HomeMy WebLinkAboutBldg Permit 05-0387
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERlulCATE OF ZONING COMPLIANCE
AND l.J IILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I'-fllf 7
W(&D~
Date Rec' d
tj-~o-~
I PERMIT NO. ~ij8-=1
,
See Main Fi~iw ~:;Iicant
~77r
LEGAL DESCRIPTION (office use only)
LOT;b BLOCK I
I
ADDITION ~d!.-IV5/J1ArJ,J 4-~
OWNER
(Name)
(Address)
BlITLDER . ~ J
(Company Name) VI/(!";v5fr1l'tJJ
(Contact Name) ..6'-'1'7
./.)
(Address) /J?'7' ?V~
;-f-OIV.- ~ ~
. (Phone)
ZONING (office use)
J(4-
PIDtPt:;"-LfI g -c)/~-I
(Phone) ~-I/O~ -4/~/t1
(Phone) W Z- Z-~ -/t:: ~
AAAl ~/~
. oa...6 A", ,,~
/
TYPE OF WORK. CJ"New Construction DDeck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration DUtility Connection 0 Misc.
DLower Level Finish
CODE: DI.R.C. BI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV GJ' A @
Hl.....M~SU
2 ~ 4 5
PROJECT COST IV ALUE
(excluding land)
o Fireplace
s /t?~()~.
. /
I ht'reby 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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;rn' ,m p:': j~, ".- """""""".' h=by."",..., ". "~ 'IIkW;/ ~~'Jf~ 'I'm m. -'" m ,<.f~... """" J~
.A ::J Signature Contractor's License No. Date
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
f; It), O(}O, ()O
$ 1/13,~O
$ /~~ 7r
$ S~OO
$
$
$
$
$
/OO,{)O
/00,0 t!)
$5. sa
~, Do
This Application Becomes Your Building Pennit When Approved
~~
Building Ollicial
5/~ /or
Date
I Park Support Fee
I SAC
..".- -'
I Water Mete( Size5&:)I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
Qq-/1. -'l/
-J 'I or-
( ,.
#
#
#
#
$ c
$ J~So, 00
$ . '2..$a, oo--~
$ 5""0. 00
$ /'3XJ,fJO
$ IOO{).()O
$ .
$
$ ~. 4/7. TPJ 1
-
,
ReceipfNo. 4-1'/1 ~
By .<L- ,
o
ThIS IS to certifY that the request in the above application and accompanying documents is in accordance with the City ~~uceMProc.-d a., reql~~!lis document
:~ -"~_""C'-tt'f~/;;;;.m"_"=_ti'''''~v" mrrrl_~"""
Planning Director ' , Date Special Conditions, if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
s .. M · · 1H"-
~vee _ ,roll ~ JL,.t~
Whit~, - Buildln9
<:: ""analv -.,E:nalneerIl1g:,
t-lnK L _ Planning
B.Ul.LDIN~MIT APPLlc:.ATION DEPAt11 nIIENT CHECKLIST
/ ,/ J
NAME OF APPLICANT l.// /
APPLICATION RECEIVED
;iJ"'k:~:(~"-,/l~,~,,,-;,,'l../""
() -'- ~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Proposed at:
I 1/ 1/ ,Ii ./.'.' /) ./'/
../. It. / -./, Ji.'/'/'.."
/ -. / . C..-(_./_.--r:'"'-:'.--<./~'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/J/J1~
--
.S e (. ;J1&,1 /) F; 1(.
Date:
5-- .5 -ce-o
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.1I
See Main File
t1'lhite . Bulldii1g)
'i..dllidl'y . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION Def.ARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
iI /~~/V/l/
k-dtJ-S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/lq/-j W~ P
I
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~.. .~ -:t~.~
~- ~
Date: S-/o/' 4 S-
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.1I
,."
1
F", "
..
.~ .", "l _.;,..,'
~: ~... '
'I '
.....
I.
".
""'..,.
See ~ain ?i~e
White . Building
Canary ..~!,,~ineering
~ ....,D.f- ~ r"ulDnnjg-,
.BUILDING PEm/lIT APPUCATION D~RTMENT CI-(ECKLlST
NAME OF APPLICANT
// /
,t'........'1 .,..,/
II /' /1 /
/ /'t/
APPLICATION RECEIVED
//.~.
1/"
,.....
() - :)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Proposed at:
I i/I II /7 (~~~<!!/~A" {{:~{;.~. J'--
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Date: S/L/~r
. .
.,
..
"
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."
08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN
~ 020/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please tvDe orpnnt and sim at bottom)
Anr RESS
.lIl W, I.L\I \t1>, POJ1r')
i =w ~:. I PERl\1IT NO. 05. 0:5,<0-1 I
3. Gold ApplIcant. '0 /
ZONING (o1Ilce use)
LEGAL DBSCR.t..t-J ION (office use only)
LOT BLOCK
ADDITION
PID
OWNER' '. . . \
(Name) 11 :fk\S, \'\YAl\l/'\ \--tOi"\ne.S
(Address) I S<Q5 PloClO~_J Dv. S1(<')rX)
(Address)
(phone)
f~UO OJ\ f\/l N
(City)
(r)j- q(J5- :rl(fi
~"S5I)')
(Zip Code)
APPLICANT n (./\ n . a /l
(Name) t:1 1'11'_- IL..{A (. I
. I
(Address) 1. 7.1JD VV. H1/\/1!.1 i :3
./ . ~AddreSS) \.
(Contact Person) - <J ry, . f' ~ 'vf \ t>.
"?LICANT SIGNATURE ~ f),{i1.1tJ
. ,-.
(phone) 1101- 71fl.- (ODO
Bu J(lI! \ Vi f l-t. MN q;-?;37
(CitY) (Zip Code) .
(Phone)q~:-J(;)]-l ~ I
DATE J(f1f.pIClS-
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 SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STA'IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
aeJilOlNG PERMIT
(Office Vse Only)
I This Application Bec::omes Your Building Permit When Approved
Building Omcia'
Dlte
, ~ \, ~i@ [E ~ 'iJ] ~ \ Receipt No.
~ "
j _J DAtJG 2 4 2005 I' By
24 hour notice for alllnspecdons (952) 44 ffJSO, fax (952) 447-42.45
08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN
III 021/031
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please tyPe or print and sign at bottom)
ADDRESS
L \L-.1 1 .1161'S PDvt11)
LEGAL DBSCRtrnON (office use only)
LOT BLOCK
ADDITION
OWNER I U' ,I) f"'-C \l)(\ r. lYt') I..)." [
(Name) \ I 'rJ \")' 1 it iLl ,I \ r If )(,{'t'-:J
'j r>fj~.: if> '\ n --, /. r) r ,,- I ".
(Address) X vi) I-~ l,\. lA..1\.p L If. o1\:...
~;r()
I. 8'., FiJ, I PERMIT NO I
2. Gold City. 'O~-. 0.1/37
3 Yellow Applu,.nt
ZONING (office use)
PID
(phone) (ni.CY,/5' 37tfl
1:771 (~ (t. 1'.'\ 1'\)'\. N "7~ i :) ~\
l ..U; ,VJ ..l, J _ .___0 i~ --"
J
AP(NamPLIeC) ANT f:..P JIJ"j... 1) 'j a',1"\ IA""-:: --111'11' . ODO
c~ ~v I I (phone) ~ ['77-- Ivl - ( .
(Address) 21-00 \lV. l-/1,iJ['1 L~ BtAtlVIc..V/.{lf. MN S'J~-537
(Address) ) . , (City) (Zip Code)
(ContactP.....v..) krm:<:PJrlVI J{( / (Phone) cr-iA7/t7-/~ I
. APPLICANT SIGNATURE lfiin ~fJljU11l DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I .
Dishwasher I
I Floor Drain I
I Lavatory (Bathroom Sink) I
I Laundry Tray (lor 2 compartment sink I
I Shower Stall I
I Sinks I
IBMS~ I
I.~ I Water Closet (Toilet) I
Quantity
d
It
L{
I
,
Type of Fixture
Rough-ins
i I Water Heater
, I Water Softner
\ I Stand Pipe (Washing Machine)
I Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
.1l.i!..ESCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offiu Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Pennit #
PAID WITH
.5~ILDING PERMIT
$
.$
.$
~~ ~ r~ n np rc;-]
I ~~~. ~v LS J LJ U; IiceiPt No,
mattAUb ~ 4 LUU:J ~'Y
24 hour notice for all inspections (952) 447-~1 rn ~ 4U7-41.dC
08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN
~ 022/031
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~:~r:" ~:~ I PERMIT NO. 0 ~. 6.J87 I
,y.u.... ApplkMI
(Please.",e or print and ~ at bottom)
ADDRESS n
l L\ \L~I \lJ, t (tS \-fA:th
ZONING (oalce
Ule)
LEGAL DESCRIPTION (of lice use only)
LOT BLOCK
ADDITION
PID
OWNER I \ I
(Name) \ i\ jerf'Xf\(), Xli'!
LJ.O'''.''P'C..
\ \ .II I L-J
(phone) (1'7 r - (,)U,--}. 370'1
. (Address) I ~qr5 P10:l(A~ r)(., Sk. ?()O
t:~ag Cll'1 r\/\ f\1
/--::.;::- : .J"
~j ) f <:.-,:j
APPLICANT ("- _ _/ /j
(Name) C1 C't\ t.. - k.J J. (11'1
)
(Address) r-'1I'( I ';'\ ~J i I '.: " ','?
i;fv./-u.....; l--'V . r \ \.IV"!} 'J
\_<,< . ~ess). (City) . . (Zip Code)
(Contact Person) l '\...\YY\ ~~ffi\!I ,e, (phone) t161-7&l-lX(o I
APPLICANTSIGNATUREJ:2ih kPmiJ &; DATE /( If{ ()/f:f:J-
_ ~ APPLICAPrr 1iEASi COMPLJH.E BELOW
ONEw CON~T~UCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL .l.t:.rl\OJC(~4)O~'-3({rD1J . FUEL rv;-t~t ~
FLUE SIZE RETURN OPENINGS ;-f INPUT Jdp( 11) ou~.D
TYPE OF SYSTEM HEATING OR POWER PLANT
1l21Wann Air Plants 0 Sleam
lJGravity 0 Hot Water
:J Mechanical 0 Radiation
\ ~r Conditioning 0 Special Devices
OVenL System 0 Other Devices
(Phone) (j1\~ .:.7 if7 - 1000
BUJ'Vlsvi lie
~:J)3'j-7
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
-----.,....... -.---
...-..-.-" "
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
S39.50 minimum
Residential, Heating & AlC (New Construction) S99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offi<< Use Only) ,-'
This Application Becomes Your Building Permit When APprov.ed. \ D~~~ l;: D ~ ~
. IA~ 2 4 2005
Buildinl! Official Date l --'
PAID WITH
.50 BUILDING PERMIT
...
..-~\
~\ I( Receipt No.
By
24 hour notice for all inspection, (952) ~7-98S0, fn (9.52) 4474245
\8y_
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~:n ~~~. I PERMIT NO/') ~. ::79'1
1. Yellow Apphcanl 'JJJ ~
(please lVpe or Jlrint and sign at bottom)
ADDRESS
_J'I/lfI (.J ~'j~ p,:i::-h
ZONING (office
use)
r LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
. (Phone) G, 5""1-liOG- y't((bO
SS/;;)..';L
APPLICANT
(NameD ..~ ,,_ . 'lk> ~ ~ D fl<p ..1- l" P. (Phone) 'l~:',' S '11- 'dS'dS
(AddressL
x9co /o9~ ~ -li/OOO cAa/WL/JL~ .rnn 5S3/L,
~~' -.-~ ~ ~~
(Cont"" P""on) t <',5 \J. ..nn"....-o...... . (Phone) .QV -" - S 'llr ., ~
APPLICANT SIGNATURE :kP..:~ Uo~ . DATE - .
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS . INPUT . OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLAN{
OWarrn Air Plants
OGravity
;1Mechanical
. ~Air Conditioning
OVent. System
o Steam
o HotW~ter
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL /J~~ ~)n~:t~
FEE SCHEDULE
Industrial, Commercial &. Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating &. NC (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) 564.50 Residential, AC Only
539.50
$39.50
$39.50
Estimated Cost $ . -'
HBA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #.
$
S
$
.50.
PAID WITH
BUILDING PERMIT
(Office Use Only)
l
This Application Becomes Your Building Permit When Approved . -~ ~-
\ - r, l
,. 1UI~t~I.' \
Dak .~
J APR 9. 0 ZUU~
24 hour notice for III inspections (952) 4 :.. U50, fu (9~2) 447-4245
Buildine: Official
i :.\ Receipt No.
1\ By
\:.1.
I'
:J
~-
ZOO~
HaaG 3~V~V~ JI~VWO~1V
66ZL 9LS C9L XVd to:tl
90/Ll/tO
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS _/JlI~ AJll d t' 111711 ' t -
NATUREOFWORK )I!JZ.>.J C'~~N (~/t,L. ~~iJ')lL
USE OF BUILDING S'~A. a
PERMIT NO. 1/'.3ej DATE ISSUED \'I{t$'
CONTRACTOR ~AJ HlM."~ PH N IZ-Z~'-/('2i'
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
DATE
I FOOTING
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
llA,rfe/ H~t/ScllJl2AfJ I I
I
FINALS
, - ,
~~..' ~.?J.. /~~
sb~
#If sa4/~
~~ ~?~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
fb .7J~7/6~
fJAhh'IL/
I" ~
_ f4 , 12A!J~1-
f/J ~!~~
fI~ e0f'~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
QIerfifirafe of @rmpanrl!
CITY OF PRIOR LAKE
~eparftttenf nf ~uil~ing Jf nspetfinn
~Final Permitted D 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:
SINGLE FAMILY 05-0387
Bldg. Permit No.
R4
Use Classification
Occupancy Type
R3
VN
Zoning District_
Legal Description
_ Type Construction
L16, Bl, WENSMANN 4TH
Owner of Buildinl!
Site Address
14147 WILDS PATH
WENSMANN HOMES, 1895 PLAZA DRIVE, EAGAN, MN 55122
Contractor's Name & Address "'
_ ROBERT D. ~UTCHINS ./// ffi City Planner
/ 0u. i~Official ~,'
Date: _ <.- / ~ (j f.o Date:
- / POST IN CONSPICUOUS PLACE
JANE KANSIER
,,' ',',;,"". .."
'r' ,i~f'.'''~..'.'
'" .~ ~ "".,.",' .....
DATE TIME
CITY OF PRIOR LAKE .-L. /
INSPECTION NOTICE SCHEDULED $/M/'"
ADDRESS 1/f/~7 6U;1k /A'
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~TION
~FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
...Ji!"'MECH FINAL
C~NTtl': _ ,
rt",frF~~ !
/')
/-:/~ (
..- .
. ~-J%/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
j /
,S/zr /i:J(,
, ,
~~L _~4/.- .-'
~~~/,t;,,.-- &r~ ~ r::::;;'L4s.
~,(j.. +- ~A ~
(!1 .M~ ~H-,t ~ r ~~?;:.s/).
~mC~.. 9")~...9~O~'/
-
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(~/~~ {
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-------
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'" RK SAlISFACTO;". P~EED
~ORRE 1......(4 ANB F~e",cu
o CORRECT WO~~..J'yREINSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL ~7-~850 ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
~/~,
/7 /~ "
-~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1JI6NOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 'l ~ 411
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
Z ~~NAL
o SITE INSPECTION
COMMENTS:
;1 elc. LJ
Z Hi;) l -f~
DATE TIllE
SCHEDULED !;~
~~~
CONTR.
PERMIT NO.
~- ~7
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
J /1
rt--- G'4l.O 1 .. L-t. "'.r-~-)Y
\. ~~RK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED .
o CORR K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE,
"ENTS ARE FOR YOUR PERSONAL HEALTH (( SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~/<V7 ~/~
OWNER
CONTR.
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
o SEWER HOOKUP
-'iJ,fLtlMBING FINAL
o MECH FINAL
COMMENTS:
./ /
~~~~
c/-
s7~
, r
A/(
nilE
S--JP7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ /'
7us/
/) / / /./, {' /
o /I/",~ dk/ 5Le.4e^-~ (j/~~
_;h.\.~/r;[ ~rcd:t?Lde/ )
4 / _ // ~ 7 / ~ /
C'lv~k- (~.J5(/( /7 fr~ /
j
o WORK SATISFACTORY, PROCEED / / /,
~RECT 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.
INS/IIOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!