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HomeMy WebLinkAboutBuilding Permit 03-1076 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd 7J~,oS (Please tvQe or print and si2Il at bottom) ADDRESS 5tf~'2- Dr €~~U__ ~.J" V;;~:' ~:;, I PERMIT NO'OJ? -/07/-1 Yellow Applicant :.-:> (Q ZONING (office use) ~. ,ez.. LEGAL DESCRIPTION (office use only) ~ . LOT Iif- BLOCK I ADDITION (),.p lr+:.JJ./ qt1v' PID z5. 4-00 () 14- () OWNER (Name) (Phone) (Address) BUILDER """ l I , (Name) \ J. ~. ~1.Y1 'TII.c . (Contact Name) <~"'1k.Q" y'y :cJ{C.f~ (Address) ZD'2i~{:} k-e...ll'o{I'~~ <:-t. Sl<.( Dp I.. jf t>.N\ P cMN ~"tf -j (Phone) (Phone) <1c;7--4l:l,,=72f)B QSZ.-7Z& I~W TYPE OF WORK IXf N ew Construction DDeck DPorch ORe-Roofing ORe-Siding OUtility Connection DLower Level Finish o Fireplace DAddition DAlteration o Misc. PROJECTCOST/VALUE (excluding land) $ ID~ I.jCj, 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 loca11aws and will proceed in accordance with sub . ed plans. I anfaware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ente u n theY'~Y_'~J to eede inspections. x A .' dODD t::;l.!'..-7 'l-J4-A '3 Contractor's License No. Date l! Permit Valuation lor 000.00 I Park Support Fee # $ g'S'Q, Oa I Permit Fee $ I~.SS I SAC # $ 1'2... 7'5. ,1lQ I I Plan Check Fee $ (07 S. OlD I Water Meter ~~'l" $ Z-S'O. 00 I . , I State Surcharge $ 5'1.00 I Pressure Reducer $ 'fS.ll 0 I I Penalty $ --- I City SAC and WAC # $ 1200.00 I I Plumbing Permit Fee $ lOt). 00 I Water Tower Fee # $ 7CJ t!J . 00 I I Mechanical Permit Fee $ fOD,OO I Builder's Deposit $ I I Sewer & Water Permit Fee $ 3~. S" " I Other $ I I Gas Fireplace Permit Fee $ '10.00 I TOTAL DUE $ r;,3 (p,$ . / I I ,,7(.,;/,11 /" ' This Application Becomes Your Building Permit When Approved Paid Receipt No! 9K' .? 70 cg~ r f17/0::1 Date -r ,/J~ C>;J Bv d:-- ~I-- 0 Building 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 "~ ..~ F'/1f;3 Planning Director Date Special Conditions, if any 24 bonr notice for all inspectinns (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 rh~ ("~nl~r "r Ih~ I..k~ Counl~,.. c Whit.. - BUildinv Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT IP. K. h6-zunu 77.1-ctl 7/&,0] APPLICATION RECEIVED The Building, Engineering. and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5432- tp~A~ C1Ld(7 ~ ... Accepted Accepted With Corrections Denied " Reviewed By: ~ 7~ Date: 1//43 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." JObAddress"j't3z.. ~"4..0Cir. Healing Contractor ,4/1;/147<< F-i!1f' -~"(1 IZ/fY03 A.<=t .?o ~"'- ~.~~ -37 b qz:: Name ofTester .. Date Percent 02 Percent CO Percent CO, Stack Temp Combustion air is adequateiy suppiied per UMC SeG. /J06 CI....eS inpul g~~~-rc.J . '~ ~1 While - Building Canarv - Engineering C Pink _ - "Iannmg.) Tht ('rnlU flf lhr L.kt Counlr) aUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr NAME OF APPLICANT APPLICATION RECEIVED / /;/, / ;;-lj / ,.,,,,-'-7 ,_'_ , ~".,.cL~.--~" , -;r L-,.- __J--'"~ .' J ~-",-....._"".-"v..... -j / The Building, Engineering, and Planning Departments have reviewed the building permit applicption for construction activity which is proposed at: ,- t ,I ", ," ~.. / . '-' " ..;.,t.- . /' ___ -/ .....-0'" ~ ). ./ ~. L<: , ~_... . I ,. I ~. ~, /" .,_..._---~..~.--" '. Accepted /' Accepted With Corrections Denied r Reviewed By: ....-- ~ - 9~ Date: r?h4~ ~, , Comments: ... . .. .">iI!. "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." ~~ / su f\KSJ~ r:t~ Th~ ("..nIt'. of Il,t' I..k.. ("Ollnll')' Canary - Engineering ~ k-" . I-'lannmg BUILDING PERMIT APPLICATION DEPARTMENT CHECKUST NAME OF APPLICANT .'/1 /' f /. '-.J..;-- / ""./ F' ,,\'- . 1/'/ .- ~<-"""'-- - / I,,/, 1/ '/;]1_/ f \..'-- ,A-".:_, ..... APPLICATION RECEIVED -:'7.-L~ ; ~'/ "/ 1,"-: ,'? .-r--t_..,/ 1 '.. i z;,. . U.-i l. "'~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: F[ ;-~~?'..., ;/(.. .// f'.-, LJ-. /' ,i ./., _ , r;- ".j' J ,. _.../ L- i uct{ \ -1-.<<..-'. v',-"" ~ .I ' ~ c/ /<1" / l' ../f.. .<J /) ,/.....,. .(_.-'.:.......~-.....----""" Accepted J<, Accepted With Corrections Denied . ~~:~ Date: '7 kG-to') 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." Jill i 3 2 Q I) 3 12 3 gpl! GENZ RVAN PLUMBING AND HEATING No 2761 P 4 13 .l,W2E~ P"'o",< ... '7 - " <.J '" ;..;.~:...,. ,''';'.,.,',\., ",",\~i:, J4J:illiJ;;~~;*'\"'/ll o~... ''''iO\.)i?~'''\'''' ES CITy.oF PRIOR LAKE SKWER AND WATER PERMIT ;, ':~.'~' , Date Rec'd p;': ~ ,tF'",. ~?<, " .' -" .(.. . . ,-',';. :l. f . /Ii?" ~ ~w ~\; I PERMIT NOO'i_10'l/J. I 3, Gelid .<\'~phWlt J ~ ' (Please Me or-orU1[ and~i.~ itboaom\ ADDRESS ':JL/3;?- TJee..vzfi del Cl~ s:~. ZO:Nn-i G (a{ia, "'0) .' , LEGAl DESCRIPTION (ollicc use only) LOT I~ BLOCE:, ADDITION ~R-fidd. Of'th PID OWNER (Nam.e) T"l"O u..........t,........ f'.....rnm fl'....w"",:" (Phon~) _ 0,52. -Qgs-i8C{,\ (Address) 2.o&1lO 1<.ev1i3i<-\~ Cr Sn>J/'v1 (Addre..) LaVk.\JllIe.., (City) &SW-lU (Zip Cod<) . APPLICANT (Name> Genz-Ryan Plumbing & Heating (phone) 651-423-1144 (Address) (Contact Person) . Q,{n}Q)~')h ~L( \ '.!CANT SIGNATURE _-IYJ 1 ~ --=(cLl./.>C\ Rosemount. MN (City) 55068 (Z,p Code) i (Address) 14745 So Robert Trail (phone) DATE 651-423-1144 "1- J f( -1)3 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron RCSldentJal sewer illld water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'! & Multi-family 1 % ofjob COSt wilh a $39.50 mmimum $!7.50 Water connection only $17.50 Estunated Cost $ Building Permit # SEWER AND WATER PER!\1IT FEE STATE SURCHARGE TOTAL :PERl'\fiT FEE $ $ $ PAID WITH aUWING PERMIT }. (Office Use Only) This Application Becomes Your Building Permit When Approved Building Offici~ Dt.le r.. rrrCi ~ n \1IJ [t;~-~~I Receipt No. J Date ' III By . -AUt ! II :.nn~ ..J Lo, fax (952) 447-12.15 By I 2-1 hQUI" notice for all inspectioDS (952)""'1 t~.~IO~~ uVm l~:~~~~/NNBSO"t1'- "'"~I'''.<'' ~\i!0. ;~ wo\$'..~. h 118 2003 i 2 39PI,I No.:765 P 1 1 8 GEN= RVAN PLUMBING AND HEATING Date Rec'd ?iI' "'fO.," ;,.~. . , :'.", ' .'.t;"Y ".'. " ;" . --,.~--:;.-<.J/ .~v...,:j.,l" . ~1Jiflf' I PERMIT NQ~;O 7~~1 CITY OF PRIOR LAKE PLUM.BING PERMIT - 1 Bl...e File 2.. (ial~ City l, Yellow AppJi.:Jnt CP1t=3.Se r~e or print md s4!n at boftn1l1) ADDr02SStiY 3~ ~IZ. -R eU.. Clk-SE ...,...... ZONING (~."';U..,. LEGAL DESCRJJ?TION (office use o11ly) LOT 1~ BLOCK I ADDITION ~Ie--fi dd, qfJv PJD OWNER (Name) DR Horton Custom Homes (phone) (Address) 9S2-Q'i.<; -7!5DO 2C$(,.,D V-ev')B~l D6e... C,Sre. 100 udu_vdJe.. }\AN .556L1iJ APPLICANT (N3met~".'"'~:_~~.r:- '?:"1!)l-.~T'\g t. l-1:,:....~-:-:~ ;Addross) 14745 So Roben Trail (Address) C=p=~ lJ;J~I~ .fa J1g "J'PUc.">NT STGNATlJKE A~~ ~.:,,~;': Quantity I- I , -2 I J .0:2 (phone) ," 1_[" ?~_1 16.[" Rosemount MN 55068 (Zip Code) (City) (phone) 651-423-1144 {- )k'-{)0 DATE APPLICANT PLEASE COMPLETE Bnow I Type of FiJ:tu):'e Quantity Bath Tub with or without shower :5 Rough-ins I Dishwasher I . Water Heater I Floor Drain k!..:fJ':' Water Softner Lavatory (Bathroom Sink) ) I Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink I Sewage Ejector Shower Stall Backflow Assembly Sinks I Backflow Asst'1llbly Test Bar Sink I Lawn Sprinkler Water Closet (Toilet) 1 Other I I j I 1 I I Type of Fixture FEE SCDJwULE fndus01al, CommercIal & Mulb.-fwllly 1% of job cost with a $39.50 minimum RCSldc:nhal, Nt:\v One & Two-Family $99S0 Residential, Addition:l & AJ_ons $39.50 .oiee tI,e Ooly) Estimated COSt .$ Building Permit # PLUMBING PERlYfiT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ <PAID WITH ~DING PERMIT ,. ! Building Offic.i.a..l mJ~~ ~'~ny)^'~'y ReceiptNo. DOl. JtZ'h 1 8 ?m-~IBy 24 hour .otice for aU1DSpection' (952) 441 .9850, flU (952) 4474245 By This Application Becomes Your Buuding Permit When Approved CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd /73/9 i~~ ~:~ I PERMITNO'A?_IO~b I ). YellOw Apphcarlt ( }J ., (?lease.~ or mint and sim at bottom) I ADDRESS ?W2 4//k// ~/rr;~e ZONTNG (office use) LEGAL DESCRIPTION (ollice use only) LOV~LOCK / ADDITION Pill OWNER DR HORTON (Name) - 20860 KENBRIDGE CT (Address) LAKEVILLE, MN 55044 (phone) APPLICANT /'1 ~ /. ~ (Name) /~/// ~~ .../AA./"..~ (Address) $~ ~.tIt..I A I ~ a: ~ (Contact Person) A 4Z/; .. ~~ APPLICANT SIGNATURE "':;T , -:- - ~-. ~ (phone) k,5/.. 4.:r'?-'p;?;?~ ~4-6~ ~~..t..J: 7 (rJJJ1ff (Zip Code) (Phone) ~/ - c:;/g --177..5 DATE , APPLICANT PLEASE COMPLETE BELOW .3INEW CO~TRUCTION 0 REPLACEMENT 0 AL TERA TI<?NS FURNACE MAKE AND MOD~r-.; ~ :?/0-4A~I/c)7CJ FUEL 4. ~ -k../-'-.e FLUESIZEo/~~~.ARETURNOPENINGS # INPUTc;~ ~ OUTPUT 5'Z~~ TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Ai, Plants DOravity D Mechanical ~ir Conditioning ~ent. System D Steam D Hot Water D Radiati<>n o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial. Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential; Gas Fireplace $39.50 mioimum $99.50 Residential, Additions & Alterations $64.50 Residential. AC Only $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 (Office Use Only) This Application Becomes Your Building Permit When Approved Estimated Cost $ ~ a::> Building Pennit # 0 W\1\'\ , hi p,,\ ERN\\1' $~_// ~.//~>>-t'\NG p $ ~ .50 $ ? REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Official Date ]:G:: ~o:] "' Receipt No. 24 hour notice fo, all inspections (952) 44.~50, fax (952) 447-4245 FIRESIDE CORNER #4087 P,006/007 q:'1~ase _'tfI~ OT rrrint 'lU' shm at bottoml __ ADDRESS HEART H6-H 0 ME'" 5432 DEERFIELD CIRCLE S.E. CITY OF ~~R LAKE HEATING/AIR CONDITI(r " GfFIREPLACE PFAtMJT FIRESIDg::. ;~.."' I PERMIT NO. 3'-IO"?~1 Date Rec'd ZONJNG (em", u,,) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID , OWNER (Na.me D R HORTON (Address) (phone) AP1'UCANT (Name) AWED FIRESIDE DBA FIRESIDE H~r: (phone) 651-633.2561 (Address) ~700 NORTH F AIRVIEW AVENUE (A<ldrml (Conta.ct Person) BRENDA HUSTON ROSEVI' , I' (City) (Phone) _65).633-2561 55113_ (Zip Code) BREtJ!)A fjUSTON APPLJCANT PLEASE COMPLETE BELOW XD NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA TIONS FlJRNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM UBATlNG OR POWER PLANT APPLICANT SIGNATURE DATE l..Q/8/03 DWann Air PIOnf.s OOraviry o MechDnieDl oAir COJ1dirionlng OVen!. S)'$!em J Steam J Hor Warer o Radiation ] Special Dcvjce~ J Ol],er Oevi,"" PLEASE NOTE: Air Conditioner Unirs Cannol Encroach into Required Side Yard Setback.. FIREPLACE MAKE AND MODEl. HF.:AT N GI.o SL-150TR.C Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE FEE SCHEDULE PAID WITH 1% of job cost Resideori,l. Go.' Firepl''BUILD1NG PERMIT $39.50 $39.50 minimum $99.50 Residen,.;,!. Addirion, /II. Alre"r,;on, $39.50 $64.50 Residential, Ae Only <>0 <:).... re n i:rJ i~ U ~ Building Permit # $ $ S .50 i-;\ is !Ui~] I \ .. . i,Pi OCT 082003 :'[ ill! -'I ,.J -' ,By _----------. Indugri./. Commercial & Mult;-F'mily Residential. Healing /II. NC (New ConsTruclion) Residen'i.l. He'ling On.ly (New Coostruction) (om" v.. Ordyl Thi, ApplicatIon Becomes Your Building P"f7l)J}'r'ii,h&n,flJ1Nl"f.#r", In~ga.iJl.nnd I Receipt No. ~~ IJullrJer Divl..f<, I Dole I By 0 /~'.... _'R . llt'i1~I..0I11lj1ll0F.i",iewAvenueNorlh RocQll,"le.MN55JI3 Ihode(,"."B-?S(,1 ~11.~R~4 ,,~ no"'.on.. c..u" 3850 West flj2'jWnV 13 Bums'I'lle. MN 553.37 PhoI1e 9,').2-890-0158 Felt 952-890-5408 0 ~'!"P.'J"'.~'!?'l'!',;'11 2.lf 10U" nl)tltll rf)r;tl mlipedlons (9~2) 447~98:3'/. flU. (952.) 4"7-42.4,=" W'U/w,O""litdeiJu.cn"l MJ\ Clllltnertlr I,~:n~ R 2n~~9.' PRIOR LAKE INSPECTION RECORD ~Fi~1J ~ NATURE OF WORK ~ ~5T/lM.CrI'~ USE OF BUILDING ~.__ PERMIT NO. ()..5' -/ () 7 f? DATE ISSUED . CONTRACTOR l)1rt.. H6tC.T4~ ~ PHO ~ZZt.-I31'" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS INSPECTOR DATE , FOOTING , FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS l!\rf t;(/j,y, ()~ f/I,y? yl/}"t/ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING 1M.! I()-W if? HEATING (if required) J/0{/, o.",j.,G( - () 3 FIREPLACE t/l# IO'/-'-I,(/} GAS LINE AIR TEST ~ 10' I- 'fr " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED (CYI4r-6 /() - ).11 - t/l-, GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT I FINALS ,See ~q,.,~ /f'v1/?' ~' - / h'/e , .5,IEi-dt.{ M "- , .--.? //YT -: fVl! / OCCUPY UNTIL ABOVE HAS BEEN NOTICE I J -q-(r3- .s./I/Hfl I 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 shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 QIrrfifirab of @rrnpanql CITY OF PRIOR LAKE ~epZldmeut of ~uilMug Jluspediou ;!J Final Permitted D Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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 Classification SINGLE FAMILY Bldg. Permit No. 03-1076 Occupancy Type R3 Type Construction VN Fire Zone NIA Zoning District R2 Owner of Building L14, B1, DEERFIELD 9TH SiteAddre" 543Z DEERFIELD CIRCLE S.E. 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE Legal Descriptior Contractor's Name & Addre,];>' R. HORTON, INC., ROBERT D. HUTCHINS ~~ /~ ?yfficial, _ \ City Planner DON RYE Date: Date: J ,I " J DATE nME SCHEDULED ~~~~ LJ-eer-M/d Cr CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS SrJ2. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ..e-1'1NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 6.? - /0.76 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o ( \ L'c~<;-e ~ .~ ..~ ./ ------- /~ ------- - " ~ ~WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED :.:~:ECT ~ElNS::::::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. INJIiOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS oC{3t." O~hrl J OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MI:CH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,.....P""'lECH FINAL DATE nilE s:- (&1X( 'Z-/()7G o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI ~ FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: (r) I-fvJ Sw-Ku dy ru... "r'( 0) h..a( ~x<J, qtl;1/Q(/f{ ( It) <6c--J -f- '1N-<-~ f-'~ ~1-IaPrl!..e....+- - r / ..e.-""/? ifYlf.' I g..-I-c1~/ I [] WORK SATISFACTORY. PROCEED p-tORRECT ACTION AND PROCEED o CORRECT. ~~ALL FOR RElNSPECTION BEFORE COVERING Inspector; f V f- OwnerfContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME J2-f'1;3 ADDRESS ,(4.'3L O-'.~~i-J c.. (:- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .-a:'PLUMBING FINAL o MECH FINAL COMMENTS: =- (!) YeM/JIH r/rli--? Ji4?t; -J ~ 1(J7G, o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT ;~~L FOR REINSPECTION BEFORE COVERING Inspector: p Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. IJIIS/'IOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!