HomeMy WebLinkAboutBuilding Permit 03-0217
-;-~._~.-~- -.. ~-_.-.....-
......-..- "-. -..-..--..-'.--....~~ 'V~T
<lIerfifirafe nf @trupantl!
CITY OF PRIOR LAKE
~tparttutnt nf ~uilbing Jlnsptttinn
~inal Permitted D Conditional e.O. Expires
T lis 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 regulating building construction or use. For the following:
Use Classification
SINGLE F.A..'lILY
Bldg. Permit No.
03-0217
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
1,20, B1, STERLING SOUTH
Owner of Building
Site Address
7750 WILDS LANE N.W.
Contractor'sName&Addres~CDONALD CONSTR., 7601 145TH ST. W., APPLE VALLEY 55124
ROBE~T ,D. HUTCHINS City Planner
vtjt'7 :r'1l 0 \ IM~
I " POST IN CONSPICUOUS PLACE
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2150
LJ ,FLooD '\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
DATE TIME
l-'?-o~
[LA
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
1. ~v..~_ G)-~ ~p. b~~ SD~
? L ~ d-- Tnu.,b ~~ -A Pi...
""\. ~ _~ ;J~
Q lt~ ~Y_ -\c.~
1-'-f
J
..f-o
r::{
- {-()7j
../'
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORREiT ~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSl'lOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED
~,~~ ~
ADDRESS
).~SO W,7J,;> ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- 2/7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
..er-PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
({) f -.f VIII tJ\A
\.../
rc>o{-~o~
o ,,6RK SATISFACTORY, PROCEED
? CORRECT ACTION AND PROCEED
o CORRECT :O~. LL FOR REINSPECTION BEFORE COVERING
Inspector: '1/ r {, -l-Y 1"7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
7J1-":> (0
,
L 1XJ ~()~ kA.\...Jb. ~)
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
..D~-'t11
o ~IFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G e..)""fJ G-_ - 0 V-...
( .r J.I1... f'J... ~ -(OP - OIl...
}-.J (J SOf) fA ~Rf.~ ",
ji( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ wo-;{(/lrw. ; Owner/Contr:
CALL-:::t:~R T~E:EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
-&1so W:/J, L___ ~lu)
LEGAL DESCRIPTION (office use only)
LO~O BLOCK I
OWNER
(Name)
ADDITION S'r~ tL( r<""..'"L
CJ
Ih ,o/)O"J J (l (!J ~~ /,
(Address)
BUILDER 'J n
(Name) /J7 JI1~1 t' (l')~~/:
(Contact Name) '::J ql/l ecJ.A ISo----.
(Address) ') foo ( J l.{ s- J,., ~,. (.A./...r2 s'r"
TYPE OF WORK
MNew Construction
~ower Level Finish
~Deck fa(Orcl1 ORe-Roofing ORe-Siding
~ Fireplace DAddition o Alteration ~Utility Connection
PROJECTCOST/VALUE (exc1udingland) $ r1: 4S _ (?00 ().:.:J
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
=7Jler n !::z.:::.rfOrm~eededinSpectiOns. Be -f)31 b j - JS -0 ~
... - Signature Contractor's License No. Date-
V~ ,
I Permit Valuation Jf .fI. ~ S; 00 (J , 'DO
I Permit Fee $ 18 (!) 5. 75
I Plan Check Fee $ It 7 3 . 74/
I State Surcharge $ I z.. 2.-, s-z>
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
o Misc.
~
I Gas Fireplace Permit Fee
IOD, () lJ
10 0 . () 0
35. s-a
'la, OtJ
This Application Becomes Your Building Permit When Approved
~~
01/,;)- t, !tJ ::1
Date
Building Official
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
d- }L/- 3
I PERMIT NO. 65 ~ ()7-/71
ZONING (office use)
pvo
~b:r r"' r
PID?F;-3ff7... 020-0
(Phone) 95J-~3;),,-, be) (
A/jJJ<J~~
(Phone)9Q1-43'~ - /60{
(Phone) h(~ -701-&-bQ 4.
M -'",--?- . SSI";;.. J.f
--------
r Park Support Fee
I SAC ____
I Water Meter Size 5/8'~
Pressure Reducer
#
$ ~O, ()O
$ I 2. 75. 00
$ .:soo,Oo
$ 70, t)d
$ 12.-00,00
$ 7oo,cJ()
$ IS-ad. cJO
$
#
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
I Paid q l '1 1 , rr7
I Date ~, 7-0 ~
$Qz7z.4LJ1
, W
Rtce o. ".:J9T~ I
By __ _ I
./'"
""
cJ.~(,/tJ'3
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
iss~: -L ~
Planning Director
~aP~
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 - BtIilW.n~
acanary - ~ngineerin9)
l5iiik - F- lell II ling
TII. Cl'lIft' of III' tikI' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f'} r DO f\JA LD CC)~.J("., I ~.
2-1LJ- - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const~~ction activity .~hich is proposed as. .'.. /
/] -1hU" lill/l. j)~ I A 1\.1 t--. (\- I l.i\J.'
V ,_/ V \I , L- J..,.. __ l..-i" r..; \.,..r J y
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/l,f-t 13
Date:
~ - -::; 4-tJ3
Comments: See Revp.r~e Skip. for Arlrlition81 Informationl
See Attachments: 1) Grading Plan, 2) Erosiol1 (:oD.1:r:01 Me::!~l1r?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." .
i I
..l.....
It.
Thf' <'eonler or thf' L.kf' <-'ountry
White - Building
Canary - Engineering
c:::!!nk - Plannin9')
BUILDING PERMIT APPLICATION DePARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tj c ()Cr~ALO
2-/4- - 03
(i ( I,J;" I r;~J
,,~ \.../ -.-J t----. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction,. a.ctivitY~h.i.C..h is proposed at_ . . J
7-.-;50 l \J I L. LJ.:5 L.-A j\J C t,J \,
f
Accepted
Accepted With Corrections ~
Denied
~
~
~
A,e. ~
~~~.
11
'=1~ Date: ~/.;1(,k,3
~~
~
Reviewed By:
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."
Thr C'rnlrr of Ihr Lalir ('ounlr)'
(" White.. - Building:)
Canafy - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r r~D()NALD CONS' J(.....
2-14- - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
app'icatio~15octiowct: ash is t:A~ afi '" vJ
,
Accepted
Accepted With Corrections
~
Denied
~
~
~ ::f~ Date: ~01~~ 3
tP~ &LLf' ~ ~-~ ~
-
~, d- ~ ~~ IV"-
I ~ ~ II L .f ~ -
" ro ~ -<-i .,4LJ.
Reviewed By:
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."
I I
From : JECHEE><C
PHor~E No. 612 8926396
Mar. 18 2003 7:47AM P02
. .\,~ .\"" }. . ,'.'. ,
Date Rec'd
I'.
CITY OF PRIOR LAKE
SlS WER AND WATER PERMIT
(Pleue lVT\l: nrTlIint Rnd all.!llllt bOl1om)
ADDRESS
;. '1 b- () .~'1Jl1d, ~ 1dJ.~_jU U/.__
1. Ult>Ol\ rill
, ....IIAIII Chy
J, Oold Appll....\
l'ERMIT NO. ~j;' ~ 1'1
v
ZONINO (o~ IlK)
..
LEGAL DESCRIPTION (olf&cc mc onl)')
LOT~~ DLOCK I ADDITION ~'-I ~ y I ~ \1.-j---S ()
PIn
OWNER ,At1 W l \ (\ ..J- :..
, (Name) -lll.(" \, 6YJ i1 d '--~.ll \I)..&..1
(Addxc:ss).2Lo..D1 - ) ~I(TV\ ~
~:~.;.\..., . ,. (Addles~L
.--.-... (Phone) W L13-11J../tJ () I
LL"I..IJLlff~ .~... .
LLff ~g~f ~,.' tJ ... "". .... (Zip Code)
i/~{I('I\. ., .
. APPLICAN'l"'--r- ( C"
(Na.me)' ',:. . veL I\e.".; r:....yc,
(Address) Jain. "Y ~ P ta..c., f __
<Address)
'(ContActp~"on) ~~ ._
'APPLICANTSIGNATURE . -:J.~O ,-
. I)
(.,
Al~J~LICANT l>Ll~ASE COMPLETE BELOW
siz~"Ol watc:7Sc!"v ice inche~.
Location of any couplings from structure feet.
,Type of sewcr pipe. 0 ABC 0 PVC 0 Ci.:!:Sllwll
Estiml1lc:u kUgUl of ~cwer line feet.
Cbm out (if required) located at feet from structure.
---.,--...-.---..-.-.-
,(Phone) , ~/:}O 7 '-tfi
r31f)OIflI~+Oh M~/ 6.c;~~1
( ty) (Zip coot)
4lrJ. ?<B 0 7t.lS-j, .
(Phone)
DATE
ResidentIal $CWCr And wate, Jillc CUIIIH;ctilJlI
Sewer connection only
FEE SCHEDULE
$:lS.50 Inu\llitrilll, Com 'I & Multi-filmily 1 % of Job Cl)lil with a $39.050 minimum
$17.50 Water connection only $17.50
E~tilJlilll:J Cusl $ <is Z; I)
Building Pennit #
(omu u.. Only)
. PAID Wr,..,..,
BUILO/NG p~
J;;RMIT
Tb ~ Applkall... 8~vmo y vo, nolldl.. P"m It Whon A,>p,.vod C ~ [Eolf5 [E 0 'i'IJ [E rl Recoipt No.
. DOl II: "Wl II 'lBY ~
.J4A~ 1 R ~ _._.._. "'.' bj ._._..
H hlt"r nulice (or All h'~l'ec~io"s (')S2)" 7-9850, (ax. (?~2) "4'-4245 . '.1', J .
~
snWCR AND W ^ TER PERM!'r FEE
STATE SURCHARGE
TOTAL :rERMIT FEE
$
$
$
.50
IIl1lhllnc Official
Dille
, '1"
- --=..=.... vA' r.l.\.J. Ul<, LAKE
t4l 001
. CITY OF PRIOR LAKE
HEATING/AlR CONDITIONING/JjlKEPLACE PERMIT
Da.te Rec'd
t ~.~n ~~~..I PERMIT NO. '2 -Q / 71
J. V.I\O'oIt Appl1c"'. lJ .
(Pl~a$e ~e Clr vrinc Uld $il!Jl at bottom)
ADDRESS
J~7;J () t. .J/~\) Q,
ZON'IN G (office UIC)
:L&-~
):}J, (A.) ..
LEGAL DESClUPTION (offic:e U,c:: only)
LOT
BLoer<.
ADDITION
PID
OWNER r'\
(Namc) _p??(1~ ~~;Q
(Address)
~~.I-.
(phone) ~ZC) ~ 760 I
I APPllCAN'r / 1/.
eN arne) (";" J r 1'1'" k P. [) 0; /l
(AddTCSS)&/~ t.C e:athdJ ,Awe
(.....dams)
(Contact Person) . .
APPLICANT SIGNATURE ~ ~~
(PhOM)
;Yf/) - c...f'\~'d .;
~s6;;J~
(Zll' Cede)
-;;z~ .
0- (CIty)
(phone)
DATE
3-~-t3:S
./ APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTlON 0 REPLACEMENT 0 AL TERA TraNS
FURNACEMAKEANDMODELC~/" C9m1J~c FUEL IJIJI-
FLUE SIZE Z't PUt.., RETURN OPENINGS _ ..<:; INPUT /(X').~ . otITPUT Q.Q.~
. .;
TYPE OF S):;) l~M HEATING OR POWER PLANT .
OWu..-m Air PlAnts 0 Stl:am
o Gravit)' 0 Hot Water
~chani<:a1 . 0 F,l1di1l.tlen
~ Conditioning 0 Special Devices
..Ja"Venl. System 0 .Other Devices
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacla
FIP~LACE MAKE AND MODEl.
InduStrial. Commcrc:i-.[ &. Multi-Family
FEE S~.t1hDULE
1 % ef job ce~t R.c3ido;:ntie.l. Gu Fireplllee
$39.50 minimum
. .\199,50 Res\dcotial,_Additions &. Altcrarions
$64.50 ResidentiaL AC Only
S39.50
Residential, H~2.ti.ng &. Ale (New ConstrUc:tion)
Residential, Heati!'.g Only (Nc:w Constnlction)
$39.50
$39.50
flEA nNG PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE .$.
ell~ ,()~/D
DING ~"rlj
,()~
~-ifl"r
Estimated Cost ,$; BuUding Permit #-
(Orne, US~ Only)
ibis AP.plic:atlon Becomes Your Building Permit When Approved
Bl4iJding Oflieilll
fA;
!J
100~
HIV G3110H.LNO::>
9LZ
Vd 6~:Cl IHd COOZ/RZ/CO
10/24/01 WED 11:22 FAX 6124474245
CITY OF PRIOR LAKE
~OOl
CllY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~. ~~ ~~~ PERMIT NO. Q - J Jr?
J. v.,...... AppI..... d c7' I
(Pleax ~ DI'IJrint and sigD :1.1 L . ,:. "..)
ADDRESS ZONING Colkt,*)
27':;:)U /'vIWS L,4AJ€ AJtJ
LEGAL DESCRIPTION (gma: IIX only)
LOT 2t> BLOCK / ADDmON 5TE/2L.IAJ~ $~J..I
PID
~~ tlk.()~Al-n ~$-r'" (phone) 952-6f3Z-7~1
(Adciress) '7~ol /"15""jI~.,,. lJ _ IJ,,~ ~'L~-Y J1IIV .s-~Z-1
, ,
(Phone) t,~/-~-ISb~
/JI!AJ 5S72../
(Zip Code)
APPLICANT I ~ , A/J
(Name) 'WE;()z.~L. 11/€'OIA/lJIcA-L..
(Addreu) .010 IdLEXAAJIJE:12- /?L) - (;;Q&,AA.j
(Add1ess) ~ r (City) ,
(Contact Person) milLE -/ !2.,c-H (Phone)
APPLICANT SIGNATlJRE J'7 ~~ j fe_
DATE
4.iJ/ ~ 3
Quantity
I
/
,
4
J -
-z..
I
I
~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixt1lrt Qllantity
Bath Tub with or without shower
Dishwasher
Floor Dillin
Lavatory (Bathroom Sink)
Laundry TnlY (lor 2 compartment sink
Shower Stall
Sinks
-- Bill' Sink
W~ter Closet (Toilet)
Type or rlXtan
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assem bly
Back:flow Assembly.Test
Lawn Sprinkl~r
Other
I
FEE SCHEDULE
Indulltrilll. Commercial&; Multi-f;amily I % of job tost with 4\ S39.S0 minimum Residential, New One &: Two-Family $99.50
~ Residenti.l. AdditiDIlll cl. Alunuon5 $39.50 t<
Es.im"..J Co" S /'1. ~~ Buil<ling Penn.' (j3. Oz." rtf? ~
PLUMBING PERMIT FEE $ ,< ~~ (/I
ST ATE SURCHARGE S .SO Y J\ fIV
TOTAL PERMIT FEE $ e,J ,
IOffi(w 1)11: Only)
i1 ~ ~ I=l -----I
nil ApplicatioD Becomes Your Buildinl ',nuit Whtn Approved r ~ ~PW l1 U \!J ~ -' . .Keeeipt No.
IIvildlll& Official - PUt 1 R~~ 0 2 Z003 By
:4 hou.. DOt'ice for.1I in.puno.. ~} 1!7-9&5U, till. (951) 447-414.5
d ~O~ES0098~ 'o~/a: 8 'lS/8~: 8 EO, 1 '~(:1fll) lBl)liQ-!;Gt, 1 S9 :JUllV3r
ff'
V
~ :;Nl8Wflld 1:1ZN3Ni WOBj
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~:~y I PERMIT NO. ~ ' d )'7
3. Yellow Apphcant G/
(Please tvDe or urint and sil!;l1 at bottom)
ADDRESS ZONING (office use)
2750 WILDS LANE NW
LEGAL DESCRIPTION (office use onty)
LOT
BLOCK
ADDITION
OWNER
(Name)
MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
65 J. -6n-.?56 1.
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
651-633-2561
(Phone)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
PID
55113
(Zip Code)
3/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
REA TN GLO 6000TR-OAK X2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'~~~Dffi-fE\
~~ 0.2 2003
Buildinl!: Official
Date
24 hour notice for all inspections (952) 413;9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
OUlLOING PERMIT
Receipt No.
By
/Jr-
\J
~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 7.. ?50 IAJj~ LAKEJJ. W.
NATURE OF WORK ~ CPuJT'~'D~
USE OF BUILDING s...: D.
PERMIT NO. - 03-02/'7 DATE ISSUED M&t.M
CONTRACTOR ~~~~r: PHONE.'. -70' -BldCf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,/'j;t#CTOR DATE
J FOOTING I t:.l;)- I ~ u l) - /~-:1
FOUNDATION (Prior to Backfill) I " fl//:; I".s -/g- -03
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I , 1M /
FRAMING ~ ~.jJf t,,{.,-~~, .:;/1105 r115
INSULATION '-..J lA1/
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DEPARTMENT OF
BUILDING AND INSPECTION
'3~(~-o>
,s-...~
S :-.~ -rT>
f#
_ $%-
t-.t' fI~-qftl,/
}I-~
GO
, <:-..d
COVER NO WORK UNTIL ABOVE H~S_BEEN SIGNED
gllGUJ{t!U7IIM/)S7IA/6" I /)/0 15-&
. FINALS
GRADING (Prior to,5odding) ~ h z,-J.oJ
BUILDING ,...... ~ it -1--c~J. (r/ (7
ELECTRICAL ' r
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
/D --Li
t1.1IO
(C), ').. sv())
FOR ALL INSPECTIONS (952) 447-9850
i I