Loading...
HomeMy WebLinkAboutBldg Permit 04-1119 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERuIlICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT /0. I~; ~. ~i~~ ~:~ PERMIT NO. 0"'-. III a 3. Yellow Applicant "'r-, (Please type or tlrint and si2ll at b~ ..w_l ADDRESS ZONING (office use) /44-78 ~\JElJ ~U~I LEGAL DESCRLt'nON (office use only) LOT .5 BLOCK ~ ADDITION KJJ08 Hll-L. 5"~ ~lTl0to..l OWNER (Name) (Address) ~I PID 25'. 3(,8. 03'.0 (phone) BUILDER (Name) J(e.y t AlUh U~5.. (Contact Name) MANbV (Address) Ji02.1 ~'SH :PO'~T=t:b. Se: ~~ Ole l.A.V-E Ht-.l TYPE OF WORK (;J11'ew Construction o Misc. DLower Level Finish PRomCf COST IV ALUE (excluding land) $ 2.<4lo I t::t:x) (Phone) ~ 2.. ~4+0- A4-~ (Phone). A~-..4AD- ~~"\ '55372. ODeck OPorch ORe-Roofing ORe-Siding Dutility 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 ... w......J 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 the property to perform needed inspections. X ~1j. Si~~;~ .--::> I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee #o1~' {JOO.D 0 $ $ $ $ $ $ $ $ I q '2-9. (;0 J Z 5'L/.IF }z,3,00 100.00 100.00 ~$" _ so This Application Becomes Your Building Permit When Approved ~~ Building Official IO/~lo 10 1 I Date $ V.s-O',tJO $ 13'!;~ .e 0 $ 2-So.eo $ ~S .00 $ 12...oa. DO $ 700.00 $ 1$00.00 $ 10. Z-6. 04- $ 'I. 477. //3 ?J.;.....;.: 'ho. nJ7.i Bv _ / / o Fireplace DAddition DAlteration -12. - t:)f.Z::L)4. 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 constiljlltes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~",,,Z~ /"A>~./oi ~-~c~ U hour notiCe for all in.... ...;':ons (952) 447-9850, tax (952) 447-42045 16200 Eagle Creek Avenue Prior Lake, MN 55372 ./ . J~;e:;~ Contractor's License No. I Park Support Fee I SAC . I WaterMeter ~e5/~1"; I Pressure Reducer I Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # # # I TOTALDUE ~ / I Paid f ~"17. I r I Date . / I. .:l 6 ,..- White - Building Ca~al"i - ~~9.in~ring C t'.Wc - "lannlng ::> The' Ct-nlrr of the take Country BUILDING PERMIT APPLICATION DEpARTMENT CHECKLIST ! APPLICATION RECEIVED ,l(utJ~1d ,Li:J:LH ! (I - .) /!-() (l ~) ~ ~ ~ U ill ~ t OCT 14 2004 J The Building, Engineering, and Planning Depar ~nts have reviewed the building permit application for construction activity WhiCh~~JroP. a at: ' I q t/ 7lff K U/lIcA t rl. r- , . NAME OF APPLICANT <'I'- Accepted Denied ~ Accepted With Corrections Reviewed By: Comments: ~' , ~ Date: Ic;4~.y if 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." , ~ ........" .Job/" . /~~79 lllUl.e'/l c-I- *f . I. C:, ., ilEa nO AIR .T.....,....... ;V~ .0. UN ......... IrwpecIN .PerCMl c:~. .r . ~ FinIII r , .:, n 2!!! !lm! I'clurI$ "'-- PERFORMANCE TEST 1/, V ."-" co ,p VI 5 ..... T..... ~ 7 -".:.:.. .~ .. :~ 0.. ..1 <Jfhite . Buil~ Canary . I:ngjneering Pink . Planning Tht' Ct'nfrr of 'hr t.kr ('ounlry The Building, Engineering, and Planning Del-'~n'l ".,(1'('':': : ._~ re'dew.ed the building permit application for constru;;;c;~ whiC:P= ~r- Accepted Accepted With Corrections /' Denied f'" ... Reviewed By: ~-~ Date: /o!-e-G:.. (;;1/ ~ I Comments: ~ <2:::LI' ~~. c:::J - d)~ (I + ~ ~ ~~ ~~~/M-~ ~ d ~--. / ~ /lUt~~ -J "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." White - Buildlna ~arv - En9lneeriilD'::) Pink - -PlannIng The Cenl.. of Ihe I,ak. ('ounlry BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ / ...." } , /'- I I" -1 (,.,.../ ,. \ j:.:..{'I_.'U-11 Ct--- I . /~ t" ~.il /1_ ") ,I I-//{ /' I..~ _"" --1'4, .iF ,,-. , , _....;T ..j.' / /1' ,/\," . ' ;;""'-~' ~"{'i.l ;",.I.--'j .. "..c.' l,n.,Jc.-'-J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which .i~.~roposed at: /".. G i./,.'" /!) ,4-.-... If L/ 1 ~ (\ (t,./fie/i'A ~.} Accepted X Accepted With Corrections Denied Reviewed By: /YJ1{3 Date: -1fJ -iJr?-or , Comments: See Reverse Side for Additional Informationl ~ep. Attachments: 1) Grading Plan. 2) Erosion Control Measures 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 ot 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 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: ~ Building Permit # Address: I '1'. ~ 7 g Legal: L~ . B 3 .. ~ Date: :!()IZ~/o ~ 1'10: Zoning: ~ It.llt;~ C!.IJ u It!:..:r Subdivision: K~ fl-dP Stb.- Existing Structure? YES@ Existing Nonconforming Structure? YE~ CONFORMS TO ZONING ORDINANCE YES Yard Setbacks: NA I FAllSI COMPI:.IES . Front Yard (can be 20' if avg. w/in 150') . Side Yards Standard 25' 10'1 . 25' if abutting a street . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door. provide for minimumf'O' deck or sign statement indicating no deck will be bunt in the future' . From 100 year ftood elevatlo-".of~~~rtd1NURP pond . . From OHW (Prior or Spring Lake). 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 3D' 75' or setback average of adjacent structures, but no less than 50' J Floor Area Ratio: NA / FAllS(COMPLlE~ .30 Maximum Yard Encroachments: NA f FAll~IIY!PLJ~. .__1 Eaves~Guttersnc .......~ than 2'feetiri widtbanctmf cfoser tIlan: 5 feetto. a Jotlfne (Easemenfsl ,., "," . NC.~.otber:equipmentcannot encroacll.on;in~riQt sfdevards.,~'r'\' . Standard 'ftee.Preservatforr~t=Alt.S I COMPt.IES'~...". . IO:taf:catiperinches I. Permit25.% Removal . Ca!iperlnches8emavecL . CalfperJnchesE'teserved I. Replacement Standard: ~1 L:\TEMPLA TE\BLDGLIST.DOC NO I >-,....~,.,-~'""'~.........,._..~ Proposed . ZS' , IS J. :W'-,:. ~~~""-~. ......,... .."~'..' .:" .....,-.'''kf~ ..C{ .... ." ",?'j/""' ':.r:' ..' G.o..~ .....ob ..,.....\_,... ,. . ,. , !ff""'~. .f,;t 7; . No ,..JA I. /4 2."'('.'~lL!..... ..f Pr:oPos~~..1 I ~ NDU-16-2004 10:59 From:D&D MECHANICAL 9528904650 To: 9524474245 P.1/1 Dnte Rcc'd CITY OF PRIOR LAKE PLUMBING PERMIT t~.I~i1..