HomeMy WebLinkAboutPlg Permit 01-0113
QuantitY
ell { OF PRIOR LAKE
'clbtlHlMf#i'&Dl/JToNlNG
Applicant G03n ~lll I Ir,AN WAY PhOne:
Address: MINNFTONKA. MN 55345
SIgnature: {R12) 933-7200
Legal oesc:rtptlon: Lot I... BIock~ Sub SIWO ,,()/lJT +711
Site Address:~\q ~(\\\~w(')c~\ Q; ('{I \ili1 L(\f~)h,^ T Ol(l q..&Jn L37~)
Building Pennit' 0/- 0 / ~3 J .PIO' z...C; ~ 7.-1f5- nrL - 0
Nv I e: This permit wll not be proo=Md withoUt complete Information.
PlXTUREUNrTS
Type of FIXtUre , Quantity Type of FIxture
ne c-., _ &Me c-Y
r
Lavatory (ba1hroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Wafsr Closet (toilet)
RougtHns
Water Heater
Wafsr Softner
stand Plpe (washing machine)
Sewage EjectDr
BaddIow AsaerrbIy \N"(. 00cJM ChIde, PVB)
8acIdfOW AsHrmly Test
Lawn Sprin\cler
Other
Bath Tub with or withOut shOWer
OishWaSher
Aoor Drain
FEE SCHEDULE
IndustJiaJ. COmmercial & Multi.Family
(1 % of job cost. $39.50 minimum)
Residential. New One & Two Famity
Restdentia~ Additions & Alterations
State surcharQe
GRAND IVIAL
$. ----
$ .
$~
$ .50
$ !j()~
$99.50
$39.50
it>> t', 1QU\
JOll lho .~... . ~... c:oaditioft dlat said
illlIII',~U".ww..... Sfta.11 _ 1."'~~i4 ) in all '. _,I, . _. wicla dae .. . J;~w l.._
of tbe Sta&a PlumtnDl Code aUbe .." .... .... ..,. mcn:at.
3t90.3f!> ~ _ 'Z-.23.()/ DA1'E
_ .AtT!ST
Call for all . ~~on& 24 hours in advance.
16200 Eagle CreekAv. s.a. Prior Lake, Minnesota 5S3n I Ph. (612) 447-4230 I FAX (612) 441-4245
An Equal o.........mil}' Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~tJ)9 - a
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDA TrON 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
']nFINAL 0 PLUMBING FINAL
/0- SITE INSPECTION 0 MECH FINAL
COMMENTS: ~;t;; ~~6~
DATE TIME
(j___Ia of 41j~
(l
O(-dll3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
}51WORK SATISFACTORY, PROCEED
/;: CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
q.
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl