HomeMy WebLinkAboutLA176693 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA176693
Lakeville,MN 55044
(952)985-4440 �K L R 1 7 6 6 9 3 �K
www.ci.lakeville.mn.us Date Issued• O1/14/2020
Site Address: 8250 202nd St W
Lot: Block: Addition;
PID:
Use: Aronson Park * *
Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: AlterlRemodel
Description: Hook up new scoreboard,field#1,2,3,4
Comments:
Fee Summary' Description Amount Revenue Code
Valuation: 500.00 • Electrical Commercial(Minimum) $40.00 1000-4167
Surchar�- $1.00 $1.00 1000.2127
Total: $41.00
Contractor: - Applicant - OWner:
Helm Electric
22008 Canton Court
Farmington MN 55024
(952)461-2460
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
Office Use Onl,�
ELECTRICAL PERMIT APPLICATION ��( ;; �r;c:7 �
" Permit Numbei
$ =�'� CITY OF LAKEVILLE
BLIILDING INSPECTiONS DEPARTMENT ��"\ �''�
l � j 20195 HOLYOKE AVENLJE Received By
LAKEVILLE,MN 55044 �� �`T�� ���
952-985-4440 Date Received
wwvv.lakevillernn.�ov �_� 0.00`.
Fee Total
DATE 1-8-20 YOUR E-MAIL ADDRESS
si'rE twD�ss $250 202nd St
TENANT Aronso� Park SUITE No.
THE APPLIANT IS: �RESIDENT OWNER �CONTRACTOR
Nt1ME
RESIDENT OWNER �B�'���
CIT`Y STATE ZIP
DAYTIME PHONE#Wf�RE YOU CAN BE REACHED
C01viPANY NAME Heim Electric Inc LICENSE#EA 000832
CONTRACTOR ADDRESS 22008 Canton Ct
Company name must be as CITY Farminqton STATE MN ZIP 55024
appears on State License pFFICE PH�NE# 952�461-24�� FAX#
CONTACT NAME Rick Martinson PHONE 612-599-9804
❑SINGLE FAMILY ❑MULTT-FAMILY ❑SWIMMING POOL
❑TWO FAMILY �COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE �TOWNHOUSE ❑MANUFACT[JRED HOME �FIRE ALARM POWER
❑Meter Bank �COntractor Only) �SIGN
❑Single Meter fl����'�d�'�' �OTHER(see description)
Residerrtial Addrtiorc/Remodel PermitsAvailable on-line
TYPE OF WORK �NEW �ADDITTON �AI,TER/REMODEL
❑MAINTENANCE/REPAIR �TENANT FINISH �DEMOLITION
Only Licensed Electrical Contractors cao do work in a Townhouse that has meter bank instead of single meters attached to the units.
Only Licensed Electrical Contractors can do work in Manufactared Home Parks.
I�FTAII Fft IIF�C'.RIPTIt)N(1F WnRK� hnnk�in naw ernrahQ�rric fialri#1��d
RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surchazge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodei,Lower Levei: $70.00+$1.00 State Surcharge (two trips)
C0�'IM�'RCIAI.FE�'S: Minimum of S40A0+$1.00 State Surcharge(one trip}—Remodel Minimam S70.00+S1.01!Stste Surcharge(two trips)
JOB COST: $ 1,600.00 Egampte:$12,000 Job Cost
1-1/2%of contract wst up to$10,400 $40.00 $10,000.00 x 1.5%= $150.00
1%of cost above$10,000 pius surcharge + $ 2,000.00 x 1% _ + 20.00
(Surchazge=Contract Cost x.0005) + $1.00 $12,000 x0005 = + 6.00
TOTAL = $41.00 — $176.d(}
� I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
t conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;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 plans.
NAME OF APPLICANT(Please Print) Riek Martinson
SIGNATURE OF APPLICANT:
PLEASE NOTE: SEPARATE PERMT!'S ARE REQUIRED� OR ; UILDING,MECHANICAL&PLUMBING R'ORK