HomeMy WebLinkAboutPlumbing Permit 00-0741
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CITY OF PRIOR LAKE
IKSPECTION NOTICE
,.L~AJE _
~
4'r
TIME
SCHEDULED
ADDRESS / 50 (; 5 A o"c.lc.- 1S ~ ~
. .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() ~ 74/
o FOOTING
o FOUNDATION
o FRAMING ft
~SULATION
~!NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: k&.-..",-- S'fl'~
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Inspector: Owner/Contr:
CAll J7-9850 fOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE. ~N1S ARE FOR YOUR PERSONAL HEALm.. SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 3:cJQ
ADDRESS 150 2$5 ~\.c )7")~A _ \" <L:1J /
C--7*'1 V\u.ds Llt...~
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--res~ _ lLffvuvJ -hV'Yh +<- tt.~
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-.1 Le AV\..<;.t ~f ~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(0 ~
~
~LS~
..9..LJ.,;t--
A
Iwv
u
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AN EED
~ORRECT WORK, ALL FOR REINSPECTION BEFORE
Inspector: ~ ,n r:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
rJf\~~TST
v^ ~PeJ IV k....
~.
VERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I I
,CITY OF PRIOR LAKE
PLUMBING PERMIT
PPNo.
L Blue File
2, Gold City
3, Yellow Applicant
00 .1 4-~
~ -Y'-11- 00).).(1
Th. C.nl.. of the Lak. Counlry
ApplicantIom i Ror.h~ -\ ~p~," ~e:
A~dresS: ., \ S~ ~ S A PPJ1 ~ ~_ Tra.i 1
==~~"" '\,;;.:. I. sUb'l<~..1.~
Site Address: \5 a\(~ ~j n~CL Tffil' .-3"fft ~
Building Permit # PID # @ S' - (~4d. - ()O;r(\
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall F Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$3~.S()
$ .50
GRAND TOTAL
$ 40,eJO
7~ ~\ du-ck
~
This permit is granted upon the express condition that said
00"""'10', .h.1I oomply ;" 011 =p'''' w~ ;h7:"~'
of the State Plumbing C e and the amen ent thereof.
3137.:L.-b Wf NO. 5 DATE
;'... ! AITEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
T '"7,' -
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08/28/2000 08:2b
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! To:
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Company:
Fax Number:
b12914959b
AMERICAN RACING:MPLS
PAGE 01
American Racing Equipment, Inc.
0.. 11/
August 28, 2000
Jay
Prior Lake Inspections
(952) 447....245
! From: Thomas Benedict. Manager
I
1 Phone: (952) 914-8590
i
: Pag..: 2 (Including Cover She.t)
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i If you do not receive al! pages, please confl:K;t Thomas Benedict, at (800) 959-1969
1 II III
<;2;1;
00 /1 6
.10745 Hampshire Ave, So..Bloomington, MN 56438
Phone: (952) 914-9590e Fax: (952) 914.9596
BACKFLOW PREVENTER
TEST REPORT fJi."
t
instructions to C.rtified Test.rs: An information must be typ.d _ cl....ly print.d In black Ink.
;.
~
SITE ADDRESS. 15085 APPALOOSA TRAIL; PRIOR LAKE, MN
ZIP 55372
OCC~'JOMAS BENEDIC1f
'TEL. NO.
952-447-3629
, I
TEST DATE '
08/23/00.,
, '
DEVICE MAKE AND MODEL
FEBCO 825Y
SIZE
11\
SERIAL NO.
213393
DEVICE LOCATION
BACK OF HOUSE
DEVIC~~WtmR~srl~TEM
CH~K CHECK: PR~. DIF. PRES. DIF.
VALVE #1 VALVE #2 ACROSS #1 rrnm RELIEF STRA.ll'u!,n
C~K OPENS
TEST =~ ~ =~~ NatE ~ ~
BEFORE psi psi cum
REPAIRS
FINAL' CLOSED (X) CLOSED ( X) 7.0 psi 2.8 psi
-j,-..I!.a:>T
DESCRIBE
REPAIR
C,UCl'IFICATIat :
I hereby certify the foregoing 'data to be correct and that the tested device is
functioning within the I1mitli3 of the standards.
FIRM NAME RICHFIELD PLUMBING COMPANY
!yd~t/;;.4JJiL TESTm'S Cmu.hCATION NO.
ADDRESS509 WEST 77TH STREET RICHIFELD, MN 55423
00080T
TEL. NO. 612-869-7517
SIGNATURE OF CERTFIED TESTER
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