HomeMy WebLinkAboutLA106650 PERMIT
City Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA106650
Lakeville, MN 55044
(9S2) 985-4440 ~K L R 1 6 6 5 0
www.ci.lakeville.mn.us Date Issued: 07/02/2008
Site Address: 17018 Eventide Way
Lot: 001 Block: 005 Addition: Quail Meadows
PID: 22-59500-010-05
Use: *z2-595(~f~-(d 1Q1-fdS~K
Description:
Sub Type: Deck -Residential Construction Type: V-B
Work Type: Addition
Description:
Census Code: 434 - Addition/Bsmt fin/Decks/Porch Occupancy:
Zoning: RS-2
Square Feet: 0
Comments: 14'X18' DECK WITH 4'XT LANDING AND STAIRS.
Fee Summary: Descri tion 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: $84.75
Contractor: -Applicant - Owner:
DWAYNE FORD Richard A Edenfield
3260 232ND ST E 17018 Eventide Way
HAMPTON MN 55031 Farmington MN 55024
(651) 463-3997
I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO: (1) THE APPROVED PLANS &
SPECIFICATIONS; (2) THE APPLICABLE CITY ORDINANCES & CODES; AND (3) THE MN STATE BUILDING CODE.
ApplicantlPermitee: Signature ~ Issued By: Signature
RESIDENTIAL BUILDING Office use Only
- PERMIT APPLICATION ~ ~
% Pit Number
j ~ CITY OF LAKEVILLE
i
~ BUILDING INSPECTIONS DEPARTMENT ~ eceived By
` 20195 HOLYOKE AVENUE , _,7 ,
. _ - LAKEVILLE, MN 55044 ~ I ~I
f`f, Date Recerv
952-985-4440 ~ S J
www.ci.lakeville.mn.us ~
~ Fee Total
l~ 1 ~v Cs ~ i~.
SITE ADDRESS:
~ e ~
MAILING ADDRESS: CITY: - ~Q r~~ / ! I,o STATE: ZIP: '~O ~
JOB DESCRIPTION: ~ s? ~ L~~ ~ G~ ~ S (~!D ll
ESTIMATED VALUATION; `~DDa 6~ROPOSED START DATE: / D.~ END DATE:~~_O
(New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: SU$DIVISION:
APPLICANT IS: ? RESIDENT OWNER CONTRACTOR
NEW MODEL HOME: ? YES ? ~ IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD #
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME: ~I Gr~j ~~,I~ YJ e
HOME PHONE ~ D '7 FI CELL PHONE:
GENERAL CONTRACTOR CONTRACTOR: Q ~ "~OV'~ LICENSE BC~ ~b ~ d
? Homeowner OFFICE PHONE ~ ~ 3 3 9~7 CELL PHONE: / S J
Contractor ADDRESS: ~p ~ ~ ,S~ CITY: ST:ZIP: "`~'JD
ELECTRICAL WORK CONTRACTOR: LICENSE CA
OFFICE PHONE CELL PHONE:
meowner
? Contra ADDRESS: CITY: ST:
Single Meter on individual unit **O Meter Bank at end of b ' 'ng (Requires licensed electrician.)
PLUMBING WORK CO CTOR: LICENSE PM
? Homeowner OFFICE PHONE CELL PHONE:
? Contractor ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK NTRACTOR:
? Homeowner OFFICE PHONE CELL P
? Con or 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
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 E IN ACCORDANCE WITH THE APPROVED PLAN
NAME OF APPLICANT (Please Print Q DATE 1p Gj''
APPLICANT'S SIGNATURE:
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/RMDL INSULATION
_ C 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 n
$ ?Jd ELECTRICAL
CITY BUII~DING VALUATION ROUGH-IN
TRENCH
BUILD G PERMIT FEES FINAL
$ . ~S PERMIT FEE MECHANICAL
PLAN CHECK ROUGH-IN
$ ~ Sc~ 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
L ~L- 3 TYPE OF CONSTRUCTION
$ ~ ~ ~ TOTAL 2S-ZZONING
I lZ~CODE EDITION
APPROVED BY: FIRE SUPPRESSION SY TE
OCCUPANCY GROUP
BUII.DING INSPECTOR: fk ~ ~2fo ?,,I DATE: ~d CICJ
PLUMBING/MECHANICAL INSPECTOR: DATE:
COMMENTS: I ~ C ~ ~ , ~ ~ U ~ S T,~ / f~S
' (Revised 03/26/2007)
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