HomeMy WebLinkAboutBldg Permit 04-0270
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIA-NCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I:E 0]
See Main File
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 01/-.02..70 I
(Please type or print and si~ at bottom)
ADDRESS
(;;;35'8 lll/uO O~ICS- n7vU~
ZONING (office use)
)e.-lSO
LEGAL DESCRIPTION (office use only)
LOT [3 BLOCK .I ADDITION t J...ft \ A () a..Xc (' PID ZS - 3,4- - 0 IS' 0
~=~~,<; M()~L.lj, (Phon~ G/L?--2dQ-=Y3~7'
(Address)'{:>,D ,BOx 9-.Cf06CL'J., ~..e. Uo..J1~t/V\.vvC6l~
~;~)El~..t'.:b ~ ~~ L G (phone) ~~ -2>d (Q --'t3.B y
(Contact Name) ~ \0 t'-/r-eJ....- (Phone)
(Adilles~(')fu)O 9vceO~ .~Jk""'pMl\--<.- C!lCS/'J...Y
TYPE OF WORK ~ New Construction ODeck o Porch ORe-Roofing ORe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ 9v ~~
OUtility Connection
o Misc.
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 e property t perfo eded ins ections.
Q..{J.~ 0.. CUi)
Contractor's License No.
Date
x
".
I Permit Valuation . , 2/ S, DOl), 0-& Park Support Fee # I $ -8'50. t) 0
I Permit Fee ~ \ 743.5(1 $ --- SAC ~J3'5~.cbb ~
-...
I Plan Check Fee 'f !1~3,~$ ~ Water Meter ~he 5/8'7 I"; I $ 2$01 {) it
State Surcharge I $ /CJ 7, Sa I I Pressure Reducer I $ "is. 0 d
Penalty I $ I I City SAC and WAC # I $ I "LOlL a 0
I Plumbing Permit Fee I $ / ad.(J tJ I I Water Tower Fee # 1$ 70d" 0 0 I
I Mechanical Permit Fee 1$ I()(),~f) I I Builder's Deposit I $ ~
I Sewer & Water Permit Fee 1$ ~ $"() I lather I $
I Gas Fireplace Permit Fee I $ lfo,(JO I I TOTAL DUE I $ ~,~,4,/f' I ~
,~.
I ( 1
This Application Becomes Your Building Permit When Approved I Paid rj ~5 L/. '7?i- Receipt No, L/-?Lj r/~
,. ?~r/a3 I Date C;; - / /_ -/'')L / By ~
~ ~~ , - /
Building Official Date
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
~ 9~~ 7#ft3 See Main File
PlanningDirector ' Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
Canary - En ineering
(pink - Planmn
Thf' Cf'nler of 'he- t.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I ' . I / I
.r\ j....
-~
f+(:A~ is
-.-7 --, (.>
., I. '.-.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
( __.i ~t \.~ Il_ I~ Cr \ k:: ~ I C.'l'._l...f\ · C.
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~:f~
Date:
~~3
Comments:
. I
I
"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."
See Main File
[White - Buildinv
'eamnv - Engineering
Pink - Planning
Tht" C"f'nlt"f or Ihr r.akf' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BA R- I 5: t+o~1SS
1.7.63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~356 v'J/LO (5Ak"~ . (br2JCAcE
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
r
1~~
Date:
7P7~3
,
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."
See Main File
White . Building
('" e,,,,,, .....IV - r:ng,"eerln~
Prn~ - Planmng
Th. ('.nt.r of Ih. I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1. "'-, . --- ,---'
// A './ I ."
.. ~,.._, ..-"
___.. f
.f+C,!L i L,;'
---.-', ....-'.., / ~~'t
! I I; <,
!' '. \...-_!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Cc :3: Sf:, \, Vi L- i) (;f\ cS: "7l::k~-/;::l~ erE.~
Accepted )(
Accepted With Corrections
Denied
Reviewed By: ~OL '''L.. Date: I ( ID I 0)
Comments: See R~ver:e -Jide for Additional Information!
See Attachments: 1) GradinQ Plan. 2) Erosion Control 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."
