HomeMy WebLinkAboutPlg Permit 04-0069
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
., (Please type or orint and sian at r:. ~~. _~)
ADDRESS
1L{~3;) e~ t4,~
8E
: ~:~ I PERMIT NO. !)Jj~, /_ 'I' ~
,lIow Applicont "'r . to 7
ZONING (offiteuse)
f( /SYJ
LEGAL DESCRll'uON (office use only)
LOT BLOCK ADDITIONr;ac 1-11 J ~L5 P/j
. ,
OWNER
(Name) J, o'V'\ ~r ~CKY""U1-r- '
(Address) ~ 4:> ~\od...r-{,
APPLICANT
(Name)
(Address)
PIDas -~5' - do I-~
(Phone)
(Phone)
\;ULLll.:.:ifllN VVAI t:H LiUr'4UllluNING
6030 CULLIGAN WAY
(Address). M!NNETONKA, MN 55345 (City)
(952) 933-7200
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 COIllnartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Contact Person)
APPLICANT SIGNATURE
('
Quantity
(Zip Code)
(Phone)
DATE
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
- ~kflow Assembly
~kflow Assembly Test
\Ill Sprinkler
ler
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
FEE ~{.;nr..uu.......",
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Pamily$99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ (p 6 -
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om<< Ule ODIy)
~This Appl_. Becomes v.., R.lldi.. Permit Whe. Approved
\
Building omeial
.,,.-'
Date
'3c:;. )"0
.50
~O (' chJ
Paid L/t1 ,,--
Date ~ -n- 'I
Receipt N~st'8'~
By fj-- ')
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
fte.32 85-mr6 AVE
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:
DATE TIME
lJJ ,Oft;
4-,(pq
I
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
SF: .STS EOlL
11~~Y.EC'11DN LE.I'IERS uur-
---R.E.C:t?,IVED N QRES.PONSF
E DUE TO
TNA.Cl'lvITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTJON BEFORE COVERING
Inspector:
Owner/Contr:
CALL .447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/iSNOTI