HomeMy WebLinkAboutLA092749 PERMIT
Clty Of LakeVllle Permit Type: Electrical
20195 HOLYOKE AVE Permit Number: LA092749
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 07/17/2006
Site Address: 16825 DYNAMIC 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: surcharge (.50) 0.50 loon-2127
Electrical Items 30.00 1000-4167
$30.50
Contractor: -Applicant - Owner:
NORTHERN ELECTRIC
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/Pennitee: Signature Issued By: Signature
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ELECTRICAL PERMIT APPLICATION e my
u4b`~ CITY OF LAKEVILLE Permit Number
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE eceiv~d By
LAKEVILLE, MN 55044 y f' I
j,~` 952-985-4440 Date Received
www.ci.lakeville.um.us
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j DATE 7-L~2~C~ YOUR S-MAIL ADDRESS
SITE ADDRESS J[y!rfe?.~ ~Y~/.}-~/G ~~~J'(.T
TENANT~~/ZA~.V'1~ ~ ? r.,f}1Z,/~! ht'~JL'1.t~i~L~!"
f!'Wl SUITE NO.
' THE APPLIANT IS: ? RESIDENT OWNER CONTRACTOR ? ARCHITECT/ENGINEER
NAME 5'~~ 1T D r- rZ4NDTJ
~tJ Iw4-/2.x`'1
RESIDENT OWNER ADDRESS
~ CITY STATE ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED
COMPANY NAME i?ll7ZTl~12~tI LLt-GTYLI~'_ LICENSE# C,¢tJ3l,,2~
ADDRESS ~~~v ,Jvrc,r~-I ~~.4rs~n,7~ s~z~r
CONTRACTOR CITY 3l~ri.t••tl2 y~ STATE !`9i? ZIP ,~%a 6
CONTACT NAME G' 1~/2,! S ~,q~~
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DAYTIME PHONE # WHERE YOU CAN BE REACHED (o5'I -Lf g'3-x-/7'7 y
? SINGLE FAMILY ?MDLTI-FAMILY ? INSTITUTIONAL
PERMIT TYPE ? TWO FAMILY ? COMMERCIAL /INDUSTRIAL ? SWIMMING POOL
TOWNHOUSE UNDEFINED
NEW ? ADDITION ? ALTER /REMODEL
TYPE OF WORK
? MAINTENANCE/REPAIR ? TENANT FINISH ? DEMOLITION
DETAILED DESCRIPTION OF WORK: ~Zt`LlL7.4Ttl9~ CL9rV'M11LLLr32 ,
PLEASE CHECK ALL THAT APPLY:
ADDITION GARAGE OFFICE FURNITURE SIGN*
AIR CONDITIONING HOT TUB OUTLETS *APPROVAL FROM ZONING
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
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 APPLICAI\1T (Please Print) S S Date 7--/aYJCJ
SIGNATURE OF APPLICANT:
PLF,ASE NO"I`E: SEPARATE PERMITS ARE ,Q[!IREll FOR ANY 6C7LDING, MECHANICAL K PLOMBitiC ~~'ORK
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FEE SCHEDULE
Resid nti 1
e a 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 / lndustrial Permits
0 - 400 AMPS 25.00 ~
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 - 10 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 3O,
FOR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW ROUGH-IN
ADDITION SERVICE
ALTER/REMODEL TRENCH
FINAL
~
rERMIT ISSUED EY: DATE: J T 'a
COMMENTS:
(12/18/2003)
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