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Building Permit 12.1246
X CITY OF PRIOR LAKE prparfmrnf if 11Juilbingnsprrthi ,Final Permitted O Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑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: ' Use Classification S I'N G L F FAMILY Bldg.Permit No. 17-1246 Occupancy Type R3 Type Construction VN Zoning District PUSD K Legal Description L5, B16 JFFFERS POND FIRST ADDITION Y Owner of Building Site Address 3651 WILDS RIDGE N .W, y�' Contractor's Name&Address SUMMIT CONSTRUCTION LI C K ROBERT D 1 HUTCHINS Cit Planner >� (1/ y �, Build" g Official Date: fl Ucits} /2/ 20 13 Date: J / POST IN CONSPICUOUS PLACE g � � E a § � � d tu � \§§ § 4 I i,„ hip00 q$e b .!■ . .11111. 4 k o W Z SI I ' CS. z k!ih _ k 0 Ix & �� § Si a ■2S a �N 002 ,_ o Q© < _A © w w x K a � $ ■ a§ � 2 2 oOooQO E o0 k , k a a 0 II IL p u. uj Ce tu$ 2 0 a O000 O 0 *OO Lo I z z`n Al3 Ea: re L uii \ f.% * cwiwa � z W p �5gz > 4 0 41 i wauu..uu.. g lk v 2 z 6 w / 0000 ❑ � � � g o wo= 7,14 4' LL iii , N 0 Ca W Z SOI J y »Id Z { 1\ Z o M'----30 0 ` a S Z Z SSZZ ` �. \/� w N a U. r a . z U) 144 N V d' aW< yj� W \ W W w x j a23voa2 t, w w w z cWy 000000 „� 8 8 r _ 0. \ )N,7 I \\ a a u'l r \li ti pjou. <6... : vi'II IL." : cv re ztY 6.) 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Q O a ❑ODDO V iriutio4.c CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd - TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `Q, r t 7 E Q AND UTILITY CONNECTION PERMIT 4.'inNESo_P I White File ___.) 2 Pink City PERMIT NO. /Z_ /2-4- 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS V V 1 JS'�� �tIIV ZONING(office we) 36 J 1 LEGAL DESCRIPTION(office use only) 1 LOT 5 BLOCK 1-6 ADDITION 364 fs Po/VOL VI'cS4- t41 o" PID Z.S—. 43"7. r 4i. 6 OW(Naame))RSj,tr 1Mtf CC,I$-fi-i.CftaA GIG (Phone) a/Z) 2V7 ` b ?97 _ (Address) 333 S. Central Ave. . Trvneo , Mg Sd Off? BUILDER r J —f/ �o 9- 33 /' / n— (Company Name) ,ciiMMt'f Cz/l&rLt.C+104 LLC. (Phones a /Z) Z97 '- 699 (Contact Name) I3))0- g re (Phone)(1 /2) 2./7 ` 69'97 (Address) 333 S. Cert-fro` Ave,• "fru,vlai , in Al S 4O4 TYPE OF WORK 'tew Construction ODeck ❑Porch [Me-Roofing ORe-Siding Plower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection CODE: I R.C. DI.B,C. 0 Misc. _ Type of C nstntction: I II III IV V A B PROJECT COST/VALUE3 0 0 0 `� Occupancy Group: A B E F H I M R S U $ / , Division: 1 2 3 4 5 (excluding land) S tI 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 tam the owner or authorized agent for the I 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 huiklrng official can -c this Emit for just cause Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X SC z 2 ‘ S 92 io/rn/i z i.; Signature Contractor's License No. Date 1 a Permit Valuation 3 DS. ei.,0 , Park Support Fee # $ P• mit Fee $ -2-3("t 50 SAC # $ Z 3(�c FI n Check Fee $ Water Meter Size 5/8";C.-? $ t4R5. `t� 5-9.0.-- a eSurcharge $ ( 54- - Pressure Reducer $ i ©. P n•tty $ Sewer/Water Connection Fee # $ Ste, PlUmsing Permit Fee $ ( 5 4,S*=7 Water Tower Fee # $ ( Doc>, i Mech ical Permit Fee $ (5.4•c— Builder's Deposit $ (5ca — Sever Water Permit Fee $ r✓Cv ' Other $ Gas` pl\aFePermitFee S S4-S0 TOTAL DUEGyi( (� ��4L $1114e6•411!! 41 \\ , \ _ --(31-''' - .:, i b'nnn 1 This • � ic, i�fn D . our Build(dg Permit WI n A proved Paid 1/ 4/f Receip o/ A n� 7VDate l/)[% . / /Z- B . f Bui ding Official ' Da / This is to ce ' t t the I;nest n the above application and accompanying documents is in cordance with the City Zoning Ordinance and may proceed as requested. This documrot when sign r y t, Cin • ,nstrtutes a tem wary Certificate of Zoning comp ce a d allows construction to commence. Before occupancy,a Certi icate of Occupancy must to issued Plamm�::• Dat Special Conditions,if any _ 1 • our notice for all inspections(952)447-9850,fax(952)447-4245 1 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist New Constructs' for Single or Two-family Dwellings in -1 o R-2 Districts Reviewed by: \224 04 Date: i.o 3< <t- Building Permit# PID: _) Zoning: 6,0 P Address: g(475. 1 (. ‹)\-(L) 1 ` > Legal: L , B S 'division: Existing Structure? YES/, Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA 1 FAILS!C IES Standard I Proposed • Front Yard(can be 20'if a g.w/in 150') 25' '-5.33' • Side Yards 10'! 25'if abutting a street t a- 2.2. t 4 n5 • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"/1'over 60' if building wall is 10'-0"or greater of being parallel to -- a side lot line. I • Rear Yard 25' &© f • Patio Door: provide for minimum 10'deck or sign 10'side! statement indicating no deck will be built in the future 25'rear -----' • From 100 year flood elevation of wetland/NURP 30' - pond. " • Refer in-ground pools to the Planning Department • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no _...- less �less than 50' 3'(.14- t hn (41k1 1 Floor Area Ratio: N !FAILS I C(retiNES I .30 Maximum 1 • 2-L 1 Yard EncroachmentsFAILS(COMPLIES 1 Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line(Easements). i . NC and other equipment cannot encroach on interior side yards. Tree Preservatio 1 FAILS 1 COMPLIES Standard Proposed I • Total caliper inc es • Permit 35%Removal • Caliper Inches Reoved •• Cali,p�r'Igches Pr served • Replacerrid t1 %:1 L:\TBMELATE\BLD GLIST.D O C Ioi11111°1e A U to White -Building M, �P Canary -Engineering NNE50 Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST f1 NAME OF APPLICANT vl11 2/t(17 ,C)/- -I La&ari LI APPLICATION RECEIVED / 0 ./ / /2.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I Accepted X Accepted With Corrections Denied /� Reviewed By: AM Date: AO " -ZS-- /Z._ Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan. 2) Erosion Control Standards "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." C PRip4 ter, White -Building NEsdo. Pink Canary --Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 7 NAME OF APPLICANT • ., . -.., APPLICATION RECEIVED ` 0 ,/ 9-/2__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 ' ,,,1A& - ;-d-)/E- A44-1/ . Accepted ✓ Accepted With Corrections p p cons Denied lI ' , Reviewed By: ��� / Date: I v /31 /P— Comments: 1. co - .L 6 s (.2,,..i ' if11-(•T.1(.,,( `-->CrZci'175- Ar- 4,___ 77,76-5 . "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." 04 PRIp4 U tr1 White -Building yr �P Canary -Engineering NNES° Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT t,=:„./fet trn.r2 . ,��� .3' r APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I- 1 Accepted Accepted With Corrections Denied / Reviewed By: ;am' ,, Date: r e 31 (z. Comments: "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." CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address - S/ CL) ,V) e N Lot Area /q, 7 LI) Sq. Feet x 30% = 4/_y z z ***********************************************************************i LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 3; O 6 I DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS 8 y y _ PATIOS/PORCHES/DECKS x = (Open Decks'A"min.opening between X _ boards,with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS / D O OTHER x = x = TOTAL OTHER TOTAL IMPERVIOUS SURFACE `ioo 5-1 UNDER/i VER y/ 7 I Prepared By 71,0/-4ec' Date io -18- / Company /;--7.1e Z•7,•;-ree" i%'y Z /t-'c. Phone # 3'anv 01 PRrp4 Date Recd -\ 4,, OF PRIOR LAKE U t7 SEWER AND WATER PERMIT •/rlNNESO�a' I. orccn hit' 4' 2. Ye,k,w. o„Y PERMIT NO. I44GP 3. Gold Applic.m (Please type or print and sign at bottom) ADDRESS i �j j }�y ZONING(o)ti�:euse) 6105\ ! \bc) (� 'f 1 -/e. I LEGAL DESCRIPTION(office use only) 'Ob LOT BLOCK ADDITION 3t. .c-rXt, Yyi 1 ,A0txt. PID a N3-7 1 Lt 8 D OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT ^� i L' _ (Name) V\Y�til ( C T V k L..1 (Phone) `"�*,,t,� - te✓ st vo (Address) 3'A. kW44 I>M lV` -- c tx& l- 55,552 _ (Address) (City) j (Zip Code) (Contact Person) \1 L*P g C Ar\ CA. ,1 V\ (Phone) 0\ 6?tL(- ' 61 0) APPLICANT SIGNATURE C,..mark t( L- CK) DATE 17---13.1 (1.1 APPLICANT PLEASE COMPLETE BELOW Size of water service 1 '` inches. Location of any couplings from structure It feet.. Type of sewer pipe. ❑ABC 0,PVC ❑ Cast Iron Estimated length of sewer line 5S feet. Clean out(if required)located at I I) feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'1&Multi-family 1%of jol3 cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date PAID hour notice for all inspections(952)447-9850,fax(952)447-4245 PAID WITH 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 BUILDING PERMIT . Jan 31 2013 10:49AM Clearwater Pig & Htg 9524401740 page 1 UAU 1 yR10 CITY OF PRIOR LAKE Date ltec'd °4 ` ' '� HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4facct► r.nes 1's` PERMIT NO. '^,;�� 2 Vele.. a$ /L, /2 G I 3.Yellow Applicant (Weare trec or whit and signet boUum) ZONINGweerecces ADDRESS 3651 Wilds Ridge NW LEGAL DESCRIPTION Wise sic osty) LOT BLOCK ADDITION pm (Name) Summit Builders ( tee) 612.247-6997 (Address) • AI amel __uiItaum trwater rig ritgng Inc. ) 952-440-3779 1U922660 Mushtown Road Poor Lake 55372 (Address) (Address) (City) (Tp Code) (Contact Person) Susan Schlink .. (Phone) 952-440-3779 APPLICANT SIGNATURE _ :/ 01;%,-, .{'Z DATE 1/31/13 APPLICANT PLEASE COMPLETE BELOW e]NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL Lennox ML193UH110P48C FUEL Natural gas FLUE SITE .3, RETURN OPENINGS 12 INPUT /(Al,to OUTPUT , t,t G TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWum Air Planta 0 Steam Units and Fireplaces Cannot Encroach ■s :vity ❑Not Water into Required Side Yard Setbacks. ►:Mechanical Radiation Fireplaces with Box Additions or I Air t.Conditioning Special Devices Cantilevers to the Outside of Buiildiings ■vent.system oilier Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE PAID v1►s 1 f 49.50 Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace 349.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&MAP 1NG PEFIhV Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes*32613.148 HEATING PERMIT FEE S "SUI;CHARGE"hus been chanitcxl for one year(Motive STATE SURCHARGE $ .50 July 1.2010.until Junk 30,2011. TOTAL PERMIT FEE $ The minimum surcharge fora' ed fee"permit (Office Use Only) is$5,beginning.nnty 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Balmlaa Official Date _ 24 hour notice for all inspections(952)4479850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 a- ni CJ('Sy OF?MOB. E BUILDING'G PERMIT, Date reg"d 0 ,113t TEMPORARY CER.'XTECA.TE OF ZONING G COMPLIANCE • AND 1ILm'CONNECTION PES *Niers°� 1. nip 2. Zak Catt PrED---MWITI /2 _/zv 4,1 �P1e Lesotor.p__ _.si att.L,_o�pp) _. .. . ADDRESS f r 7NL'IG caseatssej k 1 el 1 1‘3 CO . LEGAL DESCRIPTION(atuse may) LOT BLOCK AMMON PID YY fYI. _ - .—._. . (Ph040 41107'd :.4? 9' (Addzess) _ r (Company Name)_ - et` _-_ �, (Phone) Zee 3 �36 2:-,x' 3/7 (Contact Mate) fir (I. (Phone) i _ •+3 secs +�. .. - f fit.,l L - , 1 . TOE 07 WORK',Wavy Cohstroctioxt Mock QP07.13. [ilii Raoong OIto•Sidiag Or.mmx Lad Edith grareplace D.Additiaa QAitfratiam. Eratigty Comaech&n JJ CODE: M.R.C. 01.0.C. 012c: _A4", V vt+ d F: 'Q1aCE'' ____. Type of Construction: I PI EC Itr V .A. B Oecubearoy Group: A B E 1' H I 11d R 3 Tr PROJECT COST/vAL[7B $ QOM / r x' sion: 1 2 3 4 5 (escludi land) r Icy cedifY*at Bare furnished En aresetien o:e this egplicadou wisid is to*obese ofmy;mode*hoe and correct I also unify that Z ayaet<e owner or auduo di agcatfor dte above meahoaed sooty tad ihaL ail cosseted=will cod=to all=hag state aadlocal laws mate proceed hi=edam:with e 4 punts. I am aware due the 6miin3 officials ravokedus.-... 4 I i- use,r .Iruttlu reuse,Ibetebyragreethattheritedadaioradesigtteereayaide/uponthepropert;ytoperformneededieepeolo . Signature Cvvlzactor'sYi,cecse No. Date - _ Pe esitValt. ttion ' Park SupportFee # — ' $ - Pe.YmitFee $ r SAC � YY $ Plan C'aeek Fee $ Waw ater Size 5/$";8"; • $ -•• �e $ - PressureRedtl Stats S – 3 Penalty $ SewerfW'ater Conned:Ion Pee 0 S - PlvmbingPenmitPee- S - - Water Tovott Fee .# . $ •-- - MechanicalPesmitPee $ Elulciar's7)eposit $ Sewer&WaterPtr itPea i $ Oths ` I $ -- -- Gras FiseptacePandt Pee $ TOTAL) 'OB .� $ . - _= I. t a , its This Applica:ianBcconaes YobsPnd gRaomit MotaApprated Paid Recei. 3...� Date Dalin Official Date 'nes is to eo:6fyihesthe;velu ia:the shove arpieafioa seetmueesePinAtdeeMenta is m suWance villa 57a ed by the ata ranee&ogee=a tempcdaty Omeede ofZcomY yplpae¢and am cons = e.corm=tadoupamy,inky mad requested.eganThis d4oumm: of F�Yn0.s5lbit — Plsanioglitrx —i Aar $PedalCoodipan;ifsgy 24 it04trIndio for ail asps-tioees(952)447-98 4 fix 0152)4+I7-4343 ' 4646D4ot%Street$$.,Pziorl+dcr Monaco*$5372 Ova Z 'd SOO '°N Wvw8 En '6I .VJ 04?Rio ate Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT r 44j"'ESe ,.ted File PERMIT NO. /�7 Yell App /Zy / 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICAN4A (Name) V v` (�l u•�---' �{ �..`C- (Phone) SR (165-- Z0 3 (Address) ` L``i (2j c -.13 S A)-kS, Yw 5-5 '4 S (Address) (City) (Zip Code) (Contact Person) it- 0 (Phone) 4 5-1-4(65-- z_d I APPLICANT SIGNATURE ,-` _de" • DATE i 3 APPLIC T PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.148 $ Building Permit# "SURCHARGE"has been extended ►LUMBING PERMIT FEE $ The minimum surcharge for a ;TATE SURCHARGE $ 5A,P'AID WITH"fixed fee"permit is$5.00 DOTAL PERMIT FEE $ BUILDING PERMIT This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • v PRIO A„,, A. fi Builders Deposit tNrasoll" City of Prior Lake A$1,500.00 Builders Deposit is included In the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It Is not an escrow account.)All exterior items including but not limited to grading,sodding,landscaping,treat planting,driveways,siding and painting shall be completed 180 days after the date the building permit is Issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or than $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. DATE: /c7//9//Z SITE ADDRESS: 36St t&); tcLS e s, N(Al PERMIT# /4 , f i l-(0 REFUND TO SE MAILED TO: Sun°)rn?t Coil Sint ti)01A LLQ I 60 Rottinotkott,se, Cs rcle, Sh ,.kO pee, , MIJ SS379 AUTHO' ZATION TO RELEASE if PLEASE REMEMBER i/ '()G_U O .ynda S.Allen :ui ding Services Amount Z.-1_13 Acct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION Date THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTSIGNATURE LINE.THE REVERSE SIDE HAS AN.ARTIFICIAL WATERMARK-HOLD AT AN AN LE TO VIEW Edina eat Title � M -s &I Banko_f Mayville l 79 600/759 E§ORO v Acca NT % -_ -_ ,-7,---T-:,-5,--------x-4-±,- _ = NO 30164017 1 r X6800 ffIANCE /E.S,SUIZ-V00 - = _ --EDINP�,_MN 554 5_ - _ Ile# 1053459 = 01.1/20'/2012 1 3651-Wilds Ridge NW roej _` • - r - - 7I' Prior Lake, MN 55372 - _ , I fan"011,I, .I i1'," ly'.i:1',. 14;I'. IIt0 J+. 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P -;PP c c.P''-P Pc7P.c.f0fppio.cf^_W PP PPE, PP c•c`ccP!; Tg P 'c- T4PPPM..PPPrP P cccJP P O'ccr P P,•,igcP EB7af ENEII�aBEE ACCOUNT NO. 801-20204 RETAINAGE FORFEITURE ACCOUNT NO.32211 AMOUNT: AUTHORIZE TO RELEASE_ DATE: J:IFORMSIBUILDERS DEPOSIT FORM.DOC . P R I 0 R LAKE DEPARTMENT OF BUILDING AND INSPECTION 1°. Ni ,,,t, P F.....CT I 0 N R E Al 0 - , ::, I ],. , , .. PHO \iii: ',- - , Li - t ( I gY OF IiiFi 1NSPFCTIONS BEL.0'-': Pi.-ir3MIT I3 BY SEPARATE DOCUMENT i • ., DATE Z [FOUNDATION (Prior to Backfill) I PLACE 0 9NCRETE UNTIL ABOVE HAS BEEN SIGNED K -,,oto61/.._ Y2__ — ROUGH - INS .74.11- SEWER /WATER / SEPTIC /2-L ' /7/Z-. LA__. ? T FRAMING '' , ,. 41, Re .4.. ?hpii3 INSULATION I 54 Z,,,„,i, if/ .?,(8/(3. . ,,, ELECTRICAL PLUMBING ef viziy.c. _ HEATING (if required) — FIREPLACE i'J',: AIR TEST ., Mil V t ' \ 1J kk , cp- i GRADING (Prior to Sodding) id cp - BUILDING / P0./12/it-F Eit,ECTRICAL'i c,gi,ID it)(1ii kt /1 i _ PLUMBING /J v ita,-. 1 - 113 - HEATING ,- to-.),(0 - 0 — DO NOT OCCUPY UNTIL 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. FOR ALL INSPECTIONS (952) 447-9850