HomeMy WebLinkAboutBuilding Permit 99-0410
.......~-~.--~~..-'f~. 'l'f'
,
.,,~-t.' "!";l'';''\ ,'~'I~.',;
_.~...._...._. -'-- ..
"Permit#
~~.- ~r"~
.Job_~C-79~ <<-
"Heating Contr8Ctor M 0
"T este,./Signature I - .
........
Q!!!
TIm!
poundll
Pressure
.Gas Une
Pressurized
Inspected
. Percent C02
.Percent 02
~FORMANCE TEST
I' 7, .Percent co 0 ~
7 :;:>,.-' .Stack Temp~cr~~V
Final Inspection
. Date
~!/99 3 ;~O
L/-S7B flUI1H/NG,8IICO
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL 2LO~.
o SITE INSPECTI6N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
- d( MECH FINAL
DATE TIME
99-t/IO
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
BM6t~~? ~cJ-
1, Co. to) lo-l-qq
Of.-
-II
')/1 A
I~~
~
.....
0#/
(
/
/
I
1-1..
if
"
(.QU
o WORK SA 'Z-:~v V, PR
o RREC AC rI A ROCEED
:;J!oRREt~ LL FOR REINSPECTION BEFORE C
(Inspector: _ Owner/Contr:
CAL ~ 447-98/0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
'.
DATE TIME
SCHEDULED
'41"/93 .4. T.
,
ADDRESS
4"5713 #V/"l"'1ING[$I,€L;)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t:??-4/0
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKmUD FIREPLACE FINAL
o FINAL 0 PLUMBING FIN 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL S6D /7iCE&
COMMENTS: f?~ ~ ~ ~
~~ Ju-a ~ ~j /
/' .:1 ') ;:2~ {r IY1 ~ ~ o-wz- C--
'- ~ ~
~~_.,
(I j!~
g~~-
"-
-
'</r:i: ' -=-~
~~~
.
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 1c::1':+-- , Owner/Contr:
J -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1jzcl./?'
.
ADDRESS _l.J571r J{tJf1It~"JGBMf} -urAl/;
OWNER CONTR. kk'r'LA-IJ/) HSME5
PHONE NO.
PERMIT NO.
~- '111l
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
}iI.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;z:t EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~/lA^/AI(,. {$ tkcfPrltgt.E
t!.<JR.B80~ I~ oP~ArlO/\Jl4t.
I4AWTt'I',.} ~-r F~ UAJT1L. ~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;J~.l...,
'lwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
9. PROPERTY DIMENSIONS
I \40t
Sq. Ft. l 0, lBO Width 77 Depth Yes No 6-2...0.... i7
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~v~ this permit for just cause. Furthermore. I hereby agree that the city official or a designe.e may enter upon the property to perform needed inspections.
X '" t;Luy;r- I~::E> 4-t,-?1
Signature License No. Date -
Amount Brought Forward .................. $
Park Support Fee ........................... $ P5~ ~
SAC ......................................... $--L..t:~A _oG
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ l( $
Pressure Reducer .../t;.................. $
Meter Horn ......(:;l.......................... $
Water Meter ....!fl......................... $
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR 211999
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
4.?7t!> \4WMMI\..l.b~~t) ~tw'-
3. LEGAL DESCRIPTION
1. DATE
4-'--1;
~f
LOT
5
\:::..~~~\\
BLOCK
-3
3>~b
PIO z.s-3t/1f'- OW-(/
ADDITION
4. OWNER
(Address)
(Tel. No,)
(Name)
5. ARCHITECT
(Address)
(Tel. No.)
(Name)
6. BUILDER
(Name)
(Address)
(Tel. NO'&,1 ~
\702\ ~~\\ ~\.~t:> ~ 4-4D ~400
~u..c~ \-b~'E-<"'::>
7. TYPE OF WORK
New Construction)(:
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Fireplace 0
Alterations 0
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Deck 0
Finish Attic 0
10. CULVERT SIZE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Js-S-. COO. c:iO
USE OF BUILDING
.<;F.b
TYPE OF CONSTRUCTION: I II III IV (!;i);-
Occupancy Group A B E F HIM 4'l S U
Division 1 2 (j) 4
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
{,I to? .~
7)e;.C/7
71.50
J-; ~~
~
State Surcharge..................... ........ $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
100.0-0
I 00 .015
"3 S" . ':>-0
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
gQ-4/0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) {WidlhJ
2l1.' ,,~
12. NO. OF STORIES
2-
13. TYPE OF CONSTRUCTION
~~\t::>~\\~L
14. FLOOR AREA APPORTIONMENT USE
\ S"tt~ \\ c,A
'2"'J>~ lool5
~\I2.
15. NUMBER OF OCCUPANTS OR SEATS
(Depth)
~S:
OCCUPANTS
SEATS
11. PROJECT COSTNALUE
~ 155 'w....u
\
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
(/~ CJlJ
Sewer & Water Permit ...................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
b Z6"'; 0-()
/.20Cl . 0-0
, 'It) C) . CiS
Gas Fireplace Permit ....................... $ LI n ~ Cl /")
This ~~me~/Jo. ,r Building Permit When Approved.
By ~ ? Date t'f-27-1C,
Certificate of Occup~
Water Tap ................................... $
Builder's Deposit ............................ $ / I ~ 6CJ . t'JO
v -
Other ......................................... $_ . ''() .701..
Total Due .............................. $ rlY .
Paid 77c.j(). "'rz_-" Receipt No. '3r"'/c.I()
::: to certify that the request in the above application and accompanying documents is in accordance with the c~:~onin: ~{~ :nd may pr::~. This document when
sign~~ ~ a ~mporary Ce~~~Pliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
City Planner Date Special Conditions ~ any
24 hour notice for all inspections 447-4230
May-21-99 10:41
D&D MECHANICAL INC.
612-S90-4650
P.Ol
T". e,n'", a' U't ull. Co..".,..,
CITY OF PRIOR LAKE \'~:~: ~I;
J. Yello,", '''PI'Uc:aa1
PLUMBING PERMIT PPNo.3cr-tfIO
APPlicant-I)rD meeH. C~# Ll2C-Phone: ~90-1!~'?P
A~dress: . 7/'1.f:::- / r:; h~; ,-+,t-. __
Signature. - q... . JII-f" <# .
Legal Oe~cripti~n: Lot ~ V Block-...:1 Sub ~ .A/;~./ ;trcI...
Site Address: '1$78 JlLJ JfJIIrJlfJ~"/rJ r.A..A ,. .t.
Building Permit * 9.!l- 'I..J./) _PID #~5-349-0z.0-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type or Fixture
Quantity
Type ot Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Dishwasher
FlchH Or:\in
Willa!" ~1)lll1ur
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 % or job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599.50
539.50
$
$.9.S .50
$
$
.50
GRAND TOTAL
$ lOb. f)(J
~\Q,\\~Q
~~o g O~~
~~ ~?:\~Th' . . d h d' . h 'd
~ 15 pennll IS granle upon I e express con ,Uon [ al sal
c:onlr3Clor. shall comply in all respecls wilh the ordinances
or Ihe Slale Plumbing Code and [he a~'7'dV; lhereof.
~>>NO. 51.z~ DAn::
~ ---- ArrEST
Call for all inspections 24 hours in advance.
pd · b1
f!J I" (I; ~
16200 Eagle Creek Av. S.E.. Prior Lake, MinneSOl:l 55372/ Ph. (612) 447-4230/ Eo.\..'( (612) 447-4245
An Equal Opponuni[y Employer
_~.._....~'-'-~-L:,"...... .....,.. ~~~_ ......,.~.-, _.~~...
no_"".:.."" :-'~'<"-"", ,"-' -' "LO~~.c~..... ~,..!~~"","~IJ!!!!;:"'- ':~. ;.J.~ ",
., ,~~. ,.~~. -'7'~\'-::'~<<-:,~';~:~>,:::- ,;~~),,:~'W~;,~-;"':~~.:~~~~rJ~,::~<::;::'~'V',:~;,~'~~,~';\ '~'~>~ :'-~.::-'I:M',:;;JbI:~'~'
i\fY OJ;lDA OR L'AK~'" ' ,':" , .~, ,:.;r~_ ',!';""'. ':., -y~"- ':: ,. - ' ',,~..' "" ._~F,: " " . " 2.,Cbm . era, .'~ "J~-;
.-,,~~~......~~ar-~,:', "';";q' ';i--;.fI"O":."'~:"'.I,,',.;: ~ ':: ~..~ " " ','nPE'o"'F"S"T' R'~U~CTURE":' 1.'Y*,! '-,',CallbdOr:.,-,"
~ 6200I:.o.ar.f'C""kAY.S.E~P.'rmIlN^ '3-""" : ,:'",':',:'- 'n,' , ',' ,.. ..'. . \.',
fl.'$'~~':~PIi.M~'s53.-S- ' .: :':": -,,:" ",::.~r,' , ." -.,: .',,' '~" :-:: ......,,::~',' ,,~.' ..' ~', ~ ~ ~,-' ':..
. [;t~~N~~~puc~1lip~M:;: '~':':::" ' '.':~ ,.~, :'>,;~{"'-'s,'~a~~,i~'.'~X: " "', ''~O-F:~i~:--~'.. '.' M~ti).FamiJY , " "",
--;~ . ,..' " , " ' , . , \
F.~ ,\~"r.~ 'n :.'. ':-'-~:':,,:., -', ' i5j'~~I;" - :....~;'\ 0 ", 'Commercial ;, ".'Industrial '\' ", PllbDc
,:O<<"'bI\I , .:'1 " .. '- 'PID.. ..,~ - V~-
'SIl~Mdr~ ~'<; -1}\' ";"~\A.\~:-~;~,';~:~,.,.'~ \~ " Fe~Schedule ,----:.. ,":~
~' '5' BroCk. ')' Addition '~'" ~ \..J ~, \ \ '~. fnduslrial, CommercIal & Multi-Family
~er'i Name '(.( \~ ~"',\ \\ t\ \'W), ResTde~tial, Heating & AC
,.;- .0 I . E.J '" \ . Residenlial, Heating Only
Address .\ l Cy~ \ '" , ~ h ~ 1" ~A. r Y\ (J- \>>.. ~ ResIdential, Gas Fireplace
Heatln Contractor \\\ ~\:r() ..(\ ~ r "-l. I) I . Res~dential, Addfttons & Atteratione
g . . - n ' Reslden1lal, AC Only
Address \ \0 ~ ~ (\ \\\1 \ \ t.~ N. 1\v t. \lCt Of'"' t 14 \\0. I
T8r.pho~e' '" "",- f6 \ d. \.\
..-I
0...
If)
If)
(T)
o
z
Ck:
H
a:
o
Ck:
~
W
E
\
Furnace Make & Model C L..".". \ \--
Model Sf~ ~~ ~ A v-SJ ~
Conn. Load S ~ '}. do. \.
Fuel N u'" Flue Size
Supply Openings. \ 'n
~etu m Openings. ~
rnput ~'b .~ Output"\ \ ,~
,
$1/
Edr.
Cfm.
\ "'~ \"
E
0...
m
IS)
. Other
.tr, % of lob 008' ($39.50 minimwn)
$99.50
$64.50
S39.50
$39.50
$39.50
..
"
'-
Remember to add the State Surcharge on the botlcm 01 thia application. ..,.
f
TYPE OF SYSTEM
Wann Ail Plants Y
Gravllv '-
Mechanical
Air ConditionIng
Vent. System
HEATlNG OR POWER PlANT
Steam
Hot Water
Rad lation
Special Devices
'. .
...."'"
The price of your healing permit includes one rough-In and one final inspection.
Additional inspections will be billed at $35.00 each.
Other Davie"
House Heating Tee' Record must be submitted with ~uildina I'lAF9'fi number before build-
ing certificate of occupancy will be issued.
J..lFAT CAlr.11I ATrON~ REQUIREO wllh number of supply and. ""turn openings listed per
room with CFM'-, per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE crrv OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hOUri are 8 a.m. -4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-1N AND FINAL) - CALL CITY HALL
447-4230
Alterations
TYPE OF WORK
Replacement New Cons.lr~~iO~
..-I
PAID WITH
BUILDING PERMIT j
I hereby apply fur a mechanical systems permit and I acknowledge lhat Ihe
information above is complete and accurate; that the work will be in conformance
wilh Ihe ordinances and codes of the city and with the state building/mechanical
codes; thallhis form does not become a permit until signed bV the BUILDING
OFFICIAL; lhal the work will be in accordance with the approved plan in the
"Vf\" work whl.h r~e. review end epproval o'S~~ 0 _ 9 "1
a~trlgn · s /zD;'iQCI
Building OfticaJ's Signature . Dale"
{Jl
{Jl
{Jl
..-I
Repair Est. Comp. Dale
&to Cost $ ~ ~C\ () '70...... Building P&rmbll C\ '\ - '-\ \ a
..-I
(\J
>-
a:
E
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAlPERMITFEES S
.50
Receipt 1#
05/11/99 TUE 11:34 FAX
141001
--.~
nLLOw . ~'"'
GOLD - (liT"
CITY OF PRIOR LAKE NO. QQ--410
SEWER AND WATER PERMIT
NOTE: Sewer ana Water
contractors must
be reqistered
with the City.
...
APPLICANT: DC Mechanica.l/StocKer Excavating
,PHONE:
890-4241
ADDRESS:
8247 ~t 125th St:(~ya~eA,MN
SIGNATURE' AJ~ It fj' ~~
SITE ADDRESS: 4578 Humminji!;bird Lane j( I
'55378 DATE: 5/11/99
SLDG. PERMIT # qq - 4/0
,PID# -Z5-..3~- 02.0-0
FILL IN THE BLANKS
1. Estimated length of water service
feet-.
2. Size of water service
inch(es) -
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC y
Cast Iron
s. Estimated length of sawer line
feet.
6. Clean out (if required), located at
structure.
feet
from
s_______--- --=~~==:=~=======-~====='-~~~~-===========-~~~;~===
This apPlic~ti ecornes your permit when approved.
BY __, DATE: S-/;JC(q .
. I
~=~~~~~~~~;=~=~~==~=====~-~~~----------
__=:._____'iiiii1iiiiOjiijjj;__;
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 ana water permits issuea for neW construction must be
recorded on the builaing permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. -
DATE PAID
AMOUNT PAID ~~<<..
REC'O BY ~
RECEIPT #
16200 Eagle Creek Av_ S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
TH Cc-It'U ., ,IN Lake Cou..ry
qq/4-IO
White - Building
, Canary - Engineering
- Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
KEYLA f\lD f-IG~'it:,S
4/2-2-/01
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L57PJ 'HUt--lfvIINqP)(kO fRAIL-
"
Accepted
,/'
Accepted With Corrections
Denied
OS";I"\UII"\,", Cu. J t _
I I VlgVVgy uy. I'VRL"T'!:ie
EHJt€~N
Date:
5/~/99
, ,
Comments: RIJ~ J'.1u<.:r 'BE ~dtJvtvt:f.:> 10 t:lN6
,
~t:. 'i2.IlA'NFlyE. f c/nu-ry
EA!l.E~E~T"~ - A~ Mdc:....t AS, ?1tAC..T,c:.A'-._
SEE II\JFoltl"tA",o..J O^-3 RE..,~~E.
~
..Sf.~ A"TIAU::LME.NrS ~ '...:-J=';NA&.. t1tUt at=.. IJd~PEC.T'_J ! 1\Jt:l'Jfl.MA r,oN Z. ~n.AC>l '-J6 PLAAl
~. f'1l.0~IO^" fOfIJ'Ttt.J:H_ M~utt.e:s
"i. ER.OS'D.I\J CONTJt.O~A^,
"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."
qq/4-/0
Thr etnteor of Iht Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J(.8VLAND HOM6S
4/ z-z-/ qq
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
A-576 HU MM\ N~ B(f2-0 tRAI L-
~
Accepted With Corrections
Accepted
Denied _
Reviewed By: G! fdL.,~-
Date:
f,/-~/t -77
Comments:
}. ~o) J ~ p.n-~ ~
(,< M~"j~. Da""SI~ ~
~ 12. ~~ oJ j, (AJkcW ~-
.;: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."
i""';-;-- ";'-~'~"ie'~'''''~~c~~" '''';;'" ,'. "'~, j'-- "';~-;;']~-:'-~,'~"'-"~'-"';;-iT- - ""~~-~-'---;'-:;:-;-~~
-",~- -'---:;-:---':+';~":;-' ';~-":;-"--', -----'~.:---,..-;,.,...---..'".---"'- - -.c-;-;-.----'--:'i-.-..-,1.._-r.,-....- ~". ,.-~
'~
i'" , (
I .
White - Building
Canary - Engineering
Pink - Planning
Th~ Ct'n'tr of 'ht L.kt Coun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
{ -o' -
",..
I..
...,..-.~..../
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
,..-
,
, \
. ~ ~ I ~
",1 \, L.._--
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
/~[~
(/
Date:
L{,.- jDr'l,q
Comments:
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.":
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.1.'1? 8 ~U\M\M',^~ l:,\'l"J. t-t-.
NATURE OF WORK f\Q.~ ~ .
USE OF BUILDING 3FrJ
PERMIT NO. orCf - (,1 (0 DATE ISSUED L(- '2 9 - 1'1
CONTRACTOR K-ej lu.-cO.. {~'S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING :-t~. I S..,~"
J FOUNDATION (Prior to Backfill) G3:7 6/7 / ~ ~ I
PLACE NO CONCRETE lif(TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
:::~~~ WATER I SEPTIC 8V ~/1"'I ,7iJ ~ q 1'1 f1
INSULATION W/ alslt 1 \ . I I
ELECTRICAL U I V ( : I ) I
PLUMBING I~~~I '1 (bf; ~1
HEATING (if required) _ I llo I 6 - "t - ~'1
I FIREPLACE f\;r w ~, ~. c34l! . ~ ~/.z.~/9' ' l ~~/V/$lttT ~
GAS LINE AIR TESTrWi~.(r-~.'7"'3D''t' fk - <g'''3(-'Y 1.:I3. 8r- If-~1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
vJ. '6.
r,.o. ~.
W
GRADING (Prior to Sodding)
BUILDING1Qo ~ to-\.'l'i :\S. ~+~~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE .. AS
NOTICE V
Cj -,:)..~ - Cj?
/ fr 2-t> -'7 'J
~ ' I J (1'1
I r I . /v
BEEN ~IGNE'D
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