HomeMy WebLinkAboutLA191832 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave .,,�. Permit Number: LA191832
Lakeville,MN 55044 :� ���'
(952)985-4440 i'��''T��
* L A 1 9 1 8 3 2 *
www.lakevillemn.gov Date Issued: 06/15/2021
Site Address: 718 Juliet Dr
Lot: Block: Addition:
PID: �
Use:
* *
Description:
Sub Type: Manufactured Home
Work Type: New
Description:
Comments:
Fee Summary: Description Amount Revenue Code
EL-Manufactured Home $40.00 1000-4167
Surcharge- $1.00 $1.00 ]000.2127
Total: $41.00
� � � �- _ �(�_
Contractor: - Applicant - OWner:
Mercury Electric Corporation
]0 N Oaks Rd
Vadnais Hts MN 55127
(651)464-1660
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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ApplicantlPermitee: Signature Issued By: Signature
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Office Use Only
ELECTRICAL PERMIT APPLICATION I �' ; �'r � '
Pei nit Number '
CITY OF LAKEVILLE �� '�� _ �,,�� �
BUILDING INSPECTIONS DEPARTMENT '� ��
/ ' ' 20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 ` � ��� " ��,�
952-985-4440 Date Received
www.lakevillemn.gov �.���3�I �
Submit to:permits(a�lakevillemn.qov � �
Fee Total
DATE 6-15-2021 YOUR E-MAIL ADDRESS deb@mercury-electric.com
S�TE fwD�ss�18 Juliet Drive
TENANT SUITE NO.
THE APPLIANT IS: ❑RESIDENT OWNER �CONTRACTOR
NAMEArdmor MHC LLC
RESIDENT OWNER �D�ss$$00 Bronx Ave. N. FI 2
CITY SkOkle STATE�� ZIP 60077
DAYTIME PHONE#WHERE YOU CAN BE REACHED 952-469-5319
COMP.�1vv NaME Mercury Electric Corporation LICENSE#EA EA004259
CONTRACTOR ADD�ss 10 North Oaks Road
Companynamemustbeas CITY St. P8U1 STA�MN ZIP 55127
appears on State License OFFICE PHONE# 651-464-1660 FAX#
CotvTAC7'N,�1v1E Steve Tomnitz 651-755-4284 Electrici�..loNE
❑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/Remodel Permits Available on-line
TYPE OF WORK �NEW ❑ADDITION ❑ALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANTFINISH ❑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.
DETAILED DESCRIPTION OF WORK� Wire home and A/C
RESIDENTIAL FEES:
New Conshuction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
C�MMERCIAI.FEES: Minimum of$40.00+$1.00 State Surcharge(ooe trip)—Remodel Mioimum$70.00+$1.00 State Surcharge(two trips)
JOB COST: $500.0o Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 ao.00 $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 for an electrical permit and I acknowledge that the infonnation 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) Peter Bourland
SIGNATURE OF APPLICANT: �0� �g
PLEASE NOTE: SEPARATE PERMiTS ARE REQUiRED FOR ANY BUII,DING,MECHANICAL&PLUMBING WORK
FOR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW �� FINAL ��
ADDITION �� FIRE ACCEPTANCE TEST ��
ALTER/REMODEL �� IN FOOR HEAT ��
ROUGH-IN 0
SERVICE 0
TRENCH [-�
PERMIT FEE
PERMIT FEE: $
SURCHARGE: $
OTHER: $
TOTAL: $ 0.00
PERMIT ISSUED BY: DATE:
COMMENTS: