HomeMy WebLinkAboutBuilding Permit #03-0306
~rrtifitatr of (tttupantl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uH~ing Jfnsptrfinn
m'Final Permitted 0 Conditional e.o. Expires
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:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0306
Occupancy Type _ R3
Type Construction _
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L1,2, B7 DEERFIELD 7TH
ROBERT D. HUTCHINS
Building Official
/ j- /7- (J -z..
Site Address 17357 RIVER BIRCH LANE S. E.
HORTON, INC., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
r~ City Planner
DON RYE
Owner of Building
Contractor's Name & Addre~._ R.
Date:
Date:
f"'-.-~.'.-";"';"":' ',-
J!.-;~
~-'
",'~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.L7 ''"? ~7
t.Jd~ 614,h
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
DATE TIME
/ I-l7-tJ '3
...-?-- .36~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
_C;~\d -I- rr ~~'5
~
~
/ //0'-
~ L- ( ~L
----
----
-----
~
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((~/
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~~ATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OARK. C~R REINSPECTION BEFORE COVERING
Inspector: Yif'- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
<;<-.- .?t:>
ADDRESS
17l1'f ~lrlrl;,l~ {" ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.....FINAL
o SITE INSPECTION
COMMENTS:
(LnW!f ~~t:
f /fu:.J
~at "'~I
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
'MECH FINAL
- q JI?'lV-q I
7k-
:?- :iII!IIf :? db
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
..sJ..J
..t.
7'-<"",p lP1 J-, ~( 1~7J '1
o WORK SATISFACTORY, PROCEED
Iij CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f41/ i - ']..()' o.::>Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-(L-f
ADDRESS
I 71s7
(l..A ~",/h ~ h
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?- 3{)t-
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
...IiiI-PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
tYCt<1M
rW41? <;;
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT ~~hLL FOR REINSPECTlON BEFORE COVERING
Inspector: (VI K'"" (L- ( r~er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
_n
Ii
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
1136-1l<~Ver :Blr1,~Y\L ~f1.
I. White File
2_ Pink City
3, Yellow Applicant
Date Rec' d
cJ-;) ')-3
I PERMIT NO, 03 -03f)(P
~GAL DfCRIPTION (office use only)
L~tLOC. ADDITIONJ)~f.tL --,-rtv
OWNER
(Name)
(Address)
BUILDER,,",~ .l . L~ - \./
(Name) .d.J, +-Z... tTYTlJ Yl v'\.L.
(Contact Name) M- l \Ll. \,.() CJ ~ n, uvt kA-.
(Add )1'2.-D'2>00 K~brl~,,~d-. ~.l 00
ress ~.L1,. _ fYl n 1..1550'-1 Lt-
,
TYPE OF WORK
~ew Construction
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ q I J 150
o Deck
o Misc.
(Phone)
ZONING (office use)
R~
PID d.5 -- ~ q~-- c1U --D
--'
(Phone) 952- -q Q;t;-lrJO 9
(Phone) 4.S:J-.- '22(P..Jcf.1 ~ Z-
o Porch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility 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 local laws and will proceed in accordance with
submi ed plans. I am aware . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente u n e property tope . spe 'ons.
x
I
I Permit l'aluation
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
}oo.o>o
100.00
-
~O.DC
This Application Becomes Your Building Permit When Approved
~.~
Building Official
s.hff~
D te
:;;'0 0 O~V ~-,
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~'1?~1 Ot7
- ~ ~ ~I')- ~
#
#
#
#
z.J 2..(P/ 0 ~
. ~
Date
$ [!}SO,DO
$ 12., 75.00
$
$
$
$
$
$
I ZOC1.00
70a,oc:>
-
$ 5EJ~~"V7
Receipt N o. ~'-I tJ /5'
Bv tk-
'V'
3(t~;l
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
~~
Planning Director
-m~ -14
.... 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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The Cf'nlf'r of Ihf' I..kt ('ounlry
White - Building
Canary - t;naineering
('" .!'\aL- - IJlanninq::)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J. ,
) (''-
----
/( / ./ 1.- '(/ lv
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/: ~
7-' <.:J ...,j
APPLICATION RECEIVED
J
,).(' -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
///";] -- /7 . -, . P' I L
,..).s A / I) c- J--' t~) I re.- Yt N
Accepted
Accepted With Corrections _ /
Denied
Reviewed By:
~
,..
Date: 3/1c..j IdJ
,
':T~
Comments:
See Main ~'ile
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."
The ('enler of the tlke ('ountry
6hite,-- B~i1diJiQ:>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f) R }.Mr~AJ
-'-' .
tl- a 7- 0-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
//f3-s'i 1<; ~JC/V ,8 i' re-h, L;J
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
Comments:
:g!~
,-
~~~
Date: JillJk2
, (
See Main File
"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."
