HomeMy WebLinkAboutLA105701 PERMIT
Y
City Of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA105701
1:akeviile, MN 55044
(9S2) 985-4440
www.ci.lakeville.mn.us * L R 1 5 7 0 1
Date Issued: 05/07/2008
Site Address: 17273 Eagleview Dr
Lot: 013 Block: 001 Addition: Lake Place 4th Addition
PID: 22-44078-198-15
Use: *ZZ-44QJ78-198-15*
Description:
Sub Type: Off Peak
Work Type: Addition
Description:
Comments•
Fee Summary: Description Amount Revenue Code
EL-Residential Addition/Remodel $39.50 1000-4167
Surcharge (.SO) $O.SO 1000-2127
Total: $40.00
COntraCtOr: -Applicant - OWner:
Powerhouse Electric Inc Mario Lee
1958 Raspberry Lane 17273 Eagleview Dr
Shakopee MN SS379 Farmington MN SS024
(9S2) 233-5404
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.
.
Applicant/Permitee: Signature Issued By: Signature
ce Use Only
ELECTRICAL PERMIT APPLICATION "
Permit Number
/ 1 CITY OF LAKEVILLE
w BUILDING INSPECTIONS DEPARTMENT
~ ~ ~ 20195 HOLYOKE AVENUE Received By
LAKEVILLE, MN 55044
f' 952-985-4440 O'Dat~ Ree
www.ci.lakeville.mn.us
Fee Total
DATE ~ U YOUR E-MAIL ADDRESS
SITE ADD~R+ESS r
TENANT JC SUITE NO.
THE APPLIANT IS: RESIDENT OWNER ®CONTRACTOR ARCHITECT/ENGINEER
NAME p,
RESIDENT OWNER ADDRESS p17 3 ~T ~l ?I t v?
CITY ~1 L I+t1 STATE ~ ~ /ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED t[+3D ~ ~J3~-S.~~LS
COMPANY NAME .POWERHOUSE ELECTRIC INC LICENSE # CA03631
ADDRESS 1958 RASPBERRY LANE
CONTRACTOR CITY SHAKOPEE STATE MN .ZIP 55379
OFFICE PHONE # 952-233-5404 FAX #
CONTACT NAME ~ YQ rr~n.! h. PHONE 952-292-4981
`LILY MULTI-FAMILY SWIMMING POOL
TWO FAMILY COMMERCIAL /INDUSTRIAL UNDEFINED
PERMIT TYPE TOWNHOUSE MANUFACTURED HOME SPRINKI_ER/ALARM
Meter Bank (Contractor Only)
SIGN
Single Meter INSTITUTIONAL
NEW ADDITION ALTER /REMODEL
' TYPE OF WORK
MAINTENANCE/REPAIR TENANT FINISH DEMOLITION
Only Licensed Electrical Contractors can do work in a Towny~ho//use that has meter bank instead of single meters attached to the units.
DETAILED DESCRIPTION OF WORK:. ~ 1'T'l__~
RESIDENTIAL FEES:
New Construction $85.00 (84.50 + .50 surcharge) Repairs or Remodel $40.00 (39.50 + .50 surcharge)
COMMERCIAL FEES:
JOB COST: $ ~aO.a°
Example: $12,000 Job Cost
1-1/2% of contract cost up to $10,000 and $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 = ~ TOTAL $176.00
Minimum of $40.00 (39.50 + .50 surcharge)
~ 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,,appll wor~kw/hich requires review and approval of plans.
NAME OF APPLICANT (Please Print) ~e\.+ C ~ Date ~ (,a [ ~
SIGNATURE OF APPLICANT: "ll`%
PLEASE NOTE: SEPr\I2-ATE PERMITS ARE REQUIRED FOR ANY BUILDING, A~IECHAVICAL & PLUR'IBING WORK
y
FOR OFFICE USE"t)NLY:
TYPE OF WORK INSPECTIONS
NEW FIRE ACCEPTANCE TEST
ADDITION ~ ROUGH-IN
ALTER/REMODEL SERVICE
TRENCH
.FINAL
PERMIT FEE
PERMIT FEE; $
SURCHARGE: $
.OTHER: $
TOTAL: $ ~ •
PERMIT ISSUED BY: DATE: ' ~
COMMENTS:
~oiioii2oo~~