HomeMy WebLinkAboutPlumbing Permit 07-0028
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4727 OAKWOOD eIR SE
Water heater
Bldg Permit #07 -0028
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
COMMENTS:
LEITER SENT 1/30/2009
CLOSE THE FTT .F.
DUE TO INACTIVITY
2/9/2009
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
./1 Of
1- Blue File PERMIT NO B
2 Gold City . tT}-1 /)0 Z
3 Yellow Applicant I v
(Please type or print and sign at bottom)
ADDRE$S
~; /17 fukwood
Cr,
Jf
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS".. ZtO, ('LlI 0
OWNER \ '
(Name) \. _ ()~t f..;
(Address) ,-~.-e./
'~cJ-rf+~ (Phone) q5~ -J;;)b - 3~/7
"'trior La k.Q, rYJ tJ.. S 53 7;)
~Pi~WD.(W (Phone)~I~~~o
Do de f2..d ' 0L~(l;n m N ~~jl~ 'j
I ,tddress) (~(Zip Code)
(Contact POBon) -l\ (i SIll;; IJ ~ ~. (Phone) 0S \ 3 k& 61.1 0
APPLICANT SIGNATURE H(([n l ~ DATE {d.;28 v ~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
Quantity
Type of Fixture
APPLICANT,tD
(Name) nr
7.1 ..,..,
(Address) <.. ~ l j
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 $ ;)(){).. Of)
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 3tj.. 5'0
$ .. .50
$ 'f0- (;V
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid A .A
"'0-.(:U
Date I --1 /1
. ( .. L
Receipt No, 5 2BZ-1
By!
l, .
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714