HomeMy WebLinkAboutBuilding Permit 09-0524
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~trfifitaft of (0ttupantl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jf nspttfinn
,0' Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section ii 0 of the D Residential / D 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 ..5/.N GL6 Frll~lI '-y Bldg. Permit No. () 1. u ::;Z4-
1<:::' ~ VA! D I
Occupancy Type - Type Construction Zoning District f"-
Legal Description
L.3,
,
E&: ,
E. /\/C-Lrll.,- E .HT CL E ri k::. Y LJ-IlcE
Site Address /7& 71 ;V A 7l//t.--65 . W Ii 'I
8/ 5 Iv c k71/1 vE:::;r mltv ~ , -#14::-6, c7-f 0 rI r-.J
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City Planner
Owner of Building
Contractor's Name & Address n/I,It;; Hu/~/Cf50
/~t.JD~T !-IL/To-II tJ,5 rr
I I r Building Official
Date: I i ("" . ( I i\ /
Date:
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1 ~r~'d
PERMIT NO. 0 9. 05~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
at bottom)
tJA,VRES WA\'
SI=
LEGAL DESCRIPTION (office use only)
LOT '3 BLOCK0 ADDITION [;:.,.Jt:..L-(t-VE:: @ C1-~(Z
LAKE PID
OWNER
(Name)
PUt-/~ HDME S--
<1S15 tJDR111kJ~~.,--
ZONING (office use)
R-I
464-. 0 2... 0
(Phone)
hS-l- Lf bd--5~~
(Address)
SUITE
BUILDER
(Company Name)
(Contact Name)
(Address)
gft G- A-- f\,J
...............
(Phone?
(Phone)
b~ ~~, e.'l G f v J +~ __ CC,f1')
t.J ~-3b9 - } ~ ~3
----. S AM E
t1:> ~ I Fl1J
G-~G-ErJ
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I '11..f ~ 500
x
I hereby certifY that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also cerl1fY that I am the owner or authOrIzed agent for the
above.menl1oned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke t . permit for Just cause F rth more, I hereby agree that the Clly official or a designee may enter upon the property to perform needed mspectlons.
~~~'7~73
Contractor's License No.
7,-<6 -04
Permit Valuation -z.S1,Mi. Park Support Fee
Permit Fee $ "2... 0 SAC
Plan Check Fee $ l4l4.o6 Water Meter Size 5/8"
State Surcharge $ l4-;. t;o Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ (~i). - Water Tower Fee
Mechanical Permit Fee $ t5o. - Builder's Deposit
Sewer & Water Permit Fee $ "1,... Other
Gas Fireplace Permit Fee $ '70. '" TOTAL DUE
Paid
Date
#
#
#
#
Date
$
$
$
$
$
$
$
$
I Receipt No. ~-r6
By ~
s is in a cot.dance with the City Zoning Ordinance and may proceed as requested. This document
nce an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Special Conditions. if any
Reviewed by:
Re Idential Building Permit Checklist
ru. fo Ingle or:r-'amily DwelUngs In 1~ or 'r Districts
Date: 7 (f') (0
Building Permit # ~nlng:
Address: (( Co {1 NATV~ ~ u..J ~
Legal: L ,B Subdivision:
I C. ONFORMS TO ZONING I
. ORDINANCE .
Yard Setbacks: NA I FAILS! COMPLIES
. Front Yard can be 20' n av . wlin .150'
. Side Yards
Standard
25'
10'1
25' if abutting a street
Pro osed
""2-.5,0
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length. Not required
if building wall is 10'-0" or greater of being parallel to
a side lot line.
. Rear Yard
. Patio D~~r:provide for minimum 10' deck or sign
statement indicatin. no deck will be built in the future
. From 100 year flood elevation of wetlandINURP
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring LBke)
10' setback +
2"/1' over 50'
-
~'
75' or setback a erage of
adjacent structur ,but no
less than 5 '
~
.30 Maximum
I
I
I Floor Area Ratio: NA I FAlLS'J COM'PUES
I
Yard EncroachmentS: 'NA IfAlLSICOMPUes .,. Sta~., PropOSed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easenl~nts)' , .... . .
AlC and other equipment cannot encroach on interior
side vards.
-.
'. .~.
. ..... : .......~.,;.~.:.
'. . Tree Pr8s8iVatIoft: NA I FAlLSI COWUES
. Total cali r Inct*
. Permit 25% RemOval
. Cali r Inches Refnoved
. CaD r Inches Preserved
. R Jacern8rit
L:\TBMPLATE\BLDGUST.DOC
Standlrd .
l . , '. .... . ,. ~ ," .
~:1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-&?dft~~
7. ~.o7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;VA-7V~ WAy'
/7&71
/
5,,6.
Accepted Accepted With Corrections
~:::::ed By: ID ~ --!!ate: 7 ! ~ Ix,
Comments: C:-ON~ h2--e>5 (.:;Jr-l ~ 1f14r.NMf/\J" CC-<..~
.
~ ~ L V71'1~>
"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."
White - Building
Can~ry - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i ,^~,- l /
" L~/. I (T7 j I/o-I" '; J , J.
/ /,(,\~"I/\. \",.r",_/ /c, l....'-"
,
,.--" /-'. JI'
I .!~" . ( ,
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ? (~ C:' ,/ ~ /:: /L /.' e--..::.,~ /-) l/
/""'" .--
,/-
--...'. l..-""""""
Accepted t/'
...
.
Denied
Reviewed By:
Comments:
Date:
7/~ !or
.~
,.. '"
Ah. C diti
..c;;uu. _ on oner and Other Mp.rlul.-&lca]
LJmts Cannot Encroach into Required
Sid€'" V~l'd Setbacks
......"
I { :
"
"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." .
. ~,;, .;<,;!t': \-. ^':r.i"'''~\~'''~'~:.~'l~:'''1:''~-rt;;;'f.i'''f/'r~(':.'?'''t''''''r~~''-;;'rr\P'fTv\';;'['F.~:'!l:'-<--n?'~
..... -,;rtJi,."::i/
.:.' "'~"'r~',~~';';-;:~~> Ir~~'~).";';"f..,>"j/"'- /~ ",~
'I\';-;;.i
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-f12&~tft- ....54JrJ7 vU-<l
-
7.0.09
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(VA 7l//2AS-5 vv;tV
/
/7{y71
D<
:5:6.
Accepted
Accepted With Corrections
Denied
............ ~ Reviewed By:
~omments:
JA C
Date:
7/16/0 ?
/ I
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."
Aug lias 12:00p
METRO GENERAL SERVICES
763-428-2S68
p. 1
GREU . flt.E
YELLUW - APP'LIC""T
GOLD. Cll'/'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FA'" qS~ tf(j 7-tf"J, I./-tr
S.W.NO~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICAN'r: fI'l en~:..O G-; Eit) EI\.nL SEl~.. V/t.!.J.::.PHONE: 7f, 3-(-I~d.. S._~ 13,y
(~'-7 ,~ '_ri\J C .
ADDRESS :.,,::>' (i () (7)L{An1 A\;!~ Nt~ DATE:
.-...---:-' "':::.)lQ\ ''-.L.v''I. -fp,-,. S" ,: tn 1<2.1-1'~ G L I -,,>']}.,). .::::>5.:3 71~
SIGNATURE: \ ~C(JlQ_ ,:;\--( ,~,.'.\.~L\ . BLDG. PERMIT #
.-._-' '\,1-
SITE ADDRESS:~/q ~ ~iIDI
. .FILL: IN THE BLANKS
1. Estimated length of water service
50
feet.
{ .,
inch(es) .
2. Size of water service
3. Location of any couplings from structure
('"'\
_1 feet.
4. Type of sewer pipe. ABS
PVC~/ Cast Iron
',-,
5., Estimated length of sewer line
'::.)(\ feet.
/
6. Clean out (if required),
structure.
located at
A/A-
feet
from
===~=~==:======~:=~=======;====================~;==~========~===~=~
This Bppli:7 ion b.ecomes 'your permit when Bppr~ed. . r .
BY / I/, ~ );I)fJuA. DATE: bL-'?zoO,y
========~:J~:r=~~y~~============================================
FEES: _"g,/ci,,,!:!-0"'~~J.1/"7L ~~;~~a~~~ water line connect:ion permit.
. /vt) I-e~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
must be
of issuance
permits are
,
L
DATE,.PAII
RECEIPT
AMOUNT PAID
PAID WITH
--atJJl])jNG PERMIT
REC'O BY
By
16200 Eagle.'Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (95'2) 447-4230/ FAX (Qs2) 447-4245
An Equal Opportunity Employer
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
? v(-/a7
t. Blue File I PERMIT NO I
2 Gold City '0 ~ 052-fl-'
3. Yellow Applicaot . ( . .
~;;u~:=)~ sf:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT G
(Name) \/" Ikt rl"""b.~.
(Address) ~ ~O <Qv~~
(Address)
(Contact Person) ~ hII'\.
(Phone) _'i<2 - qqz - .21::2 \
JH~ JWJ
(City) (Zip Code)
(Phone) OJ52-q~2-7:2e><
DATE 4 ~
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra I or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Residential, New One & Two-Family $149.50
Residential, Additions & rA1te~"~onos $4l)V "
Estimated Cost $ BnHd;ng Pennti # V \) ~
PLUMBING PERMIT FEE $ va tJ
STATE SURCHARGE $$ .50 ~ Jl
TOTAL PERMIT FEE D
(Office Use Only)
I :~e;Pt No
Date
I Pmd
Date
This Application Becomes Your Building Permit When Approved
BuUdinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
09/11/2009 FRI 8:32 FAX 763 473 8565 Sabre Plumbing & Heating
~001/001
CITYOFPRIOR LAKE
HEATING/AIR CONDITIONING/FIRE.PLACEPERM.IT
nlltc RN~'d
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1.......-............................................................ ....-...--.-.--...-.-..~.._......,..,..._.._....._...-...-....--..........................-............................................. ...... ....
i LEGAL DESCRIPTION (ot)'icc IlS(' only)
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BLOCK
ADDITION
PID
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i OWNER ." ". tl...... . , '." [-"2 ,-.... . :
i (Name) \")\A \ ..\.e 'le) I y'.e-.S...._.._....._............................"... (Phone) .It:St:~..~~Q._=:..~i2 Z=.()Q I
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_-.-..-.--..-..--..-ri.-....-.-..~!)PP(~ANT PLEASE COMPLlnE.BF:!.~Q.!y.. .. ............ . ... . ... . .............._.
i ~'\!E\V ('ONSTRUCTION 0 REPLACEMEN r [J ALTERAI 10:\5
: I"U~l\:\CF MAKE AND MOI)FL l_ty.lv..~o.x..L:,\.!-~sL~F .--lcOCj j'U':L )j A'T,
FLU[ SiZl': RETURN OPENINGS ......._.._.._...._._.._... INPUT HDt.tilU....... OUTPUT H).\...\.'lil.~..._ ..
TYPE OF SYSTEM HEATING OR.:POWER.PLANT r---
PLEASE NOTE: Ait- Conditioncr
o Steam I l:nits and Flr('jllat.cs Cannot Encrollch !
o l1ot\V,1t,'T
l into R(~qllircd Sid(~ Yard Setbacks. :
o Radinth)l1
o SPCCild Devices Fire-placcs with Box Additions or . ;
o O!l1crDcvi~cs __.u........._... ClI1ti.k'vers t(~ t1~{' Otl(sid~ of Buildings !
