HomeMy WebLinkAboutBuilding Permit 03-0544
Ql~rtifirat~ of @rtupanru
CITY OF PRIOR LAKE
~eparfmenf nf ~uilbing Jlnsperfinn
~Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Secti,pn 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliancew,;ith the various ordinances of the City of Prior
Lake regulating building construction or use. For the folloWing:
Use Classification
SINGLE FAMILY
. Bldg. Permit No..
03-0544
Occupancy Type R3
Type Construction
VN
Fire Zone
N/A
Zoning District _ R 1
Legal Description L2. B3. DEERFIELD 8TH
Owner of Building _ Site Address 5072 PONDSEDGE LANE
CT.. SUITE 100. LAKEVILLE
,II
Contractor's Name & AddressD. R. HORTON~ )fc}-:.; 20860 KENBRIDGE
ROBERT D. HUTCHINS Y Yr _ City Planner. DON
I J Building Official
~ - 3 - 0 '<. Date:
RYE
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
_q-/c
ADDRESS
S01L
d0vrclst'd" ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'Z. -' C''! (.,1
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
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(bfNtf&{ rooraP5
3" WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: L f 1-/ ~ ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
-12-- ]-()3
ADDRESS
9:;7;.. - PtMdScc4 c::..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
/
I
~
CONTR.
PERMIT NO.
"5 ~ ,s-C-(4
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 GASLlNE AIR TST
o MECH FINAL 0
~ c! / l' ~~.__C;
----
~
L((J,-(" hG. )
/
~
---
---
-
~ATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K.~OR REINSPECTION BEFORE COVERING
Inspector: ,1/ l/f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
lo'5"O..l
ADDRESS S6 72 j)CYl.c1s(~ LI1-
;
PHONE NO.
PERMIT NO.
PtHnfJon
6 s - SLft.(
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
~S:WAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r: v/h f30~, f9L
{9'Gd~ ~ (9~
I'll WORK SATISFACTORY, PROCEED
v 01:0RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ---::;:::-~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
T
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SCJ 7 L f4vt..JfI',J~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )fiSULA TION
Ji!f FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ,PLUMBING FINAL
p/ MECH FINAL
COMMENTS:
aJ-":; "" 411"<<cL- /tff /7tnt 1
s;dd. o? 1'/Y:-r-s
7 il11f? u~f-; I
....QAo. (f"' Y'c t. 'c d ,,-.,...c
DATE TIME
.!! -:1... q-c; ;?
~ - ~Lf'f
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
I J--/-cI;)
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT,A~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: -f V I q.. :J..J1.-o'i Owner/Contr:
CALL 447-9850 FOR THE NE;XT 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 si~ at bottom)
ADDRESS
r;D11- V{)-ntls~e -.tl~
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK;; ADDITION~Jl. ~
OWNER
(Name)
(Address)
(Phone)
BUILDER r'\l"\') \ I
(Name) tV. K. \ O1\VYl \"' "'-L .
(Contact Name) _ .....W)./Q... E.v\ JL.t l1(\
(Address) 2o~~o ~br-~_J~<- Q-. &t-.e..LOD
L-bl ~A/L 1 L~ vvqn ~YJc.l4
,
TYPE OF WORK
o Misc.
)(fNew Construction
OLower Level Finish
(Phone)
(Phone)
DDeck
o Porch
ORe-Roofing
Date Rec' d
'1-
ZONING (office use)
RJ
PID ~5 '91'q-/)~)- 6
~s-z..-"\~S -1909
C1~2-Z~.../~'34
o Fireplace DAddition o Alteration
PROJECTCOST/VALUE (exc1udingland) $ t~7 ~~~
I
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 local laws and will proceed in accordance with
sub . ed plans. I am aw that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent r u on the property 0 neede, inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-t
$
$
$
$
$
$
$
$
I ~R. VOO_
't48R.55.
er ~.l.{D -
GJ4.lb'
I .
lOO. -
100 -
\
3~."'\O
40.-
f /
""".-. P<mill:;;r;;:;;
J6atel
~o()o6t?~1
Contractor's License No.
I Park Support Fee
I SAC ~
I Water Meter Siz(S/s;JI";
I Pressure Reducer -
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I paidW r& V;;" 31
I Date S- - f- (>~
$
$
$
$
$
$
$
$
$~.b4-Z.31
,
Receipt No. i/t/tJd-/'
By r:>,- ./
U-
#
#
#
#
4-/4-03
Date
€>E:O. --
('2-75- -
2-S-~.. -
4- 5""_ --
1 'Z-- CX) _ ...
100_ -
I ~OO_ -
':lis is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
,en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
\~ ~ 1j/?,,/t;:J KLfl tLL( r
, 'Date Specii1CO~
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
Tht> ("t>nlt>r or Ih~ L.k~ Countr)'
White - Building
~ineering
("'Pink - Pla:-:;-;I::":~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ ' ' ,
(./ /\
I
t~/ ("j
APPLICATION RECEIVED 1-/- / // - t> 3
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo$ed at:
5 () /) :,~ i.'") 1) / 5" ' < f L,_/I./-::-
Accepted
/"
Accepted With Corrections
Reviewed By:
1(J;f-
Date:
?~h
I I {
Denied
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-~"'"'' , ..-..-...., -
, -~'T"" ," ,
.... ,- .. .... .. .......-.-.. ---'T""''' ..- I
(White - BuildinQ)
Canary - Eng'meering
Pink - Planning
Thf' Ctnftr of tht t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o R fjo rbOrJ
1-/- /'1- tJ 3
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propofed at.:
S-e> '1 'd- P 0 rJ d s edS e-l-a/Je--
Accepted
/
Accepted With Corrections
Reviewed By:
IIJ (4-
/F7tO
Date:
~ oau 7s-
~huh
Denied
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[~
Pink - Planning
Th. C.nl., of Ih. "ok< Coonll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!~/ /;") f/:) j- i=,~ rJ
1--/- / /7- t> .3
I'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
__ J l '
,..-_' /"l ..---, " " :! I . I .
,t.-'. ^ "/f c7-- ,jj .' ;1 "-"', (""" /.;;:J ._~.r /.....0 / ,-:. J f l:"-" -
~ v r ~) .) ':......, j l._ ,:"-'r " L..~ ,--,~,,-I' /v ...~..---
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
ME
Date:
t.f,.~ S -03
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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
.,
'-:,::;\"'7.
~"
Job Address AI~Js~
Heating Contractor 17/1tl9-Vf M~
Name of Tester A h n ~
'1_/f-o.")
/0,3 ~
~JI1l
~
tJF
'<II
,.
Date
Percent 02
Percent CO
Percent C02
Stack Temp
u{tJ
?1
Combustion air is adequately supplied per
UMC Sec. 606 f./>
(
input / tPJ 07J~ B'" u
"
.Jun. 2. 2003 12:06PM
GENZ RVAN PLUMBING AND HEATING
No, 5677 p. I 4/36
Date Rec'd
CITY OF PRIOR LAKE PLUMllING PERlVllT
~. ~~ ~;~ I PER1\'nT NO-3 _ ~ III I
) Ydl.w Appljal1ll J ., .....,
O'lease type OT'PO>>t ~ SWl atb~...~_)
ADDRE~ "f1rvk &fCk tn.
....
ZONmG (offi~e-u.~e)
LEGAL DESCRIPTION (o~ we: onJy)
LOT;}.. BLOCKS ADDmON fk.<.12-/1ed cf~
PID
OWNER
(Name) DR Horton Custom Homes (phone)
9t:/2,q~,r; -78DD
(Address): ZO~{PO ~1B~1 D~ Cr Sre !DO
APPLICANT
(Name)..G"''''' .,.-i.;t:,,~ J? 1-'.'~:'h ~ "'C; & J.1''':i to; "'{:';
(Address) 14745 So Robert Trail
(Address)
(ConraaPmonl OJ1~jA~
APPLICANT SIGNATURE ~
Qua.ntity
;r.
I
I
J...f
I
- I
I
udu...vd/G iMN .5~Ll W
(phone) ~ c; 1_"- ')1_ 1 1 "-'-'.
Rosemount
MN
55068
(Zip Code)
(City)
~
(Phone)
651-423-1144
DATE
(0--1 --- O~
APPLICANT PLEASE COM:PLETE BELOW
I Type ot Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
~
I .
IL ~-c.
I
I . Type of Fixture
I Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewa~e Ejector
I Backfi.ow"Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
J:lEL SCHEDULE
IndustrIal, Commercial & Mulu-farmly 1% of Job cost with a $39..50 minimum ResIdential, New One & Two-Family $9950
Residential, Additions & Alterations $3950
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\fiT FEE $
"
PAID WI~
BUILDING PE~MIT
.50
(Office tJse Only)
I This Application Becomes Your Building Permit When Approved
,....
BuildiagOflIcial .
Paid I Receipt No.
j - -..
n... . ~~ ~ l0 lE UlV [r~ tr/
24 hour notice for all insl;)ections (952) 447-9854 _ ~x. (~-Nw4Ld4f003 ..:)1
By
I I
CITY OF PRIOR LAKE
HEATING! AIR CONDITIONlNGIFIREPLACE PERl\tul
Date Rec'd
(Please type or orint and siJm at bottom)
ADDRESS
31)22 4/7/~ p~~
~
/d/U?
# ?/57
~: ;.~w Jl~icant I PERMIT NO. 3-_~lJLI I
/
ZONING (office use}
5~---
LEGAL DESCRIPTION (office use only)
LOT~~LOCK~ADPITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
~~;~~~A/A4..L-~ /J'2,~~.~~ (phone) c;.5/- ~-~77.'S-
(Address) ..3:;.!5Z/ 64,u ~I!!. ~ ./Jr. &;Q,~~ ~/,,('...:?
./1 (Addre. ;~. . . (~ (Zip Code)
:::=:;GN;;~~~jz:: (Phon:A:S/- s/~-...?725"
.. -
i APPLICANT PLEASE COMPLETE BELOW
~WCONSTRJP710N 0 :REPLACEMENT 0 AL TERATIqNS
FURNACE MAKE AND MODEL -./"'5/~ 9t:R%> FUEL ~42~ ~
FLUE SIZE 3 p?V~RETURNOP6nNGS INPUT/~~OUTPUT ~~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
~ravity
echanical ,
. . · ..." Condmonm,
nt. System
.
D Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
l%ofjob cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
au PAID WITH
lLDING PERMIT
$~/ bu,"/~
$ . -,.50
$ t;'
Estimated Cost $
7~ ~Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved tr~ I ReceIpt No
In I L~ (lg I~ Il m re rr- ';;
Date : -Date - - ~J'.. ..jBY ~.
Building Official JlJN g 4 ~
.. 1003 '_G)"
24 hour notice for all inspections (952) 447. !I~SO, fax (952) 447-4245 L
By
Jun. 2. 2003 12:06PM
GENZ RVAN PLUMBING AND HEATING
No.5677 p. 13 36
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERl\'JJ.I
I. Creon File I PERMIT NO
1. YollOw CJ.,., . ;::) .c:.- /, /., 0
3. Gold .\jlplicon. U -cJ ~ J
LEGAL DESCRD?TION (oifice U!e only)
LOT f1. BLOCK.g ADDmON
(l'1c::ue type or print 3Dd si$:nat bottom)
ADDRESS .
501J- ~ ~do/J In.
oomeLd. ~
ZONING (olBc<:\l$Cl
PID
OWNER
(Name) --l.m-li,:,-!'':,:,~ ~':':'~ ~::
(Address)
2.0&00 ~ei<..\\:X...-e C:r Sr-e_/M
(Addn:1S)
(phone) _ qs2 -qgs- "7 f? f'lf'l
.LaU\J I lie... ,t=)eouu
(Ciry) (zip Code) -
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(~ddress) \
(ConcaaPerson) . ~,\(( ~i1 (.tM)i
~JCANT SIGNATURE J AA..u;ft\ -=hJJ...---?
Rosemount. MN 55068
(City) (Zip Code)
(phone) 651-423-1144
DATE lp:)../(I3
APPLICANT PLEASE COl\tIPLETE 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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com '1 & Multi-family 1 % of job cost with a $39.50 minlmum
Sewer connection only $17.50 Water connection only $17,50
Estimated Cost $
Building Permit #
8U/~i~~ WITH
PERMIT
SEWER AND WATER PERMIT FEE $
STA IE SURCHARGE $ .
l'OTAL PERMIT FEE $
.50
,1-
(Office Use Oaly)
This Application Becomes Your Building Permit When Approved
Building Offici.l
PCli/ ~~cer' . No,
~ni------'
D~ . ') - . - .
. DaCe j
- JUN (} 4 !UI:iY:
24 hour notice for all inspections (952) 447-9850, f tX "{9S2) 4474240 _J
By
qtY
'---
I I
r
- r. "--' I
L:c J ,I!
, "1
CITY OF PRIOR LAKE .\ J\ II 0 ~~~).e~l~
HEA TING/AIR CONDmONINGIFIREPLACE PE~ _----~J
~. ~~n ~::y_ I PERMIT NO. 0[3' -E. C- " A J
3_ Yellow Apphcant '-u .,) ~
(Please ty1)e or print and sin at bottom)
ADDRESS ZONING (office use)
5072 PONDSEDGE LN SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
:f...;;,:..lNl:.....)aofl;'lJ~
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATINGORPO~RPLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
"Setbacks -.....- '-'-"""-
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
(Office Use Only)
Residential, Additions & Alterations $39.50
Residential, AC Only $39.50
Building Permit # 03 ,0544- 10 "","'{\'\ ~\\
$R:--. . . -:?,~;-::-:-.' ~~\~G ~€.~
~-Q+I ~ [I;; I c. II \lj _ ~ Ii \ aU
!i .,~ . i
This Application Becomes Your Building Permit When Approved 1U~1 PaWL 0 S LliliJ 0)1 Receipt No.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildine: Official
Date
By, Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
&~ds~se. I.-A~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS $O?~
NATURE OF WORK flEW
USE OF BUILDING ~
PERMIT NO. 0'- ()54'4- DATE ISSUED
CONTRACTOR ~ tib., to~ PHONE :tlt'- ~l'(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
Y//Y
t FOUNDATION (Prior to Backfill) I f1/Y? I.s-,,) lj-P3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l;V1'
-M/
M
FOOTING
Sv / !J/~ t/3
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING f/ I &- wf' 5'" , 0 11/11" "7-'1-f1)
HEATING (if required) /,114/- 7-/ (-OJ
FIREPLACE y/lr-- _ 7-lt-rJ]
GAS LINE AIR TEST M' /' 7rl(P-(j']
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS [\n
~J(~
. I
~-5~O~
"""-?- Ie ~tJ>
(- )j--(/l
GRADING (Prior to Sodding)
BUILDING t\ --t'4J
ELECTRICAL
PLUMBING
HEATING
DO NOT
\l.,-,\/U'J
I ()1I , ,()l
1I1/y ./
Vllf'
OCCUpy UNTIL ABOVE HAS
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 addltlom
where no service cabinet is available, card shall be placed near main entrance.
q ,((;t13
t1- )..t-I-CJ
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
-rl
r