HomeMy WebLinkAboutBuilding Permit 01-0278
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3- ZfrO/
I. While
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO.
o I - b l..1 ~ I
(Please tvl2e or print and sign at bottom)
ADDRESS
~..y.;?~ ,r..;qavV ~~ CU"f'IY<!T..::sc-
I
ZONING (office",,)
Je2-
, LEGAL DESCRIPTION (office use only)
~~~ t:-/I/// /~
.LO+- nQCK ADDITION
-O~;C:y~ \3~d
PID 1.5 - 373 - OOt/-'t
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) V7.R, ..J.A.9R7Z1A/ ~
(Phone)
667-~lS -7/.$h
(Address) d-Y5'9 h~ ~ s>t:!!r C?CJ-s?'
~.'>~I<;,V
~-7 ;?
,
TYPE OF WORK ~ New Construction DDeck
DLower Level Finish 0 Fireplace
DPorch
ORe-Roofing
ORe-Siding
DAddition
DAlteration
DUtility Connection
o Misc,
PROJECT COST /V ALUE (exclnding land) $
7~ /PO
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 O\Vl1er 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the y...,y.......)' to performteeded inspections.
X /:2. _"" . X::7. ~ .,,;?~seS7 ....,r--J??-d/
V' Signature Contractor's License No. Date
Permit Fee $ ~Cf().l ~ I 1 Park Support Fee # $ 8SZ'~(')O_
Plan Check Fee $ ~I:\. '1j I 1 SAC # $ I. I S'{) .(1)
S'7e1",
State Surcharge $ ~S-.S-O 1 Water Meter '-f- )
I
Penalty $ 1 Pressure Reducer No M.~W- 1$
Plumbing Permit Fee $ I oD. "'0 1 Sewer/Water Connection Fee # I $ I ~oo.Dd
Mechanical Permit Fee $ ( OO.t)~ I Water Tower Fee # $ '700.001
1 Sewer & Water Permit Fee $ I Builder's Deposit $ '0 - I
---
I Gas Fireplace Permit Fee $ 40 ()() I Other $ 1
} I I I TOTAL DUE $ S;~O. 241
This . n Be~es Your Building Permit When Approved
~( p'-2&J/ I Paid !) +-fIJo. 2A- I Rece~ J7I l- I
Buil 'ng 0 cial Date I Date 4-'-z.t,-d! By jj I
f ,
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
issue
...
t.{(c.. {()L
(/
ann! g eetor
Date Special Conditions, if any
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ Cfnln of lh. L.k. (:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/, ie::'. II, /, I !.j
-=,"C:?-D/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,',.-/
;.;~
/l; , ,t./
. I / l
/' I (- 11,,-/( I. v
i 'i f l,.-r:-
'..... v' !.~.,. '-
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: -$. _ ~~
, ~)~~~ ~ r~~~ ~
~/J. 6, -.\- pk:k~ {~~ ~J_~,
~ ~~ ~ ~lrg-JrP {p.r ~~
~oJ Yv1r~~ fJlNV- ~~ ~~~1
Date:
tf~<r/o (
,
"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
&~~
()/- 2. 7R
White - Building
Canary - Engineering
Pink - Planning
The (""nl.-rof Ihe L.ke CoUnll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P. /2'.. Hu/c I uN
3-29-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5420 FI-IWN 1-/F;flDOvJ Cl/K V6
Accepted
)\
Accepted With Corrections _
Denied
Reviewed By:
II/ftf,
~ /Y1""IA F.-Ie.
Date: .5 -.19-01
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,"
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ <'rnln of lhr Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P. Je. HOK.,I uN
3-ze; -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
642PJ FAWN MfiADow Cu,eV6
Accepted ~
Accepted With Corrections
Denied ~ ,/J j
Reviewed BL//J?~",-
Comments: ~
~o. jOv. (Y1~ P p
Date:
;/G,'~CJ/
"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."
06:56 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGI.r~PLACE PERMIT
#1663 P.004l004
URIC lUC'Q
;,=. E..., II'ERMITNO. O/-oz761
(PIJ?IL.'le lY'l'e t1f 'Prinr. lid sim M; 'bottom)
ADDRESS ZONINGCotl1r.e",,)
!5f..t.::J2 _-=1a..n, /}J Or. "'".., (J~.J:l::.
LEGAL DESCRIPTION (olli<< "'" ollly)
LOT
BLOCK
ADDmON
prD
OWNER
(Name\
~(L ddo,.::r;;=:-
(phone)
(Address)
APPf.ICANT
(Name\ ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Address) 2700 N _ FAIRViEW ~lTp':
(Addro..)
BRENDA IlJ:JSTON
(Cont!lcl: Person)
APPLICANT SIGNATURE
..ot::I':\1T L1:.J;' ....
(Clly)
(Phone) 651-633-2561.
DATE
.S"J , ~
(ZJ,p Code)
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPI.ACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DW!ItID Air Plants
OG11l.ity
3 MeehlU1ic:::ml
Air Conditioning
, V.nt Syslo:m
JJ,y. A.J G~
o Stc.m
o Hot WDJr,r
o Rad;atio"
BSP"CiaJDC\'ices
Other Dl!Vices
PLEASE NOTE:
Air Conditioner UnilS
Cannol Eu.croach into
RCl[Ilired Side Yora
SetbllCks
FIREPLACE MAKE AND MODEL
.s:(,. 7SO Il<-
IndlJstrlaJ. Commerci.! & Muld-Fomily
Residential, Heating II< AlC (Now Constrllodon)
Residen';~J. Heating On.ly (Now Con.struction)
FEE SCHEDULE
1 % of Job ""sl Residontlal, OllS Flr""l~ce
$39,50 mi.lmllm
$99,50 ReSlde.'i.I, Addi,lons &. Alte""ion.
$64.50 ResldOllI;ah AC On Iy
$39.50
$39,S0
$39,50
Estimated Co~l S
Building Permit 1/
REA TING PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
$
$
S
-~
.s;~~GP~
(OIII..lJ.. Only)
Till> Appllclltlon Becllmes YDur BuIldIng Permit When ApprOVed
R.ndi.~ om",.,
D...
Ipaj~
I Date 4 - J-.-[) /
14 hD"r nolioe for aUln.pe.t1on. (m) 447-98SO, Illx (9n) 447-4%45
I By
'I
Apr, 2, 2001 IU:14AM
GENZ RVAN PLUMBING AND HEATING
No.0911
P 17/41
CITY OF PRIOR LAKE
PLUMBING PERMIT
1, Blue
2. CloId
3. YdJ_
fiI<
0"
Appli"",.
Tbe CtQl~ fit l.~ l.a~ Coq.,ln
# 01-02.76
Applicant: (';r? Jf)7_- f.2-t:r n PI h-+ Lkr-r=----..Phone' I,~F-l- U 7 '?-. -114~
Address;ILhl~F- ~ ~b". -no, Il~T ~~l,&
~~~:~~~:CriPti~:~~ Block -- SUb~eA,'aD '3aD
Site Address: 54 2~ F=n 11 10 (l/"'W JJ~-:r Si3--
BuildinQPenniU OI-()7,7PJ 'PID#_ZS-373 -004-0
NOTE: This permit ~ilI not be processed w~hout complete information.
r.--.
:::' FIXTURE UNITS
Quantity Type otFiXlure Quantity Type of Fixture
( Bath Tub wrth or without shower F1ough-ins
\ Dishwasher Water Heater
\ I Floor Drain J Water Sollner
'2.... I Lavatory (bathroom sink) I Stand Pipe (washing machine)
I \ I Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
I I Shower Stall I BacJdlow Assembly (RPl, Double Check, PVB)
I I Sinks I Backflow Assembly Test
l I Bar Sink I Lawn Sprinkler
2--- I Water Closet (toilet) I Other
FEE SCHEDULE
_ Industrial, Commercial & MUlti-FamilY
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions &. Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
PA\O tXP,\IJ\\I
$ --Gl \\\.0\1"
'flus p~t is gT1Int~ upon the express condlUon that .$a~d
contnctor. shall co J all respects with the ordinances
o( the State Plumbi e the lUJ=Ddw-=~ Fcn;of..
O.~DATE
ATTEST
Call for all '
coons 24 bours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Op~ortunity Employe(
Apr, 1, 1001 10:15AM
GENZ RVAN PLUMBING AND HEATING
No, 0 9 II
p, 311/41
ME.- ~ AU
YELlDW ~ APPIJCA.T
Got.D ~ CITY
CITY OF PRIOR LAKE NO. ...aI- 0 7.. 76
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: r-,...Y1~- ~l1-rlPhd.vrIbl~ !:mJ:lJlr~ PHONE: l.,,51-42.3-1 r4LI
ADDRESS:J4,1lE,80 ~~:r .."', f<r..<.bnelJ.JtJ.r !5'".cCd2 DATE: -i-1i2.1c, J
SIGNATURE:Jb.J('.l~ 0 _ BLDG. PERMIT ItOI-OZ-78
SITE ADDRESS: 5~ ~...:J.rlN';f ~ PID# ZC::;/~73- 004--0
1.
