HomeMy WebLinkAboutPLMBG 08-0720
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 111 31
,(,~~~Jv
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
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DATE
fO/7 Joe
I
l~
TIME
I
8 -- 720
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1,0 (D(a(.
1 \ v /
/
~VI!ORK SAT!SFACTORY, PROCEED
o CORRE~C~ION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspector II I I /' Owner/Contr:
~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File PERMIT NO
2, Gold City . 08 .' o'"/? C
3. Yc\low Applicant I L
(Please type or print and sign at bottom)
ADDRESS
Il ~3t/f 12 I ~C( b, r u\~ L0
ZONING (office use)
s ~__<,'-:j- -'L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ' /' , .
(Name).) (}(., l-17)fhb~, I
(Address) 17~3C~iDx ~121/ch (n-PrJDr iCtr-e
(Phone) Qs /.,,f"D 7 ./0. \( 0
5s _~7 ~
APPLICANT
(Name)
(Phone)
(Address) ,.th.LdANWAiU.1{,"~\;,~;t \:';'h"~
(Addti~O CULLIGAN .i~'.t.\.
M!NNETONKA. MN f.1f.~V!-;
(Contact Person) IO~'J) q':~'l. ,."..,.... ..
\ '-, ._..~~'. .......>..\~
, APPLICANT SIGNATU~'{"A ~ ,~~.:1\J~
--
(City)
(Zip Code)
(Phone)
DATE
V' I. \ ' DY-
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
?,' 0'::::'
Estimated Cost $ eve.
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
4!!1.so
.50
)'O.oU
(Office Use Only)
Buildin!! Official
Date
Paid EU, tPeJ
Date tJ 8. uc
'1
Recei~o3Z, 8/1-
BYtJ-
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This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372