HomeMy WebLinkAboutBuilding Permit 99-1116
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~
tN / IV D.sO IZ. Lf'---J
OWNER
/(,73()
C;~rMENTk&.. OL ~
~ IL-- -- fr'-
l),\~_
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('k'l- ,( fywt-
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ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
ft~ATER HOOKUP
SEWER HOOKUP
A 0 PLUMBING FINAL
o MECH FINAL
'c.' s.-l
qCj-II/0
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
ftc..
Q1..u~
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l~
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1
f^
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OlolC
kx f..c)
~ck....
RY, PROCEED
P CEEO
FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAll 447..9 150 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
.-..-..--.----T-.~.-~..~-.--.-.-.......--~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
/z./::ult9 -I:DO
/(P73tJ vv I N O.sOK.-
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
IX 0 SEWER HOOKUP
f~~PLUMBING FINAL
o MECH FINAL
qC;-111 (0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(,) ~~'TU.S P ~ A-cu-s<
mJ ,~Y'J ^ ~ rtr:""
(~~' -+ir~ \
(~("X'&. c..J lk.4- W~ ~..:1J, S
YulP
~
\JcJ1A
1"1/7
") Il
t At' (..L<>N1.A-.
-
o1~
Inspector:
Owner/Contr:
CALL 44~.9850 fOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl
-."....--.------.--...-.----....,.-.-----
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
lZ.j'Z"!'1tf q:~
ADDRESS
\(..730 W.J~'Jr
WLn-e
OWNER
CONTR.
PHONE NO.
PERMIT NO. qq - /II Co
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o F MING 0 WATER HOOKUP 0 FIREPLACE RI
o SULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ,,:}~LUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION ~ECH FINAL 0
COMMENTS: 91"1\\1.) ~ ~ is O~
~ h~ 0tA. 'cr'Cd\'\a.t-I~
iJ 56I11~ O(A Al~~,.,I't\u:t
(, l-Ir~d .. AU.' _ &vN(.M!J~
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~\~ ~; II. tJJ&.k..-
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...........,
.... l~i) CJ\_ 10 '7 ~ 1,.- Or)
o WORK SA IS CT Y, PROCEED
^D JPRREC A N AN PROCEED
[JI'CORREC L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1 EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
~..._~_...----:---,..._--.--.,-
~
v
C-LvM
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ (" 1'30
U'I'\&150,..
Lal'l'C
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
OJI'lSULA TION A _
~INAL rr-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
JlJk7
~tT7. /;ME
Tr .Air
Cf1-fl/&
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
r.-,'q
. I
~ eXpas-< J
. n
C /'- -tb +4..
,
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/
~WORK SATISFACTORY, PROCEED
o CORRECTA~CANDPROCEED
o CORRECT W ,,;A FOR REINSPECTION BEFORE COVERING
Inspector: '- . Owner/Contr:
CALL 447~850 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
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QLtrtifiratt at (@rmpanry . :~f "
: '.. ~
CITY OF PRIOR LAKE Ir:~'
J)epartment of .uilbing Jn~ptdion
~nal Permitted D Conditional C.O. Expir~.
This Certificate issued pursuant to the requiremen!s of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances afthe
City of Prior Lake regulating building construction or use. For the following:
Use rJ....~;;;.....t;n" Single Family
Occupancy Type R3 Type Construction VN Fire Zone
'.........In............"..:-. LS. B3. Wilderness Ponds 2nd
Bldg. Pennit Nt
Nt A Zoning District R1SD
99-1116
Owner of Building ^ C:it", Address 16730 Windsor Lane
Contractor'Sf"._...',,,_....Valley Bld'.l{;~ntracting. 4632 Parkwood Dr., P.L.
RoberJ nJ Hntrhi~' '- / City Planner .TiPnn; 'T'nu;;H'
.
.,;.,,;,:.,--,'., ~,' '. L.".-'~;"__i!":, '.-.':;-,.,,:-,
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
&~~
DATE RECEIVED
?/8/Cf'1
I. White
2. Pink
3. Yellow
File
City
Applicant
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
Permit No.
99- ///6
2. SITE ADDRESS
. /~7.3C>
[,v;,J rtl__ CI1A/-<.----
3. LEGAL DESCRIPTION
LOT -0 S- BLOCK C) 3
ADDITION W; 1,,( ( /l..-IV<..-f I fC)#.,( S'
..OWNER/l ~"l"~ ./ {I.
'SbJ"1"r.-r JD c..f..., b It- ~J..v'17
5. ARCHITECT (Name) ,
1. DATE
'1/5iQcr
I
Ie/SO
BUILDING INFORMATION
11. SIZE OF S~UCTURE ,
(Heighl)'Z..> (Width) '5!? (Depth) L.f 0 ..'
12. NO. OF STORIES
---Z-
13. TYPE OF CONSTRUCTION
/tk '-</ I-/.?I"-<---
1.. FLOOR AREA APPORTIONMENT USE
PID 25- 33lArT!Z4--T)
24- ../
(Address)
(Address)
(Tel. No.)
(/2 -'-117 -lolfJ
(Tel. No.)
6. BUILDER (Name) (Address) ~ (Tel. No.)
frl9-/{Jlf)I.l1-+- t;6;5Z_f.,.,.k..." 0;<...., 1j'l7.7<o';;L'-I
(" ON-t. 'I (--1M ~ c.. P /l.",,,--, L 1It-/<<----r........ ~L ~ ~o8"- 3?1f7
7. TYPE OF WORK i -- 'Fireplace CJ Septic 0 Deck 0 Re-roofing CJ Porch 0
New construction.)(" Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Mise, I g/)! 0<.10 ]::el,0<4< I.~)
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSlo'NS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft ? 2..-, ~y Y Width flo r- Depth Z~ 0 r- Ves No 12.-/ '11
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 ttfat I am the owner or authorized agent for
the above mentioned property and t 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 offici~n revojse this pe . for just cause. Furthermore, I hereby agree that the cily official or a designee may enter upon the property to pe~ol1 n,!'le;ed inspections.
X -/....-<--.... . .--:... zo/;Z '"J(,"" ,/S'/ r.,
/ ~ ....signature License No. Dale
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEAT~
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
SFD
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS (J PERCOLATION TESTS (J
PLANS & SPECS (J
SURVEY (J
SETS
COPIES
I sl,OI"t'>. ~rJ
,
o
Water Tap ................................... $
Builders Deposit ............................ $ I c;Q/'? m
'; --
Other ......................................... $
Total Due .............................. $ '7490. 7/
Paid 7</'10,7/ Receipt No. 3 (, '2.-18
Date q~7/1(1 By 4:ft/-
This is to certi~fy the req st in tile above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed /I. requested. This document when
signe;r6Y\he ner stitutes a tem rary CertificatEjof Z9fling compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
( J . _ . _ CUe; 1 71-
(" / "-City Planner I dile Special Conditions ~ any
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
City:
Plan Check Fee ............................. $
's 642,2"-
f077 Af..,.
(,5' . 50
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..9.r~!!!~.... $
Mechanical Permit Fee .1.~~!/.(.tf?... $
. 99-///(;
Sewer & Water Permit ...................... $
(OO.W
/ CJ 0 .oZ!
50-.5--0
).;
~\t;1~1
q~
~::~~perm~ .....~.......:..i~~.~.e:i1Whenl\2P~~
By Date 'i' -I <:: /7
Certificate of pancy
Issued
v
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ...".................. $
Sewer Tap ................................... $
Asz? CZ)
/ /,J s-o . c::c;
. ~ $
Pressure Reducer .......................... $
MeterHom.....'S~......................... <I::
Water Meter ..."'7/:!!.........................,~
Sewer & Water Connection Fee ........... 4:.
Water Tower Fee ........................... $
'15.00
/25-.0'"
1.7~ .C:tS
., 7/)1") . CO
24 hour notice for all inspections 447-9850
~~u';E )tfE....TIN~ -re:s,. ~eC()Rr;
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:ll'e':'~h' CO ~ --""'" .........1 Tht., _ ~
..OU!! HEATING Ten RECORD
'PT._"~OOA _.~,~(:;T" ___luau""
OWN!R
Cl"~1: ...to I"'S~,
I"H.~,-eo IV
Gltll L.f". &r
o"_~,,, _HW_S'TI...._'....C;IHT...._UNlT ~n. ___OtHER
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'Ii'S) ,1);~)66.6i-~:W
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. qq - / / I to
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date l \ ~ 06-qQ PID # 2.5 - .33P->- 0 PI- -0
S~eAddress \ [,,"1 ?-,() 1/ ')\ f\d.<~r La...r.~ RISD
Lot 5 Block,3 Add~ionWIl..o~N(:;.S5 PoAlOS 2 tf.!2
Owne(s Name ',\ I/V\. k~ c...'f-.. / &c.. \t)u.)o ,-,>J
Address, %62.. fur'hLLX)~ 'D". '?I("'\~ L.c..,~
Heating Contractor ~~O-~ _""'\/'-. -
6. 2...s, \1:,(:::,-~:~. ~&. \....... "\ :
Telephone #. 4Ll 'S.-\ q 0 G
"\m...~ -n . .~ \ 0
Furnace Make & Model ,lA, \) ()_
Address ,
\""<.....-
24n (L IN::;, \)-€.~
Model Size
\no , 000
TYPE OF SYSTE.M.
Warm Air Plant"J4A..('("\OJl,~
Gravity
Mechanical
Air Cond~ioning\' fY\Slt?, ,.'~
Vent. System
Conn. Load
Fuel
WA.\-
C. ,\
<0'
Flue Size
Supply Openings \f)..,
Return Openings \ tv
Input \00 I COO Output 0(), ODO
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Edr.
Clm.
Other Devices
TYPE OF WORK
A~erations
New Construction
'I..
Repair
Replacement
Est. Comp. Date
Building Perm~ #
{l OJ.. 'tJJ
I. PAID WITH
lBUIL01NG PERMIT
99- 1// (0
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE ~ .50
TOTALPERMITFEES ~ tCO. (j) Rece.ipnr-
~o. b~ ~,\c)€Ar
#/a~ .;)-
I. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURI;
Single Family
x
i
1-
Two-Family
Industrial
Public
Multi-Family
Other
Commercial
Fee Schedule
Industrial. Commercial & Multi-Family
Residential. Heating & AC
Residential. Heating Only
Residential. Gas Fireplace
Residential. Additions & Alterations
Residential, AC Only
1% 01 job cost ($39.50 minimum)
~
$64.50
$39.50
$39.50
$39.50
, -
Remember to add the State Surcharge on the bottom 01 this application.
The price 01 your heating permit includes one rough-in and one linal inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinn Dermit number before build-
ing certificate 01 occupancy will be issued.
HFAT CALCLJI ATIONS RFOIJlRED with number 01 supply and return openings listed per
room with CFM's per opening. New structures or additions send Iloor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply lor a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes 01 the city and with the state buildinglmechanical
codes; that this lorm does not become a permit until signed by the BUILDING
OFFICIAL; t e work will be in accordance with the approved plan in the
case of lwork hiCh)UireS iew and approval 01 Plan~/ /OJ> /99
. ~ ~~. /;);thq
EltiiIdIflg TIllical.s Signature ' Dale
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: A-c: ih'l / /! t( It< ~I 't'-j:-
Address:, /i"2?}~/P</-r.L~ .
Signature:, ~~~ :-k-'L U"
. /' 3
Legal Description: Lot '5 Block S h fVlL-OF7f.~jP:!: ::?""....fLJ\
Site Address: /C')?(..J ItJ,..,J..c,V-( c~<-- /C/.s;.O
BuildingPermlt# qq- //;(0 PID#~- :B?' -O2..4--()
NOTE: This permit will not be processed without complete information.
Thl' Cl'nll'r or lhl' tikI' Countr,-
FIXTURE UNITS
Quantity Type of Fixture I Quantity
~ Bath Tub with or without shower I I
I Dishwasher I I
J Floor Drain
~) Lavatory (bathroom sink) I I
I Laundry Tray (lor 2 compartment sink)
I Shower Stall
f Sinks
Bar Sink
'3 I Water Closet (toilet)
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
GRAND TOTAL
I. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo. qC;-//10
SIn - 33'1-</ \/ (J
Phone:
-h< nP""IJI
-=---
Type of Fixture
Rough-ins 'jif
Water Heater I
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ q''/,SU
$
$ .50
(~~~IY
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin2.AI~al cr?e amendmlnts thereof.
.If'. .J~/R/?q DATE
'"./~ ArrEST
Call for all i&ctions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opponunity Employer
/"
?9. 1// f.o
While . Building
Canary - Engineering
Pink - Planning
Th~ C.."ln or tho:' L..... Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i,' /-IL L I'll'
',I . 1.,...-
'. -
D U! L- U I/V (7
APPLICATION RECEIVED
'?/e./qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&730 J,//I'JC5CIc'.. L-A/
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ,d"LTt"Jt f""II.F'M"^,,v
Date: 9/lsh,
Comments: R"'NoFF Mv.<T" BF
c..oJJvI:'-1'a Ii AiVD
-'lLONG.
DIl.I-I,,,,I-IGC ~
UnLITY &,F"",,-tr~
4<.
M.\..X..H AS
R'ljIJr:lIl' A-L.
SIl-/
FENcL- OAJ ,He.
K"JlR
PO~-nn,.1 D~ -r14IS LD"I .."."dO:;'...
Sf:. U~r,fU') ,4, THe E:.Cx:E.
of
DIST\..IQr.-ffi <01'_
."'iff:
I Nf"ollM.4Tlof\.J arJ iJ.IE l<fZJE1l.:s~ S,O-C ..
""F"~ I4rrl':t(HN~....J1""S: I.. n#AL &1l.A-(}E. IA.JspEr.no^-.l JAJFotlM~n~AJ Z. ~,QOI~r... Pu4rJ
<' E"tt.d.I"'DN l.OAJTR..OL t'V1E..A'5..J(U:S",
tJ.. r..ft~loAJ ~OJ>JT""--04 ;::rArV
"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."
q9-///&
Tht' ('"nlrfor lht' L.keCOllnlf)'
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v A~L..6V eUIGO/N~
q/6/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b730 W/NOSO/C... L-N
Accepted
Accepted With Correction~
Denied ..------,
Reviewed By: (<d -k
'l Y
Date: ci-r 5-97
Comments:
Re-.vf2 afJO o~ 4_y07-c&
"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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White - B~i1ding
Canary - Engineering
Pink .. Planning
Tht Ctnltr of Iht Llkt Counlry
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
,
/
,...~--
Denied If,
Reviewed By: (1 .tlf. ~
Y/
Accepted With Corrections
Date:
q -1 ...en
. .
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."
PRIOR LAKE
iNSPECTION RECORD
SITE ADDRESS ---11.inO WI V\~~ (.~
NATURE OF WORK .1J..e.c..' ~~.
USE OF BUILDING ~S::-.D
PERMIT NO. 99-" I (. DATE ISSUED ,-I ~ - 9 '}
CONTRACTOR V.. II~.. ~("'. "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DEPARTMENT OF
BUILDING AND INSPECTION
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UNTIL ABOVE HAS BEEN
NOTICE
INSPECTOR DATE
I FOOTING ~ ~1" 4-;jC}-i7
, FOUNDATION (Prior to Backfill) {ij I /If.} , I 10-1,-"'1"1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Of) ..Ioj/Q'l7
(/ ~)
I (/l II/I'AY
1(/
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS_ I \ /
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2/
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.
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850