Estimated length of water service
,"
Size of water service inch(es).
FILL IN THE BLANKS
40'
feet_
2.
J.
Location of any couplings from s~ructure
feet.
4_ Type ~f'sewer pipe. ABS PVC X Cast Iron
5. Estimated lengtn of sewer lin~~' feet.
6. Clean out (if required), located at feet from
structure.
::::-:::~:::::~~::=:::::: ~::-::::~:~~~------
-~~~~~~~~~:====1=~~==~~~==============~~===~=~~~~~~==============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* 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 of issuance
to insure that no duplicate sewer and water permits are
issued. n 'J'l\'\\"\",,\'lI\'\
~p...\'v ~~'p
DATE PAID AMOUNT PAID~\~G
RECEIPT # REC'D BY
4629 Dakota St. S.E., Prior Lake, Mlnnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
Nl 13QU^l. OPPOR'ruNITY ~fLOYER
s~:
+/I\tNESO""
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. YelloW
~:;y I PERMIT NO/::2J_ --.---7 l/
Applicant '7 c::::'" I D
(Please tyoe or mint and sign at bottom)
ADDRESS
6Y1R K1Wn ffiP.MDW tUJVf)
ZONING (office use)
7
LEGAL DESCRIPTTf)N (office Use only)
LOT '-1' BLOCK t ADDITION
PID?5' 37 3- OO~-f,)
~':e~Rl) I( \1Drfrxl
(Address) '3tbcr V\f~,9kL~/1JJ{ Av~
~~;~~AN1Hllan+ (1'kc.hlU1/CaJ
(Address) ~D l(fJt1nfJ)f(J\)( ~\tilk \
r. (Address) ,
(Contact Person) ~Jp.tnl0' C 1Amrnf'~YYlt;l..{V
APPLICANT SIGNATURE ~h f/ 1Jf'YlllUYrnat1
'IV tJ -
. APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL BJ,'JWf. 2>'6)k.JtvDZ,t./blD FUEL ~tJ'
FLUE SIZE Yl\ Glass e, RETURN OPENINGS 4- INPUT 1D. DflD OUTPUT 5/0. bo{)
TYPE OF SYSTEM REA TING OR POWER PLANT
Sill-k loJ
(Phone)
Ea.oan Mt\.J 55/2-2-
J
(Phone) Ltf5/ 452--lT5'
(City) (Zip Code)
(Phone). Lt25 I 4'52.-2-,76
(~DATE Lf-!Z3!{)/
DWarm Air Plants
DGravity
D Mechanical
IEJ\jr Conditioning
[iJX'ent System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASENOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
i% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
$39.50
$39,50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penuit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Datetl_,;?q - 0/
BYC(
u
24 honr notice for all inspections (952) 447"9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
.' BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS t::::d~ ;:;;~U ~\ r"lru-J..--
NATURE OF WORK A J~
USE OF BUILDING ..sP4
PERMIT NO. nl-oz.7fl., DATE ISSUED L(-&-/!a(;)/
CONTRACTOR Df2~, PHONE (~C;-1-'?~""'6.-7(~(;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ ... INSPECTOR pATE
, FOOTING ~ t?:t. t-J tA I eTl N:U~ 1 I s-:)q /61
, FOUNDATION (Prior to Backfill) ~X'h -ttt ~. 'sI'$/ /D I 11. . tJ~ 5")~IOl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION 4-,. U; [q., job/OJ
, ,
ELECTRICAL I
PLUMBING t:n, l(.~. e:,. 5/3/ /D I ~. Il.G t'J:r to I ~ (4 ( 12fzt, 9 i;laJ
" .
HEATING (if required>--tiL.. t?-. ~1 ~ . PR-_ Jdk.../o.' ~. ?/,;a.~ 'leI
FIREPLACE . \. tftr. fu'l4,
,
GAS LINE AIR TEST ~ f:'.p. I /2rr. I 91,<(141
~
b.
-rId-'! k I
9/d4/" I
, ..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~ 6,. 1/;t/n I I
J FINALS _
GRADING (Prior to Sodding) III >>,
BUILDINGtLl), tiJJ ~/I /o-z. Pf;r. 11/1'("1 q.J dj
ELECTRICAL I
PLUMBING
HEATING
.
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
I I !ro{o I
q. /d-o Cf-,.,
/?
f.?:h
'th-
/0 13/ /tJ.J
/(!liPlD,
, '
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 shall be placed near main entrance.
Call between 8:00 and 9:GO A:M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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 Classificatil>" SINGLE FAMILY Bldg. Permit N", 01-0278
R3 ~ Type Construction VN Fire Zone N/A Zoning District R2
Occupancy Type _
L4, BI, DEERFIELD THIRD ADDITION (BUILDING 4, UNIT 15)
Legal Description _
5428 FAWN MEADOW CURVE SE
Owner of Building _
C;iteAddress
Contraclor',Name&Addrcs,D.R. HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122
ROBERT D. HUTCHINS ::,p)'
Building OffiCial-/' f , City Planner
0" I?- '+--' '
D0N RYE
Date:
Date:
HOUSE HEATING TEST RECORD JOB #
ADDRESSS'-Ll"6 Fe,w." MCoArJl-J Cri\.<:-E APT._FLOOR_CITYP(,Orsb~~:r
OCCUPANT '?WNER
HEAT LOSS DATE HTG. INST. qlt>\
SOLD BY
Electrical Work By
TYPE OF HEAT
INSTALLED BY F ..r~,rA. rt( IL ,,'._
I';aS Line By \ \. -, \ ..
GA _ FA~HW _STEAM _SPACE HTR, _UNIT HTR. _OTHER_
Il.. ~ GAS DESIGN
MAKE' \ (\je. ~ \
MOd.I.~\<.. ~(J~'-ID/tJ
S.,;o I ' i Po. .A'lQ.-'~
INPUT{.I" ,(:)(")0 {~\lA 1-\.
THERtlOSTAT ~~~~l't,:g
Volv.L'J\A.\ ~~
Limit
Limit Setting
Fan Settinr
Pilot Type
Pilot Make
Pilot Model _
Pilot Timing
L.W. Cut Off
Pressure ~ ~S
Input CFH
Stock Temp, 3'-\ '10
Form 235
Percent CO2 ~ . S-
Percent 0 ~,~
2 .
Percent CO (":)
_MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACF
Model
Vent Size
<-j I,
KIND OF LINER
Draft Hood _
Fi Iters Size
Chimney Location
Chimney Construction
CONVERSION
SIZ~ _ NONF
_Regul.,., rv\CAJC\1Ycl\
Number
Inside~ Outside
Smoke Bomb
Draft _
Door Pressure
D.teTe.t.d /(_"')-rl-~\
Company Tutin?\. Al~ifnt MechC1j1ic...aJ,' '6,0 Kennebec Dr., Eagan, MN 55122
Nome of Tester ~c.~V-- \..-)\.
Wiring _
Test Tog
Lighting Inst
':ITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5<f~'C
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
~ MECH FINAL
DATE TIME
11(1"'(01 It]:oo
~
() I - ? 7l!t
o EXlGRADIFILLING
o COMPLAINT
@J_REPLACERt
FIREPLACE FINAL
~ GAS LINE AIR TST
o
COMMENTS:-=K IJlj ,
(f~) T~ ~ J..~
T: ~,-{), t-rJ.,f ~/) 10"2.-
~~
o WORK SATISFACTORY, PROCEED
;4 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~7
Owner/Contc
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNS/fOfl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
';ITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5LICJ.-Y ;k~T7'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
~WATER HOOKUP
o SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
COMMENTSffi ~
~
DATE TIME
jtF3J-U) ,3;30
/-;)17
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS liNE AIR TST
o
~
r/
)!WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR').8ll FOR REINSPECTION BEFORE COVERING
Inspector: ' ~ Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
DATE TIME
CITY OF PRIOR LAKE r'-=>-
INSPECTION NOTICE SCHEDULED -I c?-oC/-
5L/J.5'~;}-/? -RuM (!--r-
ADDRESS ~~dL..,.- ~ r,/,U/ /J1 J/J1.h'Pa01JJ
PHONE NO.
CONTR.
{>>.- ;::J75 ,F}~
PERMIT NO. .'5. '7 -7' ~;::L~
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC~if- r
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.
()/(
n, )
f -I R ~
J
/ II / /j C, e
( AU-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~RK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 1 br-- Owner/Contr:
'L/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIISNOTI