HomeMy WebLinkAboutLA191265 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave �„�, Permit Number: LA191265
Lakeville,MN 55044 �,,�'������
(952)985-4440 * L R 1 9 1 2 6 5 �K
www.lakevillemn.gov Date Issued: OS/27/2021
Site Address: 9331 217th St W
Lot: Block: Addition: FedEx Lakeville 2nd Addition
PID: 22-26551-01-010
Use: FedEx
* zz - 2655 1 — (� 1 — PJ lf� �K
Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: Alter/Remodel
Description: Extend fuel island,install conduit&wire for new
tank,dispensers,canopy lights
Comments:
Fee Summary: Description Amount Revenue Code
Valuation: 30,000.00 EL-Commercial Addn/Rmdl $350.00 1000-4167
Surcharge-Based on Valuation $15.00 1000-2127
Total: $365.00
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Contractor: - app�icant - Owner:
Parsons Electric LLC Setzer Propertiessmn Llc
5960 Main St NE %Brett T Setzer
Minneapolis MN 55432 354 WallerAve Ste 200
(763)571-8000 Lexington KY 40504
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO: (])THE APPROVED PLANS&
SPECIFICATIONS;(2)THE APPLICABLE CITY ORDINANCES&CODES;AND(3)THE MN STATE BUILDING CODE.
Please provide a minimum of a 24 hour notice to schedule inspections.BUILDING INSPECTIONS: (952)985-4440, 8 am-4:30 pm, M-F
ELECTRICAL INSPECTIONS: Call Brian Grey at(507)381-1791,7-8:30 am,M-F to schedule appointments
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Applicant/Permitee: Signature Issued By: Signature
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ELECTRICAL PERMIT APPLICATION � j �;_1�; ��;
Permit Nwttber
CITY OF LAKEVILLE
BUTLDING INSP�CTIONS DEPARTMENT ��`�'' � ��"��������
Received B
/ ' � 20195 HOLYOKE AVENUE y \
LAKEVILLE,MN 55044 C� " i-� ��1
952-985-4440 Datc Rcccivcd
tne�v.lakc�illemn.eo� 0.0�`M_' '-)Lj'(, . (���
Submit to:permitsC�lakeviilemn.gov Fee Total �
DATE 5�2�l2�21 YOUR E-MAIL ADDRESS nick.rykal@pecsolutions.com
SiTE ADDRESS 9331 217th St West
TENANT FedEx SUiTE NO.
THE APPLIANT IS: ❑RESIDENT OWNER �CONTRACTOR
NAM� FedEx
RESIDENT OWNER ADDRCSS 9331 217th St West
CITY Lakeville STATE MN Z[p 55044
DAYTIME PHONC#WHER�YOU CAN BE REACHED
COMPANY NAME Parsons Electric LICENSE#EA 003573
CONTRACTOR ADDRESS 5960 Main St.NE �
Compnny name must be as CITY Minneapolis STATE MN ZIp 55432
appears on State License OFFICE PHONE# 763-571-8000 FAX#
CONTACT NAME John Jambor PHONE 763-571-8000
❑SINGLE FAMILY ❑MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY J❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME []FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Mctcr ❑1NSTITUTIONAL �OTHER(see description)
Resideretial Addition/Renaodel Pern�its Available o��-line
❑NEW �ADDITiON ❑✓ALTER/REMOD�L
TYPE OF WORK
❑MAINTENANCE/REPAIR ❑TENANT FINISH �DEMOLITION
Only Licensed Elech•ical Conh�actors can do work in a Townhouse that has meter bank instead of single meters attached to the units.
Only Licensed Glech•ical Contractors can do work in Manufactured Home Parks.
DETAILED DESCRIPTION OF WORK: EXTEND FUEL ISLAND. INSTALL CONDUIT AND WIRE FOR NEW
RESIDENTIAL FEES:
Ncw Construction: a 135 00+$1 OQ Statc Surchargc (up to threc trips)
Rcpairs: $40.00+$1.00SlatcSurchargc (onetrip)
Additions,Rcmodcl,Lowcr Lcvcl: $70.00+$1.00 Statc Surcliarge (two fips)
COMMERCIAL FEE.S: Minimum of 540.00+$1.p0 Statc Surchargc(onc trip)---Ren�odc!Min(mum T70.00+$1.00 Statc Surcl�argc(two trips)
JOB C05T: $ 30,000 Example:512,000 Job Cost
1-1/2%of conh•act cost up to$]0,000 $150.00 $10,000.00 x I.5%= $150.00
1%of cost above$10,000 plus s�u•charge + g2oo.o0 $ 2,00o.00 x 1% _ + 20.00
(Surcliarge=Contract Cost x.0005) + $15,OD $12,000 x.0005 = + 6.00
TOTAL = $365.00 = $176.00
I hereby apply for an electrical peimit and I acknowledge that tlie information above is complete and accurate; tliat the work wil] be in
confonnnncc with thc ordinances and codes of the City of Lakcvillc and with thc Minncsota Elcctrical Act;that I understand tliis is not a pcnuit
but only an application for a pcmiit and work is not to start witUout a pemiit;tliat the work will bc in accordancc with thc approvcd plan in thc
casc of all work whicli rcquires rcvicw and approval of plans.
NAME OF APPLICANT(Please Print) Nick L.Rykal
SIGNATURE OF APPLICANT: `
PLEASE NOTE: SEPARATE PGRMITS ARE RCQUI �Il FORANY BUILUING,MECHANICAL&PLUMBINC WORK