HomeMy WebLinkAboutPlg Permit 02-1061
~l
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File PERMIT NO
2. Gold City '/f ')_ I{) !.-.)
3 Yellow Applicant VI::/'" II Ct)
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
30~~ ::(-tJy'7QJ &/1/ R~
LEGAL DESCRIPTION (office use only)
LOT IIBLOCK ~ ADDITION j{J~Af~J
!) j1/c!
PIDd7/?/,f5-C50-o
OWNER
(Name)
(Phone)
, (Address)
~1\.'r(n 1lt1 (l'
~)' /r/OC t
(,,-tess) /tJ 33'6
Quantity
Type of Fixture
x
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.3 f~SV
.50
1-/0, ()()
(Office Use Only)
Building Official
Date
Paid if () --
Date Y' --;) {- d
%7'7~o
By Cf<:----
;
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
ADDRESS
310& (p
DATE TIME
SCHEDULED 8/~~!oZ-- j(J:'3(J
~ IM~,
ID&J \
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
PERMIT NO.
cJ'~
~
jatY/\J~
, ,,--
O?
I
OWNER
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)iD MECH FINAL
COMMENTS(/) '11uA.
~~~-~~~
f(~)~~~~~
~ ~ I' ,~j,
(~)~ ~-7>S- ~+c ~
~~ u-I .dt-~ (WI
~ II r ~ .r _ ~ ~ "8 'r~ '
~r J~ J iJno-
~ t.-oCr
~~'.~ ~~~..
@) r-.f: <ItbA?!- - '7/- ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jt; FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~ -
/(~~ ~flnI~-t>L
D~TI~FA~ED
o CORRECT ACTION AND PROCEED
r CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
CALL 447-98S! FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--:r~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl