HomeMy WebLinkAboutPlg Permit 01-0117
CII i OF PRIOR LAKE
cl6!!!EMf#i/&jMfroNING
Applicant: 603n CIII I I~AN WAY PhOne:
Address: MJ,bWJ:TONKA. MN 5534f\
Signature: {812) 933.7200 .
legal Oescr1pt1on: Lot ~ SUb f:J1.,'()
SlteAddrv$S:.3:3L.)~ \ ~O(\\ \ 'Ai)' k ~ "UA): ~vV ~Jr;(hJIO +-r~9'
Building Pennit . /') / - () 1/1 PIO l#
. ,
Nv I c: This.. ~,..,:t wan not be p,~ ....o$ed without v...mplete Information.
PlXTUREUNITS
1. a10IC All
1. 0Gl4 ar,
J. V.-- ....-
O/-r()//7
#
nec-""lAM~
Quantity
Type of FIXtUre
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Acor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment link)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Aough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
sewage Ejector
BacIdIow AssenmIy (RPZ. 00c.mI8 ChIck. PVB)
Backtfow AIIembfy Test
Lawn Sprinkler
Other
FU SCHEDULE
Industrial, Commercial & MuJti.Family
(1% of job coat, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State SUrcharge
$99.50
$39.50
$ &1.6-0
$
$
$ .50
GRAND IVIAL
J 11\ ot)
$ :::IJ)'--'
JaG die .. 'i' . ~,.... cooditioQ that Wd
1II1llI,r.lj,,""'ilII..'. snau COI1Ip!y in 1I1"_'t ....., witb die ordiD... II_I
of the Sta&a P1umb1DS Code m1 dle,.., ....iDem:s tbcnlol.
39P-+!) ~Z'Z"-O/Al~~~
Call for all ~ 24 bows in advance.
16200 ,i:agle CreekAv. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Ol'..~...mity Employer
.. ."'^k-._.~~<"....,,__,.____"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~/3JOZ. 9.'Cc
ADDRESS
334? ~~fJ~, en,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01 - L1.....7
o FOOTING
o FOUNDATION
o FRAMING
/}....D INSULATION
lit; FINAL
. ~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:~ ~~
()'
~~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ J~t. Owner/Contr:
CALL 447-9850 FOR THE EXT INSPECTION 24 HOURS IN ADVANCE.
I .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI