HomeMy WebLinkAboutPlg Permit 01-0061
The eeRier or Ihe' Lake Counlry
CITY OF PRIOR LAKE
APPIi~nt:~~~/T~ . Phone
Address: --/....V. 7 ~- -=-- ~
Signature: . ~~
Legal Description: Lot
Site Address: ,5.....7 ?' u
I. Blue
2. Gold
3. Yellow
File .
City
.~licant
(0 l
.. </35':. S/)G)
ock Sub
III I- ~ 1 fL/,.-P<<A.- J4 t'
- ~y --
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
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)
I
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
$99.50
$39.50
$
$
$ '?i. 9)
$ .50
$ lfo ,cO
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the ~~te Plumbing Code and the amendments thereof.
'<'6 ~ ~IPTNO.2.. ..../'-OLDATE
(}:/.) ATIEST
Call for all ~;e~ons 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~I
IIJ/oo
ADDRESS ...57'/ ()
3/~tVdtJO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl- &, I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL
~ SITE INSPECTI N
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 GASLlNE AIR TST
o
COMMENTS: ~~ ~~
.>~
"~
'10 WORK SATISFACTORY, PROCEED
J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI