HomeMy WebLinkAboutLA060091 PERMIT
C1t~ Of LakeVllle Permit Type: Building
20195 HOLYOKE AVE Permit Number: LA060091
LAKEVILLE, MN 55044 Date Issued: 10/05/2000
(952)985-4440
Site Address: 17729 FONTINA PATH
Lot: 0003 Block: 0001 Addition: GREENRIDGE
PID: 22-30945-030-01
Use:
Description:
Sub Type: Deck -Residential UBC Occupancy: R-3
Work Type: Addition Construction Type: V-N
Description: Zoning:
Single Family Residential District
Census Code: AdditionlBsmt fin/Decks/Porch Square Feet:
Remarks:
Fee Summary• Surchazge 0.95 2127-0001
1997 UBC Permit Fee 66.20 3151-0001
Valuation: $1,900.00 $67.15
Contractor: -Applicant - Owner:
THE WINDWOOD COMPANY INC St. Lio.: 0002197 GREEN RIDGE ASSOCIATES LLP
14311 EWING AVE SO SUITE 200 1020 146TH ST E #200
BURNSVILLE, MN 55306-4885
9528958448 BURNSVILLE, MN 55337
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. A
SEPERATE ELECTRICAL PERMIT IS REQUIRED
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF LAKEVILLE
BUII.,DING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE
LAKEVILLE, MINNESOTA 55044
(952)985-4440
DATE: ~ d SCHOOL DISTRICT
JOB SITE ADDRESS: I 01 ~ ~y'~'~r'" ~ ~ ~7'~-
LEGAL DESCRIPTION: LOT ~ BLOCK:~_ SUBDIVISION: ~~-i2e~-,.~ r2i 1~C+
R
APPLICANT: U r' N i.,G~G. n ~n ~ S LICENSE ~ /9~ PHONE 9.5~-~c1 S` a 1/~Io
STREET ADDRESS:. J L/ ~t4~ ~ ivy- ~E~-e_ S CITY: /:C~nrt KS u i I ~.P ZIP: SS-.~CS (r•
TYPE OF WORK: (DESCRIBE IN DETAIL): mil; Icl ~ ~G,~
VALUATION OF WORK: (EXCLUDING LAND):
PID:
NEW RESIDENTIAL -FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted.
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone
Mechanical System Includes: Air Conditioning
Heat Recovery System
Sewer/Water Contractor: Phone
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 WIL ACCORDANCE WITH THE APPROVED PLAN. ~W~I
_ ~ W
ALL ABOVE INFORMATION MUST BE S ED PR ~ O PTANCE OF ICATION
APPLICANT'SSIGNATUI~E: _ ~,L ~ DATE:__ /~~/,~C/~d'
(Revised May 3, 2000) _
RESIDENTIAL BUILDING PERMIT APPLICATION
OFFICE USE ONLY
BUILDING PERMIT TYPE RF.Q~T_iRF.D IN P . IONS;,
SINGLE FAMILY DWELLING (10) BUILDING
DUPLEX FOOTING (61)
TOWNHOUSE UNITS (30) POURED WALL (86)
GARAGES EXT DRAINTILE (87)
ACCESSORY BUILDINGS FND DRAINTILE (79)
REROOF FOUNDATION (67)
FIREPLACE FRAMING (62)
RES ADDN/REPAIRiRMDL FIREPLACE (68)
__~DECK INSULATION (63)
PORCH -DECK FOOTING (80)
LOWER LEVEL FINISH PORCH FOOTING (81)
ADDITION FINAL (90)
SWIMMING POOLS SITE (71)
FENCES
OTHER 70
( )
FOUNDATION ONLY
MISCELLANEOUS ME RANI .A .
UNDEFINED ROUGH-I CHANICAL (84)
DEMO AIR TE (69)
MOVED ORS (74)
HE G FINAL (91)
$ 1~~~
CITY BUILDING VALUATION
ROUGH-IN (83)
BUILDIN PE M FINAL (92)
$ .~Q~" a d PERMIT FEE METER SIZE
$ PLAN CHECK PRESSURE REDUCING VALVE REQUIItED
• QS SURCHARGE
$ METRO SAG
$ CITY WATER HOOKUP UNIT FINAL (93)
$ CITY SEWER HOOKUP UNIT STREET DRAINTILE (75)
$ LANDSCAPE ESCROW
$ TREE ESCROW ' ORMATION
$ PLUMBING ~ -3 OCCUPANCY GROUP
$ SEWER & WATER TYPE OF CONSTRUCTION
$ MECHANICAL iZ. s ZONING
$ OTHER
$ ~ 7~ /S TOTAL
APPROVED BY:
BUILDING INSPECTOR: A- ~2. ~°iY`2~S~ DATE: ~',~d~
PLUMBING/MECHANICAL INSPECTOR: DATE:
COMMENTS: ~TLOti~6IP SO1r~9 7~Zr~'! 1;"~f G /~S~~r