HomeMy WebLinkAboutPlumbing Permit 11. 0010 C .' .. ro
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Monday, April 8, 2013
Current Resident fTERSENT 41
8120
14079 BLUEBIRD TRL 1009O11.4"1�UET0�NAC°111
Prior Lake, Minnesota 55372 Vitt ("Stl�
1 2 013
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Re: Building Permit Number 11 -0010. We request your help
In review of the building permit files, it was discovered there is an open permit for
Water softener at the above address. Please call by Monday, April 22, 2013 to
set up an inspection. If there has been no contact from you by this date, the City
will deem the permit abandoned and invalid. (per State Building Code R105.3.2).
This permit abandonment will be recorded in the permanent public record for this
address.
Any new work relative to this type building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952 - 447 -9850 to schedule your inspection
date.
Thank you for your cooperation,
Sincerely,
Building and Inspections Department
City of Prior Lake
C CITY r RI2 Date Rec'd
,�,
OF PRIOR LAKE PLUMBING PERMIT
I � NESO
1. Blue File PERMIT NO /0
2. Gold city 00 f ��//
3. Yellow Applicant 1
(Please type or print and sign at bottom)
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ADDRESS � A I\ I � ZONING (office use)
d k T ue rd,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(N 11i1 I I C. --) C,�� �' (Phone)c1 S
(Address) 19 o i oeti ra 7r.1\41 t Wier Lc IA N 5S 2
APPLICANT
(Name) Champion Plumbincl (Phone)
# 61770 -PM
(Address) 651 - 365 -1340
(Addx0 Dodd Rd. (City) (Zip Code)
,/ i S agan, MN 55123
(Contact Person) I (Phone)
APPLICANT SIGNATURE DATE J , 30 - 1 0
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
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 >t $ 5-A , Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $
is $5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 5 Recei No. / /
Date /
7 , (Q (g 1P
� / By
Building Official Date ! .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 \(; 0