HomeMy WebLinkAboutBldg Permit 01-0658
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERll11CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
3"7/7
C /v/Vt-Ja1tr'
- /'
r"rt:i ~.)
LEGAL DESCRL.t' nON (office use only)
LOT I ;;J.. BLOCK ~ ADDITION
,
OWNER
(Name)
(Address)
BUlLDER/ _ j
(Name) tu- ~ ~f'/11 q/V,A/
(Contact Name) --.G e:::. "'""7"
,
(Address) /tf9.5' /h 2&..
Date Rec' d
b- q-{) J
PERMIT NO. ~J"5~
I. White File
2. Pink City
3. Yellow Applicant
Nt,.}
#~
G/YN w..1'~r ~ J' r At/' /
I'
~(J J?? e..P
IJr i U.""
TYPE OF WORK
.,--
~ Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PRomer COST IV ALUE (excluding land) S
ZONING (office use)
R :z.S 0
PID..2..>"":- ..75.2. -0.;1.7- 0
(Phone)
(Phone) L$S/ - Yo" - '7"Y(J 0
(Phone) ~/,,2..- :J ~ 9 - 7~/ 2-
rA tJp ^"
f/
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
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 up. 0 onn ~ e property to perform ';1eeded )'f'ections.
X /..Ja.-, .I~..~ /YS-r t6-y-O/
- / ~gnature Contractor's License No. Date
V
$
$
$
$
$
$
$
(j;fi~~epla;7erm:;ee $ LltJ ~ () 0
( This c on ~mes Your Building Permit When Approved
~ (4- '5"'~(
u g ~cial Date
This is to certify !at the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may r.--....d as requested. This document
when signed by the pty Planner constitutes a k..."u....; Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
n-. ~.".. --" I~ lBi ~ A~ c.,...d."Uev.'l.,
~ ning Director Date - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I ~ ~ucdLY'
~
V7
,
Plumbing Permit Fee
Mechanical Permit Fee
,
Sewer & Water Permit Fee
'r_~~O
! ~. ~
29.Qtf.-
Is-.od
'(20 - 00
I t)C) I () 6
~.C)6
OAddition
OAlteration
Park Support Fee
#
SAC
Water Meter Siz~; I";
Pressure Reducer
#
Sewer/Water Connection Fee
#
Water Tower Fee
#
I Builder's Deposit
lather
I TOTAL DUE
I Paid ~--:;d-,. lq
I Date '1=J:);' (2)
$ tJ6C>- (95-
$ /" 1~.6o
$ I /215"', 0lJ
$ Lfh-. t:Rr
$lf:J.t;)O.. ~
$ , ? tX). C50
$ 0-
$
$(,,02.2. /9
"
. -
Receipt No, '-to I {Y I
J!v~
" .
ill
Th. ('.n'., of Ih. Lab ('ounlry
White ... Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEfARTMENT CHI;CKLlST
IJ/j/){,j/;y1t1~ i,/~
10 - I-/-oJ
l
(,/1
".... .
lr'>:~)
1,),' ...,J" (/-
f
APPLICATION RECEIVED
~i
,.
The Building, ~ineering, and Planning Departments have reviewed the building permit
application for donstruction activity)~'.hich is propos~d at:
/ /1 <'-" .1
3 1!l2 (ff .IJ1/uzlh - 'c)~
'../ /
i-.
Accepted
v-
Accepted With Corrections.
~'
Denied _ / /
Reviewed BY:~A.-. tpt..._~c? U.<-"1
Co ments:
~,_ . ~ ~tls~1:0-~ ~bUM<;
_~'r~~,S'c .
Date: .L, (.,2'1./ SJ l
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 talid.J'
,..,
Th, (',...C" of Ch, \.ok< Country
White - Building
Canary . Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLlCATIO.N DEPARTMENT CHECKLIST
IJ)J/JUYm~ ~.
10 - '-1-0) ,
I
,..
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
rJI!F~~
~ tl//}
--
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
A!J1rs
Date:
~- /3-01
See Reverse Side for Additional Information!
1/1, ,
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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."
2:13PM GENZ RVAN PLUMBING AND HEATING Noo2351 po 2/3
C11 r OF PRIOR LAKE DateRec'ii
.li.EAJ.uiG/AlR CONDJTI0NINGl~.u..dPLACE PEnu.l
...'
1. pWr, l'\Ie
a. - a.,
3. '(eIIonr AppIam
(Pkuc type or pnnt aDd siRa ar 1 ." .,...)
ADDRESS
,':2.,ur, .('-,/~u..)E:J~/Y2-,q./L A 11-1. ')
LEGAL IJESCRu- uON (o1lia: usa 0J.dy)
LOT 1 Z-BLOcK L{- -:oomoN 61lf0WA'1e..A2- ~ uT1f-
OWNER
(Name) tJenJ'lmann lJgm....
PID
(phone)
,:;c; 1-90(,,':11.0:9
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPUCANT
(Name) Genz-E,y~n Plumbin2' & ~Hn~
(AdJ..;.),)) 14745 So Robert Trl
(Phone) _,:;" 1_6.7 ~_lllt/..
~Wann Air Plmts
Oan.vity
OMcdwricaJ
IiLAir CouditioniDg
DVent. System
I FIREl'LACE MAKE AND MODEL
. (AcldRss)
~'P'y n.l.s.c.Tt r (Phone)
\ ~ 1rwilD. DATE
APPLIC~ASE COMPLETE BELO~
(glNEW CONST.RUCllON 0 ImPLACEMENT 0 AL1E:RATIONS
FURNACE MAKE AND MODEL~Y'\f"'l ~ r~21"Q"b! l! - J [) [) FUEL J.X. ~,
FLUE SIZE RElURN OPENINGS , 0 INPUT ./cr;;lnnn OUl'POT q I { ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OS~
o Hot W~t
o R8di.tion
o Special Devices
o Othc:r DtNi~es
(City)
55068
(Zip Code)
Rosemount, MN
(Contact P~pn)
"'''1_/..''':1_11/../...
q ~~lof
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Enc:roach into
Required Side Yard
Setbacks
~.Il.& S~.DJlJ)UI..E
Indl,lslrtaJ, Com.merdal &. Multi-familY 1% otjob cost Residential, Qas Fireplace
$39.50 mblitnum
RCSldcntiaJ, Heating &: AlC (New Con~c:tlon) $99.'0 R,esidential. Additions &: A1tctat.ioDll
Rcsidc:atial, Heating Only (New Construction) $64.50 Residential. AC Only
$39.,'0
$39.5D
$39.50
Estimated Cost $ :Building Permit #
HEATING r.t.KMlT rr.r. S
STATE SURCHARGE $ .50
TOTALx.~FEE $
J:t7o:83d 8NIOltn8
HlllV\p;ff{j1
( BUILDING ~iH
ERMIT
(C-~~ Use .!;IDly)
; . ....IS Application Becomes Y our Bund~g Permit When Approved
Paid
Receipt No.
JJlUldi~ odIdaJ
n.~
o.e
q-IR-/
By~
U
~ bolU' DOt;ic:e fur aU Wpeclto.... (.952)..u7w98S0, &:l (951) 447-4%45
2: 14PM
GENZ RVAN PLUMBING AND HEATING
No.2351 P.3/3
Date Rec'd
CJ:~ ~ OF PRIOR LAKE PLUMBING PERlV.1.l.l
I.'" FiI.
2.GDId CltJ
" y",- ~-
PERMIT NO. /-(;;,)Y I
ZbrD~)
(Please i:n'c:: ~print and ~ al: botmDl)
ADDRESS
,~L\. \ I ,C......,I ~' A ~P.J2, rtLA'1 J_
LEGAl DESCRIPTION (OffiCE use oDly)
LCYT IZ-BLOCK 4 ADDITION (",I (~fA )(f[Z.P-
OWNER
(Name) Wensmann Homes
A )1.6 ")
~xnt-
PID ;)1;-35;< -O7l-()
~hon~ 651-905-3709
(Ad~es~ 1895 Plaza Dr
Eagan. MN 55122
APPUCANT
~~~ Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Rober't Trl
(Add.n:ss)
Rosemount. MN
(Qty)
55068
(Zip Code)
(Contact PerSon,)
Ma:rv Olson.
,A
r
(phone)
l ~~__.
651-423-1144.
DATE q 116ft) f
v -
E CO:MPLETE BELOW
Q1Wltity Type ofFature
Rough-ins
I. I Watr:rHeater
Je../ ( "Water Softner
I I Stand Pipe (Wasbing Machine)
I Sewage Ejector
I B~1d1ow Assembly
. I f Back:flow AsRIllbly Test
I j Lawn Sprinkler
I I Other .
APPLICANT SIGNATURE
7_
.APPL ANT P
Type of Fixture -
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundty Tray (1 or 2 compartment sink
.Shower Stall
Sinks
, Bar Sink
I Water Closet (Toilet)
Quantity
2-
I
I
l.J.
I
.3
FEE SLJ:U!J)ULE
Industrial, Commercial &: Multi.family 1 % of job cost with a $39.50 minimum RC3idcntlaJ, NGW One &. Two-Family $99,,50
R.csidCIDtia!, Additions &: Al.......:ODS 539.'0
Estimated Cost $
Buildmg Permit #
BUIL~jJ5>G l1'/'H
PEAMrr
PLUMBING PERMIT .r ~~ S
STATE SURCHARGE. $
TOTAL PERMIT FEE $
(omce Use Only)
This Application Becomes Y OIU'" Buildi:ug Pe..mit WheD Approved I Paid
Date
;50
~ -~---
I ~eipt NO.~
I~
BuDding Official
Dab::
q-/<j"- I
24 hoor Dotiee for an inspeclioDS (952) 441-.9&50, fax (952) 447~
Jul.17. 2001 10:48AM
GENZ RVAN PLUMBING AND HEATING
No.8062 p. 3/11
Date Rec~d
LIf.i OF PRIOR LAKE
SEWER AND WA~.LJ.(PE~.u.l
, ' .
., "
~: E'- ~u..at , PERMIT NO. l-Ic~ ,
ZONING (okUR)
!2:J-SD
CP1easc type or~ IUd lliIDI. atT.. . .......1
ADDRESS " . , . . , '
3L\ \ \ C91l..w\\.k)~ vL ~ _~ JLA._)
- - l)
LEGAL DESCR..u:- HON (o1!ice UIe 0Dl;y) ,
LOT fir BLOCK Lt ADDmoNf); II/V\ IA lIffit. ~~
, ~~/~
OWNER t, v
(Name) Wensmann Homes
PIO.aS"- 3S-~- o;n-()
. .
~hone) 651-905-3709
(Add%~) l895 Pla~a Dr Ste 200
(Adlbds)
Eagan. ~
(Ci'IJ)
55122
(Zip Cock)
. APPLICANT
(Name) Genz-Rvan Plum.b1~2 & Heat:inR
(Ad~~ l!]45 So ~Qrt Trl
, ' (A4dress)
(Contact Pe1'$.Oh) Ma:J;v o~
~ "LI~ SIGNATURE ~ 1
(Phone) 651-423-1144
Rose.m.nll:1'l.t... .~
.. _. _ n.. _ ...._
(city)
~On8
(Zip Coda)
n
~hon~ 651-423-J:4~ 1__
DATE L ..LlJL) I
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings :from struc:tu:re feet
Type of sewer pipe_ 0 AB,C 0 PVC 0 Cast Iron
Estimate4 length of sewer line feet.
.. :: Clean out (Jf ~uir~) loc*d at: feet fro~ structure.
.If.II:A SLJ:;I..IIJ)ULE
:Residential acwer and water line connectlon $35.50 Jndus1rial, Com'} &. Multi-family l~ of job cost with a $39.50 mlnlmU1D.
Sewer connection 01lly $17.50 Water connection only $17 .SO .
Estimated Cost $
Building Permit #
SEWER AND WAJ.~PERMIT .r~
STAn: SURCHARGE .
TOTAL J: .J1,...~ FEE
$
$
$
.50
,.
