HomeMy WebLinkAboutLA197393 PERMIT
City of Lakeville perm�t Type: Electrical
20195 Holyoke Ave Permit Number: LA197393
Lalceville,MN 55044
(952)985-4440 �k L Fl 1 9 7 3 9 3 �K
www.lakevillemn.gov Date Issued: 11/OS/2021
Site Address: 5124 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF 24th Bldg 13 * Z 2 — 7 1 3 4 8 — 0 2 — 0 1 Q1 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: 12 Unit apartment building
Comments:
Fee Summary: Descri ta ion 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;�a„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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ApplicantlPermitee: Signature Iss ed By. Signature
ELECTRICAL PERMIT APPLICATION
� ��
�' Permit Number
CITY OF LAKEVILLE
� � BUILDING INSPECTIONS DEPARTMENT Received By
R 20195 HOLYOKE AVENUE � �����
LAKEVILLE,MN 55044
952-985-4440 Date Received
www.lakevillemn.�ov 0.00 � ( / ��'
Submit to:permits@lakevillemn.qov Fee Total
DA� 11/3/2021 YOUR E-�L�DxESS ti@burnsvilleelectric.com
siTE annitEss 5124 161 st Street
TENANT Garrett Companies SUITE NO. Buildina 13
THE APPLIANT IS: �RESIDENT OWNER ✓❑CONTRACTOR
NAME Garrett Companies
RESIDENT OWNER �D1�Ss 1051 Greenwood Sqrinqs BLVD
CITY Greenwood STATE IN zIP 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
CO1vrnAlvv N� Burnsville Electric LICENSE#EA 000342
CONTRACTOR �D�ss 14340 Countv Rd 5
Company name must be as ei� Burnsville STATE MN ZIP 55306
appears on State License oFF�CE PHONE# 952 435 9062 FAX# 952 435 7556
corrTacT rraME TJ Jakubic Pxor�612 282 7392
❑SINGLE FAMILY ❑✓MULTI-FAMILY ❑SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME OFIRE ALARM POWER
❑Meter Bank (Contraetor Only) �SIGN
❑Single Meter ❑�STITUTIONAL DOTHER(see description)
Residenrial 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 Townhouse that has meter bank instead of single meters attached to the units.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
DFTAII Fll IIFSC:RIPTIQN C�F�ZgK• 19 �Jnit Ar�,�mant ��ilriin?
RESIDENTIAL FEES:
New Construcrion: $135.00+$1.00 State Surchazge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00+$l.00 State Surcharge (two trips)
COM�'IERCIAI.I'+EES: Minimum of$40.00+$1.00 State Surcharge(one trip}—Remodel Mioimum S70.00+S1.00 State Surc6arge(two trips)
JOB COST: $ 90,000.00 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 + $$00.00 $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $45.00 $12,000 x.0005 = + 6.00
TOTAL = $995.00 = $1�6.00
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 applicafion 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 Jakubie
SIGNATURE OF APPLICANT:
>'PLEASE NOTEc SEPARATE' Rht f►RCi REQ(JIgED FOR ANYBUILDINC,MECHANICAL�tc PLUMBING WORK