HomeMy WebLinkAboutBuilding Permit 99-0134
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- Q!:trtiftcalt at (lDUUpalll:g . ~
CITY OF PRIOR LAKE~4J
/ Jaepartment of lSuilbing Jn~pection .
~ Final Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Use Classificati""
Sim:le Famil v
Bldg. Permit No 99-0134
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1
Legal Description
L3, B2 Knob Hills 3rd Addition
Owner of Building
4553 Hummingbird Lane
'lite Address
Contractor'sName&Address Yorway Custom
'/
Robert D. Hutchins O-:j' .
Building Official
{L-I~qq
Home Bldrs 14882 Oakcrest Cl~ Savage MN
d~,
City Planner
Jenni Tovar
Date:
I," - I
'L." { (].-
- /-j
Date:
DATE TIME
CITY OF PRIOR LAKE 4-'l7,", 1/:1lJ
INSPECTION NOTICE SCHEDULED
ADDRESS 1../553 I-l L<."'~ '" ~ Ii,
OWNER CONTR.
PHONE NO. PERMIT NO. <iJ,J ?I}
o FOOTING o PLUMBING RI o EXC/GRAD/FILLING
o FRAMING o MECHANICAL o LKSHOREnNETLAND
o INSULATION '" fiATER HOOKUP o COMPLAINT
o FINAL SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREV. o SITE INSPECTION
COMMyNTS: 1 1\
Y(p ~~ bra r)\J<:,
\1\ "l~;W- ~ "'No
~ ~ - t~c-~Y"
~
~
ok...-
~~"tt
~ LJ~
~
b# ~
~~ck..-
/
/
:J#1NORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~LL FOR REINSPECTION BEFORE COVERING
Inspector: , r V Owner/Contr:
CALL ~7~230 ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~UIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
-'
T
DATE TIME
CITY OF PRIOR LAKE '-x;~'fO/ N; '$0
INSPECTION NOTICE SCHEDULED
ADDRESS 455>3 ~~~t'vc1 rr
OWNER CONTR.
PHONE NO. PERMIT NO. qq- /5lj
o FOOTING o PLUMBING RI o EXC/GRAD/FILLlNG
o FRAMING o MECHANICAL o LKSHOREIWETLAND
o INSULATION o WATER HOOKUP o COMPLAINT
o FINAL A 0 SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION ~PTIC INSTALL o FIREPLACE
o DEMOLITION PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
NME~ -hJ; p frwv? ~S
_ J /JIll 17
~ ~/J ~
/' u" rO L
~ tJ '~ 8/11) ~
(~
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~.vi
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IlAIV; ~~~Vl
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/
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Inspector:
Owner/Contr:
230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
T
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
L.8.
0J~
(2)~
~~
~
DATE TIME
SCHEDULED
7/IC-
\~ : 30
'.
4553 hV/'1'~/N6 8/RJ/
CONTR.
PERMIT NO.
99r /34-
o PLUMBING RI
Il ~MECHANICALPi IIIHL-
r' I'D WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
7-3-0
,
A ;y rh~
~d; -h'PA
AllY
~
&:~
u..x::tL
C)~
Inspector: Owner/Contr:
CALL 447~30 FO~!rHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~TS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
T.
10 Ii'!
4-.563 I-ItI/"'1/'-1IN~el,eO
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
2~OO
t?9-/34--
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
fl~ GASLlNE AIR TST
pi. $00 I~
COMMENTS: ~ ~ v::-- ~ ( d-.~' _ d-~l/'
(I~ruA./ ~ ~ 1'..A- ~ 0 . f
I _ V_ II I A V
~ ...~~ f'lJt
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
o PLUMBING FINAL
o MECH FINAL
-'
Li-~~ ~
"--- .
--
f~~
~
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WllK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ft1r ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White
2, Pink
3, Yellow
File
City
Applicant
e"..
Permit No. q~- C) /3 cf
LDATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
'-/iF3 H//t/Vt,,",'4!J.rt< p
3. LEGAL DESCRIPTION
LOT :5 BLOCK d-
Kt1./\,b Mi/JI'7-'t /YtU1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
jer
PID c2S-3L{Cj-DO q~
LN.
12. NO, OF STORIES
13, TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Tel, No.)
(,. e )-/70 .,'
(Tel. No.)
4. OWNER (Name) (Address)
y ""tt~ A "t [",/ n- /10-..': ~Z.z:.... .'A.r :L;:. L
5. ARCHITECT (Name) (Address)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address) (Tel. No,lI'1 C, (1\" -li.{v.
{/i/or..."'~t.J ~1o,J' /1,I;!71..0~Cfi'ITC-"C12- It '74'7-fj(;,"2. I
~IAtdbMNc;;;~-,f 8~B-3'i.JY
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
6. BUILDER (Name)
Y(j(t/..J-h LvJT..,,,,- J.tC/~
SEATS
16. PROJECT CO~TNALUE
/s5'J( ODO
17. COMPLETION DATE
Fireplace"
Alterations 0
7. TYPE OF WORK
New ConstructionJr
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES
Sq, Ft. /2 I eel
1 0, CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
No
Yes
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 rev~~s 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'.. ~c::--- CCcJ~ 201Yl7Jl.J ?~2"- 'I'
_______ Signature ' License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
SOIL TESTS 0 ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING Res /1/ J?
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 151. oeo. 00
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer ..%.................... $
City:
a50 .00
J (j ")0 . 0 ()
Il~Z."GS-
?!:a .Y7
1 C; .5"0
Permit Fee ................................... $
Plan Check Fee ............................. $
State Su rcharge ............................. $
45. ot>
Penalty ....................................... $
.\~~~
~/)
1]
100.00
to:> .00
JS.so
ce Pe it.;b.... ................ $ if 0 .00
ecome our Building Permit When App.Jgved,
~ Date 3 -'J. -v
1/
Certificate of Occupancy
Meter Horn .....rl.p.... ................... $
Water Meter ...?/tJ.......................... $ /2 S , 06
Sewer & Water Connection Fee ........... $~OO CO
Water Tower Fee ........................... $ tn(') . 00
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid -170D'. 7J.- ReceiPt~o;. .?lnJ~ .
Date 3--C;-fY By ~ J
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~uested, This document when
Sign~ City P~nt\3r constRutes a tem.porary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
'j51._I"-. ~.~ / _ ~-3..6f1
- City Planner - Date Special Conditions" any
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
I.. 500. 06
"/105. 1J..
Thi
By
Issued
24 hour notice for all inspections 447-9850
'"
__ - - - - - - __ __ ~ ~....... ___ ..1....
,.
.T esters/Signature
~
1iD/t/.vpl;/l/
ME.JRO AIR
MJ/ ~
. Permit"
.Job Address ~S'3
.Heating Contractor
Date
Time
Pounds
Pressure
.Gas Une
Pressurized
Inspected
. Percent O2
PERFORMANCE TEST
7,.2%
.5'. 9%
.Percent co /?%
.Stack Temv.e;;J:;lVO.
.Percent cO2
Final Inspection
Date
//
c;r ~/ 3Qy .
Th. (".n,or of 'h. Lo.. COMolry
White - Building
Canary . Engineering
Pink. Planning
BUilDING PERMIT APPLICATION DEPARTMENT~HECKlIST
I / I' ') ,
NAME OF APPLICANT Y(3 /f.,( Ja-<-/ /'Uj7(~Ivt HC>-lh.1!. 15 left' 5 -t/.-1~
j
APPLICATION RECEIVED. c2-;J. fe, ~C;9
The BUilding,_ Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
</5 :.;3du11j I-t.-( ~{ dJ( ~ c( iv / c--G
.J
Accepted
./
Accepted With Corrections
Denied
Reviewed By: lJALT€A CtlltE:SM.eJAl/IJ
Date: 3/5/19
Comments: S7(:)ItM I~TE:"(l.
I .
R.uNoFF t'1.rJ'i:T Be eo.uv~ 7iL11,.;('j (Jl.saN1J
DI'l~IAI~e: ~N'O tJTlfc.l.lY ~ As 1"1rX.H Ii<\ 'rlt.4c:nc,t/L.
.se: € lAlft:,(l.f\otAT1QA.\ 01\.1 RE'uCltsECUQE:
SEF Am::lU{r1f~; I. hAl_I- (;" rttrO.lIJr.. I"J!'>PE.cT~N l,.jfOttMI4TJOAl Z. Ctf401.f.1b PL.AAI
3_ C.<OSI<",)t.J ~l)NrI't.OL.. t11FAc;vIlES t/. T='1l..1J"'I!:JIV ~^,,71Lc:t.. il"'N
"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."
Qc;-/3tj
Th. C.nt.r of lh. Lak. Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE;CKLlST
NAME OF APPLICANT Yo1wa-Lj fus~ ~ !JkJrs -.b--zt!-.
} ;';
APPLICATION RECEIVED c2 -;) r; '{ 9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
</S-S3 d-'1/[/1~<-t'V/&~ /..Lz-t U-
j
Accepted X
Accepted With Corrections
Denied
Reviewed By: (J j}~F
Comments:
Date: 3 -7 - I {'
(. ~~ ),np.~ pu-~~~. (fJ~L/
7 . 'f.;..o.~ IA.. \ "'-"-"'-- ~;-~ Oavc{ ~
>. ~J1 ~t1:c.-c~ ~Ch..~
"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."
<;;~",",,;;;~.~.~..jJ' ~~
~',~""-''-'"'';'''''
.1..........
,..~
f ~'I'
/. 'I
White - Building
Canary . Engineering
Pink . Planning
The- Ce-nler of Ihe- Lake Counlry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
, f l r ( l t.>'" I f c(~
/(
i.-'
./ /;1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{ /~'/~
t........
/
Accepted V
Accepted With Corrections
Denied
Reviewed By:
~j; e..t~~J>V~
Date:
s ~ 3 -- 00
Comments:
1"~~~1l 0.<\ <, ~ 6 LM~ ( 1;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 cc;lncel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
'"
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 5c..n(Lf(l..Y' ~\u.mbi('Q
Address: t..t 00 f:Jdrion C. irdQ.. '5 f.
Signature: j..,
Legal Descri ion: Lot 3 BIQ9k
Site Address: 40:5 3 1~ umm i'"':)b ird
Building Permit # q g - '=>4 PID # Z 5 - :34-<1- 00 <1 - ()
NOTE: This permit will not be processed without complete information.
I. Bille "Ie
2. (;oJd City
3. Yellow APl"iean.
# qq- /34-
Phone: <..J<..j 7 ~~ 134
Pn.or LalJul.. n,AJ
55372
Th. (:~.'.r .1111. t.a. Co.~,..,.
~ O\~G~
:2-
Sub ,tJ./o(j #IU-- 3~O ftODN.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fbcture
I Bath Tub with or without shower J Rough-ins
I Dishwasher I Water Heater
I Aoor Drain Water Softner
[l Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 companMenl sink) Sewage Ejector
:2- Shower Stall Backflow Assembly (RPZ. Double Check. PVB)
I Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
{t Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum) S
Residential. New One & Two Family" $
Residential. Additions & Alterations $39.50 $
State Surcharge $ .50
GRAND TOTAL $
This.: -", ,,it il jtanted upon the e);press conditioo that said
contral:tor. shall comply in all rcspcc:IS with the ordinance$
of the Stale Plumbing CodQ and the amendmentS tl)e.-eof.
JfUL. mr:l NO. 4-Irz./tft::t DAlE
~L .A1TEST
Call for all inSpec:tions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
GREEII - fILE
YELLOW - APPLICAIIT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q<1-13(/
NO.
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~ PHONE:gf~-~/L/f
ADDRESS: /()Ic! '._~. ~TE: f/-;?O-n
SIGNATURE:~ BLDG. PERMIT # '9'1-/3 if
SITE ADDRESS: ~S-5 3 ~~~D#r1~- 3L{'l-{){) 7 --c)
/
FILL IN THE BLANKS
NOTE:
1.
Estimated length of water service ~(J
J tl
size of water service inch(es).
feet.
2.
3.
Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVc)< Cast Iron
5. Estimated length of sewer line ..yCJ feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
<' ~AlO-W,THj
'l BUILDING PERMIT
AMOUNT PAID
RECEIPT #
REC'D BY
rYKu/
~/J
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
T
..-l
CITY OF PRIOR LAKE (';Q DI7 j I
16200 Eagle Creek Av. S.E. Permit No. . -t I - ~It
Prior Lake, MN 55372
Cl...
..-l
CD
CD
o
z:
0::
H
CI
o
0::
I-
W
E
Suppfy Openings _ i S-
Return Openings _ '\
Input. <6 ~ })('C Output _ -)\ . 0 \\\)
Edr.
Cfm.
\lQO
E
Cl...
CD
Q
N
TYPE OF WORK
Alterations
Replacement
en
en
!J'l
..-l
..-l
HEATING PERMIT FEE $
)::
--L
I
STATESUACHARGE $
TOTAL PERMIT FEES $
.50
- -- ..................------......---~ ----......,....~~
. .
TYPE OF SYSTEM
Warm Air Plants X
Gravity .
Mechanical
Air Conditioning X
Vent. System )(
HEAnNG OR POWER PLANT
Sl8am
Hol Walet
Radiation ,
Special Devices
Other Devices
New Construction X
Receipt # .
----...-..,..~------.-:-----
-'-~--.-.--~.--------
,TYPE OF STRUCTURE
I. Pink - filo
2.. CiRce . City
J: V.Uow - Coolmc1ar
HEATING APPLICATION I PERMIT
Date, ~ - \ - <\. " PID tI)5 -3lJ-Cf -CC'{[-C'
She Address ,,,\ S.s ~ \\"'~t-'\:"" b\-r\. I< I .
Lot.5 'Block 2 Addnkln v)tlci3' fH fI 31'9.- Act{ (1" .
Own&~Name~ l)WiWt\~ \\t) ~ '.
Address, \\\ \S~ bQ,\lCr l jJ G r ~ ~ c.. v fit i ~
Heming Contractor ~ q:\r-() .(\ ~,.... -~_ 0) II
Address, \ ~'~~(\ \N \\'~.UN. f\VL ~('\O("L~\\Q.l
Telephone fI . \J\ ~ ,- -<6 \ ~ ~
. Furnace Make & Model (".,...",,\.-
Model Size .f Y\ y- 0 <1 \)
Conn. Load S 0 ~ "\ ~
- f{
Fuel N t\ l' Flue Size S
R~pair Est Comp. Date
Est. Cost $ f:.() a ~ ~ Bu~ding Permit 11 , '" '\ - \ ~
,.,/ PAID WITH
r BUILDING PERMIT
. Single F:amify
Commercial
x
Multi-Family
Other
TWG-Family
1 ndustrial
Public
Fee Schedule
IndUSlrial, Commercial & Mulli-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
R~idential, AC Only
1% 01 ;ob cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add lhe State Surcharge on lhe bottom of Ihis application.
The price 01 your heating permit includes one rough-in and one final inspeclion.
Additional illspecticns will be bUled at $35.00 each.
House HeatingTest Record must be submitted with building permit numbAr before build-
ing certfficate of occupancy will be issued.
HEAT .cALCULATIONS REOUIREO with number of supply and return openings listed per
room with CFM's per opening. New strucbJres or additions send floor plan with supply
and return locations shown. HEAT LOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E, PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.-IN AND FINAL) - CALL: CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge thallhe
informalion above is complete ~nd accurate; thai the work will be in conformance
with -the ordinances and codes 0' the city and with the slate building/mechanical
codes; thai this form does not becom& a permit until signed by the BUILDING
OFFICIAL; Ihal the work will be in accordance with the approved plan in the
~=h ']res review and approval Ol~n:.\ -C\ ~
@1i.iIJ{}.tJIDatec;'
II . "'--1 -- -Z -C( 1
t _ ':fIV.
. - uUding Oflical's Signafur'e . -- Dale
PR'IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~C:;C;:) ~I,N\ ,~c.Io,'r-J ~.
NATURE OF WORK tJew Q~stt-u~A I~
USE OF BUILDING SF JJ
PERMIT NO. gQ-IJ/3Y DATE ISSUED 5 - d. -7'cr
CONTRACTOR .tPf W~"\ Qu~~ ~o.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I 't.%CTOR
FOUNDATION (Prior to Backfill) I \. ~,~ I I 3 -\ ~ ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.::JS:
'SS' ,""'~'
:J. tt.
DATE
, FOOTING
I "3 '"' I ~ ---0' ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ~'" ~~ ~:1--\''f1
GAS LINE AIR TEST
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GRADING (Prior to Sodding)
BUILDING TCD. ,\0 111,-/'l~J~
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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OCCUPVlJNTIL' 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850