HomeMy WebLinkAboutLA177792 PERMIT
City of Lakeville Permit Type: Electrical
20195 xolyoke Ave Permit Number: LA177792
Lakeville,MN 55044
(952)985-4440 * L R 1 7 7 7 9 Z *
www.cilakeville.mn.us Date Issued: 03/04/2020
5ite Address: 17452 Glacier Way
Lot: Block: Addition:
PID:
Use: Springs of Lakeville * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: Building#4
Comments:
Fee Summary' Description Amount Revenue Code
Valuation: 158,000.00 EL-CommercialAddn/Rmdl $1,630.00 1000-4167
Surcharge-Based on Valuation $79.00 1000-2127
Total: $1,709.00
Contractor: - Appli��,t - Owner:
Burnsville Electric
14340 County Road 5
Burnsville MN 55306
(612)363-0407
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
, Office Use On
ELECTRICAL PERMIT APPLICATION (.j �
ermit Number
CTTY OF LAKEVILLE
BUILDING INSPECTIONS DEPART'MENT eceived B
� R '' 20195 HOLYOKE AVENLJE Y
LAKEVILLE,MN 55044 � "��_ ���,;
952-985-4440 Date Received
wwwlakevitlemn. ov 0.00 ��r I � '�� �
�2 Fee Total
DATE�Ll .7���'�L� YOUR E-MAIL ADDRESS tj@bumsvilleelectric.com
SITE ADDREss 17452 Giacier Way
TBNANT Continental Properties SUIT'E NO. Bulidltlq 4
TI�APPLIANT IS: �RESIDENT OWNER �CONTRACTOR
NAME Continental 484 Fund LLC
RESIDENT OWNER �DRESS W134 N8675 Executive Parkwav
CI'rY Menomonee Falls STA'rE WI zip 53051
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Bumsville Electric LICENSE#EA 000342
CON'I'RACTOR ADDRESS 14340 County Rd 5
Company name must be as CITY Bumsville STAT'E MN ZIp 55360
appears on State License OFFICE PHONE# FAX#
CONTACT NAME Tj Jakubic pgp�952 435 9062
❑SINGLEFAMILY �MUI,TI-FAMILY ❑SWIMNIINGPOOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFAC'I'URED HOME OFIRE ALARM POWER
(Contractor Only)
❑Meter Sank �SIGN
❑Sing►e Meter ❑�STTTUTTONAL mOTHER(see description)
Residential Addition/Remodel Permits Available on-tine
TYPE OF WORK mNEW ❑ADDITTON �ALTER/REMODEL
❑MEllNTENANCE/REPAIR ❑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 Contractors can do work in M�nutactured Home Parks.
I�FTAII FI� f�FS jRIPTI(�N F A/QRK• R��ilrlin�#d r anarFinant rnm�iPY
RESIDENTIAL FEES:
New Construction: $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)
C�l�MERCYt�I.F�'Es: Minimum of$40.00+$1.00 State Surcharge(one trip)--Remodel Minimum$70.00+$1.00 State Surcharge(two trips)
JOB COST: $ 158,000.00 Example:$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%of cost above$10,000 plus surcharge + $1,480.00 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005} + $7g.00 $12,000 x.0005 = + 6.00
TOTAL = $1,709.00 = $176.00
I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ardinances and codes of the City of Lakeville and with the Minnesota Electrica7 Act;that I understand this is not a permit
but only an application for a permit and work is not to start without a permit;that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) TJ Jakubic
SIGNAT'IJRE OF APPLICANT:
PL$ASE N�TE: SEPe1RATE pERMITS ARE REQUIRED FOR ANY BUILD3NG,MECIIANICrlL&PLUMBING WORK