HomeMy WebLinkAboutLA177133 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA177133
Lakeville,MN 55044
(952)985-4440 �K L R 1 7 7 1 3 3 �K
www.ci.lakeville.mn.us Date Issued: 02/03/2020
Site Address: 5256 175th St W
Lot: Block: Addition:
PID:
Use: Charter Communications * *
Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: Alter/Remodel
Description: Insta1160amp power supply for new service
Comments:
Fee Summary: Description Amount Revenue Code
Valuation: 850.00 Electrical Commercial(Minimum) $40.00 1000-416'7
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
Contractor: - Appll�a,,t - Owner:
Electrical Production Svc Inc
2431 Galpin Ct
Ste 140
Chanhassen MN 55317
(952)401-1888
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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ApplicandPermitee: Signature Issued By: Signature
��=��1�. tiu�t.�� �_�,� j�,'�:; �' �� _ 2,.. ���a
Office Use Only
ELECTRICAL PERMIT APPLICATION j'��i � ��,_
Pe'it Number
CITY OF LAKEVILLE �y�� . '�,y ��'l
BUILDING INSPECTIONS DEPARTMENT Received By
/ � + 20195 HOLYOKE AVENUE
LAK.EVILLE,MN 55044 r�- � '-�' ^�-G
952-485-4440 Date Receiv,ed
ww�vlakevillemn.�ov 0.00�� .�
Fee Total
DATE 1/30/20 YOUR E-MAIL ADDRESS steve.solheid(a�electricalproduction.com
sl'rE ADDxEss 5256 175th St W Lakeville, MN
TENANT Charter Communications SUITE NO.--
THE APPLIANT IS: ORESIDENT OWNER ✓�CONTRACTOR
NAME Charter Communications-Tyler Nelson
RESIDENT owNER �DRESS 16900 Cedar Ave S
c�'rY Rosemount S'rA'rE MN zrn 55068
DAYTIME PHONE#WHERE YOU CAN BE REACHED 651-318-8975
coMP�N�tE Electrical Production Services L�cENSE#EA000600
Co1vTRACTou ADDREss 2431 Galpin Ct STE 140
Company name must be as CI7'Y Chanhassen STATE MN ZIP 55317
appears on 5tate License OFFICE PHONE# 952-401-18$$ FAX# --
CON'rAC'r NAME Steven Solheid PHONE 612-366-5058
❑SINGLE FAMILY ❑MULTI-FAMILY ❑S WIMMING POOL
❑TWO FAMILY ✓[]COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE �MANUFACTURED HOME ❑FIRE ALARM POWER
❑TOWNHOUSE
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑INSTITUTIONAL �pTHER(see description)
Residential Addition/Remodel Permits Available on-Zine
ONEW ❑ADDITION ❑ALTER/REMODEL
TYPE OF WORK
❑MAINTENANCElREPAIR ❑TENANT FINISH �DEMOLITION
Only Licensed Electrical Contractors can do work in a Townhouse that has meter bank instead of single meters attached to the units.
Only Licensed Electrical Contractars can do work in Manufactured Home Parks.
DETAILED DESCRIPTIO►V OF WORK: Install(1)60 Amp power supply for new service for Charter
Communications equipment. WO-5380
RESIDENTIAL FEES:
New Conshvction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
COMMERCIAL FEEs: Minimum of$40.00+$1.00 State Surcharge(one trip)--Remadel Minimum$70.00+$1.00 State Surcharge(two trips)
JOB COST: $850.00 Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $40.00 $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) + $1.00 $12,000 x.0005 = + 6.00
TOTAL = $41.00 = $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 applicarion 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) Steven Solheid �
SIGNATURE OF APPLICANT:
_ �PLEA3E NOTE SEPARATE PERMITS ARE BEQUIIt�lf FOR ANY BTIIliDING MECHAIyICAL&;PLUMBTNG WORK ' `' �� "€
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