HomeMy WebLinkAboutLA179437 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA179437
Lakeville,MN 55044
(952)985-4440 * L R 1 7 9 4 3 7 *
www.ci.lakeville.mn.us Date Issued• OS/07/2020
Site Address: 17827 Element Ave
Lot: Block: Addition:
PID: �
Use: * *
Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Wark Type: A1terlRemodel
Description: Temp wiring for d-watering equipment for new
residential site
Comments:
Fee Summary: Description Amount Revenue Code
Electrical Commercial(Minimum) $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
Contractor: - Appli�ant - 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.
Applicant/Permitee: Signature Issued By: Signature
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Office Use Only_
ELECTRICAL PERMIT APPLICATION �����
�:� Peratit Number
CITY OF LAKEVILLE �.
BLJtLD1NGINSPECTIONS DEPARTMEN7' �'`�-�' � ����� �C'���
/ * '� 20195 HOLYOKE AVENUE Received By
LP,KEVILLE,MN 55044 � ' � " ��
952-985-4440 Date Received 7
www.lakevillemn.�ov �' ,t
0.00 ��-
Fee Total
DATE 5/7/2020 YOUR E-MAIL ADDRESS tj@burnsvilleefectric.com
srrE a�vxEss� � �"`�- �- �r 4..°c ud,.w.�,�.l� ����
TENANT KJ Walk SUITE NO.
THE APPLIANT IS: �RESIDENT OWNER [�CONTRACTOR
NAME KJ Walk
RESIDENT OWNER �DRESS Eclipse Ave. & Embers Ave.
CI7'Y Lakevilie sT�TE MN ZIP 55044
DAYTIME PHONF,#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsvilie Electric LICENSE#EA 000342
CONTRACTOR ADDRF,SS 14340 County Rd 5
Company name must be as CITY Burnsville STATF, MN Zip 55360
appears on State License OFFICE PHONE# FAX#
CONTACT'NAME Tj Jakubic PHONE 952 435 9062
❑SINGLE FANfILY ❑MIJLTI-FAM[LY ❑S WIMMING POOL
❑TWO FAMILY ❑COMMF,RCIt1L/INDUS"FRIAL ❑UNDEFINED
PERMIT TYPF.
' ❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractar Only} �SIGN
❑Single Meter ❑INSTTTUTIONAL [�jOTHER(see description)
Resi�'ential�ldditionl Remodel Permits Available on-line
TYPE OF WORK mNEW ❑ADDIT'ION []ALTER/REMODEL
❑MAINTENANCE/REPAIR ❑TENANT FINISH (]DEMOLITION
Onty Liceused Electrical Contractors can do work in a Townhouse that has meter bank instead of singte meters attached to the units.
Only Licensed Eiectrical Contrs►ctors can do work in Menufactured Home Parks.
t�FTAII Ftl IlF4('RIPTI(�N (�F 1/l/f1RK� Tam�y ra A/\�,�p� e��ar� equini�t�pr nau�roCj�pn�ial
site rlt?valn mant
RES[DENTTAL FEES:
New Construction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Suroharge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
L��M�'RC�1.FE�+S: Minimum of$40.00+$1.00 Stafe Sarcherge(one trip}—Remodel Minimum$70.00+�1.00 SYate Surcharge(two tripa)
30B COST: $�40 Example:$12,000 Job Cost
1-112%of contract cost up to$10,000 $40.00 $10,000.00 Y 1.5%= $350.00
l%of cost above$10,000 plus surcharge + $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $1.00 $12,000 x.0005 = + 6.00
•roTnL = �a�.00 = $»6.00
I hereby apply for an electdcal permit and 1 acknowiedge that the inf'ormatian 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 1 understand this is not a permit
but only an applieatian for a permit and wotk is not to start without a permit;that Yhe work will be in accordance with the approved plan in the
case of all wark which requires review and approval of plans.
NAME OF APPI,ICANT(Please Print) TJ Jakubic
SIGNATURE OF APPLICANT:
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FORANY BLTILDING,MEC.AANICAi,&PLllMBI1tiG WOIfK-