HomeMy WebLinkAboutPlg Permit 01-0547
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
J. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
I 5 ~ 31../ R .-d1e. N\(JIU""i Ave" S E
LEGAL DESCRIPTION (office use only)
L019-BLOCK l ADDITION
~3rl
PID;J5'" 15'( -oo;;rD
OWNER
(Name) GA~'1 Pe~e.'.,J
(Address) I 55"3'" R. 'd'f~",^o.d r Av (... Sc
" (Phone) qrz.. - 'tV7 - G, Y'II
APPLICANT II
(Name) HeAt-iAJ~
~N i," (.( ttA(}" t.
" (Phone)
/J ~uJ .f>It~tJ. e.-
(City)
q- S-z - 7.rS - 41 z.. 7
~6 071
(Zip Code)
(Address) " 't A W ;'\;lA-f'AJ
(Address)
(Contact Person)
R.-cJ<
(fi1l.'\.OQ...~
M:r:~
(Phone)
APPLICANT SIGNATURE
DATE
~I-z.s-/o I
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartmel INSPECTION
Shower Stall . REQUEST FOR OWNER 2/03.
Sinks SENT TO HOME
Bar Sink . NO RESPONSE. CLOSE FILE
Water Closet (Toilet) I -....".
Type of Fixture
O[
Rough-ins
Water Heater 7?e.~/~c ~h\e-cJ")
Water Softner
Washing Machine)
:tor
lsembly
:sembly Test
ler
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3Cf. .('0
.50
'100 () 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~ ' {)U
Dat - Lj-O J
Rece~~ k ~ '1
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1&D7J4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED t1r(h
I/]S~tj !?t dqerJ1o;v/
,
CONTR.
PERMIT NO.
/- b'17 --- bvl-r!lf}-
o PLUMBING RI
[] MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
rECH FINAL
(~4IA ,4(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~1-tJ /~..j.1r-
/ I
L/( DS!
,
r(~.
,
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W?R~ALL FOR REINSPECTION BEFORE COVERING
Inspector: rfIY" L.(_ t(;-(/'3,owner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
Ji'lSi'lOTl