HomeMy WebLinkAboutLA190648 PERMIT
City Of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA190648
Lakeville,MN 55044 `. :: `
(952)985-4440 �K L Fl 1 9 0 6 4 8 �K
www.lakevillemn.gov :. Date Issued: OS/13/2021
Site Address: C1 Grumman La
Lot: Block: Addition:
PID:
Use: Airlake Airport * *
Description:
Sub Type: CommerciaUIndustrial Addn/Rindl
Work Type: New
Description: New service
Comments:
Fee Summary: Descri tion Amount Revenue Code
EL-Commercial Addn/Rmdl $60.00 1000-4167
Valuation: 4,000.00 Surcharge-Based on Valuation $2.00 1000-2127
Total: $62.00
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Contractor: - applicant - Owner:
Fish-In Electric
28848 Hamilton Ct
Randolph MN 55065
(651)335-8383
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO:(1)THE APPROVED PLANS&
SPECIFICATIONS;(2)THE APPLICABLE CITY ORDINANCES&CODES;AND(3)TI�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 appoinhnents
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Applicant/Permitee: Signature Issued By: Signature
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ELECTRICAL PERNIIT APPLICATIQN (; rj
Permit Number
- CTi'Y flF LAKEVILLE ` t (
BUILDINaG INSPECTiONS DEPARTMENT ��"s ��C"�"�4
l , ' 20195 HOLYOKE AVENLJE Received By —�
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LAKEVILLE,MN 55044 ��' �''�" l-1
952-985-4440 ��'�—
www.takevil(emn.�tov 0.00`�l,E�i�_• C',
Submit#o:f�ermitsCa�lakevi0emn.Aov F�Toral
DATE 'J'� jZ' �'j YOUR E-MAIL ADDRE5S /i t; !'�'1(.t-�
STFE ADDRESS � `7!`�Ltrrl�'/� L.Ge
TENANT SUTTE NO.
THE APPLIANT I�: �RBSIDENT OWNER ' �ONfiRACTOR
NAME Y' G � •
RESIDENf OWKER
ADDRESS t
CJTY��,,��� STATE�ZIP .:S�J�� �
DAYTIME PHONE#WHERE YOU CAN BE REACHED iG.S-[ "�!�'" ��✓� �
COMPANY NAME -(� i� LiCENSE# ��
CQP�IT[tACTOR A ADDRESS r �
Company name must be as CT£4' �l STATE �?� ZIP S�d��
appears on State License OFFICE PHOPIE#�,�j-33�"''�3��'J.�ry FAX#
COIdTACT NAME L�/�n.J PHONE
—�rt—r
, 0 SiNGLE FAMII.Y �MULTI-FAMILY (]SWIlti�t3ING POOL
❑TWO FAMILY �COMMERCIAL/INDUSTRIAL DUl*IDE�INED
PERMIT TYPE
f ❑TOWriFHOUSE ❑MANCJFACTURED HOME �F'IRE A�-ARM PaWER
Q���� (Contractor Only} �SIGN
� ❑5ingkA3eter ��STIT[TI'IdNAL (��jgR(s�description)
Residential Ar/ditionlRemodel Per�itr Available on-line
W QADDITION QALTER 1 REMODBL
TYPE UF VVORK
❑MAIN3ENANCEJREPAIR �TENANTFINISIi QBEMOLITION
Oniy Licensed EEeclrical Cantractors cag da work in a Townhouse thst hxs meter bank fnctead of�gle me�ers attach�l ta t6e�nite.
O�y I.�ceased Electrical Cenxractom cAn do work in Maanfactared Home Parks.
DTI ITI �" -
RESID�Ni'i'tAI.FEES:
IJew Constcuc6an: a 135.00+$1.�}State Snrcharge (up to thr�trips)
Repairs: $4U.�+$1.40StateSurcharge (onetrip}
Additions,Remodel,Lawer Level: $70.00+$1.00 State Surcbarge (two zrips}
COMMERCIAL FEE`S:� am of S44.BQ t S1.08 State Ssrcharge(oce h9p}—Remodei Mieimum S7B.90+S1.00 State Sarcharge(twa h3ps)
JOB COST: $ �y Ca�� Egample:$12,a0Q dob Cost
1-1/2%of contract cost up to$10,000 �d $14,000.{30 x 1,5%_ $150.00
1°Jo of cvst ab4ve$1 U,Ot}0 plus su[Charge + $ 2,040.{)4 x 3% _ + 2U.04
(S�arge=�.ontract Cost x.00OSj +�r $12,000 x.0405 = + 6.00
Tt3TAL = $0.00 -"" _ $176.00
I hereby apply for an el�trical permit and I ac�owledge that$�e infarmation above is complete arni accuiate�, that the wo�c will be in
conformance with the ardinances aad codes of the City of Lakeville and with the Miunesota Ei�trical Act;d�at I understand tiiis is not a permit
but only an application f�a permit ar�d work is not to staR without a pennit;that the work will be in accordance with the approved plan in the
casc of ail work which r�uires nwiew and appmval of plans.
NPsME OF APPLFCAI*IT(Piease Print) A � �
SIGNATURE(}F APPL.ICANT:
PLEASE 1V(YfE:SEPARATE P ARE QR ANY ii�iG,ME(:HANIC;AL&PLUMBINC R'dRK