HomeMy WebLinkAboutBuilding Permit 01-0352
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~e or print and sign at bottom)
ADDRESS
1L/L/7 ~ J')OJ~
LEGAL DESCRIPTION (oflice use only)
LOT 7 BLOCK "3 ADDITION liuu-h
OWNER
(Name)
(Address)
BUILDER /7 7
(Name) / / /e:c7'PrJ
92oc..
(Address)
/
~ ve,r/r/L~
~
&~c:.
I<I"/~
TYPE OF WORK )2I'kw Construction
DLower Level Finish
o Misc.
o Fireplace
I. White
2. Pink
J. Yellow
Pile
City
Applicant
Date Rec'd
ZONING (office use)
~/
1-1, c..... L
~ -<:"Y-:!L
PID ZS-3fDA -033-()
'9.3 <.. -z.-
Contractor's License No.
17/Jooo .~o
1 Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
........,.
Siz~;l";
~.v
4'2.."5-01
s./VGWOC)
SS' 37 e
ORe-Siding
DUtility Connection
mished information on .s application which is to the best afmy knowledge true and correct. I also certify that 1 am the owner or
and that all construction will conform to all existing state and local1aws and will proceed in accordance with
lcial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
s.
c!-~.
, .
(Phone)
/h/7?.F~.
..5 -:r~ U.
9 S- a--
~F9-t/~L:.
(Phone)
~1/-o1
Date
#
#
$ as() .~
$ I. 1 50 .W
$ , I Ql'). t)al
$ L1C;- .tm~
$ L ')("Y') . eJO
$ . 'rJnn ~eol
$ '1,I:)Ot) .e.dl
$ I
$8./8".73 I
x
Permit Fee
Plan Check Fee
State Surcharge
1 Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
--
$
$
1$
1$
1$
1$
1$
1$
j~
1,3'n_3') I
'La" . ~e, I
8'5'.5l5 1
J 00. 00
too .00
~~~ so
o
.
{i1~:come Your BUildffiLr~;3~~:ed
Building Oral Date
,
ODeck
OPorch
ORe-Roofing
#
#
I Paid ~ 5{(fjfo, 7...~ I Receipt No. 695".::J4
I Date ~7-,-o1 By 0C-
U
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
6- ~ .f\_~
L ~anning D;;ec:, ~ J'. c.{Af>~ ~ - ~L~~~.-~~ (' ~\&
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DAddition
DAlteration
PROJECT COST /V ALUE (excluding land) $
~~
White . Building
Canary. Engineering
Pink - Planning
Th.. C.OIl" or lh.. L.k.. Country
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M 5l12-.0 C-LA 55 ( C--
4--/2-0f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1447~ D{)VS
~OLJtZI
Accepted
Accepted With Corrections ~
Denied
Reviewed BY{
Date:
4- 13 .2aJ,(
/
~~ts: nn.
I(.. ~ a~~
~~
"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.nlr. of lh. Lak. Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.I E-IY C
4--
CL.A~::::.:=)(l~
L -- C I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-4 -7./
1../(
\ . i~_
.,j t ..<'
1___ i
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
~~
"l
Date:
tI /t~/8'(
</
Comments:
~~ ?:'-l~, IA)~ ~
-AT W~ ~~ -~J/~<{)
"\0 r.AJV'h #
"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
White~9
Cana n ineeru:;a
Pink - P an og
Th. CfnllH of lh. l.kr Country
BUILDING PERMIT APP\.JC.ATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HE-IRa ~LASS(C-.-
4--/2-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-47?-J D() V L
C~OLJr<T
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~
Date:
'1-/3 -01
Comments: . SAA RAVAr!';p. Sirlefor Additionallnfnrm::.tior'
,
3",,,, Alla"lulIO:;Il.l:>. I} ",fClUlng t'lan, Z) t:.roslon L;ontrol Measures
3) Erosion Control Plan
"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."
\
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~:::w ~ii~ I PERMIT NO. /-31"'"'1
Gold AppJiclIllt ,")c:::r---
(Please.!'fDt:. or orint and sim at bottom)
ADDRESS
I '--\ L\ '17, Dl'Il ~ c..,-r
ZONING (olli" use)
OWNER
(Name)
V1~ITItI\
C:-\a <J:'iL
WI' \ I ..rT'1
t-/-r-, lM.D i
PID:::2C;- --3b?' -U~
LEGAL DESCRIPTION (oflice use only)
LOT J BLOCK ,::{ ADDITION i{ V1hh
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICAN~ 1
(Name) ':Jc:..rA_t_ t^L
(Address) JJ It\TCl IAQ.\ ~ ia('.~
(Address)
(Contactperson)0hb /)) I C~
, APPLICANT SIGNATURE 'v J.
I
APPLICANT PLEASE COMPLETE BELOW
~.PhOne) ~Il 7} ^ ?-f,){,.-,
!.jIVJIJi^ (;,N31
(~::~e; Srl
(p- JLj-oj
(Zip Code)
DATE
Size of water service \" inches.
Location of any couplings from structur~ feet.
Type of sewer pipe. 0 ABC)>.... l.!J PVC 0 Cast Iron
Estimated length of sewer line ~ U feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
Estimated Cost $ 5?s-O
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PEr.;V;,T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (9'2) 44/-4245
I Paid I Receipt No.
I Date!,? II if/ ci) I By ~
U
-'
Date Rec'lI
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(
(flease JVne or mint and sim at bottom}
ADDRESS
\ 1-,\ L\ '1 ?, .0i'I (>-'<- C;(
; ~ ~~~ I PERMIT NO. /....3,.-) I
1. Gold Applicant . ...,~
ZONING (oJliceus<)
LEGAL DESCR.IPTION (office use only)
LOT d-. BLOCK ,::? ADDITION K 1110.6
OWNER
(Name)
Vl1.Lt" II
Q\a <Ri'( ..
WI' \ 1 .;n
tt~ likD {
PID;:;LC: -3bf" -v~v
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA1'{'f.'T:>' I
(Name) .:Jc:.r.lAD t'l<.L
(Address) ;:,u It\ ,J (') lAD ,\ ? iO('.-L-
(Address)
(Contact Person) G1>b () J 'QzJr-
'PLICANT SIGNATURE J
I
APPLICANT PLEASE COMPLETE BELOW
>fhone) ~ I) 7 J ^ 74;lir'l
~ \VJf,t'i~ bN~1
(City) ~ .11 (Zip Code)
(phone) -.///1
{p- J~-(J/
DATE
Size of water service \ " inches.
Location of any couplings from structure /
Type of sewer pipe. 0 ABG)o.. @PVC
Estimated length of sewer line 1-, U feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection $35.50
Sewer connection only $17.50
Estimated Cost $ ~'70
FEE SCHEDULE
Industrial, Com 'I & Multi-family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PEr.;:'IT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
I Paid
. Dat. I Date ?_, I / tf / cO
24 hour notice for all inspections (952) ~7-9850. fax (9~2) 44/-4245
Receipt No.
--
BY~/
U
06-12-2001 06:44AM
MATTHEW DANIELS,INC.
423 3017 P.01
T2w C....11lI' ..f .. t..P "-.I,.,
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Applicant: [rIa#hl'l.Ll 7)"nil!.Is. Inn. Phone:~S/~
Address: .I~O (J.J2J>r",L."ip I >V"t', .~e.rnn;1 ,.,f- III^,
Signature: jJ if tr' ' '--f}/ .~LU.r~
Legal De~cription. Lot '- J 810ck () Sub
Site Address:../6/H"1:f ~~ I'~ _ (1.. n 1:,'+
Building Permit # /) / . t7 ~_c;-Z- PID #
NOTE: This permit "Y!ll not be processed without complete infonn2tion_
FIXTURE UNITS
t. 1_ PIc
1. GoloI Coy
J.V_ ~
0/-0352-
.rI.:L'l - d'%.-"'"
..5'S"4t.!f
Quantity
Type of Fixture
QuantitY
Type of Fixture
~
I
I
I
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Sar Sink
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (WaShing machine)
Sewage Ejector
L
I
I
6ath Tub with or without shower
Dishwasher
Flcor Drain
...3
I
Bacldlo\ll Assembly (RPZ. Double CI'led<, P'IE.
Sack1low Assembly Test
Lawn Sprinkler
Other
-d
FEE SCHEDUL.E
Industrial, commercial & Multi-Family
(1% of jcb cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
S99.50
$39.50
S
$ J!i.!i'l)
$
:5
.50
GAAND TOTAL.
$ /tJ().tJ{)~~.
This ~rmit 15 granted upon the oxpn=ss condition lha[ s:J-d
oonll'K"", .ball comply ift ill respCCts ..ith the on:linan~os PAtD W\TH ...
of <110 Sm.. Plumbi:~~:O~ amondments th'r;;;~NG PERMI,
. ATTEST
Call foe all inspectiOtlS 24 houl'S in ad'll1lIlce.
l62~ Eagle Cre:k Av. S.E., Prior Lake, Minnesota 55312' Ph_ (612) 447-4230 I FAX (612) 447-4245
An Equal OppoltUnity Employor
TOTAL P.01
I hereby apply lor a mechanital systems permil anc I aclenowled ge "'11 the
.inlormation abov:ais complete !IIld accurate; that the work will be in contormance .
with thl ordinances Ind cedes of the city and with Ih. ct~l. bullding/mlchanlcal
coce$; lhe.lthls Iorm do.. nol become a ""rmil until lignltd by the BUIlDING
. OFFICIAL; lIlallhe work wfll bl in accordanCe wi1ll1ll1 approved. plan in 1111
can of III work wIIlch fe<lUirn review ~d approval of plsna. i
'V\"~~~>."::.. : ~:.~~~_\
PAID WITH . Ap~. SigNduJ1l . . . Ollie.'. .
BUILDING PERMIT . Ar.io'; ><;~ - .- .'. t:: ^ \0' t."'"
to... f~'.::' ~.....)(__ .
. B""ringr~ ~~ .... .. Date .
","I "_'t' .~.. ....-l~-:l... -.... ,"':: .....,.. :............ Y' .,,:,'-.. ......* .....
. ....,;. -.. ......::1n..~...'... "" ..~--}t_.._...........:~.J:,:.:.~~t_..-....tl..t.,i'"! ..tI:;
t~'~~bl~..~t;.-:..~;;"~~~~~~l'''',~Z:i..~r'i~~-:._ '.. '" 7...~"f'.~ .~J
~.....,..~~...h_..~,~~-~._.\I'\....:;.i,l"".. ....~,~._,.\,.tt": -,.,.,....~.,~.
,_, .. 'C'- ..._:___.- .......:.:~....-. .... ..._..., . " _..... _....._.~. ~. _ ...... ........,.~
i,
I
;.:~ CI ,y ~. PKlUH LA""
:5 ~ 16200EallleCreekAv.S.E. Perm~No.~\-O)S~
\~ Prioruke, MN 55372
" HEATING APPLICATION I PERMfT
~a11 I\O~G 5.~-\ PIIH :25-:3(.,g-~ (')33-0
{Ski Address \ '" ~ -, ~ 0 0-'>" C\-..
".llI -L 91o::l<. 3 Addhion ~Joh t-J,. f / ~
TJ ..
~)wner's Name \'\x-\..-\) l \~.s ~ ; t .
Address ~ rl. c)), ~::) \ '\ \ ~ s\. S ~\\i ~\ i. ~
Haaklg CanlraC1:l1 \"\ ,~.... ~'r-- ~ Y\ \.
Address '\ \" u.. ~ t\ ~ l.. \ l Or.-v.. ~ H 1->1~; I.T' ~ 4llt.
Tell;mt>nllf ~ '-" 1- ~ \ :l '\
Fumac. Maka ... Model \ ~ "n m(
MocIeI SIze (,...) \., t., "1..- \ 'J()
Conn. \..Clad ~ < \ J.. \ Cl
i'ueI !\ I t. \- Flue Size f; \/ '.....
, .
Su;lply C... .:....
i
i:
1YPE OF SYS"TEM
WarmlW~
Gravily
Mechanical X
Nt Cond1lionin; .... '" ..
Ven\. System
HEAilNG OR POWER PlAKT ,
Steam
Hal WlIIer
Radi8Iion
Special Device$
1-
i
I:
i
,
I
I;
I'
1:-
RlIIum O;l<mings
fi
'6.
,-,
Inpul I i'c\ :Y.'I.ll. OUlplll ~ \ . 13(\0
0::
li =df.
Other Davi::8s
I ~~
I
f-
I'
Ii
,
i
!
\~ 50
TYPE OF WORK
,
~.
Ab8ralians
E: ..
Ill'
.....RepaIr
N. &.Casl$
RltplBc8menl
Naw Ccmstrugian
Est. Camp. I>zIa
'C:l(JQ'~/ ~JdIo)lPIl1Il\U __ - ~\ _~""'>5:.l..
"
Ii
.... . W-nNG PERMIT FEE $
~ . . .
N'.' . .
en', ~ATESuRClWlGE $
"0"" '.
~':_~~I~~EFlMI!FEES ,
E:.:;':'E~. -I;:. . .
_"3~""l:'" ~.'" eo .
.Il. -"'.J.~-.l:' o....~ ~.-
'W-:>-""Y.-(
~?~\
'.
R_PI .
.50
';.. .~~.:.:.:::,~~.; :::." ;..:.:..~~~,~.;;.:;.. '.~.\' ;.4i...::..:~:;..:-:: .t;.~-..:. : ...
...:.....,;,,,. ':,:....~*..~"!'.:;.~$.~...;.;f.:;.a.b..-;.:l-~.....:.-~....~.~w:.... '.- .~..
.. '.- .'. . .~~.~ .!'"~~:-...:J....~.. _>:: . _ _.........~..,. . .. .J
...~.::.~.:..,.
--
TYPE OF STRUCTURE
L '"=
), YcDDIl'
u~
~
Sngle Farri1y X
IWI>-i'Bltlfty
Indus1rial
Mu.~i'.mftv _. .__.
Olher
Commercial
?ubli:
Fee S::hedule
I~lrial. Commercial &. Mulli."zmily
Aesidential, Heating &. AC
Ruicleniia1, Heating Only
Residen1lal, G.. Fireplace
ResiDential, ~dili""" &. Me:ations
Residl>lllial, AI; Only
1% 01 ~ cost (S3?50 minimum)
See.30
S6<.50
539.50
539.50
539.50
Remember 10 add the SIaIe Sur.:harge on the botI,m ollhis eppti:ati:ln.
The price of your heating pernillnclu des one rou;!lt-in and one fina1 inspe:\ion.
AdcIIioneI ins;>edions will be billed a1 s:E.OO eacn.
HDlJS8 Hallling lest RICOId must be submitted with t!lIiId!:!g IIm!IlLI!lI!!lllI:l before bui:l-
ing certiii::ale 01 oc..'"Upancy wi) be issued.
H;::....T tAl r.lll.,(TJONS REQU1R3J wlIh number ol sup;>1y and return. openings rlSteci per
",om will Ci'M's- per opening. NIIW stru:tures or additions .end floor plan wilIl'svpply
and return Illcalions shown. H8'.T LOSS CALCUlATIONS. PAYMENT AND
APPUOOIONS MAY B= MAIlED 10 THE CITY OF PRIOR LAKE. 16200 EAGLE
CRE3< AVE. S.E. PRIOR LAKE. MN 55372-
City HalIllusiness hou.. are B a.m. . 4::lO P.lIL
AU. WORK MUST BE INSPECTED (ROUGH-lN AND FINAL) . CAU CTTY HALl
~7~ZlO
PRIOR LAKE DEPARTMENT OF
.BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS IL/Y'l~ D~v'e. Qt-.
NATURE OF WORK t-..\el.0
USE OF BUILDING S ~O
PERMIT NO. n 1- ():~t::)2- DATE ISSUED 4- , ~ ~ 2a:"
CONTRACTOR M~~to Q.lo<;:<>.:c ~~..... 75;l.- 4((5" -(dO()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR .J I OATE
I FOOTING 11$ .JOMtf I ~J'S p J
, FOUNDATION (Prior to Backfill) I g .\f~i I s:/J+/OI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - It)lS
SEWER I WATER I SEPTIC 0 .
FRAMING . ;7J} ~c.. '~,
INSULATION .f7R' "/aJMf ~
ELECTRICAL A
PLUMBING I' tJh
HEATING (if required) ~ I 1; JJ~
FIREPLACE ,I
GAS LINE AIR TEST t't (,.j,3h~,{ I
~J ILI/IJ)
t I'l-olo I
I~!wo/
I. .
I "//5/0;
I ,,/ ,,,,jol
I '
,
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, _fl.I."".' I I
" FINALS
A/Lf' d'{.,)-Ffdl
"'g.U""""'-Tu, e? /"3.lel
\ . ,
I 1) i/o-v-<\ "ll 'J! 0 I
I 'f. lJ a.u.t J I ~ 'Solo I
OCCUPY UNTIL ABOVE! HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING ~'1I liZ/Of
ELECTRICAL .
PLUMBING
HEATING
DO NOT
'\
This card must be posted near an electrical service ca~inet 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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
L
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1-/3-1 fL-1
Doue.frt-
ADDRESS
ItiLli ~
, ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/~3S~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION~
FINAL
~ SITE INSPECTI
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
54T
/I)~- -
m/Ke p<10-- (P9tf~
. ~./ Rt/O
.
,
~
~.
fJdWORK SATISFACTORY, PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~
--~-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
sg -~.2 -0' ftvJ
ADDRESS
/4473 Dr"J/~ cr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(,/- 3S"L
o FOOTING
o FRAMING
o INSULATION
~NAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~XC'~L1NG
o LKS~T\.AND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
Lot?:; Rn-f. - "II
brrnl, - e> t
KWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT ION BEFORE COVERING
'nspector:4~_ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
CATE
,';?53 () }
Cbu~Qi-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
"1'113
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
p. INSULA Tl~ I
YFINAL (:)1.--
o SITE INSPECTION
f~t.J-b!.YFL._....... ;::.;
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
TIME
I~ '3 (}
/ - -:::z Sd---
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~""rl'1" (oJJ- 11, C~
~~
Sa\ ~~i<e~,per- rl~e1ciJfu t-
o ~ ~
II\A a tJn"( IA e_{\oS:.~ "- [..b~VO'
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO{f' CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ Owner/Contr:
CALL 447.9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NS/'iOTJ
. ~ .___ _._~'___'_'" _.._"___u___.. '___