HomeMy WebLinkAboutBuilding Permit 03-1115
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I L('{ ';2(0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
"
DATE nMe
SCHEDULED 8. 2.1-6)
\..L)iL~ (A~.& C-.~
CONTR.
PERMIT NO.
3-1/15
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Lc..-", Sf~ ~
/'
A" WORK SATISFACTORY. PROCEED
o CORRE"", TION AND PROCEED
o CORR,C' OR CALL FOR REINSPECTlON BEFORE COVERING
Inspector A Owner/Centr:
CAIl:~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COD}J;~QU/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIaNOn
~...._.,_...., .~.~, -"-"'~---"'----""~_._'-
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please ~e or nrint and sign at bottom)
ADDRESS
I. Bille File
2. Gold City
J. Yellow Applicant
I PERMIT NO'03-j/l$
I tftfJ-C
ILJ dkfM }f'Y)d CLt::-
ZONING (office "50)
LEGAL DESCrUPTION (office use only) ,. 1
LOT~ BLOCK I ADDITION~~ a~/LJd~ID rl5"~~?rOOG'--/)
~~.~
OWNER
(Name)
I!a~ :J
,
A z ",,1 eo- .. c:A ~
~
(Phone) -.6t J /? b (J 6 rf,;;? "
(Address)
-
APPLICANT
(Name)
J.e.b~ j)"..J~ A G
- J
(Address) OLo~- /7,11 A<x;,~ /Ua-/( /16/./2'_'
(Address) (City) (Zip Code)
(Contact Person) L e Ov--... /) ,/") /J- (Phone) 7".p.? JJ J(')C
'PPLICANTSIGNATURE ~_ >- d }"V-'- DATE t)rf ~/cr"5
~ 7 t""
(Phone)
'1''; ~ '7 J'1' r6J r:-
.,-5:1 Y;f
APPLICANT PLEASE COMPLETE BELOW
L Quantity I Type of Fixtnre Quantity I Type of Fix
: I Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I I Floor Drain Water Softner
I I Lavatory (Bathroom Sink) Stand Pipe (Washing Ma
I I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I I Shower Stall Backflow Assembly
I I Sinks /" Backflow Assembly Test
I I Bar Sink L<.. Lawn Sprinkler
I , "I Water Closet (Toilet) Other
ture
Chme)
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 $
(Office Use Only)
1 This Application Becomes Your Building Permit Wheu Approved
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$ ~9 ~()
$
$ i!o--
.50.
Building Official
Date
I Paid 0 I ReceiQ5330
I Date0 :)";;..8 I By ci-
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake. MN 55372-1714