HomeMy WebLinkAboutLA183646 PERMIT
City of LakevillC Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA183646
Lakeville,MN 55044
(952)985-4440 �K L R 1 8 3 6 4 6 �K
www.ci.lakeville.mn.us Date Issued: 09/O1/2020
Site Address: 5257 175th St W
Lot: Block: Addition:
PID: �
Use:
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Description:
Sub Type: CommerciaUIndustrial Addi�/Rmdl
Work Type: Alter/Remodel
Description: Irrigation equipment for townhouse development
Comments:
Fee Summary: Description Amount Revenue Code
Valuation: 600.00 Electrical Commercial(Minimum) $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
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Contractor: - Appl;�ant - Owner:
Cedar View Electric Inc
22776 Pine Trail
Lakeville MN 55044
(952)469-2100
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.
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Applicant/Permitee: Signature ssued By: Signature
Office Use Only
ELECTRICAL PERMIT APPLICATION I�`�:� '°,%�
- ernut Nu b��
CITY OF LAKEVILLE ��r y � ��
BUILDING INSPECTIONS DEPARTMENT ��•� �''���
20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 �" 1 " ��..�)
952-985-4440 Date Received
www.lakevillemn.gov ���l-�-� '� '
Fee Total
DATE ��YOUR E-MAIL ADDRESS� � C�.� �� !w �� � , �d,Z2�-�
siTEaDD�ss j��; 7 -- I ? �-f-r► S=1- r,� �
TENANT SUITE NO.
THE APPLIANT IS: ❑RESIDENT OWNER CONTRACTOR
NAME
RESIDENT OWNER �DRESS
CITY STATE ZIP
DAYTIME PHONE#WHERE YOU CAN BE REACHED ��J L��� ��'�X�,J�
COMPANY NA CEDAR VIEW ELECTRIC,INC. LICENSE#EA`y✓2-�
CONTRACTOR ADDRESS_ 22776 Pine Trail
Company nazne must be as CITY Lakevllle, MN 55044 ZIp
appears on State License OFFICE PHONE;tt���' � � 1 ��'1 �'��
CONTACT NAME PHONE
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME OFIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITUTIONAL ��ER(see description)
Residential Addition/Remodel Pernzits Availa le on- ne
TYPE OF WORK �NEW ❑ADDITION ❑ALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FII�TISH ❑DEMOLITION
Only Licensed Electrical Contractors can 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 Manufactured Home Parks.
D TAILED DE CRIPTION OF W RK: f�rL� C . �� FJ � - —�-
RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surchazge (up to three trips)
Repairs: $40.00+$1.00StateSwcharge (onetrip)
Additions,Remodel,I.ower Level: $70.00+$1.00 State Surcharge (two trips)
COMMERCIAL F S: Minimum of$40.00+$1.00 State Surcharge(one trip)--Remodel Minimum$70.00+$1.00 State Surcharge(hvo trips)
JOB COST: $ �+ �?��� Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $10,000.00 x 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 = $0.00 = $176.00
I hereby apply far an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
con£ormance with the ordinances and codes of khe City of Lakeville and with the Minnesota Electrical Act;that I understand this is not a permit
but only an applicafion for a permit and work is not to start without a perxnit;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) � ��/=��.,.. �-� �� 1 �-- �7�L
SIGNATURE OF APPLICANT: 4
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