HomeMy WebLinkAboutLA177794 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA177794
Lakeville,MN 55044
(952)985-4440 * L Fl 1 7 7 7 9 4 *
www.ci.lakeville.mn.us Date Issued: 03/04/2020
Site Address: 17412 Glacier Way
Lot: Block: Addition:
PID: �
Use: Springs of Lakeville * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: Building#3
Comments:
Fee Summary' Descri tion Amount Revenue Code
Valuation: 158,000.00 EL-CommercialAddnlRmdl $1,630.00 1000-4167
Surcharge-Based on Valuation $79.00 1000-2127
Total: $1,709.00
Contractor: - applic�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 CTTY ORDINANCES&CODES;AND(3)THE MN STATE BUILDING CODE.
� t
���
Applicant/Permitee: Signature Issued By: Signature
. -"�
Office Use Only,
ELECTRICAL PERMIT APPLICATION C
j�� Perm�t umber
CITY OF LAKEVILLE ''� � �
BUILDING INSPECTIONS DEPARTMENT �--�
� � � 20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 � ��"" `1—U
952-985-4440 Date Received
www.lakevil'lemn.�ov 0.00`� � , � �� r �
Fee Total �-
DAT'E � ��°'��"�'� YOUR E-MAIL ADDRESS tj@bumsvilleeledric.com
SiTE ADDxEss 17412 Giacier Wav
'THNpNT Continental Properties SUITE NO. Buildinq 3
TI�APPLIANT IS: []RESIDENT OWNER �CONTRACTOR
NAME Continental 484 Fund LLC
RESIDENT OWNER �D�S5 W134 N8675 Executive Parkway
CITY Menomonee Falls STATE WI ZIP 53051
DAYTTME PHONE#W��ERE YOU CAN BE REACHED
COMPANY NAME Bumsville Electric LICENSE#EA 000342
CONTRACTOR ADDRESS �4340 Gounty Rd 5
Company name must be as CITY Bumsvitle STATE MN Zip 55360
appears on State License OFFICE PHONE# FAX#
CONTACT NAME T�akubic pgpj�j�952 435 9062
❑SINGLE FAMILY mMULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE �MANUFACTURED HOME �FIRE ALARM POWER
❑TOWNHOUSE
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STTTUTIONAL mOTHER(see description)
Residential Addition/Remodel Permits Available on-line
TYPE OF WORK mNEW ❑ADDITION DALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FINISH ODEMOLITION
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.
11FTAll Ff� RFSf;RIP�N (�F�C)RK• Ruijrlin�,itR fnr ana mant r,pm,�ip„�
RESIDENTIAL FEE5:
New Construetion: $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)
COMM�'RC�I.FE�'S: Minimum of$40.00+$1.00 State Surc6arge(one trip}—Remodel Minimum$70.00+$1.00 State Surc6arge(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%ofcost above$10,000 pius surcharge `� $1,480.00 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $79,fl0 $12,000 x.0005 = + 6.00
TOTAL = $1,709.00 = $176.00
I hereby apply for an electrical permit and I acknowiedge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the Ciry 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) TJ Jakubic
SIGNATURE OF APPLICANT:
PLC�A5E NOTE: SEPE11tATP PERMITS ARE REQt71RED-FOR A�1TY`BUILDING,MECHANICAL&PLUMBA+iG�VdRK