HomeMy WebLinkAboutBuilding Permit 03-0385
QIrrfifirafr lIf @uupaurJ!
CITY OF PRIOR LAKE
, ~rp~rfmruf of ~uilMuB Jlusprdiou
blFinal Permitted c-J Conditional e.O. Expires ,
fh: Certificate issued 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 of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAI1ILY
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Pennit No.
N/A
Zoning District
03-0385
Rl
Legal Desc';ption L2, B2, JEFFERS SOUTH
Owne, of Budd;n? S;teAddcess 15173 JEFFERS PASS N.W.
Contcactoc'sName&Add,esilENSNANN HOMES, 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
ROBERT D. HUTCHINS
r~ujldi'.!J Offjcial <-
, ~> l., I ,0 ,
V" ~ ,
City Planner
DON RYE
Date:
Date:
.,r.....:::..'
~~,c..:.;.~
~----"'-;--~-'-...-:.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIMe
SCHEDULED '--"27-01
/'
,~~ pr!~3>
CONTR.
ADDRESS 151 { <-
OWNER
PHONE NO.
PERMIT NO.
j~3-~
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
rl ""f~, €L-\ l"\c.cJL +~ ~ Q
_ 2. <:;....J ..l- T.o.u.'
_ ~ r::;,>~. -t ('rio-. 0 . ~.c,lu.A", c ___
rl~ ck g-~- (; "3
'""b>k r~JiII.. ^
(l, \~. ~V 3-7t.(;'
o WORK SATISFACTORY, PROCEED
o CORRECT A I N AND PROCEED
X CORR 0 K, CALL FOR REINSPECTION BEFORE COVERING
Inspectot Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"'9NQT,
DATE
nME
If-rJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ce, - [-0 ~
ADDRESS
/511'3
~
(?..-- q, ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5~ ') Ss
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"iiJ'INAL
/0 liTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
::.~~.J. t tI~ '" I(
"
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (J 1/ \ Owner/Contc:
CALL 44V-IaSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
oa>ron
DATE
<6~
I c; n~ ::rt.f~!~ 'P~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J:iIIIFINAL
ID SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
('~"p:-"G;'<(- .,o-()V~
( 9r<...AIJ(-()!/.
CcJ/\ 0~fS
TIllE
()).- 3~
o ~ILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
J
"-
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA_
SCHEDULED
G -~>-~
ADDRESS
/(173 ~h/h~<
as~
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"3- '3~.s-
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
if PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
[!) (evf.1Ovt
yMf-l'Ap 5
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT."ORnA>L F~R /~~'O)ECTION BEFORE COVERING
Inspector: r yy - LO - I-.::> Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT d- Ol f? -0 -a
(Please ~ or print and siJUl at bottom)
ADDRESS
j 5/73 jefferS
Pa..S5 n w
1_ White File I PERMIT NO I
2 Pi" c;~ '0 ? -0 '7 a.,--'
3_ Yellow Applicant ...J J U-,J
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 'J-. ADDITION o-c.p foe r5 SOl.dh
OWNER J
(Name) WenG fJ?4nn 1orn0
(Address) I ~6- P LflZ-p ()r I \J e
BUILDER
(Namp\
(Contact Name)
(Address)
s n", e
h1/Ck
I-Iel L /l'J1'lY\
TYPE OF WORK
~New Construction
OLower Level Finish
J Ijt Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $
Dutility Connection
o Misc.
ZONING (office use)
RI
PIDa5-c~95- Olh- (7
(Phone) (g:;/-LjD b -4'100
f.. A<j J9n
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
1.,/2-36"1-]{;'z.'1
ORe-Siding
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 all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~te!1o,;g;:Q"t\ to r~spections /4b"8 ;.. -~ 6> -03
'$ SIgnature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
'/'1/oot:J.OO
$ 15tJ3,3S'
, 977.IF-
95.5"0 ...
1$
$
$
$
$
$
$
-
11)0,tJ "
/t'~ v40
35".5"0
L/O')Oo
~ ~I--
This Application Becomes Your Building Permit When Approved
..5'119/0:1
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Si~; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7lfZ/.S?
4- 2 rJ J
# I $
# I $ 1;)..7 S-.QO
I $ 025"O,oe
$ L/5'.oo
# $ 1200.CJO
# $ ,?OCJ.oo
$ l$)tJ.oo
$
$~BZI.5.3
/1 _
I ReceicYNo,4J9'f? '/
By -:..J- -
U
, 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
'~~,LJ 3/r9/03 /~ a.L{ ~
Planning blrector Date Special Condltio1'is, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-
~~
.!:lbJt.. - Buildlnq
~arv - EnRln.;erlng)
Pink . Pfarlniilg
Thr Ctnlrr of lite I..h ('ounlr)"
BUILDING PERMIT APPLICATION DEf,ARTMENT CHECKLIST
NAME OF APPLICANT
/.,t)6Y//S Ala: l(j/f./
//
AI (J/i'l e.5
APPLICATION RECEIVED
/) ," ~) (;'- 3
Of" ::'~U
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which.ls proposed at: ,
/ ."
/C;-; /',l. 2, iQj\'. /(It_Q' /:>Y--CZ-;;L./"
......... i "'..>' \,......, -7' ,';'-.-
/ ../1...J
,
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
1JIffl3
Date: 3~31-o3
Comments: See Reverse Side for Aciciitinn::ll Informatic-nl
See Attachments: I) GradinQ Plan. 2) Erosion Control Me<l~lIre~
"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
Cl'iiik - I'lannln!l">
Th~ ("t'nln or fht' I..k" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/,hi<
--
,/ Ie. /)'.l/i //,',;,1/
e' ,/ -/'", '-. -,' ','
Ii,
t.; l.
,..
.:>
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I!, /' ,""/ :;
-..../ 1--......
C'. . .I
,!.\..--
~.
Accepted
Accepted With Corrections
~
Denied
~__L,
f'rv.- ~_'
~ Date: 3119/03
r _,f;;' ') .A.e. u"
__",:IJ,.,J ~~/J.,.
U
.~ (!.be,. .::t-
Reviewed By:
:ij"..,. :
R~ a-lI
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,"
~~
c... Whit.. - Buildina-:>
Canary - Engineering
Pink - Planning
Th Cfnlrr of lhr L.h ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /,de.l1/S/J1aIUN /lO#1e.S
APPLICATION RECEIVED d. - 2?-~
The Building, Engineering, and Planning Departments have reviewed the building permit
appllooUoo to< OO",lruct':;;;73Wh'~"/~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
~L.-~ ~- .;" ?~ Date: 3/JRjtJ '3
~da-d~ ~-~.
~ ~ CJr-.f) -4.u-kJ .:rh",,~
.
m~,/'
~.
"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."
10:00AM GENZ RVAN PLUMBING AND HEATING No. i I 39
CITY OF PRIOR LAKE
HEATINGYAlR CONJ)ITIONINGIFlREPLACE PERMIT
P 4 6
Date Rec'd
Ar r ,28 2003
ftt ~ . U'O.
, (~J~
i;':, ~~~ I PERMIT NO. ~_ -:2.. C, ~
3 y"u.- Appll.ant t <.....) --..J~ ...J I
Q'1ea.se'!ypc orwmr andsu:IJl at bottom)
ADDRESS
) 5/ /}'-~ ~-r~jr, m C\
LEGAL DESCRIPTION (office use only)
LO~ BLOCK G? ADDITION~/7r.YS: M~
OWNER
(Name) Wpn~m::lT"ln 'J.1nTT'.....~
I ZONJN'G(office'''''1 .
PID
(Address) 1895 Plaza Dr Ste 200
Eagan, HN
(phone:.) (..1:'; 1_0('1'::;_ ':::l7(\0
55122
APPLICANT
(Name) Gen::!.-Rva.n P'llmhinl1 & "H~.=I_r:i.,O'
~hon~ ~,1_a1~_11aa
(Address) 14745 So Robere Trl Rosemounr, HI'< 55068
_ (Addre,,) (City) (Zip Code)
(ComactPerson) _ ! ~~( r ~hone) F;,'_u1~_1'.u
APPLICANTSIGNAT'lJRE ,/";t?m/,( a ~..Jjr{J./~ DATE q/~f'/03
, APPLICANT PLEASE COMPLETE BELOW
, *W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS '
FURNACEMAKEANDMODEL ! VVlOK G CI(dj)Lf.15- fa 5 FUEd~~.-o
FLUE SlZE RETURN OPENINGS Q . INPUT /.~GM OUTPUT (,J2I(J
TYPE OF SYSTEM
~arm AIr Plants
'lJGravity
~eCh.mCal
., I Air Conditionmg
ent System
HEAUNG OR POWER PLANT
o S1eam ,
o Hot W=
o Rad.ladon
o Special Devtces
o Othcr DeVICes
FIREPLACE MA1<E AND MODE.L
InduS1nal, Commercial & Mulu-Fanllly
FEE SCHEDULE
I % of Job cost Residential, Gas Flrep]ace
$39.50 minimum
$99.50 Residennal, AddItions & Altentio""
$64..50 Residential, AC Only
Resldentla], Heatmg & AlC (N"", ConstructIon)
Residential, Heating Only (New CO",1TUction)
Estimated Cost $
BuIlding Pel1I11t #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'llT FEE
$
$
$
,50
,ta~\:r;Yse Oaly)
!,'-'-';""'"'.,,,,
, . ,."d,; Application Becollles Your Building Permit When, Approved
Bulldiag Olllcial
l Paid
~ <-'4'D\,~;~' U IY ~ ~
24 hour noti". for ,II inspections (952) 447-9s~Rx ~~) 4mz. Ul
Da..
I,,',:
PLEASE NOTE:
Air ConditIOner Units
Cannot Encroach into
Required Side Yard
Setbacks
$3950
$3950
$39.50
n P-4l'D
dlJll.D ~,., .
~"'G P 't"'f
'l:!:IMI_
I
, Rcccip1: No.
By
'(j'
AP r .28. 2003 10 OOAM
;C;~ VKfOol'
~~~
, '-, ~~~"''''E501.'''
GEN= RVAN PLUMBING AND HEAilNG
No 1139
P3 6
Vate Rec'd
CITY OF PRlORLAlCE PLUlVIBING PERMJT
(ple.a.st !ype or P1lIl.t and Stp;D a.t bOffin)).)
ADDRESSz::-; ~ a
/ J//)3 .:;;;/ "I'-eYS: ra~~\:'
L Bl.:a FilB I PERMIT
; $:I;;" ~~;,~, NO, B-6gS' I
ZONJNG (oftjc:: "!OJ
LEGAL DESCRll'TION (ofEe: us< only)
LO~ BLOCI< ~ ADDITION( )f"'" (;@rs: Pa.s:s--
Pro
OWNER
(Name) Yensmann Homes
(phone) 651-905-3709
Eagan, BN 55122
(Addre..s) 1895 Plaza Dr
APPLICANT
(Name' Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So R0bert Trl RosemouDt. }IN 55068
(Address) (City) (Zip Code)
(Contac:tPerson) --1t1J7!.e;r22. (.; (Phone) 651-423-1144
APPLICANT SIGNATURE ~f'/2,7/Zt1.//Zf).I.L& DATE __ft.. ac;!LJ '?
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture Quantity Type of Fixture I
I 0< I Bath Tub with or without shower $ Rough-ins I
I / I Dishwasher /, Water Heater 1
J Floor Drain K/:r:: Water Softner I
I 4., Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) 1
I J Laundry Tray (l or 2 comparlment sink Sewage Ejector 1
I ~ I Shower Stall Bacldlow Assembly 1
I r. Sinks Backflow Assembly Test j
I I Bar Sink I Lawn Sprinkler 1
I ,'-5 Water Closet (Toilet) Other j
FEESCB:EDULE
Industnal, CommercIal & MultJ.fanuly 1 % of job C(J$t wl,th a $39 50 minimwl1 ReSIdential. New One: & Two-Family $9950
Re,idontiaJ. Addition, & Alt=lio". $39.50
Estimated Cost .$
Bulldmg Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERM1T FEE
$
$
$
50
/1Uh ~-iID fA.
'U1tVG ~'rty
, ~,()
~,,.
