Loading...
HomeMy WebLinkAboutLA071984 PERMIT 1 Permit T e: C ty of Lakeville yp Plumbing 20195 HOLYOKE AVE Permit Number: LA071984 I LAKEVILLE, MN 55044 2 - 95 985 4440 ( ) Date Issued. 10/13/2003 Site Address: 17229 ENCINA PATH Lot: Block: Addition: PID: Use: Description: Sub Type: Lawn Sprinklers Work Type: Addition Description: DOGHOUSE CORNERSTONE LKE 2ND ADD Meter Size Type Manufacturer Meter Nbr Remote Number Line Size Remarks: DOMESTIC METER 17163 ENCINA PATH PERMIT # 70386 WAS ADDED TO THIS PERMIT. i Fee Summary Surcharge (.50) 0.50 1000-2127 • PL-Commercial (Minimum) 39.50 1000-4152 I Reducing Valve 54.00 7600-5165 Water Meter 144.00 7600-5161 Reducing Valve 180.00 7600-5165 Water Meter 403.00 7600-5161 $821.00 Contractor: -Applicant - OWrier: PLYMOUTH PLMBG INC TOWN & COUNTRY HOMES 6909 WINNETKA AVE NO St. Lic.: 003912PM BROOKLYN PARK, MN 554280000 St. Lic.: (763)533-4357 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 .,..~-3: Applicant/Permitee: Signature Issued By: Signature PLUMBING PERMIT APPLICATION CITY OF LAKEVILLE BUILDING INSPECTION DEPARTMENT ' 20195 HOLYOKE AVENUE LAKEVILLE, J\~IINNESOTA 55044 DATE: ~ ® I©3 (952) 985-4440 .JOB SITE ADDRESS: 1 ~ a ~ C~+t t'~~~-~.., BUSINESS NAME: APPLICANT: OWNER OR CONTRAC_ O~ (circle one) OWNER OR BUILDER: ~~~9 PHONE: STREET ADDRES~S-~:~-~ CITY: ZIl': CONTRACTOR: `t°' l~-~l V'h~..-*~ 1 PHONE: CELL PAGER FAX STREE RESS CITY: ZIP: E CONSTRUCTIOhi.~ OR EXISTING (circle one) CO ~ RCIAL PLUMBING SYSTEM (20) PLUMBING SYSTEM (21) • SOFTENER (22) FIRE SPRINKLER SYSTEM (23) LAWNSPRINKLER (25) INSIDE PLBG CONVERSION (26) ADDN/REPAIR (27) WATER HEATER (28) RPZ (29) MISC (30) FOR: RESIDENTIAL__7~ COMMERCIAL JOB COST: (To be completed for commercial & fire sprinkler systems) JOB DESCRIPTION: `'~v°V-~~ c~~}l~ ~~~.9-~._ jC_ 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 SPRINKLER (25) Applicant's Signature Date PLUMBING FEE RATES Residential: Commercial: Repairs or Remodel $40.00 1-1 /2% of contract cost up to $10, 000 and (39.50 + .50 surcharge) 1% of cost above $10,000 plus surcharge. + (Surcharge =Contract Cost x .0005) + Water Softener & Water Heater $15.00 Includes Sprinkler Systems (14.50 + .50 surcharge) TOTAL = Minimum of $40.00 (39.50 + .50 surcharge) ? ! PLUMBING PERMIT APPLICATION PAGE 2 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/REM DEL 86 O ( ) PERMIT FEE: PERMIT FEE: $ SURCHARGE: $ METER: $ REDUCING VALVE: $ OTHER: $ TOTAL: $ APPROVED BY: DATE: COMMENTS: Revised 12/18!2001