HomeMy WebLinkAboutBuilding Permit #03-0249
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CITY OF PRIOR LAKE
~tpZtrf1tttnf of ~uil~ing Jfnspttfion
.~ Final Permitted D 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
SINGLE FAMILY
VN
_ Bldg. Permit No.
03-01.49
Use Classification
Fire Zone
N/A
Zoning District _ R2
Legal Description L8, B2, DEERFIELD 9TH
Owner of Building . Site Address 5423 DEERFIELD CIRCLE SE
Contractor'sName&AddressD.R. HORTO~'ll~;op 20860 KENBRIDGE CT., T.AKEVILLE 55044
ROBERT D. HUTCHINS / .:/ _ City Planner DON RYE
I ! ~uiLding Official
_ - _ '". (r-s
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
-.! ).., .2.3 -0 ~
ADDRESS
~41- '1
D~~/d (;-1':-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
2'"" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
COMMENTS:
---
~ - I
/ / / ~r~
l C/t l/'"' '
~
...-wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
3 - .2-<((
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
~
J-tl"\
/ I~ )
~
.----
Owner/Contr:
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- ]CJ-trJ
ADDRESS
OWNER
SLt13
~~,h_l1 [,:,
CONTR.
PHONE NO.
PERMIT NO.
.~ ,.:2 '-11
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
4""PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
U Yt>/M./M
I!J-&{.. - VA 05
o WORK SATISFACTORY, PROCEED
,"CORRECT ACTION AND PROCEED
o CORRECT ~O~~AL~ FOR REINSPECTION BEFORE COVERING
Inspector: y~ q j()./~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-~ 7-03
OWNER
,~L.; 7;;- })?'ey{)tk( C;'/c!(,
P R ;.,b, /r; 1/1
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
5'-1;3 - /.~{~- oK.
- (. .J {'" (51.; j'. I) i(
SLt),S' - ('1[:,/'1. -0 it
Gv' (~ 3CJ} - () K..
c>-L/) 7 - /7.r:.tl-l- [) /L
C./(S is,.)/ . c ~
,')'-1; 9- bro.ttle .-c!) ~
Lv(") ISt>,..... 0 1(.
"iIWORK SATISFACTORY, PROCEED
. .- ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #~. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
.2- J3-3
PERMIT NO. 03 '-0244
(Please type or print and sign at bottom)
ADDRESS
Cj~;).3 ~ ~iJ.tA ~r'J{.I ~6.
I. White File
2. Pink City
3. YeHow Applicant
LEGAL DESCRu'uON (office use only)
LOT<6 BLOCK ~ ADDITION ~ i II qilv
OWNER
(Name)
(Address)
~~~~-1):R. 14 0 ,,+m Ll c.
(Contact Name) -0+.e_~ ? v1rksM
(Address)2 0(, 1./ L .A... ..., _.L. 0
o 0 () "-t.N-Dr L 'e1 L, Qr. XR'" - l ()
TYPE OF WORK ~ New Construction
o Misc.
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone)
ZONING (office use)
,e2-
PID 25 -4-tXJ - 037 - 0
(Phone) qG2- qe6"'1Bo~
(Phone) gs2~ 2-~.1 :j~,-/
LbJ4.N\ Ut I N'1\l 650 LJ,l.)
ODeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ qq Z 7 f
"9~ tJ()(!), (/)t!J
$ CjffD. 75
$ tn4/,.3,
$ /ft11'50
$
$
$
$
$
/tJtJ, {)o
(O(), {)()
$S; 5""t>
~t{)O
This Application Becomes Your Building Permit When Approved
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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter the operty tb perf~._\. inspe 'ons.
G ( ,.2()oD6~57 2"'/2~
I Signa Contractor's License No. Date
V
Permit Valuation
~~
Building Official
/~~~~
, Date
I Park Support Fee
I SAC __-
I Water Meter( 3lze SY;I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid r /'l'l 3".1'/
Date -~,. ;).5 - hi
#
#
#
#
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$1,173./4-
Receipt No. LiLlOW
By
~,ov
I Z I :::> , 00
c;;2 5(J.Ql)
~S;. tJ fJ
1200,00
70t:). 00
/5~(). DO
1;\
This is to certi1Y that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isSu~ ':t~ //,;J.y.Ai3 ~ aJLIl ~ :~
Planning Director r -Date . Special Condfrions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
03- o.<~9
Tht ('f'nlrr or thf l..kr ('ountry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. g. l- OE' ot0
?-,{!$ -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54 z3 C)eF;t2 r:: I ~() (,/IIL(~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
JYJ4f3
Date:
3- 5 '03
Comments: See Reverse Side for Additional Information!
'mIA//, F,' I(
~p.p. A tt~~hment~. 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."
Main Fi_e
White - Building
Canary - EnRineering
(""1-'mk - Plaimln~
Th. (..nl.. nf the tlk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J). ~. I-I ( t~ \ c ~J
2 -I 3 - (_2
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l... /...... . "'t'. . /-. ... . . p;
,. 1 / .),.'/ " ....
~i 4 !-0 1_/ t le/ ~ 11--, L.I) (\/ 11(' l I, ( / -,
'\'0
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: oip~/a3
Comments:
~~.t "
"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."
Main Fi~e
Uotm!!... - Ruildi"n'a)
Canary - I:ngineering
Pink - Planning
The ('fnfu of .he Like ('odnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2. f- oe, of\J
2/13 -05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5423 D8l/"2~/bLD c';11C~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
;(~ aLl
-::;~I-- Date: 2-/~ ~ 103
, /
~~_~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,"
Job Address _ ('1/./3 ~ {f;'t'I/
Heating Contractor ;44i-9.IV7 M:Etd'Y
/t-d1/1 6
/;/;/!--'
8./%
--
..
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
,~~IV
7, 2.1::,
? iJ~ '"F
UMC Sec. 606
Combustion air is adequately supplied per
}/ J' .s
&.!.; o1J8 $ -r u
input
';::
Mar. 7.2003 11:37AM
~
/~e/~\
1-< \ '7
- \,::
U, ~(f/
~~..A,/~. ,<I'- )
,~
GENZ RVAN PLUMBING AND HEATING
No.5620
p. i 5. 22
Date Rec'd
CITY OF PRIOR LAKE PLUIVIBING PERM"1T
~ ~~ ~~~, I PER1VllT NO. -2 - '1 '--/.1. I
1 Yellow ^""pn=t J C7
(Please type: or print and sie;n at bottOm)
APDRES:C; /
J~~3
Deer-He!d
r-
OJ.f St:
ZONJNG (Dflicl: u~r.)
LEGAJ~ PESCRlPTION (office llse only) ~ ~
LOT g-BLOCKc9 ADDmON JJeer-{;pd Lf~
OWNER
(Name) ..DR Horton Custom Homes
(Address) 2-Ob(oD ~ng~l ~ Ca- .$re_ IDO_
PID
(phone) 902.- q )].t; -,8/)0
udu\/dlG iU/'J E5bJ..H.J
APPLICANT
(Name)..c....~~-Py.,~ P1 ".mb.:1..u& ~. p,.. .,....;~.J
_._ (phone) he; 1 _1.0. ?':l_1 11.0.1.0.
(Addres5) 14745 So Robert Trail Rosemount MN 5.5068
(Acidress) (Ciry) (Zip Code:.)
(ContactPersoo) -.1 ~neY~. r" (phone) 651-423-1144
APPLICANT SIGNATT-JRE ~--U.tl 7J?a:iK ~ DATE 3/ S/ () ~.. .--.-.-
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
./
/
~
I
I
~
Type of FixtuJre
Bath Tub with or without shower
Dishwasher ~
floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
/.
e.li-- (
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other .
j:( I!;,h; SCHEDULE
Industnal, CommercIal & Multi-family 1 % of Job co~t wIth a. $3950 minimum ResidentIal, New One & Two-Family $9950
Residential, Additions & Alterations $3950
(OfJic~ U~e Only)
EstlIIl.ated Cost $
Building Pcrollt #
PLUMBING PERlvITT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH }
BUILDING PERMIT
Th.is Applic9.tion Becomes Your Building Pennit When Approved ~ 0; L~ .~ U '[} ~ -['j Receipt No
I~ Date I, By .......tf
MAR 1 1 ZOOLJu- '
u_ L.)
24 hour notice for 2.11 il1~pections (952) 147-9850. fax (952) 447-4245
By
Building Offici21
Date
Mar. 7, 2003 11:37AM
GENZ RVAN PLUMBING AND HEATING
No,5620 P, 1622
Date Rec'd
CITY ,OF PRIOR L...-U<E
SEWER AND WATER PERlVlll
1 G""", file PERMIT NO I
2. VoIlow CitY. .. . '::J -I J I ~
3. Go.ld AppliQ11t '"') C?"<-f-;
LEGAL DESCRIPTION (oilicl: USe only)
LOT??'" BLOCK ~ ADDITION
(Plcue tv'De or JmIl.r aJJd Sl.-.;o.ar bottom)
ADDRESS '" (l
5Lfc(;13 ~err/eld (J'y St:
)j pe,he?/c! q-tR
ZONmG (offir.eust)
PID
OWNER
(Name) ....D.R.-llorton .cuB-t~r.:. P.:~:c:
(Address)
208..00 Kev1i3i<-\u--e C:r- SW_I(,:0,
CA,ddress)
(Phone) _
~\J I \ Ie...
(elty)
952- -q 8:5- f...ili)/\.
.5C:a-1 U
(Zip Code) .
APPLJCANT
(Name) Genz-Ryan Plumbing & Heatin~
(phone)
651-423-1144
(Address) )4745 So Robert Trail
~ess)
(Conract)?ersoo) . / a-"meY'ZL F\ (phone) 651-423-1144
'LICANTSrGNATURE ~m~I.../2LUSDATE ~~/s:)O~
Rosemount. MN
(City)
55068
(Zip Code)
APPLICANT PLEASE CO:MJ>LETE BELOW
Size of water service incbes.
Location of any couplings from struc.1:ure 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.
FEESL.I:1.EDULE
Residenttal sewer and water. line connectlon $35.50 Industrial, Com'l & Multi-family 1% of Job cost with a $3950 mmunum
Sewer connection only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH !
_ __ . BUILDING PERM";'
(ornCI: Use Only)
r-<
6PR/0
/~fJ\!\
~~~
"'I"'IVESO~"
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
-# 7075
~. ~r:~n ~~~y. I PERMIT NO. ':1 .r J i ) a I
3. Yellow Applicant ('::/ C?i "1.- I
(Please type or print and sign at bottom)
ADDRESS
,ejc/c2:5 Ue/h/d Ci~c:-u L-S-C
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ~ ADDITION
PID
~~e~RD.~. Horfon ()J_J.sbm HOfY)e~
(Address)dOlftoo .~&1bdc\C)p O-!~o.k evl1f~_ Mf10
APPLICANT A II' M --
(Name) ,Ctt"f" e<!....'1.J,IIl.!.
(Address) 3CiJSu Ke.J:u>e bee..~. 51:. #j '/--;0.301'1
. L (Address) (City) (Zip Code)
(Contact Person) ~t.rrp.-V Z.'mmp.rrn G\n (Phone) (P51-456)~ ;{776
CJldh.,,,, 1 /? '1 .
APPLICANTSIGNATUn.~ (~~~~ DATE
~PPf{C~N~ PLEASE COMPLETE BELOW .
[0NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 'Oryc1ttt 3~A-vb?Il.D'" n FUEL J\JQ.tUfn.\
FLUE SIZE 41'cla.s~ ~ RETURN OPENINGS ~ INPUT ,0.000 OUTPUT 6lD~/:)O C>
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 95~" Gf;gS -7:l7Z
!5 50 A.{ L(
(Phone) 1()5/- ~5:L - C:<775
55/22.
DWarm Air Plants
OGravity
o Mechanical
~r Conditioning
Ql"Ven!. 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
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential. Heating & A/e (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
Building Official
Date
$
: . ~.50
~ :: ~ II IIn R ri
I aili ~ ll:, U ~ Ll;; C' ~eceipt No.
.- at K 1. U 7001 ~}iY
8tJ/~AID ~
tNG PEFlMn-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office llse Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-IiS\l,...fuY (q<;2H'.t7~42~_
-....-----::::.':,
()-
V
CITY OF PRIOR LAKE
ltEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~::y. I PERMIT NO. 03' ~02-d-Cl
3. Yellow Apphcant ' I
(Please type or print and sian at bottom)
ADDRESS ZONING (office use)
5423 DEERFIELD CIRCLE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/23/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAlu WITH
.50 BUILDING PERMIT
(Office Use Only)
Buildine Official
Date
___ c-~ 1
Irl r IIlf~~ l; U 101 r \1 Receipt No.
L J 1 .
I .Datfj \ By
iL 0 JLlI 3 0 2003 L
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 4479850, fax (952) 447-4245
By _____
DEPARTMENT OF
BUILDING AND INSPECTION
_Vlain File
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS S-.., 2.3 DEE' ltFiE I-D CJlleLE' S:G.
NATURE OF WORK Nl'1IJ ~cr/oN
USE OF BUILDING SK A. -
PERMIT NO. _ ~-024Cl DATE ISSUED
CONTRACTOR ~. t-'lJt~ t~. PHONE · · IUC(
NOTE: THIS IS NOT A PERMIT FoA ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING v}lr./ '.5 ~L',~
FOUNDATION (Prior to Backfill) I II /I r"' I t// -/5- {))7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC <1\\ '-{VA;\: /Il/f/ .
FRAMING VVV
INSULATION !/Zr'/
ELECTRICAL
-
PLUMBING I Jl,' rrf .f...'frO'J ,;vr/ ~ ~ /5 ~
HEATING (if required) )ft'r'~ v b - /'l-r/j
FIREPLACE yvr ?j-_(&,c tI]
GAS LINE AIR TEST H ~-(lrt/)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(1/;5 7. ~ a
!/l1//'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Vl/(/_
(I/f/
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
/-/"'/6"0 ~
'^ ./ 11'-r/J
?-tJ~
/ L, ).,'3 -r:n..
Of - JU'O~
12- .2:1-0]
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