HomeMy WebLinkAboutBuilding Permit 01-0302
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/?.;7.t5?' <:JE&7{~.~=-a ~..$E""
I. While
2. Pink
), Yellow
File
City
Applicant
I PERMIT NO. OI-030ti
LEGAL DESCRIPTION (office use only)
/;2. ~
LOT BLOCK ADDITION a:""...~- ~ .-7.-0
OWNER
(Name)
(Address)
BUILDER
(Namel
o/J~. J(~"79~ ~
.3~59~~~~
~
(Address)
/
TYPE OF WORK ~ New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
Date Rec'd
4---~-O /
ZONING (office use)
R- J
PID ;), ~ ./ :Yl;:J- 0; 7-C
(Phone)
(Phone)
.667~'?/3(;
OPorch
ORe-Roofing
557.:::?~
ORe-Siding
OAddition
OAlteration
PROJECT COST /V ALUE (excluding land) $ ~ ~
OUtility Connection
-<'~~
Contractor's License No.
&9,~.OO
I Park Support Fee
I SAC
I Water Meter Siz~ I";
I Pressure Reducer
I Sewer/Water Connection Fee
1 Water Tower Fee
I Builder's Deposit
I Other S....tU
I TOTAL DUE
#
#
-
#
#
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 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 property to perform needed inspections.
x
r:::- -......kJ .A~
V
Signature
I Permit Fee $ 88/ . 75 1
1 Plan Check Fee $ 573. Ie..{ I
I State Surcharge $ lJ'2...00 I
I Penalty $ I
Plumbing Permit Fee $ /00.00
Mechanical Permit Fee $ (CO .DO
Sewer & Water Permit Fee $ 35.S--0
Gas Fireplace Permit Fee $ qO.oO
{2zYrtloorBUi1ding~~it;;;;ved
Building Offi al Date
l(.e l,^-~p.
I Paid
I Date
6'(/],/" IN
.%:)-;?-,r) I
I Receipt No. ,.,q _r:} -12r
IBV ~
d -30 -0/
Date
$ 550.001
$ /, /50 .001
$ . /2s-.~ I
$ Lfs. a31
$ I. 2 00.01 I
$ 7co.oCJ 1
L 0 1
$ '3'5""S-o 1
$ ~877. 811
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 C" Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issur --'---
~j.N.
laoning Director
~el ~ ~cr.~f:~ror-(~,~.
24 hon, notice for all inspections (952) 447.9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink . Planning
Tilt' Ct'nlt'r of lilt' Lak" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANTD R {j () r +0 V
APPLICATION RECEIVED LI;I- - () J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
117::l / r-; :; )c?~rI; e-H j) r S C
. -
Accepted
Denied
)(
,
Accepted With Corrections
Reviewed By:
Comments:
N/l-p,
Date: l/-t -0 I
(:, M .lYIc./11 ~,' J ~
"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."
Th.. C..nl..r of lh.. L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST
J.
/ .j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ( J.'"
, 1,.'-"
)
i_ . I /
. ,
,
,;- ~
! /
j
Accepted
Accepted With Corrections
v
Denied --:- I
Reviewed By:4~/'iZ ~
..r -
Date:
L{ /ll/lJ (
Cz;:s: l/Vv~ \=H~_ I/\h-~ ~~~ ~
-put ~evAdbD (\~ ~~Itf;l};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."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnln of Iht L.kt Counlry
BUILDING PERMIT APPI.JCATION DEPARTMI;NT CHECKLlSI
NAME OF APPLICANT D R f.j(')r +-0 t.J
APPLICATION RECEIVED L/~ d-O J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/17:2/? 7)aerffe--l! /)r, S' (;
Accepted X
Accepted With Corrections
Denied /, /'/7 ;/ (J
::~:::~s~VeeY~r-
Date:
(j-7-~/
~ ~ {'1o.,' V\. \:l ~~
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~:~ I PERMITNO'OI-j'Od-1
Apphclnt
(Please ~e or orint and sign at bottom)
ADDRESS
111Jpl'betrh"eJld "Dr- Sf"
ZONING (office use)
Rl
LEGAL DESCRIPTION (office use only)
LOT 12.- BLOCK 2- ADDITION
Sv~;;ff! ..) IVrl
PID:J ~ ~ 17J- iJC;'l; 0
~':e~R l) lZ \-tDdl'i\
(Address) .3~ WlAYitL~fm1_ PrvL
~;;~~AryH '.,aM vYl e.e-htU11 cal
(Address) 3thD j(LnVlfbeul/r ,-\litk \
. r.. (Address) .
(Contact Person) Jft1'rt0' L 1t~
APPLICANT SIGNATURE ./IlPJJJ,Dih f./ 7Jmnunna/1
~
. APPLICANT PLEASE COMPl.ETE BELOW
!BNtW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL grLjtn~ '2,'6'?k.TW D~4b1 D FUEL f\tthuru
FLUE SIZE l-\l\ dass & RETURN OPENINGS 4- INPUT 1D. DOD OUTPUT 510. bDD
TYPE OF SYSTEM HEATING OR POWER PLANT
~J
(Phone)
Ea..oan Mf0 55/2- 'L
J
(Phone) 1tf.5/ 45l-l1-Yi'
(City) (Zip Code)
(Phone) 1t6 / 4'5Z- 2176
(~DATE L/IZ3/D/
DWarm Air Plants
OGravity
o Mechanical
f01\.ir Conditioning
[jJl('ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o 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 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pentlit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PA/OW
SU/LOIN IT,:!
GPE '
I !l ~lj i
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
-
Receipt ~
Building Official
Date
Dat'5 _/1_& I
By Qc-
(j
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
Appllcant: f:!-.? JIl7 - t? cr. I'"' .D I h..... L.P-r~
Address: ill'" l L~ ~ ~'/l T "TVU
Signature: V. 1 ~
Legal Description: Lot~ r?-
Site Address: \ ~ "Z..lo --,
Building Permit #
NOTE: This permit ~III not be processed without complete information_
FIXTURE UNITS
APr. 2. 2001 10;17AM
GENZ RVAN PLUMBING AND HEATING
-'"."
CITY OF PRIOR LAKE
PLUMBING PERMIT
Tlk-Ctntet 011"" L..1t.t: Counl,.,
No. 0911
p. 37/41
J Blue File
2. Gold Chy
3" "Yl!llo.., Awueut
# 0/- 30d-
Phone:..J..rF-l - U 7 '"' -II 4lL-
[) n."-" 1fV"'>'"n..l.Y\T ~\ ,.&
- -, AiJ
~
~
Block "2-
~l;'t&..",
Sub ~",A&D
'l"">tL SF-
PID# :J..<)<~7d 0<;7 0
..,
.'
Quantity Type otFrXlure Quantity
Bath Tub with or without shower
1 Dishwasher (
I Floor Drain R-j,
2- Lavatory (bathroom sink) r
\ laundry Tray (1 or 2 compartment sink)
\ Shower Stall
I Sinks
~ I Bar Sink
2-- I Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Type of Fixture
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
lawn Sprinkler
Qther
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
GRAND TOTAL
nus pctn'nt is gtanted upon the ~pP;S3 condition that said
conuactOl", .shall comply in all respects with tbc: ordinances
of the St.", Plumbing Code and the amooc!ments thereof.
. RECEJITNO Lj- If? -0/ DATE
-::..{ ~ A'ITEST
Call for an inspections 24ihiurs in advance.
$
$
$
$
$
.50
8U/~1~D W""'-t
G P~R;,
16200 Eagle Creek Av_ S.E., Prior Lake, Minnesota 55372 f Ph. (612) 447-4230 f FAX (612) 447-4245
An Equal Opportunity Employer
A Pr, 2, 20 IJ 1 IIJ: 1 7 AM
l.
2.
3.
.,-., 4.
5.
6.
GENZ RVAN PLUMBING AND HEATING
P, 3 HI 41
No, 0 9 II
-'.....
'l!I.la. ~ APPuc.a.-r
cou ~ CITy
CI';L'Y OF PR:IOR LAKE NO -0 / - ? 0.;1-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: p.,.,.n.;> - f2 1:.1 I"') Ph, "",hl~ i:ka:1:J.A)(1.. PHONE :...J.;.51-4'2.3-114L.l
ADDRESS: 1~,UE:.80 ~"".:r ""--bl Rr-.s.~'.rl.r 5"5"~ DATE: 4/2 }~J
SIGNATURE :j.11. h u 0 _ .BLDG. PERMIT Ii
SITE ADDRESS:u rTZ~ ~v.h'~.Q.oD.LSE-PID#dtJ-.-s''7~- 05'7-0
FILL IN THE BLANKS
40'
Estimated length of water service
I"
Size of water service inch(es) .
feet.
Location of any couplings from s~ructure
Type of 'sewer pipe. ABS PVC X Cast Iron
Estimated length of sewer lin~ ~' feet.
Clean out (if required), located at feet from
structure.
feet.
=~===----~=~-~==========--~~~~~~==~_~________m~___________
This application beco~es your permit when approved.
BY
D~TE:
FE:C:S:
=====~~====~~~=~-======--~-~==~~=~===~====-
-~....._--
--..----.------
!;;
$
$
35.00
.50
3S.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 buildin~ permit card at the time of issuance
to insure that no dUpl~cate sewer and water pe~~~/~e
issued. OU/I..O/NG '!7'H
DATE PAID U- (g--OJ AMOUNT PAID PERMit
RECEIPT #
REC'D BY~
U
. 4629 Dakota St S.E.. Prior u.ke, Minnesota 55372 I Ph. (612) q<l74230 I Fax (612) 4474245
14:25 651 633 BBB4
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
.\
#2055 P,002l004
vate KeC'Q
SEP j 7 2001
I. Pil'lIr:
Z,c,.",n
;I. Y~I1~
i
~~.Ml I PE~h1'/()' _130 o:-;f
(Prease: ~ or'Dnutlncf.silUlatbotlnml
ADDRESS
Ildbl 'i::>~~f/dJ. ~.:x.. S.E.
LEGAL DESCRJl'TION (o~ use only)
. ZONING (O_U",)
'1<\
OWNER
(Name)
"75K
~
J. ~j ;.l;fJ& .Q" JJ-
/ \
v
PTD~5-- ~1;;l- (j ~~'1)
LOT (:hr.JXK ~ADDITION
(Phone)
. (Address)
APPLICANT
(Name) ALLI~D F1.~SrDE DBA F.IRESIDE CORNER
(Phone) _ 651-633-2561
(Add=s) 2700
N. lCAIRVIEW "Vli'\'lt1~
(Ad~.)
BRENDA HTJSTON
APPUCANT SIGNATURE ~A~O
(Con.t.aot Person)
J~_
tlOSIW1;}.r." lAY
(City)
_ (Phone) 651-633-2561
S'l.' "
(Zip C04c)
DATE _
~-I7-()J
APPLICANT PLEASE COMPLETE BELOW
QNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FUJE SIZE RETURN OPENINGS INP1J1" OUTl?UT
TYPE OF SYSTEM
OWarm A/rPlen"
OO",vlty
o Mecl,anical
OAlr Condl~onjng
OV...t. System
FIREPLACE MAKE AND MODEL ~Alf JJ ~(_
HEATINOORPOWERfl~
o SlOam
o Hot Water
::J R.adiRtion
J Special Oovlces
::J Olhor Oevle""
.J1. 7Sn1"U_
PLEASE NOTE:
Air Conditioner Units
ClUUlot EnorD&<;h into
Requirod Side YlD'd
SetbllClcs
Industri,'!, CommerciaJ &. Mulli,PI11T1.i1y
FEE SCHEDULE
1% of jol> J;cst R=siderl.~iaJ, (j~ Fircplac;e
$,39.50 minimum
$99.'0 Ro,idenlinl, Additiallll " AIr,raUon.
$64.50 ResidOl1tlal, AC Only
$39.50
Residenllal, Boating 8. Nt (New Can"nll:tiDn)
Residenti,J. Heating Only (New Construction)
539.50
$39.50
Eltimalod Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.so
r-"" PA\DWIT';...._
BUU.DING PE, "", I
(13m.. u.. Only)
This Applioatlon B.~omes Your Building Permit When Approved
8.UdinE amelal
Date
I Paid
I Dy-(,f-r
I ReoeIpt No.
I By
~
Z4 bnllr notlee for aUln,poetlon. (95Z) "7~O. fu (95Z) 447~Z45
I 1'1" I' ..."" .,....
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I ~~ r}l \\. 0 JR. e.lJ. {) t- '
NATURE OF WORK YV&.J
USE OF BUILDING Sf4
PERMIT NO. nl,D'1()Z- DATE ISSUED '-1- 9-Zc,ol
CONTRACTOR TJ.-fL ~')-~ &')/- 25"'G- 7/3C,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I i
I FOUNDATION (Prior to Backfill) I ~-~CLMf i)12~O( I ~ f1J9, $"br~>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
RO UGH - INS 11/ p!1 s?1;..i'f'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 11&. e4, {p/~/b( ffr.:r. 1/6/1/d"1
HEATING (if required)'f Arr'l ~ I!>>" ~)f1t;/D/ -(~. ~.. I~.
I FIREPLACE I ~. I ~~ I
I GAS LINE AIR TEST ~~ r;/J.I iA: I /tJ)/,.,.!o /
COVER NO WORK UNTIL ABQVE HAS BEEN SIGNED
I ~ /~/(2--loJ I'
,; I /
FINALS
~-
. th.
/ g //.)-/?J I
!iJ/ J do J
l~~
GRADING (Prior to Sodding)
BUILDINGT,e.D. t'JJ ~I \ 101- &). nil <1/'"
ELECTRICAL
PLUMBING .I
HEATING [J;r7 &.-,
IIPt,!tJl
IZ/III lit!
, . '{
DO NOT OCCUPY UNTIL ABOVE H~ 1EEN SIGNED
NOTICE rJ':u" ~~ ~. /2!IY(OI
This card must be posted near an electrical service cabinet pnor 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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrtifuau of ODcmpanry
Lll r OF PRIOR LAKE
J)tpartmtnt of .uilbinll .Jn~ptdion
ijI Final Permitted 0 Conditional C.O. Expires
This Certificale issued pursUQ1lt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issUQ1lCe this struclure was in compliance with the various ordifUJnl:es of the
City of Prior LaJce regulating building construction or use. For the following:
Use Oassificati"n
SINGLE FAMILY
Bldl. Permit N",
01..0302
Occupancy Type R3
_ Type Construction
VN
Fire Zone
N/A
Zonin8 Dislrict
R1
Legal Description
LI2, 82, DEERFIELD SECOND ADDITION
~i"Address 17267 DEERFIELD DRIVE SE
Owner of Building _
DR HORTON, 3459
C. ... 'sNamc&Address
!JI1?
WASHINGTON DR., SUITE 204, EAGAN 55122
ROBERT D. HUTCHINS
Buildinl officw
.5"-1.- -03
City P\onner _
0...:
DON RYE
0...:
POST IN A CONSPICUOUS PLACE
l '
ADORES'
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEA T
HOUSE HEATING TEST RECORD
n:l.<o S- O"Lr-\',"e' ti tJ f';"c-
JOB #
APT._FlOOR_CITY.
OWNER
SUBURB
DA TE HTG, INST.
INSTAllED BY
Gas Line By
GA _ FA ~HW _STEAM _SPACE HTR, _UNIT HTR. _OTHER.
(/ GAS DESIGN
MAK~ "f''-Io.._+
Model 37~'''' LAoJ b"3<..070
Sedol ~obl ,-, c;",1~
INPUT l;;A ,,",00 111 V
CONVERSION
.MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT ~.-,v<.'L Heol Plug
Va Ive _
Limit _
... ""0.
Limit Seffing ~
Fan Setting _
PilotType l-'.~~
Pilot Make
Pilot Model _
p jlot Timing
L. W. Cut Off
Pressure '3 I.)
Vent Siz'"
\..j'. ~-V~+
KIND OF liNER
Draft Hood _<;"" h
Fi lters Size \ (..X '.:lb'-.l ,
Chimney Location Inside_
Chimney Construction
RegulaTor
_Number
SIZE NONF
hca...... \.\-L \
I
Outside
Smoke Bomb
Draft
Door Pres sur-
~Wiring
Test Tar.
Lighting Il"Ist.
Input CFH
Stack Temp. ~"'\. Q
Form 235
Percent CO2 _'i(. "'3
Percent 02~' 'if
Percent CO - C -
Dole Teste" \ ::l - S-I:>)
Company Testing Altiant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester \<. ~\\."'--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t [/:;;-e,/O/ /1; SO
I .
ADDRESS
/7dl.. 7 &~ h.
(/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION (fJ 0 SEWER HOOKUP
o FINAL ;0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: e/WVn ~ /Za-J
d
O/-3dz'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~ ~ cYf-------
~ \l"jOM r
~ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
J<ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
TIME
ADDRESS
/7Zre,7 LJe&RRELO O,e....
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..s00 / TlZ-Gt5
I
(]V
~""1 .
... .--- j
LA.. -
~.
U
-
r
/ (O~L
\...-./
1- 502-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ fl,_n /
11'
r/~
JI if I 5 -").- to
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE I? /, ,j L,
INSPECTION NOTICE SCHEDULED,~ ! do' 7()
ADDRESS /7,';Jt, '7 ~/.:.,jf);./I.'
f
OWNER CONTR.
PHONE NO.
PERMIT NO.
Of - 3CJe.
o FOOTING 0 PLUMBING RI 0 EXfGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~O SEWER HOOKUP 0 FIREPLACE FINAL
)ll FINAL LUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION MECH FINAL ~ 0
-~ I ~ \ ,~ 'PO'" . eQ t
COMMENT~ WUo''-Vt) ,e.o..y~v A.-,- ~ ,- /{J S'_
/nll bt::Q r' .AA V,
( '~~ ~_ -0 rA __ "'Y\..6
d'v o-.r,.'l ~ ~'~...".:fL,
-. , I
r-
-r,-e.o, -tJJ 8/1 Joz-
t ,
~~ ~ ~-.t.-
o WORK SATISFACTORY, PROCEED .
~ORRECT ACTION AND PROCEED
;;;-CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-985~ ;t'THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REqUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl