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HomeMy WebLinkAboutLA108197 PERMIT Clty Of LakeVllle Permit Type: Electrical 20195 Holyoke Ave Permit Number: LA108197 Lakeville, MN 55044 (952) 985-4440 * L R 1~ 8 1 9 7 www.ci.lakeville.mn.us Date Issued: 09/24/200$ Site Address: 17089 Fairmeadow Way Lot: 009 Block: 002 Addition: Harris Acres First Addition AID: 22-31500-090-02 Use: *22-3 15f~(~-Q190-f~2* Description: Sub Type: Saver Switch Work Type: New Description: Comments: Fee Summary: Descriation 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 US Bank National Assoc Tste 12803 Florida Lane % Homecomings Financial LLC Apple Valley MN 55124 1100 Virginia (612) 245-4707 Fort Washington PA 19034 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 r ELECTRICAL PERMIT APPLICATION Offi~ Only Permit Number ~S CITY OF LAKEVILLE BUILDING INSPECTIONS DEPARTMENT ' ~ ~ 20195 HOLYOKE AVENUE Received By ~ ~ LAKEVILLE, MN 55044 _ ~ ; 952-985-4440 Date Received www.ci.lakeville.mn.us Fee Total DATE Y_ 6 ~ YOUR E-MAIL ADDRESS SITE ADDRESS _f ~ b ~ ~f~l/` (~i~t~0 ~-'~'1 TENANT ~~2' ~ /1/ ~ 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 NAME DALE FRANKS ELECTRIC INC LICENSE # CA00682 ADDRESS 12803 FLORIDA LANE CONTRACTOR CITY APPLE VALLEY STATE MN ZIP 55124 OFFICE PHONE ~ FAX # CONTACT N DALE FRANKS PHONE 612-245-4707 ? SINGLE FAMIIyY ?MDLTI-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 ? MAINTENANC,E/REPAIR ? TENANT FINISH ? DEMOLITION Only Licensed Electrical Contractors can do work iln a Townhouse that has meter bank instead of single meters attached to the units. DETAILED DESCRIPTION OF WORK: L°T ~jGrJ/ v'( RESIDENTIAL FEES: New Construction $85.00 (84.50 + .50 surcharge) Repairs or Remodel $40.00 {39.50 + .50 surcharge) COMMERCIAL FEES: / / © JOB COST: $ 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 ~o~all work which requires review and approval of plans. r NAME OF APPLICANT (Please Print) ~~j`~' •~~J~ Date 'off Y-O SIGNATURE OF APPLICANT: I