HomeMy WebLinkAboutLA189866 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA189866
Lakeville,MN 55044
(952)985-4440 * L R 1 8 9 8 6 6 *
www.lakevillemn.gov Date Issued: 04i19/2021
Site Address: 7618 160th St W
Lot: Block: Addition:
PID:
Use: Lakeville Crossing II-B * *
Description:
Sub Type: Sprinkler/Alarm
Work Type: Alter/Remodel
Description: Upgrade old fire panel
Comments:
Fee Summary: Description Amount Revenue Code
Electrical Commercial(Minimum) $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
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Contractor: - Applicant - OWner:
Metro Alarm&Lock
3921 West 143rd St
Savage MN 55378
(952)890-6684
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.
Please provide a minimum of a 24 hour notice to schedule inspections.BUILDING INSPECTIONS: (952)985-4440,8 am-4:30 pm,M-F
ELECTRICAL INSPECTIONS: Call Brian Grey at(507)381-1791,7-8:30 am,M-F to schedule appointments
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Applicant/Permitee: Signature Issued By: Signature
Offce Use Only
ELECTRICAL PERMIT APPLICATION ��;C�j�{_����.
� ,� Permit Number'
CITY OF LAKEVILLE �(^� , E'
BUILDING INSPECTIONS DEPARTMENT , V�'��'" r �``�L�� �
/ �" �' 20i95 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 �
�r � 1�1 � �\
952-985-4440 Date Received
www.lakevillemn.Qov �`��
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Submit to: permits(c,�lakevillemn.gov Fee Tocal
DATE 16-Apr-21 YOUR E-MAIL ADDRESS service(c�metroalarmco.com
sITE ADDREss 7618 160th Street West
TENANT Lakeville Crossinq II -B SUI'rE NO.Sprinkler room
THE APPLIANT IS: �RESIDENT OWNER �CONTRACTOR
NAME
RESIDENT OWNER �DRESS
CITY STATE ZIP
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPAt�1YNA1viE Metro Alarm Contractors, Inc. LICENSE#EATS000401
CONT�tACTOR ADD�ss 3921 W. 143rd Street
Company name must be as CITY Savaqe STATE M N zIP 55378
appears on State License oFFICE PHONE# 952-890-6684 FAX#
CONTACT NAME Matt Conner PHONE 952-374-6180
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL!INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �✓FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITUTIONAL �OTHER(see description)
Residential Addition/Remoded Permits Available on-line
TYPE OF WORK �NEW �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.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
I�FTAII Fll �1FS�`RIPT�[�N (1F l�/(�RK,_jJn?ra�lP nlri fi�gnanal that mnnitnrc thc crrink�Pr c��tom
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)
CO1K�'IERCTAI.FEES: Minimum of$40.00+$1.00 State Surcharge(one trip}—Remodel Minimum$70.00+$1.00 State Surcharge(hvo trips)
JOB COST: $2,195.00 Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $40.00 $10,000.00 x 1.5%_ $150.00
1%of cost above$10,000 plus surchazge + $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $1.00 $12,000 x.0005 = + 6.00
TOTAL = $41.00 = $176.00
I hereby apply for an electrical permit and I acknowledge that the information above is complete 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 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) Thomas R Bonwell
SIGNATURE OF APPLICANT:
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FOR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW 0 FINAL �
ADDITION �� FIRE ACCEPTANCE TEST ��
ALTER/REMODEL �� IN FOOR HEAT �-�
ROUGH-IN
___
SERVICE �
TRENCH ��
PERMIT FEE
PERMIT FEE: $
SURCHARGE: $
OTHER: $
TOTAL: $ 0.00
PERMTT ISSUED BY: DATE:
COMMENTS: