HomeMy WebLinkAboutLA106513 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA106513
Lakeville, MN 55044
(952) 985-4440 * L R 1 6 5 1 3
www.ci.lakeville.mn.us Date Issued: 06/20/2008
Site Address: 16420 Elm Creek La
Lot: 005 Block: 001 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-026-14
Use: * 2 z- 2 6 7 0 2- 0 2 6- 1 4
Description:
Sub Type: Saver Switch 1 Inspections (Each)
Work Type: New
Description: Applicant must call for inspection
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 Marie Baillet
1958 Raspberry Lane 16420 Elm Creek La
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 Issued By: Signature
K ELECTRICAL PERMIT APPLICATION o ~e Use only
'1-~ Pemrit Number ~
CITY OF LAKEVILLE
. y .T
' BUILDING INSEECTIONS DEPARTMENT
~ ~ ~ 20195 HOLYOKE AVENUE Received B
LAKEVILLE, MN 55044
952-985-4440 Date Received
www.ci.lakeville.mn:us
Fee Total
DATE YOUR E-MAIL ADDRESS
STTE ADDRESS ~ ~i~+YV~~~_~~, l/ L~,
TENANT ~,G. 1 L 1Q n~~ ~ 1~ SUITE NO.
THE APPLIANT IS: RESIDENT OWNER ®CONTRACTOR ARCHITECT/ENGINEER
NAME (t L ~ ~
RESIDENT OWNER ADDRESS
CITY STATE ~ ZIP
DAYTIME PHONE # WHERE YOU CAN BEREACHED - J
COMPANY NAME POWERHOUSE ELECTRIC INC LICENSE.# CA03631
ADDRESS 1958 RASPBERRY LANE
CONTRACTOR CITY SHAKOPEE STATE MN ZIP 55379
OFFICE PHONE # 952-233-5404 FAX #
CONTACT NAME_ ~ t~p~ PHONE 952-292-4981
SIN 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
MAINTENANCE/REPAIR TENANT FINISH DEMOLITION
Only Licensed Electrical Contractors can do work in a Towjnh~ouse that has meter~bank instead of single meters attached to the units.
DETAILED DESCRIPTION OF WORK: ~'~f" fi[~ D/1 ^
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 caseof//al] wor~kw/hich requires review and approval of plans. p~
NAME OF APPLICANT (Please Print) ~V~ C ~{~i~ Date t~ b
SIGNATURE OF APPLICANT: ~~tlt' V1O~ ~
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR ANY BUILDING, MECHANICAL & PLUMBING WORK
r
FOR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW FIRE ACCEPTANCE TEST
ADDITION ROUGH-N
ALTER/REMODEL SERVICE
TRENCH
FINAL
PERMIT FEE
PERMIT FEE: $
SURCHARGE: $
OTHER: $
TOTAL: $
PERMIT ISSUED BY: DATE:
COMMENTS:
01/01/2007