HomeMy WebLinkAboutLA106117 PERMIT
Clty Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA106117
Lakeville, MN 55044
(952) 985-4440
www.ci.lakeville.mn.us * L R 1 12J 6 1 1 7
Date Issued: 06/02/2008
Site Address: 16452 Endeavor Ct
Lot: 005 Block: 006 Addition: Fieldstone Creek 1st Addition
PID: 22-26700-050-06
Use:
* 2 2- Z 6 7 QJ f~ 5~- Q
J 6
Description:
Sub Type: Addition -Residential Construction Type: V-B
Work Type: Addition
Description: Patio/Deck
Census Code: 434 - AdditionBsmt fin/Decks/Porch Occupancy: IRC-4
.Zoning: RS-3
Square Feet: 0
Comments: REAR DECK WITH NO STAIRS
Fee Summary: Descri t~ion Amount Revenue Code
Valuation: 1,700.00 1997 UBC Permit Fee $60.10 1000-4151
Plan Review $0.00 1000-4170
Surcharge -Based on Valuation $0.85 1000-2127
Total: $60.95
Contractor: Owner: -Applicant -
Brad C Secrist
16452 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.
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING office use Only
° - - PERMIT APPLICATION 1 d LQ ~ l T
Permit Number
J ~ CITY OF LAKEVILLE /
° / y , , , BUILDING INSPECTIONS DEPARTME ,R/ Receive~y
20195 HOLYOKE AVENUE l V ~ ti : `
~ LAKEVILLE, MN 55044 Y' °
952-985-4440 Date Received
www.ci.lakeville.mn.us ~ v_ '~1~~'~~
j _ Fee Total
SITE ADDRESS: `l~~q ~ulDc:#~/o~ Lov,~;
MAILING ADDRESS: CIT/Y: / ~t~~,1, ~ STATE: IyJN ZIP: ~->C)
JOB DESCRIPTION: ~c~~+~iv,ti. v~ n~~ pw~c ~c(~c~.
ESTIMATED VALUATION: i~CaC7fy`.Ob PROPOSED START DATE: ~~S F~~ END DATE: U1 -y~
(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 rOUT~THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME: ~ rc~ \E~C"C ~
HOME PHONE CELL PHONE: ,x-•71- ~i ~ -~l ~i r~
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:
i
MECHANICAL WORK CONTRACTOR:
? Homeowner OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZTP:
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
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 ILL BE IN ACCORDANCEtWITH THE APPROVED PLAN
NAME OF APPLICANT (Pleas t) - L'C~~ ~S-t- DATE -~`~-c~~
APPLICANT'S SIGNATU ~ . G
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2
OFFICE USE ONLY
BUILDING PERMIT TYPE REOUII2ED 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/RNIDL INSULATION
C/~ECK ~CK FOOTING
PORCH PO CH FOOTING
LOWER LEVEL FINISH ~ILDING FINAL
' ADDITION LOWER LEVEL FRAME
FOUNDATION ONLY SITE
MISCELLANEOUS OTHER
UNDEFINED WELL SEAL
DEMO SEPTIC TANK REMOVAL
MOVED
1 , c,
$ r ~ ELECTRICAL
CITY BUII..DING VALUATION ROUGH-IN
TRENCH
BUILDING PERMIT FEES FINAL
$ C} PERMIT FEE MECHANICAL
$ PLAN CHECK ROUGH-IN
$ ` ~S 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 DRAINTII,E
$ SEWER & WATER
$ OTHER BUILDING INFORMATION
TYPE OF CONSTRUCTION
$ ~ TOTAL S~ZONING
~:~CODE EDITION
APPROVED BY: /~f~ ~ FIRE SUPPRESSION SYSTEM
BUILDING INSPECTOR: ~~~C~~C.~t" vv`="u ~ ~~OCCUDATEY GROU~
PLUMBING/MECHANICAL INS`P~ECTOR: DATE:
COMMENTS:_ ~Qsl~ ~~G~~ ?l."C3 ~~ti (ti
(Revised 03/26/2007)