HomeMy WebLinkAboutBuilding Permit 12.0633 n
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`,, =7 CITY OF PRIOR LAKE
,,,,..,.,-.. Prjaarfitintf of mitting clitsprrfirin , >
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♦_7 ❑ Final Permitted Conditional C.O. Expires c %'\c).k 1 2
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(;;,r . _7 This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑International
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 1 V C. I.1/4..) 1r. t t,,(.. !.. ' .'G( „,1/4-.I.q Bldg.Permit No. 12 ” ty
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Occupancy Type Type Construction Zoning District -
14V4, , , Legal Description L(-::_, t) ) -7: 11r�C ( `' ,c I,-',�7 )(A.of a2 c
Owner of Building Site Address
1
C actor's Name&Address t) R I 01j1(')Vi I try C E.
O 7 (��: l �U �t 1 U 7 1�}� jl City Planner
> 7
(. Building Official
O} .".7 Date:L- `)((-:7 Date:
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o, PRir, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
lik TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6, _ /7 /z_
AND UTILITY CONNECTION PERMIT
4'1hNESol� 1 whne ie
2 City PERMIT NO. /2., /(3 Yellow Applicant
.,,...
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I
LEGAL DESCRIPTION(office use only)
LOT rJ BLOCK 3 ADDITION IC VO 4 s I 0 s PID
OWNER �?
(Name) (
Phone)
(Address)
BUILDER
1
(Company Name) D.R.HORTON, INC (Phone) 952-985-7272
(Contact Name) Brooke Hareid bmhareid@drhorton.com (Phone) 952-985-7806
(Address) 20860 Kenbridge Court, Lakeville, MN 55044 Fki s 8C0_0v3_P a D
TYPE OF WORK 0 New Construction DDeck ['Porch ate-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
['Addition []Alteration ['Utility Connection
CODE: I.R.C. DI.I3.C, 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 7�J�J 54 0
Occupancy Group: A I3 E F HI M R. S U f
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. f also certify that I am the owner or authorized agent for the
above-mentioned property and it t all instruction will c form to all existing state and local laws and will proceed in accordance with submitted plans tam aware that the building
officiap revoke this pen} [or us( at se Furthermore hereby agree that the city official or a designee may enter upon the property to perform needed tnspcc tins.
X 11iii ', BC605657 (D �9_��Z
Signature License No. Date
Permit Valuation w-i 44-IctzQPark Support Fee # $
Permit Fee $ Z517 .Cc, SAC # $ ‘.2--. 5.e-
Plan
'Plate Check Fee $ ( 6 .3 5 Water Meter Size 5/8";. ; $ ---ef e _
State Surcharge $ (12. Pressure Reducer $ / 470
Penalty $ Sewer/Water Connection.Fee # $ ( /%
Plumbing Permit Fee $ t c¢4 5-e, Water Tower Fee # $ l 000.
Mechanical Permit Fee $ (5 4 5-° Builder's Deposit $ ( 5
69,
Sewer&Water Permit Fee $ Co Other
Gas Fireplace Permit Fee $ TOTAL DUE $
This Alt kat' rt B';. to Your 13uitding Permit Wlte App.,,ed Paid /� d:
y ceipt No. �du
LIDate / �-� �, t
• a ,W��►.. 5 2.7 P-
u-dine tJ—timilillimi....___ •ate
Thus is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proccci;ts requested. This document rwhen sig' ,by the r i Plan•er constittii s a temporary Certificate of Zoning comp ace and tows construction to commence. Before occupancy,a Cetullcate of Occupancy Hurst be
tit Issued
4
z rz_
Dat Special Conditions,if any
tour notice for all inspections(952)447-9850,fax(952).447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
New Constructio, for Single or Two-family Dwellings in R-1 or R-2 Districts
Al r-
Reviewed by: (0 Date' OA/...z
Building Permit# PID: Zoning: t�y,� 5`r
Address: ,.� e f---, 71-5--
Legal: L , B Subdivision:
Existing Structure? YES I KO`, . Existing Nonconforming Structure? YES I NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NAI FAILS/CJdES Standard I Proposed
• Front Yard(can be 20'if avg.wlin 150') 25' zs.
• Side Yards 10'1 124,1 „�
25' if abutting a street
. 33. 1/
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 2"/1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line. 1
• Rear Yard 25' 1 5- +
• Patio Door: provide for minimum 10'deck or sign 10'side/
statement indicating no deck will be built in the future 25' rear
• From 100 year flood elevation of wetland/NURP 30'
pond. i
• Refer in-ground pools to the Planning Department 7 c +
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no
less than 50'
3 4k.0/3 g-4-� I
I Floor Area R NAI FAILS 1 COMPS I .30 Maximum .
Yard Encroachments: NAI FAILS IC4(111ES I Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line(Easements).
NC and other equipment cannot encroach on interior
side yards.
I Tree Preservation: '' A 1 FAILS 1 COMPLIES Standard Proposed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Rerr?oved
• Caliper Inches Preserved
• ReplacementV Y2:1
L:\TEMELATE\BLD GLIST.D 0 C
/
4 PRIp
U ,''rxiy
White - Building
": �P Canary - Engineering
N"ESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ' Accepted With Corrections
Denied
Reviewed By: %40 Date: Z
Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards
•
See Reverse Side for Additional Information!
"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."
O PRIp„
E
v 1 ren
White - Building
11 �P Canary - Engineering
^NEs° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -� �U � 1,J
APPLICATION RECEIVED (' - G . 1 Z
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
377 rh 'TU 122- `D 12-.-• .
7.
Accepted v Accepted With Corrections
Denied // a
Reviewed By: A0 41/L ! _ - ZZ
Comments: C, t►r�c L�' �� pj�4�rA.414tnrt��6 i✓
4--72,-,57.5-Tr5 4-r— 4(._ 77/nc,c-,s--,
"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
finances of the jurisdiction shall not be valid."
..- j yn ,.,,* I«t ,a wzh...$kS:~`, b-.$ "w:i,,, v::..:.. ----7 +'- — .. ,Q„ '"+.. n14
(---
PRii
sem` x
U trr
White - Building
I �A Canary - Engineering
NVEs° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted V Accepted With Corrections
Denied i4 �f' `
Reviewed By: Date: n r--z-- K, --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."
rRxo CITY OF PRIOR LAKE
Date Rec
•
HEATING/AIR CONDITIONING/FIREPLACE<PLACE I'Ir RII I I' 81 (is
c5 -, g
:,:eNtypeEsco:, ..,. ik. .„.
1.Pink Pilc 1I1[�y��,�Y 7�iZ.Goren City 1 P.1',1�1 vl.AT 1`10��,� �
1. Yellow Applicant I -
print and sign at bottom)
ADDRESS ZONING(office use)
3 ,17 1v4. e
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name)
(Phone)
(Address)
APPLICAN14 ,
(Name) Y IYJOJ 1-1,1*) (Phone) '11,Y) " 4-1 3 l2lp-
(Address) 1 :3:2)1',13 5 1 d pt 1/14/141.--1 5544`7
(Address) (City)�
(Zip Code)
(Contact Person) jtA_Ait/�
__....JJ (Phone) 11, ' 253- 4
APPLICANT SIGNATURE ,t4 v 0 ,,Ot,({ thttitJt, DATE 1]-14`1,5
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER PLANT
[Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner
Water Units and Fireplaces Cannot Encroach
❑Gravity 0 Ste
into Required Side Yard Setbacks.
El Mechanical 0 Radiation
DAir Conditioning ❑Special Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
❑Vent,System ❑Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) . $149.50 Residential,Additions&Alterations $49,50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ ' PAID 'WI H
STATE SURCHARGE $ .502) j;f D iNG PER il iT
TOTAL PERMIT FEE $
(Office Use Only)
. t
This Applic: t ecomes Your Building Permit When Approved Paid Receipt No.
By
Iii
Sli
Date
Buildin 14 fliclal Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Oi PRtg,� Date Rec'd
1 CITY OF PRIOR LAKE PLUMBING PERMIT
v
1.Blue File
2.YlCy PERMIT NO. j9., ,j 0633
Yellow Applicant I
d
(Pl
ease type oiprtnt and sign at bottom) _
ADDRESS -----" ZONING(office use)
—i'"-1 1 CC 1 1A,if ink 4( 'N WU
LEGAL DESCRIPTION(office use only)•
LOT BLOCK ADDITION PH)
OWNER
(Name) (Phone)
(Address)
APPLICANTr to _
(Name) D 1, 1-/i��1 `'"�./1!•L�� �i k_t eL 'i l,{_.G� (Phone) 1 t.6.)• 1'}1:J- 4 .(C
(Address) 1`7S'3(::..) Ak.I ... .LL-iL. ---(1 )1 1,4411;tj•-V) 1-:.35Li -7
(Address) (City) (Zip Code)
(Contact Person) GU tit..-cl..- (Phone) ._Pi.7)-22:::). 7D- UI7 k_r
APPLICANT SIGNATURE C Oti LA t--)/ t.. Of..I.G i,4 -(.�A t- DATE )'2 5-2-0/.?"
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Di-sliwasher. . . . .. ...... ...........Water Heater.... ..
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink _ Sewage Ejector
Shower Stall Backflow Assembly
Sinks • Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
• Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit# PAID WITH
PLUMBING PERMIT FEE $ 81.11LOING PERMIT
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your.Building Permit When Approved Paid Receipt No.
- -- --•
_._---- ,_._ _
Date—., _"--.__ .fintldirg�iflizsi: -
-- ••=----�--�atE
,: .... _..,, ..,�._............--•---..._.-.,.....:'.....:,._....,:.L�.1;. �e..�...:_..-.--`[.'..,..,..k,.9.diY.JXl..._-CyEM3;.G.:lt'��loft__. -.gin::...._....._:..,�......... ... - ..., '..,.-._..._....Y. ....:......�.�
24 hour notice for ail inspections(952)447-9850,fa:(952)447-4245
4645 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
•
r Rro CITY OF PRIOR LAKE Da •
te Reed
` `e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
V:t : - try
41INNES(P' r'aPERMIT NO.
.�".�, ciaye 0..—0 63.3
13.Yellow Applicant ---
(Please type or print and sign at bottom)
ADDRESS 1 ZONING(office use)
J
4377 B ' c 1
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER A n
(Name) Vf /'(, (Phone) �✓ ?'��5�--7Z7'L
(Address)`.6 (,o �i� y CT x/!90 ch.1 , , S—a Oc(`f
APPLICANTHEARTH & ROME TECHNOLOGIE , INC.
(Name) dba FIRESIDE HEARTH & HOME (Phone)
Lic. BCO51.206O .
(Address) 2700 FAIRVIEW AVENUE N
ROSEVILLifgc 4Ns55113 (City) (Zip Code)
651.633.2561
(Contact Pelson) (Phone) •
APPLICANT SIGNATURE ('fl 33-2-!?7'DATE 4L ---/7....--
.
APPLICANT
/Z—
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants D Steam Units and Fireplaces Cannot Encroach
vitt' 0 Hot Water into Required Side Yard Setbacks.
(2echanical 0 Radiation Fireplaces with Box Additions or
DAir Conditioning 0 Special Devices
['Vent.System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL /-h-///•-j 57-76-0TR'T--/Z 3rd*rad
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum AMWini
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions& t ti $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only ��'�� PER
Estimated Cost$ (00o.Oo Building Permit #
The Minnesota Statutes§326E3.148
"SC RCI IARGE"has been changed for one
HEATING PERMIT FEE $ year effective
STATE SURCHARGE $ .50 JAI). I.2.1110,until June 30,2011.
TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit
(Office Use Only) is 1.;;:,,beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 ,
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .
rRro� Date Rec'd
� c CITY OF PRIOR LAKE
(gid SEWER AND WATER PERMIT 7. 10 . /1-
1ATNEsdo'
I. Green File
2Yellow City PERMIT NO. /-.. lv/33
.
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3 778 1 .
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
WNER
(NOame) 43 'a_ 1 H o .0. (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT �/� /y� C
(Name) ►J 'S-I ' . < (Phone)
(Address) al 16 �'W-
,4-af
(Address) (City) (Zip Code)
(Contact Person) ,(,'D " q(Phone)
3/464/1APPLICANT SIGNATURE v" DATE ("/&'''
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out(if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $ �� O
STATE SURCHARGE $ I .50 i)/
TOTAL PERMIT FEE $
v1dr.)& �
(Office Use Only)
2
This Application Becomes Your Building Permit When Approved Paid ReZeipNe,----'
Date By
Buildinc Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
,,,,,, ,,,ii,:,.. PR!0
,..
,.., %,/ ,-,
a Builders Dep
t
a� City of Prior Lake
A$1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a
Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree
planting,driveways,siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete
within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the
$1,500.00 builders deposit wilt be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation.
A 5500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year.
DATE: i Ji9 /i
2,
SITE ADDRESS: . 1'7.'78 ----rU N.IE iZ IJ?__\i-E__ PERMIT # /Z 337
REFUND TO BE MAILED TO: D.R. Horton, Inc Attn. Carolyn Young
20860 Kenbridge Court Suite 100
Lakeville, MN 55044
LnLe
AUTHORIZATION TO RELEASE
PLE,ISE ISE II IBER ,1(1 i,Sfly.oQ
Lynda S. •ilen,Building Services Amount
1. KEEP STREETS CLEAN DURING CONSTRUCTION iii- /L- ,,,; Acct.801.20204
2. KEEP EROSION CONTROL IN PLACE
3. TEMPORARY OCCUPANCY PRMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED
SIGNATURE: '6Q%t1i,� '
ACCOUNT NO. 801-20204
RETAINAGE FORFEITURE ACCOUNT NO. 32211 AMOUNT:
AUTHORIZE TO RELEASE: DATE:
d:\FORMStBUILDERS DEPOSIT FORM.DOC
The City of Prior Lake
Tnxpervious Surface Calculations
(To be submitted with building g permi t application)
For All Properties Located in the Shoreiand District (SD)
e Maximum impervious SurJiice Coverage Permitted is 30 Percent
3778 Turner Drive
Property Addrems
Lot Area 34,420 _ v sry. ft. }°„ 10,326
LENGTH o'I1bTI! SQUARE FEET
HOUSE ,.; =
.TTAC'I tD GARA.GE
2,346
TOTAL PRINCIPAL STRUCTURE
DETACIIED BUILDINGS x =
(0-maga/Shed) = -
TOTAL DETACHED RCS[_t.D i. ;GS 0
DRtVII WA Y/PAVE.D AREAS = 1 ,030
•
(Driveway- pad or not) —. ..._.52_
(Sidew'alk/Parkinu Ar as) x
TOTAL_ PA V Li) AREAS 1 ,082
PAT'OS/T3 ORCHES/DECKS x 777 ()
(Opert 1lc ks 'r'.'jojj.i, nncnii2 bctwctn X
T'oancl., hh41 prryioit
are nA-£On9'-&rod ID=G in:pm-vim*
TOTAL DECKS
0--OTHER x
t'CT1rl1. OTHER
0
TOTAL. IMPERVIOUS SURFACE.
3,426
f70-417--
5 June 2012
DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION A +
INSPECTION RECORD
SITE ADDRESS - `7 1 t.)(.—N. Mg.—,
NATURE OF WORK is`=")F t4a e-.t"Rr A-- ori r"). 1. L,
USE OF BUILDING °moi'- -c..6" nAt D €4.2--+�
PERMIT NO. t -2.- -- > DATE ISSUED \ 8 L'1 '2-
CONTRACTOR 177) - t 2-: k .. PHONE -5-1---- 1 Sc;-78a
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIO S BELOW
THE PE IMIT IS BY SEPARATE pAOCUMENT A-1-4-- TC-
(P445174"c"-- 5 u.). 3C...--`2,'---w, i 1 1(A( v4 t .J C.-`-'411 ECTOR- N DATE
FOOTING f . )711-z
FOUNDATION (Prior to Backfill) I
i
PiLACE NO COVC.RETE UNTIL ABOVE HAS BEEN SIGNED
A :.s*., .4;rteria4.0(.512.-., IIS 0UGH - INS
SEWER / WATER / SEPTIC
FRAMING ,,g Ø4-
INSULATION
`// ,,�/
ELECTRICAL
PLUMBING V . , fl iii,' - r,,,w 013 ti zo[w
HEATING (if required) �J (44 6�
FIREPLACEit,14 ��
-4S LINE AIR TEST /440), N..? svc . nl/b�i .A •� )I1/6112.
ti'` OVB O��ORK UNTIL ABO -.-414)1 S IB,EEN SIGNED
lki/LicIrr
*-56'-(-04411 7
FINALS
GRADING (Prior to Sodding) - - , �- -3
BUILDING/24.4p {. 5146 -t /zI.3 , jam. J T f
ELECTRICA
PLUMBING / g / ( I?
HEATING -19) 0y/DO NOT OCCUPY UNTIL ABOVE HAS BENED
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