HomeMy WebLinkAboutPlg Permit 01-0555
ell f OF PRIOR LAKE
Gl6!!Hl~!~Ff~MfToN'NG #
Applicant ~03n r.1 " I I~AN WAY PhOne:
Address: WbW~T()NKA. MN 55345
Signature: !6.12l933-7200 I
legal Description: Lot '1' Block ~ Sub K A!O b tJI U LI U:-
Site Address:gi(~~~ R/,,/ h/I'C/ Ld; r'CJ:JCJ<c,; ko. t-h Ip>"na;h V) J'~5:5~ r7~
Building Pennit '! . .PID # ~ C) - ~...o ~
NOTE: This permit wll not be p... ..~...sed without OOf1"4)Iet8lnfonnatlon.
FIXTURE UNITS
ne c-....... c:-
Quantity
Type of FIXtUre
Bath Tub with or without shower
Dishwasher
Aoor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment link)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
Aough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage E;ector
Baddlow AatIttlrbty (RPZ. 00c.ti8 ChIde, PVB)
BackfIow AIHmbIy Test
Lawn Sprinkler
Other
~ SCHEDULE
IndustJial. CorTVT1ercial & Multi.Family
(1% of job cost. $39.50 minimum)
Residential. New One & Two Family
Residentia~ Additions & Alterations
State Surcharge
GRAND IUIAL
$
$
. s39,5()
$ .50
$ Lj () g!J-
$99.50
$39.50
)()Q lbc '.......... ... !.,",;. .. dlat said
...,~_~..r. SbaU .~._./ in aU...... .._ willi. die ordiJl,.. .oo'
~~~~o~Z;;;'?:j;;7~~~
fL. - ,~1TESr
Call fur all inspections 24 boors in advance.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372 f Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal OI'........uUty Employer
SCHEDULED
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTlOE
10 X0c)
ADDRESS
-H34E; ~ue~~f'd
OWNER
CONTR.
PERMIT NO. Z.
EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULA TION 0 SEWER HOOKUP
J: ~~NAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: wa+e1 S~+t:AAef'
-
~\~
Cc92:> e
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: <E. \ 0 ^~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl