HomeMy WebLinkAboutBldg Permit 04-0346
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4. 6.1)4-
Main File
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. of- y 034b
(Please type or print and sign at bottom)
ADDRESS
&55 Eaad O:J. '16uf])fl'~ ~
ZONING (office use)
/ZI
LEGAL DESCRIPTION (office use only)
LO~ BLOCK;( ADDITI~~ D..~_rf(eJd to -t~
PID z.6. ~ol. 01/-6.0
OWNER
(Name)
(Phone)
(Address)
~~;~R)~~~c-.
(Contact Name) t'J\ ~~ \N n!\~.I<:..o-....
" -
. (Phon~5~)q8S'l8-s:5
(PhOne)~ro- 'l73L
J
(Address)
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
I. f5 Ie.
o Fireplace o Addition o Alteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ 159 J JI3~
I hereby certif'y that I have furnished information on this application which is to the best of my knowledge true and correct. I also certif'y 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
~ the prope~ to perf~IT ~eeded inspections. t..t I I
eX i &n~ -l ~v-t.R _ cJ(J:Y::J2:/.I;S 1 .,r-l-o I
~ (J Signature Contractor's License No. Date
I Permit Valuation 159. 000 1 Park Support Fee # _ . $ 8' S1)~. OU I
\ Permit Fee $ '/4o/J,SQ I SAC ~lSS"ada~
I Plan Check Fee $ q / L/~ f??' I Water Meter Size 5/8"; I"; $ .::J..S{).- 00
I State Surcharge $ Qq, 5() I Pressure Reducer $ - L/C::>OO I
I Penalty $' I I City SAC and WAC # $ II ;Joo, 0 01
Plumbing Permit Fee $ 100, - 1 I Water Tower Fee # $' ?OOIO~J
Mechanical Permit Fee $ /00. I Builder's Deposit $ I J S()() ,061
I Sewer & Water Permit Fee $ ~ .5-0 I Other $' I
I Gas Fireplace Permit Fee $ -4tx- I TOTAL DUE $ 8 57 z.. .36 1
~.~
Building Official
1/~ ~&o/
Date
I Paid 156 ~,/, 7~
I Date --W~ ~.
Receipt No. L{4: 7(J 0 _
By ~ ~JJ<-;
This Application Becomes Your Building Permit When Approved
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 consti~ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ U~ 1/Z7/cif./~ aLe ~ I~
Planning 'birector Date Special Con<J;:8'ons, if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main Fi~e
White - Building
Canary - Engineering
(' _Pink - ~lanm'W
The ('t>nler of the L.kt> ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t., t..
i I
'-"'I
(- (cf.--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
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t::.
.---T"'
/' f\ IZ
( if
-
.
i
I
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1./ t-- .
Accepted
Accepted With Corrections /'
Denied
r--
Reviewed By: ~ ~
'-1/"1/1 _ I --I- ......
Comments: / j'(~
k~~
<3~
Date: L/'/.2 74 Y
~~
.- v
"
"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."
Main File
~ite . BuildirnD
tanary - t:ngineering
Pink - Planning
Tht ("tnlt'r of the L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. Hog]VtJ
4-. <a. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5055 E.A5T OAK
POINT D~.
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
R~
~
oJZ.f ~.
Date:
~~7~i
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."
Main File
White - Buildin~
~ c~u,....." - I=nqineerina ....,
Pink - Planning
Tht ('rnltf or thr I..It" ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
U-- -.. -'-.."') - I .... - j-',"""""--?' '\ . I
,I-, f.' I '!--.' ,i 'f' '
'. t- . ; '~",,' r----.~ (.,~--' '...j
,: .," /-1
/..+-- ,'0 . '.' .,..-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r""' /'1 I) t. i c. A '~-=~r 0 ,Al,<,.i)(; Ii r\J-{! \j L,;::::' .
~-ri '..../ _,,--' f...... , r \j I !.-' t'--
Accepted
.x
Accepted With Corrections
Denied
Reviewed By:
!J14J~
Date: L/ - 2/-olj
Comments: See Reverse Side for Additionallnfnrm~tinn'
1Yle-r,'" hi <-
See Attachments: I) Grading Plan, 2) Erosion Control MeaSlJre~
"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
.t:I.EA TINGI AIR CONDITIONINGIFIREPLACE PERMrl'
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS 4
57Js-:S- ~a:5/- ~/C.~/ #-
~7?7'T
~!~. I PERMIT Nll'JU.;:::ilI~LI
Apphcant V -, ~a
1. Pink
2. Green
3. Yellow
a~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOp{6iLOCK~ ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J, /. _ _ ~
(Name) /~/~.,? ./'hA/.r~
(AddreSS)~ ~AJ;6, ~ 4
~AddreS . ~
(Contact Person) A . ~
. APPLICANT SIGNATURE', ..~ ~ /~-.......
