HomeMy WebLinkAboutPlumbing Permit 11. 0449 4 v„, rR1c�
u ny
41 INN sso r
Monday, April 8, 2013
111°110 SENT 4/8/213
Current Resident N 0R1,SpONS ET � CTIVITY
14683 ROSEWOOD RD FILECL�SE��UETINA
Prior Lake, Minnesota 55372 401,2013
Re: Building Permit Number 11 -0449. 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
c PR10� Date Recd
„,4 tiL CITY OF PRIOR LAKE PLUMBING PERMIT
41 InNE$D �� 1. Blue File PERMIT N.
3 . Yel Ap ERMIT O
p licant 1� /
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L $ 3 14 kosL.)oucc). RQoc 553
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name OWNER ) TOrvl. Laym b O( cX- i (Phone) L - -- c - a b 3
(Address) J y (:, 83 R oses.) o o4 R o U Cc,
APPICANT C ULLIGAN WATER CONDITIONING (Phone)
(Name) 6030 CULLIGAN WAY
(Address) MINNETONKA, MN 55345
(Addl(ii42) 933 -7200 (City) (Zip Code)
(Contact Person) , (Phone)
APPLICANT SIGNATURE
..Zi DATE _5- 19 - 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 1 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
'ost $ a00. 00 Building Permit #
"SURCHARGE” has been changed for one SO
year effective PLUMBING PERMIT FEE $ L (
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ S .00 tee -
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ Sy . 5 0
is $5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid Date 6Y J v _4_ 7 Rece No.6 L g & ?
By J
Building Official Date ' (0 " t /
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372