HomeMy WebLinkAboutLA174913 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA174913
Lakeville,MN 55044
(952)985-4440 * L R 1 7 4 9 1 3 *
www.ci.lakeville.mn.us Date Issued• 12/26/2019
Site Address: 7400 Lakeville Blvd
Lot: Block: Addition:
PID:
Use: U-Haul * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: New building
Comments:
Fee Summary: Descri tp ion Amount Revenue Code
Valuation: 365,000.00 EL-Commercial-New $3,700.00 1000-4167
Surcharge-Based on Valuation $182.50 1000-2127
Total: $3,882.50
Contractor: - Appil�a,,t - Owner:
City View Electric
14309 Lake Dr NE
Columbus MN 55025
(651)659-9496
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
Oc t, 25. 2019 10: 09AM C i t y V i ew E 1 e c t r i c No. 2577 P. 2
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ELECTRICAL PERMIT APFLICATION •, ��U�Only .��, ���� �
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Permit Number''
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BUIY,DTNO INSPECTIONS bEPARTMENT �\'��'� � C�� I'�'�-� � 1
Receivcd Hy
20195}'lOLYOKE A�EN'[7� tr ,,
LAKEViLI.�e,MN 55044 `�i ..- ,���_.��;�
952-985-4440 Date ReceiveQ
www.lakevlllemn.eov 3,862.50
Fee Total
DATE 10/25/2019 YOURE-MnILADDRESS cherriei@cllvvlewelecaic.com
StTE ADDRFSS 7400 Lakeviile Blvd, Lakevlile 55044
TENANT U-H�ul 3UITE N0.
THE APPLIANT IS� QRESIDENT OWNER mCONTRACTOR
NAME U-Haul
RESIDENT oWNER ���SS 7400 Lakeville Blvd _
cT� Lakeville STaTE MN ZiP 55044
DAYTIME PHONE N W1�RE YOU CAN BE REnCI�D 763-972-0000 Kvle w/Bauer
COMPANY'NAM�Citv View Electric, Inc. L.ICENS�N�A 000384
CONTt'tACTOR A.bbTtESS 14309 Lake Drive NE
Compeny neme must be as CITY COIlIfT1bU5 STATE MN ZIP 55025
eppea�s on State License OFPCCL'PT�ONE N 651-659-9496 FAX# 651-659-0905
CON'CACTNAM� Cherrie Isaacson P'�ONE 651-659•9496
❑SINGrI,EFAMILY ❑MULTI-FAMILY ❑SW1MMrNC3p00T.
❑1'WOFAMa�,Y mCOMMEItCIAL,/INDUSTRIAL ❑UNb�,X'TNI�b
pETiMTT T'YY'E
[]TOWNHOUS£ ❑MANUFACT(JR6D HOME �FTI2E AT.AILM POWP�L
❑Mekr Benk (COa�Irac[or Only) QSTGIJ
❑Single Meter ❑r�STYTti7TY0NAl. �pTHER(9ee de9triplipn)
Rs�idsnriaJ.ld�i�ion/Rernadel Pei�r��ih Availab/a on-line
TYPE OF WORK m1���✓ ❑A�DITION �ALTER 1 REMODEL
❑MAINTBNANCE/REkpIR ❑TENANT FINISH dDEMOLITIQN
Only Licn�sed�lecn•icel Contrsctors cAn do work in n Townhooae that h�s meter banH lnateaQ otaingle meters�ttached�o the unln,
Only Y.icenecd�leelrieal Contrxclora cAn do work in h�ledufxcNrcd�ome PArlrs.
pn a�.��n F��rnl�h 8�lnsCall 8a�F�YC��r,��, ��n P,r�riPrr,Qr��ainn�lin�tS, 7C,n�r�inanrv aan�nrc 1d�
racantarles_ 1 timP clnek,,,F wal rarkC A 95'rnlac 1 hoto r 1 w;ra 5 nvarhpaA�innr nrtpCatnrc��,
RCSID�lV'L'LA�.k'G�S:
New Cons�ruclion: S13S.00*51.00 State Surcharge (up to three crips)
Repaire: 490.00+51.00 Srete Suroherge (one trip)
additiona,Re,nodel,l.o�ver Level: 570.00+51.00 State Surcharge (two[rips)
COA'I11�1��2CIAI.FE�S: htlnlmrm of Sd0.00+51.00 SWe Surehuee(one trlp)••-RemoJel A7lnhnum 570,OO+S1.00 Sr�a Surcbuee(two irlps)
70g COST: $365.000,00 �xample:SIz,000,lob Cost
1-1/2°/,of cort��act costup to 510�000 $�$�.�0 $10,Q00.00 x l.5%= 5150.00
I%of cost above 510,000 plus surcharge +�3,550.00 E 2,000.00 x 1% = + 20.00
(Surcharge=ContractCostx.0005) + $182.50 S12,OOOx.0005 y + 6.00
TOTAT. _ $3,882,50 = 5176.00
I hereby apply for en eleclricel permit end 1 ecknowledge thet the inCormation above u complek and accurate;chat the �wrk wi1! be in
wnformence with the ordinancw end codes of lhe City of lakeville 9nd wilh the MinntsolA EleCtritel AC[;thwt 1 underSD�nd lhis is not e permi[
but only en epplice�ion for a pamit end work is na to s[art without a permir,�hat tl�e work�vill be in eccordance with the npprovod plan in the
cese of all wo�k which oequires revisw and approvef oPplene.
NAME OP APPUCANT(Pleese Print) Michael Nelso
STaN'ATURE OF APPYdCAiJT:
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