Loading...
HomeMy WebLinkAboutLA184003 PERMIT City of Lakeville Permit Type: Electrical 20195 Holyoke Ave Permit Number: LA184003 Lakeville,MN 55044 � (952)985-4440 * L R 1 8 4 f� PJ 3 * www.ci.lakeville.mn.us Date Issued• 09/16/2020 Site Address: 17901 Euclid Ave Lot: Block: Addition: PID: Use: Velocity Telephone * * Description: Sub Type: CommerciaUIndustrial Addn/Rmdl Work Type: Alter/Remodel Description: Meter&panel for phone box SW corner of 179th &Euclid Comments: Fee Summary' Description Amount Revenue Code Valuation: 500.00 • Electrical Commercial(Minimum) $40.00 1000-4167 Surcharge- $1.00 $1.00 1000.2127 Total: $41.00 � � r� � ��. Contractor: - Appii�ant - Owner: Thar Electric LLC 20385 Iberia Lakeville MN 55044 (651)408-3348 I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO:(1)THE APPROVED PLANS& SPECIFICATIONS;(2)THE APPLICABLE CITY ORDINANCES&CODES;AND(3)THE MN STATE BUILDING CODE. �� �,�� Applicant/Permitee: Signature Issued By: Signature L �4�, ��t���, �� — l� � '� fOfficel3se`O�ly � ' ELECTRICAL PERMtT APPLiCATII?N G1-�;C� "-� Fermit�?�1um6er � ( �]TY pF ijAKEV1LLE � ����a �, � BtJ13..DING 11�3SPECTtON�DL•,PARTMEI�T eccived�y � 20195 HUT�"S�C)KE AVE2*iUE LAKCVILL�,iv1N 55044 " "�� � 952-985-4440 Datc eceivcd � u�w ti�.lzikci�i i f c�nn.�rau �.00 k?11"� `t t fee Tota3 DAT� 9/141�02� YUU[t E-MAIL ADDRESS thorelectric(7a,aomca�t.r�et SITE AUDRESS 1790'1 euclid ave '��t�AzaT sur�r��a. �'HG APPLIAN`fi[S: QRES[UL-Ti'i'QWIVER �C�i�lTRACT�R NAME v810C1#Y t�1BAh011t� �SI�?E�`T t)W1+1�R ADDR3ESS 656 mendelssohn aue n CtTY qalden vall�y s'rATE mn Zt� 5�42? � DA'YTIM�PI°IQNF#VIJI-IERE YQ1J CAN BE REACH�D 6'12=$�0-536'� � �flMi�ANY A�AM�thor electri� LICENSE#�A DO$104 C4NTRACTCIR AI�DItESS 20�$5 Ibefiia 8V� Cornpauy name rnust be as CITS� Ic�I�8V1�18 $TATE t71�i Z1P 55Q44 appears on Siate Licertse OFFICE PH(7NE# �A}:# CONTACT NAME kY1e PHONE 651-408-334$ QSINt'rLE FAMtLY ❑MLTLTI-NAMILY ❑SWiMMING PO(7L t p�rwo�at�r�� �coM��c�trrrr3us�xz��. 1�uta���irrE� � ������� ❑�rowta�ausr ❑tvu�vu��cn3x�n xon�� p�zt�r��.att�vt pr� ; C(t�etcr sanx ��c�ntr�ctor onay) dsIGI+3 ' ❑Single Meter ❑]lVST1TUTIONAL �t)TIiEIt{see ciescription) � R'u.eirl�x�iof Arlxl#�orrlRemnrtUl Psrnits r1 vuflat�7e r�n-t�ne � TYpE U�'WtJRI£ ❑NEt�' QAE3INTi{)�d C�LTEIt/�EMOI3EL ❑MAINTEIVAT�tCE/EtEPAIR �TBNANT FIMSH QI3EMOL1Tit7N Only LIceased Elcctrlcai Canttactars cun do work in a fiownhousc fhat has meter bank tnstead nf s�etgCe meters attacbed ta the units. Cluly I,ic�ased�lcetricai Contracfom can du work 1a Mannfacture8 Hnme Farks. DETAlLED DESCRtPTION OF V1/ORK: mefier and panel for phane box south west comer of 179th anct euc�ct ave � . �srn��vri�t��t.�s: A��w Cvnstractit�t�: �i35.OD-t 5i.00 Staie Surc3sarge {up to ttu'ce tri}�t ��tti�airs: 540.1�+5l.fl0 State 5urcha� (one trip) Additicins,Remodel,L.ower I.euel: �70.U0+�1.00 3tatc Sunchar�;e (two trips) Ct�MM��C1�L FEES: �ip�mam ot xaa.tw+s�.00 St�tr Snrebar�e ioec tripp—I�emodal Mloimam S70.a�+s�.oa stmte sur��a�f�+o�p,> ;�fl$CO5T. ��OQ.00 Example:512,000 JaU Cost l-If2°/a ofcontract cost up to�lO,UflD $40�00 $]Q,Q00.00 x 1.5%_ $150,fl0 ��lo of cc+�t above�10.4Q0 plus surcharga -t- � 2,000.40 x 1°!o = t� 20.00 {Surchat�e=Coniract Cost x.�5) a- �r1.0{} "�12,4�Otl x,0�t?S = + fi.00 �t�T�L = �41.fl0 - ��7�.00 f 1 hereby appiy for an clecuical peimil artd ! acknowlcdge ihut thc informalian above is,complete and accura�e� ihai thc wotk wi11 he i�'t• �ni'omy�as witfi ih�ordinances and cades of the City af LakeviHe und wiih tha Minnesflfa Elechicai Ac�that 1 undcrsiand this is not a permi#� but only an applic�tion for a permit and wnrk is not to stgn withont a peimit;that ihe tivork wi]1 be in accordance with the ap�roved.p1sn in t�z cas�of a!J work which r+c�uires review and�pproval of'plans. JdAM�QF APPLICANT{Piease P�int) k 1@ y�@dkE' SIGNA'TURE�F APPLICANT_ � �� PG�ASENt�+:.. A REQ'u! = T7U,1l11��iktEf.7�lNiCAGdr�LUN�BAVG WQI�K,' � v� ;: �, t:, . �. ��v ,w � .. # , * t::: �� ,�..��..w ���.�:- >....� x. �X; , ..,:, �._.` .{x.:: I .. BOR OFFICL IISE ONLY: � TYPE OF WORK INSPECTiON.� NEW C-� FINAE. �" ADDITION _�"� FIRE ACCEPTANCE TfiS�` i:� ALT`ER/REMODEL [� IN FOOR HEAT ��" ROUGH-IN (—��' s'ERVICE I—'] �ENCH �� QERMIT FEE PERMIT FEE; � SURCHARGE: � OTI�R: � TOTAL: $ O:Gu PERMIT ISSUED BY• DA1T• CaMMENTS: