The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0601 ~~ rol a)5/ {fO CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT QA TE REQJ::IVED . 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 /442..2- /X)v6 CI .IIE: 3. LEGAL DESCRIPTION LOT 1 BLOCK 1 ~DmON Knob Hill - 5th Edition PID 253680010 1. DATE 6-26-2000 /21 4. OWNER (Name) ...lnitial Invest. I. LLr 5. ARCHITECT (Name) (Address) 22 8 4 W. 7 th (Tel. No.) 6 Sl- at. P~. ~~~ 6qq-l1q3 (Address) (Tel. No.) 6. BUILDER (Name) (Address) Kuekler Construe. in behalf of Init. 7. TYPE OF WORK Fireplace 0 New Construction ~ Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 2284 W. 7th Invest. St. Paul, Septic 0 Deck 0 Addition 0 Finish Attic CJ 9. PROPERTY DIMENSIONS Width Depth st. 55116 (Tel. No.) 651- 699-1393 Re-roofing 0 Porch CJ Re-siding 0 Finish Basement CJ 1 O. CULVERT SIZE YHS No 1. White 2. Pink 3. Yellow File City Applicant Permit No.1){). ()(PO I PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . . . . .. . . . . . . . . .. . . . .. . . .. . .. . . . . . . .. . ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ,It $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) {WidthL (Depth) 'I ' 24' 54' 50 4 12. NO. OF STORIES :; torv and ~ above qr adE ~ 13. TYPE OF CONSTRUCTION stiek built 14. FLOOR AREA APPORTIONMENT USE Main fl. fa 1242 -,ower lev. (a l.2..!.2 'T'n tg,l : 2.iB 4 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 1J3,000.00 17. COMPLETION DATE December, 2000 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 ab entioned 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 b ainjJ offici can revoke '1Jer'1Ust ca~~ Furthermore, I hereby agree that the city official or a de~nee may enter upon the property to perform ~eded i~pections. X ~ LV-C.~J~eA, ~O()?'7~/;:, ~'/~//OO Sig~re License No. ' . Date Side City: ~ l' 'l6.01) SETBACKS: Required Actual FOR ADMINISTRATIVE USE Side MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS 0 PERCOLATION TESTS CJ USE OF BUILDING spn OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~:ec.>>. t!J.O 24 hour notice for all inspections (952) 447-9850 SETS COPIES ~ (( too .C)~ t./s. DO I~~.D~ I ~ 2aJ at'J3 . ., CJO ..(!)O \ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ 1.&;t:)t!J.~ , Other ......................................... $ Total Due .............................. $ -? '1i..S8..... z.. J "/ Paid :fJ' I.. , rl-.-I Receipt No. ~)< 0 (j I Issued - - Date JlJ By This is to certify that the request in the above application and accompanying documents is in acc:ordance with the City Zoning Ordinan e and may proceed as r lested. This document when signee~h~ ~'iy' tanner constitutes a temporary Certifica~ of Zoning compliance ~s c:o~ommeA:::t ~y, a Certificate of upancy must be issued. l) \.AA. City Planner ~ ~ . (' Special COnditions-if ~ t l~~ Front Back BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee.................. ............. .... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ '.()5:J.. ~ ~~"3 · 'If.f- C. (0 - c::-cL Coo.~ Mechanical Permit Fee ..................... $ , 0 0 . 0 e Sewer & Water Permit...................... $. 35 · SO Ga~F place Permit ...... ................. $ . Thi I' n Be our Building Permit When Approved. By Date 7-i() ..2c>OC:> Certificate of Oc upancy Plumbing Permit Fee .......... .. .. .. .. .. ... $ w f!S-- )Y 6&0 I Th~ ("~nl~r olllt~ L.k~ Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \~VGt\f>K' (_/}J).~c/i-t(jr) APPLICATION RECEIVED :j, /\~ a~ \ ;).- (Jlfll The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /ILI d~ J)(JYP~A ("~ nft'f NC Accepted ,/ Accepted With Corrections 5/ile. Date: .7/;.1 I@ I I .{;;('" 4dJ,.J,4tJrJ j/)~i"ptgl-'Ofl. 5ee a.4+~chMerrls: I. Fir1a. G,-cJ.e Ltspec.-t"" .:LhtrM, cJi(!f1 T":JT.lt~~/~~. tr-!-;'~ I ~~ -' PIb( 3. Erosilm (lfit1kl fv1eGtSL(fe.$ 'f EroSlt:rn dl1l-r,,/ f1~ 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 ,tP \,j'Y o 0 ' bit; 6 ) Thl' Cl'nll'r of Ihl' Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \~\)Gt\~A C_1J1\~-\-c.t2cll(ff) APPLICATION RECEIVED J"\~ aY \ (f--eJllf) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / LjL/ ~~ lloY~, C,.nrrf!\Jt3 Accepted Accepted With Corrections ~ Denied //}~ ReVieWedBY:~~ - I' Date: 7 -10 ... 20:,,0 Comments: ,. e,.d ~ f I D.JI.aC~ UJ~ 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." DO '0&01 The Center of the Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \~\)(~t.\~ X (_ (')1l," tr l) ( ~A-) ('/Yl APPLICATION RECEIVED ,\ /I(\.Q..-/ d X \ C--tr-lJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /" ~/ if c;) ~~ : /. ~,,/' P. (.r r-, /rf (vB Accepted v- Accepted With Corrections Denied Reviewed By: ~ ~ Comments: Date: ? -/L{ ~ J-~ ~ ()(~~ t,Jkh~ c.X ~~ ff'~ LMe- ,t -1 Wu {Z,t)<-t-J <:jb CvAl, 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 Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." GREEN - FILE YELLOW - APPLICANT GOLD - CIT., CITY OF PF~IOR LAKE SEWER AND WATER PERMIT S.W.No. 00- OfotJ / APPLICANT: ~ecst~t" f<q S ~ ~ ~RE.sS: h~l '1<Org:pc vf10"'"t~J RT~Nft"'TJRE: ~ :::> / SITE ADDRESS: .1-1'422, PdV6 vt" NOTE: Sewer and Water contractors must be registered with the city. PHONE ( ?s:).}t.{7::<-176 6 s>16'1DATE: 6 '/0- (}7J BLDG. PERMIT # OV ~O(PO / PID# 25-3(08. CJO/- () FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from BY ------------------------------------------------ ------------------------------------------------ This es your permit when approved. DATE: ~.IO. 00 ------------ ----------------------------------------------------- ------------ ----------------------------------------------------- FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. SurchargE~ TOTAL * Fee for either sewer or water individually is $~~~ 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 permi~. are issued. DATE PAID AMOUNT PAID a,l RECEIPT # REC'D BY ~~" 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ~-PHin~ o! - ~ ( CITY OF PRIOR I A....E ~ ~ Me Y&\~ ......... CnIek Av. S.E Peomit No. f"r7-.. - I'v' 0 I \.~ PrIor &ar.. MN 55372 uJ..J-_.u~ "--~ . ~- AIIPUCAnoN / "RUIT S. Falllitj -.--fJ _. f.._....iIy _. _ _ rMi-Fao..., ___ Da ...--.-~~-f)fl'~c; . PlD..as:~- CO I-Q ecm___..__ ....ial_____. Pl'ilE___. (r....r.(2 Silo AdlINIee . j If tj2-~_.J)}~ C:; f\ E...__ "-Ik""",, IrQ) ~ ~ rno 'W ~ LoI \.1lkQ l.......j;rwh_~\.L~ Adt!n. ~~'~"&lWi-Fan", l%oIlmlllllltlE.' J..~ 9. am 0..,-, Name ~cl L.e. BM A t\ AeoiIIBalol Hullf8 IIlC "'.50 . P;. r. ~E~ -- -, - . . --- ~ HeoIq, ~ ....5(1 Air Ccj IInib C4r.lllll j , Ad6eu . (1I1-:::1 . L .1.'1ve.S.flhJ~N'+- _ ~Gu~ bI.se r,lICl~thlnloRcqllired~L./ H.....~ C'ILVf..rel'1^ [L EI\-t L..+() ~~..M..,"- ~.SlI YlrdS~'lf)acb. _.~ >---. -- ---" - ~ ACOrlI,- '-1l'I51 '-1"-__.3'4:; -f2f~~..I!e- _f)o_~~ ;)S'-f~~ rel~. -CO~-..sd~~? ~L'lQ-~_9..3.-'j ....-_ID odIIlIJe s_ --98 011........_ at If1b ~o:t "",- lot-. ..,....... .JA; 1-6..?oL, "TYPE ~-;.... ri>e ,..;r.e aI ~'l-.g permit....... _ '''Jgh... _ ..... Ina1 ~ . .. 1;,- Warm A~'IP~"ts ___ X.__ lod8lliRe .Q~~.td..Q .. Ct...., __'" -=-__ AtiioneIIAOpe:...... will be bit... at!35llO ._. - I.~ --- . -'-' .. ~ :. -..-. ....- Ik>use 1....d1g reo. Fl....." '""11I be s~.. wiU1 ~ III!milIM!!il!lr: ber.....: tMld I I\. ~ . 2 II AIr Co'llil_. --$ ._ Ir.g 0IIIIf.... '" ~ wif... ~, lei -, -1 ~-' Fi~ Sge - VQflf.1 Ilaam ~.- -'-- --'- , --'- --- lffAI j;jIJ ''4'' <\TIQlIi ~llflO)ilIilIl"""'", ."" _'.... ........ ..... 11'" fJP~ CJ>>.r.Mp. 1 HUIINO OR I'OlIl:IIJIU8r _ with CF..... "'" ~ Neoo __ or ....... _........ .... "'4'JlIl> .... S1uilI --'-" "---. - - _.. ""'-' --.._ ~ lOSS ('~ F\l\w..FIIIT ANO IIIfe 141enir1g. -'- - ----', ""I w.r.. ___.._ ___ APPLICATIONS MAY IIEMAIl8lTOTH[ClTYOFPRlOfllAlCl:.lll12lJO l:AGLE ~QN\ -" f ^ Rodio..... ('.REEK lINE s.E. "'-LAICI'. \IN S5372. Ul M.I.. I '"fOuO . _ _ _'_ __ . .. - ~._._- ...._~ '-- 5ft8cWOtlll~l]~ c.... H- ......M.___ '-_._ 8 .. ..ft ""' --- --. NJ - ...-.....,~ are a,m. - '~""fl.In. AlL. WOftK MUir -INSPECkbl (ROuQ..... MID fINAl.) . CAll ern NAll 411-t85D ~~.,.. "'2J.H) 'hereby alply to, a lIIedlan;cat aystems panntt 2lnd I aa..owletliBlbat the iniJ'f'J18tkJn IIboue is com"... and accunde; !hat Ih warfl.iPl be In cDl1lonnance wilh 1110 or61...cee .1Id cod_ II th. QIw 4111I wi1fI .. Slate IIWhlngllft8Chanic:al COdes; Ihaltlris Iorm dCl8tl *" beco... a fUN mil until .ignell by the eullDlNO ~-"~IC~ ~~'~ wII) ~~ O~"~I~_~~ :~;~. m:, zr:~~ .~~__ . _ . ~~_ _. __ --_.~ '-' - ~ ~~CV- lluit*'g gls ~tln ~(4 J);'E OF S'r;;ii\;ruA~ I f\d " U,Nf. 1 Ydlo.. fj-, Oiy '~a.Il~~ --.... ._~.. 0- '~-._-... oo.,o;t~;~-IA'- - ~'feKfJAt\.,~. TVPEOfWOlUc 3IIiom . n_,._..__ Ao,t.c_ _ _ .... rAlllSIruttlon _. y.....__ . - . -....0_____ _. ._.. . _,. r, "- Est c..,. Date __.,. __..._. ."..,.... . ft .... ... --- .-..- .-. .-..- I/tIG PF.rwlT Fe:'_ ;{ ~ B P(ln WITH MIl :: StJRCHIV'IAe. --, . JlfU:b~_ __ ,Pf:fMTFEa; ~ .--- Rec,,~ i"~J es-Gt~ I] ;:0 o 3: I] D X Z o t:1 111 n I\) l.D t-"" l.D l.D l.D CSJ Ul ::.. CD D 3: LI t-"" CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: ~f'1? A4~Lt,.. P f k Address: iO~ ~ S:J- Signature: - r.17/ - Legal Des tion: Lot' Block Site Address: , 'il42.. '2- ~L. 1:+ Building Permit # 00 -(')6() ( - PID# ~\-.~-cm-O NOTE: This permit will not be processed without complete information. The Center of the Lake Country \ ~rn@~o~~ ~ ~I U233ID \j Quantity , \ '2- I r 2- 1. Blue 2. Gold 3. Yellow File City Applicant PP No. nu - (') b.D J Phone:--'-5J"' cJ~ 0 - '6l/'G 2- fi,~uyb.., , SUb_~Y\.t-rb Hitl (~. FIXTURE UNITS Quantity Type of Fixture "3 I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other -Sv~p f v'-f Type of Fixture Bath Tu~r without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (pr 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge ( r $99.50 $39.50 / / / $ / .50 j ,. ,\ $ $ $ GRAND TOTAL , r\'. , _..\" . , ~~'~\;. ~~~e 'O\)~ 16200 Eagle Creek Av. S. ~. E lor Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE .DEPARTMENTOF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS I~Lf~"::2 l)ov~ Q,\. NATURE OF WORK tJ~ USE OF BUILDING ~~~ PERMIT NO. 00 · QGJOI DATE ISSUED 7 -lO -?OQC CONTRACTOR \<~~.,.. l'ftOI\Fe. ~S l - fD ~q - ~ ~ ~r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE . GAS LINE AIR TEST FOOTING ~. INSPECTOR J7;/~E I , FOUNDATION (Prior to Backfill) tr::J. ' - f(!, ( ( (fD I , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS tfR. 't(c, /t7K. ~I , f1/()/~ ~6:r. 1j}r/h . '1/ /~ ?/~~/tnJ '11 , 7./l11> . I I ..:.....#'.',. J.. " FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT , /I!O-d--IVO I 15J-Jl ~. 11'''11100 j I OCCUpy UNTIL ABOVE HAS NOTICE , 1/ /?/lf1) / . I '{I/W BEEN SIGNED This card must be posted near an elec--trica~ ~ervice 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 (tnfictlu at <<Yccunanry 'X CITY OF PRIOR LA~ ~ Department.....O..f.. .utlbing. Jnsptttion Final Permitted 0 COl!ditional C. O. Expires - :,....-. This Certificate issued pu~~t to. the c:T;(.quirements of Section 307 of the Uniform Building Code certifying that at the tim~eth.is ~cture was in compliance with the various ordinances of the City of Prior Lake regUlating IN..7J5iing, co"'{ructioll or use. For the following: \ " UseClassiticatiol' SINGLR-'TAMILY Bldg. PennitNo 00-0601 Occupancy Type R3 Type Construction VN Fire Zone N / A Zoning District R 1 11, Bl, KNOB FIFTH ADDITION Legal Description Owner of Building Site Address ~4422 DOVE COURT NORTHEAST Contractor'sName&AddressKUCKLER CONSTR., 2284 W. 7TH ST., ST. PAUL 55116 City Planner . Date: DON RYE I i I I i 'fl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 144~;2 !)~.V€ C+~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION pFINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DA TE TIME 11-J!)-fJO II~OD 00 -(?(Pl) J o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMEN1l8: - h PL/1't1A(j . qlACt' \ - {)!A.OAJCe" c.~IV-~-U;" o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ '. / CI AAI/ Owner/Contr: CALL 447.9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE. l INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI DATE TIME CITY OF PRIOR LAKE . \ INSPECTION NOTICE SCHEDULED ~.~ :M ADDRESS 1 LJ LId Q U~ C .QJU'rl- OWNER CONTR. PHONE NO. PERMIT NO. ~ - f) ~() ! 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 INSPECTIO 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS:(j) Ikd2 ~ c? uJ~ ~ ~~~ ~, (/i)r~ ~~ <:~ &J!.I.r &y .;. j~ ~ ~ I' 1 ~D .,~ "'\) (~' ~ --.l - / Of) -- /(' !t~\\~/~ ~ --I ~ (I ~ 4t!~f'.;t:>~ ~ . I ft-.(< 4-- o WORK SATISFACTORY, PROCEED iCORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ . Owner/Contr. CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED JJj.:z,/av 9: 3tJ ADDRESS /tfLJ;J..~ /7)~Jg 6(; OWNER CONTR. PHONE NO. PERMIT NO. (j-"al o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION @ 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION. 0 MECH FINAL 0 ~MENTsm ~. ~ ~ ():;r: ~ ~ _ ., ~ ./J j) 4 0 ~ q ~ ~--~ 'I/V. , ~~ WliAW ~.' If. ~ rv'~ ~ .,,~, o WORK SATISFACTORY, PROCEED Jt{} CORRECT ACTION AND PROCEED ! 0- CORRECT ~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 DATE TIME SCHEDULED 11- ). ;t-D, ::? ~ OD Do ue0.+ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /1j,-/~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ~INAL ~~PLUMBING FINAL /0 ~ITE INSPECTION )d'\MECH FINAL COMMENTS: 1i1() AJl? /?1 e-/cr ~ -- :J-SScA,o- I ,;>r' o ~ bO/ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ./J A""\ ~(U( ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~R~. fAll FOR. REINSPECTION BEFORE COVERING Inspector: ~ "' \~ I Owner/Contr: CALL 447.9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE. INSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!