HomeMy WebLinkAboutPlumbing Permit 11-0246 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I 2 ?J//
ADDRESS ItH CG,° �p Q -a LJ 1-
OWNER CONTR. a
PHONE NO. PERMIT NO. / 1 — 2 ( f („;
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ S INE AI ST
CI SITE INSPECTION ❑ MECH FINAL I W(Sl
COMMENTS: / \
1
• -
/ `f WORK SATISFACTORY, PROCEED
❑ CORRECT A ION AND PROCEED
❑ CORREC ' W�! , CALL FOR REINSPECTION BEFORE COVERING
I nspector: Owner /Contr:
CALL' • •850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(. Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT L S /
/1
iNNESO's
1. Blue File PERMIT NO. / j r
2. Ye Ap z id
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS /L/qf( 0514egate � � ZONING (orrice use)
(ice
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER VYlix 6-er r' n p (Phone) � Vim � (.145 3
(Address) Ifltp 0,61-Iti W&j AAA/ / f'+i t (Are / ! m/ ? /�
APPLICANT
(Name) Ar'niI812CC Connections Inc (Phone)
(Address) 1313 - .a ' .'r'
katkopCt , ! '!'`'v 5'5379 (City) (Zip Code)
9:32-44,7-":803
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE 1 1 ' q . I 1
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain 1 Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewa • e Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
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 $ Rrti Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ St/
i bO
is i5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 54 R eipt No./ „2533
Date
`
Building official Date I
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372