HomeMy WebLinkAboutLA195559 PERMIT
City of LakeVille Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA195559
Lakeville,MN 55044
(952)985-4440 �K L A 1 9 5 5 5 9 �K
www.lakevillemn.gov Date Issued: 09/07/2021
Site Address: 8262 183rd St W
Lot: Block: Addition:
PID: �
Use:
* *
Description:
Sub Type: Temporary Service
Work Type: New
Description:
Comments:
Fee Summary: Description Amount Revenue Code
Electrical Addition/Remodel Fees $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
TotaL• $41.00
Contractor: - Applicant - OWner:
Aspen Electric Inc
8085 124th St
Savage MN 55378
(952)890-6364
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
'1�v;1 � �
Applicant/Permitee: Signature s ed By: Signature
Office Use On1Y
ELECTRICAL PERMIT APPLICATION �����j� �-�T
��:.�� _ _'-.�,--`__ ,
�;:;° ermtt N ber�
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT Reeeive
/ � � 20195 HOLYOKE AVENUE > (/A� ��
LAKEV,ILL�,MN 55044 ��l
952=985-4440 Date Received
www.lakevillemn.gov 41.00
_ Submit to:�ermits(c�lakevillemn.qov Fee Tocal
DATE 8/30/ YOUR E-MAIL ADDRESS�any(cr�.aspenelect�icinc:com
SITE ADDttESS 8262 183;r'd Stre@t W
TENANT SUITE N0.
THE APPL[ANT 1S: ❑RESIDENT OWNER ❑CONTRACTOR
NAME Dr Horton
RESIDENT OWNER ADDRESS
Cl'rY Lakeville s'rATE MN zIP 55044
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME ASPEN ELECTRIC LICENSE#EA 000194
CONTRACTOR ADDRESS 8085 124 THST
Company name must be as CITI' SAVAGE STATE MN ZIP 55378
appears on State Licqnse pFFICE PHONE# 952-890-6364 FAX#
CONTACT NAME,IEF� PHONE 952-890-6364
❑SINGLE FAMILY ❑MULTI-FAMILY ❑3WIMMING POOL
❑TWO FAMILY ❑COMMERCIAL7INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME ❑FIRE ALARM POWER
❑Meter Bank (Contractor Only) []SIGN
❑Single Meter ❑INSTITUTIONAL �✓OTHER(see description)
Resrdenrin!Additr�n/Remodel Pennits Available on-line
❑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 Parka.
DETAILED DESCRIPTION OF WORK: "TEMP SERVECE -
RESIDENTIAL FEES:
New Construction: S 135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surchargc (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips}
COMMERCIAL FEES: Minimum of S40.00+SI.00 State Surcharge(one trip}-Remodel Mlntmum 570.00+S1.00 State Surcharge(two Mps)
JQB COST: $ Example:$12,000 Job Cost
t-1/2%of contract cost up to$10,000 $10,00Q.00 x 1.5%= $150:00
1%of cost above$10,000 plus surcharge + $ 2,000.00 x 1% _ + 20.00
(Surc;harge=Contract Cost x.0005) + $12,000 x.0005 = + 6.00
TOTAL = $0.00 = $176.00
I hereby apply for an electrical permit and 1 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 1 understand this is not a permit
but only an application for a permit and work is not to start withoul a permit;that the work will be in accordance with the approved plan in the
case�f all work which requires review and approvaP of plans.
NAME OF APPLICANT(Please Pri TT CHAP AN
SIGNATURE OF APPLICAN : �'
- �=PLBA6E NQTEcr�EPARAT_ T6 ARE iIIREp F�R"ANY_BUIGDIN ,'sMEFf]A�ICAG&P,L,IIMBING WORK :