HomeMy WebLinkAboutPlg Permit 04-0488
CITV nl4' DDTnD T A U'1l' DT TTM'RING PERMIT
Date Rec'd
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
I Shower Stall L
I Sinks REQUEST FOR FINA
I Bar Sink CTION SENT TO
I Water Closet (Toil INSPE WNER 01-06
HOMEO
r.r.t; SCHEDULE
Industrial. Commercial & Multi-family 1'l'G of job cost with a $39.50 minimum
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
(Please type or print and si~ at bottom)
ADDRESS
/(/031 rv/J"<.l..z>,rcl
+rCcI ( IV b
LEGAL DESCRlr lION (office use only)
LOT YBLOCK / ADOmON
>71~ 1M d veL
/
OWNER
(Name) f11 c r~ A ~
(Address)
vt-1 c.) h 3
APPLICANT
(Name)
CUL1"IGAN WATER CONDITIONING
Q',?'Q CULLIOAN WJ(' (Phone)
MINNErONKA, MN 55345
(Address) ,tel) 83!., ~uO (City)
(Address)
(Contact Person)
.-
PPLICANT SIGNATURE
Quantity
, ({-
Estimated Cost $ C 60 -
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,,..-'Qffice Use Only)
his Application Becomes Your Building Permit When Approved
Building Official
Dale
:: ~:~ PERMIT NO. Q 11_ } '. t?<P
ollow Applicant '-f '1 () <9
ZONING (office use)
PIO ~S--343- Oo~~6
(phone)
(Zip Code)
(phone)
DATE
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
37, rO
.50
t..{O < {)J
Paid lio-
Date5~dL(_~
Re#tt~5
ByC--
(:/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek A~'e., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA TE TIME
SCHEDULED
Z .f1,0~
ADDRESS
/4-03 I (3LU6BI/e4:) ~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o 4- _ 6 +it
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
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:
TNSPF,CTIONLETl'ERS OlJ'l'.
-REGElVE
NSE.
CLesE FILE-DBE Te
INACIIVITY
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!
JNSNOTJ