HomeMy WebLinkAboutLA197382 PERMIT
City Of Lakeville Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197382
Lakeville,MN 55044
(952)985-4440 �K L R 1 9 7 3 8 2 *
wwwlakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5148 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF24thBldg7 * Z Z — � 1 3 4 8 - 0 Z — f� 1 QJ *
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: - Appl,��,t - 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 ssued By: Signature
Office U
ELECTRICAL PERMIT APPLICATION �
ermrt Number.
CITY OF LAKEVILLE �
� , BUILDING INSPECTIONS DEPARTMENT Received By
/ 20195 HOLYOKE AVENUE �y
LAKEVILLE,MN 55044 ��'�'// �
952-985-4440 Date Received
wwwlakevIllemn.gov 0 � � � ��
Submit to:permits@lakevillemn.gov Fee Total
DATE 11/3/2021 YOUR E-MAIL ADDRESS tl@bUf1lSVll1@@I@CtfIC.COfT1
SITE ADD1tEss 5148 161 st Street
TEN�vT.Garrett Companies su1TE No. Buildina 7
THE APPLIANT IS: �RESIDENT OWNER �✓CONTRACTOR
NAME Garrett Companies
RESIDENT OWNER �D1�ss 1051 Greenwood Sprinqs BLVD
CI'rY Greenwood STATE IN z� 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMP�N.�1E Burnsville Electric LICENSE#EA 000342
CONTRACTOR �D�ss 14340 Countv Rd 5
Company name must be as CI1'Y BUI't1SV►11@ STATE MN zIP 55306
appears on State License oFFICE PHo1vE# 952 435 9062 FAX# 952 435 7556
cortTacT tvaME TJ Jakubic Pxo1�rE 612 282 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 ❑�STITIJTIONAL
❑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 Town6ouse that has meter bank instead of single meters attached to the units.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
11FTAll Fll IIFSC:RIPTIQd [�F W�)RK• ��t1��7�,P.IILBUl1d1II�
RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.0p+$1.00 State Surcharge (one trip)
Addirions,Remodel,Lower I.eveL• $70.00+$1.00 State Surcharge (two trips)
COMIHERCIt�i,FEES: Minimum of$40.00+$1.00 State Snrc6arge(one trip�—Remodel Minimum S70.00+S1.00 Stste Surcharge(two trips)
JOB COST: $ 67,500.00 Example:$12,000 Job Cost
1-1/2%ofcontractcostupto$10,000 $150.00 $10,000.00x1.5%= $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) TJ Jakubic
SIGNATURE OF APPLICANT:
PLEASE NOTEd'SEPARATE ARE REQUIREp FOR ANY BUILDING,MECHANICAL&PLUMBING WORTC