HomeMy WebLinkAboutBuilding Permit 03-0105
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...._~,.-:-..~_..,......~y,.;--
DATE TIME
CITY OF PRIOR LAKE 6-1 (
INSPECTION NOTICE SCHEDULED
ADDRESS SO~2. 0I1c1.~'(4r
OWNER CON1R
PHONE NO, PERMIT NO. 3-IOr-
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA liON o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: <:'d / tJ'Lt' '5
~
( I/'//~t"
\.
.........-
----------
;--;1.. )
p-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC/tlWO , CALL FOR REINSPECTlON BEFORE COVERING
. all( If>
Inspector: - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
gJ3L. fol1c!r,.,.if' '
OWNER
CONTR,
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
4-ANAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J1FMECH FINAL
COMMENTS:
(f) P''la/ /1v--".)~ ~OJ--rll,rD!
"--" d 7rv:r
T-r'1A /J I/vt +-,'/
,
Oy ~-r rY'{''';:'' c
DATE TIME
'"J-8'
'S-ft?~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
Sr)..)
'6Io5-
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (l;f 7- 'i)'~!J'; OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~.I'(
ADDRESS
(Q-1L rPorv-J> ,.J.,<-
OWNER
CONTR.
PHONE NO.
PERMIT NO,
Z - /CL(,
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
lIJ' PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o ye-v...O/r(
/' bti- G#5
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~R , ALL FOR REINSPECTION BEFORE COVERING
I t /'6-0
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~
TI1IE
ADDRESS S6~Uf'A.lf>-,f:rJ(-:.E Lt-'J
OWNER CONTR,
PHONE NO,
PERMIT NO.
6 ::'-10')
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'w FINAL
/[j' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o ",yOeILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
bP--A..oC:... - alA..
GcAZ f'> t;;-r oP - 0 l.Z
r:< f:.P A<< ~ 'Sr'..-I'.cwA.L,^- PAi,J[l.-"
llo~SCJ.II....SPr\
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
OwnerlContr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/-3-tJ3
I_White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. as - 0/051
(Please!V.Ee or print and sign at bottom)
ADDRESS
(:/XXX rOr'\dsr{,~,r)i2--) ",,-'t'\L- !JcJ3l-- p~y ~
LEGAL DESCRIPTION (office use ;nly) t'\ . ,
LOT 5 BLOCK 1- ADDITION lJ&.-/'-h.etJ. ~
OWNER
(Name)
(Address)
BUILDER(, n \ \ l. ~ \
(Name) t J\"(, \\\lhl!Y\ -I-J!\.L
L"-1 C.
(Contact Name) ,JT-!, 1"" J LX" ( ,Y. \ <<)
(Address) ;nUtpD \<((,tt~h ,h-,pdS+e IUD
I 1'-'''f'/ARvvl. MY\ ';;L,'D4Lf
TYPE OF WORK
o Misc.
,,11 New Construction
DDeck
ZONING (office use)
PID 26- 31tI- 0 ((0 - 0
(Phone)
(Phone) clIQ2<:'IVS- 1809
(Phone)9t72'2u'" I';y,~ -
DPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTIVALUE (excluding land) $~ II ill ~
$
$
$
$
$
$
$
$
)"/1,713,001
I c.1o.q~
/, o.n . (;.1
/()(",OO.
. ..
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 0
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_ a are th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent~r l'.....l'....nj' to' rfi dinspecti1~s,./
X ,~,,,,~ rVt'i,)nG,/i,-7 j-!j;;.C'':l-
\,.,...0"" I - Signature - Contractor's License No. Date
II
I PermifValuation
I Permit Fee
\ Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
\ Sewer & Water Permit Fee
L Gas Fireplace Permit Fee
( DO . 00 I
/00.00 I
3S.5"0 I
YO.DO I
T~pprab~r Your Building Pemnl When Approved
~ ~ 1-~7.0)
BUilding OffiCial Date
I
1
I
1
1
1
1
$ 1
$ ~,f17{p , 0'71
, .
I ~~ceiPtN~ 559
Park Support Pee
#
.$
$
$
$
$
$
$
??~o,oo
I). 7Soo
?-so .00
4[' .00
I J-O(). 00
700, 00
1.100 00
SAC
#
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 documev
::::: signed by th'l rlanner constitutes a temporary Certificate of Zoning compliance and aII0WS;:tru;ion to commence. Before occupancy, a Certificate of Occupancy must I
~ (-l'7--0'1 "'...... aft /fo~~,.rf-S'
Planning Director Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
I Water Meter SiZ@;I";
\ Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid.'d ?S"'i'; b rUI
I Date I ., ~'n'-'J
1- ..... - ./
#
#
~~
White - Building
, rmg
Pink - Planning
Thr(-rnlrrofthrt..bCountn-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J)!C No r 1-0 JJ
/- ':2,-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I- 0 III ^ _ 11, '^ IJd f'i'
rrrrzWdf-<~ L-u ;5 0{ ~.<
Accepted
~
Accepted With Corrections
v---
Denied
Reviewed By:
tUi~
.
(t'C( cl Cl f{
Date:
(-2-7-0c
hemcJ tJd-f S
Comments:
a'tf~h~ cf
"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,"
'-
"
~ &~);
Tht ("tnler nf the t.kf Country
White - Building
cJi'''''l'ry - "'''llineering
Pink - Planning ')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" l;~/J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--.....
" -
,'/
Accepted
v
Accepted With Corrections
Denied
IftJ. a
Date:
/-2 "/-0 ~
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."
3~~
jllbilv l;lllil~iDl'
( Canary . Engineering.J
"'lnk . t"lanrullY
ThO' ('..nll!'r <If IhO'I..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
li
r:;
I ,~
/''''y/ ) k),l.J
,
, -
~
-
--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ,ity which is proposed at: &5 /ij'
/:",-'" _.-1/, .j'., ::(,-~, " ...;,;;;> J -f U
Ii' /1 lL-<:).,~f.>'-i>'----t I l'-IL/ /-.;; "".\
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
IJ14R
~
Date: I-la-a s
Comments: -13"'''' RAver5e Side for Additinn~1 Inform~tin,,1
See Attachments: 1) Gracline Plan) 7) FrnsinT1 rnntroLMp"sllp>S
"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."
Mar, 7. 2003 Ii :26AM
€t!f)
..~,A,I'" ~,.
.. ~'NE50
GENZ RVAN PLUMBING AND HEATING
N0.5620
P 6
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 BIlle fi]~
1, ~lcl C.~
J Ydl.,,,, A~Ht::tnt
I PERJ\fiTNO_ =1-/0:)" I
(please type ornnnt a:nd sjp;n atboaom)
ADDRESS
~93bl
r:bnaSiC'"d Ole
<../
ltl [; ~
~
I ZONJNG (0&;<0"") I
LEGAL DESCRIPTION (olliee US!: only) ~ j;'1.
LOT$BLOCK dADDmON 4-Jeer-nelo)
PID
OWNER
(Name) DR Horton Custom. Homes
(Address)
(phone)
9~2"qxC;-7BDD
2.O'SloD )(brJB.e..ll~c:e.. Cr STe. /{)O
/...ciuvtlk:, MAN 56bLjtJ
APPUCANT
(Name) Gl#lU:-:O~.~~" 'I?::'....\.,.:...g f. ~A.:li'"1T'\~
(Address) 14745 So Robert Trail Rosemount
(Address) (City)
(Contact Person) ! a _/Y)8f,/U. .n (phone) 651-423-1144
APPLICANT SIGNATURE (~Lma7tK'~ DATE 3/ S/6l ~__,
Quantity
0<
-,
/
_J:)
J
, I
/
~
(Phone) "'l_b?~_' lbb
l1N
55068
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
I
I
I
I
I
I
I
1
J
I TY1>e of Fixture
Bath Tub ",ith or without shower
I DisbwasbeT
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
I Shower Stali .
Sinks
I Bar Sink
I Waler Closet (Toilet)
Quantity I Type of Fixture
3' I Rough-ins
I . I Water Heater
t? / .1.- - I I Water Softner
i I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I La'Wll Sprinkler
I Other
FEE SCHEDULE
Industnal, CommcTClal & Mulh-farml)' 1% of job cOS! wIth. >3950 minimum ROSldcntial, New One & Two-FBlml)' $9950
RCSldcntiol, AdditiOtls & Alterations $39 50
(Ollie. Uso O.'y)
Estimated Cost $
Budding Permit #
PLu:MJ3ING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
PAID wrh.t
eulLDING PERMIT
lIuilding omci.1
7rfr@ re fece1pt No.
~ 0 [Xl ~ '1
~e y
- D.", I~ MIlR {} 7 iBOJ ~I
24 hour natice for all inspections (952) 441fJ~~(952) 4474245 ~I
1\
~
Tilis Application Becomes Your BlIilding Permit When Approved
Mar, 7, 2003 I 1:26AM
GENZ RVAN PLUMBING AND HEATING
No 5620 P 5
Date Rec'd
€~~
~'''''tlrIS50~t-
CITY .OF PRIOR LAKE
SEWER AND WATER PERLWT
:. ~~ ~~. I PERMIT NO. -:; -105 I
~,G)ld ~~ -
(P].ase ~ or orint and. sj"" at boltDm)
ADDRESS
5030 //0 nd9 ec(CJC UL '2?;;.
ZONING (offic.".)
LEGAL DESCRIPTION (office use only) ~
tOT5BLOCK [;( ADDITION :Dc-';;e~e/d 0 Iii. I
PID
OVV'NER
(Name) ];IR llGrtg- ~..~.= ,,--~-
(phone) _
qs2-Q'85-i&V\
0W..JU
(Zip Code)
(Address)
20&,,() ~J/1i'JR.\t:6e C:r Sr-t?/{),'\
(Add.r",,)
La~~ die..,
(City)
APPLICANT
O'ame) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
Ros€mount. MN
(City)
5.5068
(Zip Code)
~.,')
(ComaaPersoo) , / tl-,1'lJ ef/Zt. f) (phone) 651-423-1144
',reAm SIGNATURE ~A. j:}/~S,DATE..._3/ 6/ ()'=?
APPLICANT PLEASE COMPLETE BELOW
Size of wate)" service inches,
Location of any couplings from structure feet.
Type of sewer pipe, 0 ABC 0 PVC 0 Cast IroD
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure,
ResIdential sewer and wate, hne connectIon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family J% of job cost WIth a $39.50 minimum
$1750 Water connection only $17,50
Estimated Cost $
Budding Pel1mt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE~ FEE
$
$
$
.50
(Office U,e Ol1ly)
PA'D WITH l
BU'LDING PERMIT
This Application Becomes Your Building Permit When Apprnved _' f~.l I ReceIpt No.
[~~\'{1~J.~IBY
Buildiolj O(fiei.1 Date J~ ^'r' I
Luuj .
24 hour nntice fn..1I inspocti... (9S2) 44; . 0, fax (952) 447-4245
By
iP
J
CITY OF PRIOR LAKE
HEATING/AIRCONDITIONING/FIREPLACE PERMIT
Date Rec'd
JiI;
(Please!ype or orliit and shoo at bottom)
ADDRESS
.~J2 4A./seJc/-,,~-/-P
.--
.# ;:l/i:/5
:~" ~:~I PERMIT NO. :::;; ~/ {)S. -I
3. Yellow Applicant ~ f. .
ZONING (office use)
/./~..
/r-,
LEGAL DESCRIPTION (office use only)
LOT~LOCK~ ADDITION
PID
OWNER '""t-..-n ,\~
(Name) U"- '\'\DY1-t>n
'l.D8~o ~brld~L>U-
APPLICANT , .
(Name) t\\ho..n-t 'Mtcha..nICaJ
(Address) g~D K.enne.ble- '""Dr Su..i-kl
(Address)
(Contact Person) ,.kU Ll Mme.Yrv\A.Y\..
(phone)
(Address)
Lo.-ktvi lie.
MKl
55bJ./-1./
APPLICANT SlGNATURE DATE
()
APPLICANT PLEASE COMPLETE BELOW
~NEW CONS1RUCTION DREPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMoDEL]3r~l11\:f. qz;j. .. F0EL.tJaJ...~~~
FLUE SIZE -2..'1'2.. "'Pv'e..-RETURNOPENINGS INPUT -'f)(;~J)OD . OUTPUT .... .00D
TYPE OF SYSTEM HEATING OR POWERPLAN"T
O)hone)~2... mS '
6'1&\a.vt .~ 5SIZ.t.
....J (City) (Zip Code)
" (Phone) ffi I '1?Z- 2..1'15
OWami Air Plants
OGravity
)81 Mechanical
gAir Conditioning
QjlVen!. System
o Steam
o Hot Water
o Radiation
O. Special Devices
o Other DeVices
PLEASE NOtE: .
Air Conditioner Units
Carinot Encrollch into
Required SideYafd
Setbacks
FIREPLACEMAKEAND MODEL
Industrial,CommerCial & Multi.;Fatrtily
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,~0 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, H6lltiilg& NC (New Construction)
Residenti~l, HeatingOilly (New COilstruction)
$39.50
$39.50
EstiIJiated CiJsl$ -.:JDC O. DCL Building J>eririit#
.HEATrNG p:E:RMlr FEE $
iiAl~.s~W~l:E :~.so
ro~~~~ /
This Application Becomes Your Building Permit When Approved _.~ ~ IT: l
Building Official Dat. L U lM1ltft 0 6 2003 j
24 hour notice for.all inSpections (952) ~'Y9850,fax (952) 4474245 . _
8UII.:~ ~
~F1~n-
, Receipt No.
IBY~
(/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
./
3.-!tJ!7
: ~:,~, ~::y I PERMIT NO.-,;:" ~ ~ I
3. Yellow Applicant
(Please tvlJe or Print and sism at bottom)
ADDRESS
5032 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AU TED FTRFSTDF DRA FTRESTDE HEARTH & HOME
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
'5113_
(Zip Code)
4/10/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
j.~rc;([? rc; n r1n If' ~
iffiI \0) Lb U L~ Lb II Receipt No.
~ altt"K I 1 Z003 U By
I
TYPE OF SYSTEM
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
. FIREPLACE MAKE AND MODEL
HEATN GLO SL750TRC
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
24 hour notice for an inspections (952) 447.9lIt\O fax (9S1) ""-"'d<
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
el/t~-ft() I1h...
~G' ,A)': ~
~-94,/)-
~
..
Job Address ~.5;J IlJ F~'iL
Heating Contractor #/hAA/rA~
Name of Tester ~~
. ~P/
Date
Percent 0, ~
Percent CO .-'f?~
Percent CO, _~;J~
Stack Temp I//IF
.
Combustion air is adequately supplied per
UMC Sec. 606 l~~
input /#~ /If)JJ-r.;
'\
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SOli. Po/lc!s ed0c La"!<=-
NATURE OF WORK N(: W (/)YlS+rv",f'dl-1
USE OF BUILDING ~ P. D,
PERMIT NO. O~- 17/05 DATE ISSUED
CONTRACTOR f). fl.. Ho/to",,- PHONE Q5").-21(-/1:1,/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING l~~ . 1- '1,( -()/~
I FOUNDATION (Prior to Backfill) I Q(~ VllY- / vvr./ I I- - 6-~
PLACE NO CONCRETE UNTIL ABOVE"HAS BEEN SIGNED
ROUGH - INS
~.L
71W/
SEWER I WATER I SEPTIC
FRAMING ~~'ll.~ Wfl t..1-q-<1';7
INSULATION
ELECTRICAL
PLUMBING U,& M L1- ~'II]
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'J.-~ -1fJ
4, t 'J-3{e3
l-{ - J-~
-
IfV~
~
?f.A-
~
l--I - IS - 0}
t{ (1-:3 V8
ql"J-3 tJp,
1- )-!> -d)
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LathL I I/VY.l' I ..>~q-t/J.
FINALS
RR /. 'lij
GRADING (Prior to Sodding)
BUILDING\-t 1"1" U^ \11 '6 +iJ)
ELECTRICAL
PLUMBING
HEATING
DO NOT
Vlff
b1;r?
OCCUPY UNTIL ABOVE HAS
NOTICE
BEEN
(__ rX""1J)
7- ~-6-:l
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