HomeMy WebLinkAboutLA185774 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA185774
Lakeville,MN 55044
(952)985-4440
www.ci.lakeville.mn.us �K L R 1 8 5 7 7 4 �K
Date Issued: 11/OS/2020
Site Address: 7640 215th St W
Lot: Block: Addition:
PID: �
Use: Inthermo
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Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: Alter/Remodel
Description: Replace 70A feeder
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: $41.00
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Contractor: - Applicant - Owner:
Helm Electric
22008 Canton Court
Farmington MN 55024
(952)461-2460
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO:(1)THE APPROVED PLANS&
SPECIFICATIONS;(2)THE APPLICABLE CITY ORDINANCES&CODES;AND(3)THE MN STATE BUILDING CODE.
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Applicant/Permitee: Signature Issued By: Signature
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ELECTRICAL PERMIT APPLICATION � C-
c Permit Number
`"` CITY OF LAKEVILLE ,�.�.,ty� �����
BUILDING INSPECTIONS DEPARTMENT �
/ � " 20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55(144 ��� '�" ' �l�;�
952-985-4440 Date Received
www.takevillemn.�ov 0.00`t`�I I ��
Fee Total
DATE 11-3-20 YOUR E-MAIL ADDRESS rmartinson(a�helmelectricinc.com
SITE ADDRESS 7640 215th St W
TENANT Inthermo SUITENO.
THE APPLIANT IS: �RESIDENT OWNER �CONTRACTOR
NAME
RESIDENT O�'NER �DRESS
CITY STATE ZIP
DAYITME PHONE#WHERE YOU CAN BE REACHED
COMPAtvY N� Helm Electric Inc L�c�SE#E.�000832
CONTRACTOR ADDRESS 2200$Canton Ct
Company name must be as CITY Farminqton STATB MN ZIP 55024
appears on State License pFFICE PHONE# 952-461-2460 FAX#
CON'rACT NAME Rick Martinson PHONE 612-599-98Q4
❑SINGLE FAMILY ❑MULTI-FAMILY ❑S WIMMING POOL
❑TWO FAMILY m COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑5ingie I�ieter ❑�STITUTIONAL �OTHER(see description)
Residetttial Additionf Remodel Permits Available on-line
TYPE OF WORK ONEW �ADDITION �ALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FINISH �DEMOLITION
Only Licensed Electrical Contractors can do work in a Townhouse that has meter bank instead of single meters attached to the units.
Onty Licensed Electrical Contractors can do work in Manufactured Home Parks.
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RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surchazge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
C�MIKERCIAI,r+E�'S: Minimum of Sd0.00+$1.00 State Surcharge(one trip}—Remodel Minimum$70.00+S1.00 State Sarc6arge(two trips)
JOB COST: $600.00 Example:$12,000 Job Cost
1-1/2°l0 of contract cost up to$10,000 $40.00 $10,000.00 x 1.5%= $150.00
i%of cost above$10,000 plus surcharge + $ 2,0(?0.00 x 1% _ + 20.00
(S;ucharge=Contrac±Cost x.00OS) + $1.OQ $12,040 x.0005 = + 6.00
TOTAL = $41.00 = $176.00
I hereby apply for an electrical permit and I acknowledge that the information above is comptete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;that I undeistand this is nat 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
csse of all work which requires review and appro�a2 of plars.
NAME OF APPLICANT(Please Print) Riek Martinson
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SIGNATURE OF APPLICANT: %
PLEASE NOTE: SEPARATE PERMII'S ARL REQUIRED FOR AN B DIN M ICAL&PLUMBING WORK
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