HomeMy WebLinkAboutLA073189 - East Dog House PERMIT
Clty Of LakeVllle Permit Type: Plumbing
20195 HOLYOKE AVE Permit Number: LA073189
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 09/12/2003
Site Address: X~O~XX EASTWOOD AVE
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: NEAR ADDRESS 17072 EASTWOOD AVE
Fee Summary: Surcharge (.SO) O.SO loon-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
6250 INDUSTRY AVENUE NW NO 207 St. Lic.: PM003971
RAMSEY, MN 55303
(763)323-0776
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
LAKEVILLE, MINNESOTA 55044
DATE: (952) 985-4440
JOB SITE ADDRESS: ~ ~ C~ c~ e--~
BUSINESS NAME:
APPLICANT: OWNER OR CONTRACTOR (circle one) ~
OWNER OR BUILDER: S U i'~ S-e..~ PHONE:
STREET ADDRES~IS,: CITY: ZIP: r
CONTRACTOR:. y ~ \ ~ ?~~,1 A r` PHONE: ~ ~ 3 ~ ~ ~ 3 ~ ~ Y~
CELL ~6 ~ g' PAGER FAX
STREET ADDRESS: ~ S U ~ ~ a • e, CITY: a. ZIP: 5
NEW CONSTRUC TiTN~R EXISTING (circle one)
.,x
COMMERCIAL PLUMBING SYSTEM (20) PLUMBING SYSTEM (Z I)
SOFTENER (22) FIRE SPRINKLER SYSTEM (23)
LAWNSPRINKLER (25)~_INSIDE PLBG CONVERSION (26)
ADDN/REPAIR (27) WATER HEATER (28) RPZ (29) MISC (30}
FOR: RESIDENTIAL~_ COMMERCIAL
JOB COST: (To be completed for commercial & fire sprinkler systems)
JOB DESCRIPTION:
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 (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)
~~.3.