HomeMy WebLinkAboutPlumbing Permit 11-0446 DATE TIME
CITY OF PRIOR LAKE f
INSPECTION NOTICE SCHEDULED C� Z6 //
ADDRESS I c o e c t (,QZtS LA,
OWNER CONTR.
11 -
PHONE NO. PERMIT NO. / j I I - q q (,
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
PS FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: to ,,,& cito 5 11 L r
Li)a-..-.. .t-( $t• Ck 0 lose - 4_ C; G
CL i
›I WORK SATISFACTORY, PROCEED
❑ CORREC ' T • N AND PROCEED
❑ CORRE ' 4 RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: g Owner /Contr:
CALL Al -9�FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
4 ?RI0 Date Rec'd te Ferne /Nick Sofio JMBING PERMIT
F- - 16899 Willow Lane Southwest
V M Prior Lake, MN 55372
9522262824
jNNESD'
I. Blue File PERMIT NO . 4,4i6
2. Yel Ap / / -
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I cog gq VY Uow Lane sw.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (C151)2240-2E/
(Name) F r n 6 / N � ` o (Phone) "
(Address) 1 P 0 g q "► c t toyV 1 s
APPLICANT I 0 ( f / ( al) � '4033
(Name) Q v ay mg, MAi r t iO1 (Phone) _ 1 ,F 2
(Address) 2-q05 etai I ''L L d ✓ 1 r Co 1 1' V is (N'7 O'
(Address) (City ) (Zip Code)
(
(Contact Person) r Li (Phone) !
APPLICANT SIGNATURE DATE 5 /Q-.-f/ t i
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 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
Qn(� Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 ost $ v v " • Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $ 4q.
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .500
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $
is 55, beginning July 1, 2010 ` `
This Application Becomes Your Building Permit When Approved Paid s � / ro Receipt N 96,/
Date � By
Building Official Date 6_3. 3. !
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372