HomeMy WebLinkAboutPlumbing Permit 10-1144 DATE TIME
CtTY OF PRIOR lJ�KE � J J ,
INSPECTION NOTICE SCHEDULED /_ I �ll__
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ADDRESS � o —
OWNER CONTR.
PHONE NO. PERMIT NO. /D �-- t l"'f'�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADlFILLlNG
❑ FOUNDATION O MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATlON ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL � PLUMBING FINAL �A LINE AI TST
C] SITE INSPECTION ❑ MECH FINAL
COMMENTS:
O t��
�WORK SATISFACTORY, PROCEED
❑ CORRE TION AND PROCEED
❑ CORR CT RK, CALL FOR REINSPEC710N BEFORE COVERING
Inspector OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NF.ALTH & SAFETY!
lNSNOT!
� PRip Date Rec'd
� �� CITY OF PRIOR LAKE PLUMBING PERMIT
v � Allen Ramswick
15269 Wilds Park Northwest
�jNNES°"� Prior Lake, MN 55372 ,. B'°e F''e pERMIT NO. � r "
9524475686 s vei ow nPpi��an�
Please e or 'nt and si n at bottom
ADDRESS ZONING (ott'ice use)
� 52� w � �ds p�rw N►��
LEGAL DESCRIPTION (oflEice use only)
LOT BLOCK ADDITION PID
�aWNER � � vf � ' �� , lNl ► tS �� � (Phone) C� ✓�) I � � � S�-/ 0 �
(Address) � ��� IN � � J �Q/r �' ' V " V
APPLICANT
(Name) I����P.3 [°�A1! R! 1 1!lARiNC� ('_Q�hone)
(Adaress) (612) 827-4033
(Aadress)2905 GAf�F1ELD AVE. SO.(ciry) (zip code)
(ContactPerson) MINNEAPOLIS, MN 5540 �hone)
APPLICANT SIGNATURE DATE � � � �
APPLICANT PLEASE COMPLETE BELOW
QuanN T e of Fixture Quanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 ost $ �� ��"� Building Permit #
"SURCHARGE" has been changed for one �
year effective PLUMBING PERMIT FEE $
July 1, 2010, until June 30, 2011. STATE SLIRCHARGE $ 0�
The minimum surcharge for a"fixed fee" permit
is � beginning July 1 , 2010 TOTAL PERMIT FEE $ �..�
This Application Becomes Your Building Permit When Approved Paid c � Rece' o. ` I � Z
J
Date �� � � b By
Buildin¢ Official Date � �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372