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Home My WebLink AboutBldg Permit 01-0605 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ,01 (Please type or print and sign at bottom) ADDRESS I. White File 2. Pink City ] Yellow Applicant Il-j q Lf [0 $(.1"" ffl;/ {l,'!J .oJ~ LEGAL DESCRIPTION (office use only) . - LOTh( BLOCK I ADDITION /:; t -e-Q } ,. c:> Slh..:'t' "- ~,-,~,,/() C()Y5/' OWNER (Name) (Address) (Phone) BUILDER /l ) G (NaGle) 'IYle (j 0/\y.l1 ~7, (Address) -;t.,O( 14.....- T~ ~J 1J,./.a-5/. TYPE OF WORK ~ New Construction ~eck ~ower Level Finish o Misc. ~ireplace Date Rec' G PtJo PID25-307- 0&5--0 (Phone) Qs'9.- J./~j. - 7fco{ .4a;;).e LLJ~ -$-&- / ~ LJ OPorch ORe-Roofing ORe-Siding OAddition OAlteration OUtility Connection GO PROJECT COST IV ALUE (excluding land) $ I 9'1 .7cJq I Park Support Fee I SAC I Water Meter Siz@; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other TOTAL DUE I Paid I Date 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 exnter upon e p rtyJ,o per7rm n:ded inspections. . Ll ~ .-, / r. (./ ~ (t:....V / \(/ S- 10-- 0 ( Signature Contractor's License No. Date $ $ $ $ $ $ $ $ / v-,OOO.Q) I. ~.6O' Ie;- . I f ~B . {(.J if? & 0 c) / e;i:9 . ~O /00 .. (5)(;) ~).SO <.k;.~ l.r ~"""'~~ :' ~~ U~ I Plan Check Fee I State Surcharge I 1\:.u<<l.7' I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee es Your Building Permit When Approved )0'2i-eoo( Date ~ (p ~/9' IJ j $ (,4'50. 7$ ~lIG{)' 7~eceiPt No. -.:5'1/5 ~~ ~/~/ /01 By 01<7..... / - I ' I) - # # $ &5e;.07') $ 1/50.80 $ , /21; .CYJ $ (/5'. cJ::) $ ~/ 2Ot:? .cx:J $ ~.OO $ / RrYJ.. l"!Y' $ ., - # # 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 (P!tt(: Ityt ~ ~ (k.k\~ ~ Date ~pecial COMitions, if any- ~-^. ~"h". .' _ 24 hour notice for all inspections (951) 447-9850, fax (952) 447-4245 ~l \ r-t::sV\~ "" b , ~()lo6 ( The ('enter of the L.k.. Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION OEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED r~ I c [) ( f\J 1\ 1-. L..; f.~ - I {; - C! I (J I. N. ; t'.:_\-I-':' ",-> \./" r--. . ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / L)' tJ 4 &:..~(/ l-'/ l~l II C, / /<:./ (! L C Accepted ,/ Accepted With Corrections , I I I Denied Reviewed By:0~c ~ Date: (, /{(";Y> I C~~:~J,/p ~ ~ ~~ ~ ~ c~~, M~~ ;L6~17~ ~~d<, ~1 AJA~ tD ~\~~ . ~"T~.., . ~ Z~ (=::- ~~ue...~ ()~R Ar- t=!:;ewl . tv~l.'"1 {.-f/WJ- +- ~v I~ ~ D ~/e,o ~ C.vrb. lb 9~~('_ k ~~ ; liThe 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 ;O~6C' The ('f'nler of the Lab ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED v' e-DO tJA~D ~ONS~. 5-ID- 01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-94 (p SUM M ,- I " t-/ /2 ~LE Accepted Accepted With Corrections ~ Denied 0 /Y:? /' Reviewed Bif--..?//~.~ / Date: 5--2~-~ Comments: 12~ aJl ~ I--f ~ "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." ". O( "'0&6<' White ~ . cana~~p~ineerin~ Pink - PTaiinlllY Thf ('fnlff of lh. L.kf ('ounlry BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED v c'.DO tJAl-D e.ONS-n::.. 5-ID- 01 The Building, Engineering, and Planning Departments have reviewed the building permit application' fot construction activity which is proposed at: /4c?4tP S()MMFI c/ /2 (!"L~ Accepted X Accepted With Corrections Denied Reviewed By: J{/J: D Date: ~-/7-o t Comments: 'Sp.e Reverse Side for Additional Information! I - ~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion ~ontrol Plr:tn liThe 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." . ~_. _"_".'~'~.'~"""__"'_'__"_"h;,.~.._".~_.. _. _,..__~_,._"~~~~ FROM WENZEL MECHANICAL 612-452-0367 (MON) 08. 20' 01 07: 51/81 07: 5o/NO. 356185\540 P 1/1 , '. I , (on. 40.... '" ..... u.... CD_',., I CITY OF PRIOR LAKE PLUMBING PE11MIT Applicant: kJ~ItJ'Z1t:t- M ct;J,./AA1/GA/.- Address: ~ ~.JAItJ~ f5p ~ Signature: ~A '()~~ Lega~ Description: I_ot ~S Bloc/c: I Site Address: J~9tf4 S VMPf IT e,l(!. . ' /. , , , .' ,', I , ", ',' " ,'.\'., , I" ~~ "\,;~ ;', I'" ,:.,' Type of FI~\Jr.Ji! auanttty Type':ot F~ , '. " ", ,: 'I ., Dishwasher Floor Drain Lavatory (tlathroom sink) Laundry Tray <, or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) I Rough-ins Water Heater .' ,I j I. ~ " 'r ,~ ",l , ,:,1 ,. .'. l ,~': ,It:, 'fl, . , Barn Tub with or~out shower I " 1 Water Softner " . " ~',.' " : /, 1, ~: \,. "~ . ,~. ,~ '. " ~',' 1 ,'. I \ . Srand Pipe (WB$tlirT9" ml!l~lne) '~ :", ,: ,.' ::. ',! Sewage ejector " ,... ,,"," I, Back1loVt As.sembl'( "~PZ; 'CClc.lbfe Q1~.pVal'" \ . I I ~~" ~'''' .t \. I ", Backflow Assembly:Test " ' >. .,~, , 'I \. ."" .; Lawn Sprinkler " 'IJ1 Other ":; , FEE SCHEDUL.E. Industrial, Commercial & Multi-Family (1"(., or job cost, $39.50 minimum) Residential, New One ,!, Two FamIly Residential, Additrcns & Ailerations State Surcharge $99.50 539.5Q $ $ $ , ,\.' , ' , '. j' 'II . , " . , I , " .50 ',I, 1 . , 1 'I .. \ 'j , \ GRAND TOTAL $ ." \ ',I TIus ~rmit is (rallIed upon the eJ:pras a:ondition thaI said conrr=LQr. shaJl cQmply in respcu wlrh iJla:oJdinap:c;s 1I"tA.. 110 ~r{\"\ t."\1 of tl1e St"'~e Plum","; . the am=mnil!f\U: chef""" rr' NG pER,..." RE ,"0. --NX; 2 ~_ Call for all inst lions 24 hours in ad"'2l1ce. "';-\ ~ :~\ :',:,I.:'~ 162~ Eagle Creek Av. S.E., Prior Lake, Minnesota. 55372/ Ph. (6l2) 447-4230 I FAX (612)'447-4245 . An. Equal OpportUnity' Emplbycr , .." I, ',' FROM : R BINDER RND SON PHONE NO. : Rug. 14 2001 11:38RM Pi CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~ ~::. ~:~ I PERMIT NO. 1-00~ I J, Tello'" Awll- Cl'\cuc type or 13nnt and sic at bottom) ADDRBSS 14q4~ $U mm,'f (iLr 'p AJLU ZONING (oftiI:t Use) P L(() LEGAL DESCRIPTION (office use only) Ur- LOT 05BLOCK , ADDITION YlfAJ~/111 ~ ~ C/ OWNER , , (Name) IYlrJ)Ona ld {'onsfru,(' 'tI.o/7 \ (Address) Rtf? {,e II a. (I f" 1.--1 APPL1C~. d H -L' (Name) 16 u1 PI ea.rI Y1] (AddresS)"~ /-JafdmQt'1 l1ve N, (A~ss) rJ tiu! /l0J~ PID.+S--3u1- !J~5-() (Phone) Cf S:;. - ~ 's;z. - -, <:0 Q I (Phone) tos J - '-IS -, - 8-' ~ , ssP (City) S-S-o I,~ (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE -0 / #' 1.-'\ ~. .. DATE _~::_~'-I - 0 I ~~~//.AL-" -~ APPLICANT PLEASE COMPLETE BELOW [5?INEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL r,- an e. TUx. j.;1.0 FUEL (7 a..s FLUE SIZE .