HomeMy WebLinkAboutLA105877 - PERMIT
Clty Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA105877
Lakeville, MN 55044
(952) 985-4440 ~K L R 1 fl7 5 8 7 7
www.ci.lakeville.mn.us Date Issued: 05/19/2008
Site Address: 16424 Endeavor Ct
Lot: 007 Block: 006 Addition: Fieldstone Creek 1st Addition
PID: 22-26700-070-06
Use:
* 2 Z- z 6 7 QJ 0- 0 7~- 0 6
Description:
Sub Type: Deck -Residential Construction Type: V-B
Work Type: Addition
Description:
Census. Code: 434 - AdditionBsmt fin/Decks/Porch Occupancy: R-3
Zoning: RS-3
Square Feet: 0
Comments' DECK 19'X20'----FOUR FOOTINGS.
Fee. Summary' Description Amount Revenue Code
Valuation: 3,000.00 • 1997 UBC Permit Fee $83.25 1000-4151
Plan Review $0.00 1000-4170
Surcharge -Based on Valuation $1.50 1000-2127
Total: $84.75
Contractor: Owner: -Applicant -
Nicholas Riemer
16424 EndeavorCt
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.
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Applicant/Permitee: Signature Issued By: Signature
Office Use Only
RESIDENTIAL BUILDING
PERMIT APPLICATION ~C Permit Number-
~ ~ CITY OF LAKEVILLE
i ~ ~
~ BUILDING INSPECTIONS DEPARTMENT , ~ Rec ved By
20195 HOLYOKE AVENUE D~ _ ~ ;
j _ o I y ; i
_ LAKEVILLE, MN 55044 4 1 R C V D
~ 952-985-4440 . ~ Date Recewed
www.ci.lakeville.mn.us ~ ~
Fee Total
SITE ADDRESS: ~(Dt'(c?t'( ~wc~~L4Jpr c
MAILING ADDRESS: CITY: S~wu_ STATE: ZIP:
JOB DESCRIPTION:_~e,c.~,e•, ~ ~ ~ w ~ I ~ ~
ESTIMATED VALUATION: PROPOSED START DATE: S- I~ ' O ~ END DATE: -I ^ I - o¢
(New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION:
APPLICANT IS: RESIDENT OWNER ? CONTRACTOR
NEW MODEL HOME: ? YES ? NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD #
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME.~~ L ~t~
HOME PHONE CELL PHONE: G 1 • ,~t„ ' ~ 9
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GENERAL CONTRACTOR CONTRACTOR: LICENSE BC
Homeowner OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK CONTRACTOR: LICENSE CA
? Homeowner * OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
Single Meter on individual unit Meter Bank at end of building (Requires licensed electrician.)
PLUMBING WORK CONTRACTOR: LICENSE PM
? Homeowner OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK CONTRACTOR:
? Homeowner OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRACTOR NAME:
New Construction Only HOME PHONE CELL PHONE:
INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE
'I 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 (Please Print) ; DATE S ~ ^ o
APPLICANT'S SIGNATURE:
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2"
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUII2ED INSPECTIONS
SINGLE FAMILY DWELLING BUILDING
DUPLEX FOOTING
TOWNHOUSE UNITS POURED WALL
DETACHED TOWNHOUSE UNIT GARAGES
CONDO FOUNDATION `
ACCESSORY BUII.DING .FRAMING
REROOF LATH
RESIDE FIREPLACE
RES ADDN/REAIR/RMDL INSULATION
DECK X 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
$ ~ ~ G O ELECTRICAL
CITY BUILDING VALUATION ROUGH-IN
TRENCH
BUILDING PERMIT FEES FINAL
$ S 3 • ~ 5 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
$ PLUMBING FINAL
$ MECHANICAL STREET DRAINTILE
$ SEWER & WATER
$ OTHER BUILDING INFORMATION
TYPE OF CONSTRUCTION
$ ~ ~ 7 S TOTAL ~3 ZONING
~ ~ CODE EDITION
APPROVED BY: FIRE SUPPRESSION SYSTEM
~ ~ C~- 3 OCCUPANCY GROUP
BUILDING INSPECTOR: ~ cz.~- ~-~r`~-V DATE: ~S' l ~ ~ ~
PLUMBING/MECHANICAL INSPECTOR: DATE:
COMMENTS• ~ ~-c r- t G~ ~ Zy' ~ ~'`a-o ~ v~ ~ C
(Revised 03/26/2007)
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