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HomeMy WebLinkAboutLA185615 8434 200th St W Permit PackOffice Use Only Permit Number Received By Date Received Fee Total SITE ADDRESS: 3V MAILING ADDRESS: CITY: LakeviHe STATE:_Min ZIP: 55044 JOB DESCRIPTION: h^Uj r^t? nv <_ MASTER PLAN: (Number or Address) LIST OTHER STRUCTURES ON PROPERTY: ESTIMATED VALUATION: '^%y^t\D START DATE: li^/Z'ir?^.- END DATE: (New Residential Only): LEGAL DESCRIPTION: LOT: H BLOCK: V SUBDIVISION: / v /-r^ •> e. ^ '' APPLICANT IS: • RESIDENT OWNER II CONTRACTOR EMAIL NEW MODEL HOME: • YES [1 NO (IF YES - ADMINISTRATIVE PERMIT REQUIRED) PLEASE FILL OUT THE FOLLOWING COMPLETELY (All Contractor information must be as listed on State License) RESIDENT OWNER NAME; HOME PHONE M: CELL PHONE: GENERAL CONTRACTOR 1 1 Homeowner Q Contractor CONTRACTOR: Pietsch Builders, Inc LICENSE *:BC 002358 LEAD CERTIFICATED (PRE 1978 STRUCTURE) OFFICE PHONE #: 952-898-3044 CELLPHONE: ADDRESS: 10633 165th St W CITY: LakeviHe ST: Mn ZIP: 55044 PLUMBING WORK r~l Homeowner r~t Contractor CONTRACTOR: Silvertree Plumbinq LICENSE PM 058743 OFFICE PHONE #: 651 -319-4200 CELL PHONE: 651 -775-1553 ADDRESS: 1335 Mendota Helqhts Rd CITY: MendotaHeiqW ST: Mn ZIP: 55120 MECHANICAL WORK 1 1 Homeowner B Contractor CONTRACTOR: Thomco Heating & Air OFFICE PHONE #: 612-386-5373 CELL PHONE: ADDRESS: P.O. Box 1 CITY: Rosemount ST: Mn ZIP: 55068 BOND #: MB 3408 EXPIRATION DATE SEWERAVATER CONTRACTOR New Construction Only NAME: Stocker Excavating HOME PHONE 952-890-4241 CELL PHONE: 612-865-5492 BOND #: PB643592 EXPIRATION DATE INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND. I HEREBY APPLY FOR A BUILDING 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 AND WITH THE STATE BUILDING CODE, THAT I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN NAME OF APPLICANT (Please Print) f\crr >ov F,^i-/rL. DATE - / 5^ .^r/ APPLICANT'S SIGNATURE: /^l/<.-,.y RESIDENTLU. BUILDING PERMIT APPLICATION CITY OF LAKEVILLE BUILDING INSPECTIONS DEPARTMENT 20195 HOLYOKE AVENUE LAKEVILLE, MN 55044 952-985-4440 www. lake\iliemn- gov th St W RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 OFFICE USE ONLY BUILDING PERMIT TYPE REQUIRED INSPECTIONS SINGLE FAMILY DWELLING BUILDING DUPLEX AS BUILT TOWNHOUSE UNITS BUILDING FINAL DETACHED TOWN HOUSE UNIT DECK FOOTING CONDO FIREPLACE ACESSORY BUILDING FOOTING REROOF FOUNDATION RESIDE FRAMING PORCH FRAMING GARAGES INSULATION RES ADDN/REPAIR/RMDL DECK PORCH GARAGES LATH LOWER LEVEL FINISH LOWER LEVEL FINAL ADDITION OTHER FOUNDATION ONLY PORCH FOOTING MISCELLANEOUS POURED WALL DEMO SEPTIC TANK REMOVAL MOVED SITE MECHANICAL CITY BUILDING VALUATION: $AIR TEST FINAL BUILDING PERMIT FEES ROUGH-IN $PERMIT FEE PLUMBING $PLAN CHECK FINAL $SURCHARGE ROUGH-IN $METRO SAC METER SIZE $CITY WATER HOOKUP UNIT PRESSURE REDUCING VALVE $CITY SEWER HOOKUP UNIT SEWER/WATER $LANDSCAPE ESCROW SEWER/WATER $TREE ESCROW FINAL $MISC ESCROW STREET DRAINTILE $PLUMBING BUILDING INFORMATION $MECHANICAL TYPE OF CONSTRUCTION $SEWER WATER ZONING $OTHER CODE EDITION $TOTAL FIRE SUPPRESSION SYSTEM OCCUPANCY GROUP APPROVED BY: BUILDING INSPECTOR: Date: PLUMBING/MECHANICAL INSPECTOR: Date: COMMENTS: 20195 Holyoke Avenue, Lakeville, MN 55044 952-985-4400  952-985-4499 fax www.lakevillemn.gov Sewer & Water Tie Card Address:________________________________________ Contractor:______________________________________ Permit Number:__________________________________ Final Date:________________ Street Drain-Tile:______ Size of Water Service: 1” Comments: AIRTEST SANITARY OVER 20’/2 FITTINGS THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME OF SEWER & WATER INSPECTION !" !#$!#$%"!& ’&( &! !""""####""""$%&’%$%&’%$%&’%$%&’%!%&’%!%&’%!%&’%!%&’%Concept Approval ONLYSubject to Field InspectionInspectorDate2020MN BldgCode10/30/2020dmathews &)%(**%"* +,&’%-,&*((,&*((,&*%. ) +,/+,/*& ’%%*&-&)%%* %*%!)%%* %*%%’) ** ’%0%*( ’%0% *%%,&%%%’’* ) ** ’%0%*( ’%0% ) ) %"’")+& %.)% %1*!(% %2)%*34*( ’%% %%+&*(,& ( )%&#%&$%&#)%$%.(!%556789:;<=4<9=<:/3>?<&,%6@5=<:"6?&>73:9A3>:/3>B<:@CD955=@8<7/@>7/E/3:6A36:95=<39@5/E97=955?6@5=@7FA>=</G:@>:3>A>7/3:6A3@>7%/<>75D8976C9A36:<:9GG:>B<=497F<:/97=49:=19:<1@34955598@793<=?<98/97=3:6//</%7/39559/G<:C9A3>:D/G<A@C@A93@>7/%34<<3<:@>:19555@7<%/4955?<9GG5@<=C:>834<<9B</3>95@7<@7A4</@7/@=<7<59D<:@A<"193<:/4@<5=?>9:=/4<934@7F14<76/<=>7:>>C/EA5@G/86/3?<6/<=<8?<==<=@789/>7:D%@7@868,*%*97A4>:?>53/:<H6@:<=8@7@868:<93<=G593</9:<:<H6@:<=14<7?<9:@7F>7A>7A:<3<6?8@33:6//=</@F7/3>A@3D?<C>:<C:98@7F@7/G<A3@>7% 69:=:9@5/@7@8684<@F43%G9A@7F/5<//3497%8@7@8683:<9=%@7@8684<9=:>>8C<<3(@7A4</%" 69:=:9@5>G<7/@=</%3<G/*89@868:@/<:E>7>7</@=<E&(9?>B<3:<9=7>/@7FE8@7@8681@=34</@=<73@95/39@:/&>:8>:<:@/<:/:<H6@:</9497=:9@5/4<<3:>A;<=14<7<7A5>/<=%4<67=<:/@=<>C/39@:/"597=@7F//4955?<A>8G5<3<5D@7@868933@A9AA<//%568?@7F9AA<//:<H6@:<=>795536?/%6555<7F34EA>73@76>6/497=:9@5/:<H6@:<=E1@34<7=/ 9:9F<C@:<=>>:E/>5@=A>:<&/<5CA5>/@7F%@:</<G9:93@>7@7F9:9F<%@7@868*(DG<)1955055?<9:@7F5>A93@>7/#@%<%?<98/EF@:=<:/$:>B@=<C6551@=34E/>5@=?<9:@7F=>173>34<C>67=93@>7E496/3C97B<73<==@:<A35D>63/@=<%=<3<A3>:96=@?5<@7/5<<G@7F9:<9/%6/3?<1@:<=%8>;<=<3<A3>:A>77<A3<=3>9/>67=@7F=<B@A<>:>34<:>:/G9A@7F:<H6@:<=%@:A463</<B<:D/G9A<%:<36:7<=%?>9:=%!%.@7%1>>=3><9:34/<G9:93@>7!E")%55/3:6A36:958<8?<:/86/3?<9GG:>B<=1>>=>:7936:95:</@/397A<3>=<A9D>:3:<93<=1>>=%6:@7FA>7/3:6A3@>79GG:>B<=9==:<//<//4955?<=@/G59D<=G59@75DB@/@?5<97=5<F@?5<C:>834</3:<<3C:>73@7F34<:@>:3>>AA6G97ADG<:8@3A@3D9GG:>B<5>A93@>7>C4>6/<965;@7F97=C59/4@7F93955<3<:@>:>G<7@7F/%5<97/3:<<3=9@5D>C97D893<:@953:9A;<=>73>@3C:>8:>B@=<>63/@=<A>8?6/3@>79@:=6A33>>CCC5>>:<73=:D<:=@:<A35D>63/@=<%>:=:9@7<==@:<A35D3>34<<3<:@>:34:>6F4:@F@=G59/3@A55193<:C:>8C>67=93@>7=:9@7/>:/68G/86/3?<G68G<=%/H%C3%8@7%>G<7@7F%89/@554<@F43%>:/3<<5G@G@7F%<A6:</68GA>B<:%768?<:/8@7@868%34@//@3<%%@:<<@3:<H6@:<=%8@7%A5<9:1@=34%8@7%A5<9:4<@F43%G:>G<:3D%,&’% %E ’ #%,&%’$ %,&’’ ,&%%,&’’ + + %%%)1*%,&% ’% "%’.%% )I !####"""""#"#"#"#!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%!