05/13/04 THU 08:32 FAX 6128902753
STOCKER EXCAVATING
~001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I Cr..n Fik
2. Ydl<l'" Corr
). c;..ld "Ppl;"'~1
QII",,()
PERMIT NO. 04-0270
(Please tYDl= orpnnt a.nd si~ at bOllom)
ADDRESS
ZONING (olli<< ug)
6358 Wild Oaks Terrace
LEGAL DESCRir liON (office use only)
1
LOT
BLOCK
ADDITION
'Wild Oaks
PfD
OWNER
(Name)
Barts Homes
(Phone) 612/306-4384
Ap?le Valley, MN 55124
(City)
(Zip Code)
(Address) P.O. Box 240593
(Adcln:'$ )
APPLICANT
(Name) STOCKER EXCAVATING COMPANY, INC.
. (phone) 952/890-4241
(Address) . 12336 Boone Avenue
(Add~SS)/
Curt
(Contact Person) ... .l -
APPLICANT SIGNATURE _ /1 A -;/h
. (/- (/V [(TV
APPLICANT PLEASE COMPLETE BELOW
Size of water ser....ice 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) localed at feet from structure.
Savage. MN
55378
(City)
(Zip Code)
same
DATE
5-11-04
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 InduStrial, Com'! & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEweR AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.JQ
'~~B2,
?(kji,.- ~r
'L""" /::) . '. 7'
.,~,~~~ .
-,
(Office Use O"ly)
Building Official
Uff@ ~ Ul!fLE'.R=ceiPtNo, _ .
Oate IDteMAy 192004 I; '-4}
24 hour notice (or all inspections (952) 447-9: 50, fax (952) 447-4245
By
This Application Becomes Your Building Permit When Approved
r.
n\"
., '/:
NOV-30-04 01:36 PM JUDKINS
6514:234189
P.01
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CITY or PRIOR LAKE
REA TINCI AIR CONDITIONlNGIFIREPLACE PERMIT
~o:rss ~c ~ ria:!. Ilr btlm?:\U)
.1i35<A W i \d rIlt-S
i: =.. ~i~ I PERMIT NO. i 1.." :1 n ^
J. Val.... .-.,1'- I ." , fT - llj-'
_._....... ...._._........_ .._t..... .
Z :>NING llltlb *1 \ I
I:
I'
I
I'
l!.!GAl Ol!SCllIPnON (offi<< UII &t\l'f)
Lor BLOCK ADDtTtON
...-. ............ ........~ -. .....--.-...., ... ..... ........... '. ..'... '. ... ....,.......
Pro
&~ ~tl?cd:tk~.B{-oj Ir;te~ ~) yl7--~-4~~~
(Address) PQJ2,~_,.2Y()cfl~; .J.py~ \La.JlLy_!lU\.),.5.5J'bY_...___
! '&,~f"':llid t:u'l.c, ~d-i~~~v ;::;-.k'i_L.::U -',- ~"l!?1
I: (^~ress) 15J..&s (\ Ul:..~. ~Of.r.,!I\1L1..LJ(~i _lILlVl iO("~'
, CAIldI'e~) . (CItY) ( . Code)
(Contact hrlon) r)rt tA - ~ - S ____ (Phone) -0 ( -<3.~ -' L.J.O~ .
mLICANT SIONATUltE '.f". .- DATE ".~LL;ZQ.~..-" _.., .J
\
APPL ANT PLEASE COMPLETE BELOW \
~E:W CCJNSTRUCTION 0 REJlLACEMENT 0 ALTERATIONS ,
FU~ACE MAKB AND MODPL ..GJd3.I:::]DmD Ft.;EL i
FLUE SIZE We, 2\1 ._ lWTtJ.R."lOPS'NrNOS <? INPUT OtJ1'PUT 1
'I'YPB 01 SYSTEM HBAnNOORFOWE.:P. PLANT \
Pl-I:iNOTE:
. rJ\V1lI'ln All Plantl ~ Steen Air Coad '(jDCf lTntta
ClOMlty ,. . Hot Willr C'" I......
::! MochMi.;al . Radl*llon lOIlot c:roaCCl w'"
lAirCondjtI.o"i~ Cl Spcl:il1 Dcvl~s __ R&q\llrcd ~1c!C VItO
. :Jveu System 0 Oth~r lk"iccs Sttbeclr..t
flRElLACE MAKE AND ~:ODEL -=_.___
FEE SCRl..J)tlLE
, Indwolal, Commrreitll! Multi,PlllIlIy 1% ofJob CO'T .1.id~r"'I, Cia., Firepltt:C'
sa9.~ mlnil1llllTl
Jle61c:lentl.l. 1-11:11I[1&" AlC (New Cor,strl1crlol1) S99.~O ResidQltlaJ, AddltlQO:; ok AltcT41tlems
'/Wfdenttlil. !-fellb!lS Oni;' (New CM.I1\ICftOI1) $64.30 Rllsidential. AC Ollly
I ~,.~
\
$39.50
$39.50
Estin,,!~ Cost ~
BuUd.lni Permit 1#
I
HEATING PER..\ilT FEE S 1
STATE SURC!lAROE S .50 i
'rO'I'AL nRMIT FEE $ \
. :~: : (OrJlc. U.. Oul}) ,..,.... I
'J'MJAppllcatlon ))oeOllld Your BulWil~ rermltWhen Apptcvtd ~ \l~ \1 \'tl \~' \1 oelptNo. I
\~\ I't:' \\';; I,; I \ \\..ii It
. jJUJ18 JIY
hilll'IIOIIicill - 'D.. --""- \, f' UOlll.... I I
_"_'_.'._ \ ,. O€:C \
2A hour .lIllbee tar aUlupuQenl (952) "'~' In (9S2) ...7....Z45 \. ,
IlB v' -- :.:-_ :
_~ I
12/08/2004 16:41
9528947972
LAKE SIDE PLUMBING
PAGE 01
CITY OF PRIOR LAKE PLUMBING PERl\'lll
Date Rec'd
(Please tYPe or print and ri"." at bottom)
AODRESS
~..s_f I ~: , ~ ()f\ K"\
LOT
LEGAL DESCRIPTION (office use only)
ADDITlON
BLOCK
OWNER
~ame) ~ ~
(Address)
APPLICANT ->> " ... \
(Name) ~~ \)l.~;^Q
.- ~
(Address) \ ~q z..:n rAl'o EL,IQ
(Address)
(Contact Person) ~
APPLICANT SIGNATURE _-D,&.!d- ~_
Quantity
\
\
\
:3
,.
\
\
\
F
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower I
Dishwasher ,
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
I, 'RIlle l'iJ(
2. Ocld City
3. V.II"", Applicant
I PERMIT NO'~Z7f)
ZONlNG (office use)
':;!.... . '. '.
':, P.TD ,
,{
.~.
(Pho~e) "
,.
(phone)
~
(phone)
fol:J- gqt- 1 ~f)b
~~
(Zip Code)
50..""4'...-
DATE 11- 3.0.0../
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial &. Multi-famlly 1 % of job cost with a $39.50 minimum Rtlsiden1:ia1. New On~ &. Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ ";00"
6uiJding Permit # '.'''.''''
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Omce tiJC Ollly)
This Application 'Becomes VOll.. Building Permit When Approved
Dulldln!: Otlldnl
Dlft
$
$
$
Cf1.-\n .s_~
10'~ ..tClfll1G ~
Paid Receipt No.
D9EC 2 0 2004
By
24 hour notice for all In.!lp~ti()n' (952) 447-9850, fAlC (952) 447-424S
16200 Eagle Creek Ave., S.E., Prior LaH.,.MN SS371-11J4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~:~y I PERMIT NO.~. ^-,~
Applicant ~
(Please type or print and siJtD. at bottom)
ADDRESS
ZONING (office use)
6358 WILD OAKS TERRACE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA H(J.5TON
DATE
3/2/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
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
Industrial, Commercial & Multi-Family
REA TN GLO 6000TR-OAK
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.~ILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
ffid-" ....
Receipt No.
Buildine Official
Date
Date
~AR 1 4 2005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS J..Sse u.);I..C D~t(~ rD_~
NATURE OF WORK New CA~srgc.u:n.~
USE OF BUILDING S.~ A..
PERMIT NO. 04-. 0 cJ. '10 DATE ISSUED
CONTRACTOR ~ . t.t~~~. PHONE ..,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR ~
, FOOTING,t/{l~L~ 4 ~~,(I M"
I
, FOUNDATION (Prior to Backfill) ~ ~4r/ ~7-1 ~~7f::7
PLACE NO CONCRETI! UNTIL ABOVE HAS BEEN 'SIGNE'o
ROUGH - INS
~.
:f$
DATE
'1!r?#Y'
, , ,
~
? -
JWJ;f
_5// /' /os
I ..?/tf"/oS ".
1114- ~ ///?/Of/
J:~ .3 ////<'5-
FIREPLACE , j) {I ~ . -V/6/a5" / ,
GAS LINE AIR TEST itA/it t ;2 /";/~ ;I~{l /...Jj7jo(
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ , .
~UlrlII /(!,ItertllU'lJ~,~AIIt 14;/1/ ~(17y~.r
FINALS ,-
GRADING (Prior to Sodding}. ~'e e ~4 Ii'!.e . ,,,'
BUILDING~~(O ~~il ?~~s~~~r. . /PY /t7/~f
ELECTRICAL' / J ,;f"/~;I(~ .
PLUMBING ~ 5~/(J<:
HEATING .Ifttt- )/,njo5
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.
SEWER I WATER I SEPTIC
FRAMING /d-rfvw,ib ~ /~~~it'
INSULATION /
ELECTRICAL
PLUMBING 11).' /1# J//(J/d5-
HEATING (if required) L- L {
FOR ALL INSPECTIONS (952) 447-9850
(tl~rfifit,d~ of @ttupaut\t
CITY OF PRIOR LAKE
~tpatfttttnf of ~uil~ing JI nspttfion
,'Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 1nternational
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:
SINGLE FAMILY 04-0270
Use Classification Bldg. Permit No.
Occupancy Type .
R3
Type Construction_
L13, B1, WILD OAKS
VN
Zoning District
R1SD
Legal Description .
Owner of Building
C 'N &Addr BARTS HOMES, P.O.
ontractor same ess /.//4./
ROBERT D. HUTCHINS ~~
/"P6i%;~al
./ .
Site Address
6358 WILD OAKS TERRACE
BOX 240593, APPLE VALLEY, MN 55126
DON RYE
City Planner
Date:
Date:
/o~"
/ e.
rh sFf ~;/ ~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ /'
~)?., /
f
Jt~e"ve~: ~( /r'
DATE TIME
.
/t;::Yr
L/ - .;2/'0
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
/
Ute
- I
~#tS;r r-
/
.----------"---._._-~
/~/ ~""\
( /' /'aSf' ~/€- )
Y/WORKS~Y,PROCE~D ~
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ft>Y _---/ Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
J~/~
, r
~..?sr ~;/ &9~ k/r
CITY OF PRIOR LAKE
INSPECTION NOTICE
IJff/ /
USCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
6~~.;2 7CJ
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CO.JtUIIEN1&: , / / ~
C/ e'C~Cc;/ h.k~ / d,~ r sP$" k7' -
/ - I
~t,(J .#ow'd~ C~S7C ~S-4;'T_)
<. ~J ~4"~.s#1/:.n""".b.-.. a~
f2/ $:J h ~";''':/19 t.q,//>~ko4f
D. ~ ~ ~~,~c.>~J ~ ~21"~ ~~ V
-PH:I;'1 Arch ~ ~LI- /~d~~~ /'
. - / ,,->
/"d' a~/ ~~d"~ .000I ~v
PI7l..../ (B,,~ -f//~~~tt.lvq/'
rr..,. //", /" A ./1/
~ If' -ee) ::.:>od';:- #~es #~ r gfo,. ft~
, /
"
o WORK SATISFACTORY, PROCEED c;;;,. ~
~~ECT ACTION AND PROCEED
~RECT WORK'AC~LL?,R REIN~CTION BEFORE COVERING
Inspector: ~ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJIIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ad
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
~ ~ DATE TIME
SCHEDULED ~~~~
~/d ~k ;:::err-
CONTR.
PERMIT NO.
C/rL~-2? a
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMEN'}:S: / ,; / /' / /l
~) ty-et!!-d ~r<<~6 ~/2ec_~k
f-dy ft-drc~ r- ~~A
- ,
// r ~
;%~ I'" JZecet 'ued /.:7rY). CY ~,l!"'c'--')
~:r74~es ~/~?/:;/ ~~ --
r 5'ovnd ~J7"e '1- if'
/
.If /'
C/~ ~ /
/ /
d;/'L /~s-
?e~ufJ. ( ;: {;1,
/
/
~C
o WORK SATISFACTORY, PROCEED
?ORRECT 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!
INSliOTI