HomeMy WebLinkAboutBuilding Permit 03-0426
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:Jg-77
e4Sfb~.r^1
(
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 _
<'tel /
COMMENTS:
~ ~
/' /' /
~ L----! 05 <:-
'----.
01. TE TIME
il.- JI~CO
e ids c
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tf' '
I rYe S
,
--
--.....
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or' .)
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~SFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ C~ REINSPECTION BEFORE COVERING
Inspector: ;/ i7 ' Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
01. TE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED 9f~4 / e.3
ADDRESS ~ ~~~ ~,-e..-
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
PERMIT NO.
g - L.{U::,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,;tJ MEcH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
" FIREPLACE FINAL
o GASLlNE AIR TST
o
..---: .
~~~1
Q , I I, /~?
(5'~ r0 '\0 (JL t lV'---U
o WORK SATISFACTORY, PROCEED
o ,90RRECT ACTION AND PROCEED
\if CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
T
01. TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q-li~~r 10 t '])
ADDRESS 38tt
02~~f1 '
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - (JZ("
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
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I. M.(r M T ()
J , ~I\ f..- vI. ,^ .JJ
3, ~ irP~ ~d_'5
l" \ ~ U",- L;tvb-. S"~~-I \.-. ~
'- ~ORK SATISFACTORY, PROCEED -
~~~RREcT ACTION AND PROCEED
o CORRf/ 1PR~, CALL FOR REINSPECTION BEFORE COVERING
Inspecto ':..1 t V) Owner/Contr:
CAlL.l ,.Jso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
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(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S ANf\U;;ILIJ'Y C~F;CTION PERMIT
ee _v1atn ~l_e
R~~\ ~~J~r~
LEGAL DESCRIPTION (office use only)
.3 2>77
Date Rec' d
ij-//-03
1. White File I PERMIT NO I
2, Pink City . 0') - I 1'1 J
3. Yellow Applicant J I ~~
Ro~
LOT e:ll BLOCK ~ ADDITION - ;" -'~" Jc~r<>
~Jh
OWNER
,(Name) ~~~
(Address) lS'1. ~
BUILDER
(Name)
(Contact Name)
. (Address)
.pL~q
H::H~~':;'
Jrc
,
.Dr-1: ..Je..
SO:.vve
Po~
e;._~ Ct.\oov-e
\t r::,Q.~
TYPE OF WORK
)1l.New Construction
OLower Level Finish
o Misc,
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
ODeck
o Fireplace
(Phone)
SV-(' .p
....:20(:)
ZO~Nt'ffi~W')
PID ..2.S - 3CJS - 0 3S' -C)
1&3/ \ ,,~ "- ~L/C(:J
" "
(Phone)
(Phone) ( qs~\ 440 - GfS87
- ./
OPorch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
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~- t ~_ So."J
9 s: IJ()(), dO
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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 the property to perform needed inspections,
X ~('f\.e...M lb.-e S
Signature !^'" \
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.35: !)o
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This Application Becomes Your Building Permit When Approved
~dlli~~ ~~
/458
Contractor's License No,
I Park Support Fee
I SAC __
I Water Meter\~ze 5~ I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
.;f
_~J'7 ~.. Cf ~
.J,/ 9,.c,?
~ ,ood
;
#
#
#
#
ORe-Siding
OUtility Connection
l..( 11I1Q3
Date
$
$ )Z 7S: Ot)
$ X'd. 00
$ %llO
$ 12011100
$ 7tJO .00
$
$
lSrd q4.
I )'
Receipt~ ~a.~ I
By A..-- I
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
:,~_~:;:pocoycmfia;z;remd-"~-See "4\raInFik~=.~
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
See Main File
White - Building
Canary - Engineering
d""'K - ~ianmn.s->
The ('tnltr of the t.kt ('oUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT iLJ;vyAJ-Y~1 ~~~1./Yt/ /J-tJ111JkJ
APPLICATION RECEIVED L( - I ( -IJ 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
y)2/)r; R//~/JJ)(b0~// (~[;;~~ I?cL
.. \..j - , I /" 17 I ()
Accepted
/
Accepted With Corrections
Denied
r-
Reviewed By:
Comments:
~
~
Date:
L)P-~J
, ,
"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."
See Yain File
CWhite - Bui~
Canary - I:.ngmeering
Pink - Planning
The Ctnlrr or the- L.kf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i/JJJ~ ~
L(-/{-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
R~~ ~~l?cL
I {/' U
Sf{/}'7
/
, ,
Accepted
Accepted With Corrections
Denied
"
Reviewed By:
~7~
Date: ~~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."
See NTain File
White - Building
C . Canary - Enaineeri"g::::>
-pjnk - Planning
Tht' C'tn."r of 'ht' l..kr ("oURery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1/ ///JVJ-mri~
APPLICATION RECEIVED
c:-/- II -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is-proposed at:
\~g'77 7?a5.tJbervc( 'p\ cLf.r-
X-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~j)
St:r .trl4,'n F/ It.-
Date:
"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."
~
.
Job Address
Heating Contractor
Name of Tester
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
j' 3' 9 7 Ift/,F...b_~.,. fCk
-., Ie' c4,
~A'. ~4L.
:u
f..:?/.~ '?
9_1%'
Cf'.P'^
. .
6.V~
7/" ~
Combustion air is adequately supplied per
UMC Sec. 606 t/ ~/
,
Input
\\"
APr.14. 2003 3:08PM
GENZ RVAN PLUMBING AND HEATING
No.9670 p. 55
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Da.te Rec'd
CI.TY OF PRIOR LAKE
SEWER AND WATER PERlVul
~
I <:if...... <lie I PERMIT NO -3 '~h I
2. Yelk.w citY' . -- ljOl
), G6Jd AppJJ.:ont
()'It:<!.Se type: or'PO,Ut and S~~ .t bOl1Om)
ADDRESS 8 ' '
gn
~pige~ ~ !Y.
J eff-eleJ J'~
ZONING (offlr.c t=)
LEGAL DESCRlr. uON (office use only)
Lovl BLOCK O(ADDITION
PID
O\VNER
(Name) \,,)'ensmann Homes
(phone) 651-905-3709
Eagan, MN 55122
(Cicy) (Zip Code1--..-.
(Addre.c;s) 1895 Plaza Dr Ste 200
(.A.LIdress)
APPLICANT
(Name) Genz-Rvan P lumb i~l~ & Rea t in2:
(Phone) 6.51-423-1144
(Addrc:ss) 14745 So Robert Trl Rosemount. "N 55068
(Address) Fa (City) (Zip Code)
CC\)'(\4ictp,e."pnl _ G. ,VI" rt, ISh ~!~, ,11 ".c;ppq',!;lT).'", 651-423-11~}
I \I~SJGNAroRE_C&.A ~~ PATE 41IJj/().~
".,.-' , V; -', .,',",.,. I
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APPLICANT PLEASE COlVfPLETE 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.
ReSIdentIal sewcr and water Ime connection
Sewer connection only
.
FEE SCHEDULE
$3550 Industrial, COlD'l & MuJti-fannly 1% of job cost WIth a .$39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERlvITT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
IJlJII.P~/O l4ht.. .
DING -:.." ,.,
P~Fl4f,.,.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
~ r@~ U r]JIffJ]
7-M.Qr.1 ~"'fPI
By
-~~:~:~:;~:::.">'c., I
-~
By
14 hour notice for s.lIlnspectlons (95
~ 0 0 3 1: 4 ~ P III G E N Z R V A N P L U 1'\1 BIN G MW H EAT I N G No. I 5 ~ 8 p. I 4 i 4
L11 y OF PRIOR LAKE Date Rec'd
.I:lEAl1.NG/AIR CONDITIONING/llll<EPLACE PERlVm
!Please: 1:VJ)e: OTlll'int and sll!;l1 at bottom) ,
ADDRESS
3g11. ~~ fJJJqfJ feL.
LEGAL DESCRlPTION (office we only), - .
Lor'll BLOCK. ~ ADDITION ~.e ~ t~g f1~ )
;, ~ ~:~ I. PERMIT NO.2 ~/l / )'
). y.n".. AppU""1 :; '1 t::7f::)
ZONJNG (otllceuse) .
PID
IOWNER
~~) Wpn~m~nn Hnmp~
(Phone) _t:.r:.l_o.(\c;_'n..Q.9
(Address) 1895 Plaza, Dr Ste 200
Eagan, HN
55122
APPLICANT
(Name) Genz-Rv..an..J'1 nm.h.in2' & Fk2.tin,,:,
(Address) 14745 So Robert Trl
(CanucrPerson) _(jv)K-L~tI~ l L n ~
APPLICANTSIGNATU~ "C/U~) TfILi.l/J
(phone) 11')1-4/1-1144
RosemoTlnt, MN
(City)
55068
(Zip Code)
(Phon:A~~ 1_b~~/J ,()3
APPLICANT PLEASE COMPLETE BELOW
-" ~W CONSTRUCTION. 0 REPLACE?vtENT 0 ALTERATIONS
. FURNACE !vfAKF.ANP MODEL l.u1ncJi G~OUH/~JC1-10 FUEL l1l1T-r---1f6
S- iNPUT 1~ rFrfD OUTPUr~/(j)jJ)
HEATING OR POWER PLANT
FL liE SIZE
RETURN OPENINGS
TYPE OF Sx ;:) lJ:.M
~arm AJ.r Plants
o Gravity
uMechanical
~ir Conditiomng
']Vent. System
o Steam
o Hot Warer
o Radiation
o Special Devices _
o Other Devices
PLEASE N01E:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODEL
Industrial. Commercial & MultI-Family
FEE SCHEDULE
) % of Job cost Residential, Gas Fireplace
$39.50 minimum
$9950 Residential, Additions & Alterations
$64.50 Residential, AC Only
S39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New ConStrUction)
$39.50
$3950
flEA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PElUfiT FEE $
ell/I.. J:>~/D ~
DI"'G 7.,../y
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~
)
Estimated Cost $ Building Per:mit #
rf"" . Use Ouly)
_._,~ Application Becomes Your Building Permit When Approved
~)[f @ [E 0 ill ~ r 1 ~_eceipt N~
fite JUt 1 4 2003 J ly '11--
J l1j
Building OmciaJ
:Oatl:
-' -
24 hour notice for lllllnspectlons (,952) 447-9 .!.SO, fa:!: (952) 4474245
. !By
~, .., ,'. ..,
J I) I . i i. 200 3 i: 4 i PM
GENZ RVAN PLUMBING AND HEATING
No.i528 P. iO. i4
Date Rec'd
CITY OF PRIOR LAKE PLUlVffilNG PERMIT
I 64.. FU.
2. Gold Ciry
J, Y.II"", Appll...nt
I PERMIT NO.3. I.f ~j
(Plea:tel:V1>e or I>f1I1t and si~ at bottom)
ADDRESS
LEGAL DESCRIPTION (office use only)
J2aAp~ ,~Pd,
LOT 21 BLOCK t ADDITION J.etf eJ?k. &-meto
3'[77
ZONlN'G (offlce 1).'lc:)
PID
OWNER
~aroe) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, NN
55122
APPLICA1'IT
(.N'ame) Genz-Ryan Plumbing & Heating
(Phone) 651-423-1144
(Address) 14745 So Roben Trl
(Address)
(CoDtactPersoD) (' h K'4~s,t7 -;')).J ----f~".
_APPLIC.l\NTSIGNATURE ~ 1LLUQ
Rosemount, MN
(City)
55068
(Zip Code)
(phone) 651-423-1144
DATE ;-11-03
Quantity
J
,
I
;;2
APPLICANT PLEASE COMPLETE BELOW
I Type oCFixture I Quantity , Type of Fixture
Bath Tub with or without shower '3 I Rough-ins
Dishwasher I I Water Heater
I Floor Drain U. .:r: I Water Softner
1 Lavatory (Ba.throom Sink) I I Stand Pipe (Washing Machjne)
Laundry Tray (l or 2 compartrnent sink , Sewage Ejector
Shower Stall I Backilow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I \Vater Closet (Toilet) I Other
:A
FEE SC.HEDULE
Industrial. CommercIal &:. Multi-family 1% of job cost with a .$39,50 minimum Rc~ndential, New One & Two-Family $99 50
Residential, Additio.l1s & Alterations $39.50
Estimated Cost $
Buildmg Pennit #
PLU]V1BlNG PER.J.\1IT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID
BUILDIA. 'W1i"H
lliG pro
c::AMrr
(OffiCll Use Only)
This Application Becomes Your .Building Permit When Approved
Building ()fficial
r- ...eaw" "~-'7Tl) Receipt No.
C-? . " 1 " i ,.
'l,rl~? {,~fO IH m [~,. '\ ,
I "~lOOte ., By tr
D~te i ' .. ') I A
. 1\ JUl, -t--tGOv u-
24 hour notice for a.H ln~pllctions (952) 447. ~, fa~447~S .--= ._
By_ ~
,;;.a
..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(Flcaose type or Print ~d si~ a.t bottom)
ADDRESS
3"8r"1fl ~ ~ ~
i: ~ ~; I PERMIT NO. .
) 'tdl_ Appliuol .3 -Lfd--'6
ZONlN G (office use)
LEGAL DESCR1.t' uON (offic~ use only)
LOT
BLOCK
ADDITION
PID
OWNEJ;t
(Name)l~l,(' hb:rnllO' ~_ (Photle)(pSI~YOc.o-Ll400
\ I
(Address) \)S9S P~,O"^-I4J.dlX:JI~; mn S~id.~
APPLIC,.e.NT ~ .
(Name{ ~..u.:b:m'U"1.:v..:(" ,r-l"'O.:U:."").,Q~ ['J.. ~u L:) + S.A~i:lCC~ (Phone) '] lj,,3-,3 i 5-750C
(Address)~IO L.)tJC::Yr\';,nn ti.1'"f'.D, ~lrGkQl.-\""r- R:'L..Jt mn s..'Sl.,r.,-!_~
. ,';' cJddreSS) () (City) (Zip Code)
(Contact Person) =k Ii"" . U. (Phone) '1<.03-.31 5-75/ G
APPUCANT SIGNATURE "7f;;,<.::;". Ji?/ '7V..7?'Cl.'~ DATE '7/dS'/03
APPLICANT PLEASE COMPLETE BELOW
~EW CONS1RUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL F,tJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA~G OR POWER PLANT
., DWann Air PlantS 0 Steam
OGravity 0 Hot Water
o MechlUlical 0 Radiation
DAir Conditioning 0 Spedal Devices
OVent. System 0 Other Devices
PLEASE NOTE.:
Air Conditionet Units
Cannot Encroacb into
Required Side Yard
Setbacks
Industrial. Commercial &. Multi-Family
-?hn I ~~ , 3:1i:3D 1/tu2N
V . ---- - - -. .
FEE SCHEDULE
1% of job cost Residential, Gas Fi~lace
S39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
539,50
Residemial. Heating & NC (New ConStruction)
Residential. Heating Only (New Consttuction)
539.50
$39.50
Estimated Cost $ Building Permit #
HEA UNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $_
PAID I.1Jrt.. .
8UILDING""'" 11
PERMrr
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved ',~ rEPl~ ,-;- G! .",,", Receipt No.
~ ~ 1[;:; Ie Ii Is......
Dare ' ~~~L 2 B 2903 ... By
2.4 hour notice for oil in!pections (952) 4< 7-~SO. fax (952) 447~24S J
Bv_____ _,,~
~\3'aIH.:I 3~V~i'V~ :)i~VJ~OlnV-
nulldlng Official
r
C{
;:00 I2J
;:OLoStC~t9 XVd S;::ot CO/S~/LO
PRIO.R LAKE DEPARTMENT~ee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ,,:=38'7'1 Ra.t::;Ob~rrl/ 12/dQ~ Rd
NATURE OF WORK NeW I I ~
USE OF BUILDING ~PI4
PERMIT NO. IJ5- t..;~' DATt;JSSUED
CONTRACTOR ILJ2.-IU$; mCL~A) W4>>1e.5 PHONE L/'Io-Lfs-e?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
J FOOTING fV.o.~~ I
J FOUNDATION (Prior to Backfill) Mf''''1 I
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L'- Ir II) ~,tJ? ROUGH - INS
SEWER I WATER I SEPTIC . r/~ S.~/
FRAMING ~tl ~l~ CAl\/:~(; '-
INSULATION -;p ~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~~/~
~ /Iov ~,,3
lI\.
f/ h- ^ 7-<r
If) l'~
t~
\1\
\It
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING "11-vi' CJj D t lj Lj eJ3
ELECTRICAL ~
PLUMBING
HEATING
DO NOT
~I;S
~g <;'-1 to ~ 'w1c-CVllC[ /l[3
~ CV/{/lt83
.
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.
FOR ALL INSPECTIONS (952) 447-9850