(OlIi" v,. 0.1111)
Thil AppJicatioa. Beca....es Yoy Budiag permit When App.. . ,I .~
PAID WITH
,BUILDING PERMIT
Paid
Receipt No.
f
~,
BlIiJdbIa OftldaJ
;0.-
D8t1: ~~(7-o)
By~
]4 hour nonce for all iDspectioDJ (95l) 447-9150, ru (951) 447....~
14:23 651 633 BBB4
FIRESIDE CORNER
ell { OF PRIOR LAKE
HEATING/AIRCONDlTIONING,~udPLACE PERN~A' ocr I 12001
#3215 P.005/006
......,,~ .........- -
(J:'lmu;e lVte or mlbt ami JiIQ1 at bl1l:lDlI1)
I ADDRESS
t =- Eil- PERMf.I:-NO~- t- t?5f?'.
3/(1, 0t~-r;,..
LEGAL DESCRJ.r J,J,ON (lIll\o!uaeonly)
LOT Ii7BUJCK t/ ADP~~~ r
OWNER U
(Name)
(Address)
. ZONING loftL:ell5e) .
R~D
pu;h5-?G' ::r6~7-o
(phone)
APPLICANT
(Name) ALLIEO FIRESIDE: DBA FIRESIDE CORNER
(phone) 651-633-~
(Address) 2700 N~ FAIRV~EW AYiNQJ;:
(Address)
(Contact Pe:rson) BJmNDA RUSTON A
APPLICANT SIGNATURE bJAd-
I
~~
~SEV'TT.r;. .MI\T
(City)
(Phone) _ 651-633-2561
DATE /1J4/-:/J1
c;;.1:,"":l
(Zip Co6e)
APPLICANT PLEASE COMPLETE BELOW
fifM'BW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
n.UE SIZE REnTRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR. POWER PLANT
[JWarm Air Plonts
OGrav!l'.Y
o Mechanical
. DAir Conditioning
OVent. System.
FIREPLACE MAKE AND MODEL ~ JJ ~
3 ~;tw.ter
J [Ud.11I.tlDn
J Special D8Yices
.:J Qth.er Devi~
PLEASE NOTE:
Air Conditioner Units
Cannot EncroBCb Into
Requ.ired Side Yard.
SetbKks
~~7TL
lndusTJi3.l, Commercial It.. Multi-F.mily
FEE SCHEDVLE
'':10 of job CDst Residential. OM Fireplace
539.50 mlnimuftJ.
$99.S0 ResidenlJal. Additions &. Altemions
$64.50 Residl:lltlal, AC Onl.)'
S39.5O
$39.50
S39.50
Residentillt. Healing & Ale (New Constnl~iOJt)
Residentl.al. Heatin.g Onl)' (New ConSlrUction)
E$tirnated C:1st $
Building Pemlit #
HEATlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(omte VII: Only)
TlIill Application Becomes Your Building Perndt When Approved
Paid
/'
4. e~. ~-<1~~
" ~~};/'ol
G r.. ..,
By c:.o. ~ . ~)~"
(j ___ 11",/'1-
a-Jld'lI, Omdal
D"I:
Date
1D-/;;)-0 I
14 lJour 11..11:. for ell in.peetto"" {952} 447-985D. fn (9SZ) "74245
/l~ +Wl NaJ\t\ 'fiLe
PRIOR LAKE DEPARTMENTO~
BUILDING AND INSPECTION of-aS?
INSPECTION. RECORD
SITE ADDRESS '3417 Gr. ,,^wo.:cr-
NATURE or= WORK . tJe.w (J
USE OF BUILDING -:SFA
PERMIT NO. ~ OI-()(P5B DATE ISSUED fR -l!; - 2.f-r1 /
CONTRACTOR ~Q,^,^ \iOlMes PHONE &;12..-:?~'-7.kJ.7-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
J FOUNDATION (Prior to Backfill) I -., I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING L-J~ I 0 ~\'fi;\1 " ~ "; /0 -/I~ Co r/ J
INSULATION '" ' 1h\~ Ul.'~' O(
~ELECTFlICAL
i-PLUMBING t\ ~/1 4>~'itI\ lO\q\O(
HEATING (if required) IA l:f b- - \ I /b i /- ~Ol
FIREPLAC'E L..l- ," 1,0 14 (if
GAS LINE AIR TEST ~I ~~ ~\ ~.DJ
COVER NO WORK UNTIL ABOVE HASB N SIGNED
I I
FINALS ( \
GRADING. (Prior to Sodding) ~ 114 ',~ N ~__~~ ~ \\O,\Ol--
BUILDING ~ II J~ l!)(
ELECTRICAL f L
PLUMBING "., \\~ It l~ ot
HEATING ~ a1 r\ ().() 0 \
DO NOT OCCUpy UNTIL ABOVE HAS BEENl SIGNED
NOTICE
This card must be posted near an electrical service cabinet p~ior 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 AI-L INSPECTIONS (952) 447-9850
~~.-:--- -~- -
~.. ..~'~~ it..... ...
,,:.:.J '. ,.'..,....~. 'X. "'.......~. .:,..:.'. ",~r:~"l
:t~~-~" . .... .... .., .. . ....'
-' _I t Itr rtifi of M
;~~ ~t <<au., wCmpattry
..:.f
~~-~ CITY OF PRIOR LAKE
--
:~. '" J)tpartmtnt of .uiUlil1ll J~ptdion
'*: 'I' Final Permitted 0 Conditional C.O. Expires
~.. This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Cot:k
-7;," certifying that at the time ojisSllQ1lCe this structure was in complia1lce with the various ordinances. ojthe
(~.; City oj Prior Lalce regulating building COPLStruCti01l or use. For the following:
( ...~
(~. SINGLE FAMILY Bid -: N 01-0658
T Use CJassificatiOll _ g. ..."'.11..( 0
:!...~.':.:~.:.. O"'t",'.JType LR123 , TypeConstnlction VN FireZone N/A ZoningDistric:t R2SD
(~ LegalDescripcion B4, GLYNWATER SOUTH FIRST ADDITION
(~.'. :_".,~..I Owner of Building SitcAddress 3417 GLYNWATER TRAIL NW
~ WENSMANN HOMES, 1895 PLAZA DR., SUITE 200, EAGAN 55122
j, -t C, ,.., .".'sName&Address,
(If'
(~~
~l
I "
tit:
?,.
Dare:
RO;B;RT'4P .'1lI R:INS City Planner
~ U :U). 0 I Date:
POST IN A CONSPICUOUS PLACE
DON RYE
DATE TIME
CITY OF PRIOR LAKE I J /, ., fA .
INSPECTION NOTICE SCHEDULED ~ t J ; fO
ADDRESS ()L{17 ~~,
u
OWNER CONTR.
PHONE NO.
PERMIT NO.
Ol-b~~
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
M SEWER HOOKUP
~PLUMBING FINAL
o MECH FI'fL
MQM~f!j-U' Q!(
....
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT, WO. RK, CtLL FOR REINSPECTION BEFORE COVERING
Inspector: K \~ Owner/Contr:
CALL 447.9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
ADDRESS
341,
SCHEDULED I~
bL.~~
I
CONTR.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
t<)....~
OWNER
PHONE NO.
PERMIT NO.
o\~sg
o FOOTING
o FOUNDATION
o FRAMING
^ ~ 0 INSULATION
tr ~INAL
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
COMMENTS:
,
~ GOI.Oa..
If.(f>: +,o~< I ~I'co.-~ 1
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~... ~ANJ Owner/Contr:
CALL 447-9850 FOR JHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl
).
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
!I:fi-02-
."
......
3'-1/ S- 6Iv~e, 1(', T".
,
. CONTR. ~~J1" tblYlt'f
PERMIT NO. 6/ - h<! 7
ADDRESS
OWNER
PHONE NO.
o FOOTING
[J FOUNDATION
o FRAMING
[J INSULATION
;a:FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)t{~ILLING
[J C01ii5i:AlNT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
COMMENTS:
3i( IS- -6'(d/~- 0 K
~ BbX- O~
--..........
~
"\ "-
3LJ/7 - 6r4d~)c' \
/It//~X - oK- )
./
-..
--
)(WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,eJ,~ r.- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENtS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOn
Tht' ('f'nlf'r or Ihf' l~.kt Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~~
(p - 4-0)
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
31///j gtr~~
r
Accepted Accepted With Corrections -
Denied O~-
Reviewed : h -
)'''
Comments:
Date:
c,..~~ ~I
~* ~~~~
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. II