HomeMy WebLinkAboutPlg Permit 06-0294
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File I PERMIT NO.O(P' J ~q1'
2 Gold City ~
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS _
SLfl(o Cl1fti{j fave (r/ Sf;
ZONING (office use)
LEGAL 1)E~CfJ7lfD (dJ: only) /7
L6? BLOCK ADDITION (/v1l/iZ ck
- \. J
OWNER f) P <: /) -L-n
(Name) r.. tJan , JC)X'T()
J
(Address) ~G./rr/€J
~.P. PI !='iVV?RKS
3670 DODD ROAD
E.'\C:\~ 1, MN 5&1.
(Address) (651) 365 1340 (City)
:::ontact Person) K ri ~ ,..--.,... k ~) (Phone)
PPLlCANTSIGNATUCL: f,l~ -c>') DATE ~/;$/{)C:7
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher 1- I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT
(N ame)
(Address)
Quantity
{'()vt/p~
PI~gO~1-J/6:'O
(Phone) Cl5Z '-IlIO 2SS 3
(Phone)
(Zip Code)
Type of Fixture
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum
!ffiee {!se Only)
Rcsidential, New One & Two-family $99.50
Rcsidential. Additions & Alterations $39.50
2 f'"Yr"\ 00
Estimated Cost $ LA-/ L
Building Permit #
PLUMBING PERMIT FEE $ :57. SD
STATE SURCHARGE $ .50
TOT AL PERMIT FEE $ LlO, 0 a
Building Official
Date
paid2b- ---
I Date.
u- r70~ (,
R3h~7'
, BO __'
o
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
LlO.06cfE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S.y7~ C_&" ~R
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
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
,P1'11JMBING FINAL
o MECH FINAL
.sJ/:~~ TIME
, '"
fr/
~ -- ,,2;;<;/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT~ / / /> / / ,/ /
_/o/yc-&d ~ 7-t!!/ #~ 7'e,-
~J / ~
( /S~ Oi/8 7/0J-z
/"7 .
/y-: r
'"
~//-/
/ -
./
Ore..
_/
C/re
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~WOR REI~SPECTION BEFORE COVERING
Inspector: /~ ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!