HomeMy WebLinkAboutBuilding Permit 03-0446
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/ (YJ.~
ADDRESS
~ Or;, 4
flevfdJ..d1C-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5. -qC((;,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
Sod / r /"'eC );
COMMENTS:
..s"'wORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ID'-1~L!J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,"""'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.ror" 'i
fOIl~..J ~ c1..,,,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D. II!llULA TION
kfiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..e'1iECH FINAL
COMMENTS:
(flhVli"Af
~) S'kI q
r"YLI,..J .,
DATE TIME
q-/t-cT)
_5-'IClG
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
7 ~~'I--f?~-
r:-f..~/?~r
'-r~"",c>
VY/ 1--; {
/ {-I-t'J"?
O/"30A' t')o/~
o WORK SATISFACTORY, PROCEED
'CORRECT ACTION AND PROCEED
o CORREC~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: C{-/fJ -01 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIVOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
f--L-r
ADDRESS
! Ci. <(
Po"lc1s ('"J?,.,.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ 4'<'
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
,2"'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
0. GASLlNE AIR TST
o
COMMENTS:
(0 r'J>/PltnA
/JI,~C q;:? <;
l
o WORK SATISFACTORY, PROCEED
,ef"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: Y11'f q, J-S.1/7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
uaN<>TI
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.'1-J7 -() i
ADDRESS !)(!)(,'! {JotYA"A 1..../7.
,,-
OWNER CONTR. D. R _ Ho/ In v1
PHONE NO. PERMIT NO. (? <,- I-J 'It
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
oQ!.NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HooKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6J"u/~ OJ!
L J /1, I~ll I. i? It
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:l/'f~ ~ _ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNUTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
j. White File
2. Pink City
). Yellow Applicant
Date Rec'd
YZ7-Q3
I PERMIT NO. 03,044-&
(Please '!vpe or print and sign at bottom)
ADDRESS
50le4 YO(\A~QJf ~r..Q_ be
LEGAL DESCRIPTION (office use only)
LOT I BLOCK? ADDITION r\.utiA I. ~
OWNER
(Name) _
(Address)
, (Phone)
BUILDER,\, 'IJ II J-. ..,-
(Namel- el). "". -H"O( \()l'l j.J{\.[.
(Contact Name) QtP,ioQ _ 'i".v \ cK. <,UVl
(Address) 2.... 0 e (.?O '11<:'",.A h; d,.,{... ~ S-te,iPO
LiA 16.A/1 1T -rYitfj .,..,q)LJ '-I
/
TYPE OF WORK
o Misc.
..M New Construction
DDeck
ZONING (office use)
tC!
PID 2"-,J'f-!- 02'-<," -c
(Phone) ~ PJt;. 713 of,
(Phone) ~7_-7.20- iW
DPorch
DRe-Rooling
ORe-Siding
OLower Level Finish
o Fireplace DAddition DAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) S '1~?:D'3
q/71:t (J(JO.CO
$ /'11'3,75'.
$ 'ilK: 11/ +
$ 87. ~ 0 -t
$ I
$
$
$
$
/00,00
100,00
35.~o
I./d, 0 t1
~
.:f~
This Application Becomes Your Building Permit When Approved
-if/pi fJ 3
Date
I Park Support Pee
I SAC
I Water Meter (~1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Olher
I TOTAL DUE
Paid
Date
V.515 , t, 0/
A;.- ~ Z- 1://7
- ~
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
SUbmitte~lans. I am aw~e ,at the uil~ng o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terup ';;;;7~ ne ';Jk ~DOO l)Y';1 ..3 ) ZSIO=3
- I Signature- Contractor's License No. / Date
V
I Permit Valuation
I Permit Fee
I Plan Check Pee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Building Official
#
#
#
#
$ 8'50, DO
$ /275, DO
$ ..:J5'O, {)o
$ l{~. (JO
$ Izoo,tJo
$ /boo () D
$ /'!:;"(JO. D II
$
} g,5/5 t/I
1/ I
I ReceipWo. ~Z/ h
Bv /1__ '
o
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
:g~ -:1df- ~(J/Oj ~ d/ ~_,..,TJ~
Planning Director . Date Special Condftions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
.
Job Address ?O(j~ A:h F4,
Heating Contractor A#",IV',r" /lu.!~#
4-HH '6
9' /.l/&3
/b.:) %
~
S"rBIo
/11/ of
Name of Tester
Dale
Percent 02
Percent CO
Percenl C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 I/t'/
I /~, L>*_
input / ''', ~u
"
~~
<-:;.~"- <."", ~,.>:F~'f' ';'f"~' '.,~
...,...........;
63-0 ,/-y~
~~
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlfr of lhr L.kr ('Gunny
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED
D. g, H () 1~11) ~~J
'7 . Z "7- ( ~,
"-" _ J_ J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:=; 0 ~ 4- PO ,\II );:., 8 X':) c- Cj-\ Ii t::::. e;
- i
Accepted
)<(
Accepted With Corrections
Denied
Reviewed By:
t114~
Date:
3-(s.0)
Comments: s.... Rp.vp.r~e Side for Arlrlitinn..1 Infnrm..tinnl
C;:",p A tt,,~hmp.nts: 1) Gradinl!: Plan. 2) Erosion Control MP.llSIITP.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."
,.........,,,..,.---.,,.
~~.
White - Building
Canary - Engineering
("InK - t'lannm![::>
Tht ('tnftr of Iht L.l<t Countl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I ) I--
L_."" .
I
^\
(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f'
"
"",'- I
~- '
".....
....-/
Accepted
Accepted With Corrections ~
Denied
Comments:
aLl
.
~... ~...
~
Date:
__ r.0
1//oM3
, .
Reviewed By: _
~
~
'=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."
~~
c- Whit.. . BuildiiiQ)
Canary . Engineering
Pink - Planning
ThO' {'..nlt'r of Ih..I,..... ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D~ 2. 1-40/<./ ut-J
:3 -2.. l-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50f04- P()NPS~6 LANS st:"
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
~
/?~
~
-::;l..u./JI--- Date: #11/d 3
aLi ~~.
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."
May. 1. 1003 1 i :13AM
GENZ RVAN PLUMBING AND HEATING
No, 1881
P 1 I i
>
Date Rec'd
€m<E
\,"-,,,,,,,,~
~J\~~~\%..'I./'(N'BSO"t"
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
(!'lease [Vpe or Print and si~at bottom)
I ADDRESS W
b))04- f{J(las€dap lA1 Sf"..
I G~~ N. /' PERMIT NO 1
~ ",lOw Ci.;-, . . ~, -l/L.1b
~. Gold Appfic.atl[ c:;;./ 7)
ZONWG (o_me)
LEGAL DESCRIPTION (olli<< us. only)
wr \ BLOCE: -3 ADDITION f1tue n-c {o( ~
Pill
OWNER
(N'ame) DJ::' l-1,..,'\""~,..,T'l f"'.."'........_ Tio:to....':"
(phone) _ Cf6;2. -Q8S- i8{-,i\
(Addres, )
20&00 ~13\c..\!::6e. Cr- ,S""irv"\
(AcldreSJ)
La~~ rlle.,
(City)
0QrY..jU
(Zip Code) ,
APPUCANT
~am~ Genz-Ryan Plumbing & Heating
(phone)
651-42,-1144
(Address) 14745 So Robert Trail
(Ad"'m)
(ConUct Pcrson) , rAil j{I ! S, 'h f-) 1J "-
",1CANTSTGNATURE (I) A I~) -171..[;/2
Rosemount. UN
(City)
55068
(Zip Code)
(phone)
651-423-1144
I
DATE
5- ...?- -t);:.z...,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential .ewor and water line COIUlecUon
Sewer connection only
FEESCREDULE
$35.50 Industri.~ Com'l & Multi-faml)Y 1% of)ob co.t Wlth a $39.50 mJIl1mUDl
$17.50 Water connection only $17.50
Estimated Cost $
Building Penmt #
SEWER AND WATER PERi\tlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
~[t @ [ 0 [!JJ€ m
,Iii AlAY - 520;3 W
JfBqeiEt No,
'-,.,
BUildiDg Official
D3tC
, PAl/? ~
,.-NG PERil"
I Date
(Office Us< Only)
I This Application Becomes Your Building Permit When Approved
By
--:--:r- -
(}\
24 hour notiee for .11 in'pe<tiOI1:l (952) 447-9550, fax (952) 447-4245
;~~
u~~
c'.':"':"" .::'NNE 50~ ""
<\.".~..,."y;."\,,. '",,,
~SA~~\'l~Si\~~!:'
, '-""',,\\,i\i;~"
Ma'. 1, 1003 I I :i3AM
GENZ RVAN PLUMBING AND HEATING
"',.
'i ',,'._' ,~'
No 1881 " P 3 I !
,
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
\ allle !'1!4
:2. Gold City
) Yet""" Apph'-lM
I PERlVJJT NO'::;J--If 'If:, I
l1'kase lYl?e or print and sjl!!l at bottom)
, ADDRESSV)Ot.p!.{
I ZONlNG (offi",,<<) I
P/lY1tLS R.d~ Ur1 5f::n
~I2Jre(J ~
LEGAL DESCRTI'TION (offia: us< only)
LOT I BLOCJ< 3 ADDITION
PID
[OWNER
(Namel DR Horton Custom Homes
(Address) :2OS(oO k:eVm.el DGt:. C, Sre I DO
(phone) 902-Qii,'::' -,'Bz;o
u(hvdlG l-IAtJ .G6bLlt.1
APPUCANT
(Name)..Go-~_tl,:..atl---D1:'_"'-il ' uoo>'-3 (phone) ~'''_L..?~_11L..1,
(Address) 14745 So Roben Trail Rosemount
(Address) (City)
(ContactPetson) (lA/ivil.\h' .f11i)/) (Phone) 651-423-1.144
APPLICANT SJGNA~ r A ~ '--0" ~__ DAT~, '5 ~ 2- -oQ
Quantity
~
I
i
1"
I
l
_:2.,
HN
55068
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Qllantity I
I Bath. Tub with or without shower I 3 Rough-ins
Dishwasher I I Water Heater
I Floor Drain I Water SofuJer
j Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Clos<'1: (Toilet) I Other
I
I
I
I
I
I
I
I
I
I
Type of Fixture
FEESCREDULE
Induslnal, Commercial & MuJu-folJlllly J % of job cost wlib . $3950 minimum ReSIdential, New One & Two-FamIly $99.50
Re$idential, Additions & Alterations $3950
ESlJmared C osl $
Budding Pernnl #
dlJ/~AID W/"n.,
1NG PEp 1
riM/]'
PLUJ\.ffiING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Otficc: Use Only)
This Application Becomes Your Building Permit When Approved Paid I Receipt No,
D." r: U ill [g ~'~ ~
Building Offid:a.1 r
24 hour notice ror.U i.spectlons (952) 447-9, . " fam) <<-lit:ZP.;03 I
rt
By
CITY OF PRIORLA..K::E Date Rec'd
HEA TING/AlR CONDITIONtNG!Ft:RJtPLACE PERMIT
#7/d5
: ~~~ ~:~. .1 PERMIT NO, -<- / ,NI k I
3. Yelldw Applicant ~. ~l
(Please tvp~ oTriIiiit Widsim atbOttOrnl
ADDRESS
:50&,ij' /;LA..-~~ ~d:/ p
V
LEGAL DESCRIPTION (ollice use only)
LOT / BLOCK ~ ADDITION
ZONING (office use)
~&
PID
OWNER -,....,,-n I\~
(Name) U"- 1\ Ort-nh
(Address) 1.OOlaO ~ br\d~LtU-
APPLICANT , '
(Name) t\ \ha..r.-t MUhM I Cc:U
(AddressLElD'5D, Ktrlntbec.,]x
(Address)
(Contact Person) ,Je+-.f-- Ll MmeYt'V\A.Y\..
. .
(Phone)
l.OJ<tvi lie.
M}.J
.5~~i.f.q
Su,i-le. I
(Ph(jne)'.~5 '
f;;~CU:City) ..I\W 5517z;'code)
(Phclne)lD5J .a45Z-,.2..'1'l5',
DATE
APPLICANT SIGNATURE
, u
APPLICANT PLEASE COMPLEfEB~LOW
I&lNEW CONSTRtJCTION,C}REPLACEMENT i . iQAL1PRATI?NS
FURNACE MAKE AND MODEL~: qz:;. , . , ,FvELJJtff-.~~S'
FLUE SIZE ~112.. 'Pv'e..-RETtJRNOl'ENtNGS tNJ'Ur.Jt;{),{)DD , c.OUTPUT .....,. . :tLJ{')
TYPE OF SYSTEM HEATING ORPOWERPLAN'r
DWarlll Air PlaillS 0 .8learn
DGravity 0 Hot Water
8 Mechanical 0 RadiatiOrt
~Air Conditioning 0 SpecialDevices
~ent. System .'.0 OtJierDevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks .
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi'Filn1iiy
Residential,. Heatlfig& AIC (New. ConsWcti6il)
Residential:;. Heilting:.orily (New. COhSthll;tio~)
FEESCHEOVi,E'
1% o[job cost Residential, Gas Fireplace
$39;50 minimum
$99.50
, $64.50
c. ~e:~itle?Jrlli;.;~ddi~i6~S &:.Alteratioris
Residential; AC Only
$39.50
$39.50
$39.50
, Estirtillt~dcdstl.'3()OO.Oa.. ,';Bl1HdirigI>effiiif#
(Office Use Only),
$""./././..'v:,..'.....'.... ~.,i.~ ..' y..~....'..,....,.........'..... 'lI1~~.q. ~~. .~'
$ .,., ....50 ..'.., , .." <.J~",...
Sa ..~.. ~A
.'.,.~~...., \'.~~,. R...,..., '.@'...._.-..,..,.r\E.,..,j\.'.\U, '...~..,',"',.1....\..:,~..\.',\... .....' . ,~.~\1.f1]-
This ApplicatiQIi .IleC()rti\;sYiJtirBuildirigI'ermitWhejjAppro'itcd ' I . ..""' ......' ,.. \. ~RecelPtNo'
/ ~tMA\'l.1?,fm1~ Iy.' ~..
BuildingOffidol Dot. , \ '/....,. ,c:r, Ch
24houruoticeforilll in5pecti0I1S(952)447'9~}25:!l ., ,., ,-----=:.I /. \
..H:EAi'ING PE1W:lT FEE
stAfESURC:H:ARGE
.:rbtAl.ip:I!;1tMrI'FEE
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; ;;;,'., ~::, I PERMIT NO. 3~ / J 1 /6 I
J. Yellow Applicant ~ -,
(Please ~e or urint and sien at bottom)
ADDRESS
5064 PONDS EDGE LANE
ZONING (office use)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name\ n ~ Hn~TON
(Phone)
(Address)
APPLICANT
(Name) AT J JED FTRFSTDF DRA FJRFSTDF HEARTH & HOME
(Phone)
651-611.2561
(Address)
2700 NORTH F AIRVIEW A VENUP
(Address)
ROSEVILLE
(City)
<;<;113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
0111/01
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEATN 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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennil #
$
$
$
$39.50
$39.50
PAID W,,,,, .
BUILDING ,,.,
~ P!::"C?""'7
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
,50
(Office Use Only)
Buildine: Official
c~~~~ -'
r~@ Lf;) ~ U \YJ ~ 'receipt No. /'
lllfatgUN 1 6 2003 ~y 0
24 hour notice for all inspections (952) 447- ~9l" fax (952) 447-4245
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS So (PLot --POl'.) QSEt)E. E lAtJ€ ~.
,
NATURE OF WORK ' . c I~GA
USE OF BUILDING . . 'D. .
PERMIT NO. 03-0~40 DATE ISSUED ~I
CONTRACTOR 'P.~. H.O~6~ iwc.. PHON.. ~
NOTE: THIS IS NOT A PERMIT FbR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING
<1:+. L/ ('2-~ /e),_2J
~
I FOUNDATION (Prior to Backfill) I /fVV I 4f-- ~I-V) l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC / /1IP
FRAMING 13M ~ ~t. tukc#..ft:\1,Jl ~ IZ-Il
INSULATION \ , vW'J
ELECTRICAL , I
PLUMBING lJ-&- M S~~-If"':, I//W I, I (;,-2- 'J!O/
HEATING (if required) ii I 7h/c'5
FIREPLACE p"l-l;. I 7/' /,,2-
GAS LINE AIR TEST ~ I '7-ZS->v>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I :;- 7-U)
1b1o~
, '
"'7-~-if3
j
GRADING (Prior to Sodding)
BUILDING '1-llo\{'
ELECTRICAL
PLUMBING
HEATING
DO NOT
11-1-0-"
VVfI
J~
OCCUpy UNTIL ABOVE HAS
NOTICE
I
BEEN
Cis - H-lI7
1- /(.-03
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