HomeMy WebLinkAboutBldg Permit 05-0022
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PIl/O<!'
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(Please type or print and siJUl at bottom)
ADDRESS
32-12-
05- LIJ fI Df-J-f-
P A- 5.S
LEGAL DESCRIPTION (office use only)
LOT 7'BLOCK Lf ADDITION WI l-() f
OWNER
(Name)
Yo rJ,../A~
!t~I'-.""
(Address)
/ 'fJ j}-() k&#
~
BUILDER
(Company Name)
(Contact Name)
(Address)
v. (~M., I1dA (f r
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05, 00 z.Lj
Date Rec' d
Ie?- -/?--ocj
Z;;!!IG (office ",eJ
C I-1t b
PIg;;(6":..!/ I;;)-O?.;).-C
(Phone) 'lrz...' t.2.G... .1'7.3'7
'1'r Z- ... 2. fli c. '7'1,1 {j
(Phone)
(Phone)
'in - II t -..1'yJ '-t
'f'll... lU'" J '[]Z {=A-J,/
iff?. 2'12. - {, '1'1 ~ IV'.:;4
TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: M:'.R.C. Dr.B.c.
Type of ~;tmction: I II III IV V A B
Occupancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding ~Lower Level Finish 1!QFireplace
h "dO.cJ
PROJECT COST IV ALUE $ rr ..J'tJS-
(exclnding land)
I hereby certify that I have hlrnished information on this application which is to the best of my knowkdge true and correct. I also certify that I am the owner or authonzed agent for the
above-mt'ntlOned property and that all construction wilJ conform to aU existing state and local taws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke this permit for Just cause Furthermore. r hereby agree that the city otlicial or a designee may enter upon the property to perform needed m.~pectJl)m
.....----~..:- ~
~- .~.-~~ture
x
"
Permit Valuation 1/.3~t:%ZJ. <POI
Permit Fee $01 23,'501
Plan Check Fee $ /,-/~L(. 2..l?'
State Surcharge $ 1'52,5"D
Penalty $
Plumbing Permit Fee $ /tJ", () 0
Mechanical Permit Fee $ 1~(),O'l
Sewer & Water Permit Fee $ 3s,~o
Gas Fireplace Permit fee $ Lj" .(J()
This Application Becomes Your Building Pennit When Approved
~ r
_ _.~f.-
Building OHicial
Date
"2..d ,'1 2 rr'j
Contractor's License No
Park Support Fee
SAC
#
#
IZ-/'!-o'f
Date
$
$
$
$
$
$
$
$
$ iV, 02.0.78 J
1
I
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE tJl%'V i. (0 _05"
/4.\o~oo
300,00
75",00
I. 500.00
i, () 00.00
j,500,OO
Paid
Date
/0, OZO./ e;
'j. n. oS
I ~~7'b/LfJ(pJ7
ThiS IS to ct'rtify that the reqtlcst in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested This document
when signed by the City Planner constltuF a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccruficate of Occupancy must be
'~~
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
~,
I h~ ('..nl..' of lhe J,lkr Counlr~
While "Building
Canary - EnClineering
Y2iok. - Plannina:;>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
71//2>1 vii y f/u/L'/&5
/Z /7.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
22-7.'") I '. "..--"- cS
....../ c- tV I '--L/ r/ c l.... ~ c. ri--'-:;)
Accepted
Accepted With Corrections
/
Denied
<12.. . /") ~ Ii"
R,eviewed By: ~ -r~
Comments: A,e. ~ ~~ ~
~ ~ ~~ --'1...u,~~
/ ./
Date: .1/ s /0 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."
0'KI(j/;>~
,@/
t ~ '"1:
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,---/,/
t'1iithite - Buildin9:=>
Canary - Engineering
Pink - Planning
Ih~ ('..nl... (If lh.. J.gkr ('ounln,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
yV~~ V fIoH65
/2-. /7_ 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3272- WILD Ho,e~6 ~A55
Accepted
Accepted With Corrections v'
Denied
-
Reviewed By:
~~
K~~~~,
Date:
{/S;0<f
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."
~
(/i,ci PRJOIi'
~~
Th.. C....ln ~lr thO' I ,Ilk.. {'ountry
White - Building
( ~anarv . i:ngineefin!b
I'lnK . --= Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
yt itA V/"I y/ //(//i/! 6S
/ 7 / ""7' I": ""r'
c.- ~ ~ ,-1'-1--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~ ;? 7 Z II ; I.' "....j I / n 7. C.-;::- p.:J .;:- <:
.....-.... 4->->' r' V f '--'1-/ ,I w,.. ,\~"^.. __' ,-,,-'" I? I "-'~
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
I19f3
Date:
l-L/-t))
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"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
SEWER AND WATER PERMIT
Date Rec'd
I- 11.05'
! ~;;;';w ~::;. I PERMIT NO, Os: OOZZ I
3. (iQld Apphcant .
(Please .!VD~ or mint and sien at bottom)
ADDRESS
3272 WILD f!D/CSE PASS
-~.
LEGAL D~SCRIPTION (office use only)
LOT 4- pLOCK 4- ADDITION j,NlvPJ (;; -rH
OWNER L vJ
(Name) f /J~ fA) II Y r:{/~ ))O/J)F.1'5 V uLJ E.Af,<: (Phone)
(Address) .1/J?I7() f(JCE /loll-/) PI<) Ok!. l:..4K~
(Address) (City)
ZONING (office ",e)
(i-I
PIDzr. 4/7, . 04.6
7:-?J{ -d;(~-3'L-?4
/}JK.J .-'75, ~ 7~
(Zip Code)
APPLICA1!oIr..
(Name)/"'J/VIfJ.. r;~~ 1JVe (Phone) ~~-~.-5.::j'-J~1JIJ
(Address) /3/5 ;/j1J;{1.IJs 57:1fFET SIAlic) .t::;flAJ(/JJ'?EE ftJlf) 56379
(Address) (City) (Zip Code)
(ContactP~son) VfJJJAJJ1:: 11JttJ JL-L//ffJjs . (Phone) .9:-G(-2.H-/-f!L>o
APPLICANT SIGNATURE ~~./jyt'~//~~ DATE /)//105"
~ / ,
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. 0 ABC ~ PVC
Estimated length of sewer line 5~ feet.
Clean out (if required) located at - feet from structure.
feet.
o Cast Iron
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
05".0022- gy
pAID 06f2-
f)()(V
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
/"
(Office Use Only)
This Application Becomes Your Bnilding Permit When Approved
"p~
" Date
I, Z7, oS
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.........-:55
I Receip~
IBY~
)
NO. 189
p
10 17AM METRO AIR 952-447-81260I>L K'
'--"AVA'J:J.'-l " A l~.
HEATINGI AIR CONDITIONING/lfIREPLACE PEHMIT
Dnl" Hec'a
l,flillk
1 c.~~J1
i YeIlD'"
5- ~:J...
~:~ I PERMIT NO. "s- "-""'""1
^rPIi~AnI \,J .. \.J"~...(,
(l'I$llse tY2a 01' oriut And slim at l.loUtlm)
I AOD3E~1 ~ l~: \ & ~"~t OJ qJJ
ZONING (l.'Imee ,,~c)
LgOAL DESCRIPTION (om" uS\! only)
LOT~DLOCM ADDlTlON ~;\ ~J, ~ t~ ~~ ~l-~Oh
OWNER
(Nome)
':J ty W (-tv ~ () 14. S.
) -
\ ~ \-i 0 ~\.....'" ~~
p.. "IJ- l" \ll
(PhOlle) ~\~.~~XS ..\\l\J~
c::;- \"Yl ~
(A\ltlmss)
AIlPLICANT '^ I ___--
(!"lame) \<\'L\:(""\) \....,r- _Ln l
(A~dlcssll \ ~ ~ '::J. ~J \.j" \ \(.'1'"\.> (\. V 'I....
(Add,...)
(C~nl~ct Pe(son) N~, \II '-\1 So L.~ ~ ,,_\ \.
A~PLICANT SIGNATURE JJ::\w-..<-\.1 LA\\h
PIP
(Phone) ~ S ;).". '-i \.\ -I.. '(, \ d. \.{
~ ., (1- \..L, \~ ~"'I\) S 'S ~-I-cl.
