HomeMy WebLinkAboutPlg Permit 04-0681
/
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1.1.04-
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
~~e~R rULSlJYl pmL
(Address) fJ13D ('Mriu Covtfraj l
\. j
~~;~~ANT Nor bt oYYl P lAllnYJU7 q
(Address) 2905 fAlJff/atI. /tV.v. stJ.
(Address)
(Contact Person) /1YYL CA OY P aMA..
6..PPLICANT SIGNATURE J C!II~
, f
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
Shower Stall
Sinks REQUEST FOR FINAL
Bar Sink . INSPECTION SENT TO
Water Closet (TOlll HOMEOWNER 01-06
(Please type or print and sign at bottom)
ADDRESS
5130 rfU1dkf COVtJ TraiL
\ J
LEGAL DESCRIPTION (office use ani;)
LOT
ADDITION
BLOCK
Quantity
File
Cily
Applicant
PERMIT NO. 04--. 0 f6 9/
Sf; # I
ZONING (office use)
/t!.{f'O
PID2S".o55. Oat(, 1)
(Phone) / QS2)L/L/7 "L/ 34L(
St. qp I
(Phone) .r w I ~) f/~ 1,40 '7:::>3
J ryzJJIS 6S40f
(City) , (Zip Code)
(Phone) (LP l ~) ~~1~ 40;;3
DATE Lt I ~fJl Ot1
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
.I'~~ ~L.n~.I.I\JL~
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 $ tfoO . q?
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
51.5!!..
.50
LfO.~
Paid~
7(/,0 ,
Date 7.1.d ~
Receipt NO~1-I11'
By rfo
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
DA TE TIME
-G,
ADDRESS
/, (J ,.3 Cj
/ J - (~o
~ (Z'1'1 ck.
CONTR. 1
SCHEDULED
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
() u-e-
11- ~S-/
o E.XJGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SENT STSv~
IN ~.PEl~';'lIONLETTERS uUT
-RECEJVEJLNQRES.PONS.F,
CL98E-F-ILE DYE T{)
INA CTTVlIY
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.,
JHSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &- SAFETY!
PHONE NO.
DATE TIME
//.J-1ds ./
. /
9.Jt) a Iy C;J e 7P
dy /' .. /
C~NTR. // T ~/
PERMIT NO. 01"- 6Y/
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
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
pLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: l I J
JV4'~r
/ /
//.e'9 Tel"
/ / /
{L4;fr~ ~h,k.~
.fi=>~ .- ~; /'c
~..
,
/.5
/""')' / I -. /' /
~ .A/~d C/~cr~/~~
~I r e- ~ t.7 Jft-c' -- / c/
"/ /
/
~
/7 j' /7 #1 r:
~ 9/1 ,~ ~ ~t.' ,,-{...6-
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
?ORRECT WORK, CALL FO 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!
INSNOTl