HomeMy WebLinkAboutLA108384 PERMIT
City Of LakeVlllC Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA108384
Lakeville, MN 55044
(952) 985-4440 * L R 1 8 3 8 4
www.ci.lakeville.mn.us Date Issued: 10/06/2008
Site Address: 16187 Flagstaff Ct S
Lot: 040 Block: 001 Addition: Niakwa Village 2nd Addition
PID: 22-51351-400-01
Use:. *ZZ-5 135 1-4QJQI-QJ 1
Description:
Sub Type: Furnace
Work Type: Replace
Description:
Comments:
Fee Summary:. Description Amount Revenue Code
EL-Residential Addition/Remodel $39.50 1000-4167
' Surcharge (.50) $0.50 1000-2 ] 27
Total: $40.00
Contractor: _ A licant - Owner:
pp
i Powerhouse Electric Inc Kris Tjaden
1958 Raspberry Lane 16459 Fallbrook Dr
Shakopee MN 55379 Farmington MN 55024
i (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.
I
Applicant/Permitee: Signature Issued By: Signature
~ffjce Terse O
ELECTRICAL PERMIT APPLICATION
~
Pennrt
Numb
j CITY OF LAICEVILLE
j ~ BUdLDING INSPECTIONS DEPARTMENT.
• Received By
20195 HOLYOIZE AVENUE
/ LAKEVILLE, MN 55044
952-98511440 Date Received
www.ci.lakeville.mn.us
Fee Total
DATE ~ ~ ~ (J ~ YOUR E-MAIL ADDRESS
SITE ADDRES,S~p.
TENANT 1, r SUITE NO.
THE APPLIANT IS: RESIDENT OWNER ®CONTRACTOR ARCHTTECT/ENGINEER
NAME ~ ~
F
RESIDENT OWNER ADDRESS
CI STATE ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED '
COMPANY NAME POWERHOUSE ELECTRIC INC LICENSE # CA03631
ADDRESS 1958 RASPBERRY LANE
CONTRACTOR CTTy SHAKOPEE STATE MN ZIP 55379
OFFICE PHONE # 952-233-5404 FAX #
CONTACT NAME PHONE 952-292-4981
G FAMILY MULTI-FAMILY SWIMMING POOL
• T AMILY 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
ENANCE/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.
DETAII.ED DESCRIPTION OF WORK: l yl.yV ~III,V~,~,UV
RESIDENTIAL FEES:
New Construction $85.00 (84.50 + .SO surcharge) Repairs or Remodel $40.00 (39.50 + .50 surcharge)
COMMERCIAL FEES:
li JOB COST: $ ~ l V ~
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 $1 Q,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 pentut 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 APPLICANT (Please Print) ~1~~ ~p
~ ~@`]~'~ Date
SIGNATURE OF APPLICANT: (,~,~~'U`-~
i :PLEASE NOTE: SEPARATE PERMTPS ARd~ REQIJIREU FOR.4IVY'ZBLJITDING, MECH_a1VICAL R PI_l'1]SIIVG;WORK
-
~
~T 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:
(O 1/O U2007)
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