HomeMy WebLinkAboutLA197379 PERMIT
City Of LakeVille Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197379
Lakeville,MN 55044
(952)985-4440 * L R 1 9 7 3 7 9 *
www.lakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5208 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF 24th Bldg 4 * z Z — � 1 3 4 8 — 0 2 — 0 1 0 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: 9 Unit aparhnent building
Comments:
Fee Summary: Description Amount Revenue Code
Valuation: 67,500.00 EL-Commercial-New $725.00 1000-4167
Surcharge-Based on Valuation $33.75 1000-2127
Total: $758.75
Contractor: - Applicant - 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
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Applicant/Permitee: Signature Issued By: Signature
Office Use n y
ELECTRICAL PERMIT APPLICATION
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CITY OF LAKEVILLE
� ! BUILDING INSPECTIONS DEPARTMENT Received By
/ 20195 HOLYOKE AVENUE
LAKEVILLE,MN 55044 � � �''
952-985-4440 Date Received
www.lakevillemn.�ov �� d �� ����
Submit to:permits@lakevillemn.qov Fee Tota1T�
DATE 11/3/2021 YOUR E-1vIAIL ADD1tESS tl@_burnsvilleelectric.com
SITE a�DitESS 5208 161 St Street
TENANT Garrett Comqanies SUITE NO. Buildina 4
THE APPLIANT IS: ❑RESIDENT OWNER 0✓CONTRACTOR
NAME G8fC2tt C0111p8111@S
RESIDENT OWNER �D�ss 1051 Greenwood Sprinqs BLVD
cl'rY Greenwood STATE IN z�P 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsville Electric LICENSE#EA 000342
CONTRACTOR �D�ss 14340 Countv Rd 5
Companynamemustbeas CI1'Y Burnsville STA'I� MN zIP 55306
appears on State License oFF�CE PHONE# 952 435 9062 FAX# 952 435 7556
CONTACT NAME TJ JakUbiC PHONE 612 282 7392
❑SINGLE FAMILY �MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME QFIRE ALARM POWER
OMeter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITCJTIONAL
❑01'HER(see description)
Residential Addition/Remodel Permits Available on-line
✓❑NEW ❑ADDITION ❑ALTER/REMODEL
TYPE OF WORK
❑MAINTENANCE/REPAIR ❑TENANT FII�iISH ODEMOLITION
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.
�FTAII FI� IIF�C:RIPTI(�f�l nF WnQ��Unit Q�aC�PJ]LBUl1d1IIf�
RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $4p.pp+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
COMMEI2CIAI.FEES: Minimum of$40.00+$1.00 State Surc6arge(one trip)—Remodel Minimum S70.00+S1.00 State SurcAarge(hvo trips)
JOB COST: $ 67,500.00 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 + $575.00 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $33.75 $12,000 x.0005 = + 6.00
TOTAL = $758.75 = $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) T Jakubic
SIGNATURE OF APPLICANT:
` PLEASENOTEc SEPARATE PE TS REQUIRED FOR ANY BUILDING,MECHANICAL&PLUMBING WORK