HomeMy WebLinkAboutDeck Permit PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number; LA105519
Lakteville, MN 55044
(952) 985-4440 * L R 1~ 5 5 1 9
www.ci.lakeville.mn.us Date Issued: 04/28/2008
Site Address: 16446 Dodd La
Lot: 001 Block: 005 Addition: Fieldstone Creek 1st Addition
PID: 22-26700-010-OS
Use: *2Z-267(D(!7-(l7 1(~J-05*
Description:
Sub Type: Deck -Residential Construction Type: V-B
Work Type: Addition
Description: bk
Census Code: 434 - Addition/Bsmt fin/Decks/Porch Occupancy: R-3
Zoning: RS-3
Square Feet: 0
Comments' PERMIT FOR 18'X14' DECK WITH STAIRS.
REVIEW ATTACHED CITY DECK HANDOUT PRIOR TO BUILDING.
Fee Summary: Descr_ption Amount Revenue Code
1997 UBC Permit Fee $83.25 1000-4151
Valuation: 3,000.00 Plan Review $0.00 1000-4170
Surcharge -Based on Valuation $1.50 1000-2127
Total: $84.75
Contractor: Owner: -Applicant -
Michael P Zweber
16446 Dodd La
Lakeville MN 55044
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.
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING office Use only
PERMIT APPLICATION ~ ~p Cl
P~umber
j ~ ~7 ; ~ CITY OF LAKEVILLE
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BUILDING INSPECTIONS DEPARTMENT Received B
Y
20195 HOLYOKE AVENUE
• LAKEVILLE,MN 55044. kl,t-~?~,-r_~-
- 952-985-4440 Date Received
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www.ci.lakeville_mn.us ~ `
ii Fee Total
SITE ADDRESS: ~ ~ ~y (O ~ca ~ I~~ C.
MAILING ADDRESS: CITY: ~ Q,KPAJ~ STATE: ZIP: '~1
JOB DESCRIPTION:_ _ I~.~~ts ~ C ~ ~ X ~
ESTIMATED VALUATION~',3 , SOO PROPOSED START DATE: END DATE: nl
(New Residential Only): LEGAL DESCRIPTION: LOT: ~ BLOCK: ~ SUBDIVISION: @ ( C~~ ~
1 ~ A-~d~ en
APPLICANT IS: f~ESIDENT OWNER ? CONTRACTOR nn
NEW MODEL HOME: ? YES ~NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD # "1~
PLEASE FILL OUT THE FOLLOWING COMPLETELY
NAME:_~ ~ ~
RESIDENT OWNER
HOME PHONE C C,Q ~ CELL PHONE: ~ (Z.. ~ p ( ~ 7
GEI~RAL CONTRACTOR C TRACTOR: LICENSE BC
Homeowner OFFIC HONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK CONTRACTOR: LICENS CA
? Homeowner * OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
Single Meter on individual unit eter Bank at end o uilding (Requires licensed electrician.)
PLUMBING WORK CONTRACTOR: LICENSE PM
? Homeowner \
~ OFFICE PHONE ELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~ CONTRACTOR:
? Homeowner ~ OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRAC'1~OR NAME:
New Construction Only \ HO PHONE CELL 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 B IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND
WITHT 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 lease Print 1 DATE ~ "
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(P ) 1 L ~
APPLICANT'S SIGNATURE:
i
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUIRED INSPECTIONS
SINGLE FAMILY DWELLING BUILDING -
DUPLEX FOOTING
TOWNHOUSE UNITS POURED WALL
DETACHED TOWNHOUSE UNIT GARAGES
CONDO FOUNDATION
ACCESSORY BUILDING FRAMING
REROOF LATH
RESIDE FIREPLACE
RES ADDN/REAIR/RMDL INSULATION
DECK DECK FOOTING
PORCH PORCH FOOTING
LOWER LEVEL FINISH ~_BUILDING FINAL
ADDITION LOWER LEVEL FRAME
FOUNDATION ONLY SITE
MISCELLANEOUS OTHER
UNDEFINED WELL SEAL
DEMO SEPTIC TANK REMOVAL
MOVED
$ ® ELECTRICAL
CITY BUILDING VALUATION ROUGH-IN
TRENCH
BUILDING PERMIT FEES FINAL
$ ~ 3 ~ S PERMIT FEE MECHANICAL
$ PLAN CHECK ROUGH-IN
$ ~ SURCHARGE AIR TEST
$ METRO SAC FINAL
$ CITY WATER HOOKUP UNIT PLUMBING
$ CITY SEWER HOOKUP UNIT ROUGH-IN
$ LANDSCAPE ESCROW FINAL
$ TREE ESCROW METER SIZE
$ MISC ESCROW PRESSURE REDUCING VALVE
$ ELECTRICAL SEWER AND WATER
$ PLUMBINGFINAL
$ MECHANICAL STREET DRAINTILE
$ SEWER & WATER
$ OTHER BUILDING INFORMATION
S=P> TYPE OF CONSTRUCTION
$ ~ ~ TOTAL RS-3 ZONING
aooro CODE EDITION
APPROVED BY: Ni4 FIRE SUPPRESSION SYSTEM
~-3 OCCUPANCY GROUP
BUILDING INSPECTOR: DATE: y ` z ~ ~ ~ ~
PLUMBING/MECHANICALIN---SPECTOR: DATE:
COMMENTS: 1'C~- ~ r~ -moo v- I ~ fC' / L r` ~I~a i~?- S . R+2 Ul~,~ G-J
Cc ~`~ct L~ L 4 ~e ci~-- f-t~a~-e~ cw~,. ± o ~ `~o ~u lG~ .`,~--y _
(Revised 03126/2007)
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