HomeMy WebLinkAboutPlg Permit 01-0233
CITY OF PRIOR LAKE
Applicant ~~o/jERMIJ _
Address: /g-7('cl . J-/'~~
Signature: ~C'" ~_.-.--/
Legal Description: Lot I Block _ Su9,
Site Address: ~ ~ ~ ~o~ AAJ' ;J / (!l'
Building Permit # 1/;;"Lf-I G ta ;/1.) "oood. {jveID #
NOTE: This permit will no{ be processed without complete information.
FIXTURE UNITS
L Blue File
2. Gold City
3. Yellow ,Npplicant:
"of.'
PPNo. OJ~,42..33
Phone: ?.s-;Z :tlk'iJ-<1 ,?cJ
Tho ConI.. of Iho lako Coonlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
REQUEST FOR INSPECTION
SENT TO CONTRACTOR. NO
RESPONSE - CLOSE FILE
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ 39;50
$
$
$ .50
GRAND TOTAL
$ 4-0, cJt)
This permit is granted upon the express condition that said
contractor, shall comply in ail respects with the ordinances
of the State Plumbing d t amendments thereof.
M'l'2-\ RE . !J'ZtJll-DATE
ATTEST
Call for all ins
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PftlOR LAKE
INSPECTION NOTICE
ADDRESS
LI:;J..//
/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION @
o FRAMING
o INSULATION' ,
l3;:)FINAL I'
fO SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ? ~:)"'5' - ~ 4; /"D
~cd~
{/ CONTR.
PERMIT NO.
1- .)-33
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
-I-h-o ..'?~~ .
./ - u ma--t()~
~~
t"h- t~~ ~
({J) ~~'~-
- ... O. .--J
o WORK SATISFACTORY, PROCEED
tl CORRECT ACTION AND PROCEED
" CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
CALL447-98:~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI