HomeMy WebLinkAboutLA197376 PERMIT
City Of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197376
Lakeville,MN 55044
(952)985-4440 * L R 1 9 7 3 7 6 �K
www.lakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5232 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF 24th Bldg 2
* 2 Z - 7 1 3 4 8 - 0 Z - 0 1 0 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: 12 Unit apartment building
Comments:
Fee Summary: Descri tion Amount Revenue Code
Valuation: 90,000.00 EL-Commercial-New $950.00 1000-4167
Surcharge-Based on Valuation $45.00 1000-2127
Total: $995.00
Contractor: - Appl;�ant - Owner:
Burnsville Electric
14340 County Road 5
Burnsville MN 55306
(612)363-0407
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
�;°�,�✓
ApplicantlPermitee: Signature Issued By: Signature
i ��� e9 1
ELECTRICAL PERMIT APPLICATION �
�� —
;<=;<,p Permit Num�er
CITY OF LAKEVILLE ' � .
BUILDING INSPECTIONS DEPARTMENT
/ � � 20195 HOLYOKE AVENUE Received By
LAKEVILLE,MN 55044 �� f '
952-985-4440 Date Received
www.lakevillemn.gov Q� �C�� �
Submit to:permits@lakevillemn.qov Fee Total
DATE 11/3/2021 YOUR E-MAIL ADDRESS tl@bUrI1SVIIle2leCtYIC.COR1
stTE EwDxEss 5232 161 st Street
TENANT Garrett Companies SUITE NO. Buildina 2
THE APPLIANT IS: ❑RESIDENT OWNER �CONTRACTOR
NAME GBYP@tt CO�Y1pa1112S
RESIDENT OWNER �D�ss 1051 Greenwood Sprinqs BLVD
c�TY Greenwood STATE IN z� 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsville Electric LICENSE#EA 000342
CONTRACTOR anDttEss 14340 Countv Rd 5
Companynamemustbeas ct� Burnsville sTa� MN z�P 55306
appears on state License oFF�CE PxoNE# 952 435 9062 FAX# 952 435 7556
coNTACT rtaNtE TJ Jakubic Pxor�61 2 282 7392
❑SINGLE FAMILY �MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITLTTIONAL
❑OTHER(see description)
� Residential Addition/Remodel Permits Available on-line
��W ❑ADDITION ❑ALTER/REMODEL
TYPE OF WORK
❑MAINTENANCE/REPAIR ❑TENANTFINISH �DEMOLITION
Only Licensed Electrical Contractors can do work in a Townhouse that has meter bank instead of single meters attached to the nnits.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
I�FTAII FIl f1FSC;RIPTInI�(�F WnRK• 19 �Jnit��a�mant RUjj�j,pn
RESIDENTIAL FEES:
New Construcrion: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Addirions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
C�MMERCIAI.FEES: Minimum o[$40.00+$1.00 State Surcharge(one trip}—Remodel Minimum 570.00+$1.00 Stste Surcharge(hvo trips)
JOB COST: $ 90,000.00 Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $150.00 $10,000.00 x 1.5%_ $150.00
1%of cost above$10,000 plus surcharge + $$00.00 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $45.00 $12,000 x.0005 = + 6.00
'roTAL = $995.00 -
$176.00
I hereby apply for an electrical permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Lakeville and with the Minnesota Electrical Act;that I understand this is not a permit
but only an application for a permit and work is not to start without a permit;that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
NAME OF APPLICANT(Please Print) � UbIC
SIGNATURE OF APPLICANT: /
PLEASE 1VOTE: SEpARA'1'E pE 7'$ gEQUIRED FOR ANY BUILDING,MECHANICAL&PLUMBING WORIC