HomeMy WebLinkAboutPlg Permit 06-0528
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(please tvDe or Print and sie;n at f. .".".".,..)
ADDRESS
It/oSS' 1-ba"~L.je Cl??t
~: ~1w E- PERMIT NO. 0 rv -5 ~S-
. ZONING (office
use)
LEGAL DESCRlr liON (office use only)
LOT 1 BLOCK I ADDmON (j/.d!c0 17~
PID 36 -l( 04 - cJc/) -{ I
OWNER
(Name) 'h-en~~
(phone) crs 2 - tKJ3 - 9/5-1
(Address)
~
~E..t\hE- (phone) lo \d - ~O\ -6dIoO
(~@ ~ 5\kj \-\Ll.t~ 55\i5D
(Address) (City)
(Contact Person) \J{;. ~ k'i \5 (Phone)
APPUCANTSIGNATURE ~ ~ ' U\..... DATE
" APPLICANT PLEAsEko-MPLETE BELOW
Quantity Type of Fixture I A Quantity
Bath Tub with or without shower I
Dishwasher I
Floor Drain I
Lavatory (Bathroom Sink) I
Laundry Tray (1 or 2 compartment sink I
Shower Stall I
S~ i
Bar Sink I
Water Closet (Toilet) I
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimwn
APPLICANT
(Name) t'\ ~"-.)~\~
(Address) l a \ L{
(Zip Code)
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washin~ Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
. Other
(Office Use Ooly)
Residential, New One & Two-Family
Residential, Additions & Alterations
Estimated Cost $ loOQQ. Building Permit #
PLUMBING PERMIT FEE $ ,3Q . 50-
STATE SURCHARGE $ ..50
TOTAL PERMIT FEE $ Ll U .00
$99.50
$39.50
This Application Becomes Your Building Permit When Approved Paid if 6", ~ Receipt N~) IIJCf3
Date Date / - jq - I( Br'_
BoUdin!!: Official (p <.D,~
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 t/
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS f l( c./)r\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o (b~P_
SCHEDULED
(-tou-s
lk IF
DATE TIME
1~6~
1..0 - 5;<8
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
J3'.- l....-.'^- 3: or (<;. ,J '?......
u
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECryY~OR REINSPECTION BEFORE COVERING
Inspector: (( ! / Owner/Contr:
CALL:J7-9~~;;OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
"
~. ~?-V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