HomeMy WebLinkAboutBuilding Permit 03-0612
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CITY OF PRIOR LAKE
~tpatfmtuf of ~uil~iug J1uspttfiou
"1: 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:
Occupancy Type
R3 Type Construction VN
L5, B3, WILDS SOUTH
Fire Zone
N/A
Zoning District
03-0612
Rl
Use Classification
SINGLE FAMILY
Bldg. Permit No.
Legal Description
Owner of Building
Contractor's Name & Address J / C
Site Address
2857 BOBCAT TRAIL
ROBERT D. HUTCHINS
CONSTRUCTION
(In,
VJl
_ City Planner_
DON RYE
Date:
Building Official
'I - \"1--(}I;
Date:
III ;:~"":n\.'~"'" " .,.-.],::..,.~, ..,'0'';'11 "~";"'-~' J.'_-{
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2.5<. '11 ~\ 1l$L
OWNER CONTR.
PHONE NO.
PERMIT NO.
I!~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ r....,N, e,
r o? f< A()t-~ - 0lZ
'-
DATE TIME
(() lz:~f()3
.-0 ~-,(cl1.-
o J:~IFILLING
o C~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
L...I IN\. '{) (J L>/If'. f (.0A) k) E..~ 1" 0 f2t..trr~ )-r.t..Lf
~~t-i<' ~J SoD
;>r:( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,_ ~ OWne./Contc
CALL 447-9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ...)$5':
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~
t/ /"
.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,. h"~o. r;~
~f
DATE TIME
lJ:n-6?
/
o"? -(Al~ "
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
i- WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~~rW RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: I Owner/Contr:
CA 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1/'ISNOTl
',,"', '^"'.-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ID- (!?-d1
ADDRESS 2857 ~Jt
OWNER CONTR.
PHONE NO. PERMIT NO. 03 .. ~ ,Z,
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
'~ INSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~LUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
\. li-~
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~.
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~
LAw",,-
~ ~~
a... o.dl- ~ ~
.! Tn Q.Q,.b
Sll:*l..4<
~~o.-:.l'fr.M... ~
~~01
~
r~
0, '" f () -L-,
/
8-1- 20ccf
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
l<. CORRECT !11K, CALL FOR REINSPECTlON BEFORE COVERING
,_c - J- J. Owne.lConlr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
-
"
.-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
jb.=1tJ-tR 3'f>O
,
ADDRESS ~~I ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
s-t,/2..
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
:a PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\. ~~cA---" Cr~
2.. ~\,.\tL- ~./1 ~
" I Cd 1c,.Nl ~......... J
-9. f)D-f C; (I,)~ ~
o WO~SATISFACTORY. PROCEED
RRE~CT.u>N AND PRO~
CO ECT 19R1 ~, CALL FOR REINSPECTION BEFORE COVERING
Ins tor: J J} Owner/Contr:
~d44~-18~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COUREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
I
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~ -? -03
(Please type or print and sign at bottom)
ADDRESS
~ fs-?
I
~bCCe+
1. White File
2 Pink City
3. Yellow Applicant
I
l--
LEGAL DESCRIPTION (office use only).. tJ. /J
LOT5BLOCK3 ADDITION !/)~,~
OWNER
(Name)
Ie;
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
&hu-tv
f(--/ ({mUJ~
I TYPE OF WORK
o Misc.
~onstruction
DLower Level Finish
(Phone)
(Phone)
(Phone)
o Deck
OPorch
o Fireplace
DAddition
PERMIT NO. 03-0 G f2...
ZONING (office use)
RI
PID~5" - JfcJ': tJ59-G1
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
DAlteration
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 local laws and will proceed in accordance with
submitted plans. I am aware ,th, : ~~~~,; i1~di g official can revoke this permit for just cause. Furthermore, I hereby agree that the city, official or a designee may
~terupon thepro~~~~ ~ jG / ~ s-- (97-o:S
Signature Contractor's License No. Date
I
J$
I $
I $
I $
I $ JrL>. -
.......
$ /00.-
I Sewer & Water Permit Fee $ .~ '5". '::;-0
I Gas Fireplace Permit Fee I $ 40. --
/) III I I
~g perm:7en Arroved
':>7 (4'/03
, , Date!
