HomeMy WebLinkAboutPlumbing PErmit 11-0078 DATE TIME
CITY OF PRIOR UiFCE ��1 G�
INSPECTION NOTICE SCHEDULED
ADDRESS `���r, ��"�CLtJ'V�. �'1r�@sy
OWNER CONTR.
PHONE NO. PERMIT NO. �� ���_
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GAS��NE A R��
❑ SITE INSPECTION ❑ MECH FINAL `� � r�
COMMENTS:
.�
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR RE(NSPECTION BEFORE COVERtNG
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
wsnor�
� pRip Date Rec'd
o �i'� lerry/Diane Hermel LUMBING PERMIT �+.� f I
F, � 15360 Fairlawn Shore Trail Se
V � Prior Lake, MN 55372
A
9524473990
INNES 1 Blue F�le pERMIT NO .
2 Gold Ciry �
3. Yellow Appl�cant
lease or ' t and si n at bottom
ADDRESS (� n � O r ZONING (ofl�ce use)
� �G,i r�G,vv�, �S�la�'� Tra�� SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
� �V� I � / �����C/� (Phone) � ���)��'�� �
(Address) � �/� � � � r s ��Ci�l � � l�
� PLICANT ^ � I �- � n��^ � (Phone) � Lp � Z� S v l� T ��'�
ame I� V � I� ' u�• V
(Address) � D �/ � wl �, ,� � ' l/ U • , � � �,,� � � �✓��g
(Address) (City) (Zip Code)
(Contact Person) (Phone) � �� 2 J " `� I . ` D��
APPLICANT SIGNATURE DATE � � I � � �
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fizture 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 ashin Machine
Laun Tra 1 or 2 com artment sinlc Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEESCHEDULE
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
� ' � - �st $ � O � � Building Permit #
The Minnesota Statutes § 326B.148 �
"SURCHARGE" has been changed for one PLUMBING PERMIT FEE $
year effective STATE SURCHARGE $ .500
duly 1, 2010, until dune 30, 2011. TOTAL PERMIT FEE $ �_ O
The minimum surchxrge for a"fixed fee" permit �'
is �,5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid ��y, 0 Rec ipt No. �
-� �
Date � y 3 . � I
Buildin¢ Official Date
24 6our notice for all inspections (952) 447-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minuesota 55372