HomeMy WebLinkAboutLA192322 PERMIT
City of Lakeville Permit Type: Plumbing
20195 Holyoke Ave Permit Number: LA192322
Lakeville,MN 55044
(952)985-4440 �K L A 1 9 2 � 2 Z �K
www.lakevillemn.gov Date Issued: 07/Ol/2021
Site Address: 8262 183rd St W
Lot: Block: Addition:
PID: �
Use:
* *
Description:
Sub Type: Lawn Sprinklers
Work Type: New
Description:
Meter Size Meter Tvne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: Descri�tion Amount Revenue Code
PL-Residential(Minimum) $40.00 1000-4152
Surcharge- $1.00 $1.00 1000.2127
Water Meter $910.00 7600-5161
Reducing Valve $385.00 7600-5165
Total: $1,336.00
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Contractor: - Appl,�a,,t - Owner:
Silver Tree Plumbing&Heating LLC
1335 Mendota Hts Rd
Mendota Hts MN 55120
(651)319-4200 �
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO:(1)THE APPROVED PLANS&
SPECIFICATIONS;(2)THE APPLICABLE CITY ORDINANCES&CODES;AND(3)THE MN STATE BUILDING CODE.
Please provide a minimum of a 24 hour notice to schedule inspections.BUILDING INSPECTIONS:(952)985-4440,8 am-4:30 pm,M-F
ELECTRICAL INSPECTIONS:Call Brian Grey at(507)381-1791,7-8:30 am,M-F to schedule appointments
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ApplicantlPermitee: Signature Issued By: Signature
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Office Use On]y
PLUMBING PERMIT APPLICATIUN �C%j,��?��,�,
m i Number
CITY OF LAKEVILLE
BUILDTIVG INSPECTIONS DEPARTMENT � ��,,;�' �'\,;�('�'� �
� 20195 HOLYOKE AVENUE Received By
LAKEVILLE�MN 55044 r
952-985-4440 —� .� ! ��' "" ��
www.lakevillemn.eov Date Received
Submit to:permiis(cr�.lakeviAemn;aov 0.00'�� ,�,�j� r � �
Permii Fee
DATE 6/30/2021 YOUR E-MAIL ADDRESS_Service(a�silvertreenandh.com s
SI�ADDREss�262 183rd St W
TENANT SUITE NO. '
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THE APPLICANT IS: ❑RESIDENT OWNER 0✓ CONTTtACTOTt ;
NAME
RESIDENT OWNER ADDRESS8262 183rd St W
c�7'Y Lakeville STATEMN ztP55044
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Silver Tree Plumbina&Heatina LICENSE #_pC642636
CONTRACTOR ADDREss 1335 Mendota heiqhts Rd
Company name must be as cITY Mendota Hefahts sTATE MN z1P 55120
appeais on State License aFFicE�xoN�# 651-319-4200 FAX#
CONTACT NAME ShelbV PHONE
COMMERCIAL ONLY RESIDENTIAL ONLY
❑COMM PLMBG SYSTEM �✓ LAWN SPRINKLER ❑INSIDE PLBG
[�COMMIMULTI-FAMILY �WATER SOFTENER CONVERSION ;
PERMIT TYPE LAWN SPRINKLER ❑WATER HEATER �ADDN/REPAIR
❑FIRE SARINKLER �MISC(ftll description)
❑BACKFLOW
INSTALLATION Residentra!Pe�•miis Available o��-line
C�NEW ❑ADD[TION ❑ALTER/REMODEL
TYPE OF WORK
�REPAIR �REPLACE ❑DEMOLITION
JOB DESCRIPTION2"RPZ and 1.5"Meter
RESIDEATTIAL FEES:
Repairs/Remodel,Water Heater or Water Softenei•$40.00+State Surcharge($1.00)
COMMERCIAL FEES:
JOB COST: $ Example:$12,000 Job Cost
1-i/2°/a ofcontract costup to$1Q,000 $10,000.00 x 1.5%= $150.00
1%of cost above$lO,OpQ plus surcharge + $ 2,000.00 x 1% _ + 20.00
{Surcharge=Contract Cost x.4005) + $12,000 x.0045 = + 6.00
TOTAL = $0.00 = $176.00
Minimum of$40.00+State Surcharge($1.00)
NO.OF METERS SIZE OF METER LOCATION OF METER
� 1.5
I hereby appiy for s plumbing permit and I ackno�vledge that the information above is complete and accurate; that the work wili be in
confo�mance with the ordinances and codes af the City of Lakeville and with the Minnesota Plumbing Codes;that I understand this is not a
pemiit but only an application for a permit and wark is not to start without a permit;that the work will be in acwrdance with the approved plan �
in the case of all�vork which requires review and approval of plans.
NAME OF APPLICANT(Please P ' t)Shelb Klukken Date 06/30/21
SIGNATURE OF APPLICANT:
�'LL��E'�lO�;�SEFARA�� .��Rl.l�[I; � - �m �,1I�'ED�ORtvVX.BYIII;DING IVIL��HA]VICAL.&:E ��C�,�li,�'V_URK,. .�.::=, `;