HomeMy WebLinkAboutPlumbing Permit 07-0901
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
4204 GRAINWOOD eIR NE
Water heater
Bldg Pem1it #07-0901
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:
LEITER SENT 1/30/2009
CLOSE THE FIT .F.
DUE TO INACTIVITY
2/9/2009
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
'ILOtl hp;'tV'CJ~cI /!/tk #E
; ~~~ ~::y PERMIT NO. ""'; 1\ q 0' I
3 Yellow Applicant U I U
.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
,<) uS GlVl
/.1 /t'_/~Lh
(Phone)
N52) 2Z{p-?/~~q
L /
(Address) S'cv-A.(
APPLICANT A / '. /1/ / i
(Name) /f/orhhr?'7 r //.;(I':1'1RlIJ'1d (Phone)
(Address) 2'(0) ?-a/k.i/ Z-t'- f ~/{
(Address) (City)
(Contact Person) n ./ ~' (Phone)
APPLICANT SIGNATURE _iW ~ -- DATE
~PPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(&/ZJ $Z7-'-I0"55
. FJ~~~
(Zip Code)
,
~ /Z 7107
Type of Fixture
I
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
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 $ /It){)
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3 cj, S- 0
.50
tfO .Oc.~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid +0,0 0
Date 'I. 20,. 01
II
Re1iPJNO. 54'~57
;:y ,
U
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714