HomeMy WebLinkAboutPlumbing Permit #03-1398
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l--a -0 <-(
ADDRESS / 5a5/ 'R~s:-. Oa.. k.
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
~LUMBING RI
o MECH RI
o WATER HOOKUP
JJ... SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
s- J,lie
PHONE NO.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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.\ J -.'" \fJ /'
{' OJ(/ -
~J VI
o WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
o CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto: Owner/Contr:
, . '. ~ FOR; TH~ NI;X;T IN~PECTION 24 HOURS IN ADVANCE.
UIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INS/IIOTl
DATE TIME
C~TY-OF PRIOR LAKE
INS~ECTION NOTICE
ADDRESS
)~5l
SCHEDULED . LVt~ tQ3
~k./l< ~\Qj
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-1?'~~
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
lit PLUMBING FINAL 0 GASLlNE AIR TST
/d MECH FINAL !,/,\ ~ ,( ev
I~ ~~~/YJVVJ Iie-t,;:.t
J .
/- ~J-e /~~e.v1 ( ~v1'\uJ
o rr-v~\MGf I~'W- l
J-~ {)s-,,_'~\J~d IrA f~(\~Pe-
(.crv\ v: v~ ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~ r<)~ 1:&vt~ /'/~
. - )
~ }}-L 7 ., c:z t3 51-i
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~~AM
Owner/Contr:
CALL 447-9850 FO~ THE NE,XT INSPECTION 24 HqURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File PERMIT NO.C) 3 -/37c~)
2, Gold City
3, Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
/506/
~ @G1-L f?cJ
ZONING (office use)
LEGAL DESCRIPTION (office use only) d
LOT 5' BLOCK ;;{ ADDITION ~o.....S f R/ cfr- c2 ~
PIDdS-'3oLj- O(/1'-(j
OWNER
(Name) MCLv l cu0 t-klcti W~fl.lA.h
(Address)
(Phone) CfC;-L-' Z.Uo - L( '-(9 (;,
APPLICANT
(N ame)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) (Phone)
\PPLlCANTSIGNATURE ~d;' oZ'. ~ DATE /D//&:>/ D3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I 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 (lor 2 compa.lment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) . _..-. . 0/ /l Other J 'b
Re-I(j~ fe ?UUSh e.-r <f- UrL/e-r- 7--e~0b-1 r LA,-'
FEE SCHEDULE ~
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIt FEE $
~q-00
.50
'fO/OO
(Office Use Only)
Building Official
Date
Paid Ll6.--- ReceiP!l2;,f ()?
Date; ()_ /(.. -:3 B~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714