HomeMy WebLinkAboutPlg Permit 05-0504
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
5. 3t. oS
(Please type or print and sign at bottom)
ADDRESS
l. Blue File I PERMIT NO 4-1
2 Gold ('it, . OS- 050
3 Yello\\ Applicant
3J3d
:::Th.~ 0. ~
r~
ZONING (o!fi,'"
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 3 96. 0 (p z. 0
OWNER
(Name) _ _fk. Q_~e...
(Phone)
(Address) S1 ~ ~~llI'~ c.!
APPLICANT j" .
(Name) ~c.
(Address) lo"l~q 2:^r-..
(Address)
(Contact Person) ~~
?III~~"
/
A.J",-
(Phone) 9sa..... $lCf~tJ
~AA.
(City) "
~ _ (Phone)
~g
(Zip Code)
APPLICANT SIGNATURE _~ f......."'J..... _ DATE S'rl~
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
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
. Other
'I.
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family
Residential. Additions & Alterations
Estimated Cost $ Building Permit # O~. 0504-
PLUMBING PERMIT FEE $ .,31. s-o
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
J../D.oo
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Paid 4--0 I 00
Dates: 31.05
Receipt No. 41/332-
By
fdL
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
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~
J~r~ r~+-
TIME
CONTR.
PERMIT NO.
.5 - 56'-1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J'1:::.~
(\1 , () ())
l_A~~ rtt.~{ JL
/
~ORK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
o COR CT ~, CAll FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C 44 - 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IItSIIOTl
DATE TIME
CITY OF PRIOR LAKE 1/J%:-
INSPECTION NOTICE SCHEDULED
ADDRESS 3OI;t ~ea!
OWNER CONTR.
PHONE NO. PERMIT NO. O~-SJ~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL .)(:rrr~{C"M.
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o C~Od12RE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto: Owner/Contr:
7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS1IOTJ
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(g./~.()~
I. Blue File PERMIT NO
2. Gold City . ()C". 05-7/-
J. Yellow Applicant .:...J . {CO
(Please tvDe or orint and sil!)l at bottom)
ADDRESS ZONING (office use)
301a
&~brl1.+ ~I
o.Lu) .
LEGAL DESCRIPTION (office USe only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
p~
~1J.
1
o
(Phone) q.S'..J -d~O -13'1Q
~.\- -ri \
APPLICANT
(Name) M~ $1~f
(Address)
\ a~ <O~
~IUM~
.z lllr_ t.)Jt..
(Address)
(Phone) -3.P- tttif."!-., (.,00
Sa~,
(City)
S'.f'3 7~
(Zip Code)
(Contact Person)
~.u
APPLICANT SIGNATURE
~
~(~J '-
-
(Phone)
~c.-L
DATE
c, - 1'1-0 r
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softner
, Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks .", -Backflow Assembly Test
Bar Sink ~ I Lawn Sprinkler
Water Closet (Toilet) I 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 Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.3 GJ. SD
.50
(Office Use Only)
L./P
Building Official
Paid f(). tJ 0
Date /. 0' ~
Date (11. 2CJ,,> ..,;
24 ho.. oo'ke fo, all in."",no.. (9<2) 447-98"'. fox C9Sr74245
~e~eiptN~Ja7
BY.~
This Application Becomes Your Building Permit When Approved