HomeMy WebLinkAboutLA191671 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave �,N,�;,.� Permit Number: LA191671
Lakeville,MN 55044 ��,,��
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www.lakevillemn.gov Date Issued: 06/14/2021
Site Address: 20900 Holyoke Ave
Lot: Block: Addition:
PID: �
Use: Pan-O-Prog
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Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: Alter/Remodel
Description: Electrical service for the street festival
Comments:
Fee Summary: Descriotion Amount Revenue Code
EL-Commercial Addn/Rmdl $75.00 1000-4167
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 ]000-2127
Total: $77.50
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Contractor: - Applicant - OWner:
Ben Franklin Electric Inc
12401 Washburn Ave So
Burnsville MN 55337
(952)888-2210
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.
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 appoinrinents
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Applicant/Permitee: Signature Issued By: Signature
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Qr��e us�o��iy
�LL�CTRICAL P�RMIT APPLICATION �- �
Pcnnil umber
'� � C1TY OF LA[CEVILLE
- BUILDINQ lNSPECTIONS DEPARTMENT �����"�` `�'��� �t
t/ 20195 HOLYOKC AVENUE Recelved By
LAKEViLLE,MN 55044 ���
952-985-4440 Date Rec ved
�v�v��,lakevilleu�u.eov 0,00`�'� � • ,�;
Submit 10:permits an.lakeviNemn,aov PcaTolul
DATE 06/09I2021 YOUR E-MAIL ADDRESS 8dIT1111(C1�,be11fP8tlklllleleCtl'iC.Co171
S1TE ADDRESS 20900 Holyol<e Ave
TENANT Lakevllle pan-O-Prop SUIT�NO,
THE APPLIANT IS; ❑RESIDBNT OWNER [�✓CONTRACTOR
NAMs City of Lakevllle
RCSID�NT OVVN�R ADDRESS 20195 Holyoke AVe
CrrY Lakeville STA'['B MN zIP 55337
DAYTIME PHONE#WHERE YOU CAN BE REACfIED
co7vrpArntNatv�Ben Franklin Electric, 111C, LICENSH#CA000683
CONTI2ACTOR ADDRESS 1305 LePI(It1dUStP181 BIVd
Compauy nanie must Ue as CITY 8urnsville STATE MN ZIP 55337
eppears on Sla(e Liceuse pFFICE PHONE#952-888-2210 FAX#952-888-1935
CONTACT NAME Laura Bruestle PHONL 952-888-2210
❑SINGLEFAMiLY ❑MULTI-FM�IILY ❑SWIMMINGPOOL
❑TWO FAMILX ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYP�
❑TOWNHOUSE ❑MANUFACTURED HOME �FIREALARM POWER
❑Metcr Bnnk (Conlractor Only) OSIGN
❑Single Metm• ❑�NSTITUTIONAL �✓OTHER(see description)
Reslde�itlnl Addllfon/NeruodelPerudts A�+n!!able on-1lne
TYP�OrWORIC ��W ❑ADDITION �ALTER/REMODEL
❑MAINTENANCE/REPAiR ❑TENANTFITTISH ODL�MOLITION
Ouly Lleensed I;leeh9eul Cmih�aetors enn do���orlc In a To���nhouse tlint lias meter Uaulc insteed ut s�ngle meters nttaeLed to tlte mdts,
O�ily Licensed Clech9cnl Conh�aetors enn do�vork In Mniudketw•ed IIome Pnrlcs,
QETAILED DESCRIPTION OF WORK: Electrical service for the street festival
R�SIb�NTIAL I+��S:
New Construction; $135.00 i SI,00 Stete Surcliarge (up to three lrips)
Repnirs; $40,00+$J,00 Slete Surcharge (one t�tip)
Additions,Remodel,Lower LeveL• $70,00+$L00 Stata Surcharge (hvo tdps)
G'0114M�R(.'IAI.T�LPS; Minlmmu of S40.OD+S1.00 Stnlo 3urcl�nrge(one lrlp)---Remodel Mlnimum S70,OO+Sl,00 6lNe Suiehargo(Iwo U'Ipa)
dOB COST: $5,000,00 �xt►mple:$12,000 Job Cost
1-l/2%ofconh�flctcostupto$10,000 $75,00 �IO,OOO.00x1,5%= $I50.00
1%of eost aUove$10,000 plus surcl�arge + $ 2,000.00 x 1% _ + 2a.00
(Succl�nrge=Contruct Cost x.0005) + 2,50 $12,000 x,0005 = + 6.00
TOTAL = 77.50 = $17G,00
I Ue�reUy opply Por an cicclrical perndt and I ocknowledge Ihut the Inforroatiou nbove is complete uud acow•ate; tliat tlte�vork will be in
conformance with lhe a•dinnuces and codes of tha City of Lnkeville uncl�vilh lhe Minnesola Electrical Act;tliat t undeistnud thiv Is not n permit
but ouly au appBcnqon for n permil und tvork is not to stml wilhout a perniih,tUut Ihe work will be in acco�•donce�vith lhe upproved plao in lhc
ceso of all wm•k which requires revie�v and approvul of pluns,
NAMB OF APPLICANT(Plense Print Laura Bruestle
SIGNATURE OF APPLICANT:
''FLCASG NOTC; S�PARATL+P�ItMITS ARC CtCQUIit$D TOR AN\'OiIII,DING,A4CCHANICAL&PLUMAING�VOR1C '',' `
' roR orric�us�oNL��: _ _
TYP�OI�'WORIt INSP�CTIONS
NEW 0 P'INAL r�
ADDITION r� FIIZE ACCEPTANCE TEST ��
ALTER/REMODEL r- IN FOOR HEAT ��
ROUC3H-IN �
SERVICE �
TRLNCH 0
PERMIT FEE
PERMIT FEE; $
SURCHARGE; $
OTHER; $
TOTAL; $ 0,00
PERMIT ISSUED BY: DAT�:
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