HomeMy WebLinkAboutPlg Permit 01-0701
. Tho, ~'n!'."o,f 1110 Lako Coun.ry
CITY 0 : P :t 0 ~ LAKE
I
PLUMBING PERMIT
Applicant: NtJf<b1A1fI'I f-LJf1'II?IJk. Phone:
Address: --Z.. ~(')5 ~/6(...D ~ ~
Signature: -
Legal Des~ription: Lot ' " 1 ;J-., BloCk~'
Site Address: ICo 125'" \,Jl(\cl~(T'f ~
Building Permit #
NOTE: This permit will not be processed without complete information.
ZINBINSKI, BILL
16725 WINDSOR LANE SOUTHEAST
PRIOR LAKE, MN 55372
(952) 440-3849
,i/ 0. l
Sub fM.. rc:nf.k;l
5.E. rl~_
PID#~S- ")3~-03FV
FIXTURE UNITS
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
Quantity ,
",' 1'-' "-' -',
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family .
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ 3t:t .5""0
$ .50
$ '-If). CX)
.
$99.50
$39.50
in. I 12001
This pennit is granted upon the express condition that said
contractor, shall comply fn all respects with the ordinances
of Vlc; Stat~.lJ,;mbing Code and the amendmenl;thereof.
/1_tO/V ~ RECEIPT NO. :J:J1-tJL DATE
~ AiTEST
Call for all inspections 24 hours in advance,
16200 Eagle Creek Av. S,E" Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
(\16
~'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
f' 716'
(.t.,,"'1~S'tll' Lvt
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nME
~~ 2.{-
IJ/~-{o(
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~"
/
S'~/'r ...k~-,
-4
~
~
/ r 16'"
( 1./ :,r-
\.. '-"""" t
---
---
-
~
r ./_ )
/- ( .......
/
rfWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT7WJRK. C LL FOR REINSPECTION BEFORE COVERING
_~,J~'07
Inspector:. Owner/Contr:
CALL 447-9850 FOR TH[= NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$ltOT1