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((1 �L)
t trfi fzratr of ®cruJn r u . - CITY OF PRIOR LAKE
!iparfmru± of 7,Builbin h spi rtYazt : :
❑ Final Permitted ❑ Conditional C.O. Expires
■ 3
; , This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International .,,
Building Code certifying that at the time of issuance this structure was in compliance with the various
AA.' ordinances of the City of Prior Lake regulating building construction or use For the following:
,
1 1 n �1Z
= Use Classification S T N r : E FAMILY
Bldg. Permit N 13-0103
V J -7A,
( Occupancy Type �� Type Construction `I r! a Zoning District P���
N
(If L41, I31 JEFFERS ��ATFRFRf1NT
Legal Description
Owner of Building Site Address
1 4397 PARKSIDE COURT
Contractor's Name & A ddress A TT A MY HOMES E S
ROBERT P. HUTCHINS r
City Planner
tk3 Buil ng Official
�'r. Date: /°/7 ! 3 Date:
F
(li! .3 CONSPICUOUS PLACE '
. . . .. . .. .. ..
NSPICU
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�� r a ` - * CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
L) g AND UTILITY CONNECTION PERMIT 2 , ¢ - 5
e-
lN�vESO� Main •
`' 1j File PERMIT NO.
City 3. Yellow Applicant
/3 �`�
(Please type or print and sign at bottom)
ADDRESS , l-c )) `) pA 9.-V----S 1 1) e (2X ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT i-1 I BLOCK 1 ADDITION 2- \rNI - --- R°^'" 1- PID ZS Li 1 oD LE ( O
OWNER
(Name) R T i 1-'1 "I -k 1 U N1 1E S (Phone)
(Address) 12a l 1N A S 14 It t, i ca + - 1 A v E'S Sr. 2zD t t - l r■l H N 5S
BUILDER
(Company Name) M A'---1 4 +0 I `"' ES (Phone)
(Contact Name) S ° E $k\R (Phone)
(Address) 120 l l>.1>ic S 14 lt-. ��p....1 P., vim. S 5TE- 7 r)1 -O 1 t.1 A t-1 tit SS - 139
TYPE OF WORK 0 New Construction ElDeck ['Porch DRe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition DAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ k 4 , 0 0 0 .
Division: 1 2 3 4 5 (excluding land)
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
� .- ,--, -- 22 u �� BL.- 'Lb 31 53gLb ■\3■1■3
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $ ouy
Permit Fee $ f . _ t✓ SAC # $ z- S . -
Plan Check Fee $ e cn -Z B Water Meter Size CA"; 1 "; $ 4 1 SO , .
State Surcharge $ 11 Pressure Reducer $ ( ( fj
Penalty $ Sewer /Water Connection Fee # $ (S 00. -
Plumbing Permit Fee $ i C C Water Tower Fee # $ 1.)
Mechanical Permit Fee $ ma Builder's Deposit $ •-- c.� -
Sewer & Water Permit Fee $ c-CO D Other ff. tom" �1_ P �� (c; $ ( 4 . Co
Gas Fireplace Permit Fee $ 5- 4.. S° TOTAL DUE $ r O 15 7
r � 3
This A / ! "catio . ' co es Your Building Permit Wh Ap roved Paid w i / i ` • / Rece 'No. (..4)_ 7,
Date 3 . - 7 . /.3 By ,- -
�
i uilding Official Date
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
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
(
v • Vbyr
e
.. PR/0 Date Rec'd
y , „:„..,,
,..4:'-:---;',., CITY OF PRIOR LAKE PLUMBING PERMIT i ',g
4,r,'kEso* t. Flue Fde
z aola car 1 PERMIT NO. I3 _iIi -11:E5
(Please 3. Yellen Applkma 0
(Y type or rant and sign at bottom)
ADDRESS ZONING (once me)
/(-13q ?Cyr Ic.. CA' /`U(J)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) _ iU C C(Y T(�✓ (Phone)
(Address)
r
APPLICANT C�1 � (J P( (Jl�i�l� �� v )� ( Phone) `9 5�- 7 7 / ��`7
(Address) d LA...) - f l- t V 1 6t) / i &0l't1C /
-
�/},p -1' (Address) , J� �,�.i' (City) a / ^ (Zip Code)
(Contact Person) I ► I L kf LXJSt 1�C (Phone) . `� n S 70 / () .� /
APPLICANT SIGNATURE L / ..P /L &i'? e C∎ DATE V /l/ 9// J
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
