The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 03-0695 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DateR, 5-g-(), I. White 2. Pink 3. Yellow File City Applicant I PERMIT NO. 03 -000/S- I (Please tyue or Print and si2ll at bottom) ADDRESS _ /'/fltJ1 t<;/?I) UAJd'1) CtJf/~r tI. W. ZONING (office use) ,PtJJ) LEGAL DESCRIPTION (office use only) LOT 9 BLOCK I ADDITION 7/h!!.. ;UJA/)cg AT "I,;z: W/~IJ ~ PID '2S'3fi?3-"a9-o I OWNEl. (Name) tLJoM./)~. B 1//L../I1JiE'..e5 . /,vC (Phone) (Address) S'/.3S'" Hi.-7L. Rt1At!J. m/AA/47"'t7AJ..cAl dJ# 553Y3-79~~ BUILDER (Name) I-<.ntJlJO.~ :aWi-LJe;..e5 Pve. (Contact Name) z::, 4:J.tr.... A" ~ (Address) 5V.7S' J:"-.6t-n. ~ ,h?/AI.Nc ra~, mAJ (Phone) t?sZr -3YS - O"S~'3 (Phone) C15;!- 3t/s -(4 S/A ..,-.503 Y3 ~""7q 8 ~ TYPE OF WORK ~New Construction DLower Level Finish ODeck OPorch o Fireplace DAddition ORe-Roofing DAlteration ORe-Siding OUtility Connection o Mise, PROJECTCOST/VALUE (exc1udingland) $ 449, h?'? ~ 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 1 authorized agent for the above~mentiDned 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 Up' e pro to p rform needed inspections. k'~~A"~ .B.Wu>/tit-? ('YJO ~q2? ~/7/t2~ Signature Contractor's License No. Date i...,./' , Permit Valuation 411, tJt}{J, ~ I Park Support Fee # ' $ &5""0. . I Permit Fee $ Z'f4~.15 I SAC # $ h 1-:;. - -r- I Plan Check Fee $ 11//;,30. I I Water Meter Size 5/8"e!)! $ -;cX:>. - I State Surcharge $ LvL5'o I ! Pressure Reducer $ 10. - I Penalty $ I I City SAC and WAC # $ /2. 00. - I Plumbing Permit Fee $ (f90. - I Water Tower Fee # $ 700,"' I Mechanical Permit Fee $ (C?O. ~ I Builder's Deposit $ /<;;00. - l Sewer & Water Permit Fee $ 34: ';-0 I lather $ I I Gas Fireplace Permit Fee $ 40. ~ I I TOTAL DUE ~um? (q,3- 03 $ /1. 2.59. 451 J J /) / T~O c Y~BUildingp~proved I Paid // 7~Sq. ~ I Recei$No. ~(J't I S; z.o 03 I Date ,. If, , 4-.0/ I Bv A I 0 Building OfficiJ-----" ate 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 iSSU/(. // ( Planning Director ~5"';ztO"1 ~ ~~r:ny 24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~~ ~~ . BuildinQ r _ rv - Enaineerina) Pink - Planning Tho: ('..01... of 1...1..11" <'oun""" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tv 0 COI.),A L E- /:5 (/I,' "f) F l?/S APPLICATION RECEIVED :-.). ~ () '? The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /1[; /i7 /'V j '-D.' I t Ii () U. ' , /' (, ( .' r.;I' / J ~ f (j v / T \-' v. ......,.- "_,, j !'-,....' . Accepted x Accepted With Corrections Denied Reviewed By: AJ413 Date: t-~~oJ Comments: See Reverse Side for Additional Information! Sf':f':Aiiachment<;. 1) Grading Plan. 2) Erosion Control Measures "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." ii~~ 6hile - Buildi~ Canary - Engineering Pink - Planning The Cenler of the L.h Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT WOODDA &6 6UIL-D51Z5 APPLICATION RECEIVED 5. ~ _ ().3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-907 J1!/L-DWOOD UJU~I Accepted ~ Accepted With Corrections v Reviewed By: I-f) /1--- It'~ ~.LJJ ~~h ~-~. Date: Denied 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." ~1 While - Building Canary_ - 5!'qineering ( ....m~ - t'lannmY") - .Thl' Cl'nlt'r nf Ih..I..I<t Counll',.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / VC C /.JUri L C elJ/L.UE/2_C:; /- r, r .-, '.~ (),.... , . .;--.....' .........' . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /49( '7 /VIL/..)IV(~(0 '(U/e I Accepted Denied ./ Accepted With Corrections Reviewed By: ~f)~ Date: s~j~ . 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." L 05/03/2003 11:43 7632532233 11/05/02 ruE 12:2J FA! 6124414245 . - SCHUL TIES PLUMBH1G CITY OF PRIOR L~ PAGE 02/02 ~002 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT :. ~ ~:~ I PERNlIT NO,/J -'9 ~ I J. YcJ~.... Ap~ir.ill'L1 v~ :J (Please ~e or t'lrint and. si,;c at bottOm'" ADDR.E/~q07 \ ZONING (offi" "'" LEGAL DESCRIPTION (ot&< uso onlY), /7 / ..//) 1.0T <j' BLOCK / ADDITION ~ d ~ U/ PID &~R4:?~.I~&~~:tY~ . (phone) d $;, ~-3~-~.:5"9~ (Address) 59'33 r~ ~ h., -;#/...4<.-- I ~~;re~ANT _~~ Q", (phone) J~ 3- ~ -~/ - (AddresS)/5"ri/ 94!.LL-~~~ ~ 55"4///4 (~ (City) (Zip Coce) (conractperson)(/'l~ ~ _ , (phone) 7.6?-7~~- t.JtJO/ AP,,"CA"'''GNA~~ DATE Sh:"z,"S" ~PPLIC~ PLEASE COMPLETE BELOW . TYl'e of Fixture Quantity I Type of Fixture Bath Tub with or without shower -5>, Rough-ins Dishwasher I Weter Heater Floor Drain Water Softner LAvatory (Bathroom Sink) I Stand Pipe (Washing Machine) Laundry Tray (] or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks II Backflow Assembly Test Bar Sink 1 Lawn Sprinkler Water Closet (Toilet) I Other Quantity 2 1 / "'? I I I i -z, I J I J J FEE SClJE.DUU: Industrial. Comm",.ial &. Multi-I,unily 1% of job cost with. $39.50 minlnl~m R",idenriol New Onc &. Two-F"",ily >9950 Rl;Sidential. Additlon~ & Alterations S39.50 Estimated Cost S /2/.000CO 8uilding Penn it # ~ PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ PAID WITH (Oo;.e lIn 0.1>) ~ BUILDING PI;BMIT ThIS A.pplicotion Becomes Your Building PermIt Whon APpro"e~ ~J'~:~ 0 IT] ~ ~I! ::cctPI No. ({1 Bu,ldint Official 0... ~I II UN 0 4 2gg3 .jj, ~ 24 "cur notict tor 1H inspections (951) 447w985D, fu (951) 447.4.J:sl 16100 E<&g.le Ct'eekAve., S.E... P~.1...lr. MN $5372-1714 85/83/2883 11:43 7632532233 11/05/02 TOE 12:23 FAX 6124474245 SCHULTIES PLUMBING -..SlIT OF PRIOR LAKE PAGE 81/82 ~OOl Date Re\;'d CITY OF PRIOR LAKE SEWER AND WATER PERMIT f!'1=< <v,pe "'m!lI.llDli sic. otbo_l I ADDRESS . /l . /tj/f'~7'~./rrr-?~./ ~/ ~ ~ ,~.... I PERMIT NO. !3 - b Q5' J J I ZONrnG(~",,) LEGAL DESCRIPTION (ob... only) LOT'1SLOCI< / ADDmON~r?/~&d PID g.v:::~--, ~..L~;;)~ (Phone). tl5:7-3t;?-@/"f (Addre$s) 59'~ ,~~ ~ ~~_ (Add:cul 1Cll:y) IZ;" CO<kl APPLICANT./ j .. J- d?/ /. r:J / /. (N=1 ~,. /7, A --? ;fV'~~.c. Y4L-<- (Phone), 7i 3"- 7'.ft. -.;m 7 (Address) /?dJ 9t!/,. // ,~~ ~ 55//1/1 (COIItaaPelSOn) ~J;;::;~"1. ~~:~e) 7.b~-7~ --qM7 APPUCANTSIGNATURE U~..k(~ DATE _'S"/9~Z', .. ()U APPLICANT PLEASE COMPLETE BELOW Size of water seMce J" inches, LlXation of any couplings from structure. feet. Type of seWer pipe. 0 ABC I !:8PVC 0 Cast Iron Estimated length of sewer line ~ feet. . Clean o1.l1 (if required) located at feet from structure. - FEE SCHEDULE ' ~idential sewer and water 'line cOlUlection $3~,50 Inaumial, Com'\ &; Multi-family 1% of job oOSt wilh a $39.50 minillllllll si:wer c:onneetion only $17.50 Wan:roOllllectiol1only $17.50 Estimated Cost S / ,di(LJOOO Building Pennit # " SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTALP~FEE s $ $ .so PAID WITH . BUILDING PERMIT (O~ II.. 0.1,) ThiJApp!il:atioll Becom.e:l Your BUillll~g PeTlllit When ApprO\' ~) 11: ~a~ 0 \'!J [b.il! Bulldtoe Omc:la' . Du. ~ \ J \J'f"ll 4 ZOO 3 ~ I 14<hoD' uoti.. {O, .1I10'Dtolio.' ('+~r7-98S0' r.x (!I5Z) 447-4z,;S , I ~clpt No. I By . I a,/,J I 71~ .".__._~. --'-- --------.-- " CITY OF PRIOR LAKE . HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ;~ ~!~ I PERMIT NO. 3j crS-1 3. Yellow Appllcanl b (Please !VEe or orint and siJlD at bottom) ADDRESS 14901 llX/f'] U)CX)0} ffJu.J +- ZONING (oflice use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDmON PID g,~~~'10\c.LtQ (phone) (Address) APPLICAN~ ' (Name) \"'l \0 (l (). (" (Phone) Jl o~.!.f=;Clo 400(') (AddreSs)~1 R\'c}.,\\(lf\ \:h. (\AlOO..U f\nr\f}()Q)( rf'1C:DL/. , ,(Address) ~ (City) _ (Zip Code) (Contact Person) \h~\R-tO:: ~~ (phone) J!.p.~"fJq ~ 400(') APPLICANT SIGNATU~<;l..-\o... ~ DATE ~ /6& \.-/ I '-.) '--~ . ' APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL ~ % l2I(;~A - \d~?1Ft~3- FUEL No....t, FLUE SIZE -=011 RETURN OPENINGS ~f) INPUT I~,()(X) OUTPUT I/?>.CJ:XJ TYPE OF SYSTEM HEATING OR POWER PLANT , . ~ann Air Plants 0 Steam OGravity ~ot Water- "I1'\ ~\~'(' \\ ~echanical -rrRadiation ~el'Yl..Q..y\"\ ono., ~ir Conditioning 0 Special Devices ~ent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi.Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential. Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50 $39.50 $39,50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ tA. F56 .50 ( ti:J .Cf,.;) ~ [;~ ~ U ill ~ rD I Receipt No. j]~ R DJtlJN 0 4 2003 D I By UI.....!./ ~50. fax (952) 447-4245 I PAID WITH BUILDING PERMIT (Omce Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for .11 inspections (952) CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~: ~:w ~~icanl I PERMIT NO. 3 -b <95] (Please tfPe or Print and siEll at bottom) ADDRESS ZONING (office u,,) 14907 WILDWOOD COURT NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name WOODDALE HUJLDRRS (Phone) (Address) APPLICANT (Name) ATJJRD FTRESTDR BRA FTRESIDF. HEARTH & POM]:;' (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW A VENUP (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-251\1 APPLICANT SIGNATURE BRENDA HUSTON DATE 7/31/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVen!. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEATN GLO ST-TRC & SL-750TR-C Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 elq~ .o-"l'D IAh DING rY1l'!t IJ~ f:141,.,. (Office Use Only) This Application Becomes Your Building Permit When Approved Bulldine Official Date ~,-_._~~-., _~ \' \','1 ~~:'G. ~ ~"":. ~j, ::,o;"'>d'- J -1/ 24 hour notice for all inspections (952) 447 I~O. fax (952) 447....245 PRIOR LAKE INSPECTION RECORD 14"1/)'"7 uJ'~l..(A~ 6-: NATURE OF WORK . -$~C% FAlnI"} ~/~ USE OF BUILDING "7'F1> ...-L. I PERMIT NO. _ 03-Q09S DATE ISSUED _ ''Y!''/O~ CONTRACTOR w0f)9/J~ BVILJ~ PHONE q<;), ~~ 4~-~/,!j - ' - NOTE: THIS IS NOT ERMIT FOR ANY OF THE INSPECTIONS BELOW THE P R IS BY SEPARATE DOCUMENT I FOOTING ~ \~ t4v~ , FOUNDATION (Prior to Backfill) I P; 16 ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS n ? -2<;.- rnv SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL . PLUMBING l/. 6. (/1$ "q ~8 ~~ HEATING (if required) f1I{/ FIREPLACE vV)'? GAS LINE AIR TEST ft'f7. /~ ~ . COVER NO WORK U"NTIL ABOVE HAS/tsEEN SIGNED I LA-'r~e I >ToNE. v&./c€:R... I FINALS GRADING (Prior to Sodding) BUILDING 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. SITE ADDRESS DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE r)~ t/CL/CZj ~-J-J--r& ff> H .r/} S/ J-)- (}. ,vb ~j.