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*( ( %((,&%( %%,/&-*&*(#$(*%%&-*&*(#$) * ( %%%,&%%-,&%%(,@7$( #@73$( % (.% %. ’%% * ( % * ( %((,&%( %&,/%#=@9$#8@7$% %&2!(,@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