HomeMy WebLinkAboutBuilding Permit 00-0297
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I :/':/00
MIt"am
.
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
'4<\J~ P>1...t-..:.-rl1 TV-h;l ) A\F.
3. LEGAL DESCRIPTION
'1
..A\l\P~
14. OWNER (Name)
Altd:L..~ < ('^~n
15. ARCHITECT (Name) 1
C?...r.~----..J
6. BUILDER (Name)
LOT
BLOCK
...t;Il~
ADDITION
~-
,
R.i.
dS -<~'-I3- (J(Jq-l)
..4.~
\
A...w.rt<- ".,..
PID
1. While
2. Pink
3. Yellow
File
City
Applicant
(Address)
1"J.4..,,- 7r..:";r,,.... .A.~
(Address)
~
, ~
Permit No<
{)O~02-q7
(Address)
(Tel. No.)
Qs;l,. P\q4-ll>.o;..~
(Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2/~' L.;~( ;J.d.-'
12. NO. OF STORIES
3- (."1101<:..
I 13. TYPE OF CONSTRUCTION
...N,)< \- Sifl"i .~fi\"";,l " rl~iof!ud
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OA SEATS
OCCUPANTS
SEATS
7. TYpE OF WORK Fireplace LI Septic LI Deck CJ Ae.roofing CJ Porch LI
New Construction I(, Alterations LI Addition LI Finish Attic CJ Ae-sidlng CJ Finish Basement CJ 16. PROJECT COSTNALUE
Chimney LI Misc. S. 'BS....ooc:.:>
'Il. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. jc;l./OI7 Width CfC"~IDepth I'lO- RS Ves' No)( qj:z."'/z.=
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 submined plans. I am aware that the
building oC' ial can revoke this pe~ for Just cause. Furthermore, I hereby agree that the city official or a deslgn,ee may enter upon the property to perform needed Inspections.
X .\' ,I:" '. Jl P-".Al Jr>4P> 4A!>/oo
Signature license No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
c..t:"'"
~. -
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division , 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ......... ............. ................. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ell a ,flrlc!J .od
Back
Side
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $--L1 t:;t:JO .0('..)
Other ..... .... .... ............................ $
Peid T~ ~~Q~T.....~~~~I;;~oL~~t"~ ZL
Date 51J(/Jf~ By ( ..A1(/
This Is to certify that the request in the above application and accompanying documents is In accordance with the City Zoning 6rdlna,(ce and may proceed at reoJested. This document when
~hf 9fY Planner constitutes a temporary Certificate of ZOl]!ni compllan5iJ8nd allows c nstruction to commence. Before occupan a Cartlflcate -~upancy must be issued.
~'IAA U-:l..?~ ...,....,"". . ~
C~y Planner Date -- , Spec I Condl ions if any P
R S U
City:
\;l..:2. .2<:;
500.<1<.
'l.s . 00
( 4)f'I."'O
100.00
S'~, '>0
~I 00
63
Permit When AEProved.
De'e q-Z(.'~
Certificate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGV DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS LI SETS
SURVEV
PLOT PLAN
Ll COPIES
Ll
Amount Brought Forward .................. $
Park Support Fee ........................... $ e~.cr'"
SAC ......................................... $---4' (') ~ .OC-
Collective Street Fee ...... ................. $
Sewer Tap ................................... $
Sf" $
Pressure Reducer .../6.................... $
Meter Hom ................................... $
WalerMeter ................................. $~J ~.'.2Q
Sewer & Water Connection Fee ........... $ If 2.~.O 0
., ty) .Of>
4.C;-,tJ(}
24 hour notice for all inspections 447-9850
.
~
.Permit.
oJobAdd,... j(:;()I..~ Blue);, ';-d Tr
'Heeting Contrecto< METRO AIR
-Testers/Signature --/.i./2A/
./
.Gas Une
Pressurized
Inspected
~
.. Percent ~~
.Percent 02
Final Inspection
Dale
~ .~
Pounds' ,
~
Time
PERFORMANCE TEST
&,o-j" Ope,':",co 6io
,./0/, ;),"7",<'>
I~ _ '.'ackTemp <7""
Date
/'
/~~
00 "'D 'tl1
While - Building
Canary . Engineering
Pink - Planning
lhf (rnlfrO' Ihr l.bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/1.11..."\. J-k'~J"
/1
lie..., vJ
I
APPLICATION RECEIVED // -/I-]OOD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/40/(5 5/u-€ ~fJ T~
Accepted
../
Accepted With Corrections
Denied
Reviewed By: JJAL1'EA fUII.E.SN.ANN
Date: s/z./60
Comments: RETA'''' "Il. ...."LL< ",,'" fI.~
.\&"rf~~Jlth' Jko,.,'" 'f"riE: fjj<:'f PnoP~ltr'(
L"J~ Kft"4< ...
To 1'1".........,,,. AccEPrA&e: -'sLoPE: _ -r.;OE. RaA'''''N{. w"u...<
IA'Ll- ae:.
-r....E.
RES PONSI a'LIT"'t'
of
.,.....E
BUILDE4. / DE..E.LOPal. AolCl
WIL.L. BE
IN~1""Al..t..E..D
Pll,olL -ro
f"1....sAL. CEAT\,::',(.Ar.e:
OF occ.u..."",,,...
s.EE. ,,..,Fo<<.,,,-A1"IOAl ON ""I'"U~
Rf vEftsf' <: 'J>{;
:lEe: ATrActtl'lbJ'TIi: J. F.AJAL. GRACe: 1.\X1'E."Tlo/\J ).;foll....llr,,,,J Z. C:f1Af\'N(. PLAN
"S. &0$'''''' Co.JrQ..OL. MFA<Mfl.E.s
t/. Eno'i..t.DN Co......PlOL P,AAJ
"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."
~1
White - Building
Canary - Engineering
Pink - Planning
l'hr('enlrr"ffhel.llkr('ountl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
AII~~
t/ -I 1-21>00
~
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L{o 1'5 bllJ~ ~~ rl~
Accepted
Accepted With Corrections ^
Denied J ,0 ,n
RevieWedBy:(;81L~ ~ Date: 4-17-'4:100
Comments:
I. R.~olQ ~ k.. ~
......
"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."
r
.~"
o6~o~1
Th..Cf>nl..rof lh.. L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT i .
APPLICATION RECEIVED t r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/(/'. fI
,I (\
I;
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
L:z;;;: Ik~
r
Date:
r..t - ').. (= t30
- .
Comments:
'2--l-{ t=, M?U41M..uvk ~IM ~ A~4 t'\Jj~~~oJX
Qr~'1 (kP ~~') \4.. t!) . tJ q-; ~l-),
~SC;AM:^^f;1l~/'rtJO_ ~ u,r ~J Lf r;;r
_f-V\ ~\L'f\:t ~ t1vs~~e-vvt.<l~~~
"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."
,.:~.
.~~
06---0 ;)11
Th~ ("~nl~r of th~ L..k~ <-'ounlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,/ ;
Ii
.
APPLICATION RECEIVED
(,,(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/(/'; [.
,/(\,
\,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
L!J;:' ~
r
Date:
L( - 'J. (=- ro
- ,
Comments:
2-1-( r" ~\M~ ~IN'I~ IA.t\~Lt>L}7:~
Dr~~Lwv, ~~() ~,t9.tJ~ Ltvh,
~A'AA:^"~ l~rz..-J~ ~ u;rl?~Le_~.J 4_,;;;,
_~ ~~ ~ Y!-v:~~e4lM11 fkt~~
"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."
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08/21/2000 15:32
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612-8947972
LAKESIDE PLBG
PAGE 01
.. . . '
. ' .
. ,. .
',CITYOF'PRIOR LAKE
PLUMBING PERMIT
. .. ~
I. Blue Fil~
2. Cold Qty
3. ydl(:l.... ApplllUl
# 1I()-()dC{2
Phone' .r<;-..2-lrJ'Y:?b,;l>
-.V~<......... /'/P..e;/
Type of Fixture
Rough-Ins
Water Healer
WeIer Softner
Sland Pipe (weshing machine)
Sewege Ejector
Beckflow Assembly (RPZ, Double Chsck, PVB
Backflow Assembly Test
Lawn Sprinkler
Other SU"?J:J./-k.lcfJib. [Ii.!.,)!:).
. .
. .
Industrial, Comrnercial&'.M~IIH::!1mIlY'
(1% of Job cost; $39,50rnlnlmum)
Residential, IIiew One &Twl;l Family .
Residential, Additions & Aitarli"~ris '
.. .. .
State Surcharge' . ,
$ I
. $99.50 $ ??.fo
$39.50 . $ /
$ .50
. Thls~lr.1s iranlC!! upon rhe oxpress condition that said
cO"b'.cior,: s1)a11 comply In III re$POCIl ~th the ordinanc..
or)ll'~ S~.l'ltimbing' '. and th. a~. dm nlS lh.r""f.
. Nq:' DATE
TreST
'ons 24 bours in advlIlIce.
16200 Eagle Creek Av. S. ., Pr' d,,.jrke;' Minnesota SS3721 Ph, (612) 447-4230 I FAX (612) 447-4245
All Equal Opportunity Employ.r
.. " '.,"
Quantity
Bath Tub with or without shower
Dishwasher. ."
Floor Drai,; , .
lavatory {bathroom alnk) I
laundry Tray (10r:2 domlla(ffl'1ant sink) .1
Shower Stall "<. . ' I
Sinks I
Bar Sink I
Water Close.! (lollet) . '.J.
..3
I
Appllo.nt::.t.,lJI_"i)h Ph;Ah,,//4
Address" .~~~ .2'JnJ4::~t::'
Y"C""i@'rn"D\w~,~,gnaiur~:P~~. ...,
D -.---- .51 ~~egaID..orlptlon: Lot __q ,'. '... Blook / Sub .4'/~ ,.,'~
Ii ! Site Addle": . /Vo/.->: ~......../ c7/:.~/ _. A,rJ-.~
U 21 2Ml :1: I Building Permh# ' on-naqr-:,. PJD#..t;S-':?L/.?-fJyl-O
1 i0, NOTE: This permit wlll,notba processed ",~hout oDmplate Information.
~t.nJJ..J: P/Dr ~ FIXTURE UNITS
Quantity Type of Fixture
/
'. .:,;..
3
FEE SCHEDULE
..' .....tn~~~\,.
eUl&~r--p"'. .
GRANO TOTAL
GREEN - FN..E
YELLOW . A~P'l.tCANT
GOLD - en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. () (') - ()gct 7
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~(~~)L 4J~ PHONE: l/77-S<J/lI
ADDRESS: clLCf 9.Ll J2/~A MJe. ~~ DATE: 7- 1'/ - .."
SIGNATURE: ,t!~ff: t. S:'T3U BLDG. PERMIT # ml-{)Qct 7
SITE ADDRESS:j.YOIS 1<.\dPh:..!:::Pl Tr-a.lLPID#_d'- 343-()OQ-Q
Jl!l I 9 LJW
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
------------------------------------------------------------------
------------------------------------------------------------------
c mes your_ permit when approv~.
j j ,.,}.., .-h.-.o~ DATE: '7 (../ ~:Ir.LiJ
I /
------------------------------------------------------------
------------------------------------------------------------
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $J9.~ 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. / "r\
D -.N\ p",,^\~ ./
DATE PAID Vp..~~G ~e. AMOUNT PAID /'
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14rH<' 131llf'\"'w:ll \~ .
NATURE OF WORK Neill (\... \t.,.~ \."C"'-"_
USE OF BUILDING Sf"D
PERMIT NO. ()() -0;).97 DATE ISSUED 4-1'l-7.cx:xJ
CONTRACTOR !J ll...JoA ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS.rECTOR
DATE
I FOOTING f:1y, I ?/7/()d
I FOUNDATION (Prior to Backfill) I ~ I 7/~ /6,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-JNS
SEWER I WATER I SEPTIC Ittr) 1(;)-?/rn;
FRAMING wIt. /~. 1/19/;0
INSULATION ~.~) ~ ff:r.r. t)/~/t?1J
ELECTRICAL
PLUMBING . ~,
HEATING (if required) wIt Iifrr.
FIREPLACE
GAS LINE AIR TEST M~ ~. ~t'l~/dO
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS.
GRADING (Prior to Soddin~) Mf7
BUILDING-(IQ."~~\I/61 ~. 1'/;;al(J~ "
I ELECTRICAL
I PLUMBING
I HEATING
.
DO NOT OCCUpy UNTIL ABOVE HAS
. NOTICE
I
1
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y.5'. ()~
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In,
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iiJ/;;J/o-o
, .
BEEN SIGNED
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 sha!ll?e,pI1;lced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
.,
.
....
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 10 -;) 3--06 .:;:2 : (S
ADDRESS J L/ 0 /~ r;r / u ~b / rd
o FOOTING 0 PLUMBING RI
o FOUNDATION @ 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULAT.1Q.N 0 SEWER HOOKUP
~INAL r,<:,CI/U5p 0 PLUMBING FINAL
/bSITE INSPECTION 0 MECH FINAL
COM~ENTS:@ ~ ,Ai-
~~ ~ ~l//~
;/~~~ ~
-;,., JZ.,;::i;;;/..L. -:J .Il .
~ .rJ ~ ~.......--
K~ f'~ ~ I~_.~ ~
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~ ~~:.:,~~~., u~ ~ ~
~...~ ..~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.""""'-~
t
T, r, !) I
-
f!)-~97
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-t! ~~
~,
, -
~c.,.tfP
t5./ / /0 I
o WORK SATISFACTORY, F!
? CORRECT ACTION A
o CORRECT WORK FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 4-!J-o'-/
ADDRESS Plots- Blue bi>tllr I
OWNER CONTR. 4/ /1'./1 1-/(') mt'.J
PHONE NO. PERMIT NO. f90 -:;1.77
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING AI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRAiiiilll.LING
o CO~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
&...L~ r?(
( ,( b ~,u 0 L
,
'Ii WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REIN PECTlON BEFORE COVERING
Inspector.1J1. Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
j 4-01 S' If' 0U blf/"e?) /)U...
CONTR.
PHONE NO.
PERMIT NO.
00 < 0 z,Cj7
[J FOOTING
[J FOUNDATION
j!F MING
ULATION
INAL
[J SITE INSPECTION
COMMENTS:
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXIGRADlFILLING
o COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASLI~TST
)!t'=: S of- I
;-I . /', r- C
~(J'-'"
01 4.----'
I "'........ \""",/
~ORK SATISFACTORY, PROCEED
D CORREC~ION AND PROCEED
[J CORREC'ffi ~ ' ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL'" 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
INSNOTI
. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/ D --;;;'.0.06 ! ,^ 36
ADDRESS
/ tf tJ /fS-- K /uc b;' d rr
OWNER
CONTR.
PHONE NO,
PERMIT NO.
/J -, ~9/
.:..-
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 INSULATIQliI 0 SEWER HOOKUP 0 FIREPLACE FINAL
;YFINAl I::) L 0 PLUMBING FIN~ 0 GASLlNE AIR TST
o SITE INSPECTION ~ MECH FINAL (l!'!5i 0
COMMENTS(/l ~ T,C.O, ~ ~ ~
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~~ ~ //L:a~~~~: ~i:f~
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o WORK SATISFACTORY, PROCEED ~
)lY-'CORRECTACTION AND PROCEED 15'2..- <(5'/.6'3-0
o CORRECT Wall FOR REINSPECTION BE~O~E ~ --=to ~
Inspector: - VA- , Owner/Contr: ~ - ~ :.....
CAll 447-9860 F~R THE NEXT INSPECTION 24~N A~E.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE /till? jtJ "
INSPECTION NOTICE SCHEDULED 9:50
ADDRESS ILj Cil5 &!u~b,f2.,1J Ttf.,
OWNER CONTR.
PHONE NO. PERMIT NO. D - ,;)-97
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION t@ o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~ PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: q) ~re
R-f
r .u-v:J>d
I
,
~ vAiJL.,
~)l(
~
v). e, -r'
o WORK SATISFACTORY, PROCEED
'ilJ1 CORRECT ACTION AND PROCEED
I ~ CORRECT~K' 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!
INSNOTl