HomeMy WebLinkAboutBuilding Permit 03-0455
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10.').1..(-0,">
ADDRESS ~ 701
t'iJx -J-~(
."
, ( r-
OWNER
CONTR.
PHONE NO.
II sz.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ia' FINAL
'0- SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
n Ii 1_ r
'. ,~r)(r I I?~
"-
~ /M~_ h (:0
I
/~ K-.
'" .
^ ,
'-0 d~L ~ C'- t~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECJ1K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . \" . Owner/Contr:
CALL~7: 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I/'ISNOTl
QItrfifitab~ of ~ttupantl!
CITY OF PRIOR LAKE
~rparfmrnf of ~uil~ing J}nsprrfion
It:] Final Permitted Xl' Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake re,lating building construction or use. For the following:
Use Classification SINGLE FpJlILY
..
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Permit No.
N / A Zoning District _ PUD
03-0455
Legal Description _
Ll, B4, WENSMANN THIRD
Owner of Building
Contractor's Name & AddreJ\{ENSMANN
Site Address
3707 FOX TAIL TRAIL
Date:
10-2
Building Official
HOHSs-' <1895
I //
1/ /1-
V/}/
PLAZA DRIVE, SUITE 200, EAGAN, }ffi 55122
ROBERT D. HUTCHINS
City Planner
DON RYE
Date:
......
..
_..~."".....;.,":;";''...:..,-~.........,
i...
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :s\}Oi
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COM,!\ENTS:
\ , ~tJ.
SCHEDULED
.r,.,x l-~!
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)8:::'PLUMBING FINAL
o MECH FINAL
i,J ~ ~
~ f./.J
C2.\p~ ~ ~~~
"
,
L . r "...1 u-.Q
~L WI, ',~r-
II ~c-L J 1
-=t ' .:~
~1 u
~Julr>
.
D"Tf.
(O.2? OS ..1.1!.k
\-~
- I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ION AND PROCEED
o CORRE TWO I CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
7 85 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\)
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UVSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S <iN~UTJLITYCQNNECTIONPERMIT '1-/8-D3
ee IVlaln FIle
(Please type or print and sign at bottom)
ADDRESS
3707
~1( ~_.;t
(Address) J t;>)C\ ~
p\ o.;lO,
BUILDER
(Name) ;~W'P
(Contact Name)
(Address)
a..~
Ire.: 1
\-\cl""e S
T V\.r
f) r "oR
~..'-b.
o..~
TYPE OF WORK
~ew Construction
OLower Level Finish
o Misc.
I. White File I PERMIT NO I
2. Pink City ./)..2- l J 1::::"'5
3. Yellow Applicant V-} ..., J .
3rJ
w
PID ~ ~ ~~ ~coLJ-O
(Phone)
.,;l.co
...8&.)0 (\ i M \-J
(Phone)
(Phone)
ODeck
ORe-Roofing
ZONING (office use)- ____
puA\
SS/~
ORe-Siding
OUtility 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 10ca1laws 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 the property to perform needed inspections.
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK {ADDITION W Pt./!!f}iY\o.'(\^
OWNER
(Name) We~~ '^"'-
X I~~N\. ~I~('~
Signature
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OPorch
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
/ () t<:; 0 CXJ
c_ )
..::r '" C .
l" \ -P",...t ~ r~.,.J
/?J~OOO. 00
$ /~ 0 Z / . 7~
$ , ~(P4-,I4-
$ 52-:5V
$
$
$
$
$
-
/00,00
/00.00
S~.~-o
4-0 . () ()
This Application Becomes Your Building Permit When Approved
~ 9~~S7J/(J~
Building Official ' Date
/45 '(J
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
$/8/03.:.
"Date
$-
$ ~Z7S.00
$ Z s-o , cf7)
$ ..f..s;. cro
$ 1,206.00 I
$ 7CJ7J ~01)
$
$ I
'-j $~~. 9;9 I
I }
ReceiJ,f No. ~fif.J Y I
By/j,--, I
() f
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
~:;:Ci:~~~;J;::,cmfid7/;;'md'"-~ee':\1a]n 'Ftem~~'~
.- v 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
I Paid 5 f-d'J. J 7
I Date (J7~ I Z .07
See :Main File
White - Building
r:ltaqary - J:.nglneenn~
Pink - Planning
Th. (',ol.r 01 Ih, tab Couolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ II".)" ,,;l. ,'., i" d
! , .k;/)i.~.',kft1L ;t//" / p-1
, j
A'fi -A--7 ' .
/' i' (;.,- /
l v J.Y11...J,{....2-',
APPLICATION RECEIVED
"'y-''- / c.. -- d \,'::;;>
/ ,() ....J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ,activity which i~ proposed at:
'-, . .., --/) -:'-'::'" ,-7-~,. ' ,1,/ . /' ,J I
)" // r'",/ / / (::i,,( / i <'-l./t {\ ,L./1 (,:1_,1-/ ,
'~-~ . .'- l_./
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
A1\B
5c~ ~/n ;:,/~
.......
Date:
{;'-0-(?3
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."
Ii I
See Main Fi~e
rWhite - Builcfuig:::)
Canary' ~. t:.nglneering
Pink - Planning
The ('tnter or the- Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! J k--1UCJ2/Y/11 ~
y-/ro0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S /?o,? Pb,;( Tad c;h~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
,.
9~~
Date: 5//ltJ3
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."
. 1
~ee Main File
White - Building
Canary - ~nqineering
c-Pfnk - PlannlriD-;,
The Cenler of Ihe Lakr Counlry
BUILDING PERMIT APPI..ICATION DePARTMENT CHECKLIST
NAME OF APPLICANT
. J / /. :I,. /,(,; f
J"" -' r' ,.",..- / ,>
)
!/
~...~
APPLICATION RECEIVED
/r .
"',/- .,..- (,,)
./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(' ,/' '" /" i'
?:./" /-l/..''( ,
......,( ////)
',,>-""' ,/
r
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
.
~IJ~
r
?~
Date:
S/I/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,"
&~
~NEV
- -....
YB.UIW - M'I'UCMI1"
..... - CIn
CITY OF PRIOR LAKE
SEWER AND WA~~ ~~T
S.W. No. :3 -If 5~
Sewer and Water
contractors must
be registered
with the City.
ArrLtICANT: 3~G:tt PHONE: ~~-~-~/9'9
r ~,~ATE:
~ BLDG. .t'~u:a..'
r.--
1f-/} v.,La / J J PID'
~
NOTE:
1.
FILL IN THE BLANKS
Estimated length of water service ~t1
/#/
Size of water service inch(es).
Location of any couplings from structure
feet.
2.
3.
feet.
4. Type of sewer pipe. ABS PVC ~ Cast Iron
5. Estimated length of sewer line ~l? feet.
6. Clean out (if required), located at
structure.
feet
from
===========~=================~============~=======================
This application becomes your permit when approved.
BY
DATE:
---=============~============~~~======---~========================
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.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insura.."that.)lO.gYRlicate sewer and water permip:A},o are
DATEi::~:d. r~ G: if n.i ..;:'J AMOUNT PAID eUll.OlNG ~r;:Mrr
U. 'L. JUN 2 7 ~OD3 . ' /" )
RECEIPT t ~ REC'O BY (~
By tI
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An ~m".J Onnnrtnnitv ~mnlnv,.r
Ii' r
APr ,21, 2003 11 :33AM
GENZ RVAN PLUMBING AND HEATING
No,0366 p, 5.5
Wi ~R/O~ \
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,'~.,.',::", ,;: ,t," '
.:~\'~:~~\..'~.:.i~~2,~\~'a~u o. ~ I"
'~'J,.\~:..". a..EI
"
Date Rec'd
CITY OF PRIOR LAKE
SEW"ER AND WATER PERMIT
,
/
~ ~~I!~ ~\.~.. I PERMIT NO.2 - / J (;S
). Gold AopliQll' J ~ .
(P!c:;ue tvee: 01 ~lJnt ~d SWl at bottOm)
. ADDRESS g1iJ1 foY; fa) L T lZi.
ZONJN'G (of&~ u~e) I
LEGAJ~ DESCRIPTION (office use only) d
LOT1 BLOCK J ADDITION i1l1m In(}) j/} f7 312-. .
Pro
OWNER
0~~e) Wensmann Homes
(phone)
651-905-3709
(Address) 18.95 Plaza Dr Ste 200
(Addre~s)
Eagan, 1:-m
(City)
55122
(Zip Cod1."}'.' .. -.
APPLICANT
~an)e) Genz-Rvan Plumbing & Heat~ng
(phone) 651-423-1144
"~TCANT SIGNATURE
ROS6Tn()1l11..t. "N
(City)
')')OfiR
(Zip Code)
(Address) 14 i 45 So
(Contact Pe.rsoo) _
651-421-114.4
L/-,N~ ~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at _ feet from structure.
Residenrial sewer and water line connectlOn
Sewer connection only
FEESLtJ..J1;DULE
$3550 Indwtrial, Com'! & Multi-faml1y 1% of Job cost wIth a $39.50 mlIlimUm
$17.50 Water cOIUlection only S1750
Estimated Cost $
Building Permit #:
SEWER AND WATER PEIDvlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~~~~
~.tG i:.! If
~~4I~
Building Offici.tJ
filW~ ~ R"",iptNo
~~#R~ :; L001 ~ By (~
'1J
24 hour notice for 311 in:lpectlon~ (952) 447- ~,f:l;j: 9
Date
(Office Ust Only)
This Application Becomes Your Building Permjt When Approved
III,
AUg, 4, i003 i:ilPM
GENZ RVAN PLUMBING AND HEATING
N 5~~~
0, ~ ~ ,)
CITY OF PRIOR LAKE PLUMBING PERl\tul
p, 5 3
Date Rec' d
1 Rlue ?dc PERMIT NO '3 S1
2. Gold City . - L(~ -
3. YoJ'- AppliCWlI J
(please tVO~ 0.1" 'Done and s1en at bottOm)
ADDRESS L hi
J1tJ1 flit fldj 7P .
ZONlliG (otlic:t u.~e)
~u ~
~~~
~~
~.<) ~
~~.
-47/.."
LEGAL DESCRIPTION (office use only) 1./1 Il
LOT -+ BLOCK / ADDInON WmJrn.Mlrl ef,dA.
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan. rlN .55122
APPLICANT
~rone) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 1474.5 So Robert Trl
(Address)
(Contact Person) -.&1 tls-h' fitll.-s -
APPLICANT SIGNATURE ~(J~~
Rosemount. MN
(City)
55068
(Zip Code)
(phone) 651-423-1144
DATE f 4~~~
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
i
j
J-I
I
'~
J
3
Type of Fixture
Bath Tub with or without shower
Dlshwasher
) Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
I Type of Fixture
I Rough-ins
Water Heater
Water Softoer
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Bacldlow Assembly Test
I Lawn Sprinkler
I Other"
Qaan~ty
:3
,
P.rL
I
FEE SC.tUL.uULE
Industrial, Commercial & Muln-family 1% of Job cost with a $3950 minimum Rcsldcntlal. New One & Two-Family $9950
RQadcnti:1l, Additions & Alterations $3950
Estimated Cost $
Building PenDlt #
PLUJv.1BmG PERMIT FEE
STATE SURCHARGE
TOTAL y..I:!.l-cMIT FEE
$
$
$
50
(Oflict U~t Only)
I This Application Becomes Your Building Permit When Approved
I
r .,.,
Building Offld,al
r. ~ I~ rl WlI~ -~eceipt No. ..,
'ate y (?
Dllte _ .-AU~ 5 20g3 - l)
,. hour no.'" fur.n '''po<tio., (952) "7-9150. I.. (952) "7""45
By
r I
r
_J
Aug, 4, 2003 2:11PM
GENZ RVAN PLUMBING AND HEATING
N 5~~?
O"~~'J
P, 9 9
CITY OF PRIOR LAKE
HEATI.NG/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1 Pink FII<:
1. G<un Cily
3. Yt/IQow ^ppllc.ulc
PERMIT NO.
:5 --if 5-.(
(Please tree O~ print and siltll at b_......_)
ADPRESS tJ. "'1.f\ .~.
V tv-r . ,.!Jx 1ajJ m.
. J
ZONING (offic:e\l$e)
LEGAl.. DESCRlPTION (officI: use only)
LOT4 BLOCK ADDITION ,IN ~YJ~VH'1 t;r;i.
PID
OWNER
~a~) ~~~cm~~~ ~nmp~
(phone) _~ c:, _.01) t:_" ':!.,na
Eagan, }IN
55122
(Addres~ 1895 Plaza Dr Ste 200
APPUCANT
(Name) Genz-Ryan pll1mhing & Hp.<lf"11'\?
(phone) . ,; c; , -"- ? ~- 1 1 {.J.
(Addre'is) 14745 So Robert Trl Rosemount, MN
, (Afre~!), A (CiIy)
(ConractPerson) --CJ;J~};f7 mAl..S (phone) F,"i 1-4?':\-lH."-
APPLJCANTSIGNA~ (Y1J.~ ffiJ.!/J DATE l..-L/-IJfJ
APPLICANT PLEASE COMPLETE BELOW
pEW CONSTRUCTION , ,.g ~PLACEMENT 0 ALTERA nONS
FURNACE MAl<E AND MODEL ~f4!:iJJM11./~}fS -q{) . FUEL Oft! - t.,d!1::S-
FLUE SIZE . RETURN OPENlliGS ? INPUT q~. (WI) OUTPUT 7 2,1 ffl5D _
TYPE OF SYSTEM HEA1.1NG OR POWER PLANT
y(Warm Air Plants 0 Steam
jGravity 0 Hot Water
[]>Iechanical 0 Radiation
~ir Conditioning 0 Special DevIces
, :Jv~. System 0 Other Devices
55068
(Zlp Ca~)
PL:EASE NOTE,:
Air Conditioner Unlts
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industnal, Cc>mmercial & Multi-Family
FEE SCHEDULE
1 % of Job C<lst Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Altenuions
$64.50 Residential, AC Only
$3950
ReSldentllu, He3tIng & Ale (Ne'\" Construcoon)
Residential, Heating Only (New Construction)
$39.50
S39.50
Estimated Cost $ BUilding Peunit #
D~te
t''"'"''''''1''!".'''~'~H'''''''''''
i....
II P;~ci
r
111~at'A U G
lJ/ . A
Vl(a All()
~G' ~~
~~A~
'117/}-
HEATlNG PERMIT FEE $_
STATE SURCHARGE $ .50
TOTAL PERl\fiT FEE $
(f"-' -. l./sc()nly)
,...s.:> Application Becomes Your Building Permit When Approved
Building OfliclaJ
.~ 0 \jj ~ ' f ~eceipt No.
S 2003 I jljFY if
fJ
L-~j
24 hour notice for aU irupcdtol18 (952) 4'.7-~, fax (952) -i47-1245~
,---'
~
CITY OF PRIOR LAKE
flEA TING/ AIR COl\i"DITIONINGIFIREPLACE PERMIT
Date Rec'o
~. Pink
Z,o._
J y,lI_
.-.---
~:~. I PERMIT NO. 3-JJ53 :
AppliWlt (\
I Pleasc type: or priDe a.nd si~ :u botttim)
ADDRESS
3'10'1 F~ u~
ZO~G (ollic~ 'm)
. LEGAL DESCRIPTION (ollic=use only)
LOT
BLOCK
ADDITION
PID
OWNER. '\. \ L . _ _
(Name) W~ ~
\
(Addras) l~qS p~ ~, !=:I:. dOO I ~ rnn
, APPLIC.e.Nr r \ . .
(Name;(k.to1t),(i~~;<". . t -,O.':U:t..QQ D:-:GL:l T F~_.u:...i~~ (Phone) ~ (173,3 i 5- 7500
(Address) C{::) I () L")~ .(C'Yf'J n~~ ~ J 'f~ 0: Q '\./'"'\1t.Q .I..\"Y"' R:~ 1.Jt, rn n S. '5 y'L.{, c::;
,', rj.cldreSS) () (Cicy) (Zip Code)
(Contact Person) 4< r"\ c:;;:.". tJ. '. (phone) 1](;;3-315-75/ f..p
.-L./ _ 1/ ___
APPLICANT SIGNATURE 71 "Lt._v ;(;p.?T .'?-0..,;-nQ.r--..:. DATE
(phone:) loSJ -<-l(Xp -4400
55 I:;)~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERATlONS
FURNACE MAKE AND MODEL ~UEL
FLUE SIZE RETURN OPENfNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER. PLANT
.. OW3lTl\ Air Plants 0 Ste:am
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditionet Units
Cannot Encroacn into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL rY\..o.J "uJ:vC, ~CoO Ovs.. ~ R to
LJ
Industrial. Commercial &. Multi.Family
FEE SCHEDULE
1% of job co:rt Residential. Gas Fireplace
539.50 minimum
$99.50 Residential, Additions & Altel'1ltions
$64.50 Residential. AC Only
539.50
R:sidenlial. Heating &. Ale (New ConsU1Jction)
Re:;idential. Heating Only (New COl1stn1ction)
S39,SO
S39.50
HEA TING PERMIT FEE $
STATE SURCHARGE.$ .50
TOTAL PER"vf.lT FEE $
~Ul. . t>,(f/D
'l..DIIv. .l11?-~,
G t>~ '7
'7:141/.,.
Estimated Cost S Building Pennit #
(Office Use Ollly)
This Application Becomes Your Building Permit When Approved Fl~~~. ~I Rec:ipt No. 1
.""d;'. omn,' 24 II.., "Roo r., :; ~",p"RonO(9S2) ~'t~~~~ ~t,) 1.i~gJs ~. By 4 "
~JlSH:;: :9 XV,:! ;:1': 01 CO/i:VSO
co 0 [2]
.\31anid 3~VMV~ :)IlVJW.LI.~y.
L
Ii II
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 370"7 Fa)C t ,-....i... .' ,fiJ4..'L..
NATURE OF WORK ~ W Q)N~ltclcrlo~
USE OF BUILDING S.. ,..,. ·
PERMIT NO. C23-()45S- DATE ISSUED -51'163
CONTRACTOR ~ ~ J 1t-&c"PHON~O-'lSe7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.~~
Yf?
'.;f//j"
)
~ /',~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I.)C/'
C-!(J)!03
q.:.. /1
,
1
-h-JA
y/)
r
LLR.L
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
r\)
(I
If) - 4IV
j../
I
\>
SIGNED
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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
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