HomeMy WebLinkAboutLA200098 - Elec Permit App
ELECTRICAL PERMIT APPLICATION
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE
LAKEVILLE, MN 55044
952-985-4440
Office Use Only
___________________
Permit Number
___________________
Received By
___________________
Date Received
___________________
Fee Total
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
TENANT SUITE NO.
THE APPLIANT IS: RESIDENT OWNER CONTRACTOR
RESIDENT OWNER
NAME_________________________________________________________________________
ADDRESS______________________________________________________________________
CITY _____________________________ STATE_____________ ZIP _____________________
DAYTIME PHONE # WHERE YOU CAN BE REACHED ______________________________
CONTRACTOR
Company name must be as
appears on State License
COMPANY NAME_______________________________________LICENSE #EA___________
ADDRESS_____________________________________________________________________
CITY _____________________________ STATE_____________ ZIP _____________________
OFFICE PHONE # ________________________ FAX #_______________________________
CONTACT NAME______________________________________ PHONE__________________
PERMIT TYPE
SINGLE FAMILY
TWO FAMILY
TOWNHOUSE
Meter Bank
Single Meter
MULTI-FAMILY
COMMERCIAL / INDUSTRIAL
MANUFACTURED HOME
(Contractor Only)
INSTITUTIONAL
SWIMMING POOL
UNDEFINED
FIRE ALARM POWER
SIGN
OTHER (see description)
Residential Addition/ Remodel Permits Available on-line
TYPE OF WORK NEW
MAINTENANCE/REPAIR
ADDITION
TENANT FINISH
ALTER / REMODEL
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.
RESIDENTIAL FEES:
New Construction: $135.00 + $1.00 State Surcharge (up to three trips)
Repairs: + $1.00 State Surcharge (onetrip)
Additions, Remodel, Lower Level: $70.00 + $1.00 State Surcharge (two trips)
COMMERCIAL FEES: Minimum of + $1.00 State Surcharge (one trip)
JOB COST: $ Example: $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
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)
SIGNATURE OF APPLICANT:
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR ANY BUILDING, MECHANICAL & PLUMBING WORK
www.lakevillemn.gov
$40.00
$40.00
Submit to: permits@lakevillemn.gov
bmaki@livewireguys.com
Troy Schoenrock
✔
✔
✔
P.O. Box 446
Isanti
Troy Schoenrock 612-363-1470
Live Wire Electrical Services
651-688-2400
MN 55040
03/10/22
DETAILED DESCRIPTION OF WORK: Flush mounted 13.611kW AC / 14.43kW DC PV system
consisting of (39) Silfab-370-BK solar modules, Enphase IQ7A micro-inverters, and balance of System
006172
0
9926 189th Street West
Lakeville
Spencer Wiggins
(952) 239-8662
MN 55044
9926 189th Street West Lakeville, MN 55044
0
Doc ID: f9891a5f4e4ebf90b15ad8510591b6ec59daec7e
FOR OFFICE USE ONLY:
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:
0
COMMENTS:
Doc ID: f9891a5f4e4ebf90b15ad8510591b6ec59daec7e
Audit Trail
Title
File Name
Document ID
Audit Trail Date Format
Status
Wiggins Electrical Permit
Electrical Permit...1101455228823.pdf
f9891a5f4e4ebf90b15ad8510591b6ec59daec7e
MM / DD / YYYY
Signed
03 / 10 / 2022
19:22:11 UTC
Sent for signature to troy schoenrock
(troy@livewireguys.com) from solar@livewireguys.com
IP: 131.93.230.60
03 / 10 / 2022
19:30:27 UTC
Viewed by troy schoenrock (troy@livewireguys.com)
IP: 107.77.210.126
03 / 10 / 2022
19:30:44 UTC
Signed by troy schoenrock (troy@livewireguys.com)
IP: 107.77.210.126
The document has been completed.03 / 10 / 2022
19:30:44 UTC