HomeMy WebLinkAboutLawn Irrigation 04-0428
CITY OF PRIOR LAKE
INSPECTION NOTICE
f~E/.
SCHEDULEO .. 5' -ICf-o'1
/
TIME
ADDRESS /J L(1 Llt;; SO~,
OWNER CONTR.
PHONE NO.
PERMIT NO.
4~4~
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNEL-IR TST
,tJ 1",.,/~~
, .
COMMENTS:
( )~G\::~
- ~ 0
AM~/
o
V WORK SATISFACTORY, PROCEED
/0 "cORRECT ACTION AND PROCEED
o CORRwW ~'" CALL FOR REINSPECTION BEFORE COVERING
Inspecto I r \') Owner/Contr:
CA L J!r19851 ~THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~MENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTl
ADDRESS
( '-I, tiC;-
CATE TIME
SCHEDULED u-"3f)-Oc.(
~,,\J.A\.U..;: \. (L t"" ,
CONTR.
PERMIT NO. Lf - 42.?....
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE 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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~SLlNEaAIR TST
'J'..- I...! 0 J.i-
COMMENTS:
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREtpc. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
...7
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
S. /.1. tJ4-
~.:~ ~:~y PERMIT NO. 64- . nA.? ~
I 3 Yellow Applicant f..P'rvV
(Please type or print and sign at bottom) Y q ,- e1 +- I I J
'ADDRESSSe/ween - Boutr:- tlCi~4 Jrr(JCf/i'c>; -S"/ Sr~~ ZONING (office use)
.1,'19 '7(~ .J- ~JJ SUI"? rn , rC / r .IV tJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5'. :307. OM. 0
OWNER 1/~rr1 '- 0 tv r1.,r~
(Name)
#.sso~ (Co{ /1 C1 '7
(Phone)
(Address)
~~~~~~AN~O/~G J~//" ~)~ (Phone) ~S-/- ~~(J 7'7 ~2
(Address) ~rgiS /~/J/e/i;;;CI ~Jf\ W~V f~1I /y~ ,"~~(;J7b
(Address) J J - /'CCity) (Zip Code)
(Contact Person) .8/(/ _4C4 CI;.n-f A (Phone)~S-I- 2&3-2. 7/-..)
APPLICANTSIGNATURE{J~ ~ DATES~/-cJ~
(
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
x
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
B~ow t\~sembly Test I
,~awn Sprinkl~ 1'f!t:71/L:. I
Uther Sl!::lLVl~ ~
flZV: ~hJ~
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
Building Permit #
$ ~? Cj S!Z--
$ . .50
$ ~O go-
j
PLUMBING PERMIT FEE
STATE SURCHARGE
'o;::,tg Becom':~~~;~~7.~::~ed
(i.:..u..... ~ ...
Paid 4-tl. 6 0
Date5. /.3. () 4-
Receipt ~6tf 2-.3
By /&
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Scott County
?Av~ 5--~ (?'o~
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Plum I
I b. Heating & Miscellaneous
P urn mg.
Wm Adams
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Lie. #001982
651-450-9942
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14831
14!919
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May 11, 2004
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