HomeMy WebLinkAboutLA179430 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA179430
Lakeville,MN 55044
(952)985-4440 * L R 1 7 9 4 3 0 *
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#1
Comments:
Fee Summary' Descri 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: - 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 Only
ELECTRICAL PERMIT APPLICATION j��=;�j�i��.
Permit Number
CITY OF LAKEVILLE � `
BUILDING INSPECTIONS DEPARTMENT ��``'�'`������t`'1-'t""�
' � 20195 HOLYOKE AVENT.JE Received By
LAKEVILLE,MN 55044 � � �`�LU
952-985-4440 Aate Received
www.l�kevillemn.gov 0.00 � ��� J�%
Fee Total
DATE 5/712020 YOUR E-MAIL ADDRESS tj@bumsvitleelectric.com
SITE ADDRESS 17400 Glacier Wav
TENANT Continentai Properties SUIT'E NO.
Tf�APPLIANT IS: ORESIDENT OWNER mCONTRACTOR
NaME Continental 484 �und LLC
RESIDENT OWNER �DREss W134 N8675 Executive Parkway
Ci'rY Menomonee Falls STa'rE 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 Bumsville STATE MN Zrp 55360
appears on State License pFFICE PHONE# FAX#
CONTACT NAME T1�akubic pgp�952 435 9062
❑SINGLEFAMILY mMULTI-FAMILY ❑SWIMMINGPOOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TO WNHOUSE ❑NIANUFACTURED HOME []FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Singie Meter ❑INSTITUTTONAL mOTHER(see description)
Residential Addition/Remodel Permits Available on-line
TYPE OF WORK �NEW �ADDITION []ALTER/REMODEL
❑MAINTENANCE/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 ContraMors can do work in Manufactured Home Parks.
J�FTAII FI�f]F�('.RIPTI(�N f�F 1�/(�RK•NaN C;ara p# 1 fnr��artmant rnm�Jav
RESIDENTIAL FEES:
New Construcrion: $135.00�-$I.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��'1�'RC�I,r+EEs: Minimum of$40.00+$1.00 State Surcharge(one trip}—Remodel Minimum$70.00+$1.00 Stete Surcharge(lwo trips)
JOB COST: $ 5,000.00 Example:$12,000 Job Cost
1-1/2%ofcontractcostupto$10,000 $75.00 $10,000.00x1.5%= $150.00
]%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 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 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:
FI.EAS�NOTE: SEPr1RATE PERMTTS ARE REQI3IRED FOR ANY SUILDING,MECIIANICAL&c FLUMBING LVORK