HomeMy WebLinkAboutPlumbing Permit 11-0414 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED OYU
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OWNER CONTR.
PHONE NO. PERMIT NO. It — L (1 4
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLI E Alit Tr_
❑ SITE INSPECTION ❑ MECH FINAL /"` iAi( , � L -
COMMENTS:
d O5Q-' g-k, .I
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC /0 CALL FOR REINSPECTION BEFORE COVERING
Inspector: J Owner /Contr:
CA • /7 -' :50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
C)) VRip� Date Rec'd
H CITY OF PRIOR LAKE PLUMBING PERMIT 14 / /
7
4ijNNEso° 1. Blue File /
2. Gold City PERMIT NO. ` / L_1
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L fO(0`J iA-S r ki d . N
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) ` I I h'' 6 t (Phone) 7( 32.3' Sk 1 3
(Address) 11A R Ur Lake 1 M I KJ 56 37
APPLICANT
(Name) (Phone)
CI iumplon Plumbing
(Address) # 617 @ 70 -PM
(, :l 5 -134u (City) (Zip Code)
• odd Rd.
Eagan, MN 55123
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE _ 15 I I
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher 1 Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage 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 )st $ Building Permit #
"SURCHARGE" has been changed for one C
year effective PLUMBING PERMIT FEE $ IA • SC)
July 1, 2010, until June 30, 2011. STATE SURCHARGE $
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ is 53., , beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid ,--7,1 � s � Receipt No. , L l z
Date S , / I By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 1 kp'n151
646 Dakota Street S.E., Prior Lake, Minnesota 55372