HomeMy WebLinkAboutPlumbing Permit 07-0509
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
3735 ISLAND VIEW eIR NW
Water heater
Bldg Permit #07-0509
ADDRESS
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
pALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I, Blue File
2. Gold Cil~
3. Yello\\ Applicant
PERMIT NO. 0-1. o5li11
l
(Please type or print and sil!;n at bottom)
ADDRESS
31?/0 'I-sf~
1// r:-U J
CJcJe/
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz.. S- . I t;;{ vO f 0
OWNER
(Name)
-1lvK- MhulYl !A-Chpr
(Phone) ~~ (23CJ. 50-~
(Address) 31?~
~S/U/L/j f/I-e~ &rcJ~_
)J/7oY UU:e, /Jt/r) 55~;7z-
,
APPLICANT r_.J '
(Name) 1..J2au1 (' / 2:7 S6'Yl S / lu"'l1.--VA' Jtfi.' (Phone)
J;;( 7,~r;- /1/J/AJrIe/7~UfJl 9r N fA)
(Add~ess) J U' (City)
'"
(ConJiliJt Person) r r ..f (UJ &-rl.AA~
. /0 ~. 7?jCf. t/ 'ti:L"t
1 APPLICANT SIGNATURE
(Address)
-;16-5- 7j::r b 1,ty'
~~.~~~g
(Zip Code)
(Phone)
Quantity
DATE
APPLICANT PLEASE COMPLETE BELOW
Tyve of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
/"V'
b/;~/d 1
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family
Residential. Additions & Alteralions
,//] J -.
Estimated Cost $ :.; [,-- , ()[) Building Permit #
PLUMBING P RMIT FEE $ :3q,oo
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ <fD. ()-j)
$99.50
$39.50
Buildinl! Official
Date
Paid AD '-' at)
I Date b. t~Afl
..g;Pt NO.5HJ3(;
6
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714