HomeMy WebLinkAboutBuilding Permit 11-0646 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Obi tf
ADDRESS J.CpW Fear LQa.J .. gL
OWNER CONTR.
PHONE NO. PERMIT NO. 6I — L IC,
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GAS NE MUST
❑ SITE INSPECTION ❑ MECH FINAL , I.t) Sb iwa r
COMMENTS:
WORK SATISFACTORY, PROCEED
❑ CORRECT A ION AND PROCEED
❑ CORREC ' WO' ALL FOR REINSPECTION BEFORE COVERING
Inspector: i Owner /Contr:
CALL 44 '850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTI
p �, o Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
A
m. Eso't ,. 8 o Fc PERMIT NO. / (O
3 . bold Air / .
.� � ,- 3. Ydlow Applicant 1 11i'" !!! � �(
(Please type or print and sign at bottom)
ADDRESS 5g Qp F I a (,.)A 511•ore5 Tv'T ( ZONING (orrice use)
7r\ o✓ )&'4 t r1/110 ,55
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) R LetAA rl C.. !►f- ii t (Phone) 41z - _ O' 5 7- /R 7
(Address) 5100 Fa.i f (o,ov. (5hore5 7r I. Pr►v,r Li Le t vvt/t) 5537
(Name)C.ANT rtr1 11 a✓1U-- Ji✓� RBI i
$` e�(5 Of f'✓ / (Phone) , 952- q69= 8 3 `f I
(Address) I `// 05 1\( r 5 41E Prior La.Ke_ 55378
� (Ad � ) (City) N
��/ (Zip Code)
(Contact Person) I r U
' c/ke.� ' r"r7 ✓� (Phone) 1 - yb 9 8 3
APPLICANT SIGNATURE Ant DATE /
0
APPLICANT PLEASE COMPLETE BELOW
I Quantity ' Type of Fixture . Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain I 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 1.
Industrial, Commercial & Multi - family I% of job cost with a $49.50 minimum Residential, New One & Two-Fainily $149.50
Racidentiai, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148
'" )st $ 200 .0 0 Building Permit #
"SURCHARGE" has been changed for one P LUMBING PERMfT FEE $ 5`r • 00
year effective
July I, 2010, until June 30, 2011. STATE SURCHABtiE $ .50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ '5'1 • 50
is g5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid so R Not, 31,
l
Date. B
Building Official Date i v 0 , , t •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372