HomeMy WebLinkAboutLA105881 PERMIT
Clty Of LakeV111C Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA105881
Lakeville, MN 55044
(952) 985-4440 * L R 1 fZl 5 8 8 1
www.cilakeville.mn.us Date Issued: 05/15/2008
Site Address: 17119 Encina Path
Lot: 000 Block: 001 Addition: Cornerstone Lake 2nd Addition
PID: 22-18101-302-06
Use:
* z Z- 1 8 1 1~ 1- 3 0 z- 0 6
Description:
Sub Type: Saver Switch 1 Inspections (Each)
Work Type: New
Description: Applicant must call for inspection
Comments:
Fee Summary: Description Amount Revenue Code
EL-Residential Addition/Remodel $39.50 1000-4167
Surcharge (.50) $0.50 1000-2127
Total: $40.00
i
Contractor: -Applicant - OWner:
Powerhouse Electric Inc Ernest E Peacock
1958 Raspberry Lane 17119 Encina Path
Shakopee MN 55379 Farmington MN 55024
(952) 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
' ~ - Office Use Only
ELECTRICAL PERMIT APPLICATION
Permit Number -
CITY OF LAKEVILLE t)
\ BUILDING INSPECTIONS DEPARTMENT Received By
_
20195 HOLYOKE AVENUE
~ ~ LAKEVILLE, MN 55044 _ 0,~ - I - ~ 'I L~ ~ : ~e i~~~ C V
952-985-4440 Date Received
www.ci.lakeville.mn:us
_ / Fee Total
DATE 5 I (Z~ O Sl YOUR E^-MAIL ADDRESS
SITE ADDRESS I7 i l CI `t."L~1 rto~ -YL{„'~
TENANT ~Y'n-s_S~ ~ , ~Q:C~CCx,~ SUITE NO,
THE APPLIANT IS: RESIDENT OWNER ®CONTRACTOR ARCHITECT/ENGINEER
NAME~.5~ L ~ ~-f.qC OC
RESIDENT OWNER ADDRESS n_In(':L(1Q
CITY L~„ s-~ t,3 ? `l ~ STATE I~I1J ZIP ' I, I p
DAYTIME PHONE # WHERE YOU CAN BE REACHED "I.,Z - ~
U~' Z..`'i `t p
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 PHONE 952-292-4981
SINILY MULTI-FAMILY SWIMMING POOL
TWO FAMILY COMMERCIAL /INDUSTRIAL UNDEFINED
PERMIT TYPE TOWNHOUSE MANUFACTURED HOME SPRINKLER/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 cau do work in a Townchouse t/h~at has meter bank instead of single meters attached to the units.
DETAILED DESCRIPTION OF WORK: ~S ~'C
RESIDENTIAL FEES:
New Construction $85.00 (84.50 + .50 surcharge) Repairs or Remodel $40.00 (39.50 + .50 surcharge)
COMMERCIAL FEES:
JOB COST: $ LOO.
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 = ~,'a0 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 ofapll work which. requires review and approval of plans.
I~ NAME OF APPLICANT (Please Print) l.~ ~ Date ((2,,,
SIGNATURE OF APPLICANT: _WVI.~~~/v"v
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR ANY BUILDING, MECHANICAL & PLUMBING WORK
L
FOR OFFICE USE ONLY:
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:
~ _ (01/01 /2007)