HomeMy WebLinkAboutPlg Permit 03-1031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FEB. 2004
L Blue File PERMIT NO ~
I, Gold City . ~ 3'" ~,'n3'
I, Yellow Applicant U ,U
(~)
(Please type or print and sign at l .' .,.,,)
ADDRESS
J~4/~,~tVoX~fl ~
ZONING (office use) ,
RJ.
LOT BLOCK
LEGAL DESCRu- uON (office use only)
ADDITION
x
PIDd5- 8cf-'7-00~-O
(phone) !]5;) ..;?-1; ~~ J) LPatJ
,
OWNER 1 t " " JJ ^ A ^ J
(Name)~ ,l.JlJ.:CAStY
1\ \~ ~ a i2/)/.Je;)
"'" -' .
(Address)
APPLICANT
(Name)
(Address)
CUlliGAN WATER CONDITIONING
6030 CULLIGAN WAY
MINNETONKA, MN 55346
(A~~ 988- 720(;
(phone)
(City)
(Zip Code)
(Phone)
(Contact Person)
r 1?PLICANT SIGNATU~OJ iJfvlfJkj
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
FEE:Sl.:J1I!JUVJJr..
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family
Residential, Additions & Alterations
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office U,e Only)
r 'This Application Becomes Your Building Permit When Approved
Quantity
if
'~
DATE
,/q lo'J
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
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)
Type of Fixture
, Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
'- . "ow Assembly
ow Assembly Test
Sprinkler
$99.50
$39.50
/'
Estimated Cost $ /dJO 0
Building Pennit #
~q. S-O
I - .50
4-0 . OD-
Buildilll Official
Date
. Paid LIb .,--' ,..'
Date 2"5......3
Receipt Nwgqb
B~ ·
I
14 bour notice for all inspections (951) 447.9850, fax (951) 447-4145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371.1714
DATE TIME
CliY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2..11,0"
ADDRESS
t +4--{3 'B fWOtn~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S .losl
o FOOTING
o FOUNDA TIOH
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
SENT TWO REQ-UESTS ~()lL
IN~Y~L'llUN LETTERS Our-
-RECEIVF,aN~NSFI
CbGSE-FILE DYE m
INACTIVITY'.
...,
o WORK SATISFACTORY, PROCEED
o 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 &: SAFETY!
II<SNOTl