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Home My WebLink AboutBuilding Permit 00-0368 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF , 2000 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT SeE Mf;lN l=="\LE 1. White 2. Pink 3. Yellow File City Applicant MAY Permit No. oo-o~(PPJ DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 33 tJ7 G/Y/vIN6f1.", Trd"'/ J ,;l N c/ 1. DATE 5- r-;loo () BUILDING INFORMATION 11. SIZE OF STRUCTUFtE (Height) (Width) (Depth) Nl# 3. LEGAL DESCRIPTION LOT;2.. BLOCK ADDITION~/V Nwal'Pr / / 12. NO. OF STORIES PID ~S -,Jt,S- tJ/Y - 0 t1 pi' e/ /' 7;~ Ofr 13. TYPE OF CONSTRUCTION 4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) tJ.~;V.Jh1~/V# i'Jo n- ~.J' 7. TYPE OF WORK Fireplace 0 New Constructio~ Alterations 0 Chimney 0 Misc. (Address) / If 75" 1'1 tf zp.. f) r .~ 1/ ,-f' ('C-ft/# /J/N rf,eptic 0 Deck 0 Addi~n 0 Finish Attic 0 (Tel. No.) t,S-I- f()(, - .yyO() 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE 17. COMPLETION DATE Width Depth Yes No I hereby certify that I have fumished 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 nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildin~icial can revoke t.h. i~~rmit for' t cause. Furthermore, I hereby agree that tho city official or a designee may enter upon the property to perform needed inspections. X/....J~ f// - /~5J' ~'Y-~O(IU / //- Signature License No. - Date V SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION IOO/Of!) 0 SURVEY PLOT PLAN o COPIES o USE OF BUILDIN~ .')FA TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM Division 1 2 3 4 Permit Fee ................................... $ R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ 8SD.~ 1,IOrJ . t::>(j. Plan Check Fee............................. $ State Surcharge............................. $ Penalty ....................................... $ Be'l. 2~ S '1 {,_ 71 5"0 . () 0 Pressure Reducer .......................... $ / ,.~ !LJO .00 IIJO . f)(5 Sewer & Water Permit ...................... $ 35. SD ....~........ ......... $ lID, 00 Th' mes Your uilding Permit ~el5n Ap~o~ed. B Date 5. ~ 4lD"" Certificate of occup~ Plumbing Permit Fee ....................... $ Meter Horn................................... $ Water Meter ................................. $ L.2S,06 Sewer & Water Connection Fee ........... $ (i ~CJ · ~ WaterTowerFee ........................... $ r .00, ~C Water Tap ................................... $ Builder's Deposit ......~...O...~...... $ 1i2P(\ .,:;Y .~ Other......................................... $ Total Due.............................. $ 5; R t.Jt!f... L/h Paid l), ~. 't () Receipt N~. ~ 7 4-rD Issued Date ijad/CITJ By ~(fJ 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 s r quested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate ccupancy must be issued. Mechanical Permit Fee ..................... $ City Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 bO ~03~~ Tht' Ct'nlt'r of Iht' Lab Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \'./\.. :<"J'\ ...~~. fY\C\_ Y\ (I APPLICATION RECEIVED f't\Ct \_ J L.I I ! (~r\ e' ~ -'. () () The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: } I , --) \ '\ i y/"'\ \. \.JC \ ! (' \ reI \ Accepted ~ Accepted With Corrections Denied ~JA ~, I Reviewed By: ~'-^' ~ Comments: Date: ..j:- ~L-t.9D liThe 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.1I C) "'b3&1 The Cenler of lhe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \rJ (U'\ ~ ~ n \-to (Y\ e...-.~ APPLICATION RECEIVED ~\J 64 J dOOO I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ?'30, G\'j nlA.2('A~ r \ N\ Accepted Accepted With Corrections Y Denied Reviewed By: Date: ~(S-~() Comments: ~ -nos- C('"Y'""~ ~ Ci~ ~/ Zk. liThe 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.1I Th~ ('~nl~r of lh~ Lak~ Counlry co -O?ft; r( White - Building Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \1\.1 Q1'\ ~fr\o. ~~ n \-\n ((\ e...~ APPLICATION RECEIVED f'/\(\.\ J DY J (:j., C) 00 t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ?, ~ O~ C,k~)rA~r \ (0:, Accepted ./ Accepted With Corrections Denied Reviewed By: JJAL.TfA ["Ul.l!lWllhJtJ Date: -5/-&/00 Comments: ~(.€ Pe:b4rr" Fo~ DoS GLYtJ~ -rttAlc.. ro(t CtJefIl,.,EHrS. 'AlFotrH4r,o^, ANQ ,qTTf\Cl-tM~. liThe 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 .33 J 7 G I~jf fAJ.-.f ~ ,,/ Heating ContractG.v1 e-- 17~ ~ Name of Tester /t? -3 -,,~ ,~. C . / 6 ~ ::7:5b Date Percent O2 Percent CO Percent CO2 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 Input C\n~6LVA~LEV ! ~ JUL. 26.2000 4:20PM GENZ RYAN 6513226147 NO. 994 P.8/13 ~ :.t CITY OF PRIOR LAKE i ~~ ~ 3. YcDaw ^'PP1iQaI . PLUMBING PERMIT # _ 0 P ~-_Q--3~8' Appficant: ~1..-- ~ Phcne:-U5\-U~-( \\.{4 Address: _t41\J~ ~ ~ ,-u.- ~ ~'N.",Sc .Signature; U. J. D ~ Q . .' Legal Descrip\lon: Lot . a _Block S Sub 9\ ~Y\ ~ Site Address: 3~1 ~.....t ~~AJ\~ II? I t' { , . 8 Nll- A-P0f'J BuildingPermiti OO--O;3f; ~ - P'o#QS--3~- 018-0 NOTE: This permit ~i1I not be processed without oomplete information. FIXTURE UNITS nl' Cc.tn' at '1M L1ike CPLlItII'J JUt. 2'i 2000 Quantity Type of Fixture Quantity TYJ's of Fixture \ Bath Tub with or without shower .~ Rcugh-ins \ Dishwasher I Water Heater 1 Floor Drain Water Scftner :; Lavatory (bathroom sink) Stand Pipe (washing mad'line) 1 Laundry Tray (' or 2 compartment sink) Sewage Ejector \ Shower Stall Bacl<1low Assembly (RPZ. Double Check, PVB) l Sinks BacktJow A~ambly Test Bar Sink Lawn Sprinkler 2.- Water Closet (toilet) Other FEE SCHEDULE GRAND TOTAL / / $- I $ / .50 I :PA\~GW~ff\M\T BU\LOb, ... IrJdustrial~ Commercial & Multi-Family C1 'fo of jOb cost. 539.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 ~9_50 $ $ - ~-' This permit is grilnted upon the: express ccnditian that said canUJctor. shall comply in all respects with the ardinanccs !lhC? State: Plumbin. e ll/ld 111" ~ JE~)f. ~ . 1 NO. . DA TE A Al.l~! all for all i~Jions 24 hours in advance. 16200 Eagle Creek Av, S. ., rior L~e, Minnesota 55372/ Ph. (612) 447.-4230 I_FAX. (612) 447-4~~5 An Equn.l Opportunity Employer Industrial, Co ",me Iclal & Mulll-Family Residential. Healing & AC Residential. Healing Only. Residential, Gas I1repJace " Re~kJenlia', Adctrtlt?ns & Alteratlons Restdenlla'l AC Only ~(A tIYY\ l.A...V\r scQl6 ~ . Remember 10 add the Sfa1e Surcharge on the boUom of thJs appllca1lon. d:PRIQ~~ ..~".~: . CRY OF PRIOR LAKE S~~ .J . 1!l200 Eagle Creek Av. S.E. Pe,mIINo. ()(')- (),%g" \ ~ Prior lIIk., MN 55372 ~ "'-= HEAnNG APPLICATION I PERMIT cL Dafe " 2-lo \n..J PID . . <56- ~..:5 - D \ <i< - () v Slt8Addr&u 3eO. G\~\l."'\~TR~ -rO_l_ ~ lot ~ Block .3 Adllllon ~~f\\~,1..Q r- a.~ AOOU\) z: OWner'INlme, ll)Z.n~ ~o~ Address, lPAE:> ()IA~A ~_ ."r~ Z{)C) fuc""\A-~ Heatb\Q Contractor C:>e.fl"2. - III ~ .1""'\ Addr&&I (U...,U~ ~ e.)~ I~ l- Tersphone' l~~- Uc'1~- ,( Lt-y I Furmwe Make & Model t L.JI\...YVti1, TYPE OF SYSTEM C f Warm AIr Planls " ModQISlze ~2~2 ~-1, Gravlty. MecbanJcaI CoM. Load " Air Condhloning ~ 2. '/7_ ;-n~ Fuel ~ C-:Cl~ue Size tf Pr1vu11 Vent- Svstem HEAllNQ OR POWER PLANT Sleam . "01 Wafer, I Radiation Inpul _ ,~ ace Output ltO'. coll.> Special Devices. t'- v M IJ) &1 Suppl'f Ope nlnOI (T) M ~ Return OpenIngs z: ([ )- 0:: NEd,. z: w l!) elm.. , .\ L\ OIhel Devices I.. TYPEOFWOAK E 0.. IS) Alterallons (\J v Repair New Cons1ruction v.. Rspacemen! Est Comp. Date DUlldlngPermM' ffi -03~~ / "'tJ\,~ 0' $ /50 PP.\~G PEPot/l{'( -/ eU\\-O~\' .,..../ Roc&lpU.' ---:- IS) Est. Cos1 S IS) IS) ~ HEAliNG PERMIT FEE' IJ) ~ STATE SURCHARGE .-J :J ..., TOTAL PERMIT FEES : ~ '} 1. Pi" -. fir. J. Ore 'CSLr J. V.II. ' 01___. TYPE OF STRUCTURE Single Family Commercial \( two-Family Industrial Public y Other Mufti-FamIly Fe.. Schadu1e 1 % of job CDS' ($39.60 minimum) $99.50 164,50 $39.60 .., $39.50 $39.50 · -\:/i~ L") 21. The~prlc8 of vour healing pttlmll,lnc::ludes one ,~gh.1n ~nd ona flnallnspecUon. Addtdonalln6peclions will be bUled Ii, $35.00 each. House "eaUng Test Record musl be aubmll1ed with ~)~kl.l.,'l ~'""" nml).,,~r before boNd- Ing CG rtificale or occupancy will be Issued. I-IFAT r.~" r:. u Ar.nN~ I:u=n. UFlFO with nurAber of supplV and relurn openings Ilsled per loom wilh CFM'a per opening. New struclures or Bddillons &end rloo, plan wilh IUPPty and rllum tocettans shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAV BE MAILED TO THE CITV OF PRIOR L\~E. .6200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 65372. I City Hell buslne$s flours are 8 lI.m. . 4:30 p. m. ALL WORK MUST liE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL . . l 447-4230 J her&by apply 'or B machantcaJ systems permit and I acknowledge that ChEt Illrormallon above ts compJele and eccura1e; 1hat the wOlk will be In conformance wllh Ihe. ordlnanc&s end codes or the cltV Bnd wllh the 8181a buUdlno/mechanlcar codes; Ihat this form does not become a permit unttt signed by the BUILDING OFFICIAL; thai the work wi" be In accordance with the approved plan In the c~ee 01 ej <<olk which Ie. UI18 S re. v1e~ end 8,PPloval 01 Pla~1. 2 L/ {~ Ji. I enl'.f!,.~9 r . Dele J' ( /f'u.' ,""'f J:'jrl",j(l.~.:J. 7 .'[;I7/0lJ o Building 0I11cllJ's sriu,e - - "0,,(& . MRY.18.2000 6: 05RM GENZ RYRN 6513226147 NO. 127 P.5/6 --. .... ftLLaw . ..... JC&m' tIDLD - ,..I. CITY OF PRIOR LAKE: NO.fJJ)-ffl.:b.O SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be ~eqistered 'lith 1:he city. . APPLICANT: ()y; JI1~ -- (I ~ ~ PHONE: Lo~' -LJ1-=.,~ UYc..J ADDRESS:tr..J1~S- ~ ~#:r ~ fU:gYQaJIIII &.lATE: !; /if, /60 SIGNATURE:J \~ BLDG. PERMIT ,.f)7) -0068 SITE ADDRESS: ~~ ILL.. PIDlIBS-3{;,Y-O\)(-O · FILL IN THE BLANKS 40, 1.. Esti~ated lenqth of water service ,H 2. Size of water service inch(es). feet. MAY , 8 2000 ~~ ~.,". .. 3. Location of any couplings from s~ructure feet. 4. , Type of sewer pip~. ABS . PVC )( Cast Iron 5.' Estimated length of sewer lin~ ~' feet. 6. Clean cut (if required), iocated at teet structure. from ........_-~------.... -:ltr-------- ThI'~ ar~~~Qn;sr~Qmes ~Qur permit.,when ap"i1Lil~roved. . BY ~ ~ 1~.A)l~;) DATE:. (70 ." '( ., . / . . FEES):! $ 35.00 $ .50 $ 35.50 Sewer and water line connection permit. Surcharge TOTAL "::--j ,... :~'\ ...- · Fee for either sewer or wa~er -individually is $20.00 plus $ .50 surcharge. * Sewer and water permi~s issued fer new construction must be recoraed on the buildinq permit card at the timer! is ance t.o insure t.hat~o plicate sewer and wat.er perm's are issued. , ~r&~' DATE PAID ~~~f;,yr" ~Ot1NT PAJ:~ . ' RECEIPT' // ~~ REC'O BY/ . 4629 Dakota St. S.E., Prier Lake. Minnesota 55372 . I Ph. (612) 4474230 I Fax (612) 4474245 AN EQUAl. CPPORTUNrTV DiPl.O\'ER PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ I) Gf'J l/U.AI~ - \ ,.:- NATURE OF WORK 'NC2.w 0 USE OF BUILDING SFA- PERMIT NO. 00 - 03~B DATE ISSUED ('--It::;".. 2oc:x:) CONTRACTOR W~\Ac;.\MD.\A\A \:{~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING ~.. ~. (fltz/Db 1Jh,. 6/:3//tKJ FOUNDATION (Prior to Backfill)fl'qr /v.r. ~5/~ /J?-, ~//.a/tn> PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH INS SEWER I WATER/ISEPTIc;. / . a ~o1r;{) FRAMING YfJ?Y d7~ ~~ I INSULATION II~ ;".pJ ~ ~ 'ff/I~ ELECTRICAL /j PLUMBING (/I ~.$d'47..> HEATING (if required) I 7/'~' ~21, 9/?/h' FIREPLACE I ;. I l · GAS LINE AIR TEST ~ 6r~?/tI!tJ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS, GRADING (Prior to Sodding) \l'~ · BUllDING"f.tcb~ 8/JPJ ~ /6/d+'J/n ' ELECTRICAL PLUMBING HEATING DO NOT , ~~1- b I HH- RI-f- OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE I (J-- ICf -0 () '1 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 .. II "....;'...,\.~..., ..... ~ '--"'~-;. ',,"';:'( ,..,-,,,.....-l.al .".' ")."..'" ... .,,,' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION i=x:~ ;;jo G/'t-D-~, 'CXJkJ~ ~ ERMITNO. (~J'6-~b 7) a~1..~q) 0370 o3'l/ v/ A 0 PLUM '0 Ex/(;RAD/FILLlNG , _~ 0 MECH RI ..' 0 COMPLAINT ~~WA TER J:lOOKUP U t-IKt:t-'LA\,;t: I QEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 ~ M Op, -ifi ~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (rf( ADDRESS<. ~gOS, 0 'IA ~ ~.1 OWNER PHONE NO. 41') fve- &Y~ ~+,A ~ ~ ~ -Iv 6v~ .<;aAJ I fr~~ / / ~S.J'TISFACTORY' PROCEED REC" A PROCEED CORREC~FOR REINSPECTlON BEFORE COVERING Inspector. \~ \) ~ Owner!Conlr. CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY! lNSNOTl I!i~ ADDRESS 3307 DATE TIME SCHEDULED I~/Ira:) /;30 C:., / II /<..1 tua-k-}-. J CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. o - 3~ g- 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 J7 PLUMBING ~L ~ jiKMECH FINA'f!.; :J o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: , ~ORKSATISFACTO~. PROCEED o tORRECT A~ AI I~ROCEED o CORRECT WV~ CA SOR REINSPECTION BEFORE COVERING ,. ( Inspector: '" Owner/Contr: . " CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOl1 ADDRESS 3301 DATE TIME 8,pHEDUlrED /D.-;2 3 "- 0 If :00 CO fCfN (,)Jd ~ ~ I CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. 0- 3~ <tf o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FIN~ KMECH FINAL l!!/ COMMENTS:d) ~ ~-1J ~ ~~~ -~~ ~~~~~ ~ o FOOTING o FOUNDATION o FRAMING P)NSULA TION (2J AFINAL o SITE INSPECTI o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :':::O:ECT W~~ FOR REINS:::::::FORE COVE~NG 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 I z..=r -01 ADDRESS 33C>? 6/yn L,/qkr T;I OWNER CONTR. _W ~4t1.!J PHONE NO. PERMIT NO. (!) o.3c. B o FOOTING o FOUNDATION o FRAMING o INSULATION >d'" FINAL , 0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~GRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 6/'~-~K- Gvrb 130.~" e2k ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpecto~~ -Qwner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl - ..'" ""-. ,.' CITY OF PRIOR LAKE INSPECTION NOTICE fAT~ SCHEDULED I;;l. lOt 0 t I r- TIME ADDRESS ~30 7 &-. '1 VI l.utJer 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 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: , I~-I? r-.D; .c; }~ r -. Os..e ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING \ Inspector: ..J<. \ .l1 A At- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS AU fOR YOUR-PERSONAL HEALTH &: SAFETYI INSfIIOTI -