HomeMy WebLinkAboutLA184030 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA184030
Lakeville,MN 55044
(952)985-4440 * L R 1 8 4 Q1 3 (C7 �K
www.ci.lakeville.mn.us Date Issued• 09/15/2020
Site Address: 18400 Orchard Tr
Lot: Block: Addition:
PID:
Use: Northlake Apartments job trailer * *
Description:
Sub Type: Temporary Service
Work Type: New
Description: generator hookup for job trailer
Comments:
Fee Summary: Descri�tion 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
i L � � �,. � _ �l
Contractor: - Appll�a„t - 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 Only
ELECTRICAL PERMIT APPLICATION � `' �
eimit Number-
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT �
� 20195 HOLYOKE AVENilE Received By
LAKEVILLE,MN 55044 � ' 1:J ' `L�C,'
952-985-4440 Date Received
www.lakevillemn.gov 0.00� ��'
Fee Total ��
DATE 9/10/2020 YOUR E-MAIL ADDRESS ChGISeB C/,b@�d212CtPIC.COfT1
SI�AnD1tESS 18400 Orchard Trail
TENANT NOI'thl8ke Ap8rt111@t1tS SUITE NO.
THE APPLIANT IS: �RESIDENT OWNER OCONTRACTOR
NAME Roers{nvestments
xESIDENT OwNER ADD1iESS 110 Chesire Lane, Ste 120
c1� Minnetonka s'rA�MN z� 55305
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Berd Electric LICENSE#EA 006216
CONTRACTOR A�DREss 1 Industrial Blvd
Company name must be as CiTY Sauk Rapids STAT�MN ZIP 56379
appears on State License OFFICE PHONE# 320-656-0847 FAX#
CONTACT NAME chelsea(cilberdelectric.com PHONE
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME OFIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STIT[ITIONAL �OTHER(see description)
Residential Addition/Remodel Permits Available on-line
�NEW ❑ADDITION �ALTER/REMODEL
TYPE OF WORK
❑MAINTENANCE/REPAIR ❑TENANT FINISH QDEMOLITION
Only Licensed Electrical Contractors can do work in a Townhouse that 6as meter bank instead of single meters attached to the units.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
DETAILED DESCRIPTION OF WORK: generator hookup for job trailer
RESIDENTIAL FEES:
New Conshuc6on: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surchazge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
COMMERCIt�I,FEES: Minimum of$40.00+$1.00 State Surc6arge(one trip)—Remodel Minimum S70.00+a1.00 SWte Surc6arge(hvo trips)
JOB COST: $500.00 Example:$12,000 Job Cost
1-I/2%of contract cost up 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 = $176.00
I hereby apply for an electrical pern�it and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;that I understand this is not a peixnit
but only an application for a permit and work is not to staR without a permit;that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) BfOCk SO►l
SIGNATURE OF APPLICANT:
��'� PLEAS�NOTE: SEPA12ATF,PERM �►RE.I;EQUIRE���'V7t Y1NY$ �1VG�S4IECHAPICAY.�&=RY�UMBING WQRK� �