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Home My WebLink AboutLA037411 � Y�K1V11�1� EfTY OF LAKEVILLE PERMIT TYPE: gUILDING 20195 HOLYOKE AVE. Permit Number: Lakeville, Minnesota 55044 Date Issued: 037411 (612)985-4440 08/12/9 6 SITE ADDRESS: 8440 172ND ST W LOT: 3 BLOCK: 4 WOODBURY iST ADDITION P.I.N. : 22-84600-030-04 DESCRIPTION: DECK Huilding Permit Type RES-P,DDN\REPAIRS Huildfng Work Type ADDITION � UBC Occupancy U-1 Construction Type V-N Zoning R-2 Cenffius Code 329 NONBLDG STRUCT. REMARKS: FEE SUMMARY: VALUATION $1 ,120 Base Eee $40. 25 Surcharge 5 .56 Total Fee $40.81 CONTRACTOR: OWNER: _ Appl icant - NIETFELD DALE 8440 172ND ST F1 LAKEVILLE MN 891-1402 I HEREBY At3REE THAT THE �ORR FOR WHICH '�HIS P�RMIT •IS -IS8VED SHALL,HE �ER- FORM�ED ACCC?RDI,NG TU: (1) THE APPRQVED PLAN5' ,�3 S�P�CYF�CATIC�?NS,; (2�, ,THE APPLICABLE CITY tJRDI'NAIr10ES, AND CODES; AND, (3`y: THE MN STATE HUILDIN4 C�DE. �� BUILDING PERMIT APPLICATION RESIDENTIAL CONSTRUCTION CITY OF LAKEVII..LE BUII.DING INSPECTION DEPARTMENT 20195 HOLYOKE AVENUE LAKEVII.LE, NIINNESOTA 55044 (612)985-4440 � DATE: �� SCHOOL DISTRICT: p JOB SITE ADDRESS: �� nG , LEGAL DESCRIPTION: LOT: � BLOCK:�SUBDIVISION: �L�� -u � � APPLICANT: OWNER OR CONTRACTOR (circle one) OWNER: ' PHONE: ��—��C�� STREET ADDRESS: b��GS �� CITY: �� ZIP:�� CONTRACTOR:_ ��y�� CONTR#: CITY ID#: PHONE: STREET ADDRESS: CITY: ZIP: TYPE OF WORK (Describe in Detail): J��`G,� VALUATION OF WORK (excluding land): INTEREST EARNINGS ON TI�ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROCESSING TI� ESCROW APPLICATION AND REFUND. I HEREBY APPLY FOR A BUII.DING PERNIIT AND I ACKNOWLEDGE THAT T'HE INFORMATION ABOVE IS COMPLETE AND ACCURATE; T�iAT TI� WORK WII.L BE IN CONFORMANCE WITH TI-� ORDINANCES AND CODES OF TI�CTTY AND WITH THE STATE BUII..DING CODE; THAT I UNDFRSTAND THIS IS NOT A PERNIIT AND WORK IS NOT TO START WITHOUT A PERMIT; AND THAT T'HE WORK WII.,L BE IN ACCORDANCE WITH TI-�APPROVED PLAN. ,- �APPLICANT'S SIGNATURE: DATE: � '1�'I�� a'I �" OFFICE SE Class of Work New(81) � Addition(82) Repair(83) Demolish(84) Replace(85) Alter/Remodel(86) Move(87} APPROVED BY: - .Z� PID: �7 !�'� D�� '� DATE: � -�� CENSUS CODE: �j,��_ CONiMENTS: CTTY VALUATION: Revised 12/30/95 RESIDENTIAL BUII..DING PERMIT APPLICATION PAGE 2 OFFICE USE BIJ�LDING PERMIT TYPE: Single Family Dwelling(14) ��onstruction Type 2 Family Dwelling Units(20) Townhouse Units(30) �ax property Multi-Family Apartments(50) Mobile Home Installations(60) Owner: Public Private Parking Lots (61) Garages(70) U'� ,"��UBC Occupancy Accessory Buildings(71) ,��Residential(Addn/Remodel) (75) ��oning Commercial Bldgs-New(80) Commercial Bldgs(Addn/Remodel)(81) Special City Zones Industrial Bldgs-New(85) Industrial Bldgs(Addn/Remodel)(86) Tax Exempt(Addn/Remodel)(89) Tax Exempt Buildings(90) Swimming Pools(91) �QUIItED INSPECTIONS SignslBillboards(92) Fences (93) Buildings Moved(94) FOOTING(61) FND DR,AIIVTII.E(79) Buildings Demolished(95) FOUNDATION(67) ST. DRAINTIL.E(75 Foundations Only(96) � �a�g�9�� FRAMING(62) DECK FOOTIl�TG(80�— Miscellaneous (98) SHEATHIl�TG(72) PORCH FTG(81) FIREPLACE(68) FINAL,(b5) L/ INSULATION(63) SITE(71) GAS TEST(69) OTHER(70) PERMIT FEES: PERMIT FEE: $ ��z.� PLAN CHECK: $� SURCHARGE: $_ , �(o SAC: $ WATER HOOKUP LJNIT: $ SEWER HOOKUP UIVIT: $ LANDSCAPE ESCROW: $ TREE ESCROW: $ OTHER: $ � TOTAL: $ �d, S� L_ � C,��. � ..�!-�.5 .�F } . ' y~ { � �1 Y, ��a:Y�.<a°°= �,..,P��:. ' ... �f.�� , ��.`:�ty'�r.Y� - � �!�� ; : ��„ � �,r. � �- a+f.�� . � � � �� a � X15�� h.�use � ? �'= � , 2 x t o - t�e cIC 1��.�' oG Iaf�p �d°�,'P �� '�r �.,,a, P� t�� I� Pt' ; Z b e t�E f �c � ° � � � �0�1�� 2 � � �' " r►� x � � �,,., � , �.i ,► � � �,�w�a/ � ,� � 12 ��'� ! Stt�n�crS � �� Ih A y ( �S.Q � l �Q��J� �•�! Co4� , a !a, ,, �,, �nd �Q� � (� ^� �"'� Q 3y -� ��, �.,_. , � 1� \0►�� ft1 ,� ��11f�V� r�:: ;�!,�.`%•:;y �t Q , , ,�, �� p�„�L . Ljo t v.�Cc �J 1.�'�' � 3�_p�� 3'-O" , F ��jC ' �` >; �-� QU_1�� 8'�O"'� ,vf��.�.i� c�; ,�, �',,� t ��P�� ? 16'-O" 4�-O' �„�°"`''". b+�U�`ry U�, � �t�� ,�.. sd�tQ� S``�� • ` �```�r.�``z-�.,,-. � ,. � ��' ` c�� t�EGK PLAPt � �-::>�A�}�N��-� � �� I �� , , '�4M='1_,/1N . �';ry 1Fy�y.� ,�A;� s S,yry�w�"k �/ r;rsr'�.