HomeMy WebLinkAboutLA092094 PERMIT
City of Lakeville Permit Type. Plumbing
20195 HOLYOKE AVE Permit Number: LA092094
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 06/14/2006
Site Address: 16705 EAST LAKE DR
Lot: Block: Addition:
PID:
Use:
Description:
Sub Type: Lawn Sprinklers
Work Type: New
Description: INSPECTIONS, CALL 952-985-4440
Meter Size Type Manufacturer Meter Nbr Remote Number Line Size
Remarks: NEED ADDRESS WHO TO BILL WATER UNLESS CHARLES CUDD.
Fee Summary: Surcharge (.50) 0.50 1000-2127
PL -Residential (Minimum) 39.50 1000-4152
MXU 130.00 7600-5163
Water Meter 820.00 7600-5161
$990.00
Contractor: -Applicant - Owner:
STEWART PLUMBING INC.
13025 GEORGE WEBER DRIVE SUITE #1 St. Lic.:
ROGERS, MN 55374-9137
(763)428-1833
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/Pennitee: Signature Issued By: Signature
PLUMBING PERMIT APPLICATION ~Ce use o~,ly
' Permd ui ber
CITY OF LAKEVILLE
- ~
~ ~ ~ BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
~ LAKEVILLE, MN 55044
\ l 952-985-4440 ~
Date Received
www. ci.lakeville. tnn. us
~ :a~ ~ t.~
YOUR E-MAIL ADDRESS ~L
DATE
SITE ADD SS ` tl- CJ ~ ~ ~yl
TENANT SUITE NO.
THE APPLICANT IS: ? RESIDENT OWNERCONTRACTOR
NAME r
RESIDENT-OWNER ADDRESS Z7b^ _
CITY/~~ .o~ STAT ZIP c5 ~
DAYTIlvfE PHONE # WHERE. YOU CAN BE REACHED ~!Z ~ G ~S ~
COMPANY NAME. i/1o LICENSE V CJr/
.ADDRESS dL ?
CONTRACTOR CTT STATEu~RV ZIP J~~
L ~ ~ CONTACT NAME ! L 'rl
' DAYTIIv1E PHONE # WHERE YOU CAN BE REACHED 7b~ 7 ~-d ~ ~~33
COMMERCIAL ONLY RESIDENTIAL ONLY
? COMM PLMBG SYSTEM ? LAWN SPRINKLER ? INSIDE PLBG
PERMIT TYPE ? COI\~IlvIlMUI,TI-FAMILY ? WATER SOFTENER CONVERSION
LAWN SPRINKLER ? WATER HEATER ? ADDN/REPAIR
? FIRE SPRINKLER ? MISC
? RPZ Available on-lime Residential Permits Available on-line
? NEW ? ADDITION ? ALTER !REMODEL
TYPE OF WORK
? REPAIR ? REPLACE ? DEMOLITION
~ t r
JOB DESCRIPTION c~ ,f7"~"~-`
RESIDENTIAL FEES:
Repairs or Remodel $40,00 (39.50 + .50 surcharge) Water Softener & Water Heater $15.00 (14.50 + .50 strcharge)
COMMERCIAL FEES:
JOB COST: $
.Example: $12,000 Job Gost
I-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
= OS + $12 OOO x .0005. = 6.00
Surchar a Contract Cost x .00 ,
( )
g
TOTAL = TOTAL $176.00
Minimum of $40.00 (39.50 + .50 surcharge)
NO.OF METERS SIZE OF METER LOCATION OF METER
~ ;
A lic n 's Si nature Date
pp a t g
PLUMBING PERMIT APPLICATION PAGE 2
OFFICE USE
SYSTEM TYPE: INSPECTIONS:
NEW ROUGH-IN
ADDITION INAL
REPAIR RPZ TEST REPORT
DEMOLISH COMBUSTION AIR
REPLACE
ALTER/REMODEL
PERMIT FEE:
PERMIT FEE: $
SURCHARGE: $ ~ v
METER: $ ZQ ~
REDUCING VALVE: $
Mxu $ 3 ~ ~
OTHER: $
TOTAL: $ ~ ~
ISSUED BY: DATE: ~ ~l ~ y
COMMENTS:
Revised-03101/2004