HomeMy WebLinkAboutBuilding Permit 00-0456
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Of1=Dtf6&
Permit No.
- 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
ISfl g
3. LEGAL DESCRIPTION
:(
L k.t.....W \.LA> ~1'd
1. DATE
s- tz-C()
puO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height~ (Width)
~, "'10
12. NO. OF STORIEZ
13. TYPE OF CONSTRUCTION
/An7of) ~ t:-
14. FLOOR AREA APPORTIONMENT USE
\ \Y\\ \
L0~ .1\,\c1
z..
~\-\\011\
lJuJ
(Depth) 44
PID ~ - 331- DS3-()
BLOCK
LOT
ADDITION
(Tel. No.)
(Address)
(Name)
4. OWNER
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Tel. No.)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS S--
(Name)
6. BUILDER
1F!fs-ql~
Qv\ +~~V\~ \f51"UtS ~
SEATS
16-ilROJECT COSTN ALUE
'j '7S( tJ7Jo
17. COMPLETION DATE
OJ_~ -00
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
7. TYPE OF WORK
New construction)'
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. \ L\ ,C-<(;()
9. PROPERTY DIMENSIONS
Width I (g <6 Depth / L{ 0
1 O. CULVERT SIZE
Yes No
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
~uil~;~al )i)r~~'::thi/~rmit for just cause. Furthermore, I hereby agree that tU;, ~Z ~ ~7gnee may enter upon the property to perto,;&i ;:ections.
~ ~ture License No. . Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MA TERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I 'lS'J~ . ~O
~V(\
.\ )
~
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 I ~
Permit Fee..... .............................. $ ,'2Co l.' S-
Plan Check Fee ............................. $--.B z 0 · q(,
~ry.,=>U
Amount Brought Forward .................. $
Park Support Fee ........................... $ ,p,~-o . (!)'O
SAC .........../............................ $~ ~ . ~
Collective Strer Fee ....................... $
Sewer Tap ....:................................ $
I" $
Pressure Reducer .......................... $
City:
State Surcharge ............................. $
17 0 . C!)fj
Penalty ....................................... $
100,0 ()
100.cPO
:3S .SO
Gas E' plac Permit ..~.. ................ $ 4cJ · t!) 0
Thi A I Becomes our Building perm~hen APproved.
By .... Date ..?L-~
1 fI~, L
~;p
to 0:
Meter Horn ................................... $
Water Meter ................................. $
Plumbing Permit Fee ....................... $
2 sc> . CJ7f
! I 2bt:!> · (!)1S
'10(!).~
Mechanical Permit Fee ..................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ (, S (!Jf!) ~t5>t?J'
Other......................................... $
Pakl 8~ ~;~:-::iT....~:,~~o$ :~~~ V
Issued f
Th' , 'fy th ' h bo I" d 'd . , d 'h h c~atze ~~O~d' J./dvd By Th' doc
IS IS to certi at the request In tea ve app Icatlon an accompanYing ocuments IS In accor ance Wit t e Ity omng r !nance an may procee s requested. IS ument when
sig)li'l Py t~ C~ lanner constitutes a temporary Certificate,Qt Zoning compliance ~ all~~commence. Before occu.panCy,)-SertifiCa~ of Occ~ancy must be issued.
_ ~ en...(-6t:> (~.. ('~~rer~'t~
City Planner Date c.-- . Special Conditions if any
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
~
oo~ otfSfa
Thl' Cl'ntl'r of thl' Lib Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \r0- 7" \0-\ \ ~ c:> rn E> ,~ \ II c.. ·
APPLICATION RECEIVED \f\()J...f \ <if +h) Q D 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/S /~ ~ vVcrocl ,{)}ck TrCLi J NW
Accepted Accepted With Corrections
::::::ed By: (;:1!2,k-- Date:
Comments:
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."
/'
...
..,~_.J;.
I5D -04-61P
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT~*?' \ (\ -\ \ \-\ C:>yn E' ~ \ t') C. .
APPLICATION RECEIVED (\ill )..j\ I \ 'I \ h) Q 0 () 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~) / -7 i(
. i /,./ t'" . .. J ~ l""
(. L) (/ L.A. ) tt:.. I )
I J NvJ
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~1~
v ...
Date:
~-?-t90
Comments:
JL1 I=, ~lLm~ ~~IA>CU- W1Jfh 4" r;--~ -
~ ~.J ~~~ .~D-wiD~
4./< + (~~caQ ~~~~~
~~r:t~~ ~ck_~tv&s ?btc~_U::j.~,
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."
Ql) -l9o
Th~ (' ~nl~r 01 lh~ Lakt CO.nl"
White. -Building
Canary - Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~t;\- z.\.o..-f \ H C")yJ\ f . s \ rl c... .
APPLICATION RECEIVED . \~(\ l\ J. \ y~h }Q D tJ 0
.. The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which. is proposed at:
/5/7 ~ l/JcrO(~/Y) Jrk. )1 C"- j J N\rJ
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: jJAc.;rf:ft E...,Ilf,St'-fANN
Date: ~/ 1./ 00
Comments: ~RAW 01'01 'OotE' .s.mfP~~fitT" (tAILS (.tJ'l..'- at: ~L-o,.EL."" ~cJ'n"'M.E.C)
'To \lf~. F1 [)~AI,.aAc..E.. 0,,) "J1.frSANo. ~01"AcEJr L.ol~.
~~E. J~fottM"T'l o.J oN
1"...E REvW€ SlbE. . 1'tfE r1~lA1C1'" j)Rt>>CloJdo.l l',h.'rru IS 2'1 · A-r -rj,JE.
f="tt.D.sr P/tOPtllT'i' (;.'....f .
~C"'A~AJr'~ ; l. h~Ai... (;tltJ.lir.. . II\JS,ei:.'-lofJ ~MA"-IOA.J
~1t"'O'^,~ Pc..AN
5. ftlo S \0,.) t: 0 AJi'I1.-o t- ~ ;A~ u....!.s
q. Efl<J~ .06) Vr-Ji't'\.OL.. ftA.JV
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 o,ther
ordinances of the jurisdiction shall not be valid. II
.......". to.... - ~
Job Address / S /7 t /)..dA.
Heating Contractor ~
Name of Tester ~
~Ycd
~/
o
',/'
/(D
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
.
.I
'~
07-05-00 03:50 PM FROM FGTN PLG HTG
TO 6124474245
POl
,,~~~~.
Ue(
\.
........-- -_/
n. ('...,,,,, ., '1M l..~ ('~"""')
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ eLf' I'V\ I~ \ ...." ~l u. ""'~
Address!\I~l/ Ch. ~~~(J!:. tlvc..
Signatur . ..
Legal Description: Lot JS- Block _.___~. SUblN \ ~.. .:0~ ..~
Site Address: IS 118 ~~uc...k. ,r f fl.. vJ
Building Permit. (J7J - tJ ~ .$b PIC " ~6' - 3JLJ- () 2) 6- 0
NOTE: This permit will not be processed without complete information.
I. Ohlc
2 Gold
l. Vtll~w
Ale
(~ity
AWIic:ant
4# J11)-OLl~{'
Phone:ffi 1- '''1l~3 -7 ~'t
FIXTURE UNITS
Quantity Type of Fixture Quantity
;;l Bath Tub with or without shower 3
\ Dishwasher \
I Floor Drain
4 lavatory (bathroom sink)
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
f Sinks
Bar Sink
..3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Sottner
Stand Pipe (washing machine)
Sewage Ejector
BaddIow Assembly (RPZ. DcQ)Ie Check. PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1aJo of job cost. $39_50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
~
~11c./~~~
. ~
~J) -.-...-..- \tI~ ~~~
6~ . ~I .50 ~~~G~e
· fa 1",- '1 ~\\P'I.
GRAND TOTAL P ~rnhL.::/-
$39.50
Thi~ pennie is granted upon the express condition that laid
contractor. ,hall coml"ly in all respcclS with the ordinances
of the S~~c Plumbing C . ItJ Ih.., am mIme IS 1hereur.
- - R I'! ~I
JUL - 6 2000
16200 Eagle Creek Av. S.E.. . r Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opponunhy Employer
-t
~
o
CITY OF PRIOR LAKE Me
18200 E.,II Creek Av. I.E. P,rmll No. ~ 0 vo46ltJ
"lor Lake, MN IS372
__H__.Load
- - - -;1J , ~ I,..
----- - - -- - -lu. Sill,' rv\...
Supply O,."'ngl
R.Suln Opining.
~
/6
"EA TlNQ OR POWER PLANT
St.am
Hal WatD'
R.dl.'ktn
Sped" D,v)oea
lnpul,/OO,OM Output 9~~
Ed,.
Cfm.
~ Aller.Uonl
~ R,peIf
Est. eo" .
~
~ HEATING PERMIT FEE $
en
~ STAle SURCHARGE .
l.D
~
TOTAl PERMIT FEES .
Other D."lcel
TYPE OF WORK
~
nlp1acem.nl . New Canswellan
.
Eat Comp. D..'
BuDd1ng "Ima .
rnJ w'O~~
. .50
fI~\O 'II~.llt
D~\NG p~" -"
Ree." ,
81ngle Faml,
Commtlrcl.'
1 OR. · .0It
I.W'" - ~
....famlly ,
Ind"IbI.1
MuIll-F1ml1y
PubUc , ot.
F., Bc:hldute
tndu.b.l. Commen:t.t I Mulll.FamH,
A....'.ntl.' HI.UnD & AC
R..ItI.nlll~ HI.Un, Only
A"ldenUI' 0.. FI,epllce
A..lcI,nlll\ Addllonl , AlI,,.Uon.
n.,ldlnlla\ AC OnlV
1" .f ICJIl OOlt ($31.&0.....
"1.60
"..&0
131.&0
'38.50 JUN I 9 2000
'31.&0
Rem.mbl1 to .lId lb. 811l. Surcharg. an Ih, bottom 0' thII.,.bUon.
'\
The ptel of your h.atlng ,.Jmft Includes 0.... rough-In and on. flnll ....._
Addmunallnepeclktnl wi be bl... a' "5.00 each.
Hou.. H,.tlng Te.' AecOld mua1 bllllbml".d wilt bulking ami mma...........
Ing Hlllllc.'. 01 GCCUPlnc, wat bl ".u.d.
UEAI ~.. r!il\AtLONS ~QUIRED willi number o' luppl, and return ~... ......'
roo... with CFMt. p" opening. N.w -'Nd... .r IIddltkJnI IIn' Reor p.__ .....,
end ,.aur" lDealan. thawn. HEAT lOSS CALCULATIONS, PAYMENT AMI
APPUCATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 'IZ_EMU
CREEK AVE. I.E. PIIOR LAKE. MN 55372-
en, HaD buIIne.. hou,. .re . I.m. - 4:30 p....
ALL WORK MUS' 1.,N8PECTED (ROUGH-IN AND ANA~ -.CALl CllYIIAU.
4.7-4230
I heJ.bv .pptV fDr . ....ch.n'cl. Irl'em. p.,mll and f .eknowf..... .,.....
Inlormellon ebove I. complet. and .,curate: 'he' Ihe work win b, In ....CII8IIID.
wllh Ihe oldlnanc.. end cod.. 01 the ,U, and with '11. .,... bvtl~'
. cod..; that 'hi. 101m do., not beoom. a p.,...II un'll "Ine. b, .. --.D.O
OFFI~IAl: that Ihe work will b.ln .,cordlnee wllh the .pp'oYe...........
. c... o' all work which "qui,.. "view Inti .PPloval of planl.
.dd, ~-J;;;;-"L)
~ -/9-~
t), ;;;0
I ..
11ure
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APPLI CANT: 0 /l. ~ l.f b( l:. '(. t '
ADDRESS: " l \k :rOI'L ~ ~~-;
SIGNATURE: ~ b),~
SITE ADDRESS: /.r /7 e L0 0 eo -(J LA.. c.. j( (J Il _
FILL IN THE BLANKS
1. Estimated length of water service ~o
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
GlEE. . '..E
YEllOW - APPLICANT
GOLD - CIT Y
S.W. No. 00.. o4~
NOTE:
Sewer and Water
contractors must
be registered
with the City.
PHONE: ~ ~). -, ,{) b
DATE: 7/1 '- / b ()
BLDG. PERMIT # 00. 0 t{C{P
PID#--2.5-337. O~"3' CJ
feet.
feet.
5. Estimated length of sewer line SO
PVC X Cast Iron
,
4. Type of sewer pipe. ABS
6. Clean out (if required), located at
structure.
feet.
feet
from
-----------------------------------------
-----------------------------------------
DATE:
when approved.
~/1. do
BY
--------------------------------------------------
--------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~Y~ 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 insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
REC'O BY
AMOUNT PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15\78 ~ ~c~ D~
NATURE OF WORK f'J~,-- \
USE OF BUILDING S~~
PERMIT NO. rw .-Ot,ts;&, DATE ISSUED ~--Z'-~
CONTRACTOR ~,\c:.~ ~~ Pt-\DtJF-- CJfP-l./IF
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT00
~ FOOTING \ (\1
'" J I
~1~\~1~
FOUNDATION (Prior to Backfill) fh.\ ~ /~Illoo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~ t
SEWER I WATER I SEPTIC ;5:v 1,b ~~y tk
FRAMING rh.. '4, '7lz~!()~
INSULATION K;j/ I )A~4
. (
ELECTRICAL
PLUMBING 47IA/;o
HEATING (if required) (f/ ~'.
FIREPLACE w/e. 6r.
GAS LINE AIR TEST ~v:."G>f &.. 7//,,1 j"d
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
\)/5
/
7/;7/CU
7/zll~
j j/ZI/~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
. ~-~
~~
~J ~ ~/~-r
OCCUpy UNTIL ABOVE HA~ BEEN ;~l:D
NOTICE
4-/0-01
4'-/~-<9\
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
(trfifirau of ([)rrnpanry
CITY O~' PRIOR LA~
Dtpartmtnt of .uilbing Jnsptttion
~Final Pennitted 0 Conditional C.O. Expires
/his 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 ClassificatiolL
SINGLE FA..~ILY
. Bldg. Permit No.
00-0456
PUD
Occupancy Type . R3 Type Construction VN Fire Zone N / A
LI5, B2, THE WILDS THIRD ADDITION
Legal Description _
Zoning District
Owner of Building
Site Address 15178 WOOD DUCK TRAIL NW
Contractor's Name &. Address
RATZLAFF HOMES
ROBERT!D. HUTCHINS
t ~u.. ilding Official
/l/rlJ'v' 4 "tt,O (
r v
POST IN A CONSPICUOUS PLACE
_ City Planner
DON RYE
Date:
Date:
'.~"I
~,. -~-''..&
'l.iM
~
;._.~/-.~
,.~,.
................ "
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
d;k
\ ~ '.,Cb
TIME
SCHEDULED
ADDRESS
I 5 { -, ~ WOOD llrGIL.
OWNER
CONTR.
PHONE NO.
Oc _~~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
- D. INSULA TIONN Ii.).....
~ FINAL f'\
/' 0 ~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o 'pLUMBING FINAL
.e::MECH FINAL ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Q ~ ?eA ~~<<x Vlc.. ~
@ evtr::>TeA ~((J2 \J- ~<.M-ove
~. _ a..dJ'" gin evtC, L~)r
~A- eK~~ ~
~ ~ ev-...o V'Yr- jcJ~h ,~
.~ ~fC<A_\ Of^- ~ -hJJ ~ o~
~~y-<.. ~ /
(Co) ;z,~ ~'i;" ~1^ -\-{<-(~_ +~4 ij~
~ r t ~
(. '"l~_ c -0 _ -tv C1/I't .tJt) .)
+W~ -----g - I I ~
C) ~(~r \JC,M.-t )(:;~
\J\j ('5Y<;cJF' 01L--
~,~s
o WORK SATISFACTORY. PROCEED
&~~~~:: A ION NO PR 0
r'~ W RK OR REINSPECTION BEFORE C
Inspector: ,- ontr:
CALL 447-~50 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE
CITY OF PRIOR LAKE ,
INSPECTION NOTICE SCHEDULED ,I" l{. dl
J
ADDRESS \S)'l~ \)Jrm~)r-k, \(-oJ,
TIME
I :,S'"
OWNER
CONTR.
PHONE NO.
PERMIT NO. m - () 4, ')h
o FOOTING ~ 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING 'A TER HOOKUP
o INSULATION, EWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTSr1D) ('I~ ~
[t K'~-~ ~ ~ I~
3~~ /
/
~~t\
U
J
.. I
~~ 7
~:~ -I) I
ryY~ //~q'
_~r/ / -
~v /./ I
- ~ qo lie,
,l;:If ,A- 7( ~ - ~
I (c 'iT1........ \1(L r, n I..<..T/ ~
~ ~h-Jt!I~,
30' ~ .~ .VV"~, .
1-~ Q ~ ,{li~-4.-/'
31'-'LfI)~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WOR~A.LLIL FOR REINSPECTION BEFORE COVERING
Inspector: .1f7:+- I Owner/Contr:
CALL 447-9850 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
zi1VJ
~
TIME
ADDRESS _, 57 q. ~
uJonrJ
3:30.
/ r J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
JIJ) -f) 4S/;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
~~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~TS:rP ~ tr'1J'C.'l ~ ~
d;~'
~,~ .~ +~
'.8J ~- ~~ ~~
I
~
t~' "'-'.C. -~ J
~~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI