HomeMy WebLinkAboutLA177793 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA177793
Lakeville,MN 55044
(952)985-4440 * L R 1 7 7 7 9 3 *
www.cilakeville.mn.us Date Issued: 03/04/2020
Site Address: 17408 Glacier Way
Lot: Block: Addition:
PID:
Use: Springs of Lakeville * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: Building#2
Comments:
Fee Summary: Descri tn ion Amount Revenue Code
EL-Commercial AddnlRmdl $1,630.00 1000-4167
Valuation: 158,000.00 Surcharge-Based on Valuation $79.00 1000-2127
Total: $1,709.00
Contractor: - Appli�a�t - Owner:
Burnsville Electric
14340 Counry 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
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Office Use Only
ELECTRICAL PERMIT APPLICATION �_����� �
�.�� Perm�Y Number
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CITY OR LAKEVILLB
� # BUILDING INSPECTIONS DEPARI'IvIENT —�y
20195 HOLYOKE AVENUE n � ��
LAKEVILLE,MN 55044 �r`� �
952-985-4440 Date Received
www.lakevillemn.�ov 0.00 � C'� , �'
Fee Total
DATE� 3'/� ���� YpUR E-MAIL ADDRESS tj@bumsvilleelectric.com
SI'rE ADDRESS 17408 Glacier Wav
TENANT Continental Properties SUITE NO. BUIIdII1q 2
THE APPLIANT IS: ❑RESIDENT OWNER mCONTRACTOR
NAN1E Continental 484 Fund LLC
RESIDENT OWNER �DREss W134 N8675 Executive Parkwav
CiTY Menomonee Falls STATE WI ziP 53051
DAYTTME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsville Electric LICENSE#EA 000342
CONTRACTOR ADDRESS 14340 County Rd 5
Company name must be as CIT'Y Burnsville STAT'E MN Zip 55360
appears on State License OFFICE PHONE# FAX#
CONTACT NAME Tj Jakubic PHONE 952 435 9062
❑SINGLE FAMILY �MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANIJFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Singie Meter ��STITUTIDNAL Q�OT'HER(see description)
Residential Additionl Remodel Permits Available on-line
TYPE OF WORK mNEW �ADDITTON �ALTER/REMODEL
❑MAINTENANCEfREPAIR []TENANTFINISH �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 Manufactured Home Parks.
11E2A11 F2DFSrRIPT1(1N C1F\11_I(1RK• R�iildin�n�t�fnr�Rartmant rnm�laY
RESIDENTIAL FEES:
New Construction: $135.00+$1.Q0 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (onetrip)
Additions,Remodel,Lower Level: $70.00+$I.00 State Surcharge (two trips)
C�MMERC�I.FEES: Minimum of$40.00+$1.00 State Surcharge(one trip}—Remodel Minimum$70.00+$1.00 State Surcharge(hvo trips)
70B COST: $ 158,000.00 Example:$12,000 Job Cost
1-1/2%ofwntract costup 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) + $79.00 $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 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 staR 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
SIGNATURE OF APPLICANT:
PLEASE NOTEe 5EFABATE PERMI'CS ARE REQUIRED FOB ANY BUILDING;MECHANICAL&PLUMBING R'ORK