HomeMy WebLinkAboutLA059887 (2) t` PERMIT
City" of Lakeville Permit Type: Building
20195 HOLYOKE AVE Permit Number: LA059887
LAKEVILLE, MN 55044 Date Issued: 09/12/2000
(952)985-4440
Site Address: 16917 FESTAL AVE
Lot: 0001 Block: 0003 Addition: HARRIS ACRES THIRD
PID: 22-31502-010-03
Use:
Description:
Sub Type: Lower Level -Residential UBC Occupancy: R-3
Work Type: Addition Construction Type: V-N
Description: INCLUDES BED,BATH, FAMILY Zoning: Single Family Residential District
Census Code: AdditionBsmt fin/Decks/Porch Square Feet:
Remarks: SEPARATE ELECTRICAL PERMIT REQUIRED. ELECTRICAL INSPECTION MUST
BE COMPLETE PRIOR TO FRAME INSPECTION.
INCLUDEDS LOWER LEVEL BEDROOM, FAMILY ROOM, BATHROOM
Fee Summary snrcnarge lso 2127-0001
• 1997 UBC Permit Fee 83.25 3151-0001
Valuation: $3,000.00 $sa.75
i
Contractor: -Applicant - Owner:
COUNTRY JOE INC St. Lic.: COUNTRY JOE INC
18133 CEDAR AVE 18133 CEDAR AVE S
FARMINGTON, MN 55024
9524694066 FARMINGTON, MN 55024
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 OP LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE J~
LAKEVILLE, MINNESOTA 55044
U
(952)985-4440
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DATE: 1 ~ ~U SCHOOL DISTRICT ~~T
JOB SITE ADDRESS: ~f'p 9/ 7 fel:'STs~L. ~ {/e
LEGAL DESCRIPTION: LOT I BLOCK: ~ SUBDIVISION: NiteR-~S
~C~ 7?f 1L~
APPLICANT/CONTRACTOR: OuN R of =NG• LICENSE 2~'3~ PHONE 4(09- ~D(o(o X
STREET ADDRESS: /~j/3'~ CEOfI-R AYE' S• CITY:~~j2,Nj/nl6TD~l ZIP: SSD2~•
TYPE OF WORK: (DESCRIBE IN DETAIL): _ L-.ovJE-fit. t, i'I N iSl+
VALUATION OF WORK: (EXCLUDING LAND):~ is, (pQQ
NEW RESIDENTIAL -FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 worksheet 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 ThiE 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
1S NOT TO START WITHOUT A PERMIT; AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
ALL ABOVE INFORMATION MUST BE SU ED PRIOR TO ACCEPTANCE OF APPLICATION
APPLICANT'S SIGNATURE: DATE:, ~ i
(Revised May 2, 2000) T r ~ j
~~~~~-c~~
RESIDENTIAL BUILDING PERMIT APPLICATION - ~
OFFICE USE ONLY
BUILDIN PE MiT TYPF REQUIRED INSP ..TION
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/REPAIR/RMDL FIREPLACE (68)
.,~~_DECK INSULATION (63)
PORCH DECK FOOTING (80)
LOWER LEVEL FINISH
PORCH FOOTING (81)
ADDITION FINAL (65)
SWIMMING POOLS SITE (71)
FENCES OTHER (70)
FOUNDATION ONLY
MISCELLANEOUS
UNDEFINED ROUGH-IN MECHANICAL (64)
' AIR
TEST (69) _
ORSAT (74)
~HEATING FINAL
CITY BUILDING VALUATION PLUlVIBING
ROUGH-IN (64)
B 1I .DIN P . MIT F FS FINAL (65)
S 8 ~1~
3 , o~S PERMIT FEE
S PLAN CHECK
S ~ 5Z3 SURCHARGE INAL (65)
S METRO SAC STREET DRAINTILE (75)
S CITY WATER HOOKUP UNIT
' S CITY SEWER HOOKUP UNIT
S LANDSCAPE ESCROW OCCUPANCY GROUP
S TREE ESCROW TYPE OF CONSTRUCTION
S METER -SIZE jZS j_ZONING
S PRESSURE REDUCING VALVE (PRV)
S PLUMBING
S SEWER & WATER
$ MECHANICAL
S OTHER
$ ~'-~a'75 TOTAL
APPROVED BY:
BUILDING INSPECTOR: ~4y~' r..f~ ..1
DATE: ~ ZflO~S
PLUMBING/1bIECHANICAL INSPECTOR: DATE:
COMMENTS: /W CL.IJD~C ~ ~-4t.~.-ems L~ p I ~~c/2aan ~p~ti' 1y ~cac n, p~.-c~/ ~<!7`N Rrrr^ ,