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Home My WebLink AboutBldg Permit 01-0653 DATE RECEIVED CITY OF PRIOR LAKE ~'/ltJ1 BUILDING PERMIT, ~ / f. V.!f TEMPORARY CERTIFICATE OF I ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.228qss wood DUtJk. DR/ ve 1. DATE ab/14/01 PUD '-5'- ?31043- Q 3. LEGAL DESCRIPTION LOT 5 BLOCK 02- ADDITION -r/u? wiJ.d:5 L ql"!! /'1.dcil h~ 4. OWN~ (/~ (Name) A ~ ,q e ,,_~~ %~7 p:el No) ettr/~( ro!lSlryl cUM ~~.t~jj'ff;.ml' ~).'1 l(Pj:L} g~, 21M 5Hc~~ 11 (Na~ 1~7~'r;. ~P~).~ (Tel. NO.){4S2.-) l1fIU-/~/;J"IJI";--' ~"'Ik ~~ ~L;Aij;J1/111. ~~1 4:32-2DtH '.BUILDER (N"""" /.. ~9547 (TO. No.) ~!~~~ ~o~,~~/21-"'::;~~ New constructlonJ( Alterations a Addition a Finish Attie a Re-sidlng a Finish Basement a Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. /~ 070 9. PROPERTY DIMENSIONS Width CJ7' Depth /&17' PID 10. CULVERT SIZE (~ Yes 1. White 2. Pink 3. Yellow File Qty Applicant Permit No. OJ-Oft; 53 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Heill!J.l) I (Width) (DeRlh.L . c5lPf ~ (17,'" X 4$7. ~ 12. NO. OF STORIES /urP .sr~ 13. TYPE OF CONSTRut]:U?N ~ ~ ., tutnl!!i ~ - ~,'iUnIJ. , 14. FLOOR AREA APPORTlO~MENYJSE /J!~ = 14tt>/'z )~I/' ;i r/Nr,L =.IblU J I '''?AI.. I U;ftJ1161t41 /)S,m r I~~ ~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS ~ 4( 3 . ....... AJA SEATS 16. PROJECT COS.IflALUE ~_" I __) ,,~~ 63/. OJa-Qt" ~ 17. COMPLETION DATE ~ /f)-/~-Ol ~ 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 . conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :ulldip'\o~n revoke this t for' sa. rmore, I hereby agree that th7i7'i~ignee may enter upon the property to pe~/i~ons. ~~ License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Beck BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV V OccupencyGroup A B E F HIM R S U Division 1 2 3 4 n-io/J - Permit Fee ................................... $ :;J..~. _~ ~ Plan Check Fee ............................. $-1; 3~. ~ State Surcharge ............................. $ I <ll/. 0 Penalty ....................................... $ Plumbing Permit Fee ....................... $ /t!) 0 . 0 C) Mechanical Permit Fee ..................... $ I () () ~O n Sewer & Water Permit ...................... $ :5 s. ~O Gas~e ;t..... .............. $ I{ tJ ~ Q6 This ur Building Permit )Yh~~roved. / By '. Date ~ '-# -7~ Certlficate of Occu Issued Side Side ~#~.oo City: ,n )J~ ~vrfl'O\ U"lI\ MATERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA (] PILING LOGS a PERCOLATION TESTS a PLANS & SPECS a SETS SURVEY PLOT PLAN a COPIES a \ \ 24 hour notice for alll~ons 447-9850 Amount Brought Forward .................. $ Pall< Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ~' t, $ Pressure Reducer........L.......... $ '70 . c) 0 Meter Hom ................................... $ _ Water Meter ................................. $ ~ 5'"1).02) Sewer & Water Connection Fee ........... $1;20 0 ...~ Water Tower Fee ........................... $ , 1fl"J .c!J(j- Water Tap ................................... $ Builder's Deposit ............................ $ ..(,~ .cO Other ......................................... $ Paid Wb..~.3.r...~~~~i~;~0~ l; 9Sfqj I : Date l=i/J-'O J By request in the above application and accompanying documents is in accordance with the City Zoning Ordinance anb may proceed as requ oar consmutes a temporary ~!;f?7JLllan~S con . 0 commence. upa a rtificate: City Planner Date Bso.t)o It /5tJ.06 ". Th. ('.nlfF of lh. Llk. ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPUCATf0r+DEPARTMENT CHECKLIST NAME OF APPLlCANT,~aik( ../ //()l(~:'f/ APPLICATION RECEIVED ,0/ 1m / I I /f2'.'JAO' -./ -/'- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-~". (.:: (~~~ . I / /( ..,..' ....) \) , I ,/ L /r f ' r-. --- Accepted v Accepted With Corrections Denied Date: t;(~7(E;( Reviewed By: Comments: 9-1{ 1=', ~:~ {)rJ~ ~_)~ ~ fT~. tf:Y~;;. /~ +-7ivu ~l6dJ Ci(;' ~~~. ( 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. II " \ " , .:~-":.," "..~" .;.-~ 1:' ~1o::. ~~~~~~a:~1~f'~~ ';,;::;~"t;.{:~'~ ... -c~;,..;.J''':(-' '"'-,.~; _7(:tI'~" :..~~ -; < . ;..;.~". . .'..,.f-.... '." -- ..1-""~,..<~. // 61-(, ~3 White - Building Canary - Engineering Pink - Planning Tb. ('.nl., "' lb. uk. Counlry BUILDING PERMIT APPUCATION DEPARTMENT CHECKUSI NAME OF APPLICANT _&/,d/~ ~ iJo~4 ~ APPLICATION RECEIVED //1/ 1m /. v "" 7 I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -::;;:2fq (I ~CJ()D/JdC.K LJ ~ -- . Accepted X '\. Accepted With Corrections ~ t Denied Reviewed By: A/J9 i3 Date: '6 - 7 -CJ I Comments: See Reverse Side for Additional I nformation I . ~ . . "!.., ~ee Auacnments: 1) Grading-Plan, .2) Erosion L;omrol i,,~~~oJres 3) Erosion Control Plan' ~, .' . 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." . ----- FROM WElTER & BLAYLOCK T" (' ..... ft' 'Ilo ...a.. (''''''hiP.!' Quantity r:< I }< S .;z I I ~-;...'r ~ 3 PHONE NO. : 612 8828573 Aug. 28 2001 02:34PM P1 CITY OF PRIOR LAKE ~: ~~w ~:li~1 PLUMBING PERMIT PP No. 1-05\3 Applicant; (1J el +e, ..... f'jlaY~k Phone: f..s.J ~g8"'~-~~i' J Address: ./Sa 9 G HtcJy /3. ~~"'NSL.l~II"o,:A1-1/ SS..3 37 Signature: f i",") - dl o. . ~ . 9 ~~;) Legal Desoription: Lot ~ B1'ock...:2.. Sub l.J J ~ D 5 3 r d Site Address: 3cJ <g q W ~:H:~ t;I f)1.I e k ,,,a: I Building Permit # 01- 0 '" S3 PIO It .2.5- 337 - 0 lf 3~o NOTE: This permit will not be processed without complete information. FIXTURE UNITS Type of Fixture auantity Type of Fbcture 1 I I / Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Rough-Ins Water Heater Water Softne, Stand Pipe (washing machine) I Sewage Ejector I BacIdIow Assembly (RPZ, Double Check, PVB) , Backflow Assembly Test I Lawn Sprinkler . J Other ~ ~ .jrn../~~ . J Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential. Additions & Alterations State Surcharge $ $ $ $ .50 $99.50 $39.50 GRAND TOTAL $ This permil is granted upon the ex.prcss cQndition that said contractor, shall cOlnply in all rc~pects with the ordinanCeS of lho ~lale Plumbing Ct'lde and the ~cndments thereof. RECEIPT NO. Y - ;;1q-/ DATE CL ATIEST Call for all inSP~~lion~ 24 hours in advance. ""........, j iJ'U/~ .b-4/l) D/~ /1.,~ G .o4S lj .~ 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (6J2) 447-9850 I FAX (612) 447-4245 An Rqual Opportunity Elnployer AU~-08-2001 09:44 PM STAR PLUMBIN~ & EXC. 952 884 7468 P.01 1ti~ ~N~:;9 _. .... ftLL_ . ....ICAIIT .... . ClIff CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: NO. 1- bS~ Sewer and Water contractors must be registered with the City. APPLICANT: ADDRESS: SIGNATURE: ~ SITE ADDRESS: PHONE: CJ6":J-j8ct-91'19 DATE: JI'-1- tJl 1- 2. FILL IN THE BLANKS Estimated length of water service ~~ I ,/ Size of water .ervice ineh(..). Location of any couplings from structure feet. 3. feet. 4. Type ot sewer pipe. ABS pvc)( Cast Iron 5. Estimated length of sewer 1 ine ~tt:J feet. 6. Clean out (if required), located at structure. feet trom =======______===__===______=_a_____=_R__e=__=__=~__~_________e~___ This application becomes your permit when approved. BY DATE: ===========__K__=___=:_=======_c===_a_____~______~____-~-~___====_ 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. RECEIPT f# Sewer and water permits issued for new construction must be recorded on the buildin9 permit card at the time of issuance to insure that nodup11cate sewer and water permits are issued. a ( I '~h~/D DATE PAl D 0 - 0 - AMOUNT PAID '<.ItA n., 'G A' 7At REC'O B'}f ~.. ~t>~ U -0'/,)'- * 16200 Eagle Creek Av. S.E., Priur Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal O".,r' ,unit)' Employer - . I. Pink PlI. z. ar.. City J. Yellclw Applic.vll CITY OF PRIOR LAKE ~A J.1J. iG/AIR CONDITIONING/~JJdPLACE PEn.l.l J. (Pleuc ~ or IJriDt lIIll1 sim at botIDm) ADDRESS ~"'O'-1 ~ II~ LEGAL DESCRu HON C......., _I j A J. n AI ~ 3 .J LOT ,'BLOCK ~ ADDmON (JJ,nr k'., I r-' Date Rec'd PERMIT NO? -(oS -3 ZONING (ollice ux) FUb PID ~ -- '~3~ OLf 3 -() OWNERr. ^. (Name)~ ~ ~ (Address) ~ ~ :;:l-ISql/ 1 o..w.cu U~. Mn APPUCNIT _. . . (Name)~ . .~ ~ J.. ~e) 7{p3:::3JS--7SOO .(Address) 9.JJ~~ A.:) ~tr'"" ~ A/'} ~,:,,\ ~ (j4.dd1ess) (City) (Zip Cock) (Contact Person) Jr,~"" ~~,. (Phone) 7l#3-3/S -~/~ APPUCANTSIGNATURE ~::') ~ DATE /oAr.;6~ (phone) .9$;) -43 J -4/3-;). ,);..~ ~ I I ~ J: : . APPLIC~T PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT Of ALTERATIONS . FURNACE. MAKE A~ MODEL FUEL FLuE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT .. OWarm Air Plants 0 Steam OGravity 0 Hot Water D Mechanical . 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Devices FIREPLACE MAKE AND MODEL Tt1:5 CW S~oe U Industrial, Commen:ial " Multi-Family FEE SCHEDULE I % of job cost Residential. Gu Fireplace $39.50 minimum $99.50 Residential. Additions &: Alterations $64. SO Residential, AC Only Residential. Heating &: AlC (New Construction) Residential, Heating Only (New ConstrUction) Estimated Cost S Building Permit # HEATING PERMIT FEE S STATE SURCHARGE $ TOTAL PERMIT FEE $ .so (Omee Vse Only) This Application Bec:omea Your Building Permit When Approved Paid Bulldlac omdal Oak Dati: t() /19/ I I I 14 hour notice for allln.pectlon. (951) 447-9850, fax (951) 447-4145 PLEASE NOTE: Air Conditioner Units Cannot Eilcroach into Required Side Yard Setbacks 539.50 $39.S0 $39.50 elJIL~1~~ t1'JtH P€RMrr Receipt No. Byh'..p' . I/!\... ____ ~ no (;00 III XHlOIRd H~V8V~ ~I~VWOLnV (;OLOS1~(;19 IVd 1(;:91 10/81/01 - Cl 1- t;;53 0.... CITY OF PRIOR LAKE 4629 DAKOTA STREET S.E. Permit No. PRIOR LAKE, MN 55372 HEATING APPUCAT10N I PERMtT Date. AUGUST JO. JO01 PID .R5 ....-::j'?l- Olt?J-o Site Addrass. 3289 WOOD DUCK TRAIL Lot i Block ;). Addftlon I j Jd d& 5 Y'cY ...r OJ Cl ...r I"- Ln ?"- m co I"- Owner's Nam9 HUTLER HOUSING P.O _ MY 2JJiQ? _ APPLE Vp.T.Ry. MN. 55124 Address. Healing Contractor ~_y N, W&LTER HEATING COMPANY Address. 4637 Chicago Ave. So. - MPLS. J MH. 55407 Telephone # . 612-825-6867 d :z: :x: <C L.L. .......... Furnaee Make & Model ~RANE - TUX120 Model Size TUX120 TYPE OF SYS1EM Warm Air Plants Gravity Mechanica! XX Air Cond"llicning XX . Vent. System ~A'IRI._~ lux ~. HEA~GORPOWER~NT Steam Hol Water Radiation Special Devices d :z: 0-< e- <C L1J . ::I: ' 0:: L1J e- --J L1J 3. :>- <C 0:: x: <C ...r m Conn. load Fuel NAT GAS Flue Size 3" pvc .supply.Openings 21 Return Openings A Input 120 .000 Output l' 0 .400 Edr. . Cfm.. O&11er Devices - - TYPE OF WORK ::::J ::I: e- Alterations Replacement New Construction XX Est. Comp. Date Oct - Nov, au.ding Permit" - Cl Cl C\.J I Cl m I d ::::J <C Repair Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ Receipt tI . J- PAID WITH BUILDING PERMIT .50 SiI1g1e Family Commercial xx JOB VALUATION $0-$'.000 $1,001 -$10,000 $10,001 - SSO,OOO 150,001 and over 1. P1ldl - fie 2. Gleen - city TVPF OF STRUCTURF. 3. VeIIow - Con1racIDt Two-Family Mulli-Family Industrial Public Other FEE 2% of job value. min. $20.00 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 Of traction thereot to and including $10,000. $132.50 for the first $10.000 plus $1.00 lor each addi- tional $100.00 or fractton thereo1, La and including $50,000. $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price ot your heating permIt includes one rough-in and one final inspection. Additional inspections will be billed at $25.00 each. House HeatIng Test Realfd mUltt be submitted with ....'i/fGoM np.rmit ""mhflr befot. build- ing certificale of occupancy will be issued. HFAT CAI r.l" ATIC'lN~ RfOlllRFn with number of supply and return openings listed per room with CFM's per opening. New struclUres or additions send floor plan wlh sup- ply and r.turn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPllCATIONS M~Y BE MAILED TO THE CITY OF PRlOfIlAKE, 4629 Dakala S1. S.E. Prior Lake. MN. 55372. City Han business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE IHSPECttD (ROUGH-IN AND ANAL) - CALL CfTV HAU 447--4230. I hereby apply lor mechanical systems permit and I acknowledge that tne information above is complete and a<<Urate; that the work will be in conformance w~h the ordi- nances and codas ot the cily and with the state building/mechanical codes; that this form dOH not bec>>me a permit untU signed by the BUILDING OFFIClAL; that the work will be in accordance with the approved Planuthe ca of all work. whk:h requires review and approvat~ ~ / / ~ ') //, U/'L, f-1.{).,O/ . Applicant's Signature / Dale Building Official's Signature Dale P R I 0 R LA KE DEPARTMENT OF f" BUILDING AND INSPECTION ~ INSPECTION RECORD SITE ADDRESS &;t~1 LJcoJ2 Dude. Dr. NATURE OF WORK ~ USE OF BUILDING S FA PERMIT NO. a1.::.OJt.5~ A DATE ISSUED 6> ~ 20 - ~ ( ~g~~~~~i~~ ~~~ P~~~;?Fg~NY OF TH:~t?SNpEE~~I~~ ~~OW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I ~~ \fSPECTOR I 7 ) I~r;r I FOUNDATION (Prior to Backfill) I ~ Il~J ''I I ~ ~( PLACE NO CONCRETE UNTIL ABOVE 'HAS BEEN 'sIGNED ROUGH - INS ~V~ u.. ~~04 . f ~~~tLvtl HEATING (if required) ~ 1J~. q (,D .CJl FIREPLACE _ ~ \\~ 10 r~) : CJ1 GAS LINE AIR TEST nv.t'l\lr ,.al'+fr t> \, gpJ q . ~o {01 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS, Jc/ /I II/rid 2- r 1,>1, l(,~ ,0 v.f \",1. \t~ ~~~q~ OCCupy UNTIL ABOVE HAS EEN I SIGNED NOTICE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING GRADING (Prior to Soddin~) BUILDING ~e ~V lolrq ELECTRICAL Co l PLUMBING HEATING DO NOT ~; .1."J q/cPlJO\ q !~i Ol q/,q -.Ol 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~OO A:M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 rir~':7'_' ~=--=-~.. . I ; " :J.!" ,.' ",.:' t. 10;...... f'", .. .,..... . ..... ...'.... .'. - ~ .' ~"---.:.'~:~-~ t ~ - r :;!~ <<trtiftrsu of .tmpanqJ ..._\. ' ( :.~,J\ CII' i OF PKlOR LARE .! .~~ J)epllttment 0 ~ullbill\1 JnBPtttion ~ - IPJ Final P",.aadtted 0 Conditi~nal C.Q. Expires_ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the ~ ojissUIUICe this st'"'~'''''' ,".... in compliance with the various ordin4nces. of the City oj Prior lAJce regulating building cons~ or use. For the following: '\ SINGLE FAMILY '-.i . Bldg. Permit No 01-0653 Use CWsit'icatiOP' 0cc1. '" .; Type. R3 Type Construction _ VN Fire Zone ~ ZoniDg District wn Legal Description _ LS) B2) THE WILDS THIRP 4DDITION OwnerofBuilclina ~/teAddress .3289 WOOD DUCK DRIVE BUTLER HOUSING CO~., P.O. BOX 24597, APPLE VALLEY 55124 Con ., .,. 's Name 4\ Address ... 1/1# ' ROBERT D. HUTCHINS 1/ III City Planner DON RYE Buildilll Official It - 0,- 01- Date: - I. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME \l.'Z-!.()' 2-:30 ADDRESS 328q WOOD DU~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING L 0 INSULATION r ~ FINAL 51>> . ~ SITE INSPEC~N o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: - I(kt \ t) 0 l 0;;2.. F 1~~ ~~ $-,ocL ~ ive(>-5> . f scSUB- . !-(P53 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o , - d 1 u 1 G-l4.{ ivf>er cbcl~~pk ./ ~ORK SATISFACTO . PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING Inspector: h"Ql!f!J Owner!Contr: CALL 447.9850 FOR kE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 3;{B1 W~~ Dor.1::.. Dr. CONTR. DeAler H,;vS/illJ C91-"J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION SCHEDULED PERMIT NO. o PLUMBING RI o MECH RI D WATER HOOKUP o SEWER HOOKUP D PLUMBING FINAL o MECH FINAL COMMENTS: b~ /91L Gu(b fSorx. (9 ~ DATE TIME J /--).5 --01-- '-' D EXlGRADIFILLING D COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o S~J !J(WORK SATISFACTORY, PROCEED o CORRECT 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. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3 ,;;>- ?~ SCHEDULED ~( ~.~ 1~ ~() OWNER CONTR. PHONE NO. PERMIT NO. ()t- G,53 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP 1\10 SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: J \~~(J(t - _\i _ ~ c' v\\;e:re.r ~Aj~ I ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO.~. CALL FOR REINSPECTION BEFORE COVERING Inspector: t- ~rilAt Owner/Contr: CALL 447-9860 FOR T -IE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUlREMENTS~ FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTl