HomeMy WebLinkAboutLA107052 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA107052
Lakeville, MN .55044
(9S2) 985-4440 * L R 1 0 7 5 2
www.ci.lakeville.mn.us Date Issued: 07/21/2008
Site Address: 16345 Crystal Hills Cir
Lot: 048 Block: 001 Addition: Crystal Hills
PID: 22-18550-480-01
Use:
*ZZ- 1855-48~D-(D l~K
Description:
Sub Type: Furnace/Air Conditioning
Work Type: Replace
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:
Powerhouse Electric Inc Gary J Honken
1958 Raspberry Lane 16345 Crystal Hills Cir
Shakopee MN 55379 Lakeville MN 55044
(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 1A,`~ Issued By: Signature
Office U e Only
ELECTRICAL PERMIT APPLICATION / ~ ~ G~,~„
~ - - Permit Number
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
% ~ r 20195 HOLYOKE AVENUE Received By
I ~ LAKEVILLE, MN 55044.
2-985-4440 Date Received
95
~ www.ci.lakeville.mn.us
,~y., Fee Total
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS I
TENANT r SUITE NO.
THE APPLIANT IS: RESIDENT OWNER ®CONTRACTOR ARCHITECT/ENGINEER
NAME ~y, O
RESIDENT OWNER ADDRESS J G~"'~~
CITY ~A~ STATE ~ ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED l r L.-
COMPANY NAME POWERHOUSE ELECTRIC INC LICENSE # CA03631
ADDRESS 1958 RASPBERRY LANE
CONTRACTOR CITY SHAKOPEE STATE MN ZIP 55379
OFFICE PHONE # 952-233-5404 FAX #
CON CT NAME -PHONE 952-292-4981
S G FAMILY 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
M T NANCE/REPAIR TENANT FINISH DEMOLITION
Only Licensed Electrical Contractors can do work~iin a Toiw~n~houps~e~t,hpat has meter bank instead of sinigle m~etpers attach~ed~to the units.
DETAILED DESCRIPTION OF WORK: 1 ~ V 17 L'UrLj`~ ~ t ~-W~~'W 1
RESIDENTIAL FEES:
New Construction $85.00 (84.50 + .50 surcharge). Repairs or Remodel $40.00 (39.50 + .50 surchazge)
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 lus surchar e. + 2 000.00 x 1 % = 20.00
$ $
p g
(Surchar a =Contract Cost x .0005 + $12,000 x .0005 = 6.00
g )
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 his 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 caseof/apll work
,w/hichj,r~equires review and approval of
plans. ~ I
NAME OF APPLICANT (Please Print) ~1P V C ~ Date ~ O
SIGNATURE OF APPLICANT: (~,l I1~°111
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR ANY BUILDING, MECHANICAL & PLUMBING ~'VORK
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: $ ~ . yi•
PERMIT ISSUED BY: DATE:
COMMENTS:
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