HomeMy WebLinkAboutBuilding Permit 03-1357
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec . d
CI.11.03
(Please.!VD~ or orint and sim at bottom)
ADDRESS
/~'?~ j?ObC.~-r
: ~i~:' ~:;y !PERMIT N4). /)? _/ ?s71
3. Yellow Applicant I - (/J .../
(i ~ 'r c..- I e.....
LOT "'\BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION Tle. {JJ I l.l s;;. s:- ov-:.T L--
OWNER
(Name)
fn"'-___Il.1""- 6[<::0.....
l:. 'lIe;;- r.e~'tk.?~<;.~
fIo i'l' ~c;. X\--c. (Phone)
{)'C~\l<2 9~u",-"'J~'
o I ~O..... HO!lyo...es
fYtc- G 'r <L<-U
(Address) 107 r.:;- r-- e ~tk ~ "t'o~~
(Address)
BUILDER
(Name)
M.."I I.< v-
Ke'-.l ........
(Contact Name)
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
I I
ZONING (office use)
~/
PID25_~82-. 02..4.....0
~/z-- ;~/-7C7s-
Ai '" &:::-S- 7..1
(Phone) 'l~z. - :2-Zb-," 027-
(Phone) &../ 'Z - ~::) '3 -($ 72..J;.
S~ 0 ~ 9 ~ I t?1 tJ !;;{;'3'?J'
Dv- " v ~
DDeck
DPorch
ORe-Roofing
I JRe-Siding
---
./
o Fireplace DAddition DAlteration I JUtility Connection
PROJECTCOST/VALUE (excluding land) $ ;;Z g-~I 00 C
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cen fy 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 p 'Oceed in accordance with
submitted plans. I am aware that the buildin official can revoke this permit for just cause. Furthermore, I hereby agree that the city :lfficial or a designee may
:teruypjf<g~7i~performnr:tdions. 3/1.. 2- ;;/7 /2OGls
/ '~~tire Contractor's License No. Date
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
Ii
This P SYour.Buildingp~irz~prnved
. .
Date
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
-Jf5i (){.IO
:).LJJ,.q. 'l~
13tq.3t--I
J '-I~ 'Sa
Water Meter Size 5/S"V
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE or U/t.WV 10.1,03 . & 9,(,(,z,. 09
I Recei~'" ~~71 .
B~.
U
Park Support Fee
SAC
Paid
Date
9' t;f; '1 0'-1
, /U. 2J.d-'
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#
X':'S"O .-
/;J-~5 .-
3GO.-
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/00
-:55- 5'D
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceel 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 Ce tificate of Occupancy must be
'=/(1)#
....
Planning Director
Itfjdriy
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~---"----r---'---'---'--'---~
~,stl~~\
uer
White . Building
t"'. '7RSrv . t:.ngilleerlll>>:>
Pink . Planning
Th~ C-rnler nf IlIr (..Alr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKU!=:T
-,
",J;
NAME OF APPLICANT ,-) /
APPLICATION RECEIVED
t:'~:/J~.: /'{Z_~~~~)_j;.f-).._j
,
c~~~.~).--;
-"',....~.~
.....-:> ,F~1 .'
(....7_ /'-/-.."-)
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The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
,r- '" ./"-' I / ji'/;.;' , ./ -" ,,-;~~-'
, ,-. --, ,:J 'i ,t-.",,' .n,/ '(- '/- - <' C J ~ _
...I ...... . "_.~.~_,,"'/_fi__ C. - '_~-
Accepted X
Accepted With Corrections
Denied
Reviewed By:
HIS
Date: /(.J -6--0 ~
-----
Comments: See ReVl'!r~A Side for Additionallnformatinnl
See Attachments' 1) Gr::loine Pl::ln, 2) Erosion Control Measure!
"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 v olation 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_"
~~
White ,Building
Canary , Engineering
,.----pink ~ J~Jann!!Bt:>
Thr ('rnlrr of Ihr I.akr ('oun"")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
NAME OF APPLICANT )
APPLICATION RECEIVED
I
---~./
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\;
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/
The Building, Engineering, and Planning Departments have reviewed the builc ;ng permit
application for construction activity which is proposed at:
-~'5 1/ I ;'
~' . / '_/} " ..--&~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Iff/It
Date: 1~,4 7'
Comments:
"The issuance or granting of a permit or approval of plans, specificE tions and
computations shall not be construed to be a permit for, or an approval of, any' dolation of
any of the provisions of this code or of any other ordinance of the jurisdictiorl. Permits
presuming to give authority to violate or cancel the provisions of this cod 3 or other
ordinances of the jurisdiction shall not be valid."
ii~'1,
~
Canary
Pink
Buildi~
I::.ngmeenng
Planning
Thr ('rn...r or lh..l.lk.. Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ (~ ~
APPLICATION RECEIVED 9- / /7-3
The Building, Engineering, and Planning Departments have reviewed the builc ing permit
application for construction activity which is ]foposed at:_
15:3 5t( BI/kar ~'-
Accepted
v
Accepted With Corrections
Reviewed By:
Comments:
~~.
Ilk
I '
Denied
Mil
7L.uR
Date:
"The issuance or granting of a permit or approval of plans, specific~ tions and
computations shall not be construed to be a permit for, or an approval of, any' dolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this cod ~ or other
ordinances of the jurisdiction shall not be valid,"
5~~
+'.\'NESO'tt-
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Da4e Rec'd
(Please tvDe or orint and sim at bottom)
ADDRESS
: ;;;,:. ~:~ I PERMIT NP.,<i --c> I.'~
J. Yellow Applicant V ) .- .:JI.:D- ,
I .
ZONING (office use)
I
I
I
I
APPLICANT . I
(Name) /77~'/'I;J.n <?/~:?/J 4ml"'~. (Phone) <7.52 - ;.;tJA - 60d:l.
(Address) 6715 f/?dl'er:5:h,,~ L/,,'yQ ~VDC,e../ /J1r1 I 5537g
(Address) (CitY) I (Zip Code)
(Contact Person) $,f'r/t1"" J7/~.;",;> (Phone) S"hrnr': 4:f ..4.6",/"~
APPLICANT SIGNATURE ~...../~..--/ .,.;;t::r'..->kd'DATE / -h-- ~M
/ ~ I
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS I
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU r
Q3 . /.357
6'/
pA'~ GI:-
Bill 10
R~
By .J:::1-"
C/
/.5 35'1
800CC1r CN'e/~
LEGAL DESCRIPTION (office use only)
LOTdo/BLOCK I ADDITION
uh-lcl1 S.:mllJ
OWNER
(Name)
(Phone)
(Address)
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVen!. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .-:5{)
$ .----
comes Your Building Permit When Approved
/- /f)r- () (
Date
Ipa~
I D?' (5. ()4-
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PID
PLE. .SE NOTE:
Air ( Dnditioner Units
Coon It Encroach into
Requ red Side Yard
Setb, oks
I
I
$39.50
$39.50
$39.50
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and silm at bottom)
ADDRESS
: ~::w ~:~ I PERMIT N O. ';;;l_ / -=< ~
J. Gold Applicant ....",. ...,I~-l
/636- L/-
hh~CL 7'- ~
ZONING (offi", U")
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
, OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)_/1-, t,,,, We 1/
(Address) / (., {'TO
11.,c<,_ /.:.. p
(Address)
L4-'/h:'_
/
fh,e.
(Phone) 9f2 -t;.,c- 4''' oq
JIt./f0"'"
(City)
117/Y
i-t- ?77'
(Zip Code)'
(Contact Person) 6", ~ '(
APPLICANT SIGNATURE
I?, 1,_
-~
v
:P?~
(Phone) 9f"? -$0'",(-- 4r5lDq
DATE /-/S--.<>'"
APPLICANT PLEASE COMPLETE BELOW
Size of water service ( inches.
Location of any couplings from structure
Type of sewer pipe. D ABC rn PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
D
Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi.family 1% of job cost witl1 a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Date
I Paid
I Date
"
6'1 BIJ,V """'..
