HomeMy WebLinkAboutLA108192 R PERMIT
City Of LakeVllle Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA108192
Lakeville, MN 55044
(952) 985-4440 * L R 1 PJ 8 1 9 2
www.ci.lakeville.mn.us Date Issued: 09/24/2008
Site Address: 16412 Endeavor Ct
Lot: 008 Block: 006 Addition: Fieldstone Creek 1st Addition
PID: 22-26700-080-06
Use: *2Z-z67(~(~-Q18O->?16*
Description:
Sub Type: Saver Switch
Work Type: New
Description:
Comments:
Fee Summary: Description Amount Revenue Code
EL-Residential Addition/Remodel $39.50 1000-4167
Surcharge (.50) $0.50 1000-2127
Total: $40.00
Contractor: -Applicant - Owner;
Dale Franke Electric Inc Glen L Rosenhamer
12803 Florida Lane 16412 Endeavor Ct
Apple Valley MN 55124 Lakeville MN 55044
(612) 245-4707
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
offs sy o ly
ELECT CAL PERMIT APPLICATION UU l
Permit Number
CITY OF LAKEVILLE
j ` ' BUILDING INSPECTIONS DEPARTMENT Received By
/ ~ 20195 HOLYOKE AVENUE
LAKEVILLE, MN 55044
- 952-985-4440 Date Received
www.ci.lakeville.mn.us
Fee Total
DATE ~ Y_ 6 ~ YOUR E-MAIL ADDRESS
SITE ADDRESS / ~ L!/ o'L /F, ~ ~ ~ U G`~e~ ~
TENANT_~d=~ fL / ~ ~ ~ S ~ /°1r~1 fq~~,,,p SUITE NO.
THE APPLIANT IS: ? RESIDENT OWNER ®CONTRACTOR ? ARCHITECT/ENGINEER
NAME
RESIDENT OWNER ADDRESS
CITY ' STATE ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED
COMPANY NAM DALE FRANKS ELECTRIC INC LICENSE # CA00682
ADDRESS 1 803 FLORIDA LANE
CONTRACTOR CITY APPLE VALLEY STATE MN ZIP 55124
OFFICE PHONE # FAX #
CONTACT NAME DALE FRANKS PHONE 612-245-4707
? SINGLE FAMILY ?MULTI-FAMILY ? SWIMMING POOL
? TWO FAMILY ? COMMERCIAL /INDUSTRIAL ? UNDEFINED
PERMIT TYPE ? TOWNHOUSE I, ? MANUFACTURED HOME ? SPRINKLER/ALARM
? Meter Bank i (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 Townhouse that has meter bank instead of single meters attached to the units.
DETAILED DESCRIPTION OF WORK: ~°if S ~~J
RESIDENTIAL FEES: '
New Construction $85.00 (84.50 + .50 surcharge Repairs or Remodel $40.00 (39.50 + .50 surcharge)
COMMERCIAL FEES: / ~
JOB COST: ~c ~
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 $40.00 (39.50 + .50 surcharge)
I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will
be in conformance with the ordinances and code$ of the City of Lakeville and with the Minnesota Building Codes; that I
understand this is not a permit but only an applic' tion 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 requi/res review and approval of plans.
NAME OF APPLICANT (Please Print) ~~l`P ~~iL Date f 'v~ y-O
SIGNATURE OF APPLICANT: