HomeMy WebLinkAboutLA084567 . PERMIT
City of Lakeville Permit Type: Electrical
20195 HOLYOKE AVE Permit Number: LA084567
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 04/18/2005
Site Address: 17145 EASTWOOD AVE
Lot: Block: Addition:
PID:
Use:
Description:
Sub Type: CommerciaUIndustrial 1 0 - 400 AMPS 1 Inspections (Each)
Work Type: New
Description: Storm Shelter
Remarks: WIRE STORM SHELTER
#2536043
Fee Summary: Surcharge (.50) 0.50 loon-2127
Electrical Items 45.00 1000-4167
$45.50
Contractor: -Applicant - OWrier:
MASTER ELECTRIC CO INC
8555 123RD ST St. Lic.: CA01192
SAVAGE, MN 55378
(952) 890-3555
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. A
SEPARATE ELECTRICAL PERMIT IS REQUIRED
Applicant/Permitee: Signature Issued By: Signature
i
j ELECTRICAL PERMIT APPLICATION ~ n _
- PermR Num eb
r
CITY OF LAKEVILLE ~ ~ `
t' BUILDING INSPECTIONS DEPARTMENT
i ~ 20195 HOLYOKE AVENUE Received
..r LAKEVILLE, MN 55044. _ .
~ + f Date Received
< • < 952-985-4440
/ www.ci.lakeville.mn:us
Fee Total
DATE I- ~ ~ U~, YOUR E-MAII, ADDRESS
STTE ADDRESS t `l l Cs=`t tom'
TENANT SUITE NO.
THE APPLIANT IS: ? RESIDENT OWNER X CONTRACTOR ? ARCHTTECT/ENGINEER
NAME ~~:1J'~ ~T~ rA t ~
RESIDENT OWNER ADDRESS ~~O a J~~`-~ /-t°U~ 1Cs
CITY (>j~l~~.l t"°t~c~.~~ STATE l~~ ZIP _ ~`'i
DAYTIlvIE PHONE # WHERE YOU CAN BE REACHED ~b`3- `i3i - O"~t~
COMPANY NAME MASTER ELECTRIC CO INC LICENSE # CA01142
ADDRESS 8555123RD ST
CONTRACTOR- CITY SAVAGE ' STATE MN ZIP 55378
.CONTACT NAME C r~f~ i~ ~ ~
DAYTIl~fE PHONE # WHERE YOU CAN BE REACHED 952-890-3555
? SINGLE FAMILY ?MULII-FAMILY ? INSTITUTIONAL
? TWO FAMILY ? COMMERCIAL /INDUSTRIAL ? SWIlVIlVIIIIG POOL
PERMIT TYPE ? TOWNHOUSEUNDEFINED
? Meter Bank
? Single Meter
,NEW ? ADDITION ? ALTER /REMODEL
TYPE OF WORK
? MAIN1'ENANCE/REPAIR ? TENANT FINISH ? DEMOLITION
Only Contractors can do work in a Townhouse that has meter bank instead of single meters attached to the units.
DETAILED DESCRIPTION OF WORK: i ~Y ~ s~, ~ ~ ~t~ t~ ~'~#-I~ 1-'C`e."~--
PLEASE CHECK. ALL THAT APPLY:
ADDITION GARAGE OFFICE FURNITURE SIGN*
AIR CONDITIONING HOT TUB OUTLETS *APPROI~AL FROM ZONING
BASEMENT INDUSTRIAL PORCH WIRING DEPARTtLIENTREQUIRED
.BATHROOM KITCHEN SAVER SWITCH SPRINKLER/ALARM
BOILER MACHINERY SERVICE REWIRE OH SUB PANEL.
ELECTRICAL HEAT MAST SERVICE WIRE UG SWIMMING POOL
FURNACE LIGHTING RETROFIT SERVICE TEMP TRANSFORMER
NEW HOME OTHER TRAFFIC SIGNAL STANDARD
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 attd 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 of all work which requires review and approval of plans.
NAME OF APPLICANT (Please Print) Iii K` ~"i i~`~.._ Date 1 ~ t>
~I
SIGNATURE OF APPLICANT: ~°~~~",-,.T
PLEASE NOTE: SEPARATE PER14I'rS aiRE RL~QUIRF,Ia FOR ANI' IIUILDING, 1tiiECHANICAL & PLUMBING WORK
•
FEE SCHEDULE
Residential Permits Totai fees
0 - 400 AMPS 25.00
NEW SERVICE 401- 800 AMPS 50.00
OVER 800 AMPS 75.00
NEW SINGLE FAMILY 0 - 500 AMPS (INCLUDES RI & FINAL) 80.00
DWELLING ADDITIONAL INSPECTIONS AFTER TWO 20.00
NEW MULTIFAMILY 3 - 12 DWELLING UNITS (EACH UNIT) 50.00
DWELLINGS ADDITIONAL UNITS (EACH UNIT) 25.00
ADDITION./REMODEL INCLUDES RI & FINAL INSPECTION 40.00
MANUFACTURED HOME INSTALLATION 25.00
Camm~rcial I.~n~d ustria::Permts
` 0 - 400 AMPS 25.00
NEW SERVICE 401 - 800 AMPS 50.00
OVER 800 AMPS 75.00
CIRCUITS / 0 - 200 AMPS 5.00
FEEDERS OVER 200 AMPS 10.00
TRANSFORMERS 0 - 10 KVA 10.00
OVER 10 KVA 20.00
LIGHTING RETROFIT (PER. FIXTURE) 0.25
ALARM, COMMUNICATION CIRCUITS LESS THAN 50 VOLTS (EACH DEVICE) 0.50
ADDITION /REMODEL (RI & FINAL - $20.00 PER INSPECTION) 40.00
TRAFFIC SIGNAL STANDARD 5.00
Aclditio~al Miscellaneous Fees .
MISCELLANEOUS FEE
ALARM, COMMUNICATION CIRCUITS LESS THAN 50 VOLTS (EACH DEVICE) 0.50
EACH ADDITIONAL INSPECTION PER VISIT 20.00
STATE SURCHARGE ON ALL PERMITS ~ .50
Total Electrical 1~'ermit Fee
FOR OFFICE USE gNLY:
TYPE OF WORK INSPECTIONS
~ NEW ~ ROUGH-IN
ADDITION SERVICE ~
ALTER/REMODEL TRENCH
FINAL 1(
DATE• ~ 0~
tERMIT ISSUE) :Y:
COMMENTS:
(09!30/2004)