HomeMy WebLinkAboutPlumbing Permit 09. 1063 de 4
u tr1r
` ''IN N Esd i t*
Monday, April 8, 2013 p�3 Y
Current Resident S �� o ti�S�� 4 Alg ►2
�
2593 WATERFALL WAY �p0�� 0IOl
Prior Lake, Minnesota 55372 IlOO L 9 & 0
Re: Building Permit Number 09 -1063. We request your help
In review of the building permit files, it was discovered there is an open permit for
Water softener at the above address. Please call by Monday, April 22, 2013 to
set up an inspection. If there has been no contact from you by this date, the City
will deem the permit abandoned and invalid. (per State Building Code R105.3.2).
This permit abandonment will be recorded in the permanent public record for this
address.
Any new work relative to this type building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952 - 447 -9850 to schedule your inspection
date.
Thank you for your cooperation,
Sincerely,
Building and Inspections Department
City of Prior Lake
•
v . VRI M %aikatX
1" A CITY OF PRIOR LAKE PLUMBING PERMIT DEC 2 8 2009
i \-,:g
_.„,,,.
INNES, I. Blue File PERM : —
. (}old p p 3
3. A
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
- S 3 -c-e-- Ca/S k.k.) c-'-- t
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER _ \ 1 Z C%
(Name) (Phone) / ` t (:/G(/ ` ? I' 7
.
(Address) . CA-4t✓ i✓ , ' 0 C3- o"E I G✓[- LGc fC-2 11 3 ?
APPLICANT '
(Name) ` \.IPA j t/ ( (Phone) -- Z�5�� -- Z ,S (
(Address) (./7 (5 1 5s J LV • pGr v t�.. l' i2� 6" 3 2 7
( Addres (City) _ � o (Zip Code)
'L� _G
(Contact Person) C (Phone) vz-
APPLICANT SIGNATU • - -- -- DATE _
It -
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rou:h -ins
Dishwasher Water Heater
Floor Drain / Water Softener
Lavatory (Bathroom Sink) _ Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 1 Other 1
FEE SCHEDULE
Industrial, Commercial & Multi- family I% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ Building Permit It
PLUMBING PERMIT FEE $ � t 5 '----
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ..5-7)' G' "----
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
50• (4.) Receipt No. ,�3 2.. f.
Date B
Buildine Date /2,• 2,0, 0
24 hour notice for all inspections (952) 447 -9850, fax (952) 447-42d
4646 Dakota Street S.E,, Prior Lake, Minnesota 55372