HomeMy WebLinkAboutBuilding Permit 99-0907
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QLertifirau at (@rrnpanry
II CITY OFtPRIOR LAKE
, // jJBepartment of jiutlbinlI 3Jn~ptdion
"AFinJPermitted 0 concJitional c.o. Expire~
This CtTtificate issued pursuant to tlie requiremenrs of Section 307 of the Uniform Building Code
certifying that at the time of issuance this srructure was in compliance with rhe various ordinances of the
City of Prior lAke regulating: building construction or use. For the following:
Use Classificatior
S i '1171 e F~",i 1 v
Bldg. Permit Nn
QQ-907
RlSD
N/A
VN
Occupancy Type
R3
Type Construction
7.oning District
Fire Zone
Legal Description
L5, B3, Wilderness Ponds
Owner of Building
'\it:c:Address
5173 Lexington C0urt
Contractor's Name &Addre!''" Sunset
Hornds. 9687 63rd Ave. N., Minneaoolis. MN
f:f:1- r rity Planner J enni Tovar
Date:
Robert D. Hutchins
t jil~;:;;
Date:
.
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS b 113
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
iEF MING ~
ULA TION I'"
FINAL
o SITE INSPECTION
COMMENTS:
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/
/
/-
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SCHEDULED Il/~fqq 1;~'a2
L...eK,""t-h- n L.t-
CONTR.
PERMIT NO.
9'1 -'107
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
^ 0 PLUMBING FINAL
l'" ~ECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
u 1A--
~
/ Owner/Contr:
Inspector:
CALL 447~850 FOR THE
EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
I I I -"~'--'----'---"-'------"
DATE TIME
SCHEDULED /~)~ ~:~
!.-C3X/ NG7DN CI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5173
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATllil~1)..,
~INAL Ivn
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
Ii 0 SEWER HOOKUP
l1. ~PLUMBING FINAL
11 ~ MECH FINAL
99 - 9D7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~)JJ.D r{\ ~, ihu", ~ ('/IWJ? 6"'''05 /",...;")
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o WORK SATISFACTORY, PROCEE
o )lORRECT A ON AND PROCEED
~CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 44 -9851 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE1UIR.iMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V INSNOTl
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---~-_._~'~--"~----'---'-"- --'" ..,--".~-._'----_._~--._._-,-
. ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 51 Ts
~~+~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
~I SULATIO 0 SEWER HOOKUP
INAL 0 PLUMBING FINAL
SITE INSPE <: 0 M~CH FINAL
COMMENTS: ,--:::x,d c TV'u-s
~/I~V
Gr
TIME
kr
9q- 907
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
4~-'~~~M-
u:, ~,
'~
/-----~~ ~
( .l3L40~~J~,_,' "
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- --, -- - ---
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~,
-. /
Inspector:
, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
r------.- "--,-
II
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7p7/99
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 ADDR~ 'fl \
c:; I '1:J Lp'X\ ~.~;\. .. . l'rlU,v--
3. LEGAL DESCRIPTION /)
LOT . f') BLOCK"""')
ADDITION Lt')\ lrlO..r"'-Pc.E-. --P-~\D5'
4. OWNER \ _ (Name) (I (Address)
~lM~ .l-\".,.,p",> .......D,
r
5. ARC~ITECT L (Name) '" I. (Address)
t:" l n p \p.Ji' .J,.)O~O\ (\
6. BUILDER (Name) .......) (Address)
1,DATE 7:J?"I'1
7-/13-9q
R. ISD
PID 21:i-3/P1-otkJ-o
(Tel. No.)
(Tel. No.)
(Tel. No.)
FOR ADMINISTRATIVE USE
51~~~-t W-1')f'lf6 (IA"rP qb~7 ta3d...lfil:!....Jt. .53\-N7IJ.
7. TYPE OF WORK . Fireplace Cl Septic LI - Deck LI Ae-rooflng 0 Porch ~
New Constructi~ Alterations [J Addition CJ Finish Attic Q Ae-siding CJ Finish Basement 0
Chimney 0 MiJ. --
a. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 co tructlon will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi IC can revoke this p rmit f 'us u e. Furth8(Viore, I hjY agree that the city official or a des19nee may enter upon the property to perform needed ins~~ns.
X ,l\.~ _ .!;J I rtfo rJ-.2h-'1'1_
- - . License No. Date -
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
st::rJ
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
Plan Check Fee ............................. $
q'3"a.2~
( b(')C,- . <tL
S' 4 . "dJ
State Surcharge ............................. $
IOO.OC
~.a6
~5'.SZ)
Issued
Side
J D'1. l'lOC> . a:c
City:
~~
~~~
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I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9f. qO 7
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF,\lTOR\ES
s.ynA-
13. TYPE OF CONfTRUCTION
b. 20(')0
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ~01EfT COSTNALUE 00
7''''/, ODD.
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LI
PILING LOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
I'l
Amount Brought Forward .................. if.
Pa<1<SupportFee ............................ ~sn.olS
SAC ......................................... $_Io<:::;n .~
Collective Street Fee ....................... if.
Sewer Tap ................................... $
$
Pressure Reducer .......................... 'l:
Meter Hom ................ .... ............... 4:
~6.u6
24 hour notice for all inspections 447.9850
Wate'Meter .................................. 1.25".00
Sewer & Water Connection Fee ........... $_1. :2 e:>f1. E)6
Water Towe' Fee ............................ ' '?P-r. .Ot!!:::,
Water Tap ................................... $
Builders Deposit ............................ $~/?~. DC)
Other ......................................... ct
Total Due .............................. $~' 13 03,2.'-
Paid 7.Qo3. z.. / ReceiPlf:!' ;f!5B93
Date e //.'3 /t:;q By !'tI-</
t the request In the above application and accompanying documents IS In accordance With the City ZOning Ordlna~ce and may proceed4S- requested ThiS document when
anne utes a tern '"'I' certlficag~ffhance and allows constnJcllon to commence Belo,e occupancy. a Certifical:; of Occupancy must be Issued
City ate Spec18.1 Condlllons if any
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Thl!' Cnln of thl!' I.lkl!' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, '-
,/ J -: i"J'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'C
~ ,I ~j,' i
Accepted /
Denied
Reviewed By: ()?J- ~
Comments: Y/
Accepted With Corrections
Date:
1; -S-7}
"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."
~~
qc;- 907
Tht' ('''nll'ror lht' L.kf Counlry
White - Building
Canary - Engineering
Pink . Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SUNSeT 1-1-01'-166
7 /Z7 /qq
. /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SF73 t--6XtN6JWN Ci
.
Accepted /---.- Accepted With Corrections
Denied
Reviewed By: (d..JJ Ii.". ,_ / _ ;1...,------
Comments:
Date: f.< - t./-9 c,.
I. /(=d.. ",J l <<.H<..cL.... &. ~ ~
2. Y\a.~.......k,\A- "U-o'>.GD"--<- c.~ {..~
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"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."
II
C;CJ-9D7
Th. (-.nlu or lh~ t..k. Country'
While - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
:J(/N::;ET HONES
7/27/qq
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/73 L..-EXl/l(qTCI'J Ci
Accepted
./
Accepted With Corrections
Denied
Reviewed By: j,J,krtO:(1.
CI-lII.<5vt1lir/AJ
Date:
8 /11 /'t~
, ,
Comments: J('"",oFF
~U"'T" a~
C!.ONUt:VE.f\
To
"",II
ALONt'... ~At..f:.
l .
Iff',,_,..." E~SEMt:tJrS A< Mu(LJ 04~ Pat4<T,UII
Sf.(.
I,JFnnJ'l404T'"'O/<.J ON
Rr:VEItSE S>OE.
~m a.,.,.-..(.~...E....,-r<;: '~~A1" L C:/tACI'" IAlVCc.'Ilo,,, (Alrn4M~nOO\J ;> aaflOINCo ttAN
~ Fi1lJ<:m,o\,' CO,.JTIlCL Y'1'!tl,<:'''"_F!.
4 E:<<OSION ~..N'r""'- ?'''I\I
"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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.
Job Address 5173 UXtNQ Tl:){v
7R/ of! LA ILL
Name ofTester 'P1IIV ,k-/~
Date rz -/7-49
Percent O2 1"10
Percent C02 7. .5 "l",
Percent co 6"70
srn~i 32S. ~
~ He ",j... andflir
Division of Plymouth Plumbing. Inc.
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Sent By: PLYMOUTH PLUMBING AND HEATING;
612 5331121;
Sep-14-9911:25AM;
Page 2/2
GIlle_ . ......
YILI"DW - .PPLJ(:QT
GOI.D . elT"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W. No. q<:?-CJO.7
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SITE ADORES
51'13
PHONE: "'5'33-1:",';; 7
{JeJLDATE: a - ( L{ -qq
'L{' BLDG. PERMIT it 99-907
~()lJrh PIDiI 25 -.3/ e,- 040- 0
SIGNATU
1-
'.
fILL IN TilE BLANKS
Estimated length of water service 4n
'Ie
si~e of water service inch{es).
fect.
2 _
J.
Location of any couplings from structure
40
feet.
4 .
Type of sewer pipe. ABS pVC )(
Estimated length of sewer line 40
Cast Iron
6.
Clean out (if required),
structure.
located
fe~tJI.
at ~foet
from
5.
===~-----------==============-~~========-==~=~==========~~~======~
This apPlica~~~comes your permit when approved.
BY &JUf~ ---" DATE: q /;tI/C;q
~========~=~==~~~~~~~==========~=~=====~====~-~~--~=~=~=~==-=-==~
FEES:
$
S
S
35.00
.50
35.50
sewer and water line connection permit.
SUrcharge
TOTAL
* Yee for either sewer or water individually is S~o.oo plus
S .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the buildin9' permit card at the time of :l.ssuance
to insure that no dupllcate sewer and water permits are
issued.
DATE PAID
AMOUNT p~~~J
REC'D BY\ _,,\J),lolG ~~-
RECk;IPT #
;
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,
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245i
An Equal Opronunity Employer I
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HEATING APPLICATION I PERMIT
Dale. 11-.=5 - orq PIO...z,5-~rA-()A..t)-()
Sfte Addr~S ~ 17 ~ i ~. "'- i If{ O. ~ {\ tnI ),t J2.1sD Fee Schedule
lot 5 Block .3 Addilion wrL.Dei2.NE55'~PONDS
ONnen Name ~~ -f- 4.lmu.a'S
AddressQ(IJ'1..7 _ (o7-,tf/A.("J{, Mrv'JI-e. (Off'J7fJ
Healil1lJConl'ac:, . VII) iAA /)uHA. .JJlfJJM A. \
Addresaf.oq('f{ (~'t-td., p.;YM'r1r.#, I'~~
Telephone' ~ 0 1~~~?>~-:-tf~07 0'
Furnace Make" Model r" ~~;U'" - 'IS TYPE OF SYSTEM
j) ~, '\ Warm Air PI""ls
Model Size . '/ c;. om n I U Gravily Additionallnspeclions wi. be billad at $35.00 each.
Colin. Load. M~chani~1 . ~AL.' ,as H""se Heating Tesl Record musl be submilled wilh ~dlJ1'~r IWIIIiI """""", bIllor. build.
'. I AwCond~..nongU'fA.~ In~J f) iO..;ng.C8rlificale 01 occupancy will be issued. '
Fuel N1."\-.6;\"i=lueSize Vent.Sysl.ml""'.~ i'{"'.........O"'.Jl{'~
. u 0 I-lFAT r.AI r:Ul ATION!l llH>! llll"n wilh number of supply and rerum op8<1ings fisled JI8f
HEATING OR POWER PLANT room w~h CFM's per OPO""9. New struc\uras or additions send floor pIen wfth supply
Stoam and relum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
HoI Walol APPUCATIONS MAY BE MAILED TO THE CITY Of PRIOR LAKE,lUoo EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Special Dovices
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-
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CITY OF PRIOR LAKE Me
""16200E.gleC;.ek AV:dS];:~ Permi' No.
Prior lake, MN 55312
<:79--907
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Supply Openings
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Return Opanings
InpUt 'Ie:) ra") Output (~n. (YY)
Edr.
O\hel Dweos
elm._
A1lerations
TYPE Of WORK
Roplacemonl Now Conslroc\;on .~
Ropair E'l Comp. Dale
EsI. Cost $ J-. ~J{()~ E'.t) Ilvlding Pelm~'
'-lEATING PERMIT FEE S
"sURCHARGE $
'1MIT FEES S
.50
Q9-qo7
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/' ~!>'<l!> '(
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Rocaipl . .
LPiIlIl. FItc
_.oI'III:'a"--~--~
:rY~~ m: ~TAIJCTlIRF
J. Yel_ . C..-ld..
Single Family
;(
Two-Family
Commen:i'"
Induslrial
Induslrial, Commereial .. Multi-Family
Residential, HeaUng .. AC
Residential, Healing Only
F1eBidenlia~ Gas Fireplace
Residential. Addifions & AI18.Btlons
Residenllal, AC Only
. MIAtI-FemlIy
PubNc
Other
I % of lob ODSI ($39.50 mlnlmJm)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add Ihe Stale Sureharge on the botlom 01 this applk:a1lon.
The price of yo'" heating permillncludes one rougfl-ln and one rnailnllp8ctlon.
CIly Hall business hou.s al8 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNAL)- CALL CITY HALL
447-4230
I hereby apply for a mechanical oyslems permil and I acknowladge Ihal the
Informalion above is complele and acculalo; Ihat Ihe work will bo In conlormanee
wilh the orGinanc... and codes ollho city end with the slale building/mechanical
codes; Ihallhis lorm does nol becom.. a permit unlil signed by Ihe BUILDING
OfFICIAL; Ihallhe work will ba in accordance wilh Ihe approved plan in lI1e
case 01 all work which requlros J1IVlew end approval 01 plens.
CjQ Qb._~~MJ.~J.1ll2fJt
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I!qjI!ing OIDcars Slgfllllure
1(- ~-q9
Dale
/1/4199
, 081:,
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: {1-/) PI,._!..'1.p-
Address:~Sq~ - ;;.",-t:-1/ -0/,
Signature: /tH<.
/ /' -
Legal Description: 'lot ::;, Block
Site Address: IC;'/1? 1."b~4k.. cJ.
. v
Building Permit # 99- Cle;, PID# z5-3if',-n4()-O
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NOTE: This permit will not be processed without complete information.
Tht Ct'nltr of lh.. L.ktCounll'}'
Quantity
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FIXTURE UNITS
Type of Fixture
Quantity
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
/
f
PPNo.
C;q- 901
f
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
Phone: t,/'J- ?/J/- 7/?'t7
jJlN"c~~ ir-t",-~- .s'"'S'.J 1/
.3
!';IIh iA//LLJFi2I\/(:;--<,S P<JtJOS
;e. 15D
GRAND TOTAL
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
$ f'P-\O \;'Ji.S\. .
\0\,)\1 ..../.G Pt::,,,,\j\\"i
This permit is granted upon the express condition that said
contractor, shall comp~y i~ l,respec,ts with the ,ordinances
of the State Plumbing C the ~men}lme9ts thereof.
-RE '4<,5;//// N/<11 DATE
j/0:~ ATIEST
Call for all in~ion~ 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
IN'SPECTION RECOR.O'
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 511::' Lex,\"c;tO'h CA.
NATURE OF WORK ~lPI., ('I""~,~~""",,,^
USE OF BUILDING ~j:'.p
PERMIT NO. 7'7 -'76/ DATE ISSUED 8-1./-9<;
CONTRACTQR ~'V1~ l !\rn...."",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING kf)J ~/~,
I FOUNDATION (Prior to Backfill) t./ll>>r. f/27/qq I
PLACE NO CONCRETE UNTIL ABOVE ti/(S BEEN SIGNED
ROUGH - INS
P 7/lrj'f''J
SEWER I WATER I SEPTIC
FRAMING
INSULATION (1J /It
ELECTRICAL r-
PLUMBING (111IFt')
HEATING (if required) /:i) 1/lsA
FIREPLACE V
GAS LINE AIR TEST JI}l !/J'Ir'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
AlE '//;2/00
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. -
- . . - -
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ' ~ ~V \'U\qlQ~
HEATING I tI;12/1'~~ \ ' \1 ~ I\~
DO NOT OCCUpy UNTIL ~VE HAS BEEN ~G ED
NOTICE
(, II S/O"
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
,!",here 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
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II