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Home My WebLink AboutBuilding Permiit 00-0721 rs~Rr",,,, ~jjir,~"'~Jd. ~~. ;L CITY OF PRIOR LAKE BUILDING PERMIT, . TEMPORARY CERTIFICATE OF :i')~ ZONING COMPLIANCE ...\i.iri ;UTILlTY CONNECTION PERMIT Q-I2000 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 155:,J" ,,600 Jrl";/ I' J..q.IV (" 3. LEGAL DESCRIPTION LOT 7 I~LOCK / ADDITION G/VA/t..Jart'r yNY I 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) 1. DATE .?-/-ou O--:'},',;\{) PID dJ - :Jt, 7- ()Oi- 0 q// 6. BUILDER (Name) I/V,t' ;V J hi 'i /'v N ;...1 0 /h "f (Address) /~9S I/t(z,,- Dr.v-/' fc.. faN /11,y DeckLl Finish Attic 0 ~eptic 0 Addition [J (Tel. No.) (Tel No.) (Tel. No.) t. 5/- yo /,-- -rru<J As-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 7. TYPE OF WORK Fireplace 0 New Construction~ Alterations D Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have furnished infonnation 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 bUil~icial can rev7ket permit just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X ~ ~1;; S;,oaM' / Y S d" ,,'""'" No. cP-'";(,,,- 0 ,) SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION ~~E MAiN F ) L./? 1. White 2. Pink 3. Yellow File City Applicant Permit No. OO'o7~L . BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16_ PROJECT COSTNALUE 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 USE OF BUILDING <;F~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION Cf'5.LJC'JO d!J 0 TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U Plan Check Fee ............................. $ ~L..Oc5 SST.... el6 tf1 , SO State Surcharge ............................. $ Penalty ....................................... $ It)/'). f":) I'J Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $_1 ()tJ. ~ Sewer & Water Permit ...................... $ {,.~1 t.(O ;()C) acome Your Building Pennit When Approved. Dat. ~ _11-'>_7""'" Issued Thisistocerti s~ v Amount Brought Forward .................. $ Park Support Fee ........................... $ A,t"'\.~I'J~ SAC ....................................._... $--4-' t"lt"'l .<'1<:\ Collective Street Fee .... .... ............... ~ Sewer Tap ................................... $ City: u.P $ Pressure Reducer ....~"...___........... !t, Meter Horn ...................................9: cf6.Dt'J Water Meter ................................. $ Sewer & Water Connection Fee ........... $----/ . Water Towef Fee ........................... $ J '2c;. t:!)O ?~ .CU, /h::7 .C)O Date Water Tap ................................... $~_ Builder's Deposit ............................ ~_ , Other ......................................... $ Total Due ..........................-..- $4-7...55 40 Paid tll> t Receipt No_ 3B l-cf--z...- ~ that the request in the above application and accompanying documents is in accordance with the City Zonin Ordi ance and may proceed as requested. This document when Planner constitutes a temporary Certificate, of Zonin~ c?mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . ~ ~1l,9.-e:lO City Planner Dale Special Conditions if any 24 hour notice for all inspections (952) 447.9850 By no '072.1 TM Ctnltr of Iht Lak.. Coulllry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , NAME OF APPLICANT lA I Q X\ S-0Nl fYY"\ \4r1VY\ 0 ^ APPLICATION RECEIVED (lUJlll}\-I- \ ',' d (nTIJ 0" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5:/)t)55 'iSm?; L~JrI.-L_l^"" ~ , "- ~-_/.. Accepted / Accepted With Corrections Denied Reviewed By: C,..Q"d;; (1r/~n-- Comments: 5~ -II, /ZJAt'~ $/;k ~ Date: g!tDk" I I ~~;. _/";,, -:7. .c. hht-, ~ 4./lH~"'Of~: /. hita/ brluh :Jft.UJ-d1hiJH 1A~Ifc:6it.ulb,J~A . / ~ ;5. CJ'tJ.h;'" cJ:"h-,/ ~.r.rLr"'f ~Gd5/4~ ~h/ /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. Penn its presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~~ 00 -01 Z-( Th~ C.nl.. of Ihe L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED lA ) ('f\ ',. rY\i, ('(y, r l ~L\)r 1 J\T ( . \-..-/ \\,W), C J'. " (" ('Cl\ .-X ,)) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ",/ """".'" :..:. )i , I t, ,'" I (.'.C~ ~ Accepted v Accepted With Corrections Denied 4t~~ Date: B-~~C90 Reviewed By: Comments: "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," J ~~ DO, 07" I White - Building Canary - Engineering Pink - Planning Th. C..nl... of Ih.. I.."'.. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT lA 1 ~~fYY"\ ~ 0 ^ (lAOI J\t \ '; ~ QJ1TIJ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J6?)'S'g ~riL _ -/.."". J L/' Accepted ?( Accepted With Corrections Denied /);/fJ / Reviewed BY:{,t;:V~/ Date: Comments: ~ 1.<1.C;<:;7 ~aaL "i~ ~/1. "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." en .... "- .... .... CITY OF PRIOR LAKE 16200 Eagle CreekAv. S.E. P.rmIINo...Do- (')'t-d.) Prior lake, MN 55372 HEATING APPLICATION I PERMIT lL Dala '?-\?_O\N~) PID' as-~'I-- nrll-0 m SlIBAddrass I~ Nr#---\l~ID/l LN [T) ~ rel ~ Lor l Block \ Addftlon C:,h11\\,llC....tt.r::3 ~ Owna(, Nam. \ l '1l ~N.."YY). lI\ If\.. \h~ D <:.... Address \'t,Gt'::> V\p,u., ~ '~I"<T'-. ~M::a~ Heeling Conlractor ~ 1f)7 - ({J. tj v"\ Addr.ss lY::ThJ oc-- <:,-.., e.al~ ~1 or- -r1l'L '- ec-<:.r..-vlGl U'1, ~ 11Jf)I-lrz.~r \\4-0 Telephone It fU/nace Mak. & Modal L~),,- Modo' Size C::l'ZH'~ 2! ~. r~ TYPE OF SYSTEM Warm Air P lanls '( Graloily Mech anleal Alr Co ndftlonlng ~ '2' ,., 1?NL.vtT Venl. Syst.m HEAnNG OR POWER PLANT Sleam Hol Waler Radlallon Spedal Devices , Co nn. Load ~ fvel f\.,),rl r ~~e Size 41' \D RJ S vpply Openings II [T) @ RelUm Openings '-I ~ 'nplll \~,Ciro OIllf'llL UQ,ln"nJ IX N Edr. z w u> Clm. ....~ Othal Device, TYPEOFWORK E a: \D Anarallons ..- ~ Repelr 'l Replacemenl Es" Comp. Date . Building Parmh It Naw Conslruclion C'JCj-a'19.1 IS) Esl. Cosl $ IS) IS) ~ HEATING PJ:RMITFEE$ If) , ~ STATE SURCHARGE $ u> => a: TOTAL PERMIT FEES / /.50 $/ / ,.- PAID W\T\~ BU\LlJING PE Recelpl II . TYPE OF STRUCTURE S Ingle Family Commercial, 'I.. Two. family Induslrial Public Fee Schedura IndllSlrial, Cemmerclal & Mulll-Family Resldendal, Healing & AC Resldenl;al, Healino Only Residential, Gas A.eplace Residenllal. Adelilion. & Alloratlons Residential, AG Only 1% 01 lol~.. $99.50 D $64.50 , $30.50 $39.50 $39.50 I. Pi.. :l. 0.. J. feD.. File CJ., ConlrKtOl' Multi.Femily I .Olher ' . 