HomeMy WebLinkAboutBuilding Permit 99-0449
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~<~~I QLtrtifirau "-of OOrCUJiunry
~.~~ f CITY OF PRIOR LAKE
Ii '~~ i! J)tpartmtnt of Jluilbing 3Jn~ptttion
l '~! ~ )(Final Permitted 0 Conditional C.O. Expires
fl--I r: 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;
N
Use Classification
Single Family
Bldg. Permit Nil' 99-449
Occupancy Type
R3 Type Construction VN Fire Zone N / A
16, Bl, North Shore Seventh Addition
5412 Amblewood Drive
Zoning District
Rl
Legal Description
Owner of Building
<lite Address
Contractor'sName&AddressKeyland Homes, 17021 Fish Pt Rd., Prior Lake. MN 55372
Robert D. Hutchins
Building Official
~ City Planner
Jenni Tovar
Date:
_~...... 'u ~~; I''':''~ ,):lj "i:.6-l.oo-~, ~,,;,~
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5" t:/- /2- I?M IJ'U::W 00 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'It( FINAL Gu)6 .
/O"SITE INSPECtiON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
~ECH FINAL
TIME
.3: 00
CJq- tf.t.Iq
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
_COMMENTS:
JW nY\C& 'X1\... ~(Ytee.r~ ~
/2, Sd~d~ ~~ef1~.)
}, s~Cv--~r 2- ~';,C~~~
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Inspector: ~ Owner/Contr:
CALL 1.7-9850 F)R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
<6-z "'19
q:~
ADDRESS 5412- AM&~WOOO Sr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq - tt44
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o R HOOKUP
PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t\McStTS: ~
(( v.-ey ~
~
fLp:n
U
o CORRECT
EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~ ):30
5'-/- ('2.. flMf3C,61^100Q
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
DATE TIME
SCHEDULED
CONTR.
PERMIT NO.
qq - ~ We:;
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
i 0 PLUMBING RI
o MECHANICAL
~ATER HOOKUP
. )!HlEWER HOOKUP
. A 0 SEPTIC INSTAll
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FllLlNG
o lKSHOREnNETlAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~, ~ll FOR REINSPECTION BEFORE COVERING
Inspector: lliA-? Owner/Contr:
\j'
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
I. White
2. Pink
3. Yellow
File
City
Applicant
_2. a \999
qg-~
Permit No.
1. DATE
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 -
, 54-12- A.tv'\~ t::\ ~~~.fRIV8
3. LEGAL DESCRIPTION
LOT (0
ADDITION N.~ \.-\
4-1lP-'1;
121
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height), (Width) (Depth)
Z:S . '5 41 2.;'
12. NO. OF STORIES
2
13. TYPE OF CONSTRUCTION
~ES\ D~T\~L
14. FLOOR AREA APPORTIONMENT USE
'~9(, S~~.
PID 25-340- ~-O
BLOCK \
~ IT'" ~~t).
(Tel. No.)
(Address)
(Name)
4. OWNER
(Tel. No.)
(Address)
5. ARCHITECT
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
(Tel. No.)
(Address)
(Name)
6. BUILDER
5 ~.C>.
((,\2.) #0.1400
OCCUPANTS
\702\ 'f\S~ P\ .W . sE..
\Q.'(~~D \lo't\ES
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Deck 0
Finish Attic 0
Septic 0
Addition 0
7. TYPE OF WORK
New Construction .><
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. lo 1'2 Width 71+ Depth lS2.+ Yes No 7-12. -1 'i
I hereby cerlify that I have fumished infonnation 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 men' ned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off . voke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
- 1.5~ 3 4--1 G,-f"
Signature License No. Date
Fireplace 0
Alterations 0
16. PROJECT COSTNALUE
~ 125,ct::O
17. COMPL[:III.JI~ DATE
10. CULVERT SIZE
""'"
x
1
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SE rBACKS: Required
--.Actual.'~
! Front
BUILDING DEPARTMENT VALUATION
..,
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION \ 3~.ooo. OC'":)
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
SF()
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV (\1.2..
Occupancy Group A B E F HIM -(8) S U
Division 1 2 @4
Pennit Fee .............,..................... $
Amount Brought Forward ..................:1'.
