HomeMy WebLinkAboutPlumbing Permit 11. 0501 ' 1 II
Q
av
V t+7
411 NvNEsol t.
Monday, April 8, 2013 ��
SEND
gLSQ 4NSE"LET it CTIVITY
Current Resident 1NA
FILE CLOSED
3363 WILD HORSE PASS TO
Prior Lake, Minnesota 55372 101,2 0
Re: Building Permit Number 11 -0501. 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
C o
?RIP Date Rec'd
11 CITY OF PRIOR LAKE PLUMBING PERMIT
ten,- x
41 JNNESOc P
1. Blue File
2 Gold ERMIT NO 5 /
.
3. Yellow Airy // ow Applicant f 9
(Please type or print and sign at bottom)
ADDRESS 1 *iUj ZONING (office use)
� l i a5
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ► `\ v CA -O_ (Phone)(0� 1 Q
(Address) 0 •
(Name) i ( ) \ 3 L1 D v Ld1
�� e„.64,
0 � � � C �,Q� � ��� Phone
(Address) -1 --A 1 1 l7 1L___ 1 DI
( ess) (City) (Zip Code)
(Contact Person - (Phone)
APPLICANT SIGNATURE /7 j DATE LO M U
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain t 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) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
'ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ , U
year effective STATE SURCHARGE $ .50
July 1, surc ha surcharge for June xe 20ed fee " permit
The minimum TOTAL PERMIT FEE $ 5T)
surcrge fixe
is 55., beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 5.4.. .S3 Re . -�t No. / s/ / y
Date Z' / B 0
Building Official Date $ .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372