HomeMy WebLinkAboutPlumbing Permit 11. 0871 Mary's On Main J
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p Rl Date Rec' d
° " CITY OF PRIOR LAKE PLUMBING PERMIT
Q
__ 9..41f
',', ii.- 93(0 t r i ,
'. B,ae File PERMIT NO. }0 7
3 . YeI City / /� {,/
3. Yellow Applicvnl
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
U\A- 1 — p, 166 i‘ikt..y\i\.%. -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ‘ \\ �h (Name) jN (Phone)
(Address)
(Name)
APPLICANT V t�V' C 7 `l� e— (Phone) 6,51 -317-10/o
(Address) 1997 ShcxxkyraR._ . C?::tos:mr r 55/
(Addre s) (City) // (Zipp Code)
(Contact Person) N' t % (Phone) C�l7 . ?5
�'
APPLICANT SIGNATURE DATE °Z9 1)
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
1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
(21. Sinks Ho,j r Si h‘< Backflow Assembly Test
'/ Bar Sink
Water Closet (Toilet) I Lawn Sprinkler
Other's Was
FEE SCHEDULE
Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
y Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 .. •st $ ./ • 00 Building Permit #
"SURCHARGE" has been changed for one
ye ar effective PLUMBING PERMIT FEE $ /Q 1 t
year
.July 1, 2010, until June 30, 2011. STATE SURCHARGE $ G
i
The minimum surcharge for "fixed fee" permit TOTAL PERMIT FEE $ 75;
is 55, beginning July 1, 2010
This A 1f 1 do � : • co ,, . Your Building Permi Approved Paid 7 Receipt o. 63952
(� AI
L��L! 41i1,Z� / L � / 5 G O Date 6 Z _ l f B �T� /
Building Official to ` ��
/
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
, P RIp
White - Building .
.0,-, .,:.-4,,
y � - . Canary - Engineering
^NES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r(i/ i //I 4.
Accepted L° Accepted With Corrections
Denied
Reviewed By: - - Date: r e f /
Comments: 6-_- f -M .`.:>
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
O � PRIp�
N White - Building
M� �P Canary - Engineering
^ "ES Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ii_ / /( 744-*
fr
Accepted Accepted With Corrections
Denied
—
Reviewed By: Date: 9 -1 y' /(
Comments: 4/1 exzerf s r reeulr e . 'rgars a s,n pert4t .
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
0 P Rio
�
e
_White - Building_,
Canary ;
"'`^ "ES °o' Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W6 OS o
APPLICATION RECEIVED 9.11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lift ✓ei✓L ) / //67i4-
Accepted � Accepted With Corrections
Denied .40'
Reviewed By: ∎� - Date) !' /1
Comments: i` -�- P�- •-� - �' S
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."