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HomeMy WebLinkAboutBuilding Permit 03-0414 ~trfifiraft of @rrupanrll CITY OF PRIOR LAKE @.rpadmrnf uf ~uilbinB J/nsprdiun IXFinal Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time afissuance this structure was in compliance with the various ordinances afthe City a/Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAl'1ILY Bldg. Permit No. 03-0414 Occupancy Type R3 Type Construction VN Fire Zone NIA Zoning District Rl Legal Description _ L2 J B2, REGAL CREST Owner of Buildin" Contractor's Name & AddreMiENSMA!\'N Site Address 3917 REGAL PASS N.W. ROBERT D. HUTCHINS C' ~- Building Official j-?"-r)2, / HQM.I\$. r'vrt) V ,r 1895 PLAZA DRIVE. SUITE 200, EAGAN, MN 55122 DON RYE City Planner Date: Date: .......,-- ~~. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 37 I 7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME 4'J}2;>r-'''-bJ f'''- CONTR. PERMIT NO. 7- C//'-( o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: /} I, h'",tvf t:,.~...P ~ ,. ~ (~' l'k' ~ . ~' /"t-=-1 ~-""(l '-' o WORK SATISFACTORY. PROCEED '~ORRECT ACTION AND PROCEED o CORRE RK. CALL FOR REINSPECTION BEFORE COVERING Inspector: . (\. Owner/Contr: CODE R UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! '''''"''' OATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ce:.~ri.-o3 - ~30 ADDRESS ~ O~ OWNER CONTR. PHONE NO. PERMIT NO. -:( - q (l). 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 "WLUMBING FINAL kJ MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COM}'IENTS: ~ 1 . I.~ IK.,. LoADll.. - I - l n "? T\A<::\-,.DJv ~^'1/? \K ~ -& ~ILrI\r-- \I -f-o :<.. . ~J'r' ~ c...; ~_,/J t;....~ " L/. r;(j)~ C~-l~~_ o WORK SATISFACTORY. PROCEED ~ORRECT ION AND PROCEED o CORRE W . CALL FOR REINSPECTlON BEFORE COVERING Inspector: Owner/Contr: CAL _ 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~EQU/REMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File 3. Yellow (Please tv'\?e or Print and sign at bottom) ADDRESS 37/7 If :y,.:/ I'Gfrr Nt..J LEGAL DESCRIPTION (office use only) LOT hBLOCK ;J.... ADDITION If t'9~ / -V OWNER (Name) (Address) File City Applicant I PERMIT NO. 03 - 04-/4-+ (' rf'S T Date Rec'd <<f-f--tt3 I zor;e~ (offic,use) PID .;J.:F- ]P6 .. 0,;1..0 - 0 (Phone) BUILDER , I (Name) tJC>Nf/7?tTAdv 1--10/7"1 f>J' (Contact Name) Ga r-.... , (Address) Ip, ~ jJ/It2..&'" br-/~/ S(-t I'T/' ",l04 TYPE OF WORK ~ Construction OLower Level Finish o Misc. (Phone) ?F/- "lot.. 'YYd /J (Phone) t,/:J.-367'- 7~J2. C~ '1/'/\/ /17# 3__5).:2;J.. V ODeck DPorch ORe-Roofing DAlteration o Fireplace OAddition ORe-Siding DUtility Connection 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 enter upon ~property tozerform .:Z:: X LJ a~ / YS-O" ,/' 0ignature Contfactor's License No. Date I Permit Valuation I Permit Fee 1 Plan Check Fee I State Surcharge 1 Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee PROJECT COST IV ALUE (excluding land) $ "11./1. oeo. DO $ ).ja.~. 35 $ '7'~/R t-;Ii ~ D 1 $ 1 $ 1 $ 1 $ 1 $ 1 $ - lOt) . fJ f) /OO,f){) .~5'. 5;'{) '10. tuJ ~ This Application Becomes Your Building Permit When Approved ~ ~ Building Official +I~~~ Date P 1$ 1$ 1 $ 1 $ 1 $ 1 $ 1 $ 1 $5; f!)34-. 53 -g~f-I ,e-'l - ,..., f'/ I Paid .Q 0 U '7 . v .....J I Receipt No.t.l1!HJ / 0 I Date [f-- ;::;)<-(- ~ Bv ~ 1 Park Support Fee 1 SAC I WaterMeter(,iSize5IV; I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit lather 1 TOTAL DUE # -. # # # -- /2.75'. 0 0 z,.Sc. 0 () ~-:::;.OO , 2,..OD . O"tl 700.0 () This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documer:: when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must br ~ ?~ .y~r/t;:J ~ . Planning Director ~ ~ Date Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~~ White - Building Canary - Enqineering <:'1'ink - Pla~ Thr Crnl" of lh~ L.kr ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT. APPLICATION RECEIVED. i; ICC..7 '/'/./ I/'/l / /. l/ {__, (, / 'v'" L /) G.f .-' ./' {j .~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-oJ"} / 7 /::// (jl / (' /-/) J=S Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ 917.~p Date: 0 r?!o '$ 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." ~~ ~__R.lilrli~ Canary . Engineering Pink . Planning Tht'(-..nlt'fnfthfl.abCoUnll) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T NAME OF APPLICANT w e:;v J /l1 /7 /l/~ 4---9-03 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3CJ /7 /2664 L ~,q55 Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ :;Z ~ f) J'-I Date: ~1/JY/03 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." _._...,~".-,-",~.....~,~:~..,..~..'..,(t..J" ,.,..;;......"'f.~.. . '-~'~ ,.,.... ........'. .... -V"""'lt'~'" '......i-'~...,,~--'}"-''''.'.'r'''.,'~~."'''''~ .".._+~".,.,~.,W ,,"', \: \ I White - Building c: .......H..oIn. u a'I~;lliI;o!....,~-;;:j> , Pink - fliiriiifiig Th'('lfnl.rnflhlf I._beounlry mm..DING PERMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT APPLICATION RECEIVED We:JV .J/V; /1 N/l/' 4---9-03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3tf 17 /2156;::1 c ;//755 Accepted x Accepted With Corrections Denied Reviewed By: /J'J4 f3 Comments: See:. /J1e, I 'n r,' It' Date: ~- ;;{ I-oj "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." ,--.-" "-"''''-'-.. tfi~~~' ~ ~/>\ ~ GIlI1tU&.,'ll...J: T1::U..oV. .....,.Ur......III.T GOU). err., ~,lll ,0"'''' ,V"t:" CITY OF PRIOR LAKE S'E:\f::R 1>1ID WATER ?~?MIT NO. '3 -Ljllj NOTE: Sewer and Water contractors must. be re~is~ered ;;it.h the City, APPLICANT: ~\ ~~ ADOR:::SS: 3<jl~b/~e\~~c::. f'\l.W. OAT:::: S ::~'\~':":: . u'Ifd~-..:-=~...~:~___~n.~.:.=._:r;. ,,-- PHONE :6SJ-'j:9-~J S6:~ '1/~.3J f) 3 -:~':I',lf7""'" :!: ~ ---.-- ~=LL IN TEE BL~~~S Size of wate~ se~vice of ~at.er serlice / '30 fe'2t'. 1. 2. Es~i~2~2d lenq~h 4. ~ype 0: se~er pipe. A3S ii"lc:.(es), ~ from st.=~ct.ure ~/V\ PVC 'K. Cast Iron 1 ine 3D fest. J . Lccation of any coup1inss 6. C::!..e2n cut (if requirec.) , loca":.~d fee~ ~ fa a.t ~feet f::-o," ~5~i~a~ad leng~h of sell'f'e~ s':.=....:.C'~tl.=-e . ============~=============:=~===================================== 'T'\-':"" _.._..:l applicat.ion becomes ~ou= per>r\:' t ....;~en 2p~'!:'oVec._ BY DATE: =~~~~~~=====~~==========:=~====================;~================= F~:=:S: s s S J5.00 .50 35.50 Sewer and wa~e" line connec~ion pe"mit. Surcharge TOT.>.L * :S8 f~= ei~~e~ se~e~ c= wate~ i~civid~a:ly ~s $20.00 plus S .50 s'..l~c~ar:;e. * S~~e= and w2te= pe~its issuec for new c~ns~r~ction must be recorded on t~e bu~ldii"lS pe~i~ card a~ the t~~ ~issua~ce -:.::> i:-\~u"e t:-,a-:. no c.u;ol~cate se'.er and ....at@.(l~ t;;.: are l.ssuec.. ~1\tG' ~~1Jf a;..:-::: ??:!J .'.'10vN'r ?'.:::O .o~~ -~ ~;i!i:[~ ~tl'''-'' ill APR 2 8 Z003 ~ :;1.. '.:.-._~~:r By_ ?,~:::==:?'!' :! \ r ~ . .,.,./K:-,... . 0f}~' .- I ,. .~:: .""'-"_",c_ 9 d vELES0098vON.WEl'lS/OSEl EO HI' iG3,\\) L9EO-GSv-lS9 'JNIlV3H ~ 'JN18WfI1d 13ZN3,\\ WOH.l 10/24/01 WED 11:22 FAX 6124474245 CITY OF PRIOR LAKE Il!I Date Ree' CITY OF PRIOR LAKE PLUMBING PERMIT 111_ 'ii, J. Cold c~ J ytlll;Jrw ....Pf'laPIl I PERMIT NO'3 - U/4 f?lcuc ~ orDrVit ILDdsim ,11 bottom) ADDRESS ...., \) .\ ~ t-..\\ '\ 3'11 ( \o<.~Q..\. ~~ \'lYV. ZONING (oftl"...) LEGAL DESCRIPTION Colli", .It only) ~ !:\-- LOT ~BLOCK R ADDITION ~ CJc:e..b ~~~R t~\etf\Sm~\'\ ~t)me.9:> (phone) ~)-'iDb-WDO (Address) 12>~S-"f>[o,:L~~. ~\~~t) ~Y\ .\Mf\, ~~J;;Z~ - , . ~;;~~ANT LJ~el ~\'D~ ~ W\~~~. (Phone) rlSl-fs)~/SbS (Addz....) 17/D 'A~b.~~ '<--d. ~""-~, $"/:2/ (A~) --- (City) (Zip Codc:) (Contact Person) \T~ \-\.~?A~ ~ - (phone) t~/~-15bS:- AfPLlCANTSIGNATUKE ~. DATE 1-P-3/C3 ~LICANT PLEASE COMPLETE BELOW Type Df Fixtllre Quantity Bath Tub with or wjthoU1 5how~ DishwlI5her Floor DnIio Lavatory (Bathroom Sink) Laundry Tray (I or 2 compllltlllent sInk Shower Stllll Sink, Bar Sink W&lc;r ClosCt (Toilet) Qusatity ,;L. J I ~ , I I I ~ Pro Type afFlxtan I RouRh-ins Water Heater Water Softner Stand Pipe (Washing Mlchine) I S~ap Ejector I BlI(;kf!ow A,sell\bly Blcldlow Assembly Test Lewn Sprinkler Other I FEE SCHOIULE Indu"".!. Commercl.1 ct. Multi-fillTlIly I'f. of job co:lt with. SJ9.S0 minimum Residenllal. New One 8< Two-FHrnily $99.50 RMoidenlinl, Addition.. Ii. AlteAtlonr;, S3~.SO (omct U" Only) Estimated Cost S Buildillj; Permit ,. eu,~+() "'-- .sO ~GA:'1f . ~-9~1}- PLUMBING PERMIT FEE S STATE SURCHARGE S TOTAL PERMIT FEE S ThiJ Applicarion BecDmes Yout Buildinc Permit Wholl Appro~od _~ Receipt No. 1~[E ~ u w ~ ~ By fA B.lld1nc Offi,ial I).., J~ I (J1' -4h "' II" I" /1ln". _~!~9~lIlLonl I V . OU," "otICe III' a In.pee .... ,'-I .., . .... \ n ...~~.5 S d !7ELES0098!70N/WEllS/OSEl EO H!7 IQ3AI) 1~~HSHS9 0NIIV3H:' 9N18Nfl1d 13ZN3M NOBd CONTINUE FROM PREVIOUS PRGE 001 s"\ If) 3 -[I (4- APPLICANT: ~~ & ti-~_ PHONE: ~~-Pl?'(-<lI01 . . ADDRESS: 'I. <;j~DATE: ~-S-~d3 SIGNATURE:~ Q..... ~~ .BLOG. PERMIT t SITE ADDRE~ 39/ 7 ~P~(J_PID' FILL IN THE BLANKS 1. Estimated length of water service l~ feet. N . 2. Size of water service / inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ASS PVC K Cast Iron 5. Estimated length of sewer line 0-" feet. 6. Clean out (if required), located at structure. feet from ==~====~=__=:I:I::a-======::.____~._.______________,====_____________==== This application becomes your permit when approved. BY DATE: ===-l:I:,_=======r=====___~________~_____"~--=================:============ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL ., Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. -- ., RECEIPT # . ",~'___ Sewer and water pax-its issued for new construction must be reCOrd~~'1l ~11'ttt' ~ ag pex-it card. at the time of iSll.uance ~o ins I ~:t ~q\j [gl"j) .icate sewer and water permitt'AI8lWITH ~ssued I BUILDING PERMIT DATE PAID ~ MAY 1 3 2003 J AMOUNT PAID /r VV REC'D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245 Aft 1:.......1 f\nnnrfllft.tv R""n1",,~r MAY-29-2003 07:16 PM STAR PLUMBING & EXC. 952 BB4 746B P.09 _.... ........ . "-1CWf .... . ern CI'l'Y OF PRIOR LA.KE SEWER AND WATER PERMIT 2/,/' S.W. No. J~ '-;1'1 t./ NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: 3~ ~ tr-ta.J_ ADDRESS:.&li~\j.6AJ. ~DATE; SIGNATURE:~ BLDG. SITE ADDRE~ :J'j I 7 f2rR P ~,() PID' FILL IN THE BLANKS e,,""..n..'E: 5e)~- J1flCf- ~/'V? .s--s-~q.3 ~L....'\&.....T I 1. Estimated length of water service Ii ,57J feet. 2. Size of water service / lnch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC X Cast Iron_ 5. Estimated length of sewer line 00 feet. 6. Clean out (if required), located at structure. feet from =-=-=--=-~=~~=-====~======------~;====~========================= This application becomes your permit when approved. BY DATE: ======-~======--===== =_....====='=c==-===. --.- -.-================== FEES: $ $ $ 35.00 .50 35.50 Sewer and surcharge TOTAL water line connection permit. individually is $20.olu~"t~ ~p~ Sewer and water perwits issued for new construction aust be ~4f". recorded on the buildi~ perait card at the time of issuance to insure that no dupl~cate sewer and water permits DATEi::::. AMOUNT PAID~~""''''\i '::n ~ ~ RECEIPT /I REC'D BY \1I~ ,,'L 1\J1l~ " Fee for either sewer or water $ .50 surcharge. " \.,~ 16200 Eagle Creek Av. S.E., ~or Lake, Minnesota 55372/ Ph. (612) 447-423o-TF~~612) 447-4245~ An t:......1 t'\ro~...ih' 1=<'"'...T...v...... 06/21/03 09:16 FAX 6518919955 WE~ZEL HEATING & AC 141003 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONINGIFIREPLACE'PERMlT _un - . I.Pinc 1.. O."..n '1, Vello... ~:~ I PERMIT NO. L J J L/ Appllw.c J - Vf ( (Pl~e Me or Mint:u1d rim at bottOm 1 I ~DRESS :- 99'/7 "&-.--1/ I' LEGAL DESCRIPTION (ollie. use only) /695 nl.-U ZONING (office lIS') I LOT BLOCK ADDITION Pro OWNER J (Name) /~ p/\l5./7?-J/l/.4 ~~ (phone) (Address) APPLICANT /./ / (Name)_/-4P.r/~ . ~-/7/-/"; (Address) -c::f'/-?/ ?k/ ~b),(/ (Addm.) / /IN' dj,e I' ' . APPLICANT SIGNATURE ~- ./ ~I AA (phone) hC::;! ff4~9f?9F ~rV-.f (Qdy) .:Zf5JZ-Z- (Zip Code) (Phone) DATE /--,b! / (Contact Person) APPLICANT PLEASE COMPLETE BELOW ..J3ffEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL~AI.o'/,( A"?') 6\"?70 FUEL Ak;.,t FLUE SlZE".2- ~:'8!c.... RETURN OPENr.-1GS &, INPUT ~ax:> OUTPUT b;I~ If/e c;';pM;/ TYPE OF SYSTEM HEATING OR POWER PLANT . I OWarm Air PlantS 0 Stearn PLEASE NOTE: 4>/-/HO OGnovity 0 Hot WllU:' Air Conditioner Units /M~30 ~M.chanical 0 Radiation Cannot Encroach into .J<31'ir Conditioning 0 Special Devices Required Side Yard OVent. SYStem 0 Other Devices Setbacks FIREPLACE MAKE AND MODEL Industrial. Commercial & Multi -Family FEE SCHEDULE 1 % of job cost Residential. Gas Fireplace $39.50 minimum $99.50 Residenti:ll, Additions & Altr:r:Uions $64.50 Residential, AC Only $39.50 Re.sidential, Heating &. Ale (New Construction) RcsidonriaJ. Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # PAID WITH BUILDING PERMIT Building Orfici2.1 ~~ ~ ~ D'~' ~]\ \ nj 111t-.L2_5.)nnl . u~pald -'~ Receipt No. IB~Date 'By r Date: L r 24 hour notice for.1I i.spections (952) 447-9850. fn.< (952).~7~~~5" . . -.. - " _.- ~ " ... HEATING PER.M1T FEE STATE SURCHARGE TOTAL PERMIT FEE (ornce U.e Only) This Application Becomes Your Building Permit When Approved CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~;w E~i~", I PERMIT NO. 3 ---L/ { t..( (Please tv]1< or print and si"" ar bottom) ADDRESS ZONING (office u,,) 3917 REGAL PASS LEGAL DESCRIPTION (ollice use only) LOT BLOCK ADDITION PID OWNER (Name WENSMANN ROMPS (Phone) (Address) APPLICANT (Name) ALLTED FIRESIDE nijA FIRESIDE HEARTH &. HOME (Phone) 1\';1-1\33-251\1 (Address) 7.700 NORTH F AIRVlEW AVENUE (Address) ROSEVILLE (City) ';5113_ (Zip Code) (Contact Person) BRENDA RUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE R/7/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL OWarm Air Plants OGravity o Mechanical DAir Conditioning OVent. System lNPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation D Special Devices o Other Devices OUTPUT FLUE SIZE RETURN OPENlNGS TYPE OF SYSTEM PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks . FIREPLACE MAKE AND MODEL HEATN GLO 6000TR-OAK & SL-150TR Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEA TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH BUILDING PERMIT .5Q (Office Use Only) I -'.-1 Tbis Application Becomes Your Building Permit Wben Approved ',:~ ~ :~i\f' ~~ ~ ~.; l~ i r: 1 ' Receipt No. '"--, u.~,~~.,"::._....,)!:.~:.:"::. ~ n, PRIOR LAKE INSPECTION RECORD IMSS DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDIN PERMIT NO. DATE SUED ~. ~ ~ CONTRACTOR PHONE~51~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING U~ pp P P; 8-: 1/ HEATING (if reqUired) JI/Jr'/ FIREPLACE UOQif O"\'-I/LfJW{1' JfV{1'f-lq dJU -. GAS LINE AIR TEST '{ M ( COVER NO WORK UNTIL ABovti HAS BEEN SIGNED I I FINALS 5-(; -CI) g-It.f-03 'if - I '1-rF"> ~-(q-iJ) '1s - ('1.-rf> GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT fib #' >':'-;Q t'f. ~-Z1J OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE L-J -75-0'2, -J 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