HomeMy WebLinkAboutLA078068 - West Dog House PERMIT
City of Lakeville Permit Type: Plumbing
20195 HOLYOKE AVE Permit Number: LA078068
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 06/10/2004
Site Address: XX~~~~ EASTWOOD AVE
Lot: Block: Addition:
PID:
Use: LAKE PLACE 2ND DOGHOUSE
Description:
Sub Type: Comm/Muti-Family Lawn Sprinkler
Work Type: New
Description: Applicant Must Call for Ins.
Meter Size Type Manufacturer Meter Nbr Remote Number Line Size
Remarks:
Fee Summary: Surcharge (.50) 0.50 1000-2127
PL-Commercial (Minimum) 39.50 1000-4152
MXU 130.00 7600-5163
Reducing Valve 180.00 7600-5165
Water Meter 403.00 7600-5161
$753.00
Contractor: -Applicant - OWrier:
B. R. PLUMBING
6250 INDUSTRY AVENUE NW NO 207 St. Lic.:
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 office use o„iv
+ CITY OF LAKEVII.LE Permit N~nnber
' ~ ~ BUII.DWG WSPECTIONS DEPARTMENT
~ / 20195 HOLYOKE AVENUE Received By
LAKEVII.LE, MN 55044
952-985-4440
Data Received
f----~ wevw ci.laleville.tnn.us
DATE h" I Q ' ~N YOUR E-MAIL ADDRESS
s1TE ADDRESS ~X ~ X X ~~157 X10 Ol) ~1 y ~
TENANT SUITE NO.
THE APPLICANT IS: ? RESIDENT OWNER ? CONTRACTOR
....NAME
RESIDENT OWNER ADDRESS
CITY STATE ZIP
DAYTIlvIE PHONE p WHERE YOU CAN BE REACHED
COMPANY NAME 2~N~ ~ N C~ °I' ~l a ~T IV G LICENSE u
ADDRESS 6 0~ 5D l3 uvK~ ~l<~ LVI~ S ~t~~' fC ~ 0 7
CONTRACTOR Cry S E y STATE ~ V ZIP ~ ~ ~
CONTACT NAME
DAYTIlVIE PHONE # WHERE YOU CAN BE REACHED
COMMERCIAL ONLY RESIDENTIAL ONLY
? COMM PLMBG SYSTEM ? LAWN SPRIIVICLER ? INSIDE PLBG
PERMIT TYPE OIV~IIv1/MULTI-FAMILY ? WATER SOFTENER CONVERSION
LAWN SPRINKLER. ? WATER HEATER ? ADDN/REPAIR
? FIRE SPRINKLER ? MISC
? RPZ Available on-line Residential Pernrits A~~ailable on-line
? NEW ? ADDITION ? ALTER /REMODEL
TYPE OF WORK
? ~pggt ? REPLACE 0 DEMOLITION
JOB DESCRIPTION
RESIDENTIAL FEES:
Repairs or Remodel $40.00 (39.50 + .50 surcharge) Water Softener & Water Heater $1.5.00 (14.50 + .50 surcharge)
COMMERCIAL FEES:
JOB COST:
.Example: $12,000 Job Cast
1-1/2% of contract cost up to $10,000 and $10,000.00 ~ 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
Applicant's Signature ~ Date y