HomeMy WebLinkAboutLA195251 PERMIT
City of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA195251
Lakeville,MN 55044 �
(952)985-4440 * L R 1 9 5 2 5 1 *
www.lakevillemn.gov Date Issued: 08/26/2021
Site Address: 8171 180th St W
Lot: Block: Addition:
PID: �
Use: Charter
* *
Description:
Sub Type: CommerciaUIndustrial Addn/Rmdl
Work Type: Alter/Remodel
Description: New service install for Charter Communications
cabinet
Comments:
Fee Summary: Description Amount Revenue Code
Valuation: 1,000.00 Electrical Commercial(Minimum) $40.00 1000-4167
Surcharge- $1.00 $1.00 1000.2127
Total: $41.00
Contractor: - Appll��,t - Owner:
Electrical Production Svc Inc
4201 Norex Drive
Suite 200
Chaska MN 55318
(952)401-1888
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 appointments
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Applicant/Permitee: Signature Issued By: Signature
Office Use Only
ELECTRICAL PERMIT APPLICATION �C�f:a 2� �
P nit N ber �
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT y
'� � 20195 HOLYOKE AVENUE ec� B
LAKEVILLE,MN 55044 '' —
952-985-4440 Date Re eived
wwwlakevillemn.�ov 0.00 � ,� �
Submit to:permits(a�lakevillemn.qov Fee'rotal
DATE 8/23/21 YOUR E-MAIL ADDRESS steve.solheid(a�electricalproduction.com
SI�ADD�ss 8171 180th St W Lakeville, MN
TENAN'r Charter Communications SUITE No.--
Tf�APPLIANT IS: ❑RESIDENT OWNER ❑✓CONTRACTOR
NAME Charter Communications-Tyler Nelson(Rosemount)
RESIDE1v'r ow1vER �D�SS 16900 Cedar Ave S
C�1y Rosemount sTA'rE MN z�P 55068
DAYTIME PHONE#WHERE YOU CAN BE REACHED 651-318-8975
Co1�1PANYNAME Electrical Production Services Inc. L�CENSE#EA000600
CONT1tACTOR �D�SS 4201 Norex Drive STE 200
Company name must be as C�`rY Chaska STATE MN ZIP 55318
appears on State License OFFICE PHONE# 952-401-1888 FAX# --
CON`rACT NAN1E Steven Solheid PHONE 612-366-5058
❑SINGLE FAMILY ❑MIJI,TI-FAMILY ❑S WIMMING POOL
❑TWO FAMILY ❑✓ COMMERCIAL/INDUSTRIAL ❑LJNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MAN[.JFACTURED 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 ❑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 can do work in Manufactured Home Parks.
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RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (onetrip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surchazge (two trips)
C�MMERCIE�L.F+�+ES: Minimum of$40.00+$1.00 State Surcharge(one trip)--Remodel Minimum$70.00+$1.00 State Surcharge(hvo trips)
JOB COST: $1,000.00 Example:$12,000 Job Cost
1-1/2%ofcontract cost up to$10,000 $40.00 $10,000.00 x 1.5%= $150.00
1%ofcost 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 Ciry 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) Steven Solheid
SIGNATURE OF APPLICANT: s�s�er a
�.`j ;" � �PLEASE NOT�',"SIIPARAT��ERMITS"�RE BEQUII2ID TiOR ANY BTJILDIN(i;�ME�IIANICAL 8a P�.DMBTNG WOBK !
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