(Oft1tc; Use Oni)o)
r,.,.".h. ...'. Application Becomes Your Building Permit When Approved iii' ~ fti,@ ~ !J l~ .m_I~11 ReceiptNo
d''''ii:J.~ r ~ lill ~
",.":.,, ,no.' B
,:,. KI"' I, Y r
I B.i1d;ng Ollic;,1 Dm ' I If 2 8 Z003 0 I (j
24 hour notIce for sJllnopections (952l/!y-9850, f~?!~~~~:~~ )
APr~8 ~003 IOOO.AM
GEN2 RVAN PLUMBING AND HEATING
No i 139 P ~6
Date Rec'd
,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
!, ~w g~ I PERMIT NO. :::<.- "'3g~
): Goltl AppljeAlll -/ ~ I
~lelUc ~ or mine md Sl~ atbDnom)
lAD/51/')3 ,-T~vs:
LEGN. DEScmnON (office U$e only) -.,- f\/'.., ,
LOT~BLOCK~ ADDmON~
rae\S'
Hi :c:\
I ZONlNG(officouso) I
PID
OWNER
~~~ Wensmann Horoes
(Address) 1895 Plaza Dr'Ste 200
(Addre,,)
(Phone) 651-905-3709
Eagan, ~rn 55122
(C;'1') (Zip Code)
APPLICANT
(Name~ r;~~.~-~.V'fl,n Plumbi!12 & H:e~t::~_n\1
(phone) 651-423-1144
(Address) 14745 So Robert Trl lln"PfflOttnr. ''>J S';Ohll
~dOr"") ,(0'1') (Zip Code)
(Contact Person) _ I WYJ e;J0 r (phone) 651-423-1144
. '.IeAN!" SIGNATURE ~ /Y)f/ a 7 JJil;tJff),P/S' DATE ~ ~() ';;;;
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe, 0 ABC 0 EVe
Estimated length of sewer line feet.
'0= out (if required) located at, feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Resldc:ntJaJ "ewer and waler line conneclJon $35 50 Industrial, Com'l & MullJ-fumily 1% of job cost WiTh a $39,50 mlDJmum
Sewer connection only $17,50 Water connection only $17.50
EstImated Cost $
Building PermIt #
elJll.~"'ID IA_
(Olliee tin Only) <J11\IQ ""17'/0./
,!,~~~;~S Application Becomes Your Building Permit When Approved 'lcPa:d if [E I R:ceipt ~o2 /)~~1f/>-
h BuHding Official D.k ~ (/T'\
24 hour notice for .11 in.poction. (9S2) 447-91' fax~t's~) t7~fl1P3 rD (}
SEWER AND WATER PERlvJJT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; :;,:" ~::, I PERMIT NO.-.:.z. - 3<1 ,e::' I
3. Yellow Applicant J 0 J
(Please type or -print and siltD at bottom)
ADDRESS
ZONING (office use)
15173 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESmE DRA FIR EsmE HEARTH & HOME
(Phone)
/\51-/\33-25/\ 1
(Contact Person)
RRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-256]
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/2/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TI0NS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
PAID W,
BUILDING lTN
PEFlft,frr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine: Official
Date
I :ffn) [E @ [E~ ill :!IjliPtNo,
~OO MAY - II 700" 8
M
-0' -
24 hour notice for all inspections (952) 447-9850 fax (952) 447-4245
By
~RIOR LAKE
INSPECTION RECORD
~w,
DEPARTMENT ~
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 03-03f3.,$' DATE ISSUED 'Ztj z..
CONTRACTOR ~~ ~ PHONE ~'r,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT '
.
/1~'CTOR DATE
'FOOTING lUc- I (lib 'f-",:?
, FOUNDATION (Prior to Backfill) I - . f6 I \.(,-{V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~~
SEWER I WATER I SEPTIC fiP l(!r rv
FRAMING r I) .s-:-J"'"
INSULATION J;dJ Q? ~ "-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE '
GAS LINE AIR TEST
(j/~
r?13
tr/s/03
(.r-:- I?
CS-=-I?>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, .
$"116 I
FINALS ,
GRADING (Prior to Sodding) V fL.
,
--to R-I-O?
~ .l ,U-<.,
BUILDING ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet pridr to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, carel shall be placed near main entrance.
fliP
C;, J(-O")
FOR ALL INSPECTIONS (952) 447-9850