1~ll1!11nlmDml L5 .28m ": I~ Remember to odd lhe Slate Surcharge \e bollom 01 Ihls applicallon. Tha,prlce 01 your hoaling permillllCludes ona rough.Jn and one lInallnspeclion. Addlllonal inspactlons will be billed al $35.00 each. HOUSEl HElaling Tesl Record mual be submllled wllh Illli!J!lng I!WDfIlIl!IIII!m: belore bund- Ing certlllcatEl 01 occupancy win be Issued. I:JfAI CALCULATIONS REQUIRED wllh number 01 supply and relurn openings IIs18d per room wilh CFM's per opening. New slruclures or addlllons .end lIoor plen with supply end relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Cily Hall business hours are 8 a.m. - 4;30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-4230 I heraby apply lor a mechanical syslems pBrml1 and I acknowledoe Ihallhe InlormaUon above Is compla'e and accurale; lhalthe work will bEl In con'ormance wilh th. ordinances and codu 01 Ihe clly and with the slel. bulldlnglmechenlcal codes; Ihalthls lorm does nol become e perm II unlil slgnEld by the BUILDING OFFICIA ; Ihallhe work will be in accordance with the apprpved plan in the case 01 a work whIch requires review and approvel of plans. \A ~ ~Gl~ 3' /cx';Ir.l12 ~ D61E1 - . '---: ~ Ql tD '" <L a: w z a: o () w '" H CJ) W a: H u. .. >. '" <-' C Ql CJ) (ol:).- L\Y/- Yd-'-\~ CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. Prior lake, MN 55372 00.072-( TYPE OF STRUCTURE I. M". 1. Gn:u ). vcr..", r;~ ,,~ "'-,o\-PL ( n[\(-l HeatiogContraclof ALLIED FIRESIDE dba FIRESIDE CORNER Addr.ss 2700 N. FAIRVIEW. ROSEVILLE. MN 55113 Terelllmne' 651-633-2561 fIREPLACE ~\Il!l M.ko & Mod.1 W---u--&- SI - ~\5f~TYPE OF SYSTEM ~ Worm Air Plant. Model SiIO_ Gravity Meehanical A~ Condilionlng Vent Syslom Conn. Load Fuoi I\J C.,....., fluo SilO Supply Opening. Return OpBl1ing. Inpul Oulpul Ed,. flEA TING OR POWER PLANT Sleam Hot Water Radialion Spedal Device. OIher Devices Clm. TYPE OF WORK Alterallons New Conslruction X /.-1 hdlQb ()O.072../ Replacement Repai, Est Camp. Date I.J (Il) (J 0 , Est Cost $ Building Permh N HEATING PERMIT FEE S STATE SURCHARGE S TOTAL PERMIT FEES $ .50 P~'O '14\11'\ euu.D'NG PEf\tt\\T Recorpl J SingH> Family Commo",ial Two.Family Imluslrial MulHamNy , . I'oollc. Olller Fee Scl1edule Induslrial. Commercial & Mulli-Family Residential, Heating & AC Residential, Healing Only ~/Jd-Aesidential, Gas Fireplaco Resldenlial, Addilions & Alterations Residenlial. AC Only 1 % 01 Job cos1 ($39.50 rninilll1.l11) $911,50 $64.50 _ $39.50 \)tC \ 6 ",.. S39.50 $39.50 Remember to 2dd Ihe State Su",harge on Ihe bottom ollhi, 8fJplicalion. The price of YCJur healing ~rmil includes one rough-in and one Jinallnspection. Addiuonal inspections will be bmed al $35.00 each. House Healing Tesl Record muslOO submitted wilh In!ikIirJg llCllDlllWllWL OOloro build- ing cer~lic.le 01 ocwpancy will be issued. !::!fA[ CAIClHATION.<; BEOUIRFQ with nlNOb., of supply eo<l relurn openings lisled pi morn wnh CFM', per opening. Now struclures or additions .end noor plan willi supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY ElE MAllEO TO THE CITY OF PRIOR LAKE, 16200 EAGI.E CREEK AVE. S.E. PRIOR LAKE. MN 5537Z. City Hall busiOl.n hours ar. 8 Lm. . 