HomeMy WebLinkAboutNo 10532 j;
City of Lakeville 3u~,e 13, ~g85
N~ ~ Q5~2 INSPECTION DEPARTMENT
Permit Fee Z 9.50
SEINER AND WATER PERMIT
AND R EC E 1 PT state surch~orge
TOTAL FEE PAID , ~
~Q
Permission is hereby proofed to Gene-Ry,ap /Go1 den Fa~1 A 'it,+~-1 derv
Building on Lot No. 12 Block 1 Subd;vis+on Dodd Pointe
Parcel X622 20f3h(1-120:--(11 Plat
in the CITY OF LAKEVILLE to be used as Permit to connect to city sewer and water ..system
This permit is issued on the oxpress condition that the _ERECTION ALTERATION ...-:-REPAIRS
INSTALLMENT -MOVING' -.DEMOLITION respects to the statements certified to in the application for
such permit, and that-all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota- and the State
~ of Minnesota .pertaining to the construction of buildings.
Street Address 16191 Excelsior Drive Glenn A LanQOrd
Attentbnb pertleWerlyCaped tothe Cutting upof streets, making main sewer connections. driveways and Director, litentm and (napetflon
Cubs. Obtain. permit far euch Construction-from the qTY OF LAKEVILLE. Inspection Department Not
~ Responagfle For Any Damages to PubYC UtiFbes.
The permit hdder understands and agrees thatgranting this permit is not a warrardy or representation by
the City !fret the protect wfMbe seta or satisfactory. gY
The permit hotd~ understands end agrees that the City shall have the riyht to make periodic inspecton
during Cortstructbn.:M qte perrnithokler does not make arrangement for the inspection the City may rum
. off the water tattil 9ui:h inspection-has. been made.
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jl APPLICATION FOR PLUMBING PERMIT f
AND/OR SEWER AND WATER PERMIT '
Job Site Address ~ ~_S'j6T~ Install Repair •
a - Lot Block Addition Replace Alter
Total i'1 of Fixtures Est. Cost (Commercial) P1mbg..Permit Fee
Surcharge .SO
PLUMBING PROPQSED IPtSTALLATION Total Plmbg. =Fee $
I. FIXTURES. Nurr?bcr of Stories ~
(Include•Ro iQh-Tnc Base •lst 2nd 3rd 4th '~/r.
Water Closet
Lavato ~ Plumbing Fee Rates-
rY
• Residential:
- Bath Tub ~ _ _ Minimum: $15.50 +
Kitchen Sink_ ~ .50 Surcharge for.
.first four fixtures.
wash Trays Each additional is
Drinking Founta?n $2.50.
~t.~ Sho«•er _ _ _ ~ Commercial:
Ffoor Drains ~ ; 1X up to $10,000;
'~X above $10,000;
Sump Pump- _ - SO surcharge.
Catch Basin _ - _ Minimum $25.00
Rain Leader
Water Softener -
Urinal
Gas Range
Slop Slnk
Carba a Dis sal X Do not COUnt
Dishwasher ~ ~ separately, if
waterlieaccr they are connecter
` (GAS a REC,1_
- to kitchen sink.
Air Cond. Unit
Bar Sink
ReCrig. Drain
S/W Rates- -
II. Sewer b Water 29.57 Perm;t Fep $
Sewer Only 14.50 .50
Water Only 14.50 StateSurcharao
Total S/W c ~
Address - - ~ -
Contractor's Name ~==~~li__~~_
~ .
• ~~Of LAKEVI LE
Plumbing Inspect. Dept.
Send opp~~cQtion and check for permit to : Box M .