(phone) &5/-- 45'''''- ~'?;?5'
F~4-< ~d..:l
- (c:&If (Zip Code)
(phone) ~- ~-~77-2:
DATE
_ .I APPLICANT PLEASE COMPLETE BELOW
J!lNEW~ON TRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MOD Yr,b"",,~._~/~A~.. ~'?"070 FUEL~.J, "4,,.;.d.
.////_/ A -
FLUESIZE~.c2~ RETURN OPENINGS . INPUT~ OUTPUT 6'Z,,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
~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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ a::::> Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/ ~/4/-
$ -' .50
$ G7
'm
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid-
Receipt No.
-
Datri.AY U :J LUU4 By
Building Official
Date
24 hour notice for all inspections (952) 447-9856, fax (952) 447-4245
GENZ RVAN PLUMBING AND HEATING No.1577
ell y OF PRIOR LAKE PLUMBING PERl\'U.f
p, 3/5
Anu.~ .i{ec'd
(Please tyPe or tlMcand Sl~ at bottom)
ADDRESS '
PJtJ7) ~f mk.. iJain1- IlP-SG
LEGAL DESCR.lJlTION (office lUe only)
LOT:b"BLOCK:L ADDITION ~r2iie(J (om.
OWNER
(Name) DR Ho~ton Custom Homes
(Address)
2.o1;loD ~V}B~l DGe.. CT' Sre. I DO
APPLICANT
(Nim~GAn~_~T~n ~'uwb~n8 ~ U~O~~
(Address) 14745
(Contact Person)
~ ~L ~~~ljcant I PERMIT NO. O'+' 3Y'
ZONJNG (office me)
PID
(phone)
q&??-QQ5 -,<aDO
udu..vtlle... MN 5f:6l..l L/.
(phone) {:,c;; l_A?~_ll Ah.
MN
55068
(Zip Code)
Rosemount
So Robert Trail
(Address)
D/Vl ~l~ t1 Wt [ ~
~~
APPLICANT SIGNATURE
"',I
Quantity
"1-
I
t
.:.~
J
,
I
cZ
(City)
(phone)
651-423-1144
lf~{ {p ~D4
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower 1.3
Dishwasher I I .
Floor Drain I a
Lavatory (Bathroom Sink) (
Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Estlmated Cost $
Bullding Permit #
Type of Fixtu.re
Rough-ins
Water: Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other .
.lI'EE SCHEDULE
IndustrIal, Commercial &: Multi-family 1% of job cost with a $3950 minimum Rc;sidc:ntisJ., NeW One & Two-Family $9950
Rc::lidential, Add.ltions & Alterations $39.50
PLUM:BING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT .lIEE $
(Office U5C Only)
I This Application Becomes Y OUT Building Permit When Approved
,.::!::,\"
I"' .
I ....,
Building Official
Dati:
24 hour nonce for:aJl inspections (952) 447-9$50"fax (932) 447-4~5
.50
)-'
Paid
I Receipt No.
- By
DateMAY 0 5 2004
GEN2 RVAN PLUMBING AND HEATING
CITY ,OF PRIOR LAKE
SEWER AND WATER PERlVuT
No.1 577 P, 2/5
Date Rec'd
(P1?Se type or print and. sien "at bOlIDm)
. .t\DDRESS
~ fa.&t WJ< P{)lnt
~. ~:... ~~, I PERMIT NO.()'LI. .:n:J/
2. Gold AJopU""'t -, ~? I:)
ZONING (9tlkc use)
D~ (\6
LEGAL PESCRCPTION (office use only)
LoriS BLOCK 2- ADDmON ~)QJldJ IDfV1
Pro
OWNER
(Name) ....DlLJio.r~0:':'. r:';<:i0~. F!')~,:,,:
(Address)
2o~-?O t<ev1ei<-\s:x...--e. C:r- $n-) f)r\
(Addrc:~s)
(phone) _ q.62 ~q ~- ~f'1
. Latu,\/llle... .'7a0WU
(City) (zip Codc:) -
APPLICANT
~~~ Genz-Ryan ~lumbing & Heating
(phone)
651-42.3-1144
(Address) 14745 So Robert Trail
(Address)
(Contact Pexson). _ QJVl~(~t7 fit,llS "
CiJl~ ~
. ,. ;:~JCANT SIGNATURE
Rosemount. MN
(City)
(Phone)
DATE
55068
(zip Code)
651-423-1144
L/-[/i-Oq
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe_ 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SL..t:I.EDULE
Re~l1dcntial sewer and water line connection $35.50 Industrial, Com 'I & Multi~faml1y 1% of job cost wIth a $39,50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
J
(Offiee Use Only)
Thjs Applic.ation Becomes Your Building Permit When Approved
Paid
Receipt No.
,
'":
""'-.-)-~. .
lluildi:og Official
Dllte
Da:J:e ^ / By
. MAY 0 5 2004
24 hour notice for lllllnspectlol1s ('52) 447-9650" fax (952) 447-4245
L..~_.._____.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~:~y I PERMIT NO. U_ "2ul
3. Yellow Applicant ...,. ~ , "
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5055 E. OAK POINT DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
. BRENDA HUSTON.
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
6/14/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
C,,--i1nr
r") . '-~iV ~rlr~
~V:;'!.iJg1VG ~
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
p~ ~ (G [L; 0 IJ] ~Q~iPtNO.
Dt~ \ JUN 1 aZUU4 IJ
[J
U
24 hour notice for all inspections (952) 447-9850, tij (952) 447-4245 j
PRIOR LAKE
INSPECTION RECORD
lSS- E. ()rLK Y ~
USE OF BUILDING B-
PERMIT NO. t!)1(. 03~h _ DATE ISSUED
CONTRACTOR 0 lie H~~A.J PHON~ U · '1!l3-:i>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOfJ-1 DATE
FOOTING'\A/V' S/5"vO~1
t FOUNDATION (Prior to Backfill) I l11f./ / I S-lO--Ot-i I
PLACE NO CONC~ETE UNTIL ABOVE HAS BEEN SIGNED
DflArJJ T(~ t...~ s-h/~ ROUGH - INS
SEWER I WATER I SEPTIC " f/~ 1= )J/UJ.i
FRAMINGb(~ JIIfl/ 6}~~t/(';qQ /11- th,h,if #a/:.. ~/~ i?if
INSULATION ./ ~ ~~~~
ELECTRICAL
PLUMBING Ui''ivJ tJr, ~-:G~ /In c./I!/tJlf
HEATING (if required) ~ ~~/-~
FIREPLACE ~ V/ U/O~
GAS LINE AIR TEST ;//;~M f-r: ~ ~ t. /.2/ ~ t.j'
. ,
COVER NO WORK UNTJL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sopding), ~I r1 C\ ,).\ ,\JD"
BUILDING~.(t1~~i/ /0~s #~~ ' //41 j'j,2t/as-
ELECTRICAL I:J~? /?.Y
PLUMBING ~ r/Il/tttj
HEATING ~ ~~4.s--
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
FOR ALL INSPECTIONS (952) 447-9850
<llerfifitafe of @ttupaut\!
CITY OF PRIOR LAKE
~tparfmtnf nf liuiltring Jfnsptrfinn
,J4final Permitted 0 Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
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 Classification SINGLE FAJ."1IL Y Bldg. Permit No. 04--0346
Occupancy Type
R3
_ Type Construction
VN
Zoning District.
Rl
Legal Description
L25. B2. DEERFIELD 10TH
Owner of Building
Site Address
5055 EAST OAK POINT DRIVE
COURT. SUITE 100. LAKEVILLE
DON RYE
Contractor's Name & AddresD, R. HORTON: 2~~jY KENBRIDGE
ROBERT D. HUTCHINS /~ City Planner
_ ~ BuildiI%Official .
Date: 9' / ..2,y / ()S - Date:
/ /
DATE TIME
9'Pr/cr
,
ErlST tJ/1 JC.., P-r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
b055
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~/
h /\..~ I
/
/"
U/C-
----
/'
----- :--.
/I~~')
ORY, PROCEED .~
D CORRECT ACTION AND PROCEED
/"
/ //~-'YO
4- . 34-~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
:::~ECT~ REIN8::::>0.. COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,-ll-or .3:30
ADDRESS S-OS~ Ee;.st 04 K. f",';,f,
OWNER CONTR. -.D. t HtJ,fo^-
PHONE NO. PERMIT NO. -OL! ~J'IJ,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ :-JNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~'RAD~LLlNG
o COMi5l:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~(/ AIL
I' d4 BtI~-- (91,
srr
'!!.wORK 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 & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE o-~ /
INSPECTION NOTICE SCHEDULED tff/~/6)
ADDRESS SCJSj ~ r ~ O:;~ ~/ d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
eJr -J>t/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~1I"Xl
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENf&: / ~ / /
~~/e:e; ( r~ ( ch~
.....- ,,/ /) / -
hk/.?~ N/l-'t / ~
/ '
. / /, / ..;
~d, hh/ CJ/'C
.... dJ/ I' ~ / ~ / A I
87 ./Y'~ ~ ~~~~~~j
~'p,Ct1 C/n~l //~--6r
, ~ r -
I /./
%/;I/I'Y
I ' l- '
..,.
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/'
~C~
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE , / _ /"
INSPECTION NOTICE SCHEDULED f/ / ~/~
ADDRESS j-c; SS- ^ ( /- 4~ ..,4/
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/74
//k/U1/'H
/"J
~/
/ /
/f'-.€ed
- / /
/f/c, r- ~ "
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
O~-.3C/L
D EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
e r~,-
,/;J//
/
~~
C-' { -
/'ij;/U
/
Cv ///
.
/S
, /'
/;'dft,/~d
.- /"
~h-c ~~
/ /' ~J~
/? /'1'7' / G/(C
~/ r /-?, ~
L Uec/c- (d:J /~C-//'/ck~
.--l-
,
~ /'
~ri'C:; ~
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO INSPECTION BEFORE COVERING
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY/
lNSNOTl