Park Support Fee ........................... :I' PJ:;C). ~
SAC ......................................... $ I" O~O. ~
City:
,,OS? <...C;-
(P~'3 . q,
(J,., . 50
Collective Street Fee ......,................ $
Sewer Tap ................................... $
Pressure Reducer .....?~.,~............. :
Meter Hom ..'.iiJ...C.... ................... $ .:2. -;- CJ
Water Meter ...1b.......................... $ J r c>
Sewer & Water Connection Fee ........... $-4 "2 ~ . ~
Water Tower Fee .........................., $ 7 () () , c:;/!)
Water Tap ....... ........,.... ......., ....... $
Builder's Depos~ ............................ $ I, 5'""00 t oe>
.
Other ......................................... $
Total Due ......................,....... $.:J..5..() ~. 22-
Paid 7r()8. z..-""Z.- Receipt No. 35"..30 q
Issued
Date ~/I,/t;1 By ~ /
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 requested. This document when
Signed, t~s; t~mporary certi~~t~ t:~n~~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
;;;::> City Planner - Date Special Conditions n any
24 hour notice for all inspections 447-4230
Plan Check Fee ............................. $
State Surcharge ............................. $
i/5"'. C9~
Penalty ....................................... $
I 00 . c'JO
LOO.or:::;
;55.50
Plumbing Pennit Fee ....................... $
~
/ 'f
Mechanical Penni! Fee ..................... $
Sewer & Water Pennit ...................... $
Gas Fireplace Pennit ,...................... $
Thi~Ii,di\Jj(} ~~meOV~i1ding Pennit When Approved.
By \(a.. V 'K,u, _u Date 5 - { ( - 'l C,
Certificate o~ Occupa~ . I
'T'"
OS/24/99 MON 10:55 FAX
~OOl
;//~ PA\D W\TH
8UILDING PERMIT
~ . ....Ii
1'1lLL.OW . AP"'-ICAIIT
c;oLD . CITY
CITY OF PRIOR Lh~
SEWER AND WATER PERMIT
NOTE:
NO - 33- L/-LI!J'
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: DC Mechanical/Stocker Excavating
PHONE:
890-4241
sITE ADDRESS:
8247 West 125th St." Savaee. MN 55378 DATE:
BLDG. PERMIT # C;tf-W9
PID# 2.5 -.34-0 - ooro-o
5412 ~blewood Drive
ADDRESS:
SIGNATURE:
FILL IN THE BLANKS
1. Estimated lenqth of water service
f eet-.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4, Type of sewer pipe. ABS
pvc 'X
Cast Iron
s. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
faQt
from
~~~=~==~==~~~==~============~~==~===========~===~~~&==~=====~=---
This ~.p ication b"co;;le~rpermit when approved.
BY dl rX'\/bAU;, DATE: 'S-: ~1./,-r9
---.:! ' ......... ........... ,. .-" .,
~===_~~~~===~~~===~S~~_~__~=~====2==~~====:===-=====~======~~~
FEES:
$
~
$
35.00
.50
35.5'0
Sewer and yater 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 bui1din9 permit card at the t~ of issuance
1;=0 insure that no duplica~e sewer and wa' ~r P~h.. -. are
J. S sued. BUILDING PERMIT
DATE PAlO AMOUNT PAID
RECEIPT # REC'D BY ~
1.6200 Eagle Creek AV. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Jun-04-99 15:27 0&0 MECHANICAL INC_
612-S90-4650
P.01
n" Ltnl" .,1.,., I.alu CUII",n
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Applit;anl: Dr..J) m e..(!"'h~l ~ r Phone:
Addre~;s: .:..:- '- # j;J 7....uJ--..LJ - La-L tt: . .:s Lt S Ii V A ~ E.. J 5S 3 -1 t
Signature: j{)~.-. #7~'" w ~ ;e.. /
LegallJescriplion: Lot' Block I SUbJ"~ S~ 1-r::L
Sile Address: J '-I / ~ tl.--rn ~ ~ n-lt...... .
Buildillg Permit # q.q - L/L/q PIO" 2.5.;,3l/() - 00"-0
. , w
NOTE: This permit will not be processed wilhout complete inform<.1lion.
I. IHue
1. G..ld
J. YeU..",
File
CilY
,""ppijc:.JDI
~ \~Pi'lli)I;.""
~
q9..-~L/.q
83o-cg~IT
FIXTURE UNITS
Quanlity Type L" Fixture
/ Bath Tub wilh or without shower
I Dishwasher
I FIC'nr Qr:1i"
Lj Lavatory (balhroom sink)
Laundry Tray (' or 2 compartment sink)
oL Shower Slall
~ Sinks
Bar Sink
3 Water Closet (Ioilel)
Quantity
Type of Fixture
3
I
Rough-ins
Waler Healer
Willor ;','1111111
I
Stand Pipe (washing machine)
Sewage Ejector
Bacldlow Assembly (APZ, Double Check, P'IB)
Backllow Assembly Test
Lawn Sprinkler
I
Other
rc€. mde.tC-
FEE SCHEDULE
Industrial, Commercial J:: Mulli-Family
(1~~ or job cosl, $39.50 I linimum)
Residential, New One & rwo Family
Residential, Additions &t\lleralions
State Surcharge
S99.50
$39.50
s
s
$
S
17'-'50
e>\ d ( .
~i
.50
f~ .
GRAND TOTAL
$ loa.Of)
'i lis pennit is grantcd upon lhe express cOluHlioll that said
t 'Iltrac.:tor, shall comply i'n all respects willi Ihe ordinances
I the Slate Plumbing emJe and Ihe amcmJme2 IhcrelJf.
_ ~ R . ~W~/7 /9'9 DATE
~ ' AT reST
. PAID WITH .
l BUILDING PERMIT .
':illl for a
16200 Eagle Creek Av. S.E., PI.I)r Lake, Minnesota 55372/ Ph. (612) 447-'+230 I FAX (612) .w7-..\.~45
An Equal Opportunity Empluyer
cq-4-lfC
The Con.er 01 the Loke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KE,VLA 1\1 /J HOfvlE:5
4-/26jqq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 ~ 12- 1--\ rvl BeE \;\1 DC L) D2..\ v t/
Accepted
../
Accepted With Corrections
Denied
Reviewed By: ~12. ~R.E.q,~
Date: sh3. /'Ii
.,
Comments: RtJAJoF"1" MU'~L..-3E. (}OAJuEl,IW ""' AAJl'J ,qL,muu D'Ullf.JAr~E. {l.Jn~1 rv
EAsE: "lE.uT~ Ac; Mt.>(..H ,II S ?n Ac.. TI c.... L .
-5E-~ 1A)J:~ItMPrrIOAJ OA} rl.~J..Ed.,E ~
~ An-14t.ri M~AJr$ ~ I. r:;N,q~{,' nt4o€. I JJsPEcn<!Jf\J ~n. rMAiCIGAJ ? ~J,u(_ PL.-a^,,-
~. ("nilS/DIU C GNrltOL r11 EAC;;.Jrt.e ~
if EItOSla/lJ (! 8/IJ"rll.tOL.... :PLAN
"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."
;f'
.--..,.....-
(1)
(1)
"'"
o
z
0::
H
a:
o
0::
~
W
E
c.. II
Flue Size ~ ")
Supply Openings \ ~
R.etu m Openings <6
Input ,~ 100\ OulpUI] \ '. ~ \)6D
Edr.
Cfm.
\l'10
...
,
. "',
Remember to acid Ihe State SUlCharge on tbe bottom of this appr; "1,,'. n.
...
TYPE OF SYSTEM
Warm Air Plants X
Gmity ~
Mtchanicel
Air ConcfillDnlnQ. X
Vent SV1Iem '" r' 0"\ \J
.J
IiEAllNG OR POWER PLANT
Steam
Hot W.r
Radlatlcn
Special Devices
I
The price of your heallng permlt includes one rouQh.1n and one filal ilfipection.
Additional inspections will be billed at $35.00 each.
House Hedng Test Record must be submitted with bI',Flr'!r:\1" "JIII""~ N'",~~" before build-
ing certfffcate 0' occupancy wnl be issued.
W~AT (',A,J ~III ATlml,q PF(\IIl~FI1 with number 01 Iupply and return. openings listed per
room wII1 CFM's per opening. N &VI atruclures or additfons send Hoor plan with supply
and retum locaIIons snown. HEAT LOSS CALCULATIONS, PAYMENT AND .
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. 8.E. PRIOR lAKE, MN 55372.
Other Devices
city Hall business hours are B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINA4 - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete ~nd aCCulite; thatlhe work will be In conformance
wIth the ordinances and codes of the city and with the state buHdingfmechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that Ihe work will be in accordance with the ltpp/oved plan In 1he
Vi(11 W1lrk which ':9:'es review and a",,_ol .1 ~a~3 _ 'i ~
~Sign. &/~qq
.... - Building Otlical's Signature Date
E
a:
"'"
If)
CD
Alterations
TYPE OF WORK
. Replacament. New Constructlon X
IJ)
J)
\
Repair , Est Comp. Date
Est. Cost $ \oUC\ () ~ BuDding Permit' ,
HEATING PERMIT FEE,
STATE SURCHARGE .
'TAL PERMIT FEES $
.50
~ '\ - '-\~ C\
/---- ~
\ ~:Jf~ pe.~tt
Receipt #
,
~" ... .~."...<".,." j,~'~~"4~:","".'______-.' ...,.,-....._~...,....,.,.""'"
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L~~'
The Cenler or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUIl..DING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
',' .\. i .i~ .'~'"
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\~_",... 'r .. '_~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
, ;
. L.....-
1'':-\ i '\,1 t..... (/.!'
. " \........ '-... ",. '. L....)
i ,;; ,_. \ \.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~u\rA-1 AA'MA
Date:
\ f -{p/-C)cr
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."
cq-4-L'C
The Cf'nlrr of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KE.VLANO HOM5S
4-/2-6/qq
. I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5L/- 12 AMr3l.,EWOOO Df2..\VE;
Accepted
Accepted With Corrections
><:
::::::ed BY:U2#~
Comments: /
(, ~~ aiI! 4it r> o~
Date: 2)-/7- (' 9"
fh.~~
"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."
Th. C.n... of th. Lok. Country
QQ-4-4C
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
kE-V'LA 1\1 C) HOf"'IE-S
4-/ 2-6/ Wi
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 L/- /2. 1--\ ~l Be E IV\) 0 C [) D ~ l V t/
Accepted
if
Accepted With Corrections
Denied
Reviewed By: ~12. E,.,RESfOfANILI
I I
5/13.1'.,
I .
Date:
Comments: RdNoF"1'" Mu.,,"'C..-Bf. (}o.ouEI,lc/) 70 ANl\ ALONe, Dal"l/~Ar..E {c..Jnc..,rv
~E~E.u~ As Mc..><..H AS f'n....c.TIl:14 L.
~ 1A)~olt.....fltrlo#J o^-' ~~E: SJJ1.E
~ A'TT"'c.,.(M('~ ~ I. r:;NA~r;n..oE. INsPFc:.nOf\J ~It....~ 2. ~,,1J(~ Pt-4Al
.5. f"IlD.s'ON C o IV rlt OL M EA"iul\.l: '>
t.J. Ettos,OA) C 4NIfl..,L. :PLA~
"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."
--
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5~1'2. AMb(eJ&l('\~ I>l""i\N1
NATURE OF WORK ~eUj r.J"Jl'\~{.,.u&i"avt
USE OF BUILDING SF 0
PERMIT NO. crr- 447 DATE ISSUED 5""-1.2-97-
CONTRACTOR J<~,\ \~ ~~ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I b~~TOR I ~U,~A~E
"
I FOUNDATION (Prior to Backfill) ~ f(~ I 0 - J I 99
PLACE NO CONCRETE UNTIL AfloVE HAS BEEN SIGNED
ROUGH - INS
V:V0;t!Y7
(/
W~17.. dR"D
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~~.~,,~\~.
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LiNE AIR TEST 0 1/),1
COVER NO W&AK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
o
~9It/
YJJ 7;J 1'71
If?)..J 7;;#11
V
7- <0- V;Cj
7- (!'~'9
GRADING (Prior to Sodding)
BUILDING-fU7 ~.1.k.\iK
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUpy UNTIL ABOVE HAS BEEN SIGN'e'D
NOTICE V
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