HomeMy WebLinkAboutPLUMBING PERMIT 16-216 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED / 2 18/(Ce
ADDRESS 3152(4,9' T-o?c L \ \ .
OWNER CONTR. / /
PHONE NO. PERMIT NO. !0 " 21` '
❑ 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 0 GASLINE AIR T,ST
❑ SITE INSPECTION 0 MECH FINAL ,,14 t)4 o (]...'l 7�
COMMENTS:
C6-7-e_ c-,--k-1/\
WORK SATISFACTORY, PROCEED
ID CORREC TION AND PROCEED
❑ CORREof O;K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PRIp Date Reed,�, N e CITY OF PRIOR LAKE PLUMBING PERMIT
'F(:3
�NNESD�¢
1. Blue File PERMITNO.
2.Gold City PERMIT 1� /6 . L'. / c,
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS . ZONING(office use)
3cC99 r o, -fo,i l -fro,; I NV
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Scott F4 i 2 e r n y (Phone) G a-3$dZ -55O 3
(Address) 3GG 9 FOX 'iO i t "r'rai i N W
APPLICANT
(Name) GhOmp;Orl Plumd+f9 (Phone) (15i- 3(a13Li0,
(Address) 3Co"70 Dodd CZ di ao9ov1t Mn) 553-1;
(Address) (City) (Zip Code)
(Contact Person) -I elC'-4 fn 1 g 6.2,..... ....—Lc J ' ` (Phone)
APPLICANT SIGNATUREj--&72.147)&401---
) �C� �i DATE 3 /1(0 /lCo
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
ost $ Building Permit#
The Minnesota Statutes§326B.148
"SURCHARGE"has been changed for one PLUMBING PERMIT FEE $ 50
year effective
.Jul_ 1.2010.until June 30,201 i. STATE SURCHARGE $ .50
The minimum surcharge for a"fixed fee" permit TOTAL PERMIT FEE $ 50.50
is S3,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid ' `r�A[ 'D 4 Receipt No. /_24
J" b
Date 3 Z2 , l(0 B
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372