HomeMy WebLinkAboutLA188602 PERMIT
City Of LakeVille Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA188602
Lakeville,MN 55044
(952)985-4440 �K L R 1 8 8 6 0 2 �K
www.ci.lakeville.mn.us Date Issued: 03/OS/2021
Site Address: 10805 173rd St W
Lot: Block: Addition:
PID: �
Use:
* *
Description:
Sub Type: Temporary Service
Work Type: New
Description: Temp Power,200A 1PH
Comments:
Fee 5ummary: Descri tA ion Amount Revenue Code
Electrical Addition/Remodel Fees $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
Contractor: - Appli�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.
Applicant/Permitee: Signature Issued By: Signature
Office Use Only
I,,I ELECTRICAL PERMIT APPLICATION ��(�I��
Permit Number
CITY OF LAKEVILLE ��_���'
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENIJE /Received By
LAKEVILLE,MN 55044 � /� �Z j
952-985-4440 Date Received
www.lakevillemn.gov (�, `�`.i'�
� Fee Total
DATE 3/3/2021 YOUR E-MAIL ADDRESS Ch2IS2a(q�b@fdeleCtPIC.COm
S�TE ADDRESS 10805 173rd St
TENANT Arris Apartments SUITE NO.
THE APPLIANT IS: �RESIDENT OWNER OCONTRACTOR
NAME Kami Hofdinqs, LLC
RESIDENT OWNER �D1�SS 3120 Woodbury Dr
CITY Woodburv STATE MN zIP 55129
DAYTIME PHONE#WfiERE YOU CAN BE REACHED
COMPANY NAME Berd Electric LICENSE#EA 006216
CONTRACTOR �n�ss 1 Industrial Blvd
Company name must be as ct� Sauk Rapids STATE MN ZIP 56379
appears on State License OFFICE PxONE# 320-656-0847 FAX#
CONTACTNAME Chelsea Gomik PHONE
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Singie Meter ❑�STITUTIONAL �p�ER(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 Contractors csn do work in Mxnufactured Home Parks.
DE'CAiLED D�SCRIPTION OF WOI�K:temp power; 200A 1PH
RESJD�i�1TIAL FEES:
New ConstrucHon: $135.00+$1.00 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)
COIiTMERCIAL FE�'S: Minimum ot 540.00+$1.00 Statc Surcharge(one Mp)—Remodel Minimum S70.00+S1.00 State Sarcharge(lwo trips)
JOB COST: $2,000.00 Example:$12,000 Job Cost
1-1/2%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 permit and I acknowledge that the information above is complete and accurate; that the wotk 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) Iver n
SIGNATURE OF APPLICANT:
fib£ASE I+itOTE SEPr4RATE?i' T!S R
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