HomeMy WebLinkAboutLA179432 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA179432
Lakeville,MN 55044
(952)985-4440 * L A 1 7 9 4 3 2 �K
www.cilakeville.mn.us Date Issued: OS/07/2020
Site Address: 17400 Glacier Way
Lot: Block: Addition:
PID: �
Use: Springs of Lakeville * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: Alter/Remodel
Description: Garage#2
Comments:
Fee Summary: D�scri tp ion Amount Revenue Code
Valuation: 5,000.00 EL-Commercial Addn/Rmdl $'75.00 1000-4167
Surcharge-Based on Valuation $2.50 1000-2127
Total: $77.50
Contractor: - Applicant - 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
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Office Use On�
ELECTRICAL PERMIT A.PPLICATION i ��C°�� ��'
�' Permit Num6er
CITY OF LAKEVILLE � � � r "�
BUILDING 1NSPF,CTIONS DEPARTMENT "�-L � `� ����L` I
/ s � 20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 � � � ` ��
952-985-4440 D e ea cR eived
wwwlakevillemn.�ov 0.00� ��, ��i
Fee Total
DATE 5/7/2020 YOUR E-MAIL ADDRESS tj@burnsvilleelectric.com
SI'I'E ADDRESS �7400 Giacier WaV
TENANT Continental Properties SU1TE NO.
THE APPLIAN'T IS: �RESIDENT OWNER �CONTRACTOR
NAn� Continental 484 Fund lLC
RESIDENT OWNER �Dt�ss W134 N8675 Executive Parkway
CiTv Menomonee Falis SrA'i�WI ZIP 53051
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsville Electric LICENSE#EA 000342
CONTRACTOR ADDRESS 14344 County Rd 5
Company name must be as CITY Burnsville STATE N1N ZIP 55360
appears on State License OFFICE PHONE# FAX#
CONTACT NAME Tj Jakubic YHONE 952 435 9062
❑SINGLE FAMILY 0 MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAI, ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME []FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�NSTITUTIONAL �OTHER(see description)
Residentia7Addition/Remaded Pe�mitsAvailable on-line
TYPE OF WORK mNEW ❑ADDITION �ALTBR/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FINISH []DEMOLITION
Only Licensed Electrical Contraetors can do work in a Townhouse thaE has meter bank instead of singie meters attached to the units.
Outy Licensed Electrical Contractors can do work in Mannfactured Home Parks.
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RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surcharge (u�Co three trips)
Repairs: $40.00+$1.00 State Suraharge (one trip)
Additions,Remodel,Lower Level: $70.00+$1,00 State Surcharge (two trips)
CnMI�'��'RCI[�1.F+'�'Es: Minimum ot$40.00+$1.00 State Surclwrge(one trip)---Remodel Niinimum$70.00+$1.00 State Surcharge(two trips)
JOB COST: $ 5,000.0� , Examp►e:$12,000 3ob Cost
1-U2%of contract cost up ta$10,Q00 $75.00 $10,000.00 x 1.5%= $150.00
i%of cost above$10,000 plus surcharge + $ 2,000.00 x 1% = + 20.00
(Surcharge=Contract Cost x.0005) + $2.50 $12,000 x.0005 = + 6.00
TOTAL = $77.50 = $176.00
I hereby apply for an etectrical permit and I acknowledge that the information above is complete and aceurate; that the work will be in
conformanae with the ordinances and eodes 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 ta start without a permit;that the wark 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 NtYCE:_SEPAI2ATE PERMITS ARE REQU[RED FORANY BtIILbING,MECI3ANICAL&PLUMSING WORiZ