HomeMy WebLinkAboutLA071532 PERMIT
City of Lakeville Permit Type: Plumbing
20195 HOLYOKE AVE Permit Number: LA071532
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 06/05/2003
Site Address: EAGLEVIEW LA
Lot: Block: Addition:
PID:
.Use: DOGHOUSE FOR LAKE PLACE (2ND)
Description:
Sub Type: Lawn Sprinklers
Work Type: Addition
Description: Applicant Must Call for Ins.
Meter Size Type Manufacturer Meter Nbr Remote Number Line Size
Remarks: LOCATION OF THIS DOG HOUSE IS NEXT TO 17047 EAGLEVIEW LA
Fee Summary Surcharge (.50) 0.50 1000-2127
PL -Residential (Minimum) 39.50 1000-4152
Reducing Valve 180.00 7600-5165
Water Meter 403.00 7600-5161
$623.00
Contractor: -Applicant - Owner:
B. R. PLUMBING SUNSET HOMES
6250 INDUSTRY AVENUE NW NO 207 St. Lic.: PM003971
RAMSEY, MN 55303
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. A
' SEPARATE ELECTRICAL PERMIT IS REQUIRED
Applicant/Permitee: Signature Issued By: Signature
PLUMBING PERMIT APPLICATION
' CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE
/ ~ _ O ~ LAKEVILLE, MINNESOTA SSO44
DATE: 6 ~ (9S2) 985-4440
JOB SITE ADDRESS: ~ ~t ~.i ~a
BUSINESS NAME: ~ 0.~ e~~,~u ~
APPLICANT: OWNER OR CONTRACTOR (circle one)
OWNER OR BUILDER: U ` ~ ~M. PHONE: ~ _ 3 a-3 ~
STREET ADDRESS: j„~-S c~ .~v~..b- ~ ~ CITY: '~~•.~5~ ZIP:
CONTRACTOR:_~~`~, ~1~~„Y,,~ , ~ PHONE: ^7 (o~ 3 d `7-7 ~
CELL (d I oZ-- `a-3'~. - ~ PAGER FAX
STREET ADDRESS: X/~ ~-e-v~ CITY: ~ ~ ZIP:
NEW CONSTRUCTION OR EXI ING (circle one)
COMMERCIAL PLUMBING SYSTEM (20) PLUMBING SYSTEM (21)
SOFTENER (22) FIRE SPRINKLER SYSTEM (23)
LAWNSPRINKLER (25)_~_INSIDE PLBG CONVERSION (26)
ADDNlREPAIR (27) WATER HEATER (28) RPZ (29) MISC (30)
FOR: RESIDENTIAL COMMERCIAL
JOB COST: (To be completed for commercial & fire sprinkler systems)
JOB DESCRIl'TION: ~ r \~.`~...1
PLUMBING FIXTURES: (Indicate the number of fixtures installed)
WATER CLOSET (O1) MOP SINK (12)
LAVATORY (02) WATER SOFTENER (13)
DISHWASHER (03) URINAL (14)
SHOWER (04) OTHER (19)
BATHTUB (OS) RAIN LEADER (16)
LAUNDRY TUB (07) SUMP PUMP (18)
KITCHEN SINK (08) DRINKING FOUNTAIN (11)
FLOOR DRAIN (10) WATER HEATER (23)
LAWN SPRIN R (25)
Applicant's Signatur Date Cs~J 5
.PLUMBING FEE RATES
Residential: Commercial:
Repairs or Remodel $40.00 1-1/2% of contract cost up to $10,000 and
(39.50 + .SO surcharge) 1% of cost above $10,000 plus surcharge. +
(Surcharge =Contract Cost x .0005) +
Water Softener & Water Heater $15.00 Includes Sprinkler Systems
(14. S0 + . SO surcharge) TOTAL =
Minimum of $40.00 (39.50 + .SO surcharge)
PLUMBING PERMIT APPLICATION PAGE Z
OFFICE USE
SYSTEM TYPE: INSPECTIONS:
NEW (81) ROUGH-IN (64)
ADDITION (82) ~ FINAL (65)
REPAIR (83) RPZ TEST REPORT
DEMOLISH (84) (70)
REPLACE (85)
ALTER/REMODEL (86)
PERMIT FEE:
I~
PERMIT FEE: $ ~
II SURCHARGE: $
METER: $ 1-L(~ w , U~
REDUCING VALVE: $ ~ ~ O(~
OTHER: $
TOTAL: $
APPROVED BY: DATE:
COMMENTS:
Revised 12/18/2001
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