/--/5/-5
By 4). 'i
U~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour noliee for all inspections (952) 447.9850, fax (952) 447-4245
FAX t,O. : 952 492 2446
.,
FROM :SOUTH MECHANICAL
5C?f\)~
+'w"l!'.o1"
CITY OF PRIOR LAKE PLUMBING PERMIT
Nov. 18 2003 0~:06PM Pi
vale lteC'Q
(Please!YEe or Drint ..nd !iv.n ,t bottom)
, ADDRESS
I /?35~ &kd~
~
, -
~ r A' I
LOT
LEGAL DESCRIPTION (office Ule only)
BLOCK
^ DDITION
OWNER
(Name)
(Address)
~",y/h.- OlSon h6nu..J:---
I Dlut fil1J
2. (".oW eil,
3 v.no..... AppH~.1I1
I PERMIT NOj3_ 1:3571
I
Z )NING (ome,u"l
,
J
PID
"'(Phone) C;5",;z. -..;I--~ -kt>>'1
I
APPLICANT
(Name) <;'Pl_., --;-z. /n<de?rl._/~--L
;;;.( OC}~ ~/7 ~ /: d .h d
-/ , .. ~ -<-.
(Address)
(Contact Person) ~o/7e:z...L'd
APPLICANT SIGNATURE /7~c....:".
I
(Phone). ~:7,;1--1"'9',;1- W~
..:r:: _~........ M-t-L 15535..;z.
(City) (~ip Code)
(Phone) t!//Z- Z.Z/-7d>9~
~.f ~~. DATE /1--/.J"'~f13
I
(Address)
I
I
~
I
I
I
I
I
Quantity
()-
I
I
L/
/
/
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Oishwl\..hor
Floor Drnin
Lavatory (Bathroom Sink)
Laundl)' Tray (lor 2 compartment sink
Shower Slall
Sinks
Bar Sink
Water Closet (Toilet)
/
t'
.3
FEE SCHEDULE
Industrial. CommercIal & Multi.falT\ily 1% of job cost wid1 a $39.50 minimum
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
lom<< u.. Only)
This Application Become.' Your Building Permit Whon Approvod
I Paid
I Date NOV 2 6 2003
RulldlnlOmtll1
nllt
24 hour nolltt for .11 Ins pOt lion. (9S2) 447-9850. fox (9S2) 447-424S
Type of Fixture
I
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector I
Backflow Assembly
Backflow Assembly Test I
Lawn Sprink lor I
Other
Residential. New On. &. Two-famil) $99.50
ResIdential. Additions & Alterations $39.50
f 'AID WITH
"....'. 'U l""U..li~ ':;;-="':'~J'""f
'~...,)";.. ~.i\;_ . ~... ,~
.50
Receipt Nr.
By
ro
FROM :SOUTH MECHANICAL
FAX NO. :952 492 2446
Nov. 18 2003 CJ: I: 07PM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
iE:w ~~,"" I PERMIT NO 3-/35~
(Plwc!Y2< or Dri.a!..,d ,j"" otl>altO"')
ADDRESS
/7'3.5f/ &.64-/-
./r41'/'~
Z. )NING (0,"", Ule)
LEGAL DESCRIPTION (ame< us< only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name."
~A-;fl.... ~.6-c....
Ab~
(Phone) 97',;J-d.9 if -6-aJfT
\~
(AddI<'so)
APPLICANT
(Name) ,
(Contact Person)
)'.c;)[rL /?uC"_,I{.,UU~~
Z/ /PO(? ~/7~---k'~ /lrt
(Addre,;) vi
~O/?=.L d (Phone)
~~7 ~LL:AL-- DATE
(phone) tf' !l.;J--- 9/9 ~- .? V~,c;
.::.J';;;-d__ ~ - :>"3""?p.;Z..
(CIty) ( ~lp Code)
~/2-Z2/-5'9o/'5
//-//-. cJ '3
(Address)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
\
~'CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL "'~<_I...wl- go, oz;v .gr-v-.- FUEL /7,6,
<../
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
oWarm Air ?illlm
OGnwiry
BM..:hllnical
.B&r Conditioning
OVen!. System
o 5leom
o Hot Water
o Radiation
o Special Device.
o Other Deviee.
PLEASi NOTE:
Air Cone itioner Units
Cannot E lcroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heating &. NC (New Consuuetion)
Residential, Healing Only (New Conslruction)
FEE SCHEDULE
,l,Y. of job cost- - Residential. Gas Fireplaee
S39.50 minimum
S99. SO Residential. Addillon. & Alleration,
S64.S0 Residential, AC Only
$39.S0
$39.S0
S39.S0
lndu.mial, Commercial & Mulli-Family
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE S
F AID WITH
, B0~! D!NG ,?S?,m
Estimaled COSI S Building Penni[ #
(orne. Vie OIly)
Thll Application Becomt. Your Building Permit When Approved
Bulldlnr omellJ
DalC'
I Paid
jlJat<NOV 2 6 Z003
Recoipt No.
Z4 hour notice ror al/lnopeella.. (95Z) 441-9850, rn (95Z) 447-4Z4..
By Of
rJ
,.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTIOfl I
SITE ADDRESS 'S'?' c:;4 13as~C,I2C.L.G
NATURE OF WORK <;'>-Y...~ ~/I....'1
USE OF BUILDING ~R:>. I I .
PERMIT NO. ()3-/357 DATE ISSUED 101""/<:>5
CONTRACTOR Mt:g"L'fNt2.S<:Nrk PHONE eo(z. _~o3~"7Z'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION S BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
........~CTOR DAl E
, FOOTING ('1 Is----- . I ~
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGIIED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
We f//7
P6
II-~
4-J
I1!f / /-c)-
It
/1-2'5'
V
I <5~ r A"t~ I
FINALS
GRADING (~r~to Sodding) ,I . _ hY,X t
BUILDING )~ h f!? -1- 64~ r n:)l if)
ELECTRICAL- / . .
PLUMBING m /.~
HEATING cf/ ~ I - I L-/
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGtI ED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspe :tions
and maintained until all inspections have been approved. On buildings and adc it/ons
where no service cabin~vailable. card shall be placed near main entrance.
/(),\/ :/4-
//Ijit)r
/
FORfLL INSPECTIONS (952) 447-9850
--- _._~. .",
"
',',
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I%~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FAA NG
DILATION
INAL
o SITE INSPECTION
COMMENTS:
, 100rE
SCHEDULED I(:J/u--jo{
~rrf
TIME
CONTR
PERMIT NO.
?-/~
o PLUMIlING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMIlING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
()~~ Ct~ ~~(:h
~RK SATISFACTORY, PROCEED
o CORRECT ACTION PROCEED
FOR REINSPECTION IlEFORE COVERING
Owner/Cantr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
DATE TIME
CITY OF PRIOR LAKE )- t':l-04
INSPECTION NOTICE SCHEDULED
ADDRESS Ie; '39-1 -g, lac.:;^ 0.,..-
OWNER CONTR.
PHONE NO_ PERMIT NO. )- I '557
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
L '&-\-.enol- (\av\c~ P-i~ d- tJ.JL.lc....
Dh'W'_ Mo..\<. c C( '.. ~ r&p, \ t"'" _ M!'(A ,;' {;cW\.
9A~ PMf I,~.
'2. r(~ 0>._~< jlA;;.lWrkOVl. ~R>~~ S,oR
~, 5",,.1.J-- \' ~ (2) 2;" .." .j'...,J. 'r'w-J
'-I, r.~ s+UCC-6
g t:1--rro.* <:;t-or:.n
. .
- (p, <-T Ll,il_J:,.,,... l'<>,.AY-- ~~..<- ~~.
'T'~ Q..~ () -k !5 - 1- 2oot.(
(f.-~...J I )I(r-'L(~
~j;:-I.l> -1.k>rls'1~~A-roar cP~
.0 WORK SATISFACTORY,' PROCEED I r
o CORRECT ACTION AND PROCEED
o CORu' ~K, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: II / Owner'Contr:
C J./J{.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
-ca;;; VEQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIaNOTI
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-~ -o'f
ADDRESS 153Slf Bn6~4r Tr I
OWNER CONTR_ merl",.., 0/$1'1
PHONE NO. PERMIT NO. 03-13S1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.')(' FINAL
-0 ')ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
L./lb b(d- /'JK
&~- ,'oJ!
K WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ _=- Owner/Contr:
~ 447-9850 FOR. TilE N'S.XT IN~PEcnON 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
INSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l-\'2-o"l\
ADDRESS
1636"'-/ 13,1o~ 0}-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"< - I ")57
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
.Yl PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: 1: .
/. ~ iJ? 't-D.r M I U
~~. C< ?t~l~
H 'L.v;J:;,. P ~ D....t:.,..,. "..A ~ _
~ ij/lt- [80
o WORK SATISFACTORY. PROCEED
'"
~ORRECT ACTION AND PROCEED
o CORET ~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspect r: I\...---l Owner/Contr:
CA 44\\98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl