HomeMy WebLinkAboutBuilding 16-0026 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / 244
ADDRESS 2-€(P I O2 i(7t -cj2 Tr
OWNER CONTR.
PHONE NO. PERMIT NO. l
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL I E A
❑ SITE INSPECTION 0 MECH FINAL ((
COMMENTS:
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docCO
K.—WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. //D/ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
O l so 010/5- d 911 7R--/�
PR/04, L ( Date Rec'd
it,ANc CITY OF PRIOR LAKE PLUMBING PERMIT / J
NNE50
1.Blue File
i. cola city PERMIT NO.( -
0
3Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSM/02lo'
&rardi
/1/7 - Z / G(office use)
LEGAL DESCRIPTION(office use only) (�
LOT'1(BLOCK/ ADDITION /r/1)(:),A / ' LZ- `� �%671 PID?S%k `0/4/".O
((NaWNER f, ""atir\ia_ `-- OcuiUt/Q,'j S (Phone) /Q(i9—
a 37 237
(Address) 11.1- D9(D 13I v ' b)Ird Tr, ME
E
APPLICANT (�
(Name) `Mini Y�-c Ct,.n (Phone)
(Address)
(Address) (City) [ (Zip/C�o/de))
(Contact Person) A I �-' r'1 (Phone) ` a 7c0 74` U
APPLICANT SIGNATURE � , DATE
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
Estimated Cost $ 3/M Building Permit#
PLUMBING PERMIT FEE $ S-0
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ 5o, 50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.'cg
r
Date f By
Building Official Date " . (Q
24 hour notice for all inspections(952)447-9850 ttt
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372