HomeMy WebLinkAboutLA197396 PERMIT
Clty Of LakeVille Permit Type: Electrical
20195 Holyoke Ave Permit Number: LA197396
Lakeville,MN 55044
(952)985-4440 * L R 1 9 7 3 9 6 *
wwwlakevillemn.gov Date Issued: 11/05/2021
Site Address: 5200 161st St W
Lot: Block: Addition: Spirit of Brandtjen Farm 24th Addition
PID: 22-71348-02-010
Use: SBF 24th
* 2 Z — 7 1 3 4 8 — 0 2 — 0 1 0 *
Description:
Sub Type: CommerciaUIndustrial
Work Type: New
Description: Trash Corrall
Comments:
Fee Summary: Description Amount Revenue Code
EL-Commercial-New $75.00 1000-4167
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 1000-2127
Total: $77.50
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
Offi e U e Only
ELECTRICAL PERMIT APPLICATION
Permit umber r
CITY OF LAKEVILLE
' � BUILDING INSPECTIONS DEPARTMENT Received By
/ 20195 HOLYOKE AVENUE � I����
LAKEVILLE,MN 55044
952-985-4440 Date Received
�www.lakevillemn.gov ���/�
Submit to:permitsCa�lakevillemn.qov Fee Tocal
DATE 10/3/2021 YOUR E-1�L�wD�SS tl@burnsvilleelectric.com
siTE AnDxEss 5200 161 Street
TEN�,ivT Garrett Companies SUiTE No. Trach Corrall
THE APPLIANT IS: ❑RESIDENT OWNER ❑CONTRACTOR
NAME Garrett Companies
RESIDENT OWNER �D�ss 1051 Greenwood Sprinqs BLVD
ci'rx Greenwood STATE IN zir 46143
DAYTIME PHONE#WHERE YOU CAN BE REACHED
COMPANY NAME BUrnsville Electric LICENSE#EA 000342
CONTRACTolt ADDREss 14340 Countv Rd 5
Company name must be as c�� Burnsville S'rA� MN zIP 55306
appears on state License oFFICE PxoNE# 952 435 9062 FAX# 952 435 7556
CONTACT NAME TJ JakUbIC Pxo1�61 2 282 7392
❑SINGLE FAMILY ❑MULTI-FAMILY �SWIMMING POOL
❑TWO FAMILY ❑COMMERCIAL/INDUSTRIAL ❑UNDEFINED
PERMIT TYPE
❑TOWNHOUSE ❑MANUFACTURED HOME OFIRE ALARM POWER
❑Meter Bank (Contractor Only) �SIGN
❑Single Meter ❑�STIT[JTIONAL
❑OTHER(see description)
Residenrial AddiNon/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 anits.
Only Licensed Electrical Contractors can do work in Manufactured Home Parks.
I�FTAII FI� I�FSCRIPTI�LOF WC�RK•Trash ('.prr�ll
RESIDENTIAL FEES:
New Conshuction: $135.00+$1.00 State Surcharge (up to three trips)
Repairs: $40.00+$1.00 State Surcharge (one trip)
Additions,Remodel,Lower Level: $70.00+$L00 State Surcharge (two trips)
COMMERCIAL FEES: Minimum o[$40.00+$1.00 State Surc6arge(one trip�Remodel Minimum S70.00+S1.00 State Surcharge(two trips)
JOB COST: $ 5,000.00 Example:$12,000 Job Cost
1-1/2%of contract cost up to$10,000 $75.00 $10,000.00 x 1.5%_ $150.00
1%of cost above$10,000 plus surcharge + $ 2,000.00 x 1% _ + 20.00
(Surcharge=Contract Cost x.0005) + $2.50 $12,000 x.0005 = + 6.00
TOTAL = $77.50 = $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 NOTE: SEFARATE ARE REQUIRED FOR ANY BUILDIiVG,MECHANICAL&PLUMBING WORK