RNltlll"C II Bulldmg !'(,rnlll. i
--..-.----------.-----.j
OVv':mn Air PhillIS
DGrnvJty
'S'Mechauical
~\ir Conditioning
OVent. Sy~km
FIREPLACE MAKE AND MODEL
Rcsid\.':J"1tial1 l']~atin!h & :'\/C~ (~C\V C{lnSln.l~;li(H'J)
R(..~i(L'lltial. H~a~jflg Only (New (\)n~lrucljon)
FEE SCHEDULE
l"~';} of joh {;o~l R..:.:sidcn(~~lj, (jl1S j:'jrcplacc
S4<).50 minimum
S 149.50
:\64.50
$'i9.SU
indus;r!a!. (\lllJmaciill &. M::lli.Family
Rcsi(kmh\l, Additiol~5 & Alkr,,~i,ll1,
Rcsidenli,d. AC Only
);49.5\1
$4\1.:'0
Es\im<lwd Cost S C.J.6.lsE:')i.()G..
HEA TlNG PERMIT FEE
ST ATE SURCI-JARGE
TOTAL PERMIT FEE
BuildilOg Permit 'fI......_.......... ....._ WITH
s............__._.._..__.J..'LDfNG PERMIT
s_.______....c~Q
$....-.....-..-----
(OWN Use Only)
p;;f~i.-..-.-............_.........._.....rR~z~TpTN-;;.:..-.-.....---:
I ! :
'__............_...,................._.-...-........p' ........_...______........................-.....i
! Date By I
L". ..'.___~ ,. .". .,.,.. ,.. ............ """..-,..... .___"_",...!~w..._.."'."..,._........".m_.._..._",...,, ..."..."..~'.',.".., ,'" ,-, ..., .,..1
This Applicatioll Becolncs YOUI' Building Permit When Approved
BuililiJll! oml"i" ,
24 Iwur notice for :Ill inSpcttiolls (952) 447.98S0, j",lX (1)52) 447.42:.1;;
4<>46 DaJW1>l Street S.f<:., Prior Lah, Minnesu(a 55372
11:26 651 633 BBB4 FIRESIDE HEARTH AND HOME #4593
CITY. OF PDUOR !LAKIE
H lEA TUNG/AIR CONDlDTrrONING/FHIR.EPLAClE !PERM nr
~
(I'ledse type: or print .-.od sign ~-E~~O/Jl.)
! ADDRESS
L_.__ [710 7q fltJ7J/v() uJ~J.
rGiii DESCRIPTION '",",,',".'';;;jy)~ &-
LOT BtOCK ADUlTION
--- .....--.....
I PH'll- "II~
: (.rtcn ("II'.
! Vr.II,ll'" ".P~hC:.1I11
PERMIT I
ZONlNG (fllf;.:. u
PID
~fJr{{k_.
I OWNER
, (Na.me)
I
(Phone) ____..
I (Add.ress)
APPLICANT
(Nllme) ._. .._
Hear#! &. Home Technologies, Inc.
dbe Fireside Hearth &. Home
Lfc::ense ZIJl:il zOllO
2700 N. Falrvlew Ava.
..-BoSl!llll'JUe.Mt:I.6.6,1J! . m.
6511633-2561 (Addrcs~)
(Conta.cl Person.). ..... /J..)~u- __
APPLICANT sry'N~Tl:!.~B (jft.J ~..~
(Phone)
(Address)
APP 'ANT PLEASE COMPLE1"E agLOW
.""-.. . r!JNFW CONSTRUCTION 0 REPLACEMENT"--' 0 ALTERATJONS
Ft'R:'\JACE MAJ(}~ Ar4"G""M()DJ.~L FUEL
(City) (Zip Code)
(Phone) __. &;5/ ' &; 31 '3~ Ji
D~.T.~ ..~~.9.
FLUE SIZE
DW~nn Air PllInts
OOra....ity
o Mc~ha[llca.1
o A;r Condiuolling
DVe;:rll. Syste;:m
RETURN OPENINGS "_..______ INPUT
REA TING OR POWER PLANT
o Stea.m
D I lot Water .
D Radiation
o Specia.' De"i.cl:ls _____..____
o Other De....ices ...... _.._...._____.___
OUTPUT
TYPE OF SYSTEM
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Ya.rd Setbacks.
Fireplace!! with BOll; Additions or
Omtilevers to t.IJC Outsf.de of Buildings
Require a Building Permit.
InJu,trial. C')mm~rcial J:. :'fult.i-F:.tI1lily
FlfU.~PLACE MAKJ~ AND M()I>EL..fJJ211...!J;;-3...~;[ /.jMh~
FEE SCHEDULE
)"" I.,':job CQsl Rt:sldcnliaJ. (;35 1.1I.t?r'a.c~
~49.50 rnitllnllJrn
$ Q9.5fl R":~IIJ..:nlial. ,.l"ddil;.ms & .-'1 I tli:ra..tlllll 5
$n.:jjll Rcs;d..:nttal. .\C (tnly
.. ....'-...-.-.....---.-- -..---.-
549jfl
ReSI.IC'nllal, Heilllng & A (' ,'\ie\\ ("lr1sr.nh:I.i"nt
He,ldenll,,1 llC'aling Only (:\":'" f. 'IInslrll..:Iion)
"S4'J.5IJ
'S49.50
L sU IlmlcJ Cosl S
BIJi'dil1g f'..:nnit ..
HEATING PERMIT FEE
STATI:: SI.JRcr!ARGE
TOT..\!. r!ERMn flEE
'i
S
'J;
PAID WITH
BUILDING PERMIT
_....}O
II ,,'Ih-,' l w l)rll~ ~
I'hj, \J)i11h;:Hilln HCl;nmc\ 'njlr HuildiRlg !'t'rlllir \\-'lH~lI '\ll'~tO\ ~t'
1'1),11.1
; . ".:~~.ii;tN~
,
.
I ..- --.. 1r.;'jjl~lrii~.7.'I'
L..... ...
II"I.~
[Jatl:
: Ii.'.
~.J .l.';;. ~l.).h'.1 rll'- dH in"qh!'~~lil~:&" :"~~; ~,-;"'.LJ;i~lJ. f.l\ (I~:':!) 4-J"7-.j:!.,J~
l:)..li~ ~):~:..I)!~~ ,';~fLI~.; ~\.~',. ,h';;H( 1 :1~+d' \ljr~U,,"ni;~ .:;~Ji~
Drivewa : NA I FAILS I COMPLIES
· Maximum width at line
· Required setback
,.-,. ".~.
Shoreland District: NA I FAILS I COMPLIES
Minimum lot area s uare feet .
Minimum lot width
Shor$I~1I1d alterations ,.
1m ervious s,",rface
Bluff in Shoreland: NA I FAILS I COMPLIES
· Setback from top of bluff
roved
Flood lain: NA I FAILS I COMPLIES
· 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
.EIEWatfons 1 S feet ~rom structure
· Road access must be no more than 2 feet below
R ulato 'Flood Protection Elevation
.. re:. NA I FAILS I.CQMPLlES
L:\TEMPLA1E\BLDGUST.DOC
Standard
24'
~. from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
30% Maximum
Standard
By planning dept
10'
15'
P
P
P ed
Pro ed
Pr.o . eel
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILQIN'G AND INSPECTION
SITE ADDRESS tJ~l" NA,V~S IIJAi
NATURE OF WORK 4S\...a~e FAt1u., Dw~'~ Nb O~~, ~H. F=u-J. i..t...
USE OF BUILDING <:;Fr]
PERMIT NO. 09. 052.4- DATE ISSUED ,I\t; loe"
CONTRACTOR _POL.."'~ H~E$ PHONE ~'1...%l:\..11~3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
I L THE PERMIT IS BY gEPARATE DOCUMEtiT .aT A...... T'-e.<<"
N~t"'\.L e:r.t oS toN CoON,.-....- 4' MA tfITA rN c::.~ N ~v T~ ~ .. ,
. ~s~ctbR~ DA~
FOOTING LUc.... ~ I
WIZ."'~
GRADING (Prior to Sodding)
BUilDING ~ '"TO ,. I. 0
ELE6TRICAL
PLUMBING
HEATING
DO NOT
ttJz;)
ABOVE HAS BEEN SIG ED
NOTICE
This card must be posted near an el9ctrical 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