HomeMy WebLinkAboutPlumbing Permits 03-0768 & 769
(
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(;..n.Ol
;:,~ ~!~ I PERMIT NO'03-^7'.b. I
J. Yellow Applicant V fI1V
(Please !YtH:.. or print and sUm at bottom)
ADDRESS
)~3).5 'ij1}18Vt ~ jJ/>ttlL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION 11 fI1~ t!Itt~:;r f!4nA.
OWNER i) I L ..,
(Name) TuJ..7ft- /'fOI'J'If.S.
(Address) ~/S- JlIoMJ{Wr ?"LI./If
APPLICANT ./, .. 0_ _
(Name) JIVHf/lJt f:=. Nll1'..
(Address) /~tlO ~2T1/1U
(Address)
(Contact Person) JOI?! J(#~ .#
rl'PLICANT SIGNATURE -:t ~
I Quantity
f
I
I
f
f
I
PID2S' .4-tJz.,.~. i)
U6~
(Phone) t ."5/- /I.!: Z - 5za}
yYJ""
f~J//)
(phone)
11~~
(City)
?5Z- 97/3- ~
5S~
(Zip Code)
(phone)
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/
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink V Lawn Sprinkler
Water Closet (Toilet) Other
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
$99.50
$39.50
Estimated Cost $
Residential, New One & Two~Family
Residential. Ad~itions & rerations
Building Penn it # OJ 01lP
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39. 50
.50
4().OO
(Offiee Use Only)
('1"his Application Becomes Your Building Permit When Approved
r ~ Building Official
Date
Ipa~.oU
I D~e.IZ-J))
Rece~iPt No :r 7
By
.
CJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
,
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(p It. JJ3
\
;~: ~::y I PERMIT NO'()7 _Or1t;,O I
3. Yellow Applicant J ' / (V 7
Q?lease'!vpe or print and sUm at bottom)
ADDRESS Q ZONING (office use)
/~3V3 J;m$~ UaJ!7 )I"'/UI/JE-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION ~mZ$Pf bt EW"" ~/Jld"'~ Ploz,5 - 4tn . Or;- 4- ,0
OWNER 0
(Name) rl/J.TE:.
(Address) 8"/~
AIoAfc..$
M/~wlJSr P~t/
"
~. 1411/1
(Phone)
?5/-I/S'Z- -524:>
APPLICANT I) t/. VI l~,
(:::::)U; J:~, K~~Aue-
~"
(Contact Person) T IYYI. C ~ s ~
/-- 'PLICANT SIGNATURE 51;/::) &/
_ .....- ........10 ,_______
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
_' (ph"ne) 9.);Z - '-/,9::< -J;) J.9 (
\~^ ~7\
(City) (Zip Code)
(Phone) ;;5::2 - ~9 ~ '01I.f) I
c: - /7- n.?
DATE
Type of Fixture
x
,
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~mce Use Only)
. his Application Becomes Your Building Permit Wheu Approved
Building Official
Date
Building Penn it # 0')... o7{otJ
3Q.5V
.50
~.OV
$
$
$
,
I Paid t(() ~ -
I Datf(": 1-0~
ReceiPLY~ ;+14
By f
}/
24 hour notiee Cor all inspections (952) 447-9850, Cax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE
/.#/
/'6"?/J 7I'~r- C-q-/ /......-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
~. ; __..IBING FINAL
D MECH FINAL
COMMENTS:
TIllE
CR-?~ 9- 1"1
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
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~WORKSATlSFACTORy.PROCEED
16 ~ORRECT ACTION AND PROCEED
D CORRECT WO:~. ~~ ~EINSPECTION BEFORE COVERING
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CALL "7.9850 FOR THE NEXT INSPECTlON:lot HOURS IN ADVANCE.
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CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI