HomeMy WebLinkAboutPlg Permit 01-0524
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ell f OF PRIOR LAKE
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Appll~ ~ ("'Ill I I~AN WAY PhOne:
Address: MINNFTONKA. MN 55345
Signature: {B12) 933.7200 .
legaJ Description: Lot ~/).. Ol.' B\odr \&Jb ~/'I/t//~/affi IS-/-'
S1teAddress:~ I, ~\,~ ~r~ &1~reV'\llE>Q.\re\! ': 5537 ~
Building Pennit , PIO # :l5' - 370 ~o Ol-:-}
NOTE: This ~.", ll.it wll nat be p. .. ..~.Aed without c;ompIete Information.
PlXTUREUNITS
I, 8lolO fIk
1. <iGl4 or,
1. V.-- ~
/I ~/-(} ~d~
Quantity
Type of FIXture
Bath Tub with or without shower
Oishwasher
Floor 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 Ejector
BaddIow Asaerm1y (RPZ. 00dM CIed<. PVB)
Backtfow Aasembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
IndustriaJ. Commercia! & Multi.Family
(1% of job cost. $39.50 minimum)
R~':. ..,~:CJ. New One & Two Famity
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ fS....c;-Q
$ .50
GRAND IUIAL
$ !if):;Q
JOQ tile .....,.~_ ... .L'OCl dlatsUd
-"-.'. snau comply in all ., -Of .~.' willi eM ClC'diDaoca
oftbe State PI\ImbIJIs Code m:l Cbe,.. ., .... ~".. c.. ..1.
.~ Cj G:.SS---~ I NO. :=; --30 -0/ DAtE
~~ ATrEST
Call fur all m...r.....:ona ~ boors in advance.
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 553721 Ph. (612) 4474230 I FAX (612) 447-4245
An Equal Cl'.......mity Employer
"~-".~. "~"-"'"'~"""~""" "~'~'~"'-'~'~""-~.~~-~""--
DATE TIME
SCHEDULED '1z.zi~,~ IO:Od
IS ArK IJa-U-Y DI0
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3St7
OWNER
CONTR.
PERMIT NO. CJ I - 5.;>. ~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
It ~ FINAL
o SITE INSPECTION
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-'
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
I
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: 't \ ~~ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!