HomeMy WebLinkAboutPlumbing Permit 07-1009
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
5635 LOST HORIZON eIR SE
Water heater
Bldg Permit #07-1009
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 GAS LINE AIR TST
o
COMMENTS:
LETTER SENT 1/30/2009
CLOSE THE FIT .F.
DUE TO INACTMTY
2/9/2009
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTJ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS .
'Yo?:FJ Los+ Horl ? Dh C/ ( cU
~. ~~~ ~!;y PERMIT NO. 07. ( ~ 09
3 Yellow Applicant U
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
br t' 6 lY6k:-
\..~am€J
(Phone) :1 5~-Lf47- I,D:,
Ai or LcLk:2 , fY) 1\1, 5537;;-
APPLICANT
(Name)
CMmpien
651-365-1340
~()7Q ,Ocdd R~. 1t10~
tCl9~~I~)-13,q
(Contact Person) ~i S nl~,t-) (Phone)
APPLICANT SIGNATURE . ~/tf ~'"
IJ
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher I Water Heater
I Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
(Phone)
(Address)
(City)
(Zip Code)
DATE
iO- 5-0~
Quantity
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ 126 O. 0 d
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
Jq-5G
(Office Use Only)
.50
t.JO .66
This Application Becomes Your Building Permit When Approved
Paid
+0.. JY
Reclfpt No. 54-f1tV/
B/..
/'
(;
!)lo(, Cj 3
:ktUS
Building Official
_ I Date 10 . ( l/. () 7
City of Prior Lake Bldg. Dept.
24 hour nc 4646 Dakota Street Southeast .7-4245
1620U Prior Lake, Minnesota 55372 '14
Phone: 952.447.9850
FAX: 952.447.4245