HomeMy WebLinkAboutLA197388 PERMIT
City Of LakeVille Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197388
Lakeville,MN 55044
(952)985-4440 �K L Fl 1 9 7 3 8 8 �K
wwwlakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5099 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF 24th Bldg 18 * 2 2 — 7 1 3 4 8 — 0 Z — Q1 1 0 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: 9 Unit apartment building
Comments:
Fee Summary: Descri tion 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: - appiicant - 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
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ELECTRICAL PERMIT APPLICATION � "l �/ `6
Permit Num�r
CITY OF LAKEVILLE �j �x�
BUILDING INSPECTIONS DEPARTMENT -��2
� � Received By
/ 20195 HOLYOKE AVENUE � ( ���
LAKEVILLE,MN 55044
952-985-4440 Date Received /�
www.lakevillemn.�ov ��7�'� /
Submit to:�ermits@lakevillemn.gov -�e Total
DATE 11/3/2021 YOUR E-MAIL ADDRESS tl@bUl'11SVIIle21@Ctl'IC.00171
SITE AvnitEss 5099 161 st Street
TErtatvT_Garrett Companies SUITE NO. Buildina 18
THE APPLIANT IS: ❑RESIDENT OWNER OCONTRACTOR
NAME GaCPett COmpanieS
RESIDENT OWNER �D�ss 1051 Greenwood Sprinas BLVD
ci� Greenwood STATE IN ztP 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME Burnsvitle Electric LICENSE#EA 000342
CONTRACTOR �Dx�ss 14340 Countv Rd 5
Company name must be as CITY Burnsville S'rA� MN zIP 55306
appears on state License oFFICE PHONE# 952 435 9062 FAX# 952 435 7556
CONTACT NAME TJ JakUbIC Pxo1vE 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 ❑�STITUTIONAL
❑OTHER(see description)
Residenrial 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 t6e anits.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
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RESIDENTIAL FEES:
New Construction: $135.00+$1.00 State Surchazge (up to three trips)
Repairs: $40.Op+$1.00 State Surchuge (one trip)
Addirions,Remodel,Lower Level: $70.00+$1.00 State Surcharge (two trips)
COMMERCIAI.FEES: Minimum of$40.00+S1.00 State Surc6arge(one trip)—Reroodel Minimum S70.00+S1.00 State Surcharge(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=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 akubic
SIGNATURE OF APPLICANT: / �
PLEASE NOTE:SEPARA ARE REQUIItED FOR rrNY BUILDING,MECHANICAL&PLi�1BING WORK