~-d.J . III n )t)-IJI~o/ ) 9-,. ~CJ(:,' / J? FOR ALL INSPECTIONS (952) 447-9850 HOUSE HEATING TEST RECORD ADDRESS ~)7 1 N;~ L IOJ APT. ~ FLOQ~' CITY .f+~", ~~1iRB OCCUPANT - I nWNER ; ^ J/..-Acb \~ - HEAT LOSS _ DATE HTG. INST. I 0(..j r ) SOLD BY INSTALLED BY k.\Cc..C"'\.f Electrical Work By f"-.as Line By _ TYPE OF HEAT GA_FA)C--HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER n\ Cl )GAS DESIGN CONVERSION MAKF ILiAee..~ ,( \- MAKE OF BURNER Model (~fZit -IL"'~ 5.';01 rYSo')/07,t-3Io'~04 901 INPUT _ I?p,c}(rl:?'t.. ~ THERMOSlfT'~' Valve ",..A . Limit .... L' L;m;t Setting ~cq('j\y Fan $ettin"" \11 'rV\,p..J Pilot Type I[) <,r:. Pilot Make Pilot Model _ Pilot Timing L.W. Cut Off ? c-I, PreS5ure~' J ,AI ~/___ Input CFH ---.12J;J.cYn Stock Temp. qp,' e Form 235 CONTROLS Heat Plug Model. Max. BTU Rating MAKE OF FURNACF Model Vent Size --" ~f KIND OF LINER SIZE NONF D..ft Hood _ " Regulor.. ':S;:-S- S-AI))( FHte.. S;z./(olZ-~ Numbe, . Chirtlney Location Insid.)( Chimney Construction - r..} C____ Outside Smoke Bomb Draft _ . Door Pres sur'" Pe,cent CO 1013_1- Dor. Tooted z./i z..J{JC"/ 2 ' r<c" . '1/ _ r- Percent 0 ,)1" Company Testing ,.......-' c<.A" Percent C02 0 /~ Name of Test.r _ (.# Wiring _ Test To.., Lighting Inst. Form # 5 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS r-f1 0 ? OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: \ ' t'"........Jl DATE TIME SCHEDULED 9-7 df bJ,'U IA )~rP Qk- CONTR. PERMIT NO. ~. c." '7'~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~<L- ~ . V .,/ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREcfJo K1CALL FOR REINSPECTlON BEFORE COVERING Inspector: vI Owner/Contr: CALLIk.galo"FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ""'",,, CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~-: OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION '" FINAL o SITE INSPECTION DATE TIllE SCHEDULED '2.. #0'/ L,\;\"Q._ w-l CJ CONTR. PERMIT NO. -S - {",e;- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: I. f;wo.1 G~ .J. "'Br&J04... s..dl 2. ~,J,...T...~ ~'\-Au.1.. ~~ V::k,.. . 1. I'-\L"\-..~""" ~.......... ~J 1'~} 11 ^~() +- 13 - ( - ("j L/ ~ =ISF~':!:D o CORRECT ACTION AND PROCEED )<;ORRECT OK, CALL FOR REINSPECTION BEFORE COVERING Inspedor: n Owner/Contr: CALL-44 -9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY! "'$NOT' DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1)_"? -I'A ;>- . ADDRESS I ~'i Of W.\A '-H",-12 OWNER CONTR. PHONE NO. PERMIT NO. 3-L."I\ o FOOTING o FOUNDATION o FRAMING .D)NSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL j1I MECH FINAL o EllIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: I. Dc...". ~,A" 19 ., ~'~~".g-. ~. R-..,n~ Clc~. .l... wV- ...,.,,{, ( I.'U~_ fY10~MDh,," (')k- - o WORK SATISFACTORY, PROCEED o CORRECT A N AND PROCEED X CORRECT K, CALL FOR REINSPECTION BEFORE COVERING Inspector: _ Owner/Contr: CALL ~7.~R THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~QUlREMEN1SARE FOR YOUR PERSONAL HEALTH.{ SAFETY! INSNO" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OA TE TIME C; -2201 , PHONE NO. /'1907 vJ,'y",KJd C-r W~~ /~ I3Ms (')~ ~7r CONlR. ADDRESS OWNER 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 o PLUMBING FINAL o MECH FINAL ~~..D..LING o coi1ioi:Xi'NT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: (;ffi~- CJ/L (~u./J., 8,1'l~ -oIL \ )(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector; //"Z:,~ -. Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNS/'iOTl