HomeMy WebLinkAboutLA193963 PERMIT
City of Lakeville ' Pe�it TyPe: Electrical
20195 Holyoke Ave Permit Number: LA193963
Lakeville,MN 55044 �
(952)985-4440 * L R 1 9 3 9 6 3 *
www.lakevillemn.gov Date Issued: 08/17/2021
Site Address: D1 Grumman La
Lot: Block: Addition:
PID: 22-00400-25-020
Use:
* ZZ — OJ0400 — ZS - 020 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: New Airplane Hangar
Comments:
Fee Summary' Descri tion Amoun Revenue Code
Valuation: 4,000.00• EL-Commercial-New $60.00 1000-4167
Surcharge-Based on Valuation $2.00 1000-2127
Total: $62.00
Contractor: - Appl;cant - Owner:
Egan Electric Inc
305 4th St NE
New Prague MN 56071
(952)290-6555
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
��P��
Applicant/Permitee: Signature Issued By: Signature
ELECTRICAL PERMIT APPLICATION �ffic�Use O�ly
CITY OF LAKEVILLE P �mit Num er
BUILDING INSPECTIONS DEPARTMENT ���� _ � `,�j �%�,�" �
� � 20195 HOLYOKE AVENUE Received By �"
LAKEVILLE MN 55044 �}
952-985-4440 �� �� J��
Website: www.lakevillernn.eov IDateReceived
Email:permits@lakevillemn.gov �l�' 'L � ��
/ Fee Total
DATE ��l ���Q� � YOUR E-MAIL ADDRESS �� � `� c'_��-i
SITE ADDRESS ��t' ��.� ��'- �� ,,�f�o �� �k �'*- �,/
TENANT / lpB�l� SUITE NO.
THE APPLIANT IS: RESIDENT OWNER
NAME
RESIDENT OWNER ADDRESS
CITY STATE ZIP
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME � ; LICENSE#EA��'�""_"Y-
CONTRACTOR ADDRESS � bs !fn � �
Company name must be as CITY f��"/" �'���� STATE��ZIP�J`�{'
appears on State License OFFICE PHONE# �S -a���`� FAX#
CONTACT NAME �� PHONE ,�1.'0290^/eSf�
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 INSTITUTIONAL OTHER(see cription)
Residential Addition/Remodel Permits Available on-ine
NEW ADDITION ALTER/REMODEL
TYPE OF WORK
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.
DETAILED DESCRIPTION OF WORK: � s /
, i/� ' Fit/ � iGQ `�- �
E P
RESIDENTIAL FEES:
New Construcrion: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,L.ower Level: $70.00+$1.00 State Surcharge (two trips)
C�MMERCIAL FEES: Minimum of$40.00+$1.00 State Surcharge(oae hip}—Remodel Minimum$70.00+$1.00 State Surcharge(two trips)
JOB COST: ��vDC7-a� Exampie:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $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 = _ $176.00
I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
confonnance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;that I understand flus is not a pernut
but only an application for a pernut and work is not to start without a permit;that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) r' a,
SIGNATURE OF APPLICANT:
PLEASE NOTE: SEPARATE FERMITS ARE REQU D FOR ANY BUILIIING,MECHANICAL&PLUMBING WO$IC
F4R OF'FIGE ITSE�NLY;
TYPE OF WORK INSPECTIONS
NEW FINAL
ADDITION FIRE ACCEPTANCE TEST
ALTER/REMODEL IN FOOR HEAT
ROUGH-IN
SERVICE
TRENCH
PERMIT FEE
PERMIT FEE: $
SURCHARGE: $
OTHER: $
TOTAL: $
PERMIT ISSUED BY: DATE:
COMMENTS:
(9/18/2020)