HomeMy WebLinkAboutLA197386 PERMIT
Clty Of I.akeV111C Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197386
Lakeville,MN 55044
(952)985-4440 �K L R 1 9 7 3 8 6 *
wwwlakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5088 161st St W
Lot: Block: Addition: Spirit of Brandtjen Fann 24th Addition
PID: 22-71348-02-010
Use: SBF 24th Bldg 14 * z 2 — 7 1 3 4 8 — 0 Z — 0 1 0 �K
Description:
Sub Type: CommerciaUIndustrial
Wark Type: New
Description: 9 Unit apartment 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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Apphcant/Permitee: Signature Issued By: Signature
ffi e se Only
ELECTRICAL PERMIT APPLICATION �
Permit Nurr�b r
CITY OF LAKEVILLE �
� � BUILDING INSPECTIONS DEPARTMENT Received By
/ 20195 HOLYOKE AVENUE .
LAKEVILLE,MN 55044 ( ����
952-985-4440 Date Received
www.lakevillemn.gov � �g. �G�
Submit to:permits@lakevillemn.,cLov �
�ee Total
DATE 11/3/2021 YOUR E-MAIL ADDRESS tl@burnsvilleeleCtric.Com
SITE AVD�ss 5088 161 st Street
TENANT Garrett Companies SUITE NO. Buildina 14
THE APPLIANT IS: ❑RESIDENT OWNER ❑✓CONTRACTOR
NAME GBff@tt COI11q1�12S
RESIDENT OWNER �D�ss 1051 Greenwood Sprinas BLVD
CITY Greenwood STA'rE IN ziP 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsville Electric LICENSE#EA 000342
CONTRACTOR aDDREss 14340 Countv Rd 5
Company name must be as CI1'Y Burnsville s'rA'rE MN ZIP 55306
appears on state License oFF�CE PNo1vE# 952 435 9062 FAX# 952 435 7556
coNTACT NaME TJ Jakubic Pxo�612 282 7392
❑SINGLE FAMILY 0✓MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME �FIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STITUTIONAL �OTHER(see description)
Residential Addition/Remodel Permits Available on-line
TYPE OF WORK ��W ❑�DITION ❑ALTER/REMODEL
❑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.
1]FTAII Fll f1F�C:RIPTI�I QF W()RK• 9 �Jnit A�aC�mP,ntljUil in�
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 Surcharge (two trips)
COI�MERCIAL FEES: Minimum of$40.00+$1.00 State Surcharge(one trip)—Remodel Minimum S70.00+$1.00 State Surchsrge(two 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=Conh-act 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: /
PLEASE NOTE: SEPARAT ARE REQIJIRED FOR ANY BUILDING,MECHANTCAL&PLUMBING WORK