HomeMy WebLinkAboutPlumbing Permit 12-0066 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2(3/17,
ADDRESS l ( ( --P�ku c —Q
OWNER CONTR.
PHONE NO. PERMIT NO. l 2. - £ 6 (2 CQ
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
PLUMBING FINAL
❑ SITE INSPECTION SPECTION ❑ MECH FINAL ' 1 i J q. JLQ_ A t ' I
COMMENTS: IJ
6 Oc_P 5
' ,
WORK SATISFACTORY, PROCEED
❑ ORREC A T • AND PROCEED
❑ CORR CT • • K, CALL FOR REINSPECTION BEFORE COVERING
Inspects n Owner /Contr:
C I L 447-9; • 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
c RI p� Date Rec'd
1 t l CITY OF PRIOR LAK PLUMBING PERMIT I W IFS � ,� l=r NEsoo
I. G Pile PERMIT NO. iz / r_
2. Gold City ! (p K>
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1w, f ct,J W .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PM
OWNER , M � art _ p si (.74_, /� –1 09 13
(Name) J`r ` W t.0 U I (Phone) `i 17i I
(Address) / 1 1 C , 1 � � I C , L J Or.
i 1 Y1 (
I
APPLICANT
(Name) — Ap•plianCe ConneCtionS IDePhone)
(Address) 1313 Danita Cr
(Address) Shakopee, MN 55379 (City) (Zip Code)
(Contact Person) 952-445-4803 . (Phone)
APPLICANT SIGNATURE .. ,/ DATE 1 la I
A' PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher I 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 Est $ Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $
.July 1, 2010. until June 30, 2011. STATE SURCHARGE $ "! .50
r
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ -I
is Is beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid Recei t No. / � f r
Date By 1 `; � {
Building Official Date ' 2_3_12_ ,
24 hour notice for all inspections (952) 447 -9850, fax (952) 4474245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372