11
I
Th~ (Orn.., or chI' takr ('ouncry
White - Building
re""..~- EnRinee~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f') ~2 fj () r+6A/
~ ..
o ,.-'....... /~~
ix-d/---f,-/~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /f3.-S 'i 1<.; I /r~,v f!:) i' rcl1..- LN
Accepted X
Denied
Reviewed By:
Comments:
Accepted With Corrections
/Y/J 73
$( t /Ylc,l~
Date:
h/(.
3-/L/-OJ
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."
'j ;1
.
AI 7 :OO~ 1] ??AA!
III a r ' '~ v : v ,) III
GENZ RVAN PLUMBING AND HEATING
No,5621
P. 25 25
Date Rec:d
CITY OF PRIOR LAKE PLUJ\1Bffl"G PERMIT
~,~d ~ PERlVllT NO. 3 -- (Qo /
1 y.II~", Applir:aol . J a
(Ple:ue type or MDt .:md m~;". ~ bottom)
ADDRESS
17~q'1- t2fVfft BI'KCh 11 Sf;;
ZONlNG (offiC2ll\e)
LEGAL DESCwnON (officI': use only)
ADDITION })eL~ftdc.{ F
LOT
BLOCK
PID
OWNER
(Name) DR Horton Custom Homes
(phone)
9h2~qS{F1-7SDD
(Address)
20'S,we) Un Bit I 'D6:e~ CD Sre J DC
UJ uvrl k:. to\-; i~ .56tLj Lt
APPLICANT
(Name)..G""M-'R;T..an.~h:ing !;. 'I::1P"'H.....e
(Address) 14745 So Robert Trail
_ (phone) ';"'_"-')':l_111..L..
Rosemount
MN
55068
(Zip Code)
(Contact Person)
(Address)
()V1 ~. f~ti ftt[. Ls
et~~ ') -4a~
(City)
(Phone)
651-423-l.J.44
3--] ~03
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COJVfPLETE BELOW
Qua.ntity
t
, .
iZ_--;J:
I
) Type of Fixture
I Rough~ins
I Water Heater
I Water Softner
I Stand Pipe (Was.hing Machine)
I Sewage Ejector
I Backfiow Assembly
I BackfJow Assembly Test
I La"ro Sprinkler
I Other
.;2.
Type of Fixture
Bath Tub with or without shower
I Dishwasher
, Floor Drain
1 Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
, Bar Sink
I Water Closet,(Toilet)
Quantity
.:J
FEE SCffEDULE
lndustTls1. Comm=rClal & MultI-famIly 1% of Job cost wIth a $3950 minimum Re~ldenl]a~ New One: & Two-FaItHI)' .$99.50
~ Resideotial, Additions & Alteralions $39.50
Estunatcd Cos'!; .$
Building Pennlt #
PLTJMBING PERtvllT FEE $
STATE SURCHARGE $
TOTAL PERl\'llT FEE $
50
PAID WITH J
BUILDING PERMIT
(Of,iee Use Onl)')
This Application Becomes Your Building Permit When Approved
I Paid
Receipt No.
Bujlding Offici21
T~lBY
~
if
By
I I
I
!I 7 ~ 0 0 0 .. 00.!I
III a r . . ~ v I I : oj .J A Iii
GENZ RVAN PLUMBING AND HEATING
No.562i P. 24.25
f(;PR1~
~<S',
~/~~\
1- \"7
- ';I;
l.) \ (fl
~:".',\\::.::. '- .."
";', ,~",\'-")''-:,!''.;
~;~~:~"~~;~'~~~:~~~:.I'rH.E s 0 oe;'"
<O.l,j~.,...\"
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER.AND WATER PERlVul
I 0.0<1' Fllc I PERMIT NO
2. 'telIOw CitY. . ? - 30 6
J. G<>id Appl.....' V
(Please ['(pc OJ'POl;lC ~d siJ.":!l at bottom)
ADDRESS
113'5, (2lVL/IL 'B7~.M.[/Il '0'&-
ZONlNG (office u;:e)
LEGAL DESCRJ1'TION (office use only)
LOT
BLOCK
ADDITION
b&~f1e(J 7~
PID
OWNER
(Name) -DR l-l'ortot1 r",:,+-?l;U Rom"',:,
(phone) _ %2 -q85-i8tJl\
(Address)
2o~O Kev10l<..\t'>(.....P. C:c....::.};:-~J..()0
(Addree~)
La~:LLlJ~
(Cicy)
.0CUL1U
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-42.3-1144
(Address) J.4745 So Robert Trail
"~ICANT SIGNA nJRE
. (Addrm)
r,ltuflSh Fa (I s
. . r--"""
() Jl ~A /j...{. )
Rosemount. MN
(City)
55068
(Zip Code)
(Contact Person) .
(phooe)
~ bATE
651-423-1144
3 -7-(;<;
APPLICANT PLEASE COMPLETE BELO\V
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pIpe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet
Clean out (if required) located at feet from structure.
FEE SCHEDULE
ReSldennal se'\lcr and water Ime 'connection $35.50 Industrial, Com'l & Multi-family 1% ofJob cost wlth a $3950 mmimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
,
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SlJRCHARGE
TOTAL PERMIT FEE
$
$
$
.50
1
!'
Building Offici".
Paid
~bm@~D~~\ By
Dau ~
n' MAH I M Z003
14 hour notice for all inspections (952) 44' ~5{), fax ~52) 447-4245 .J
Bu,iAID WITH
R . N~~ '''0
. ecelpt o. '," "".,
(Office U~ Only)
This Application Becomes Your Building Permit When Approved
Cf
By
II
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
// 70 7c;,
~. ~r::n ~:~y I PERMIT NO.-=:> - 3' ( I
). Yellow Applicant _ ;) _ 0 'P
(Please type or print and sign at bottom)
I ADDRESS
/7357 L~ &r~ ~ ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOJI6? dfu.OCKd AADDITION
PID
~~e~RDM. Horfon C_LA~-bm Home~
(AddreSS)~~ridC)~_ Qt. I Lo.kevi IIp_ MI'0
APPLICANTA II' . M ...----
(Name) ,Clt1- e~1....L-IIk!. (Phone) 11J5/-45:L-C:<775
(Address) 3J,QeJ Ke.JQrle bee- k. 5.k. #j ~~ Q30n 55/22
. C (Address) (City) (Zip Code)
(Contact Person) Jef-rrq Z.'mmp_rm Gln (Phone) ft;5/--456J- ,;?77~
APPLICANT SIGNATUk ) W'''"' f? :J??-~~ DATE
APPf{CANT PLEASE COMPLETE BELOW
[g'NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 1Jr~4nf 3S3KA-vb2flD"10 FUEL l'Jo..tUffi I
FLUE SIZE 4'lcla.S<<D "B.-... RETURN OPENINGS '+ INPUT ,0,000 OUTPUT 6lD.tJO (:)
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~'" er[15 -7~7Z
!5 50~.Lf
OWarm Air Plants
OGravity
o Mechanical
~r Conditioning
[!V ent. 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
I FIREPLACE MAKE AND MODEL
IndustriaL Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
ResidentiaL Heating & AIC (New Construction)
ResidentiaL Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
_~f'.50 8lJILPAlD 1An....
C?/ DING .;""'"
Pai l~-~-@-!t-Hf&~" No. 'I:~4f""
I
Da'EJU APR 1 0 200,3B:'U/
~
)
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, ~(952) 447-42~
-I I
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CITY OF PRIOR LAKE 11 ~ @ ~ U Wt~ d
HEATING/AIR CONDITIONING/FIREPLACE PERl\U~r
JUN 0 6 2003
~
1. Pink File
2. Green City
3. Yellow Applicant
PER'vu~
(Please type or print and siltD- at b " ~ ~ " ." ..>
ADDRESS
17357 RIVER BIRCH LANE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. 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
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
II
"
.
-
-I ,\
Job Address 1JJ.5'7 ~ 13~
Heating Contractor ~')+I./?'~.K
~V\. .
-4f?k)
., (J'J!.
GO;",""';
, ~ (j( ? 2,
3J1Y7~
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ):JJS
input 7t1&1J
,
-'
-,
-'
-.
PRIOR LAKE
INSPECTION RECORD
2i~eL ·
WE~
-S.R ~.
PERMIT NO. 03 -o30b Di'TE ISSUED
CONTRACTOR ~. ~~ I...w:.. PH NE ." -'1111
NOTE: THIS IS NOT A PERMIT FoA ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT ()F,~ee Main ~i~e
BUILDING AND IN~PECTION
SITE ADDRESS .rl.3.S.7
NATURE OF WORK
USE OF BUILDING
S~.
INSPECTOR
DATE
FOOTING Mo..V\ I
FOUNDATION (Prior to Backfill) ..fN>.'f\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING J,!f1.4 (, - 2-0""'0
HEATING (if required) ~ G t/'$ot-a:5
FIREPLACE ~ Ce-,?3u-C4:3
GAS LINE AIR TEST ~ te t?c--M
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
V'I\ III ^
~l, .
/N( /
?'~t~
7,..J-~
GRADING (Prior to Sodding)
BUILDING I( t~ I,<r3k&
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
vvv/" R"'-14rd)
~ ~~
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.
FOR ALL INSPECTIONS (952) 447-9850
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