~~.m"C or IInnl and $ill/\ Il~ bouom) ADDRESS L__fi.l~':LJ.' df ~ LJ II. t · I 1I1~ ril. PJ!,l'\JdJTNO.~ 2. Cold 0., ) VlflOw Appli_ ZONING ("mer UJt) LEOA r..: DESClUP"fION (office use only) . LOT $" BLOCK .3 ADDITIO't!-1( N4--1.J....l,L Sit. OWNER "~I A..) )J._ (Name) r f~'i) ~S (Address) J7()~1 F,sH /Jr. L/). st. . .. - - , PID (Phone) J/~tJ - etJ<.Io 0 ~!"tJ:tt LpJ:f./f.. : rnlJ. $S 3 7 ~ APPLICANT (Name) DaD Mecluan'eal J025 W Bwy 101 Rldtll R (AddrCsiImiP, MN 55378 95~8288 ! (Contact Person) ~jJAJA i . I APPLJCANT srONATURE (phone) (Address) (CiLy) (Zip Code) Quantity ~~""-f:'~_ t:~ . V APPI"ICANT PLEASE COMPLETE BELOW Tvpe of Fixture Quantity Bath Tub with or without shower ~. Dishwasher ' Ploor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartmenT, sink Shower StilI i ' I Sinks Bar Sink Water Close!, (Toilet) (phone) DATE 1I111.ItJtI r I I I ! Tr~c of Fixturo Rough-ins Water Henter - Water Soflner . Sii'nd Pipe (Washing Machine) I Scwa~,e Eiector I Backfjow~Asseinbly I Backt10w Assembly Test I Lawn Sprinkler .. 9thcr FEE SCHEDULE 11'Iduslrinl. Commcrci;ll & Multi-ramily I % or.i~b COSl wilh:J S3Sl.S0 minimum Rcsidcnli:lI. New One &. Two.ramily $99.50 Residential, Addition5 &. Allcl':llions SJ950 E.stimnted Cost $ Building Permit # _~ .. I U 9 (Office Ute Onl}') This ApplicDtiun Ucc:omcs Your Buj)din~ Perlnlt When Approved P4UMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ 9 l:J. Sf) .50 /lJ().OO pJ. 1J'f 8u., J...De:/C. Pl\id Receipt No. Date By . Dulldin!: amelll Olll! 24 hour notica for lllllnlpcetlnns (952) 447.9850, rlllt (952) 447-4245 METRO AIR 952-447-8126 p, 1 R 'd ..,...,.",; oc 1. 'Ink 1 0..... ). v.lI.... ~!~ I PEltMIT NO. ^~IIl..nl O~ - \ \ \ v... crl~:fJlllVtl.t: OJ orult IIld s1lm at botUllU) AJJQRnSS \ ~ ~\ ~ ~ ~ \l OJ\ ~ -\-. N €. ZONINa (IlmeeU!e) L~Qi\L DESCRIPTION (omet: U5e ollly) \ lOJ S DLOCK J> ADDITIO~ 1'\ 6\ ~ J \ OWNER \J \ ~ (Nitn}c) --J......y'J (.,\~, t\ "~ (A~d(CIS) \ -, D ~ \ \.,~ ~ ~.\;" , s;'b. PlD e 'f )~O- \L\\~ (l'hollC) ~ S ~~ ~\\~.... ~~ C~ 55 ~rl). API' 1;-1 CANT (0 \ (tiaI11c~ '\<\Q...:"-f\:l ~\,,.... ~- n ~ (A~dl':ss) \~(\~\:) 'i~\L<.),",",_ A\!'-.. (MclfC~ (C~1l1nct Pel'SOO) N c..\ V\ L. \/ - l,..." ~ \., \ \. ^tlPUCANTSIONA'rURE ~~ 1 ~\).h. (Phone) <; S ~,,~ ~ -1 - '~~ \ :)., \.{ (l (, ()- \.'-1\~ ~,~ .S ~ ~ -,~. (CilY) (Zip Codc) (1' bone) 9~' ':A. \:\ 'it ....,. 'lS \ '.) .'1 . DATB APPLICANT PLEASE COMPLETE BELOW . SEW CONSTRUC110N 0 REPLACEMEli'\' 0 ALTERATIONS FUI'lt'iACEi MAKE AND MOIJBL Cc.V"o/""" r..,I'" h cA ..., \ ~~-.I V IlUEJ.. N~-+ JlLV~ slzn P'" c.. RETURN O)IENINGS ~ INPUT\ ~~, \\,,~ OUTPUT 13. ~ 'ME OF SYSTEM HEA1'ING OR POWER PLANT " ~WlI.nn Air I'llnu 0 Sleam JOravlly 0 Hot Willer ~ Mcchanilllll 0 Rlldilllioll Air Condiliullil1g 0 Speeil\ Devices Ven!. Sy#lcm 0 Olher Devices I'LEASI! NOTE: Air Conditioncr Units Cannot Bncruach into Required Side Ylll'd Selhackll FI~IWLACll MAKB AND MOJJBL FEESCIiEDtJLE 1% or Job cost R~ldel1lilll. O.s Fireplace $39.50 minimum Itesld~f\lial. Healing &. Ale (New Construction) $99.50 Reside/Ilia!, HClllillB Only (Ncw COIISII'llcllon) $64,50 Estlmllted Cost $ \ \'1 S" ~ t\ OS/ Inll\ISllial. (;uU1lllerel.1 &. Multi-P'al1lily $.19.S0 Resldcntinl. Allditiol1s &. Altcratiolls Residcntial, AC Ollly .$J9.S0 $J!I,SO au Ilt.ling Pel,,,lt 11 HEAnNG I)ERMIT FEE $ STATE SURCHARGE $ TOTAL I)EUMI'I' Ii'EE S .50 (OI!iCt Un 0111}) . Thi~ ^Il(llh:atlolll)ecollles YOUI' BulJ\I;pg Penult Wilen Approved Paid Receipt No. Dale By Dullllllllomd.1 Oftte 24 hour notice fOl' :tll hllpecllDn3 (952) 447.9850, fnx (951) 4"?<lI"S 11/11/04 THU 13:01 FAX 952 890 2753 STOCKER EXCAVATING ......... ~q.Q.L..n Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I. Or..... File I PERMIT NO 2. Vcllo... COlt . 04 11 ). Oold AppiR/Il - 19 (Please me or Dtint: and silJ!!.!.C..!?otrOm) - ADDRESS 14478 Raven Ct ZONING (llftioeuse) LEGAL DESCRIPTION (office USe only) LOT 5 BLOCK 3 ADDITION Knob Rill 5th PID OWNER (Name) Kl!yland B01lles (phone) 952/440-9400 (Adclress) 17021 Fish Point Rd.. Prior Lake, MN 55372 (Adcltess) (City) (Zi? Code) APPLICANT ~ame) STOCKER EXCAVATING COMPANY, INC. (phone) 952/890-4241 12336 Boone Avenue Savage, MN 55378 (Address) (City) (Contact Person) Curt ./ ,,___ (14 t! (phone) same APPLlCANTSIGNATURE t:.v<;:(~~ ~~ DATE II-Il-Q' 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. (Address) (Zip Code) FEE SCHEDULE Residential sewer and water linc connection $35.50 Industrial. Com') &. Multi.family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water cOMection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~A..~i 0'\'\, ~.l. ...-.... ~: . J1'W:J.~" ., }....; · 'U ""cMl'!:: 1;." .;i;.'" ~.".' . .j(}u:rttwv, ':h.'::w i, .. (Office Uge Only) This Application Becom~ Your Building Permit When Approved . Bulldillg omc:ial Date ~)ijici@ ~ ~ m ~ ~I Receipt No. j,' DfJ{)V 1 5 2004 By 14 hour notice for all inspections (952) 447!lB.50, fax (952) 447-4245 ,By ~_., "...."".. .......'._......r......,.. ,. . ,..,,,..,"- ;> PRIOR LAKE INSPECTION RECORD SITE ADDRESS /tl/J./78 ~I-J ~r NATURE OF WORK AI.EW CC~sr~c:rr." USE OF BUILDING $.f:: D · ~ PERMIT NO. . ~. /.LJ'II DATE ISSUED ~ ,.( CONTRACTOR 9VLMr/ ~",p PHONE.!n..4lC/"....... .NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~. FOUNDATION (Prior to Backfill) I'~ /~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .~ ,.~ (;1;(./ tP' /y Y ,? ,p~ /''''y l/VY/ / I-I y()( SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING'W ~~'I'au...( tlEATING (if required) RREPLACE _ GAS LINE AIR TEST ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED LATN,J H6MSeIAJ/t.AI' 1P/70y I , FINALS GRADING (Prior to Sodding) /fI2? P: lC)..w (IJ- BUILDING ('J~ tiW'\-t1 1/1- (JcJ ELECTRICAL PLUMBING HEATING DO NOT OCCUpy t FOOTING DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR D~TE . /~zVoj/ J-Iyff., /P1j lo/! I~ . I vvv/ ~ I YW~ UNTIL ABOVE HAS 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. 1)-- J-)r()'J 7, - I {, -tJ:f BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 1 ..,:. :;.j'i ;./.:.;. '".,'.J.J..i,.;. ~:..,,>:~ .,t,I',~~~'~'" ,'.~ Jc.;ii;:.';.i~, ,,:';';1'2~t.i;.;,,1'~tA.:"';;:~''\:i.I;jL:'.i,~O:'~~1'',,:,,;''~~';,i.:;1'';:H'~;iit;,.;.".i';"~-'~K ,,',.ni::~i,;;>J1..;t,,'~'.cf:..i:ai.~ ,,:;.H.'.:z:,'~ '-'~ '';; ':~:iii~;;':;'.......'..:..1;.:~~.i~'i..';...1.;"l.;.>l'\;>'"'''I;,'.~:,iWI-;''':; ,-.', ~"~,.,,...~:. _..:.i~:::~"'"; ,:_,~. ,'d.\,..i.."~",~,~, I '\ ' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE )J.'E 2-1J.-05 ADDRESS /!/1{15f ~ ~- OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: (j) rt ANVIJ-. CONTR. PERMIT NO. 4r-111? o PLUMBING RI o MECH RI o WATER HOOKUP .0 JU!WER HOOKUP ..i!f'"PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~AAt?5 o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~')FtJ~ FOR REINSPECTION BEFORE COVERING Inspector: 1!f Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOrl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED B- /.7< ADDRESS 1'-1&./ 7g K~VIII'- c, PHONE NO. PERMIT NO. Kevllt"j ~\ I ---.b 4-1'" OWNER CONTR. o FOOTING o FOUNDATION o FRAMING o INSULATION ;X, FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ EXI~ILLlNG cr COM"i'fJa"NT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ G~-/)~ I ~ Bcrl- J!>Y- Af WORK SATISFACTORY. PROCEED "ct- 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 A.RE FOR YOUR PERSONAL HEALTH & SAFETYI _1 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED J-/!'.(}..s- -I' ADDRESS /l/L[?~ ~ / A- ~ OWNER CONTR. PHONE NO. PERMIT NO. 4-/(/1 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 ~CH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: &d1 fr:, 114 ~4 { ~ti 5 kS A-{? ,.......+- It..,! {~LJ J,./fk &N'I\.J ... ~ fJ~lJtt!1k ,::,,.11(4/ C,...L, a/JIJ"1Jv~ J J ),..1 d. ~e'S i:J.N. d~~VI'tb1J- /(up fJ4 J.. nJ Jqpy blodu.l. Co-' #1 J- r I d~(J/ ~i rr r~ (!~ 7-/-(}.) o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED roRRECT.~"LL FOR REINSPECTION BEFORE COVERING Inspector. r V r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/ lNBNOTl DATE TillE CITY OF PRIOR LAKE F~ INSPECTION NOTICE SCHEDULED ADDRESS J.Yl/7A ~)..f "-- OWNER CONTR. PHONE NO. PERMIT NO. ~-tiL( o FOOTING o PLUMBING RI o EXIGRADIFllLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL <-FINAL o PLUMBING FINAL '~~~~IRTST . J SITE INSPECTION o MECH FINAL COMMENTS: ot -{, "\0 ~ R Q0L ~WORK SATISFACTORY, PROCEED o CORRECT ACTIO AND PROCEED o CORR T ALL FOR REINSPECTION BEFORE COVERING / Inspect r: 1 Owner/Contr: CA 4.47- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4LTH cl SAFETY!