HomeMy WebLinkAboutLA176251 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA176251
Lakeville,MN 55044
(952)985-4440 �K L Fl 1 7 6 2 5 1 �K
www.ci.lakeville.mn.us Date Issued• 12/16/2019
Site Address: 16890 Klamath Tr
Lot: Block: Addition:
PID:
Use: Kingsley Place Senior Living * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: Complete electrical system for 55-unit senior
living
Comments:
Fee Summary: Descrintion Am un Revenue Code
Valuation: 637,725.00 EL-Commercial-New $6,427.25 1000-4167
Surcharge-Based on Valuation $318.86 1000-2127
Total: $6,746.11
Contractor: - Appli�a„t - Owner:
Berd Electric LLC
1 Industrial Blvd
Sauk Rapids MN 56379
(320)656-0847
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.
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Applicant/Permitee: Signature Issued By: Signature
ELECTRICAL PERMIT APPLICATION ,o ce U e only.
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P mvt N nber.
CITY OF LAKEVILLE � � I
BUILDING INSPECTIONS DEPARTMENT Received B
20195 HOLYOKE AVENUE
LAKEVILLE,MN 55044 I �� I �.Q'� �
952-985-4440 Date Receiv,ed
www.lakevillemn.gov 0.00� ' -� � a � 1
Fee Total
Dp'r� 12/12/19 Youx E-ivtatL AvvxEss chelsea(n�berdelectric.com
si'rE AnnxEss 16890 Klamath Tr
'rE1va►1vT Kinqslev Place Senior Livinq SUIT'E NO.
THE APPLIANT IS: ❑RESIDENT OWNER OCONTRACTOR
N�v1E Silvercrest Properties
RESIDENT OWNER �Dx�ss 5402 Parkdale Dr, Ste 301
C�� St. Louis Park STATE MN ziP 55416
DAYTIIviE PHONE#WHERE YOU CAN BE REACHED 952-922-9540
COMPANY NAME BePd EIeCt�iC LICENSE#EA 006216
CONTRACTOR �D�SS 1 Industrial Blvd
Company name must be as Ci� Sauk Rapids STATE MN zIP 56379
appears on State License OFFICE PHONE# 320-656-0847 PAX#
CONTACT NAME Ch@ISeB GO��Ik PHONE
❑SINGLE FAMTLY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY 0 COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITUTIONAL �OTHER(see description)
Residential Addition/Remodel Permits Available on-line
TYPE OF WORK �NEW DADDITION ❑ALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FINISH �DEIVIOLITION
Only Licensed Electrical Contractors can do work in a Townhouse t6at has meter bank instead of single meters attac6ed to the units.
Only Licensed Electricat Contractors can do work in Manufactured Home Parks.
DETAILED DESCRIPTION OF WORK: com lete electrical systems for 55-unit senior living; includes
wiring for temp control
RESIDENTIAL FEES:
New Constivcrion: $135.00+$1.00 State Surchazge (up to three trips)
Repairs: $40.00+$1.00 State Surchazge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surchazge (two trips)
C�MIVIERCIt�I,FEES: Miniroum of S40.00+51.00 State Surcharge(one tHp�Remodel Miniroum 5�0.00+51.011 Stste SurcLarge(two trips)
JOB COST: $637,725.00 Ezample:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $150.00 $10,000.00 x 1.5%_ $150.00
1%ofcost above$10,000 plus surcharge + $6�2�7 25 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $318.86 $12,000 x.0005 = + (>.pp
TOTAL = 6,746.11 = $176.00
I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;that I understand this is not a permit
but only an application for a permit and work is not to start without a permit;that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) Ck I PSO
SIGNATURE OF APPLICANT:
PLEASE IVOTE: SE�"ARA �Rd►i1`�S ARE` .t�UiREII)FQR'A1VY�VILDJNG,�ECHANICAL ds PT:UM$ING.WOlt�C .