HomeMy WebLinkAboutBuilding Permit 03-0018
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Qlrrfifirafr of @rrnpaur1!
CITY OF PRIOR LAKE
6 ~rpZtrfmtuf of l'iuil~ing c3'nsptrfinn
Final Permitted D Conditional C.O. Expires
his 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 thefollmving:
Use Classification
SINGLE FAMILY
Occupancy Type
1'3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-001S
R2
Legal De",iption L3, BI, DEERFIELD 9TH
Owner of Buildinj!
Site Address
5404 DEERFIELD CIRCLE S.E.
Contractor's Name & Address
D.R. HORTON, 20860 KENBRTDGE CT., SUITE lOa, LAKEVILLE 5504
ROBEP:~1 D. JlUTCHINS
vl/Y; Building Official
" /.
City Planner
DON RYE
Date:
Date:
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
( L( () L I
~~/j
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
DATI; TIME
x.! I
7~/'i'
=-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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f; I U5:,C I ~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0/ f (r. r/? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
J
''''''''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
--....-.---------.---.- --~_.._.~-----"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULEO? }7 tD3
ADDRESS -5!!BL! ~p~
OWNER
CONTR.
PHONE NO.
3-[fh
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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\1fl-;W
;.t-, ~ G.(~>e
.;~/ ~( A<:>v2>
t' . (AM" " ,
o JoA+:- /'./~-#
o WORK SATISFACTORY, PROCEED
I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
V"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNon
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAi ,:J ~ Le:
A
J
Date Rec'd
/ /-J- &,-0 d---
IPERMIT NO. 03 - DOl g I
I_White
2 Pink
3. Yellow
File
City
Applicam
(Please type or print and sign at bottom)
ADDRESS C\ n '
. ~ qo Lj lJUvTiM e...r&te ~E7.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT, ~ BLOCK ADDITION tpD%~pJ ,L c:rnv-
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER 1\ R " . I .-.-.
(Namp) I.' -t11!,;-'Tl'H'\ :..L.Vt.c..
(Contact Na~e) Sr)l'" ,Xlfi dte tin
(AddreSS)~ ~~~;~'lif"~6~LQ;{)
(Phone) ct2...,QC;-1I1D8
(Phone) 'tC;7_- z..u,- \?-PJr.J
)JI. New Construction
OLower Level Finish
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
DDeck
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $/ffi, I.(qj
o Misc.
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 local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnterupon e ~y';'aJ tOPerfO~. 1Il_~ ectictioonn;j'.
~ ~ c1C1OD5ld;, /J/7Fi/07_
Signature Contractor's License No. ' Date
v
f';tJK (JOO, 001
$ Ja~~.t:)~ I
$ ~:";K>, t) ~ I
$ 6'1.00
$
$
$
$
$
I Park Support Fee #
I SAC #
~
I Water Meter Si~';l";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
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Receipt No. If.i)"j!::;)Ao
By ?/
t=150. () CJ
I~~oa
d50,OO
4S.00
J20(j,(JD
70d, 0 ()
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/lJO.l)o
100.00
..3f;. 50
40.00
I...~ b:;, {f
-i~ /;;1.,-. '1
I Paid
I Date
This Application Becomes Your Building Pennit When Approved
:t~
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l~jl/oL.--
Date
Building Official
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
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Planning Director
Ab UtI.,' , r~
/,;J.-/':JI /01...-
. Date Special Conditions. if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Thr (.pnlrr of Ihl' l..kt Counlry
White - Building
Canary - Enqineering
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,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
~
Accepted With Corrections
..
Denied
.
Reviewed By:
3 d ~ <-:/~f-J
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Date: r06/~
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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."
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<White - Buiidi;;a)
Canary - .:ngineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,n R /JtJ yf-o,j
APPLICATION RECEIVED II-U--oy
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lo+ 3, BL I, D&Yrfre Jd crTA D~e./d Clt'rcl€->
.
Accepted
Accepted With Corrections
/"
Denied
Reviewed By:
~~
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Date:
/.,.l P /I~ '-
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."
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"~~~ PR/O/;'(y
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White "Building
Cl::anarv - I::nc;,"eertn" )
Pink - PIBnning
Tht' Ctnlrroffh, I..beounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'. .'T1
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L D r ::5 I tJ L I, I./,':(>t i I e I,~J (1 "
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D ee.vTJ e d U I i(' 1'2....-'
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/Y415
5'(, -<. fYl'?lJ" Fr'I'(
Date:
/ .A -30 '-02-.
Comments:
"The issuance or granting of a permit or approval of plans, specifications a'
computations shall not be construed to be a permit for, or an approval of, any violatior
any of the provisions of this code or of any other ordinance of the jurisdiction. Perr
presuming to give authority to violate or cancel the provisions of this code or 0
ordinances of the jurisdiction shall not be valid," !
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CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~. 950<
i ~~:" ~:~ I PERMIT NO. -, I 0
3_ Yellow ApplicBnt J - ()
(Please ~ or mint and sign at bottom)
ADDRESS
,~~ at"/~e/J ar~&
ZONING (office use)
<r
LEGAL DESCRIPTION (office use only)
LOT -5BLOCK I ADDITION
PID
~~e~Ru.~. HDrfon ~lJ.Jom HOmp5,
(Address),.:}()g{g() f\..enbrid')p: (1.+ I ~(>.k f"..vi If€'_ Mf\) /5f)O~L./
APPLICANT J\ II. .1 M h---
(Name) t11l1Ch1T eC!.. .j...~ _ (Phone) 1f)51-45:L-~775
(Address) 3<OSeJ fl.enne be(> fro 5:I:e #/ .F apQn .?"5/.22
(Add,",,) v (City) (Zip Code)
(Contact Person) J:er-rrf;.1l Z;r"'nmp.rrn Qn (Phone) f.t;51-A/5~- ,5l77~
APPLICANT SIGNATU~ (7 42__~uz..z..-. DATE
V{/(/ 'V
APP ICANT PLEASE COMPLETE BELOW
I0NEW CONSTRUCTION 0 REPLACEMENT 0 AL T)':RA TIONS
FURNACE MAKE AND MODEL 1.w~~S3k'.A-VIY2LlD"1 0 FUEL j\j,Jum.\
FLUESIZE4J1cla.sc;, "6.... RETURN OPENINGS J..l. INPUT ,D,ODO OUTPUT 5lD.DOO
TYPE OF SYSTEM HEATING OR POWER PLANT
(phone)
Q5a, Q'??!5 -7,,17.2..
OWann Air Plants
DGravity
o Mechanical ..
~~ Conditioning
[!Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
t% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ . >/ .50
TOTAL PERMIT FEE ~t77
(Orne. lIse Only) (r 0; L6 U;; f} fi ~
This Application Becomes Your Building Permit When APP/fiJd F =8 Paid ~ L!, r
Building Official Date fay_
24 hour notice for all inspections (9~-4245
,....
I tJJt I'.fi'!.'i >-
-~)'/-".
Receipt No.
By
(/1/
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Fe h, 6
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..~.'.'?NNI!SC~'"
'.':.h~~~;;':Y'i;'::j
;003
No,m4
PI; 19
Date Rec'd
;: 34PM
GEN= RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE PLUMBING PERMIT
J 8h.... :?'lls
2. Gold City
1. Y~low A!)pJl=m
I PERJ!vnTNO'(J~-OOI9J I
(p~ol!3Se type: OT'PlU1t and s~ at bottom)
ADDREss
51-/04
1'w:~f1 {( LQ
ZONING (offi"",.)
c (IQ.. S-e.
;.-, ,
, LEGAL DESCRIPTION (oilice us. o.nly)
LOT 3 BLOCK 1 ADDITION ~R....-hdJ q-/V1
PID
OWNER
(Name) DR Horton Custom Homes
(Addr.ss)
(phone)
962-QY,fi -,BM
2oS(,c;O KeV]3~1l)<;G ("'7j~re /Dr,
L,,'LY.-L1(LUI". }1A /'J 566LJ 11
, APPLICANT
(Name).c^~ --",....-,
(Address) 14745 So
(Contact Person)
t)~..:":'.:-~_"": t. 1J",;,"~"'''''~
(Phone) --f).S.l."./.? ~- 1 1 [d.
Robert T.rail.
(~ddress)
r,hlei.\ti ~IIS
~ ~J.uJ
Rosemount
MN
55068
(Zip Code)
(city)
(Phone)
651-423-1144
8- r&--O:.s
APPLICANT SIGNATURE
DATE
Quantity
;;..
I
I
'-I
ri....
I
~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I QUalltjty
Bath Tub with or WithOllt shower Rough-ins
I Dishwasher 1 Water Heater
Floor Drain Q.~ 1- Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) Other
I
1
I
j
Type of Fixture
FEE SCHEDULE
Indu::;tns.J, CornrnercJal & MuJu.f.lO'111y I % of Job cost with a S39.50 minimum
(OffiCI!: U$e Only)
Re"denllal. N.w One & T\vo-F.nuly $99 50
Residential. Additions & Alterations $39 50
Estlmated Cost S
Bullding P=lt #
PLUMBING PERMlT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
50PAID Wll'rI
BUILDING
IP.h IT
I By
Tilis Application Becomes Your BuildjDg Permit When Approved
Building Of'fici.2.1
Dat<
I Paid
I Da~
r-EB - 6
24 hour oollco for alllnspoctions (952) 447-9850, fa> (952) 447-4245
, ,
Feh. ij. ~003 ~:34PM
GENZ RVAN PLUMBING AND HEATING
No.~654 p. 13, I,
Date Rec'd
ClTY OF PRIOR LAKE
SEWER AND WATER PERlVIIT
..
..
I G~", Fi~ I PERMIT NO
. y.J/~ CItY, 1 "/\?-OOla
1 GokI AppbQG'C U-.J ()
tPlc3Se tYPe or punt and s12l1at bottom)
I ADDRESS
640LI Ikr<.-ndJ C (~ ~E.
"
ZONJNG (offioe "',,)
LEGAL DESCRIPTION (office u.<e only)
LOT ~ BLOCK I
ADDITION
l\u.1G-heCf ~
PID
OWNER
(Name) no UntQ'Q ("noll' !iQI':--
(Address), 2o&DO ~Bi<-\~ CrSrv){)["\
(Ad_,)
(phone) _ 0/.::;2 -Q'65- -72;,')(\
Lc.kk..~llIe...
(City)
0':::CJ--lU
(ZIl> Code)
APPLICANT
(Name' Genz-Ryan PlumhiIJ~ & Heating
(phone)
651-423-1144
V.JCANT SIGNATURE
Robert Trail
(A~dr"")
rh~i~-h fu (( \
r)~
RosemounC, MN
(City)
55068
(Zip Co';")
(Address) 14745 So
(Cont'3,ct PersOIl)
(Phone) 651-423-1144
~_~___. DATE ;2. -Ip -If-=<;
APPLICANT PLEASE COM:PLETE 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 feet from structure.
feet.
o Cast Iron
ReSldenual sewer and water hne connectlon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com') & Multi-family 1% of Job cost with a $39.50 nllDlmUrn
$1750 Water connection only $17.50
Estimated Cost $
Building Penntt #
SEWER ANJ) WATER PERMIT FEE
STATE SURCHARGE
TOTAL PER1\:IJ.T FE.E
$
$
$
,.~
PAID WIlt;[
BUilDING
I~~~
1-- 1,..-..
C
(Offitc Use Only)
This Application BecoDles Your Building Permit When Approved
Building Official
Due
I Paid
I DatFEB - 6
24 hour notice for all inspectiolJ.s (952) 447-98501 fax (952) 447-4245
I.
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I'NNE SO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Da,
;;;,:. ~::, I PERMIT NO. 3-fs;'
J_ Yellow Applicant .
(Please type or 'Print and sip at bottom)
ADDRESS
ZONING (office use)
5404 DEERFIELD CIRCLE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) 0 R HORTON
(Phone)
(Address)
APPLICANT
(Namel AT.T.TRT1FlRRSTDR DRA FIRESTDE HEARTH & HOMF.
(Phone)
65] -1i11-251i]
(Contact Person)
BRENDA HUSTON
ROSEVTT T F
(City)
(Phone) _651-633.2561
55113_
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/2/01
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
, FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID wm.,
SUILDING PERMIT
(Office Use Only)
Buildine Official
r!li'~ [i:j [, ~ \II [~";"NO .
l ~L\V - Ii Z003 ~ flr1'/
24 hour notice ror all inspections (952) 447-98! G, rax (952) 447-4245 vy -
By
Date
This Application Becomes Your Building Permit When Approved
I,
\,. ~E MA'~ (-llE
,.
DEPARTMENT O~ ~..... ... ~ ~--
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~l-Iot.\ t=iE~ c.j~ 5.E.
NATURE OF WORK ~~CN
USE OF BUILDING .' I.... LeT 3 ~\(C. \
PERMIT NO. 03- OOff) DATE ISSUED 12./& 'l.OL
CONTRACTOR .DJi. HCIrf6~, INC.. p~~.Z~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if reqUired)
FIREPLACE
GAS LINE AIR TEST
Y1/ S'-~j.
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0-~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
I)) / e-
,
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FOR ALL INSPECTIONS (952) 447-9850
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