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AIm FINAL). CALL CfTY HALL 447-4230 I hereby apply lor 0 mechanical syslem. permi1 2nd I .cknowledge lhallhe lnformalion above is complele and accurate; thai the work will be in conformance wilh 1ho ordinance. and code. ollhe cily and with Ihe slat a building'mech.ni",,1 COdy;.l.hallhis lorm does nol become a pelmi! unlil signed by lhe BUILDING OFflclAL; thai the work will be in accordance will1 the approved plan in the ~e. 0 1 "I '. .. Ich requires review and approval at plan.. . ' '- r~ .I ; . ~ l U~App~can e '7-j,~760 Buiking 0fficars Sigr>alurv Dlthl AUG. 8.2000 11:13AM GENZ RYAN 6513226147 NO. 483 P.5/9 _. .... YULOw -- -..c.urr GOLD a crt'l' I . PRIOR LAKE NO. () () - ().I ~ ) WATER PERMIT NOTE: Sewer and Water contractors must be regi5tered with the Gity. APPLICANT: r-"..V"I~_ f2t)'n Plu.-nb,........- U.t']l'''''''l(,~ PHONE:J.;6I-/.J.2.-o-II4J..l ADDRESS: II./,IJ;:' ~ fi"A.>12.."f".,-", I ~~"""", ",r s","a..~ DATE:.,B ) 5!.. \C"iL1 . SIGNATURE:: rA J.a.d'~-~ ~ )lLDG. PERIUT # ()n -rnQ. J SITE ADDRESS :_'c::::.':'-o,\...~ ~$Jr1... ~ PID#~- _'~'I_ On'7-0 1- :0 . Estimated length of water service II I FILL IN THE BLANKS 40' feet. Size of water service inch(es). . J i Location of any couplings from s~ructure _feet. -... 4. Type of sewer pipe. ABS PVC )( Cast Iron , 5. E5timated length of sewer line ~ feet. 6. Clean out (if required), located at structure. feet from .---:---='Il;G:B::--c.__~___=1i~____~____....:~_________ Thi~!PPlication b BY' Jf'1J~~ -r:::f' - -- -- - - F . $ $ i;l wilen approved. DATE: ~ l;y/n6 - / I ------- ,--..-----:===== 35.00 .50 35.50 Sewer and Surcharge TOTAL water line connection permit. , * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for. new construction must be recorded on the building permit card at the time or issuance to insure that no duplicate sewer and water permits are issued. / 'l4\~\"\ntJ.\~ J DATE PAID, . ~p..l~G ~~'txMOUNT PAID RECEIPT # /eu\\..t) REC' 0 BY' / . 4629 Dakc~ St 5.E.. Prior Lake, Minnesora 55372' I Ph. (612) 4474230 I Fax (6]2) 4474245 AN FnrlAT nJ:fpr"lr:rn",,",,,~or,,,,,,,,='CI RUG.25.2000 10:46RM GENZ RYRN 6513226147 NO. 138 P .10/19 CITY OF PRIOR LAKE PLUMBING PERMIT APPlicant:-'&,f'l7- l2\.i") Y"'\ Address: ll..\"~~ ""-- rc?~I'" 1/1 T ~,IZ..'- n4'Cnrltr.'lfwL.dIIC..nl". ____ __ ___'_ __ _ "-,' R c,. '. . Signature: Uf). .~4 n IJ<\LS.r [g D\0.Jrn ""\ .. 0 . .: II..!. 1 .,.C" :::;y. . II Legal Description: Lot tJ Block I Sub (... I !lJ~r ,ll}1 I .~_ ,:~. i AUG 283m .j. SiteAddrass:J~'.r63 .~'C.li SlDL l ~ .< l!fllAL I " i : 8uilding PermiU ('1"y O"1;;{ I PID #..,S),~~, 3'" ~- 007-0 ',~ .1 / NOTE: This permit v.:ill not be proc~sed without complete 'nformation. nu_ FIXTURE UNITS I. II. ~ Gel; J. YeUoW' J;J. c.,. APfIi_ # ill -(/f7-?+-- Phone:ldSl-42~-1/4LJ . Quantity Type pf Fixture Quantity Type of Fixture , . Bath Tub with or without shower ,~ Rough-ins I Dishwasher r Water Heater l Aoor Drain 1'<./ f Water Softner I 2- lavatory (bathroom sink) , Stand Pipe (washing machine) I I Laundry Tray (1 or 2 cDmpartmenl sink) Sewage Ejector j I \ Shower Stall Sacktlow Assembly (FiPz' Double Check, PVB) I I \ Sinks 8aekflow Assembly Test I I Bar Sink Lawn Sprinkler 2- Water Closet (toilel) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (Wo of job cost, 539.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations Slate Surcharge $99.50 $39.50 / / $ / $ / / $ $ GRAND TOTAL .50'~ PAlO \N~t.\tT "",'OING '(:1...1',- 16200 Eagle Creek Av. S.E., P' Lake, Minnesota 55372 I Ph. (612) 447-4230 I F.<\,,'( (612) 447-4245 An Equ~l Op~onuni'l' Employer DATE: ATl'EST PRIOR LAKE INSPECTION RECORD L. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 1 ,c:;-~~ --p""""t<7cu'h. NATURE OF WORK Me<....- USE OF BUILDING <:;~A- PERMIT NO. 00. ()72/ DATEISSUED S-(C;--2cco CONTRACTOR uJ~.~ (..t-......o .'PI-\oNE"Ct. (,.~/. ~r. -f{q'tV T NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , FOOTING J 6;~PECTOR I uiI~ ~~ I FOUNDATION (Prior to BaCkfill)~;;...1 Ii. r.,;V'/~ I ~f 1 /~S'"/o-zj I ~.l~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS /8;.-, ~~~ K\I SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST /lyJ1/V:' F P. I I i 11. ~ I ~1I'f1 be i 1. V 1 h~J)tl1 i 'R.Ll . I,,~l 0 I i t?/-I 1/;Slfu 1'/(~ I{)! '} I/IQOI I I I I I I II/il/",/ GRADING (Prior to Sodding) BUILDING I ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS ,'If I r.S I ""E \)111 .i ~ V c'MNI I \?, \jfl'~ OCCUpy UNTIL ABOVE I HAS NOTICE (Ol~ 0\ 2.. 2.: I. 19/ I f! ~:lol 1---2.. . 19! BEEN ~IGNED This card must be posted near an electri{'al service cabinet prior to rough-in inspections and maintained until all inspections have beer! 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 ,-,."---:.~.~'~ ,,-~'~y;.-:- ., .:.. '.. ' ....;'V'r..- ."; -:~ . - .::......;..'" . -.:;9:"",: . '",. '.~' t "II:'~ "!";-t i," 'of- t ~:. , ....""....... ,.' .. ", ., ". .e ., " ~ -"C..----- :t~ I QLtrtifttau at ~rmpanry :~t! ell' y OF P~?R LA~ :.~.:: . 1Dtpartmtnt of .utibmg Jn~ptttton I'~ ~ M'Final Permitted 0 Conditional C.O. Expires (. l' ...._~ '. I.,,,,; ~.' (1""l: : ('N~I I~I (~....~.~. (I"" ( ....... i'f"; ! x_ ~t:. -,._" (~r (*~- - \~ I,"; ~ ' <<.. .. I":"." ~~~""" This Certificate issued pursumlt to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issUilnce this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY Use ClassificatiOD- 00-0721 R3 Occupancy Type . Fire Zone _ Bldg. Permi' No. N/A Zoning Districl R2SD VN Type Construction L7, Bl, GLYNWATER 3RD ADDN Legal Description _ Owner of Building 15558 BROOKSIDE LANE "lite Address Contractor's Name & Address WENSMANN HOMES, 1895 PLAZA DR., EAGAN, MN ROBERT D. HUTCHINS r"ity Planner . DON RYE ~ \ \ BuildinS OtfiCi1 Date: JiJlflM1 I'd ~O, Date: POST IN A CONSPICUOUS PLACE '- SCHEDULED 4 z.[ Ie I ~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /S '55)1' OWNER CONTR. PHONE ND. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION 1lC FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )i( PLUMBING FINAL jl(. MECH FINAL COMMENTS:~I~~ . ~ 'Wif+3~'^ w~' .- B cD[ I V (,) f\ fo\)n.l kJ u -N.~ I ~+V-~ per J DATE TIME q:lJ 0 () - '(2-( o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI )'t FIREPLACE FINAL o GASLlNE AIR TST o rJ"1 p~cr',^eer ~e1rwtf'~t- hORK SATISFACTORY, PROCEED o CORRECT ACTION'\ND PROCEED o CORRECT ORK, ,;ALL FOR REINSPECTION BEFORE COVERING Inspector: _ \ Owner/Contr: CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENd ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTJ