HomeMy WebLinkAboutLA107654 PERMIT
City of Lakeville Permit Type: Plumbing
20195 Holyoke Ave Permit Number: LA107654
Lakeville, MN 55044
(952) 985-4440
* L R 1 PJ 7 6 5 4
www.ci.lakeville.mn.us Date Issued: 08/22/2008
Site Address: 16348 Elm Creek La
Lot: 003 Block: OOl Addition: Fieldstone Creek 3rd Addition
FID: 22-26702-059-18
Use:
* 2 2- 2 6 71
?
J 2- P15 9 -18
Description:
Sub Type: Water Softener
Work Type: New
Description:
Meter Size Meter Tune Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary Description Amount Revenue Code
PL -Water Softener/Filtration $19.50 1000-4152.
Surcharge (.50) $0.50 1000-2127
Total: $20.00
Contractor: -Applicant - Owner:
Merles Water Corp DR Horton Inc MN
2200 East Highway 36 20860 Kenbridge Ct Ste 100
North St Paul MN 55109 Lakeville MN 55044
(651) 777-1349
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO: (1) THE APPROVED PLANS &
SPECIFICATIONS; (2) THE APPLICABLE CITY. ORDINANCES & CODES; AND (3) THE MN STATE BUILDING CODE.
Applicant/Permitee: Signature ~ - Issued By: Signature
' PLUMBING PERMIT APPLICATION office use only
CITY OF LAKEVILLE ~ j Permit N~er
~ ~ BUILDING INSPECTIONS DEPARTMENT
~ 20195 HOLYOKE AVENUE
LAKEVILLE, MN 55044 Received By
952-985-4440
- ~ www.ci.lakeville.mn.us Date Received
DATE ~ `T ~ G ~ YOUR E-MAIL ADDRESS
SITE ADDRESS ~ C ~ t
TENANT e ~ T ~ SUITE NO.
THE APPLICANT IS: ? RESIDENT OWNER CONTRACTOR
NAME ,,~p` ~ t 'nl ale~C/V
ADDRESS /~.S'~ ~S ~G°~`l ('~Z~~C ~L.
RESIDENT OWNER -r-
CITY G,~ ~ sTATE lzitt~~ c zIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED
COMPANY NAME Merles Water Cora LICENSE # WI436
ADDRESS 2200 East Highway 36
CONTRACTOR CITY No St Paul STATE MN ZIP 55109
OFFICE PHONE # (6511777-1349 FAX #
CONTACT NAME Dave Regnier PHONE 651-777-1349
COMMERCIAL ONLY RESIDENTIAL ONLY
? COMM PLMBG SYSTEM ? LAWN SPRINKLER ? INSIDE PLBG
PERMIT TYPE ? COMM/MULTI-FAMILY WATER SOFTENER CONVERSION
LAWN SPRINKLER ? WATER HEATER ? ADDN/REPAIR
? FIRE SPRINKLER ? MISC
? RPZ (Available on-line Residential Permits Available on-line
'SEW ? ADDITION ? ALTER /REMODEL
TYPE OF WORK ~
? REPAIR ? REPLACES` / / ? DEMOLITION
JOB DESCRIPTION T~~ ~tI' ~k`'_ ..~/~%,$-~~x
RESIDENTIAL FEES:
Repairs/Remodel or Water Heater $40.00 (39.50 + .50 surcharge) Water Softener $20.00 (19.50 + .50 surcharge)
COMMERCIAL FEES:
JOB COST: $
Example: $12,000 Job Cost
1-1/2% of contract cost up to $10,000 and $10,000.00 x 1.5% _ $150.00
1% of cost above $10,000 plus surcharge. + $ 2,000.00 x 1% = 20.00
(Surcharge =Contract Cost x .0005) + $12,000 x .0005 = 6.00
TOTAL = TOTAL $176.00
Minimum of $40.00 (39.50 + .50 surcharge)
NO.OF METERS SIZE OF METER LOCATION OF METER
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Plumbing Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan
in the case of all work which requires review and approval of~s. ~
NAME OF APPLICANT (Please Print) = ~pC'~ ~ ' " ~ ftL~~ Date ~ b
SIGNATURE OF APPLICANT:
PLF,ASE NOTE: SEPARATE FERIV1ITS ARE REQ IRE FOR '1' BUILDING, 1~IECILANICAL & ELECTRICAL WORK