j, Bath Tub with or without shower Rough -ins
/ Dishwasher A 1 Water Heater
/ Floor Drain j d; Water Softener
3 Lavatory (Bathroom Sink) ( Stand Pipe (Washing Machine)
P„ Z' Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi family t% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 1st $ Building Permit # p `D WIT"
"Sl iitC:liARGe ar effective has been changed for one PERMIT
PLUMBING PERMIT FEE $ BUILDING
y
ye
. 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50
The minimum surcharge for r "fixed fee" permit TOTAL PERMIT FEE $
1s,;, beginning Jul) 1, 2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date 13y
Bulldlne Offlewal Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
rltto CITY OF PRIOR LAKE Date Rec'd
A, . ' + « 'e HEATING /AIR CONDITIONING/FIREPLACE PERMIT
V `tn
/- /AwESO I ? k "1 ; 2 � � Ap PERMIT NO. [3
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ q 36 (1 PN ' ��e- c_- k JU(,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) Nf UD ( 5 X 7 3' l• (Phone)
(Address)
APPLICANT ' }� � n 1 "� �i
(Name) 6 V �/ . ? L � V,X /} 1 PL Dl U�1 ) �} / i I e(i }� l (Phone) P S ' �lf (�� / f S t
r pp l� f(` ff ��V//
(Address) ;arc) (3 uYrI + 'I� 1 s533
(� /� , �j (Address) (City) (Zip Code) .
(Contact Person) I V lC.1 I ( kf l d ,U � ).(-) /� � , 1 f (PP/ hone) S - )`0 - /8)
APPIICANT SIGNATURE ,4 Off- ! / r/ 6 " CX DATE /3
APPLICANT PLEASE COMPLETE BELOW
_ e' ON5 UC7'ION ❑REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL 3f �� (., l aS - 4 00 3 I FUEL p ■.DC)( (Dck
FLUE SIZE - RETURN ( ENINGS ? INPUT - aS CXxD OUTPUT S3 LO C)
TYPE OF SYSTEM BEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
i •• Air Plants t1 Steam
Units and Fireplaces Cannot Encroach
■ R?C onditioning ha ,1-lot Water into Required Side Yard Setbacks.
n ❑Radiation Fireplaces with Box Additions or
❑ Special Devices C antilevers to the Outside of Buildings
❑Vent. System ❑Other Devices g
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi- Family I% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.550 Residential, AC Only 549.50
Estimated Cost $ (
Building Permit #
The Minnesota Statutes C 32611.148
DATING PERMIT FEE $ "Si:RCI IARR(ili" has been changed for one
'
STATE SURCHARGE $ .50 July I. ?tl lIi. unti1i.
.) 30, ZII i I.
TOTAL PERMIT FEE $ The minimum sureharge fora " fised fee" permit
(Office Use On)y) Is beginning .10) I. 2010
This Application Becomes Your Building Permit When Approved Paid Receipt o� NMI � 4
Date gUIL011\1(5
Buila Official bate
24 hour notice for RIl inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E.. Prior Lake. Minneaota 55172
gMOT 1
CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE MAY 1 4 2013
— v.q
co tr AND UTILITY CONNECTION PERNIIT
, By -----
, , 'Mew Fitt
1 PERMIT NO.
JIM
l'gkro AVOCA.% !
(Please , Tc or print and
ADDRESS Z ON LN Ci
14-?.tTi 7 i Arzy-S iv c. C .71, 1
t 1 i..4....0,-
. _ .... _
-- —
LEGAL DESCRIPTION (office. We 011:y
LOT BLOCK ADDITION PID
OWNER LA -7
(Name) rt A Trik 11e).-4C.› (Phone) 9.-:., G W- — 2_ i --, 7
--,
- 7
(Address) / ""7 4-CI Li4ri A
I 1111=PFla Lc.1.4 ,-
1
I (Company Name) , . -" 1 ''.;:.‘' m : ' -4.141t_e . _ (Phone) 760.3 - Z/ 7 -
(Contact Name) . t' Y--gi-k I-Ara- (Phone)
I Address) II I 1() T....tar>0<in2.3 tAL- e_i 9.4 14: . 1%:1W 4 . - ..)ii il‘r- Pi Rivez i t-iNi ;:, C*)
TYPE OF WORK la New Construction ODeck °Porch 0Re-Rootmg Re Std CiLowet Level Finish 0 I-replace
UlAddition 0Altmatinn DC/Way Conneolon
CODE: Fj.R.C. 01.R.C. 0 Mir..
Type of Construction: 1 n ID IV V A B
Occupancy Group: A B E r H 1 M (R) S U PROJECT COST/VALLrE S 2ci to
Division: 1 2 (i) 4 . (excluding land)
----
1 1 hereby comfy it 4f i klikt illfniShed inkirmatton on this appheatzon letttch u te the Pot ot my knowledge trtte. and .y.ttert I also zerify that I am the owner ot au:honied agent r',7 the
1 atayee-menormed property and that all construction swat cordeum to all cantatas state and Weal laws and will proceed tn w....cordance with submit plans 7 am aware that the building
Z officsa/ 'ray dm permit fors st cause Furthermore I herchy Agree Mat the or official Of a desIgnre ma! MIC• I.ipon the property to pertorrn nceded7speaseets
X k -44' ' ' it/X (1,44-44 CI 14- 5 —13- r
Signature Contramtl`s Lc No Dote
Per= Valuation 7 i Park Support Ft..e ... $
i . .
Permit Fee $ 1 1 SAC r.$ S
Plan Cheek Fee $ 1- iiiater Meter Sue " I S
State Surcharge $ I Pressure R.e-ducer i.
_ _
Penalty S 1 Sewer/Water Conrrtlon Fe
Plumbing Permit Fee 5, 1 1
! Wale' Tower Fee ::: $ .
Mechanical Permit Fee $ Bonder's Deposit S
: .• . . _
Sewer St Water Ferrol!, Fee $ Other $
.-- ,... I
Oti I 7,-.7,1,:r r„,,, r .„,.. $ , TOTAL DUE , $
flomes Your Building Permit Whn
e Approved
/ / I 5/20/__,?
[ Paid
1 Date RRIVIDWIni
PERMIT I
L' ' I Ifil‘wl _____. -ButtaiNG
. -
Thu 4 to certLfy that the request zn the ahtoe application and L3-cenpanymg cica.unients ts in ac.:vre isrt watt the Coy Lantng Ordinance and may proceed as requested Tau document '
when wed zay the City Planner commutes a temporary Certificate of Zunzog eornpl.ante and allows oonstractson re commence Bernet occupaney, a CellifiCAL at Occupancy must he
issued
---________
?Urinal Intectnt _, Daze -rise..1.41., Of1411)Ofts, ■I atri 1
24 hour ntice tor all inspections052) 441-985 tax t952 ) 447-4245
4h4h Dakota Street SS-, Prior I ake, Minnesota 553
-----
Contractor's Material & Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall
be corrected and system left in service before contractors personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is
understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to
comply with approving authority's requirements or local ordinances.
PROPERTY NAME: JEFFERS POND DATE 7.— 2 3,— 13
PROPERTY ADDRESS: 14395 PARKSIDE COURT
ACCEPTED BY APPROVING AUTHORITIES: CITY OF WOODBURY
ADDRESS:
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS YES ONO
EQUIPMENT USED IS APPROVED ® YES ONO
IF NO, EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS YES ONO
TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE
OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN
INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: EYES ONO
1. SYSTEM COMPONENTS INSTRUCTIONS EYES ONO
2. CARE AND MAINTENANCE INSTRUCTIONS EYES ONO
3. NFPA 25 OYES ONO
LOCATION ENTIRE BULDING
YEAR OF TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QTY. RATING
RELIABLE RES 49 2013 1/2 11 155
SPRINKLERS RELIABLE RES 44HSW 2013 1/2 16 155
RELIABLE F3QR 2013 1/2 1 155
PIPE AND Type of Pipe BLAZEMASTER
FITTINGS Type of Fitting CPVC
MAXIMUM TIME TO OPERATE
ALARM DEVICE THROUGH TEST CONNECTION
ALARM VALVE OR
FLOW INDICATOR TYPE MAKE MODEL MIN SEC
FLOW INDICATOR POTTER VSR -F 47
DRY VALVE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE TIME TO TRIP TIME WATER ALARM
OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED
CONNNECTION* PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY
MIN SEC PSI PSI PSI MIN SEC YES NO
W/O
Q.O.D.
WITH
Q.O.D.
IF NO, EXPLAIN
LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
& FLOOR MODEL (FLOWING)
PRESSURE
REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM)
VALVE TEST
N/A
OPERATION: ❑PNEJMATIC DELECTRIC 0 HYDRAULIC
PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES ONO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE OYES ONO
CONTROL STATIONS
DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN
PREACTION FOR TESTING
VALVES OYES ONO
N/A
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO
MAKE MOnFI SIJPEE3VISION I OSS Al ARM OPERATE VAl VF RFJ EASE OPERATE FFI EASE
YES NO YES NO MIN SEC
HYDROSTATIC: Hydrostatic test shall be made at not less than 200 psi (13.6 bars) for two hours of 50 psi (3.4 bars) above static pressure
in excess of 150 psi (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All
Aboveground piping leakage shall be stopped.
TEST
DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) aft pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test
pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICA_LY TESTED AT 200 PSI FOR 2 HRS IF NO, STATE REASON
DRY PIPING PNEUMATICALLY TESTED OYES NO
EQUIPMENT OPERATES PROPERLY El YES ONO N/A
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM
SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR
TESTING SYSTEMS OR STOPPING LEAKS?
EYES ONO _
DRAIN READING OF GAGE: LOCATE) NEAR WATER RESIDUAL PRESSURE WITH vAJvE IN TEST CONNECTION
TESTS TEST SUPPLY TEST CCNNECTIONj PSI CONNECTION OPEN WIDE y PSI
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO
SPRINKLER PIPING,
VERIFIED BY COPY OF TH E lJ FORM NO. 85B OYES ENO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING YES ONO
IF POWDER DRIVEN FASTENERS ARE USED IN El YES ONO IF NO, EXPLAIN
CONCRETE, HAS REPRESENTATIVE SAMPLE
TESTING BEEN SATISFACTORILY COMPLETED?
BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS 0
WELDED PIPING OYES ® NO
IF YFS
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES
COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? OYES ONO
WELDING DO YOU CERTIFY THAT TF- E WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 OYES ONO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
QUALITY CONTROL PROCIECURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT
OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE
REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? OYES ONO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
CUTOUTS (DISCS) ARE RETRIEVED? YES ONO
HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN
DATA YES ONO
NAMEPLATE _
REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 7 2_3 -- 13
NAME OF SPRINKLER CONTRACTOR: FIRE SUPPRESSION SERVICES. LLC.
TEST WITNESSED BY
• - r ' 1 J GNED) / ITLE / DA�
SIGNATURES �
FOR .PRINKL R CONTR GTOR (SIGNED) TITLE DATE
ADDITIONAL EXPLANATION AND NOTES
Builders Deposit
tri
- tN:vssds - City of Prior Lake
- A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to
insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but
not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180
days after the date the building permit is issued. If the work is not complete within the 180 day time period, the
City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00
builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the
situation.
A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of
one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control
requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors
handout. 1
DATE: t 1 SITE ADDRESS: 14 '' 9 ` P \ C -T PERMIT #
REFUND TO BE MAILED TO: M ►MA MY - } - 1 - o 1 ES
12o t w ASH- tN6 :Pc✓E s Sv VVE 7 D
t t�11� -t tt SS 43 9 AUTHORIZATION TO RELEASE
PLEASE REMEMBER ; / ' f2,SuU. U�
ynda S. n, Building Services Amount
/ 0 • ( i - 13 Acct. 801.20204
1. KEEP STREETS CLEAN DURING CONSTRUCTION Date
2. KEEP EROSION CONTROL IN PLACE
-•i± • ■ . -, r � • - • 11.1r :c• 1
SIGNATURE: -
C:\Documents and Settings\sbarelLocal Settings\Temporary Internet Files\ Content .Outlook1BD8OXI9A1BUILDERS DEPOSIT
FORM.DOC
P R IO R LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 19 S°1 KS I I7&
NATURE OF WORK 1rrc • AEG. tell pw. L.(_. .
USE OF BUILDING FA-I1 I „�v
PERMIT NO. 13- t 0 3 DATE ISSUE
CONTRACTOR 1 H- o S. PHONE 1 Z 55c l8 -6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT c m 5
yS
( f�l Sq E} �2 l a � Cyr -rr ��. Y Yom( INS P ECT O R N DATE
I FOOTING _ I
FOUNDATION (Prior to Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1) ' �-r 62 % 7, ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING (p( I?
INSULATION
ELECTRICAL
PLUMBING (,t, r S ,g t - • ( j
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST " -�
( ' 7 -P CO VER NO WORK UNTIL ABoVE HAS BEEN SIGNED
I ( 1
Ft( Sof" PPZ -s5 toe--3 P 9 FINALS 4 P.o t7l /�
GRADING (Prior to Sodden )
- BUILDING" �1_ �,� a ( O77/
ELECTRICAL
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.
FOR ALL INSPECTIONS (952) 447 -9850