HomeMy WebLinkAboutPlg Permit 01-0762
Date Rec'd
c.. i OF PRIOR LAKE PLUMBING PEAAll.
1-ZO-:tI /
i ~L ~~~Iicanl I PERMIT NO.(J/:07(p2-
(Please type or print and silm at bottom)
ADDRESS
S7C?/ (!;leD/Nfl/.- R/Dt:ie 772A/l.-
. ZONING (office use)
PUO
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 2..ADDITION ~OINI4t- telo~e; Is,
PID 25- 2,,99-02 /-D
OWNER
(Name)
~~ ~N05R~ON
(Phone) ('/Z. 37(P. ,(POD
(Address)
APPLICANT
(Name)
(Address)
/pP6Nr A-NDI3!2.S0Al
SliM 6
(Address)
(Phone)
~/Z,' 37". 7(POO
(City)
(Zip Code)
(Contact Person) ___ _ _ (Phone)
,~NT~TURE~.Jt. C- - ~ 1-u-DI
- ~ APP~CANT PLEASE COMPLETE BELOW
Quantity 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
Water Closet (Toilet)
Type of Fixture
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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 $
3Q.50
.50
4--0.00
(Office Use Only)
~hiS i f n Becomes Your Building Permit When Approved
,. ~3.0J
Building Official Date
Paid 40.00
Dat~ 0 I
/~ Z - 0
,
ReceiP.t ~~/57
B'0Jte---
r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
ADDRESS
579{
DATE TIME
SCHEDULED /0/2/01 1/ : ad
~~~ kr
..;.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
~7 , ,..'V - 01-762-
PERMIT NO. ~. ~ - ot -7',
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS: ~ L)~is~.
· ,"J 1 . ~
(' I~ ~ tJ/ - 'lCa Z-
f'/~" ~/, D/-7t1J{
.s1",
/
t4 WORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~\
Owner/Contr:
CALL 447.9850 F.JR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI