HomeMy WebLinkAboutBuilding Permit 03-1567
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//- /;;J.-~-3
(Please'!ype or print and silDl at bottom)
ADDRESS
1'7412~~(dVl\x.SE
See Main Filef:~n,,"
PERMIT NO. 0.3 ./sr.c 7
ZONING (office use)
Je:J...
LEGAL DESCRIPTION (office use only)
LOiOBLOCr<.3 ADDITIO~'e1d '-f II.-
PI0:;7.,- (jOO' Oc" /- 0
OWNER
(Name)
(Phone)
(Address)
BUIL~ ~ l L:L ---r-
(Name). 1), 'K.., <riUL.lOY) rn t,
(Contact Nal!'el -f;:+2..i>~ .
...:::J(bi.JLO ~,..,.\~Q;;t:, ~'><""/GO
(AddressY'1 roo k--. I ;,\'\. ~ mNJ ~<:'o\.jLi
. ' '
(Phonetl'SJ,) 98S-7ED8
(Phone) q Si-Z2{r /304
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
DAddition
DRe-Roofing
DRe-Siding
o Fireplace
DAlteration DUtility Connection
/()?!) 177
DMisc.
PROJECT COST IV ALUE (excluding land) $
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
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
;~:t~o4~C;s c;},(~S2;(oS;l J 1-11-03
' T' (jsignature .~ Contractor's License No. Date
Permit Valuation ". /380(!)O,t9D Park Support Fee # $ ?SO."tJ
$ IUra.55 SAC # $ /2-7S>.tJo
$ 78'{.2(,. WaterMeter~;75~1"; $ Z'!>o.oa
$ ft:>'j. a" I Pressure Reducer $ t{ $"". 0 ()
$ - I City SAC and WAC # $ / zao . 0 {)
$ loa' 00 I Water Tower Fee # $ 7013 .0 ()
$ I at). tJ d I Builder's Deposit $
$ 35.'50 lather $
$ ~tJ.l)(J I TOTAL DUE
Gas Fireplace Permit Fee
$ r... (.,55,3/
This Application Becomes Your Building Permit When Approved
~ ~~ 12./.1'/07
I Paid
Date
{. r. r-r; J /
/7 <l.o?
?
Receipt N::J ~ o~
By I
o
Building Official
Date
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
~Plm~mpO'~Cfftifi'~~Zo;::i;limcemdallOW"Ons~ctiOSeee ~ameFile'n~ mUSlbe
Plmning Dir,,'o, 0nate Special Condi.ions, ifmy
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-- Job Address /7+'/z lJ.r.r:~q
Heating Contractor /4//,-.."7/<?'&-J,L
Name of Tester A~j1
Dale .s1J'~q'
Percent 0, A (oh
Percent co ,~
Percent co, (P. <J 7.,
Stack Temp 3~s <>,C
. Combustion air is adequately supplied per
UMC Sec. 606 lips
input 7tJ />-rU
. dln1
"
The C-enlef of lhe I.lke COUnl!)
See Main File
White - Building
CanarY - Enqineering
~;n'" - PllJnn~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(
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,
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,- t..-
//-
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The Building, Engineering, and Planning Departments have reviewed the building permit"
application for construction activity which is propord at:
/-7I//~v J ~'/ (JtL-i/--<_e(d J''-1.-.- - '
()
,
Accepted
/
Accepted With Corrections
..
Denied
Reviewed By:
~
~
~,/Jp
Date: 1"-/3/a3
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."
~~
See Main File
The Crnln of thr L.kr ('ounlry
c-Whit., - Buildinq ~
Canary - Engineering
Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
o R ,~
/1_ / :;).~3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a;:.;;~pro~ ;~ ,A/~ & ~
. -()
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
.~
~
Date:
I~~j'
, ,
"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,"
Th" ("""I", of ChI' I..." ('ou..lry
See Main File
White - Buildina
(' ~::In::lry ~ ~ng~l'\.eerlnq)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/-
NAME OF APPLICANT
APPLICATION RECEIVED
J
, ;
1,-
1-\'
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"
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!-le'l/(;:''"J'-...-'
//-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ at: '/I /'
/' 1'1 I' /7/// 'I,
,I ,.7 i-/ / :J .J -<' ,/ cJ O.A ~}:C'C ,.C:L.)-,
(.1
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/Y74 i"'>
5a__ 1Ylc",-" t:, '; t'_
Date:
/ :2. -.1. -0 3
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or 'Orint and sim at bottom)
ADDRESS
; ::;,:~" ~::y I PERMIT NO^2 . "'lffl
J. Yellow Applicant ....,...., ~ I
ZONING (office use)
17412 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PlD
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) A1.T.TFO F1RFSTDF ORA F1RFSTDF HFARTH & HOMF
(Phone)
051-033-2501
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFN/)A HUSTON
DATE
2/19/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVen!. System
D Steam
D Hot Water
o Radiation
o Special Devices
D 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
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ::l<\J':1 ~'N0~"-'
~".-.,.."
$ ..: ".~3lq'1~0~;~ G"J,7:"='~;."'T
$ . -. -.:
(Office Use Only)
Huildine Official
Date
I Paid
I Dafl'EB 1 8 2004
Receipt No.
This Application Becomes Your Building Permit Wheu Approved
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/7!5?5'
; ~~ ~:~ I PERMIT NO. 2_ 1,-- / n I
3. Yellow Applicant J {J (--.., I'
q>lease .!VDe or mint and sim at bottom)
/7~/d ~~~/ /J
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
L~~LOCK~ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J, /. A
(Name) /7'///L7J''? '---'/'.-/dA/""',g/
(Address)~ ~~AI ~ ./'2-:
-:j3AddreS - ~
(Contact Person) A ~ ~ ~
APPLICANT SIGNATURE- ~_
(phone) ~5ft 4~"'?-,P??5"
~44P~ .-.s-.5:' ~ ? ?
(rllJi!f (Zip Code)
(phone) ~- Qg--t77S
DATE
_ < APPLICANT PLEASE COMPLETE BELOW
~NEW CO~1RucnON 0 REPLACEMENT. DALTERA n(;lNS
FURNACEMAKEANDMOD~/r"",;~ :?/OAA~~t?7a FUEL J 2 .4-......:...-..(
FLUE SIZE"$I' ~h~..A RETURN OPENINGS ~ INPUT C, ~ ~ OUTPUT 6"Z_ LA...oL...,.
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
~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
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/~~
$ ~ .50
$ t:7
&1, ~
~(). ":<JI(;
~G~~
~'9A_
''7/)-
Estimated Cost $ .' ~a::>BuildingPennit #
(Office Use Only)
This Application Becomes Your Buildiag Permit When Approved Paid
Building Official
Date
. Date
DEe 2 2 Z003
I Receipt No.
I BY
!
24 hour notice for all inspections (952) 447-~850, fax (952) 447-4245
2003 541PM
GENZ RVAN PLUMBING AND HEATING
No 1247 Psg
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
\ Blue Pile
l.<30ld City
J, Yel\ow Appli~
I PERMIT NO. 3-1.5!o 17
(please t'V1)l: or'DOOt and tiRJ1 at boaom)
I ADDB:ESS/'74/:? /)ae./7dc1 M (re.
. ZONING (offi",,,e)
LEGAL DESCRIPTION (olli"" use only)
LOTJlJBLOCK,~ ADDITION /lZU:2flp/r1 tl/M-J
PID
OWNER
(Name) DR Horton Custom aomes . (phone)
(Address)
QC,2. CI <;."1 -7'2lJ{)
2-o'StoD ~Bl'2.l))6.e. Co Sie. IDO
udu.vi Ii<'-- lM/-J EC61..i Lj
APPUCANT
(Name)~~~--o!...- -0':__'-<_: \..-.JieJl.H_g
(phone) ~<1_" ?~_11 ""
~~)14745 So Robere Trail Rosemount MN 55068
() (Address) , C j I r (City) (Zip Code)
(Contact pexson) L ~/1 Je!c Ph tZU' {-0 ~ (phone) 651-423-1144
(Jr.A ~L/ 52_ DATE ~/~,_tJ,()V
.,'~.,..
APPLICANT SIGNATURE
Quantity
6(
;
/
L./
.G?
I
\1
APPLICANT PLEASE COMPLETE BELOW
I T)1le oC :Fixture
I Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quan tity
Type of Fixture
I
JZ;c
I
Rough-ins
Water Heater
Water Soflner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEESCREDULE
lndu'tnal, Corom"ctal & Multl-family 1% of Job coSt wltb. 539.50 minimum ResIdential, New One & Two-F.mlly $9950
R.cs,dCltial, Additions & AJterations $39 50
EstllDaIl:d Cost $
BUilding Permit #
.c PAiD WITi-;
oU/WING pCRMiT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERi\1lT FEE $
.50
(Otlice u~~ OnlY)
This Application Becomes YOQr Building Permit When Approved
Receipt No
Building Officisl
Date
r Paid
l Date
DEe
By
8 2003
~
tj
24 hour notice for ,II inspecttons (952) 447.9850, fa" (952) 447-4245
Nav. 20, 2003 5. 40PM
GENZ RVAN PLUMBING AND HEATING
Na1247 PU
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMlT
1 ~:w ~~" I PERMIT NO. -:=l_1 Ct:, /71
) G,;1d ",pphQnt , -~ J ~ I
(please.!VD!:: or'Dlint and $1enat bottom)
ADDRESS
/1L//~ ~e-lielj, & eft.
ZONING (offi""e)
LEGAL DESCRlPTION (offic.: u" ooly)
LOT 2JJ BLOCI<~ ADDlUON ~d cL t1/AJ
PID
OWNER
(Name) II>!
(Address)
2-D u60 v;ey)o~\ ti::e Cr s,." .1 f'-r.
(Ad<ire,,)
(phone) _
LakL\J I lie..
(ell:Y)
0r62 -q 35- f E (\(\
0fY'j.JLl
(Zip Code)
Ho-rt........, ('lIofoQlR H__<<>c.
APPUc.-'>.NT
(}lame) Genz-Ryan Plumbinll & aeating
(phone)
651-423-1.144
(Address) 14745 So Roben Trail Rosemount, MN
() (Addr.!<s) . ~ (City)
(ConracrPerson)_ ('f;J!Jrfr '1!.<J/r.J ~ (phone) 651-423-1144
UCANT SIGNATIJRE Or A~~L~ DATE / /~ 2/}-06
55068
(zip Code)
";'
APPLICANT PLEASE COMPLETE 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
Remdential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'] & Multi-fan1l1y 1% of job cost WIth a$39 50 minimum
$17_50 Water connection only $17.50
Estimated Cost $
Building Perrmt #
SEWER AND WATER PERlvlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 if PAID WITh i
UllDING PERMI'"
(Office u..e Only)
I This Application Becomes Your BUilding Permit Wheo Approved
Da.lt'
I PaId
I Date
Receipt No.
B.ildiD~ Official
DEe
By
8 200Jl
-
1ft
'-'lJ
~-
24 hour notice for .lIlnspectloD' (952) 441-9850. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J ?+/L J)t:I=./LFiELb ~V'I j:&
NATURE OF WORK N~~ ~AJ,rlt.ucrltJN
USE OF BUILDING ..s"U:~ A. t
PERMIT NO. 03./SfP7... DATE ISSUED 1Z,/~'/'7
CONTRACTOR ~~I H.it.r,,, ~. PHON · · 'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
_BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING J/l/r/:J - IJ---:'rJv
INSULATION i/W '7-- 2-).-01
ELECTRICAL
A
PLUMBING VIIJI/ J - (r-o~1
HEATING (if required) IIVJ'? 3-(5'.....0<(
FIREPLACE j/Jff" _ '5-(S'--o"/
GAS LINE AIR TEST 1/1-1// Z--C-cX1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS .-'
_ ,,,,, /6, ~ ",6 . ~
t-(-O'I u:/:4 7/.;!~
_~a"sI
V\J'fJ 5-(.-rJ"\
I j;w/ -{-j,hJl/
.
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING 11i1~ UAh I
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
QIerfifiratr- itf @rtupaunl >
CITY OF PRIOR LAI(E
~epztrf1Ueuf of 1JjuilMug J{uspediou
ftFinal Permitted D Conditional C.O. Expires
I
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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.
03-1567
Occupancy Type R3
Type Construction
VN
PireZone
N!A
Zoning District
R2
Legal Oescriptior
L20, B3, DEERFTELD 9TH
Owner of BuildinI1"
Site Address
1741" DEERFIELD DRIVE S.E.
Contractor'sName&AddressD.R. HORTON, INC., 20860 KENBRIDGE CT., SUiTE 100, LAKEVILLE
ROBERT D. HUTCHINS ~ City Planner DON RYE
_ /' .BuijlHbg OJl'cial
Date: 7/ .-Z ?/o c:/ Date:
r / -
I
L
'-
DATE TIME
~~r
/74//..2 L:Z.er 1J'e Id a
~/
~c /c<j4
~ORK SATISFACTOR';:- PROCEED
,16- ;~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
fiZt;
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
h),y/
~ /'
(:./ (C
~::::.:--
~
(
/": /
r//cC
Inspector:
.Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
6 <~/)',c 7
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-.
~
/
------
II'ISHOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE X,}..[-ou
INSPECTION NOTICE SCHEDULED
ADDRESS !7t-II/... O~-f"'~h,. IJ 0-
OWNER CONTR.
PHONE NO. PERMIT NO. '"Z -lsC 7
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RJ o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RJ
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
IrFINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION ,d:lAIIECH FINAL 0
COMMENTS:
(,) P~,..,..,z...-I- rl,.,,# U~/
0j C1Vf.(AI c::;~\J... ahl?'7n.,.../
tJ) .~,rd ..+- v1h..n .~- C--!..N..{,/h--.!-
v
o WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WO~,_C~OR REINSPECTION BEFORE COVERING
Inspector: t/ V{ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
SCHEDULED
L),c. -Ol./
ADDRESS
I1LJ IL
(),..r~/ci
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3. -I.:;C; 7
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
.IPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: .
J,a C:/a ( 111~ k-
f::/ Y-eiM/J1A- ~t{/5
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~9r~L FOR REINSPECTION BEFORE COVERING
Inspector: Y /I r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl