HomeMy WebLinkAboutLA184029 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA184029
Lakeville,MN 55044 �
(952)985-4440 * L Fl 1 8 4 PJ Z 9 *
www.ci.lakevillemn.us Date Issued: 09/15/2020
Site Address: 18400 Orchard Tr
Lot: Block: Addition:
PID:
Use: Northlake Apartments * *
Description:
Sub Type: Temporary Service
Work Type: New
Description: Temp power
Comments:
Fee Summary' Descrintion Amount Revenue Code
Valuation: 2,000.00• Electrical Addition/Remodel Fees $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
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Contractor: - Applicant - Owner:
Berd Electric LLC
1 Industrial Blvd
Sauk Rapids MN 56379
(320)656-0847
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 Oniy
ELECTRICAL PERMIT APPLICATION
��y ermit Number
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CITY OF LAKEVILLE '1
BUILDING INSPECTIONS DEPARTMENT ��
20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 C� '�� ' �
952-985-4440 Date Received
www.lakevillemn.�ov 0.00�"� � � ��
Fee Total
DATE 9111/2020 YOUR E-MAIL ADDRESS chelsea(c�berdelectric.com
siTE a,DD�ss 18400 Orchard Trail
'rErraNT Northlake Apartments(fka Timber Crest) surrE rro.
THE APPLIANT IS: �RESIDENT OWNER ❑CONTRACTOR
tvalvlE Roers Irnestments
RESIDENT Ow1vER �DRESS 110 Chesire Lane, Ste 120
Ci� Minnetonka STATE MN zIP 55305
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME BeCd EIeCtPIC LICENSE#EA 006216
CONTRACTOR ADDRESS 1 Industrial Blvd
Company name must be as CI1'Y Sauk Rapids STATE MN ZIP 56379
appears on State License OFFICE PHONE# 320-656-0847 FAX#
CONTACT NAME Chelsea Gornik PHONE
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDU5TRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME []FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑INSTITUTIONAL �OTHER(see description)
Residential Addition/Remodel Permits Available on-line
�✓NEW �ADDITION �ALTER/REMODEL
TYPE OF WORK
❑MAINTENANCE/REPAIR ❑TENANTFINISH �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 ElecMical Contractors can do work in Manufactured Home Parks.
DETAILED DESCRIPTION OF WORK:temp power; 320A 1PH 16 circuits
RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surchazge (up to three h-ips)
Repairs: $40.00+$].00 State Surcharge (onetrip)
Additions,Remodel,Lower Level: $70.00+$].00 State Surchazge (two trips)
COMMERCI[�I.FEES: Minimum of$40.00+S1.00 State Surcharge(one MprRemodel Minimum S70.AO+S1.00 State Surcharge(two hips)
JOB COST: $2,000.00 Example:$12,000 Job Cost
1-1/2%of contract costup to$10,000 $40.00 $10,000.00 x 1.5%= $150.00
1%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
TOTAL = $41.00 = $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 applicarion for a permit and work is not to start without a perniit that the work will be in accordance with the approved plan in the
case of al]work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) ck Iverson
SIGNATURE OF APPLICANT:
PLEASE NOTE:SEPARATE RMITS AitE REQUIRED'FOR ANY BUILDINC;113EGHAIVICAL&Pi:UMBING WORK '