HomeMy WebLinkAboutLA028278 PERMIT
CITY OF LAKEVILLE PERMIT TYPE:
20195 HOLYOKE AVE. P.O. BOX 957 ParrnitNui'nber: BUILDING
Lakeville, Minnesota 55044-8012 [12,$27$
. (612) 469-4431 Date Issued:
C1~i/Z$/94
SITE ADDRESS:
~ICXKX CRYSTAL HILLS LA
Lt~T : BUCK ; 1
CRYSTAL LAKE Gt~LF ESTATES 21dD ADD I T I'7bT
C1F • SRf ~ , TW ? 4 R 2Q
DESCRIPTION:
PTTNP R~ TJSE Ft~R I RR I i,
Buil.din~ Permit Tyne RES-ADnN~.REPAIRS
Build.in~ Work Type NEW ,
uBC occupancy ~-1
Construction Type V-K
?.on 3. n~; R-2
REMARKS:
FEE SUMMARY:
VALT.TAT IC3N ~25C
Base Fee $15.Of1
Surcharge _ ~.5(~
Total Fee X15.50
CONTRACTOR: OWNER:
- Applicant - ST. LIC
Rt3TTLUATD G£] I ITC .399 1335 RnTTLU~TD C4 I NC
2681. L[~~iGLAKE RD XXK
RQSEV I LLfi Ir[N 55113 XKX I~[N
(E=i12) 571-0304
' I HEREF:Y AtiREE THAT THE WC}RK FDR WHICH THIS PERM I T I S I S SUFI) SHALI. BF: F`ER-
FC~RMEI1 A~';Ct~1RD I NG TC1: ? THE A PPROVF,F1 PLANS AND SPEC I F I C.A T I >~NS ; THE
~ APF'L. I CABLE CITY nRI? I NANGES , AND C:~~L~FS ; AND , t ~ > T. ~ NN STATE BUILDING CODE .
ISSUED BY: S ~ NATURE
BUILDING PERMIT APPLICATION
RESIDENTIAL CONSTRUCTION ~
I' CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT ~ f~~ ~
20195 HOLYOKE AVENUE,. P.O. BOX 957 ,~~r.J"~ y,
LAKEVILLE, MINNESOTA 55044
_ 61 ) 469-4431
Date: ~ ~ School District #
1 ~ /
Job Site Address: ~ 1~r7 5 ~ (S ~
Legal Description: Lot: Block~Subdivision: ~ r 5
Applicant: Owner or tractor circle one) d
Owner • F i~ i ~ ~ ~ Phone : ~ ~ ~ ~ f~
Street Address: City Zip
p City I.D.# "
Contractor: ti~j Contr. No. Phone:
Street Address: d-~~ 1 City: ~~`~'Y1 Zip ssr(
Proposed Use (Describe in Detail) : u' ~~t i r t~~~' i he^~
Valuation of work (excluding land) : ct-~ ~
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 tha he work will be in accordance with the
approved plan.
. ~~C~~
Applicants Siq a ure• Date.
~
~ ~ OFFICE USE
Class of Work: New (81) Addition (82) Repair (83)
Demolish (84) R pl ce ( ) lter/Remodel (86) Move (87)
Approved by : ' ~ ' ~ ' PID
~ t / Census Code • ~
Date : ~ t `~f Local Code • .
r
SAC Code : -
Comments: ~ City Valuation:
Resolution N er c
'1 ~ ~ ~ Plannin ase #
~ Revis d 1/1/93
RESIDENTIAL BUILDING PERMIT APPLICATION P~~GE 2
OFFICE USE
' ' BUILDING PERMIT TYPE:
,~ti/
Single Family Dwelling (10) ~ /Construction Type
2 Family Dwelling Units (20)
Townhouse Units (30) ~ Standpipes
Multi-Family Apartments (50)
Mobile Home Installations (60) S~nklers
Mobile Home repairs (61)
Garages ( 7 0 ) !
Tax Property
Accessory Buildings (71)
~ Residential (Addn/Remodel) (75) Owner: Public Private
Commercial Bldgs-New {80) ty!I
Commercial Bldgs (Addn/Remodel) (81)~ C Occupancy
Industrial Bld s-New 85
g ( )
Industrial Bldgs (Addn/Remodel) (86) ,~~r-~~Zoning
Tax Exempt (Addn/Remodel) (89)
Tax Exempt Buildings (90)
Swimming Pools (91) Watershed District
Signs/Billboards (92)
Fences (93) Special City Zones
Buildings Moved (94)
Buildings Demolished (95)
Foundations Only {96)
Grading (97)
Miscellaneous (98)
REQUIRED INSPECTIONS:
FOOTING (61) FRAMING (62) INSULATION (63) ~ FINAL(65)
FOUNDATION (67) FIREPLACE (68) SITE {71) OTHER (70)
PERMIT FEE: DRAINTILE ( 7 5 )
l ,1
PERMIT FEE : $ '
PLAN CHECK: $
SURCHARGE : $
SAC: $
WATER HOOKUP UNIT: $
SEWER HOOKUP UNIT: $
LANDSCAPE ESCROW $
i
II TREE ESCROW $
OTHER: $
TOTAL : $ ~ ~ ~ ~
Z42~ ~nl~rRrtse Drive
yK Mcncfc4~ H~ighks, peN 5512Q
PlCf~~~1 t~ ~ .
!!1"' h ~ sz~ Highway tt~ ro_~.
~ertifica~~ cif ~urve~r fay`: .
''C'AE RC~T~'!_U{'w1L1 CC~IVIPAItiiY
~'~i _ ~?q?,~ r
~y\\ ~
~ ~Eo4
1RRIGATIO ~ 6
~~7 ~ t
SLOP .Rt 9g 4a
'~A~sb`g 4g gi.15 ~ ,
~ I~YSTAL Hi LLS
v _ 27`45'02'
~4~~~~~
L V D.
1~
,~wr~
YE If~REBY CERTIFY TF~RT THIS SUI'Y, PLAN! 8R REPOi2T MAS PFtEPARE1l
BY ME, 01~ Ut~ER tiY AIR~CT SUPER{iI5I0N A14D THAT I Ail DULY
REGISTERED tA1~tD S~VEYflR Ut~UER THE tRMS DF THE STRT'~ flF
MINNES4fiR, Ot~fiEf1 THIS 1+4 N DAY Of' ~G~ p.R.,
I~
5 NED: ONEER ENGI G .A.
BY ~ ~
JaHt$ C . tARStMi, L ~ RAG . #i~f628