HomeMy WebLinkAboutLA107572 } PERMIT
Clty Of LakCV111C Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA107S72
Lakeville, MN 55044
(952) 985-4440 * L R 1 Q1 7 5 7 2
www.ci.lakeville.mn.us Date Issued: 08/19/2008
Site Address: 16346 Elm Creek La
Lot: 003 Block: 001 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-060-18
Use: 16346-48-50-52-54-56-58-60 * Z 2- Z 6 7 2-~ 6 Ql - 1 8
Description:
Sub Type: Sprinkler/Alarm
Work Type: Alter/Remodel
Description: Sprinkler Monitors
Comments: Call 952-985-4706 to schedule Fire Acceptance Test.
Ga11952-985-4440 to schedule Final Inspection.
Fee Summary: Descri tp ion Amount Revenue Code
Electrical Commercial (Minimum) $39.50 1000-4167
Surcharge (.50) $0.50 1000-2127
Total: $40.00
Contractor: -Applicant _ Owner:
Webco Security Inc DR Horton
6575 16346 Elm Creek La
141st Avenue NW, Suite 101 Lakeville NIN 55044
Ramsey MN 55303
(763) 767-7229
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 y: Signature
a`
Office Use Only
ELECTRICAL PERMIT APPLICATION ~ ~
Permit umber
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT Received By
20195 HOLYOKE AVENUE
~ ~ LAKEVILLE, MN 55044
952-985-4440 Date Received
- www.ci.lakeville.mn.us
` r ` Fee Total
DATE } YOURE-MAIL ADDRESS r _ /
SITE ADDRESS c~. a f''1'1 l~ 5~~7`7'"
TENANT SUITE NO.
THE APPLIANT IS: RESIDENT OWNER CONTRACTOR -1 ARCHITECT/ENGINEER
NAME
RESIDENT OWNER ADDRESS
CITY STATE ZIP
DAYTIME PHONE #/I ,W11HEREQQYOU CAN BE REACHED
COMPANY NAME W }~!<7~ ~ 1 he .LICENSE # I ~S
ADDRESS ~1 ~ O
CONTRACTOR Cl"IY / STATE__~/y.ZIP 3
OFFICE PHONE # ~j--~Jrc~o'"7 FAX #~(3 ' ~](o~" 7~
CONTACT NAME t,r 1 ~ ~ 1 Vt.,C~"s'?ti. `'~G PHONE 7~oJ ' I ~-T -7~
'SINGLE FAMILY MULTI-FAMILY -SWIMMING POOL
TWO FAMILY -COMMERCIAL /INDUSTRIAL UNDEFINED
PERMIT TYPE ' TOWNHOUSE ~ MANUFACTURED HOME SPRINKLER/ALARM
(Contractor Only)
Meter Bank SIGN
Single Meter INSTITUTIONAL
EW -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: ~ ~ ~ tJ V'~
RESIDENTIAL FEES:
New Construction $85.00 (84.50 + 50 surcharge) Repairs or Remodel $40.00 (39.50 + .50 surcharge)
COMMERCIAL FEES: G~ ~ ~ ~
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 $1.76.00
Minimum of $40.00 (39.50 + .50 surcharge)
1 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 n t to start without a permit; that the work will be
in accordance with the approved plan in the cas of 11 w~orjlcwhich requir t v and approval of plans. ~
NAME OF APPLICANT (Please Print) ° `~"~6 ~ J~ Date ___i~~ l~ r~
SIGNATURE OF APPLICANT:
PL,I:ASENO"fF~ SFP~~K~I'EPERM1II'PSAREREQC[REll R1:"T3lJILDL\t,,.ylL(11.1~1( ~LSf1-UMBU~'Gy'VORK