HomeMy WebLinkAboutLA092748 . PERMIT
City of Lakeville rermit Type: Electrical
20195 HOLYOKE AVE Permit Number: LA092748
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 07/17/2006
Site Address: 16925 EAGLEVIEW DR
Lot: ~ Block: Addition:
PID:
Use:
Description:
Sub Type: Lawn Sprinkler Controller 1 0 - 400 AMPS 1 Circuits/Feeders (0 - 200 AMP.
Work Type: New
Description: Lawn Sprinkler Controller
Remarks:
Fee Summary: sarcnarge ~.50~ 0.50 looo-2iz~
Electrical Items 30.00 ] 000-4167
$30.50
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Owner:
Contractor: _ _
A licant
NORTHERN ELECTRIC pp
4640 N CHATSWORTH STREET St. Lic.: CA03821
SHOREVIEW, MN 55126
(651)483-4774
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. A
SEPARATE ELECTRICAL PERMIT IS REQUIRED
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Applicant/Permitee: Signature Issued By: Signature
~~31
ELECTRICAL PERMIT APPLICATION e n'
CITY OF LAKEVILLE Permit umber
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
j~ LAKEVILLE, MN 55044
952-985-4440 L-~ >
www.ci.lakevilie.mn.us Date Received
DATE 7~ J ~ ~ YOUR E-MAIL ADDRESS
SITE ADDRESS lloq~,`7 L:/1~(~l ~Vle?~ L~11LlJi~
TENANT ~j~t 12i j' O F 13 r2,A.tJ'i~TJE~U ~~"'l. SUITE NO.
THE APPLIANT IS: ? RESIDENT OWNER CONTRACTOR ? ARCHITECT/ENGINEER
NAME apt /21 T P91~` l3 ~2~4~ 7 T~~.t/ I'.~1Lr''L.
RESIDENT OWNER ADDRESS
CITY STA"I1J ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED
COMPANY NAME~`~!I(:T'J~}L~'1,~ IiLCG1YLl C LICENSE # t_^~O 3 fs'~ I
ADDRESS L/L N V ~1. ~.fLTa wa.2Th~ 5 Tl2~L lr
CONTRACTOR CITY SFk~r2L'.'JtL?uJ STATE r`(,V ZIP b~'Jo2~
CONTACT NAME Ctf'r2.t. 5 x..41-r l'.V~t 5
DAYTIME PHONE # WHERE YOU CAN BE REACHED ~p. y
) - t~ ~y' 3 ' x/7'7 y
? SINGLE FAMILY ?MUZTI-FAMILY ~ INSTITUTIONAL
PERMIT TYPE ? TWO FAMILY ? COMMERCIAL /INDUSTRIAL SWIMMING POOL
G TOWNHOUSE "'UNDEFINED
NEW ? ADDITION ? ALTER /REMODEL
TYPE OF WORK
C-1 MAINTENANCE/REPAIR ~ TENANNT FINISH ? DEMOLITION
DETAILED DESCRIPTION OF WORK: _ ) RI?l U A~-T7~t/ G°D~T~DGC.ISyL
PLEASE CHECK ALL THAT APPLY:
ADDITION GARAGE OFFICE FURNITURE SIGN*
i AIR CONDITIONING HOT TUB OUTLETS *APPROVAL FROMZONING
BASEMENT INDUSTRIAL PORCH WIRING DEPARTMENT REQUIRED
BATHROOM KITCHEN SAVER SWITCH SPRINKLER/ALARM
BOILER MACHINERY SERVICE REWIRE OH SUB PANEL
ELECTRICAL HEAT MAST SERVICE WIRE UG SWIMMING POOL
FURNACE LIGHTING RETROFIT SERVICE TEMP TRANSFORMER
NEW HOME OTHER
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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 Building Codes; 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) ~ /S Date ~
SIGNATURE OF APPLICANT:
Pi,EASF NO"CT: SEPARATE. PERNII"hS ARIs QUiRED FOR :1NY BUILDING, MF.CIIARIC:~L & PLU'VIB[G WORK
~ FEE SCHEDULE
Residential Permits Total fees
0 - 400 AMPS 25.00
NEW SERVICE 401 - 800 AMPS 50.00
OVER 800 AMPS 75.00
NEW SINGLE FAMILY 0 - 500 AMPS (INCLUDES RI & FINAL) 80.00
DWELLING ADDITIONAL INSPECTIONS AFTER TWO 20.00
NEW MULTIFAMILY 3 -12 DWELLING UNITS (EACH UNIT) 50.00
DWELLINGS ADDITIONAL UNITS (EACH UNIT) 25.00
ADDITION /REMODEL INCLUDES RI & FINAL INSPECTION 40.00
MANUFACTURED HOME INSTALLATION 25.00
Commercial / Industrial Permits
0 - 400 AMPS 25.00 g,
NEW SERVICE 401 - 800 AMPS 50.00
OVER 800 AMPS 75.00
CIRCUITS / 0 - 200 AMPS 5.00
FEEDERS OVER 200 AMPS 10.00
TRANSFORMERS 0 - l0 KVA 10.00
OVER 10 KVA 20.00
LIGHTING RETROFIT (PER FIXTURE 0.25
ALARM, COMMUNICATION CIRCUITS LESS THAN 50 VOLTS (EACH DEVICE) 0.50
ADDITION /REMODEL (RI & FINAL - $20.00 PER INSPECTION) 40.00
Additional Miscellaneous Fees
MISCELLANEOUS FEE
ALARM, COMMUNICATION CIRCUITS LESS THAN 50 VOLTS (EACH DEVICE) 0.50
EACH ADDITIONAL INSPECTION PER VISIT 20.00
STATE SURCHARGE ON ALL PERMITS .50
Total Electrical Permit Fee ~Q,
FOR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW ROUGH-IN
ADDITION SERVICE
ALTER/REMODEL TRENCH
FINAL
PERMIT ISSUED BY: DATE:
COMMENTS:
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(12/18/2003)