HomeMy WebLinkAboutLA085431 PERMIT
City of Lakeville Permit Type: Electrical
20195 HOLYOKE AVE Permit Number: LA085431
LAKEVILLE, MN 55044
(952) 985-4440 Date Issued: 05/25/2005
Site Address: 17172 EASTWOOD AVE .5
Lot: Block: Addition:
PID:
Use: DEA
Description:
Sub Type: Single Family 1 0 - 500 AMPS
Work Type: New
Description: DOGHOUSE LAWN IRRIGATION
Remarks; THIS CERTIFICATE MUST BE SIGNED &
FILED WITH THE ELECTRICAL UTILITY
BEFORE SERVICE CAN BE CONNECTED.
DATE UTILITY CONNECTION IS REQUESTED
Fee Summary' Surcharge (.50) 0.50 1000-2127
Electrical Items 40.00 1000-4167
$40.50
Contractor: -Applicant - Owner:
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 Off ce Use Only
' ELECTRICAL PERMIT APPLICATION $ ~H 3 ~
~ Permit Number
• / CTI'Y OF LAKEVII,LE `
f ~ ~
~ ~ BUILDING INSPECTIONS DEPARTMENT Receive
Y
20195 HOLYOKE AVENUE
<>'~4 :.,.J LAKEVILLE, MN 55044.... e__ ~ ~ ~
952-985-4440 Date Raceived
www.ci.lakeville.mn.us ~ ~,.f~.~/
: Fee Total
DATE Ctt1 ~C~, YOUR E-MAIL ADDRESS
SITE ADDRESS f ~ 1 '7 ~ ~5 ~ t~ ~aD'(~ -
TENANT SUITE NO.
THE APPLIANT IS: ? RESIDENT OWNER X CONTRACTOR ? ARCHITECT/ENGINEER
NAME ~ v ~ > tP
~Z F(t3a 4n
RESIDENT OWNER ADDRESS_~ "7r~ S'°~ tl+-s
CITY C~ STATE ~+t % ZIP
DAYTIME PHONE # WHERE YOU CAN BE REACHED
COMPANY NAME MASTER ELECTRIC CO INC LICENSE # CAOI192
ADDRESS 8555123RD ST
CONTRACTOR CITY SAVAGE' STATE ' MN ZIP 55378
CONTACT NAME ~~92 ~ I "
DAYTIME PHONE # WHERE .YOU CAN BE REACHED 952-890-3555
? SINGLE FAMII.Y ?MULII-FAMILY ? INSTITUTIONAL
? TWO FAMILY ~ COMMERCIAL /INDUSTRIAL ? SWIlVIIvIING POOL
PERNIIT TYPE [TOWNHOUSE ? UNDEFINED
? Meter Bank
? Single Meter
? NEW ? ADDITION TER /REMODEL
TYPE OF WORK
? MAINTENANCE/REPAII2 ? 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: (!~~7"r ~=t"Z.-~- 11'~,t~' f C~ f u ri~ r~~ ~'"'=`7"!a
PLEASE CHECK ALL THAT APPLY:
ADDITION GARAGE OFFICE FURNITURE SIGN*
AIR CONDITIONING HOT TUB OUTLETS *APPROI~AL FROlvt ZONING
BASEMENT INDUSTRIAL PORCH WIRING DEPARTMENT REQUIRED
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 TRANSFORRRER
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 ut 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 case of all work wluch requires review and approval of plans.
NAME OF APPLICANT (Please Print) E° ~ Date ~ ~ 3 ~ t'y'~
~ ~
SIGNATURE OF APPLICANT:
r
PLE,~SE NOTE: SEPARATE PER!1TI'~'S :~ItE REQUIREU~'OK .ANY' BUIL13I1tIG M1IECfI:1NICAL & PLU~4iBt~(: ~~'ORIC
FEE SCHEDULE a
Residential Permits Total 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 ~ 0'
MANUFACTURED HOME INSTALLATION 25.00
Com~t~rcial;l.Ipdustrial Pernnts
0 - 400 AMPS 25.00
NEW SERVICE 401- 800 AMPS 50.00
OVER 800 AMPS 75.00
CIRCUITS ! 0 - Z00 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
Addxt~orxal l~sc~llaneous Fees"
MISCELLANEOUS FEE
ALARM, COMMUNICATION CIRCUITS LESS THAN 50 VOLTS (EACH DEVICE) 0.50
EACH ADDITIONAL INSPECTION PER VISIT 20.0
STATE SURCIiARGE ON ALL PERMITS ~ .50
Total'Etectrcal Permit Fee - ~--~J'
I*pR OFFICE USE ONLY:
TYPE OF WORK INSPECTIONS
NEW ~ ROUGH-IN
ADDITION SERVICE
ALTER/REMODEL TRENCH
FINAL
PERMIT ISSUED BY: _._2P~ DATE: ~ ~ ~ - ~
COMMENTS:
(09/30/2004)