr or thr Lakr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
I
/
l
~
"......
The Building, Engineering, and Planning Departments have reviewed the building permit
app~tion for construction activity which is. proposed at:
~5~' J
( -j
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
&. ~~ ~L?~
Date: /.,)~ 3~ ~
, ,
Comments:
o/o//~
~,,~~ /~~IP ,eo.~. TO
d
IJ I~ /J -
-0;- d ~.
"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."
White - Building
Canary - Engineering
Pink - Planning
The' ("rnll'r of 1M l..1l1' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
)
~,. .- . / ".If .._'f' !
, ., ,'./ / ..' /" ,~.;-, . C. ~/
/~./I //(. ,/,r t"'.-"Y (~..r."" --
t?
J!" p _," -.:;..
r.:;)!/ '- ......" '-._./ -,
V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con~lruction activity which is proposed at: L'~L~'/:' ,-:::. } J':"/
50~f:;, /'c'; /l1_)(/(;:-/7 t--// S_I: L ,;'j l ! -/' '- <"
I
Accepted
x
....
Accepted With Corrections
Denied
Reviewed By:
/iYfJ3
Date:
J -9-63
Comments: -.See Reverse Side for Additional Information!
See Attachments. 1) Gradj-ne- Plan, 2) Erosion C;ontrol 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."
.
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
.
Surface storm water drm.n;ge flowing to the perimeter of this lot to and from.
adjoining properties must be conveyed to the roadway and/or to the rear of the lot
in drainage swales within the drainage easements.
~ .
All bare somareas must be protected from eroding into neighboring properties
through the property installed-and maintained silf'fence-or bales.. --
. The silt fence required by the erosion control plan' must be iristalled pripr to any
earthwork being started.
. The builder !s respqnsible for maintaining the erosion control measures until the
turf is estabijshed. .J
. The rock co~fruction entrance must be installed at the time6fbackfilling of the
foundation. , . . ..
: ~.
, ~ r
:f
"
'>It
..
M.PLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
~---
~h3
,$(:JSl, ~~~t.
~~~~
~~8 .
~/f~~
~l Y7.
~---~
. 6,. )70
/6(1'
Combustion air is adequately Supplied per
UMC Sec. 606 j/~J
. k-_ .J17Ih)
input "IV _...'"
I 2 : 1 2 PM
GENZ RVAN PLUMBING AND HEATING
No.0986 P, 8.21
Date Rcc'd
CITY OF PRIOR LAKE PLUlVIBING PE~'llT
I Blue: FiJII PED'!\'fiT NO "
"_ Gold eil)' .I.'J.". . 3 - -J
3. YoJI.....", A.pplJ"'Q( ,
CPle~se l',"t)e or lmnt and Sll':ll at bottom)
ADDRES.t)fJ5& PrmdSed ore U7 S r;;:
___ 1--'"
lJecv-He1 oJ ~
. ZONlNG (office U:!C)
LEGAL DESCRJPTION (office use o.Dly)
I_OT 9" BLOCK~ ADDITION
c.
PID
OWNER
(Name) _. DR Horton Custom Homes
(Address)
. (phone)
962, q X f) -7'B/JD
2<.';'S!.oD ~.b13~t t>Ge... Cn Sre. IDO
u-;;du~.\/! lIe:.. j,tA .~ .f; Sf.?Ll L/
APPLICANT
(Name).J;"'M_'t':..a.~ t)'..~ f:.. ~Mt::i_"'{l
(phone) ~" 1 _/,? ':l_ 11M...
(Address) 14745 So Robert Trail Rosem.ount MN 55068
.~ddre~s) (City) (Zip Code)
(ConracrPerson) J a~. ~,...... _ .().((p):"nb~OnC) 651-423-1144
APPLJCANTSIGNATURE Y})J;rJI/.) a 7r ~ DATE) -2r2r'CJ3
Quan!,ity
d-
.I
I __
~
I
I
j ,
.::s
APPLIC.ANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ~
Dishwasher J-. .
I Floor Drain K / :;::.
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow .~sembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SC.I:1EDUJ.JE
IndustrIal, Commercial & Multl-faImly 1 % ClfJob cost wjth a $39.50 minimum Residential, New One & Two-family $99.50
ResIdential, Additions & Alterations $39 50
Estimated Cost $
Bmlding Permit #.
PLUMIHNG PER1vJlT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
fP"'I'i\
\'0' T' 'lJ.
(Offiee Use: Only)
I This Application Becomes Your Building Permit When Approved
or
t
Building Omdal
Dllte
24 hour norice for s.l1lnspectlons (952) 441-~; (, f~2))~~3
?y-
....._-._.~.._-,.""""'-.....=~...-^
J ~~ ~OO~ ]:',]?PM
an,~~. ~ ,j _ _
GEN2 RVAN PLUMBING AND HEATING
No,0986 p, 9. ~I
Date Rec'd
CITY OF PRIOR LAKE
.. .
SEWE.R AND "VATER PERlVul'
1 OAlIlI fiJ.o I PERMIT NO
2. Yellow CilY'. . . .--:) -1....7
J. (",14 Ap~U"ot ,I (tI
(Please type or pnnt mc1 st~ at bottom)
. ADDRESS At) ~
Jl . (0
r..EGAJ~ DESCRu- J.J.ON (office use only)
LOT g-- BLOCK;:< ADDITION
fbnd~edO)c L;/j S~
'--'
))r'erf/g(cl fIR
I ZONJNG (office UIC)
PID
OWNER
OName)_DR Horton Custom HQm~~
(Phone) ~ O/~ ,Q85- {g(jf\
(Addn:ss)
20 UoO ~Bi<-\ t6e. C:r- Sw _ J ()[\,
(Addrt:ss)
La~1J I lie,
(City)
.5COLJ U
(Zip Code)
APPUCANT
(Name) Genz-Ryan Plumbing & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount, ~lN 55068
~dress) _ (City) (Zip Code)
(Contact Person). . J~. ." 1A.tl.... .~~rJ'hone) 651-423-1144
'UCANT SIGNATUF.E0Z1n7~~ ti- '---YY7a ~ lJifaTE 1-021 0'3
APPLICANT PLEASE COMJ?L:ETE BELOW
Size of water service inches.
Location of any couplings from structure ,_ feet.
Type of sewer pipe. 0 ABC 0 pve 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Rcsldential sewer and water line connectJ.on
Sewer connectJ.on o_nly
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-famjly 1% of job cost WIth a $39.50 mmimum
$17.50 Water co.nnection only $17.50
Estimated Cost $
Building Permit #
'lS'<:"" .
Buildiug Orocial
Date
At'
irt~
'.' , ~ it- '"~,
~ "i-r..
df
SEWER AND WATER PERlvITT .I-.t~
STATE SURCHARGE
TOTAL PERMIT .l''!!;.I!:
(Office UU Only)
This Application BecumE:S Your Building Permit \\'hen Approved
24 hour notice fol" all inspectiolls (952) 447
0-/
CITY OF PRIOR LAKE
HEA TING/AIRCONl)I'flONtNG/~lHEP:LACE PERI\tuT
Date Rec'd
~~r
(Please type or print llIid silttl at bOLl.UUJ.)
. ADDRESS ////
67252 h/l.d5e?~~
t~~ E~IConII PERMITNO. 3 ~-017
~
:5C-
ZONING (office use)
--
LEGAL DESCRIPTION (office use only)
LOT ~LOCKd ADDITION
PID
OWNER ~'.') tLa.
(Name) U"'- 1\Oy+on
(Address)1l>8LDO ~br\d~e...,U-
. APPLICANT " .
(Name) t\\ha..n-t- vv\tcha.1.ltcoJ
(Address) .3l.Q'Sc K.e.n ne.Oec,1:>r-Sw-k ( r:' IlIAM ..M.N
(Address) . ~ (City) (Zip Code)
(Contact Person) ...\t+f- Ll inmeYrv\iU\.. (Phol1e)ffi 1.~2- 2.11'5
APPLIc;t.NI'SIGNATURE ~~ .bATIl. .
..APJ>>LICANTPLEA$Ep()MJ>>LET~ J~.EL()YV..
J&1NEW CONSTRUCTION ......... ... [],REPLACEMENT ./> QAL1"ERATIONS . .... ... ............. ......
FURNACE MARE AND MODEL7Br~qz.l. .. .. .' fl1ELJVa:1-.~~;
FLUE SIZE ~'I'2- "PII e..-RETtJRNbPENlNGS INPUT 'l!4-/)(J()<OU1PUTC. ,;6(J6
TYPE OF SYSTEM HEATINti oltpoVVERPLAN't
. (Phone)
I...A.ktvi lie.
MKl
5ob'ii./
(Phorte)J.t;51J../.62..-; 2..115>>
5$1 t.t..
OWantl Air Plants
QGravity
8 Mechanical .
gAir Conditioning
I&fVent. System
o Steam
o Hot Water
o Radiilti6rt
o ~pecial Devices
o Other Devices
.. PLEASE NOTE::
Air COl1ditionerlJnits
Cannot Ericrdachinto
. ReqlliredSideYard
Setbacks
FIREPLACE MAKE AND MODEL
"'0--','
Industrial. Commercial & Multi;;Faillily
FEESCH:EDULE.
] % of job cost . Residential, OaSFireplace
$39;S() minimum ..
$99.~() ....t{i:sidential, Additiorts & Aiterations
... $64;50 Residential,ACOnly
. $39.50
Residential, Heatifig& Ale (New Cortstl1.idion)
Residential,HeatirtgOrily (New Construction)
$
$....2.........."r......................../.. 5.0......... . ,
...... (4?'.. .... > .";>F.
(Office useOJily)$~'i,tff:".\
This Application Becomes Your Building Permit When Approved '['0) ~ rn ifl!r~ ~I' I ::~ No. _
..;ldh..Offid., ..k . Pes 04 2003 !L By ~
24 hour notice for all inspections (952) ~y9850j fax (952) 4474245
. HEATING PE:RMIT FEE.
StATE SURCHARGE
TOTALPERMrrFEE
EstiriiatedCost$.d:]OOO .00...
'"'----._,..~.~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~~~y PERMIT NO. 3 _I '7
J. Yellow Applicant CO
(Please type or 1Jrint and siltll at b " :: " . "_.)
ADDRESS
ZONING (office use)
5056 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/12/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildine Official
Date
Building Permit #
$
:. .50 8U PAID WITH
". W."'i'. _tt~:-_\ ~ rL.ffi.R.. -- 1LDING PEF1MI1"
Ur ~l.~ ~ Receipt No.
_ ~E\K 1 3 Z003 ~l By
(JJ
-j
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 44 ~!iiO. fllx (95~ ..:1.245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~O~\p Pf)M1\-1!.DGtE. LA~e:
NATURE OF WORK NftJ~lfl&'lcr,.~--
USE OF BUILDING ~, I.I:lt-B
PERMIT NO. _ 03 - 60~? DATE ISSUED ,
CONTRACTOR ~T6tJ J ' tJC · PHONE ,U · IV,/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECT~ DATE
FOOTING I tlllf / - L ~ ~
I FOUNDATION (Prior to Backfill) V,( Vout {\P I~)O ytI{/ I ~ -) -{f)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING L:~{iA ~~ trv(1 5"/0 M
INSULATION i11JO
ELECTRICAL /1
PLUMBING tJ,lr fl.f' 3. (I lit/('" "3 - ~t?-A
HEATING (if required) /h- . ~ / ~ J /~;;L.
FIREPLACE . ~ J/ J/ I ~
GAS LINE AIR TEST '('Al1rl\ I fP V1Iy17 I--JJ;r~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/c:'/V 7.2-']
MIfJ
r /;rJ
It'1tV
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDING \..w,? W\~I ~"I
ELECTRICAL
PLUMBING
HEATING
DO NOT
.~ I g l/d~ .
/ L;-1 r{/)
7. 1'1< () I
~ .. ).q~tA
(,-ts~
BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850