HomeMy WebLinkAboutBldg Permit 01-1419
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sil!;ll at bottom)
ADDRESS
Jr/)3
GIyNbJq7~~
Tr t/ J' J
1. White File
2. Pink City
3. Yellow Applicant
Nw
LEGAL DESeRit'nON (office use only)
LOT 7 BLOCK "Y ADDITION C /VN t..)I,/ 7 r,-.
,
OWNER
(Name)
(Address)
BUILDER
(Name) LJ ~ N.f' h1 9 /V # ,LJ () h1 t' J'
(Contact Name) -.G t:i ry
,
(Address) J F7 5' filA 2 A/)1" ,'V -(
TYPE OF WORK
o Misc.
--
~ew Construction
OLower Level Finish
.5"7
J ctd/
(Phone)
Date Rec' d
12--7-0/
tv\o.\ '" h: , -e
PERMIT NO. D /-l#J!1
ZONING (office use)
Ie 2-
PID~5~.7f~ -0;1;1.-0
(Phone) W /- .y/)" - -YY'IJ IJ
(Phone) ~ 1...1 - J {, ~ - 7 &/2-
t' a , d' /V l/J /V ..551.2 ;2.
v
.s tu 'r 7'
.;l. fJ 6
ODeck
o Porch
ORe-Roofing
ORe-Siding
OUtiIity 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
~te4;::topeT::Z:::- J y ~ r /-2- ?- 0 1
\ / /7 Signature Contractor's License No, Date
V (/
I Permit Valuation v-
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
PROJECT COST /V ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
I 'oJ , ()(X). 00
$ I. ~~S · 3~
$ 'RClI. Cf.8
$ 80. S-O
$
$
$
$
$
100 ,t)t:J
100 . C) 0
$l~
40 .00
mes Your Building Permit When Approved
1'2... (~~I
Date
I Park Support Fee
SAC
/?'..
Water Meter Siz~; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ~!' :~)>
I Date ,l:J~~ I
$
$
$
$
$
$
$
$
$ fJ,,' z. t::l3.3
. Recri I 0, '1d'7
By . '
v
#
#
#
#
8SCoo I
I J J 56 .0 0
I 6l'), 46"
Ll~ >cOO
I, ';).00 . 0 0
'100 r () ~
t.~.oo I
I
I
. 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
issued. ~
~ r ...... .l.Srf-ev\:
Date . ~~~t'!lf0-W
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
The (".nler nf lh. Lak. ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W~N5M ANN
12-7-0.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3tr03 C1L\f NWAlr::Je- -ncL-.
Accepted
Accepted With Corrections X
Denied __
Reviewed ~~~ Date; 1'2.. -I 'L -0 I
Comments:
~~fl Q+hu~ ~
---..
"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 ., Building
Canary - Engineering
Pink - Planning
fht ("tnl., of Iht I.lkt Counlry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
APPLICATION RECEIVED
WENS MAN t'J
12-7-0 I
The Building, Engineering, and Planning Departments have !reviewed the building permit
application for construction activity which is proposed at: .
3~03 ~L\fNWf\-n:Je.. 1t<L-.i
rx
Accepted
Accepted With Corrections
Denied
Reviewed By:
pjB
Date: : / .:2 -I 7- ("yt
.
Comments: See Reverse Side for Additional Information!
/ilc, I \~ Fr lr .
~ee Attacnments: 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 oth~r
ordinances of the jurisdiction shall not be valid."
l/r
lh. ('.nl.. of Ih. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE.N~IVIANrJ
12-7-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34'03 0L\f f\J v\JA-rFl2: lKLr-.
Accepted
Accepted With Corrections
~
Denied --J.
~.~
Reviewed By:
.......-
--~
Date:
/2//7/e I
Comments:
~X-\~v1M~ Jl-! M &V(~ W-kl'i ~ h1-
~'1 ~ +'i Vwv to,. tDJ/A) ,,\h ~pe
fA V b ~
.rC\d ~S-1o ~ ('~N~
"f]t~ 6L3.~. ,j- DCtlt.{1,- (~"tU_~
/-\AJ/~ .
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."
Dec.28. 2001 8:10AM
GENZ RVAN PLUMBING AND HEATING
No.9310 p. 2/3
Date Rec'd
CITY OF PRIOR LAKE
S~WER AND WATER PERMIT
(Please type at print and si~ a.t boaom)
ADDRESS .
t34Cb 81rWM"!ie.- -T(2..JtIL-
i ~ ~ I PERMIT NO. 0 I 14tq
~,Gold 4ppll_. . -
.
ZONING (Dft'ia! U$e)
LEGAL DESCRJr nON (otlicc we only)
LOT "1BLOCK L-/ ADDITION
t1!LfrJIM~ I~-
(J
PID
OWNER
~~e) Wensmann Homes
(phon~)
651-905-3709
(Address) 1895 Plaza Dr See 200
(Address)
Eagan. MN
(City)
55122
(Zip Cede)
APPUCANT
(Nwm~ Genz~RvanPlumbi~g & Heating
(phone) 651-423-1144
(Ad~~~ 14745 So Rober~ Trl
(A~~)
Rosemount _ '''N
(City)
A _ _ (phone)
J'1_~ KA-
APPLICUSE COMPLETE BELOW
Size of water service inches.
Location of any couplings from stru.cture feet.
Type of sewer pipe. 0 AB,C 0 PVC D Cast Iron
Estimated length of sewer line feet.
~ Clean out (if requi~d) l.ocated at feet from structure_
55068
(Zip Code)
(Contact Person) Marv Olson , J
UCANT SIGNATURE fA
DATE
651-423-1144
r:2-/7ft /01
Residential sewer and water line connection
Sewer connection only
.l"EJ!: St...:J:1.I!J)ULE
$35..50 Industrial, Com'} & Multi~family 1% of job cost W1th a $39.50 minJmum
$1750 Watl::r connection only $17.50
Estimated Cost $
Building Permit #
r. PA\O wrn~\,; "
. SUl~~O\NG PE,',,' .
\
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMl':r FEE $
.50
(Office lJlll Only)
This Application Becomes Your B~ilding Permit Whea ApPl"oved
Paid
I :RI;ec;ipt No.
IBY
Date .
BlIildillg Offtci:d
Dllte
24 ho~l" notier: (or all inspectioQ$ (~) 447-9850, fax (9~) 447-4245
07:53 651 633 8884 FIRESIDE CORNER
ell i OF PRIOR LAJ:U!j #2131 P. 001.L2.9..L__.
REA TINGI AIR CONDIIIONINGfFlREPLACE PERMIT
I. "Ilk FII4 PERMIT NO
1. a- CIJ:p '''/J 1_ .J J j J/1
~. v"".... Appllaa.t /"L.I . ..., I 7
(PlcaBe type or.1;Irim and siCll at bQtIIIm)
ADDRESS ZONING (otlU:e U-1C)
3Cf03 ~JJ1 tJdlA -rA.,.j
LEGAl.. DESCRu- L J.ON (ofJ'lCI! lite only)
LOT BLOCt{
ADDmON
PID;;:?,Z)-'1S"~"" 02.4-C
OWNER
(Name)
, (Address)
i<J&.A~.~' Rr
_ (Pb.one)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESII:IE CO~E:R
(Address) 2700 N. FAI'RV1:EW AVEN11E
(Addnls.)
BRENDA HU S'l'ON
(Conr.ac:t Person) 8a
~
APPLICANT SIGNATURE __ ~-
I
. (Phon~ 651-633-2561
mSElVTT.J..E MJI,
(CIty)
. (phone) 651-633-2561
DATE
-~
1:'-=\11":1
(Zip Code)
IL,-
APPLICANT PLEASE COMPJJETE BELOW
~vrCONSTRUC119N [J REPLACEMENT 0 AL lJ:.M. TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE . RETURN OPENINGS INPUT . OUTPUT
TYPE OF SYSTEM HEATING OR POWER PI..AN'I'
OWarm Air Plants 0 Sleam
I::::lGrAvity 0 Hot WIIJIS'l'
o Mcchllnl~ . J bdiatiDn
DAir Conditioning J Special Ollvjcc:s
r:;JVcrJf.. System 0 Other DI!:'/icc:s
FtREPLACE MAKE AND MODET... ;.l So.! f.J he,. hOO> '1k-- IJMr--
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
SetbllcM
[~ustrial. Commercial & Multi.Family
FEE SCHEDULE
I."" of job C:OSt Rcstdlll:ltial, GIS Fireplace
$39.~O minimum
$99.'0 1U:sic:lcnnal, Add.ltions " Altentticns
$64..50 R=sidential, AC Only
$39.50
Residential. Hltllting & Ale (New Constn.u:tiDn)
Residel'lIia/, Heating Only (NcwColl:struction)
539.'0
$39.50
E~dmated Cost S
Building Pcnnir. #
HEATING PERMIT r J:,J:,
STA IE SURCHARGE
TOTAL PERMIT FEE
$
$-
s
.50
r--
~_UI!!ti~G ~TJ i
a...;., ;;\,q II
(Office UIC 011')')
Thi, Appllcatia/J 8ecomes Your BuUdln. Permit When Approved
Paid
Receipt ND.
JJIIlId10g omclnl
DIi te
Date
3-~-~
By
~~
~4 lIour natlee for a11lnJpoctJoDI (95Z) 0447-91$0, fu (95%) 447":Z4!
3:40PM
No.5785 p. 2/3
Date Rec' 4
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE PLU1Vf8ING PERMIT
I. 1iI1wo fil.
20 Gold C"lt)'
J. r ollQw 1IPPll'*ll
I PERMIT NO.CY/_!?//tJ
(Please type or prjnt and SUtll. at bottQm)
ADDRESS
340 ~ _ 61 \ (In l ). \ P(lt?.xL r(2A--/ L- _
LEGAL DESCRIPTION (office use only)
I "
ZONING (oaiceUSll)
ADDITION 61 ~ I I", A'iP_v2....
PIDd5=- .=?Ci";)' - t>>).-(j
LOT 1 BLbCx 4
,~,-
OWNER
(Name:) Wensmann Homes
(Phone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person) ~ Marv Olson 1\ _, . (phone) 651-423-1144
I APPLICANTSIGNATI.JRE -1A r~ ()~ DATE 3fJdl.o2.-
APP~ PLEASE COMPLETE BELOW
Type of Fixtur-e Quantity
Bath Tub with or without shower
I Dishwasher
I Floor DrBin
1 Lavatory (Bathroom Sink.)
I Laundry Tray (1 or 2 comp_;.....uent sink
I .Shower Stall
, Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
I
I
I
L.\
,
1,.-
J
,.3
(phone) 651-423-1144
Rosemoun:c. MN
(City)
55068
(Zip Code)
Type of Fixture
I
I
I
I
I
I
I
/
Rough-ins
I Water Heater
I Wattr Softo.er
I 5tJmd Pipe (Washing Machine)
I Sewage Ejector
I Bacldlow Assembly
I Backilow Assembly Test
I Lawn Sprinkler
I Other
I
lfll
/
.,rEj!; SCHEDULE
Industnal, Commercial & Multi-famdy I % of Job cost with a $39 50 'minimum
(Office Use Only)
I This Application Becomes Y OQr Building Permit WheD Appl'O'Ved
t Building Oftlcial V.k
Residential, NQW One &. two-FlIII1ily $99.50
R=idcntial, Additions &. A~tiODS $39..50
Esbmated Cost $
:Building Permit #
,--
SUn P~!D 1'""-
t.. --D.
PLUMBING PERMIT l'bb $
STATE Sl,JRCHARGE $
TOTAL PERMIT JfjU!; $
.50
Paid
Receipt No..
Date
=? -r.. - d-
By
Co
\f
24 b~,u' notice for all inspKtions' (95.2) 447-9850, fax (952) 4474245
3:40PM GENZ RVAN PLUMBING AND HEATING No.5785 p. 3/3
C.l.l i OF PRIOR LAKE Date Rec'd
HEAJ.Jl iG/AIR COND.l.l.lONINGI j4'.u<EPLACE PERMIT
I PiIlk
~. Gn.
3. Yellow
Si- ~ PERMIT NO'6V~ 1'Ilr
fPIQSC type or tJrint and ~ at boEl:Pxn)
ADDRESS
c~4{)~. ('~~ /1Ul1 L--
LEGAL DES~ON (Qdice ~ oaly)
Ldrl BLGCK 1-j ADDmON G f ?f'11,A)~j2__- /51
OWNER
(Name) Ji..... "'"nJfI"'''' "R" mr'"..
. ZONING (al'lia:uae)
pn:@5 -o5J.-O~-C
. I
(phon~ ~51-~n~-~~
(Ad~~) 1895 Pla~a Dr Ste 200
Eagan, MN 55122
APPUCANT
(Name) GeU*,=RvR.n Plumbini- it "H,....t+';&i'
(Address) 14745 So Robert Trl
(Address)
~n~ ~~1-4?~-1144
Rosemount:, MN
(f:i1y)
55068
(Zip Cock)
(Contact Person) _......J~la.nl' OJ..sDn - (phone) t:;~ 1_-" ?":I_11 AJ.
APPLIeANTSIGNATURE \^ ~ J-. ,DATE .:3lul()7-
AP~ PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALlERATIONS
FURNACE MAKE AND MODEL ..LLtf\.Jf'\C\l (2,2\oQo/L-f.- 100 FUEL N~ ~
FLUE SIZE RETURN vr.eJ.'UNGS 10 . INPUT ICD:..DPD OUI'PUT _ q (,lJl11)
TYPE OF SYSTEM HEATING OR POWER PLANT
~Wum All rlants 0 3._...
DGravity 0 HotW.tcr
o Mecharnca1 0 Radilltion
Cil:'tUr Conditioning 0 Special Devices
DVent System 0 Other Di:wj~
PLEASE Nu 1 1,\.:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. M\lltl.-FanuJy
FEES\..J::U!,DULE
1% of Job cost Residential, <:?as Fireplace
$39.50 minimum
$99.50 Residcntllll, A4QltJons &: Altetattons
$64.50 Residential, AC Only
$39.50
Residential, Heating &. Ale (Nr;w ConstIUction)
Residential, Seating Only (Nc:;w Construl;tion)
$39..50
$39.50
&tunllted Cost $ Building Pemrit 1#
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT .l!.I!.J!, - S
r-
IB/ fl' PA!0 t. "-, .
l ......... -0:" -
((.'''''' .~ Use poly)
... -I,ll Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildlna Oftidal
JJate
Date :::>_ /
...) (~ - ()..
By -
~
14' hour noticE for aU' inspes:tfD~' (95l) 447-~50, fu: (95.1) 447....245
P R I 0 R LA K E DEPARTMENT OF t l'v\a.(y. 'iG-[ '2.
.' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~Ll 0:5 ~/j '^ U-lCA..\-.e...r- · \,.:.
NATURE OF WORK 1J~
USE OF BUILDING S FA
PERMIT NO. {)j-l..!i:L!:h DATE ISSUED /2 ~ , 2. - of .
CONTRACTOR VJ~V\. ~ PHONE flJ2-3fo9-7td2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
<q;" INSPECTOR \ t, 'DATE
I FOOTING ~ r ~ 11 a).O'j . ' Y-~ I 1/'1 01-
~ FOUNDATION (Prior to Backfill) a> \. ~ ~\ ( .14
PLACE NO CONCRETE UNTIL ABOVE HLAS BEEN SIGNED
ROUGH - INS
· ~J:H-
w/~ ~. bl;rd'j"iJ-
I
SEWER I WATER I SEPTIC
FRAMING L-L. A ~ \~~
INSULATION 1\ ~
ELECTRICAL
,
PLUMBING ~ ~..~~. _ ~ (s'-o~
HEATING (if required) ~ 1!.. N ':!:A..; lo~
FIREPLACE /<. /t- i /2./"'-
GAS LINE AIR TEST ~ ~ ~('r: ~ J 3r~5r(r~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS A O"l
,
~O~
oS )-ZO ).""L
I I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
,
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections haue beeil approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
~~\J~ ~apJ.
~~ s\~Od
\ r. .5"' t~ O~
\ \
HAS B EN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
S!3!fJ'L
3~{)3 ~
Q
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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
~ SEWER HOOKUP
n ~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
,/;!o
Ot -/i/I7'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
.vV\~J-e<- uL
j
rORK SATISFACTORY, PROCEED
o CORRECT ACTI N AND PROCEED
o CORRECT WOR . CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5- (Lf~t; lj;do
ADDRESS
S L/o--3
OWNER
PHONE NO.
PERMIT NO.
j- ILI/ Cf-
o FOOTING
o FOUNDATION
o FRAMING
It 0 INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
r;J) PLUMBING FINAL
a,.~ECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\ hi ~ Ot o~
-'1 rCM ;(vtq ~OC"1 - ~ eeb
(~CAe- ~-PJM..p
L- tU,
hR. SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WOR"') CALL FOR REINSPECTlON BEFORE COVERING
Inspector:'K \..oM.Q Owner/Contr:
CALL ~~-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
\ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
r3~olJ
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED /1. ZI- (/2-
GLY.N{II.1'h /C./C--
'f
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.s 0.0 / 771L;b
/
cl (U F(~
---p
<.(JI- ,~4
t'L I ' I~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t2fJ)
'L/
..-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~;~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: I/VI' /I-1S' c...02- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl
//
4Ilt ......
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
/
...
~ ~'-o"L
---3qo3- -J?/toS b~/nWe,lf/ Trl
r
CONTR. 6/-1 '11'1 r I '-/2lJ
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
L.Vt'...,~P7"'"
~~L1NG
o COlMlr'LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAsLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~o~ - (),^'
~<.>S - DV<
\.
~ J-(~(~S 4~ (Jf-Ar..f
~ 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 & SAFETY!
Il'iSNOTl