HomeMy WebLinkAboutLV24-00448 - Electrical 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 (one trip)
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
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR ANY BUILDING, MECHANICAL & PLUMBING WORK
www.lakevillemn.gov
$40.00
$40.00
Submit to: permits@lakevillemn.gov
NAME OF APPLICANT (Please Print)*
DETAILED DESCRIPTION OF WORK:
$0.00
0.00
I HEREBY APPLY FOR PERMIT AND ACKNOWLEDGE THAT ALL INFORMATION ON THIS APPLICATION IS COMPLETE AND
ACCURATE. THIS IS NOT A PERMIT AND WORK IS NOT TO COMMENCE UNTIL SUCH TIME A PERMIT IS ISSUED. ALL
WORK WILL COMPLY WITH LAKEVILLE CITY CODE, THE MINNESOTA STATE BUILDING CODE, AND THE APPROVED
PLANS. INTEREST EARNINGS ON ESCROW ACCOUNTS, IF ANY, WILL BE RETAINED BY THE CITY TO OFFSET THE
ADMINISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND.
*Entering your name affirms your intent to comply with the statement above.
*DATE
2024-10-07 picminneapolis@purelightpower.com
20504 Gunnison Drive Lakeville Minnesota 55044
Molyka Mao
20504 Gunnison Dr.
Lakeville MN 55044
(612) 207-8036
PowerfullyGreen EA714757
2380 WATERTOWN RD.
LONG LAKE
859-659-1359
PowerfullyGreen
MN 55356
859-659-1359
13.94kW solar installation on customer's house.
2024-10-07
Document Ref: ENARH-M85HR-GZ8F2-NRD8W Page 1 of 1