.....-'
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
'""'-
I~~a;o
1-;SJ:;7.7t;
. 8l3z ,'74
,
6.2#r;O
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
# I $ e,t50. -
# I $ /7-c5. ....
I'l $ ~CO. ..
$ 70,-
# $ /Za). -
# $ 7 co. I'
$ /5"a? ..
$
1 t
lA1tf1J ~11] - OJ
I Paid e, ff J: Z-q
I Date 'S:Z",9,ClY
$~ 4Q3. ZCJ
~~e7
ReceitRNo.
By'!-w
o
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 documen
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 b'
issued.
/Z./-/.
Planning Director
S/Iy/'c:r
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
T
The Cen... of Ihe Lake ("ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T(~
;//) )/1". '_/
;L, :<:, -- ,/=-~
~J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ " ;,./
I /. /; I
\.---'/
Accepted
v
Accepted With Correctio~
Denied
tl /74-
.-../, '\
;..I.K.I
')/#; ~ >
Date: .'
Reviewed By:
Comments:
<.~ ./ j
. / 0.::--
[).~
,or
---~. ..,.~.
\..;~;:.,.."
1/1.
"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."
....-.......... .-...T'.... .....
~it.. -=..Building
Canary? Enoineermo.-J
""Piii'k ~ - Plannin'g
Th. (".Of.. of Ih. l..k. ("ouolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-t'_.
I
{ "-"/'
,/
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. .{I'J-~.~;"/j./ I~I ,i
f ..,.r l ;~!., V~.~.., t.. --_.~
..;.{}- -- ~~;, --(') ,~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whicl;l is proposed at:
,,-'~_. .r'" ;,C;/, I ___t., "_/)
,J.." c~ - I . }"~':""\ h./ r;.. ( l:;,,:;I~'l.---'
'..- ;,..l-' .f .,' c/I I .,'-'-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
IWJB
.
Date:
5" - ILI-03
Comments: See Reverse Side for Additional Information!
flCf;-t, 5{J/!lP ,0lif <<p ,Is.> Dr':' in -I-,'ft
()l-+- k,+
,
, V\ r(e,~
~ee Attachments: I) GradinQ: Plan. 2) Erosion Control Me~~lIrp~
~ 3 - --
"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."
I I
Thf' C'tnff'r or fht L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT T c #... /f1I~
APPLICATION RECEIVED 5- ~ -0 (5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con:9g~ ~Vity WM~~
Accepted Accepted With Corrections ~
Denied mlJ-- ~h~
Reviewed By: Date:
<;~ P-~ (
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."
I I
From JECHEEXC
PHONE t.lo.
612 8926396
Jim. 09 2003 5: 31At1 pm
Date Rcc'd
~-;n;;~.,.
€~~
!~N"'~'\
(Try OF l)IUOR I...AKE
SEWER AND WATER PERMIT
~' ~~'ii;... ~;;I,~ '.',_J,."ERM,,'.",-IT N.'O'.--2 _ ( I'-:l
), ll"ld "r"lIuIII ~) 'Q..J ~
.-i!~d:~~' IlI'it\1 Anll sil:!' :,1 ""tI"!,IL.
ADDRESS
ZONING (oll1cc use)
-2,~ 5 ~l
6ob.a.a1- J fa" L.-.
..-.,..-........
1.P.GA I. ODSCRIPTION (<,.(I;';C \J,e only)
_ r.OTS-..~.!.:O(;K'~_.~PDl~',I<?N~, wWe S.b
PID
~~~~,~~ '-T (1'~-'-G'D~'if~'"
(I'h(lnr.)
(Address) _..
(Adtlrn')
((lIy)
'_......"..:==--===:::~-.'.(l,ip C~dc:)"
".. ".'.e._.____......,
Al'PI.1C:ANT", ~ -
(NameL J e~.. e..l t..~__,.
(Ad<1rcss) J;3.LD... J() }\JI-'...., f I a,c..d~c:::'.. ......
(^ihlu,'~,~,)
(Colltact T'cr::on) ___..0{)h~1 Y~,,'. '..."
APPLICANT SIGNA TURE ~~
Al'l'LIC NT PLEASE COMPLETE BELOW
"-'-Si.;:.c..: of Wl1tCll>;;'~:;~L.~ u.) im:he.s. ...
Location of any l:<.mplings ii'om structm'c ~ fc~,:'
1 ypc of sewer pipe. 0 ABC 0pVC 0 Casllron
ESlimat\::d lcnglh uf':st;wt;r lim; ~ feet.
Ckall out (if n::quilcd) located <It __ feet from structure.
......_ (Phone) t./ J.._'1JD 7'-( ~0 .....
J31fJom L\1,d~o Y1 (\j,/::L..__,.,._E/:;-43j
(((II}') (Zip Colle)
(I'hullc) ,_~_._'7.~ a 7'-J.J....h
_0.' .._ DATE .w.JJJ -q.. (j~
.-...".""...-- .........- - -..._'....
Rcsidcmilll sc::wc::r iI/HI WlIll:I lille: l.:OIIlIt:i:lHlII :I..\;;.:;U
Sewer COllJlc;\:lill/l \July $175()
FEl'; ~CnEl){JLE
Imlustrilll, Com') &. Multi-family 1% QfJob CO~l with uS;39.S0 minimum
Walcr connection only $17.50
(. J' ,.~ . ~\
El>lilllall:d Cu>t 1>......IL!:.J { J
Building Permit il
SI~WER AND \\iATERl'ERMIT FEE
~T^TE ~lJRCJJARGE
TOTAL )'J::HI\1IT 1~r.:E
$
$
$
.50
~~o~
G P~.b
rf4f1r
Receipt No:--
((mice \lse Only)
This Application Become~ Your nlllhlillg Permit When Approved
-ii'ald" 'm .
IIUllllllll: oltlcllll
llMII'
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o
___.__no, ...."'._____... <(
24 hOll~ BOtilt fIll' 1111 in.~r"'c:lIoll' (f)~2) 447-' t. f~N2l41f~3 -../
By
..
06/25/2003 04:31
CAtjtlOtJ VALLE\' ~,'OTORS
CITY OF PRIOR LAKE
PAGE 01
9524474245 P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Dace Rec'd
,.jPlt\f! '\'YEt at ltrUll.w! 'iplal botlOm\
; ADDRESS
~g S 7 e,t~ 7r:dJ.L
~ ~ ~~l"" . PERMIT NO. :3 -(0 (d-t-
t~4 (I
ZONING (ollla_)
LEGAL DESCRIPTION (oft\ce UN GillY)
LOT BLOCK
I OWNBR
(N a.me)
ADDITION
PIP
'-r: C- ..
Wnr.r
(Phone) l' b. 1'0' J'f1Y
<AddJtU)
APPLICANT
(Name)
;'I" SfI4U#H4, 11ee.
24"46, Ceaar Lal~e Dr.
New Prague, MN 56071
(W~~-a';'~/~1
(Co ~ ) 952-888-5050
nL1Cl ~eJ:Son. (Phone)
APPLlCANTSIONATURE.~ ~ DATB -J "fJ:~?
\ APPLICANT PLEASE COMPLI:TE BELOW
~W CONST~UCTION 0 PiPLACEMENT 0 AL TERA TlONS./
FURNACEMAKEA~DMODEL -'.tnJt\-rAL- .Bnl.tJr r(J}'() . _ FUEL D~
FtUESlZE ~7' ;tlc- R.Et{;~OPENrNOS INPUT ?4p11fl . OUTPUT .7~~,o _
TYPE OP SYSTBM HBA TINO OR PO~R. PLANT
OW.-m Air PlanlS 0 Stum
~ra"ll) 0 Hot Waler
eohllnlc:,J 8 Jl.adlllion
Air Condllionin. SpecIal Devices
OV.nt. SyJtmI Other DC\llCQ
(Phone)
(Address)
(CIty)
(Ii, Codt)
PLEAR NOTE:
Air Conditioner Units
Cannot EftcrollCb Into
Required Side Yard
Sctbllcks
, F~R.EPLACE MAKE AND MODEL
RulClenllll1. Helting 8z. Ale (New Con.tNction)
ReSldentll!. Hutin. Only (New Construction)
FEE SCHEDULE
10/. ofjob co~l Residential, a" Flreplacc
SJ9.~O mlllinwm
$99. '0 Residmti&l. Addhlon. .. AltCl"MIOn$
164:50 itdlClenliel. AC Only
SJ9.SO
$39.30
S39.~O
Indus!rlal, Co. ,.cl.1 A Multi-FamIly
Estimated Co.t S
B\llIdlni Permit It
HEA TlNG PERMIT FEE
8T ATE SURCHARGE
TOTAL PERMIT FEE
S
$
S
,s~
PAID WITH
BUIlq'NG PERMIT
(omer lJl( 0"1))
- .
Thj, Appll~tlOIl Beco",.. Y oar Build'Il' Permk When Approved :)' [~P@ [E 0 \fl [E InI Rooeipt No.
<Date !'I By {f/J
Julldl..Oflkl.1 . Dale .1. . 0 ~ ~QQJ~~/ l/;f
:&.4 hour lloUee lor I" kUpedl.1'IIl (,,:l> ul."s~x (951) ..,....UV~1 .
f
TOTI=L P. 01
~ '-, '. J
i
07-24-03 04:5\ PM FRO~ FG7N ?LG HTG
TC 9524474245
PJj
Date Rectd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~':: ~:~ fPERMIT NO.3 - / /~-
J .,..11.... A",lIeMl (p? I c/
(Plc:.uc type or print and 5il!ll at bottom)
ADDRESS
J ca 5 7 {)o~ (" fo. -\.-
ZONING (offic.t use)
T r\.
LOT BLOCK
LEGAL DESCRIPTION (office use only)
PID
ADDITION
(~..)
,
OWNER +
(Name) I. C 0 Co n.s tr lA. (. r:) ~ Y\ ..
(Address)
(Phone)
APPLICANT l 0 . 1'1 I +' g 1L}
(Name) ro('("Y\ j n~~ c.h.{ I"l'l kt.nrl:l a vtA' l-ta1 I nJ (phone) lrJ5 1- ~ <0 '3 - 7 c;;t..
(Address) ,1.1 r)":{4 r h : t'l /l P,/! J~ h> tJ- ve.- Farm" v1~ kn 55(1) l.j.
~ (City) 0 (Zip code)
(Contact Person) 0: YY""'1 (Phone)
APPLICANT SIGNATURE ~ ~ L ~
QuaDlity
1-
I
I
5
j
I
.,
3
DATE
J -a,.Lj -0 ~
APPLICANT PLEASE COMPLETE BELOW
I Type of FiJ:ture
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
Quantity
.3
f
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial &. Multi-family 1~. of job cost with a $39.50 minimum Residential. New One &. Two-Family S99.S0
Residential. Additions &. Altentlions 539.50
(omcc UJC O.'YI
Estimated Cost $
Building Permit ##
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE S
l1. ,(>,cf.
~D ~D IA.
~G"Y/'h.
,(>~ 'Y
~4f/,.
.SQ
This Application Becomes Your Building Permit When Approved I [~~~ ~- 0 [j lE
! J Date
Bulldl... omclal D.le "" 2 R 2003
- \ Receipt No.
t
By
(rO
V
..J
24 hour notlc~ for .lIln.pectio,,", (9S2) 4 &1-9SSO. ru (9~2) .w7-4245
By
II
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 'Z....e ~ :-r- 1:2..
NATURE OF WORK ~.. - ~~"'-
USE OF BUILDING .,. '~j,
PERMIT NO. 03 -Qa /2- DATE ISSUED ~ t4t
CONTRACTOR PHO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING UJ/, ;vyJ
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST M-~ r'P VI]
. ,
I~~OR
I (/'E>
FOUNDATION (Prior to Backfill) I rJ ~ G ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~~...~
IP7~
pijd' O'-"?
DATE
J FOOTING
I~-J~
l?t..
!/t-r'
.~. ,/'$
I ...
,
7~)4-03
z-l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/ -A,ik I ~ I f; 1u.tz5
FINALS
GRADING (Prior to Sodding) ~/(}.~/.'l
BUILDING ~ ~ e-l-o~ P'.J f ~ ) 1 - >1
ELECTRICAL I
PLUMBING ;J;..J /6-:e5
HEATING (?t~.
DO NOT OCCUpy UNTIL ABOV"€ 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
, ,