HomeMy WebLinkAboutLA179428 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA179428
Lakeville,MN 55044
(952)985-4440 * L A 1 7 9 4 2 8 �K
www.ci.lakeville.mn.us Date Issued• 05/07/2020
Site Address: 17400 Glacier Way
Lot: Block: Addition:
PID:
Use: Springs of Lakeville-Garbage Corral * *
Description:
Sub Type: CommerciaUIndustrial
Work Type: Alter/Remodel
Description: Garbage corral
Comments:
Fee Summary: Descri�tion Amount Revenue Code
EL-Commercial Addn/Rmdl $75.00 1000-4167
Valuation: 5,000.00 Surchar�e-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
O�ce Use Oniy
_ ELECTRICAL PERMIT APPLICATION �'�c��.�,
�� Perm�t Number
CITY OF LAKEVILLE �' �. �
BUILDING INSPF,CTIONS DEPARTMENT �``�`�'� � �`�4 �`Z
Received B
" �' 20195 HOLYOKF,AVENUE ., y�
LAKEVILLE,MN 55044 � � � ��
952-985-4440 Date Received
www.lalcevillemn.Qov �00���.��,�� ��
Fee Tota7
DATE 1/9/202Q YOUR E-MAIL ADDRESS tj@burnsvilleelectric.com
SITE Av�RESS 17400 Glacier Wav
TENANT Continental Properties SLIITE NO. BUild111q 1
THE APPLIANT IS: []RESIDENT OWNER mCONTRACTOR
NAME Continentai Properties
RESIDENT OWNER �n�ESS
CITY STATE ZIP
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME BurnsviAe Etectnc LICENSE#EA 040342
CONTRACTOR ADDRF,SS 1434�County Rd 5
Company name must be as CITY Burnsville STA1'E MN ZIp 55360
appears on State License OFFICE PHONE# FAX#
CONTACT NAME�l�akubic PHONE S52 435 9062
❑SINGLEFAMILY ❑MULTT-FAMTLY ❑SWIMMINGPOOL
❑'TWO FAMILY ❑COMMF,KCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOMB �FIRE ALARM POWER
(Contractor Only)
❑Meter Bank ❑SIGN
❑Singte Meter ❑INSTTTUTIONAL mp'�ER(see description}
Residential Addition/Remodel Permits AvailabTe on-line
mNEW ❑ADllITION �ALTER/REMODBL
TYPE OF WORK
❑MAINTENANCE/REPATR ❑TENANT FINISH ❑DEMOLI'TION
Only Licensed Electrical Contractors can do work in a Tawnhouse that has meter ba�k instead of single meters attached to the units.
Only Licensed Electrieal Contractors can do work in Mauufactured Home Parks.
I�FTA1{ Fil��SC:RiPTI(�N (�F iAIQRK�C;arha�g„�pr�i
RESIDENTIAL FEES:
New Construction: $135.00+$I.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00-i-$1.00 SYate Surcharge (two tnps)
COMMERCIAL FEES: Minimum of$40,00+$1.00 State Surcharge(one trip}--Remodel Rlinimum$70.00+S1.00 State Surcharge(two trips)
JOB COST: $ 5,000.00 Exampfe:$12,000 3ob Cost
1-112%ofcontractcostupto$10,000 $75.00 $10,000.00x1.5%= $I50.00
1%of cost above$10,000 plus surcharge + $ 2,000.00 x 1% _ + 2D.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 lnformation above is complete and accurate, that the work will be in
conformance with the ordinances and codes o€ihe Ciry of Lakeville and with Che Minnesota Electrical Act;that I undersYand this is not a permiC
but only an appiication for a permit and work is not to 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 APPI,ICANT(Please Print) TJ Jakubie
SIGNATURE OF APPLICANT:
PLEASE NOTE: $EPARATE PERMITS ARE REQUIRED�OR ANY Sti1LDING,MECHANICAL s�PLUMSING WORK- _