-=5 I. REl1JRN OPENINGS . INPUT I;;lO,CCO 6'7l.10UlFUT TYPE OF SYSTEM HEATING OR POWER PLANT '. GaWarm Air Plants OOravity o M~hanical ~Air Conditioning ~Venl. System o Stearn o Hot WilIer o Radiation o Special O~icell o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setb~s FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDUl.E 1 % of job ~st Residential. OIlS Fireplaa: 539.50 minimum $99.50 Residential, Additions &. Alterations $64.50 Residential, AC Only 539.30 Residential. Heating &. AIC (New Construction) Residential, Heating Only (New Construction) 539.50 $39.50 Estimated Cost S Building Permit # (Offiee Use Only) REA TING PERMIT FEE $ ST A TB SURCHARGE $ TOTAL PERMIT FEE $ / / .50 / I Paid Buildinc Official Date! Daw_ /S--o I BUI[6iWGWITH PEr-,,,,.,.. . rU"1I I I Receipt No_ I By Ci:~ (j This Application Becomes Your Buildine Permit When Approved Z4 hou.~ "oti~eror aU inspertions (952) 447~9850, rax (9SZ) 4474245 ".~..,.....".". "~""''''''-'~""'-'-'---'---'''~'''''.''''-'-'-'--~-~"---'''''~'--'_",-_,,-- 07:16 651 633 BBB4 FIRESIDE CORNER Cl J. i OF PRIOR LAKE HEATING/AIR CONDITIONJNG/~ lKEPLACE PERMIT #OB47 P.001/D01 JJate J:(e(;'Q ~: ~ ~~ I PERMIT NO. I /-0 c:- :I. y"lI_ ~PI'U- - V J (Please lVPe or Prillt and, siRll $I: bOT.l1.lm,) ADDRESS J 4q</fA d~ &teLL AJw ZONING (Orr1f:el.llW:) (Jui) LEGAL PESCR.JJ.'" 1 J.ON (I)ffl~e use only) LOT &~LOCK (ADDITION JfiJJMdo u Id -t;ItJ- I LJ/Y0P1DC}S- 30'7- VbS--Q OWNER eN ame) rn,,-~ ~ (Phone) (Ad.dress) APPr.JCANT (Name) AT..T..IED FIRESIDE DBA fIRESIDE CORNER (phone) 651-633-2561 (Ad.dress) 2700 N. F'AI"ByIEW ~~ (Addre:llI ) BRENDA h"USTON ac.smLILL~ MN (City) 65J.-633-2561 (Phone) 1;1;"" (Zip CQde) (Contaa Person) APPLlCANT SIGNATURE ~ ~ DATE ti'hdP APPLICANT PI_EASE COMPLETE BELOW ~~w CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE REWRN OPENINGS INPUT OUTPUT TYPE OF S"l ~ J, r..M OWarm Air Plants DGr.avlty o MechllllicB.J OAir Con.<Iltioning OVent.. S:Y6~cm FIREPLACE MAKE AND MODEL ~ fd...c HEATING OR POWER PLANT o StCilJTl o Hot Warl!;f o RB.dia,tloo CI Spechll Devices o Other Devices Pl..EASE NOTE: Air Conditioner Units Cannot Encroach into Required Si.de Yard Setbacks ~/t:..- X~ Industrial. Commercia! & MultI-Family FEE S'--",Ji,J)UUt 1% of job COSl Residential, Gas f'ircpIEl~c $39.50 minimum $99.50 Residential. Additions &. Altel1ltions $64.~lI) ResidentI/lJ, AC Only $:39.S0 Residc:ntlll.l, Jieating &. Ale (New Construction) Resident.ff.1./, Heating Only (New CQnstl'uctlon) 539.50 $39.50 Estimated Cost :I; Build.ing Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~/ ,/:) < '~'ll --1" ,<) "il:> / .50 tOmee JJ~e Only) This Application BecQmell Your Building Permit When Approved Paid Date 7J '" t7 (- I I Receipt No. IBY ~ (J' ,--- B"lIdin~ Offichll DIltl: 24 hour Ilor:ielll for 1111 in'pectjoo. (~2) 447.9850, fax (952) 447-4245 JII Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 1. a_, Pil. I PERMIT NO ~ 3. Ydfow ~Ily . I _/ O. J. CJr,ld ^lIVlioont to. . _ (Please ~e or Drint and .ien at bottom) ADnRBSS B9~Y.~ ~C,+. (~.\\.<. ~_U)\ ZONING (office W~) YUJ) LEGAL DESCRIPTION (office USe only) LOT~ BLOCK \ ADDITION <;'t\""L ~7 ..b:..Q I OWNn~ (\ \ \ ~ L (Name) J n L~l'\ ""~ <..: lc.1Lttr' (Address) (Address) (Phone) 9b""J. 4.nrJol )" It" .,~ Plr:i)5-g{21- 00~-o I~t Jc.{ I)b D I (Zip Code) APPLICANT-.- t c (Name\ J e..e.. ~e..i l:-~~ (Address).d.3l.D- :r ~CLf.--' (A4dS'l:ss) (Contac::t Person) ~1-: .._. .1\PPLTC~.N.T ~TON^Trmu t..1' 1k - ..... :.... ...:............_- (Phone) "1;1 ')/ltJ 7'-1 s-" -BI Df)'tI1~J!1lJ tL; S-4.-:S I " . (CIty) (Zip Code) W 12-0 74~k- ... .-- JI ---.,...---,. .- (Phone) _ UATE APPLICANT PLEASE COMPLETE BELOW Si7;e of wutcr s~rvicc ...e... itich-es. Loc~\tion of nny couptillg::l ftOt\l stl'U\llul'C . fetil. . Type of ~~W01' pir"~. 0 ABC lZ1 PVC 0 Cast Iron F.:d.;m3.t~d lCll~lh ot' :3cwc;r 1in~ _. teet, Clean out (if required) located l:lt feet frum strucnU'e, f(l!!sidlolnlinl 6eW<;I' and wulcr line ~unnoctlotl Sewtr connection only liRE SCHEDULI4: $:15.50 Industrial, Com'l &: Multi-family 1% of.job cost with a $39.50 minimum $ t 7.50 Water I.lunnect(on only $11.50 Eslim3ted C()~t $ Building Permit # ._ !o;RWER AND W A TDR PERMIT fEn $ ----..---14J!/ P.D4~?GV/ITH STATE SURCHA1{UE S .50 - 11\ " PE:.'-" '. TOTAL rERMIT FII~E :5 .--.--.,- '''.''1 (omell tI'lI Oldy) Thl. AIJrllCltlon Hecontt!s Your nl,l/din~ Pf.lrlnlt Whln AfJJu"OVed Pnid RecciDl No. n"lIdl"ll OMcI.1 ".II! -Dlli~ -;;2t; ~ J ,-- ~Oy ". ----- , " I i 24 hGur DoUr-e for ullIIllPtlcU.UI.. ('31) ....7~98'O. 'ax (9!'11) .41-41.~ t0d W~Lc:S 100c 9c"daS 96~9c68 c19 "ON 3NOHd :JX33H:)3f WO~.::l . ,. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS J '11!:!io CS;~ Cr.. NATURE OF WORK ~ 1 USE OF BUILDING ~ F n PERMIT NO. () 1- O~C) DATE IS~JED 5-zq..?Do ( CONTRACTOR f\c. \::o\A\Ia. \ ,~Q r~ PHONE~ -L(3? ~ /tQQ( -- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , FOOTING I I FOUNDATION (Prior to Backfill) I " I PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - INS , . 1, \)~ t, ,~tbJII "hd~ I ("~~CTOR OAr I b ,02si OC I I SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE q\~~l C' '91 ;1.- Gt..;lO,OL f \ 'b~~ q/Ef-Ol 'f, V~ ..0.1_. Gt, -Zl 61 r .~ ~ ~ 1.$\, GAS LINE AIR TEST ~ \)~ 'q\,,'()\ COVER NO WORK UNTIL ABOVE HA~ BEEN SIGNED I I FINALS NO /t4-s~z- { [ ~\) '4-.li. ~ 01 IJIR 11;11.- - ~ ~r\AMI " / 1~}OI ~\J~~lJl OCCUpy UNTIL ABOVE HAS B'=EN SIGNED NOTICE GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 9:00- A.M.ior all inspections FOR ALL INSPECTIONS (952) 447-9850 Qttrtificau of ODcnqtanty Cll'f OF PRIOR LAIu; Department of _uilbing Jn~pettion II] Final Permitted 0 apnditional c.d. Expires This Certificate issued pursuant to t~irements of Section 307 of the Uniform Building Code certifying that at the time of issuance tlillstructure was in compliance with the various ordinances. of the City of Prior LaJce regulating building-fonstruction or use. For the following: '-\., SINGLE FAMILY 01-0605 Use C1l1SSificatiOll . Bldg. Permit No._ Occupancy Type R3 Type Constructi~n ,.\ VN Fire Zone N / A Zoning District PUD Legal Description L65, Bl, STERLI~OUTH "" Owner of Building S. Addre 14946 SUMMIT CIRCLE _ lte 55 Contractor's Namc&Addres'. MCDONALD CONSTR.. 7601 1451'H ST. W.. APPLE VALLEY 55114 ROBERT D. HUTCHINS (/1// .CityPlanner DON RYE Building Official I J-. 0- L> 2- Date: Date: POST IN A CONSPICUOUS PLACE __.._._ .~____.__..-__"___,___,,__,,,_,_,_,,_,.JliI'~_ _'~.__',__ _~_. ____a__'..______....___.____..'...m'i!! __'_"_ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDA TJON o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED /4ey4& sor;nl/ C"t ~ . CONTR. PERMIT NO. OI-Qc:'OS o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 Soo/mee ITh ' , k') ~ {~lOJ{ /, I v ,~ .. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: K l..b.J.l,-d'-.. Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CJTY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 1'-1 9'1 {, OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL - 0 SITE INSPECTION DATE TIME SCHEDULED 11-:t5 -0 L.-.. 5v~Uv" 'f- C, / 'r CONTR. JYJe. D~I1'i tl LoA6 t ' PERMIT NO. 6/-1,0 ~ )i!:L EXI~ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: t:v (b ~JC -- 19 fL (?r~ -- (:J t.. 51-T XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: /:?/ ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME /l-/S-or l1~ ADDRESS Ha. 4~ ~(j vlUM.;{.. r~}r SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP A-D)SENERHOOKUP .,..,-- }Z PLUMBING FINAL o MECH FINAL COMMENTS: I ~ &O-~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o Y1A.tUW M;ek/' -lge r - \ I 5-,-eJA / Fe I / MedP _ -J / ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR' t::; REINSPECTION BEFORE COVERING Inspector: '$ '- \ Owner/Contr: CALL 447-9850 -FOR T1 NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl {}o ~ {' lalze AlT. _ ,OWNU ADO"l!$ OCCU'ANT H'AT 1.0&1 SOI.D IY rl....I..' w...1a a, T.,PIOPH'AT DATI HTGo IN IT. CA 'A HW ITIA" , IHST AL ,Ce. LI. SPACI H' ~I GAIDIUGN W4IC I p-, II) P ......1 1'1 ~(\r.~? S.I.I ? 7~~ ( ~r~ INPUT ~;~) hi .1&o\1C1 0' aUAN .. ...- ---~...I ..... aTV R.".. , . ....... .~AICI 0' 'URN ...4.1' NTAOLI . ..... PI... l'~ ~ 'V' e: r1 ITI FI R.. INDOOR AIR QUALITY SOLUTIONS \'7Y ~ /70 @ LIs MAXIMUM BALANCED AIRFLOW DATEt n/3J /0 ( 1 CONTINUOUS VENTILATION RATE PHONE # NAME COMPANY NAME () ,,' 16 I L \::-l"'" V ?t~j/~ "Z. (I ... '. -TMlaWOIT f . V.I.,. LI"'" , - I . .LI." 1."'''1. bf) . . ,... s."1A1 i l~l~ '11..1',.. P I~-'-f/l 'N-' '11.. ..lie P II.. ......1 , II" Tla'", L. W. CvI Oil ,........ ~r.s- (( k 1"f~1 ep" /(){) I t;X<y\ l /1&-- s...1a f.... ~ .r=- v_. II.. ICIND 0' LINI" SI;- _ . tl0J4l- Df, It H..4 fJ7 .(Vr _.."I.... c5/J.<:''' <; ~ 'lit.. Sin ?,~V, W '., J 0....-, L....I.. I...~ \(' Ow...lI. 0.1..', C...""..I.... -,L.VL 4YJJ .uo (' . Spillage //1 d lAf' . -a.... I..~ Will.. . c.... .T... TI, ,". h. . De., ,,....-. L.lti-II". I..... ,.,.... eo /".., ~ llfl ....~.~. T.""'~. . ,....". 02 7, .~~ c....., f..th,. .~ ~ . ,....". co2 ---1)"(1'"'l N._.' T...... f1"~' !~ "#;If7/Cf,;(r- C.~:1~1cat o~ Compentency_ # 'Jd --.. - -.. '