HomeMy WebLinkAboutPlg Permit 04-0039
J
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
CITY OF PRIOR LAKE PLlTMRTNG PERMIl
Date Rec'd
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ADDRESS
I ~L I PERMIT NO. O~. 003~
SUoS
rY1a Ve S Tra,L L
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ZONING (ofIke \lie)
LEGAL DESCRJr lION (office use only) Q 1 . i
LOT ~LOCK ~DmoN .,(J ,I) ~ - to.--
OWNER r:z..,"mm~ EIre,
(Name). )
(Address) t5Llb5 mlLVtS l rOi;L
~~;~~ANT N orl? l om PuunbU1q (Phone) (f..i I~) Z~ 1-'-1033
(Address) 2-QOS (-:Jf1.c.rH'eLd .IrV~. 1):;. I m O/Sl m IV 6S40~
(Address) (City)' (Zip Code)
,r-<ContactPerson) Arnu (phone) {vl1-.} ~-z.,7-40??;1
/ _"! APPLICANT SIGNATURE ~ J DATE '11fJ/ D4
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compa Ejector
Shower Stall REQUEST FOR FINAL w Assembly
Sinks INSPECTION SENT TO w Assembly Test
Bar Sink ,rinkler
Water Closet (Toilet) HOMEOWNER 01-06
Quantity
PIDZG". /f65. OZ:z..O
(phone) (qS~)LfLfO- 2.CN7
fX;.
Type of Fixture
.. J!,J!; ~D.I!.DULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ LfOD. t12
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
rmce Use Only)
, '. "This Application Becomes Your Building Permit When Approved
\:.;-. .::'
BuildlDg omelat
Date
Building Permit #
$ ~.6!l
$ .50
$ L-W.~
paid40.0 0
oat,. -zA,. 0 4 - By
24 hour notice for all inlpeetionl (952) 447."50, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
"~"
'-..~~~
.;
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~(,36' MAI/6S ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DA TE TIME
1. .17,0("
4.30/
I
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
SENT T .STS ROlL
IN~YEL'11UNLEITERS O-rrr-
-RECEIVEft.NQRESpONSF
TN ACTIVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <<SAFETY!
/NSNOTl