(City) (Zil' Cod,)
(Phono) 9 <; ~. ,,\ '-I I' 'IS \ IJ q
DATE
Al'l'LICANT PLEASE COMPLETE BELOW
){JNEW CONSTRUCTION
FU~NACE MAKE AND MODEL. ( c.. V'......' ~ V"
PLVE SIZEQ \J C RETURN OPENINGS
TYPE or SYSTEM
. .QWocm Air Plnnts
l::JOravily
o MechDllicnl
SAir COlldhlofling
~Venl. System
d REl'LACEMENT 0 ALTEI~AT101)lt\-, +
<'lk~~((,)l,J'~b I'UELIVo,'
~ INPUTI.ctt (leG OUTPUT ~, '3, ffl_
FEE SCHEDULE
\% ufjob cost Rcsicle1\llnl. Ons Pin:place
$39.50 minimum
Resldelllinl, Ile.lill& & A/C (New COllsUllelion) $99.50
Residential, Ileoling Only (New COIl3lCUclioll) $64.50
Estimnted Cost $ \ \ 1\ 00 ~
. ) -
rll\EPLACE MAKE AND MODlJL
InullSldol, COlnlllmial &< Mlllli.ralllily
HEATING OR POWER P!ANT
o SleMl
o HoI WAle'
o Jodi,lion
o Special DevlcC5
o Olh". Devl,,,
I'LlCASE NOTE:
Air Conditioner UllilS
Cannot Encrunch inlo
Requil'cd Side Yard
Selback.s
$.19.50
Resldent!.I. Addilioll. & Alle..,tions
Residellli,l, AC Only ~
Building Permit II "UIL~~
S G iJ~~
s .50 ~411'o-
$ 'r
$J9.50
$J~.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT l1EE
10111" U.. Onll)
1'hb ApllllcaUolI Occome. Your DuUalllg I'ermll WIt.1I Approvcd
lIulldlll' orn,lnl
VI\U~
f Paid
I DFEB 2 4 2005
l~ecoipl No.
I3y
2~ ho".. notico ro,. ,n ill'l>ootJun. (952) ~47.9850, n.~ (952) 447..j2~5
Jeff Scherer
952-447-6735
p.l
U1" OF PRIOR LAKE PLUMBING PERMIT
~D~U>>)l
L 8'" fH< I PERMIT NO~- -~ .Jl.
2. Oold CII)!
}. Yellow ^pp!ic,nl
(Please !'(OCE. or mint and silm ~t bottom)
ADDRESS . "
3d.ld. \";.)",\cl \~Of~\)CI.<,<)
ZONING(o,"",WC) .
. LEGAL DESCRIPTlON (oIDee us. only)
LOTY BLOCK Y ADDITION 1JJi\d~ lo-t0 \=\ddi\\GV\
Pill
~':"e~R I\DS\\ ~ \~Cl\I\~ \Y;QY(jS
(phone)
(Address)
. APPLICANT SIGNATURE
APPLICANT <. ^ \. \) \ \~ .
(Name) ,)l:..i\e..\( cr \~ Uffiv,1'G\
(Address) ~'1CO f\d,iQ(\ LW(}e -8'2...
~ress)
(Contact Person) -S e \;":\ Sc. \r\QJ/f:V
~~C-}~~
V - /
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture [ Quantity I
Bath Tub with or without shower I Lj Rough-ins
I Dishwasher I I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) l I Stand Pipe (Washing Machine)
Laundry l[ray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sii:lk I Lawn Sprinkler
Water Closet (Toilet) Other
. (Phone) Cj~ d. -L(Lj 1- io 13 If
V (lO(" l.CA.Ke -Sc~ 3-:})..
(City) (Zip Code)
(Phone) e.n:OI:).- 7'1'7-3L-VS3
DATE ,)./'6loy
I
I
I
I
I~
I
IUr
I
\
I
Quantity
1-
\
\
"5
Type of Fixture
I
\
\
-~
~-z,
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% otjob cost with a $39.50 minimum esidenlial, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Offic:e Use Only)
This Application Become~r Building Permit When Approved
/
Building Offitia\ :...
$
$
$
~u~~~
.50 ~ t)~~
~'"
Estimated Cost $
Building Permit #
Date
Pllid' :,!},\eceiPt No.
o:teFEB 2 4 Z005 lB~
24 hour notice for all inspections (952) 447-9li!iO. fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
" BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3272- Wil-D fI~lt.,. E" pA.JS
NATURE OF WORK IJEkJ CIJ,.JS'TJtlteTjo~
USE OF BUILDING S. t=": D · _
PERMIT NO. 05.0022- DATE ISSUED ~~~
CONTRACTOR Y/J]tIAJAf H~~ P ON -2'2'" "'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSP~ ' D-\TE
I FOOTING Ifl/ I jZ.()/~-
I FOUNDATION (Prior to Backfill) I j4f.1f I / /./7 A.' s---
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGti-t- INS ~ /
SEWER I WATER I SEPTIC #is ~f/ ~
FRAMING ~ ~ ).-}.~6 . . r-:,;
INSULATION 1I1/1F 5--( rro.;-
ELECTRICAL
PLUMBING IM?h /c6~
HEATING (if required) I / J
FIREPLACE we. 1f'B' 6//?I'~
GAS LINE AIR TEST Jft,j, 1M JhAr 'f1; ttu: fi!V
COVER NO WORK UNTIL ABOV~ H,AS BEEN SIGNED
I tJlrHC / I-fou.r€WtfIf,o Wc.If/~~/J1oL, I
FINALS J
GRADING (Prior to Sod~ing), , /!/ 11;, /0-. / '1 . 0 J-
BUliLDING~ot'av,.-bI,fj/k: $/f/:;U.( - tj f1 I" )'17 /~
ELIiCTRICAL' - - _.)/!" I a5'
PLUMBING /" I} S/~ - .
HEATING I df/F h 1;;/vJ
. .
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
@trfifiraft of @rtupanry
CITY OF PRIOR LAKE
" ~rparfmruf of ~uilbiug JIusprdiou
~al Permitted r:::J Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / [j 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 FANILY 05-0022
Use Classification Bldg. Permit No.
Occupancy Type
Type Constructi"'"
L4, B4, WILDS 6TH
R3
VN
Zoning District
Rl
Legal Description
Owner of Building
YORWAY HOMES, 18170
Contractor's Name & Address :' ,.
ROBERT D. HUTCHINS / J 'j
Building Official U "
Site Address
3272 WUD HORSE PASS
RICE ROAD, PRIOR LAKE, MN 55372
JANE KANSIER
City Planner
Date:
Date:
-, ,,,,.,,
,,), ,\',.....
"~.
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Iv-Il-or-
ADDRESS
3~ 7J.. v,;,:tJ I-b, k p"SS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FAAMING
o INSULATION
J!ICEINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
bl'~-c((.
Cvlo BO"l- olL
Vl1f1.1'11Y
.. ,i
t':!.<:"- 7,L.
k~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fll(WORK SATISFACTORY, PROCEED
"0 2bRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.d-r:" - Owner/Conlr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJ<<J"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
//1/)
~HEDULED
DATE
nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~~
tJ,/d' /'cse A-cr
J~?.L
ADDRESS
CONTR.
OWNER
t"1S - --22-
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.,IB1olECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
.......,.IREPLACE FINAL
'0 GASLINE AIR TST
o
COMlo'IEN"P5: J
~~&(?; C'- / ~ / do~
/ -"
~/~S~
""
..--,
~d
hA~/
OK
~.. ...- ~
r/'~ A-Ct<' hJ../ /\ ,
~~b+> cP ~"",/""'/,..(
J% /"" /Yo ",,}.,,:(- L ~ ~
,?4'/:S- *~ -
cl AL"J/ dciv/4ce d, U~~. /'/
,:\ .( ~ I) / - / ~". / / /
!y/~,t? d -/,COH 7' J 7#//;,L J, deU<E//c
. d, / '/ ' ;/4'/ / .
/.1) /f-v,d~ /c~; kG>u _ :'1:C/;.J.v, wk,e...
c::: V__~.E d"~ L /
o WORKSATISFACTORy,PROCEED/~r ~J ~/ I
~RRECT ACTION AND PROCEED /'"'
L_~ ./
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!
lN$NOn
DATE
~/~-
~Yd ~~~.;(rr
~~MMI;l9TS:,/ _ /
(:!) r-.wd 2 (j- ~~ -2"N~J
.hh/~ e'~ 04-,L
/
e) /~~O/~ /!-f/J L~~5
@) r.';v/i <?~v"J U//H' ;/;~/ ~
(\(.IJ'H J1 J1/~~
/ /'
0" _
(M L;?{ &-"hL///~
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'"' I ,j ,,-
~J~rI T ~e.s #e/ #GV "P4.---
/
r: O. v.-r-1./
CITY OF PRIOR LAKE
INSPECTION NOTICE
@
SCHEDULED
ADDRESS
..:?~72
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
. 0 SITE INSPECTION
o PLUMBING RI
....e-MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
"
@
f1ME
, )- .22
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
.....-fI'1=IREPLACE FINAL
o GASLlNE AIR TST
o
/'l
16---
h~(
%/:k-
,/;7
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.
uaNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 32)) IJ\'\..G ~
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
.0 yEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
I. ~"'. ~J ~"7
1-. C(u...R r(~r~~ I'
'? Q~ D,,-,",,! f ,.)tbn:u'
~ TIME
~-ooZ2..-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE7Jf1CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CA 7-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
HaNOn