HomeMy WebLinkAboutBuilding Permit 03-0064
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
nilE
ADDRESS !)()It {)(')l..)ffifJ)(-f. u.. ')
OWNER CONTR.
PHONE NO.
PERMIT NO.
(') ~ -OO<oL\
o EXI~ILLING
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
P..~ 0vA.~ &-l'X ~L.1JSA. wt1'li WOE:.
(,(l.,M)(. _ AI..
l )() 1'1la. 'j 6/l... SOf)
~ WORK SATISFACTORY, PROCEED
ACORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~. ~ ~ Owner/Contr:
CALL~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A1lE FOR YOUR PERSONAL HEALTH & SAFETY!
1-=
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CITY OF PRIOR LAKE
INSPECTION NOTIC,S-{Y7"7 SCHEDULED
ADDRESS ~ ~dja!~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o jHSULATION
Jil"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o jlLUMBING FINAL
.JiI"'MECH FINAL
COMMENTS:
~) LalJllr h.r...u W"....{-
(!)sad.. """ 1 /'~< ';,
( (--t"" /? LIl1 ,f..; /
,
~I-
nCc~"",t!
....TE TIME
7.)...&1,
C/I
1-,.,
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/O"/~03
o WORK SATISFACTORY, PROCEED
B"'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. rf;fJ 7-)" 1.rf} Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN AOVANCE..
CODE REQUIREMENTS AlIE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
?-J.-'X"
ADDRESS
~077 al1d;~cl.,c
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-(){)'4
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl 0 EXIGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rl
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
<;;/) d / Ii-C" ')
/
COMMENTS:
---
--------.
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r
I /X I"
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~~
( ~~ I
~
&' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~RK' C L FOR REINSPECTION BEFORE COVERING
g'- 44J.
Inspector: Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /d-5..{);?/
(Please tvDe or orint and sign at bottom)
ADDRESS
X X 'f-'1X PoJ,;eJ.je L-ftt
I. While File I PERMIT NO 4-+
2. P;,k C;,y . Ol? -0/1\'.
3. Yellow Applicant ,J V'J'/
5077 P~~~'"
u
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ADDITION t\".r~pU . ~
OWNER
(Name)
(Address)
BUILDER f\Q ~--
(NameL-U . (.
(Contact Name) VT-e.ve. . d(s6cl .
(Address) 20tJfRD~~llJ~ or. Sk. IDO
T 1II('lo,/',II.. MN(J t;C)T)'kJ
TYPE OF WORK
DMisc.
~ N ew Construction
DDeck
(Phone)
PID
ZONING (office use)
(Phone) ~9)~~'1g09
(Phone) 452- 2-z&... l"~
DPorch
ORe-Roofing
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ \~, I ~Cjt
ORe-Siding
DUtility Connection
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 loca11aws and will proceed in accordance with
sub plans. I am a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent upo the property term eded in ections.
x
Signature
1/
Permit-Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
"IB4JOO~.OO I
$ Il.-It~4, 15.1
$ 9'5(.7f) .1
$ 92..00.1
$ ---- I
$
$
$
$
toO.OD
100.00
35.'50
LfD,l!Jo
This Application Becomes Your Building Permit When Approved
~~~
Building Official
P'PI/oz.-
Date
.!Jooo'iVi1
Contractor's License No.
I Park Support Fee
I SAC ~
I Water Meter Siz~l";
I Pressure Reducer
I City SAC and WAC
1 Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
- -/'
I Paid y:;, 00 6, ~~
I Date 1-/J,~-3
$ $50. 00
$ Iz7t'- 0 ()
$ 25o.(Jo
$ 4'5. (JO
$ IZoO,Od
$ ?Od. do
$ /5dtJ.OO
$
$ fJ. (003, 3.'5
-->. >?
I Receiot No. If () 'j:? t
Bv ~
#
#
#
#
IrL/O!D?
Date
I 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 by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ed. ~
~ '=1'~
Planning Director
/~~C7-
&-f #/ 4~-~'; ~
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
..
.
Job Address .f:,i77 t'NlfE~e....
Heating Contractor ;tJ/k/j'lYr ""~
Name of Tester ;fb"", a
Date 7/14::1
Percent 0, / (j, I. ,..
Percent co ---#r:w
Percent co, 5:Aj"
&t) n::
Stack Temp / r
Combustion air is adaquately oupplled per
UMC Sec. 606 It(' .J
input ~/37d
,
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White - Building_
<.....canary . I::ngmeermg ,
Pmk . Planning
Th..Ctnlfroflhr...h('oUlIlty
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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'J ',~' ,1v.. ./-; /0"'];'\ )
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for ~ollstruction activity which is proposed at: . ._0'
S . " ~2 I> .. / . I' 1:.- {; ';-1- ::J '. -,
077 ;t.-(/'A/I'::,/t.:.t-{"., /jj;::). -. ..?3 ~'. / (
.!~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/)19.r~
Date:
1- 1-03
Comments: ~Reversp. Side for Additional Information!
See Attachments' 1) Gr;Jding Pbn, 2) Erosion (;ontro.1 M~asures
,
"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."
~~
<::'YYhite - Buildili!f')
Canary - Engineering
Pink - Planning
Thr('tnlnof Iht 1..kt'Countl'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR /ktftJ;J
1eJ-.-5 -d-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ~y which is proposed a~ -;- S-- ~ ~
6577 '?odc]'?d~ Lv 23L / ~ .
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~.;
18J
':j~ Date: /~4ItL-
&L/ ~~-~
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."
"-_.~.-......-..--
b~\
White - Building
CFlmuv - Enaineering
(Pink - Plannin9'::::i
Tht ('tnltr of lht I..kt ("ount'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ) f<..-" "I'!" ;'
"../ \, \~
1\ /
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I...... -~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ --
___~ 7 7
I! J'/
IV i ...)
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/
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,.,....
Accepted
v'
Accepted With Corrections
Denied
Reviewed By:
~
~
::f~r
Date: /dP(~-z.-.
" ~ ,."4. "7.7--r ~ ,i?t),t<J,
JtJ
~
..2</1
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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."
Jin .~~. ~003 i~: i~PM
GENZ RVAN PLUMBING AND HEATING
No.0986 p. 7 ~I
Date Rec'd
ft1\J~
, .J
~NN'r:50~'"
CITY.OF PRIOR LAKE
SEWER AND WATER PER.1\1IT
. 11']<"", ~ OTPnllt>nd";",, atb01tO.m)
ADDRESS
A:()/)/)
~ ~,r- ~~'. I PERMITNO'Q'?_06,A..J
3 ~Jd AppbQ/'lt !..:> ~1
ff/)laSedOje. Lh S r;-
ZONrnG (offi<. w<)
...."
LEGAL DESCRJPTION (office us< only) ~ (! l"J.. I f)
LOT6BLOCK J ADDITION We er-r;'e I cl 6 h
Pro
, O\VNER
(Name) n'D u.....r......r rl1ofo9Bi HQm9=
(phone) _ ct62-Q85-,Pif\l\
(Addre.. )
2c)'3inO i(evlf-)K.\!:J6e Cr SoP. If'/"
(Address)
Lo..u~ .lIe-.
(City)
ejr::::flq U
(Zip Cock)
I APPI-ICANT
O'~e) Genz-Ryan PlumbinR & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. HN 55068
(Address) (City) (Zip Cock)
(ComacrPerson). .I /J....j~ .'-1 _ _ . ,/1Pho~, 651-423-1144
r_lCANTSIGNATURE~)0 1['y~TF /~d-d-03
APPLICANT PLEASE COMJ;>LETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ __ fee! from structure.
feet
o Cast Iron
ReSldennal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l & Multi-famIly 1 % of job cost with a $39.50 minimum
$J7 50 Water connectio)) only $ I 7.50
Estimated Cost $
Building PermIt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
:Buildiag Officia.l
D:ltt:
24 hour notice for ,II inspections (952) 447-9~ fa. (9<;7\~..,
YAW WIlll.!
10 rs (@ rs f'\\ lINe: -
il& ~ ~ - ecel t\;Jo: - I )
I\f'~.' IT
le-J"'" f' Y - 1/
'-I J
I
I
(Offi<< u.. Only)
This Application Becomes Your Building Permit When Approved
Jan~~. ~003 I~:I~PM
€~
- ~/~""ESO"t!-
GENZ RVAN PLUMBING AND HEATING
No.0986
P 6 J
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l. Rl...~ 1>1.1.-
}.. Gold c,ty
3, Yellow Aflllliaill
I PERMIT NO'03-WCo4t
Cflease l'Ytle or 'Dr1J1[ and sie;n at bottom)
ADDRES~ /)/)
ZONlNG (office,,,,)
antiS edtJic Lh s:;;;-
l./
LEGAL DESCRIPTION (omce we only) /"\
LO~ BLOCK J ADDITION,) JPrr-f).r:' I cJ
f?1i2
PID
OWNER
(Name) DR Horton Custom Homes
(phone)
962-Qf!F,-7'6lJC
(Address)
2-O'SloO Kenp,~l ~ Co Sre. 100
~vdlG IMN ECh!.jt.i
APPLICANT
(Name) GeJ:l7-R.y^~ P1-,~:; r. U,,""_:
(Address) 14745 So Robere Trail
(phone) ....6..5.J _101,_11 /'"
Rosemount
MIl
55068
(Zip Code)
~~dre's) (City)
(ContaetPerson) -.I /) ~W . _. /J (phone) 651-423-1144
APPLICANT SIGNA.;URE ~~YY71!. j O[)1iXllIOJ j S VA TE J -if d V~
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity Type of Fixture I
I ;,,2.. Bath Tub with or without shower ~ Rough-ins 1
i I Dishwasher J.- Water Heater 1
I A Floor Drain PI r- I Water Softner I
I '<::; Lavatory (Bathroom Sink) 'f I Stand Pipe (Washing Machine) I
I I - Lauodry Tray (lor 2 compartment sink Sewaj1;e Eiector 1
f Shower Stall Backflow Assembly I
I I Sinks Baekilow Assembly Test I
Bar Sink Lf\vn Spri.nkler j
I ~ Water Closet (Toilet) I Other 1
FEE SCHEDULE
lndu't"al, Commer<la1 & Muln-famlly ] % of Job eo" with. $39 50 minimum Re$ldcn~a1, New One & '!'wo-F"ml)' $99 50
ResIdential, Additions & Alterations $39 50
EstImated Cost $
Building PeJ1l1rt II _._.._
RAID W Il.tI i
BUILDING
I :-1 r"\.
This Application Becomes Your Building Permit When Approved I.ij ~@ LE Q 1\'11 U: \1' EttM.'11' I
I - Building06;cial D.t. lM DfAN '}. 4 Z003 I \, By '-f ^
U .~"..~ ,,, .U........ (m, 4 \~:,. ,,, ,,~) 4'~~ ~ 0
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERJ\.llT FEE
$
$
$
rOIlie< u.. Only)
CITY OF PRIOR LAKE
REA TING/.AI:R. CONDI'l'IONtNGIFI:R.EPLACE PERMIt
Date Rec'd
#& 9&; /
(Please!yp~ or orint and si2l1 at bottom)
ADDRESS
~ZJ?? ~~""+6'/~~
LEGAL DESCRIPTION (office use only)
LOOBLOCK / ADDITION
; ~ ~:~I PERMITNO'3'C,,--!
3. Yellow Applicant .... .
.
c S"'e- I ZONING(officeusej
PID
OWNER --n I\~
(Name) 1:)" 1\Or+On
1.OOLDO ~br\d~~e.:.t
~;;~~ANTt\\\\o..rrt Me..chaxllCoJ (Phone) J&LB62.- 1.175 '
(AddressL3~D Klj)ne.~S)l:>r- SiM*-.1 ~~ity) M.N 5SI7z~cOde)
(Contact Person) ,Je..4 '1JinmeYr\I\A.Y\.. . (Phbne)ffi I&..lJsZ-..2.7,5
APPLICANT SIGNATURE ~ ~ 7~DATE
APPL~AN'f PLEASE GOMPLETEBELOW
f81NEW CONSTRUCTION . Q.REPLACEMEN1' [J ALTERATIONS
, FURNACE MAKE AND MODEL .~... Q2.'I. .FOEL"Jf1;:h~~"
FLUE SIZE J:l'L "Plle....RETURNOPENINGS INPUT dNJ.lJOD . O~TPUT .... .M() ~
TYPE OF SYSTEM HEAtING OR POWER PLANT
. (phone)
(Address)
LA.kR,lIi lie.
M.Kl
. 5'5~if.q
OWarrn Air Plants
OGmvity
8 Mechanical
!g'Air Conditioning
~enl. System
o Steam
o Hot Water
o Radialion
o Special Devices
o Other Devices
PLEASE NOtE:
Air Conditioner Units
Carinot Encroach into
Required Side Yard
Setbacks
FlREPLACEMAKBAND MObEL
Industrial, Commercial & MUlti"Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heiiting& AlC (NeW ConslitIction)
Residential, HelltingOrily (New Construction)
Residenlial, Additions & Alteralions
Residential, AC Only
$39.50
$39.50
Estimated Cost $ "1 DO O. Of'L Building Pennit #
r-
(/__50 '~!~~~~f!1:! ..~
(O;~:sl:::;::~tion Becomes YourlJuilding PerlriitWhen Approved i ~~i~J[E am~] I Receipt No. It:;;''i~~:'l.Zr
] . Illes 04 2003 j, By C~... ~
24 hour notice for all inspection. (952) 44 ~50,fax (952) 4414245 V., .
REA TING PERMtT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Btiildidg Official
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Ree'd
; ::;;~" ~::y I PERMIT NO;)'" jL/
3_ Yellow Applicant J \.0
(Please tvPe or vrint and sim at bottom)
ADDRESS
ZONING (office use)
5077 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DRHORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
S5II3_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/22/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
FUEL
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroaeh into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$
$
$
.50
$39.50
P. $39.50
8U/1.D. '4/D kh.....
'1lvG A' 'Ii
~FiA,f,.,.
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
(Office Use Only)
Buildine: Official
11rm~ @ ~ rill u -~rPtNO'.
Lt~R 9 Jl ?nn~ I, t(
24 hour notice for all inspections (952) 447-985 I, fax (952) 447-4245
8y___=:.:;:-
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SO 7 7
NATURE OF WORK
USE OF BUILDING . LOT JS
PERMIT NO. Q3-()OcP.4 - DATE ISSUED
CONTRACTOR I).Jet ~ lh1C.. PHON .2ZC..t~~
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
1M!
I FOUNDATlm: (Prior to Backfill) I w(I I l- ~ I/"- 01..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/IVY'"
/}/'l/{ ./
f/VYI
DATE
I FOOTING
1-3/-<r)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING (JdJ- M "Hb-f)
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
')-)') -l0
S-- S- -OJ,
5 -q- c0
1/;/(/
//II{}
~
c:..( - j. YtO-
,<;--::.~--U3
s-: ~-O?
(/r-'V')
GRADING (Prior to Sodding)
BUILDING q,t...{ lJ>tFI
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,ee 1,1.41
~
10,/4)
Y--V'f-(/;1
<IJ
J;W--'
OCCUpy UNTIL ABOVE HAS
NOTICE
1- ]...1-P
BEEN SIGNED
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