%&’%%&’%%&’%%&’%%&’%$%&’%$%&’%$%&’%$%&’%$%&’%$%&’%$%&’%$%&’%Secure door closed until deck isconstructed with a separate permit. WH %*(&+,/ %*(&+,/%%SD,&,&,&(,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&(,&,&-,&,&(,&,&,&,&,&,&((,&,&,&(,&,&,&,&,&,&,&,&-,&,&,&,&,&,&,&-,&,&**I!I***(,&%1*( ( %((,&%( %%,/&-*&*(#$(*%%&-*&*(#$) * ( %%%,&%%-,&%%(,&#8@7$( #@73$( % (.% %. ’%% * ( % * ( %((,&%( %&,/%#=@9$#8@7$% %&2!(,&#8@7$%1* ( %((,&%( % !####""""$%&’%$%&’%$%&’%$%&’%UFER Ground-Provide 20' Rebar in footing and stubup near electrical service panel. D/WREF.REF. %*(&+,/ %*(&+,/ %*(&+,/%%%%(,&,&,&,&(,&,&(,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&,&-(,&,&(,&,&,&(,&,&,&,&(,&(,&(,&,&,&(,&,&,&,&,&,&,&,&,&,&,&,&,&,&-,&-,&,&,&,&,&,&,&,&,&(,&,&’-,&*(%%%%! %’*%%%*(* %*I I*&*( %**0(,&)**0(,&**0(,&%&*(&*( *&(&*****!%*&& %*(*%%-*(*%% &-*"" %%%""*!,/% %*(’,, ’%%&,/&*&-*&*(#$$$$$ !####""""(((($%&’%$%&’%$%&’%$%&’%))))Verify loads with girdertruss specs, may requireremoval of top plates atbearing due to crushing.BWPsAboveBWPsAboveCS-PFCS-PF8Add braced wall panelso no more than 20'between panels.Not a bearing point,beam to be hangered8 %%%%%%SDSDSDSDSD,&,&,&(,&,&-,&-,&,&,&*,&*,&,&,&-,&,&,&,&(*,&*,&,&,&-,&,&,&,&,&,&,&,&,&,&,&(,&,&,&-,&-,&,&,&(,&,&,&,&,&,&,&(,&,&-,&,&,&-(,&,&,&,&,&,&,&-,&,&-,&,&,&,&,&,&,&,&,&,&(,&(,&,&222’%%%%%%)**&**&**&**)**0(,& &*******!%*******!%) %%(,&*(%%%"%%**% %%’"" %"""&-*&-**()*** & &%)%%*!%’1*=%%#’%$ 1*( J) "%% #E! E$%+! * %&# $*%1***#89$#8@7$ (%%#89$%%,&(#8@7$ !####""""*+*+*+*+$%&’%$%&’%$%&’%$%&’%))))"""""""")()()()(CO-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ).Verify loads with girdertruss specs, may requireremoval of top plates atbearing due to crushing. --- --- --- --- --- --- --- COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING PLAN 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMMMMTML1/8" = 1'-0"03/28/2019WB-1---04-25-2019 --- --- --- --- --- --- --- COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING PLAN 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMMMMTML1/8" = 1'-0"03/28/2019WB-2---04-25-2019 --- --- --- --- --- --- --- COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING PLAN 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMMMMTML1/8" = 1'-0"03/28/2019WB-3---04-25-2019 COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING NOTES & DETAILS MINNESOTA 2015 IRC - 90 MPH 3-SEC GUST 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMTMLTML1/8" = 1'-0"03/28/2019FR-02--- --- --- --- --- --- --- ---04-25-2019 --- --- --- --- --- --- --- COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING NOTES & DETAILS MINNESOTA 2015 IRC - 90 MPH 3-SEC GUST 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMTMLTML1/8" = 1'-0"03/28/2019FR-03---04-25-2019 --- --- --- --- --- --- --- COPY RIGHT, 2005, DPIS ENGINEERING, LLC.DPIS ENGINEERING,LLC.1600 EAST HUFSMITH ROADTOMBALL, TEXAS 77375PH: 281.351.0048 FAX: 281.351.0148SECTION:LOT:BLOCK: UNAUTHORIZED USE OR REPRODUCTION OF THIS DRAWING MAY BE AN INFRINGMENT OF THE FEDERAL COPY RIGHT ACT. THIS DRAWING IS PROTECTED UNDER THE FEDERAL COPY RIGHT ACT BY DPIS ENGINEERING, LLC.DRAWN:DESIGNED:CHECKED:CUSTOMER: SUBDIVISION / ADDRESS: PROJECT TITLE:DRAWING SCALE:ISSUE DATE:DRAWING NUMBER:WALL BRACING NOTES & DETAILS MINNESOTA 2015 IRC - 90 MPH 3-SEC GUST 8397 199TH COURT, LAKEVILLE, MN 55044 PIETSCH BUILDERSMMMTMLTML1/8" = 1'-0"03/28/2019FR-03.1---04-25-2019 NEW RESIDENTIAL CONSTRUCTION SWPPP VERIFICATION This form must be completed and submitted with all new residential permit applications. New residential building permits WILL NOT be issued without this completed form. Project Site Address: _____________________________________________________________________ Company Name: _________________________________________________________________________ Primary Contact: _________________________________________________________________________ Phone # (24 hr Contact): ______________________ Email: ______________________________________ Description of Land Disturbing Activity: _____________________________________________________ NPDES Construction Stormwater Permit # C000 ___ ___ ___ ___ ___ or # SUB00 ___ ___ ___ ___ ___ If you are not covered under a NPDES Construction Stormwater Permit administered by the MPCA, an erosion and sediment control plan MUST be submitted with the residential building permit application. “The permittee(s) shall ensure that the individuals are trained by local, state, federal agencies, professional organizations or other entities in erosion prevention, sediment control, permanent Stormwater management and the Minnesota NPDES/SDS Construction Stormwater Permit.” (NPDES Construction Stormwater Permit, MPCA) “The permittee(s) must ensure that a trained person (as identified in Part III.A.3.a) will routinely inspect the entire construction site at least once every seven (7) days during active construction and within 24 hours after a rainfall event greater than 0.5 inches in 24 hours.” (NPDES Construction Stormwater Permit, MPCA) Contact information of person CERTIFIED to provide weekly onsite erosion and sediment control inspections and corrective actions: Name of Person: ________________________________Company: _______________________________ Phone # (24 hr Contact): ______________________ Email: ______________________________________ Entity that Provided Training: ________________________ Certification Expiration Date: ____________ NOTE: Prior to any land-disturbing activity, all erosion and sediment controls must be installed on the project site and on individual lots. No land disturbing activity may begin until a residential building permit has been issued. I understand, the above information to be true and I will have read, understood, and accepted all terms and conditions of the National Pollutant Discharge Elimination System (NPDES) Permit (MN R 100001). The City of Lakeville may issue a STOP WORK ORDER; withhold building inspections; or, draw on securities/escrows to bring the site into compliance with the NPDES Construction Stormwater Permit (MN R 100001) or erosion and sediment control plan. Signature: ________________________________________________ Date:_________________________ Contact the City of Lakeville with questions at erosion@lakevillemn.gov or 952-985-4500 10/19/20 DJM X