HomeMy WebLinkAboutPlg Permit 03-0721
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
REQUEST FOR FINAL
INSPECTION SENT TO
(Pleasetvoe Of print and sian at bottom) HOMEOWNER 8/19/03
ADDRESS
14-240 ~U~t'L l..r~Us ~.
Ie File PERMIT NO
Id City '.::>_ ...., "" ,i
llow Applicant V' d-f
ZONING (office use)
~4
LEGAL DESCRir uON (office use only)
LOT/oBLOcK3 ADDITION-1~tCU4i ~ d.AJd PIDOlS-3q/)...t)5"~-o
OWNER /j) /)
(Name)~~~n tA.oesL- (Phone)'1?2-40.3- iPf)1 ~
(Address) (Stim.L as t1boY~)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
~L_...__ C'6_11
.
APPLICANT
" (Name)
(Address)
CULLIGAN WATER CONDITIONING
&030 CULLlCAN WAY
MINNETONKA, MN 55345
(Adi1~ 933-1200
(Contact Person)
cA&<-. ./~
APPLICANT SIGNATURE
(
Quantity
REQUEST FOR FINAL
, INSPECTION SENT TO
HOMEOWNER 1/04
(phone)
(City)
(Zip Code)
(phone)
DATE
5-/2-t/6
Type of Fixture
f
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
..._ ~~I1J!jDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family' $99.s0
Residential, Additions & Alterations $39.50
Estimated Cost $ --2J0() ,,;
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
0hls Application Beenm.. Ynn. Bnilding Permit When Approved
, r' BuDding OfIlcla. Date
3t:t. SD
.50
qJ.OD
Paid illJ fX/
Date~'5-3
ReceiPt~~5~
By c;.t/
V
24 bour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2.n.olo
ADDRESS
14-Z4- 0 J::O OIJmllJ HluLiJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3 .12.-1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
SENT TWO REQUESTS EOR-
IN~YEC'llUl~ LEl'lERS OUr-
-RECEIVED NO lillSPONSFJ
CL
TQ
INACTIVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
f:ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lXSNOTI