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HomeMy WebLinkAboutLA108396 PERMIT City of Lakeville Permit Type: Building 20195 Holyoke Ave Permit Number: LA108396 Lakeville, MN 55044 . (952) 985-4440 * L A 1 8 3 9 6 www.ci.lakeville.mn.us Date Issued: 10/07/2008 Site Address: 17126 Fairmont Ave Lot: 007 Block: 004 Addition: Harris Acres First Addition PID: 22-31500-070-04 Use: *2Z-3 1500-Q170-(d4* Description: Sub Type: Lower Level -Residential Construction Type: V-B Work Type: Alter/Remodel Description: Family Room (no fp), bath and storage Census Code: 434 - AdditionBsmt fin/Decks/I'orch Occupancy: IRG 1 Zoning: RS-2 Square Feet: 0 Comments: LOWER LEVEL FINISH---FAMILY ROOM (NO FIREPLACE) BATHROOM AND STORAGE. CONTRACTORS: PLBG: LAKESIDE, MECH: CENTRAIR, ELECTRIC: CEDAR VIEW Fee Summary: Descri to ion Amount Revenue Code 1997. UBC Permit Fee. $125.25 1000-4151 Valuation: 6,000.00 Electrical Addition/Remodel Fees $40.00 1000-4167 Surcharge -Based on Valuation $3.00 1000-2127 Total: X168.25 Contractor: _ Applicant _ Owner: HOME ENHANCERS INC Scott V Buresh 1301 CLIFF RD E # 112 17126 Fairmont Ave BURNSVILLE MN 55337 Farmington MN 55024 (952)884-6106 I HEREBY AGREE THAT THIS WORK WILL BE PERFORMED ACCORDING TO: (l) 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 offi~ Use one PERMIT APPLICATION ~-=C-''~~ % • Permrt Number • ~ ~ CITY OF LAKEVILLE ~ `ti~ BUILDING INSPECTIONS DEPARTMENT Received By 20195 HOLYOKEAVENUE ~ 1 0-05-0 8 AOS ~ 4 I N • i LAKEVILLE, MN 55044 952-985-4440 ~r~~~ Daze Receiv~ eds. www.ci.lakeville.mn.us I,J ~ f~~ ~ ~ ~n('y ~ Fee Total SITE ADDRESS: 17 ~ Zt!-~' %j~71~2-Y~°i-O~~' r`~,~.. MAILING ADDRESS: CITY: STATE: ZIP: JOB DESCRIPTION: !~l'~/'r'~i~~'; ESTIMATED VALUATION; pJ~ PROPOSED START DATE: ~~IICo/Ob- END DATE: (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 NAME: ~ ~ ~ ~ ~ (~Gf RESIDENT OWNER HOME PHONE CELL PHONE: GENERAL CONTRACTOR CONTRACTOR: ~ ~iy~~ c'--~-xy ! LICENSE BC / ~l `t ? Homeowner OFFICE PHONE 5'S L" ~ ~CF CELL PHONE: 5'~Z - Z1 Z= Contractor ADDRESS:/ Z`i`©D ~/L<n~~-~~:~~ CITY: S/}+J~'C.s'YL- ST: ZIP: _SS37~ ?-t-i/~ . s tc c T~- ~q- ELECTRICAL WORK CONTRACTOR: C' ~ ~ (Ji,~t~ LICENSE CA Y7aI--l ~C>~ ? 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: ~<y<L LICENSE PM ? Homeowner OFFICE PHONE CELL PHONE: Contractor ADDRESS: CITY: ,5~?ff'Le~ ST: ZIP: MECHANICAL WORK CONTRACTOR: C,~ ~ ? Homeowner OFFICE PHONE CELL PHONE: Contractor ADDRESS: CIT'Y:~I~t•~' (~(~(Li~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 UN DERSTAND 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 ~~ti.,. ~ s ~ s~ S DATE I ~ l ©C®~c9 APPLICANT'S SIGNATURE: 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 ; u r~- $ ~ ELECTRICAL CITY BUILDING VALUATION ~~ROUGH-IN TRENCH BUILDING PERMIT FEES _~FIN~, $ o~ S ~ 5 PERMIT FEE MECHANICAL $ PLAN CHECK _~ROUGH-IN $ J ~ ~~URCHARGE AIR TEST $ METRO SAC FINS, $ CITY WATER HOOKUP UNIT PLUMBING $ CITY SEWER HOOKUP UNIT _~ROUGH-IN $ LANDSCAPE ESCROW FINS $ TREE ESCROW METER SIZE $ MISC ESCROW PRESSURE REDUCING VALVE $ ~-I O t C)~ ELECTRICAL SEWER AND WATER $ PLUMBING FINS, $ MECHANICAL STREET DRAINTILE $ SEWER & WATER $ OTHER DING INFORMATION ~ S TOTAL TYPE OF CONSTRUCTION BONING \~_CODE EDITION APPROVED BY: FIRE SUPPRESSION SY TE OCCUPANCY GROUP BUILDING INSPECTOR: ~ DATE: PLUMBING/MECHANICAL INSPECTOR: DATE: COMMENTS: tom- ~ 1 ~ a dd t~~ ~ ~ (Revised 03/26/2007) I ~ I (1'i (1'i ~_Y ~ 1J ~ X z I (n m Cn CA ~ N N ~ ~ N ~ _ I ~ x m ! ~ y ~ ~ i I D ~ D I r ~ r . y , ~ t- ~ ( ~ ~ ~ O - ~ I _._~i D ~ ~ I tTl I - ~ ~ ~ a N ~ ~ , ~ .p I m ' iI ~ i- I ~ H ~ I t O ~ ,i - - - ~ 1 a ~ _ ~ ~ C I - - - - - - - - - - - - - - - - - - i -Zn I S z i I i ~ d~ ~ ~ i ~ _ ~ - .p rn _ _ I ~ ~ j D ~ I + I ~ , . Zasa ~.a,.~. ~ ~ I i ~ ~ ~ y, i 1 ~ _ I I I ~ V ~ S ~ I I ~ ~ ~ ~ I ~ ~ ~ . _ ~ 44311 ~ I ( . _ - i . ' ~ ~?1 J ~ ~ J DESIGN BY: DB SCOTT & KATHLEEN BURESH HOME ENHANCERS ING. PAGE aPPROVEO BY: 17126 FAIRMONT AVE. 12400 PRINCETON AVE. SUITE A LAKEVILLE, MN. 55024 SAVAGE, MN. 55378 C-612-295-1855 952-884-6106 LIC.# 1949 ~ ~ 0 o ~ 0 Q o _ ~ l ii f ~ ~ - ~ ® o I o 0 ~ ~ DESIGN BY: DB SCOTT ~ KATHLEEN BURESH HOME ENHANCERS INC. .PAGE APPROVED BY: 17126 FAIRMONT AVE. 12400 PRINCETON AVE. SUITE A LAKEVILLE, MN. 55024. SAVAGE, MN. 55378 C-612-295-1855 952-884-6106 LIC.# 1949 i I ~ w ~ N_ ` O v N W ! ! ~ X ~ D N I I m rD. ~ X i ~ r- ~ .A v ~ w o I o ~ I ~ ~ ! o ~ ® ' ~ ° m I ®1 I ~ T T ~t ~ ~ ~ ~ ® ~i 8 ~ I ! ~ 1°" ! ' ~ 1"' i '91 v I ! C~ j.p~~, N , , ~ ~ ~ ~~'-`N ~ ~ W ~ X ~ ~ ~ ~ ~ ~ y p ~ r ~N r'~ to '~Z ox rW~C x G) ~ -p m m Y cn o ~~nv z n n ~ m v z ~ C~ v -m~-i rnv ~o rn 111 Z z ~ ~ ~ ~ T ~ r r.. ® i~ ~ ll( \ i ~ --I I I I lil i l I <y i ~ ii- ~ ^ \ ~I I(i=1 ~ inr,iirl~~~ ~~~~~1 i~~;~~~ ~ h~ ~ ~ o c 11- -y a - - fI Ii{ - _4- ~ ~ r X11 - r j i I ~ I° l i-! (!=III= =I I!=1 ~ c~ I . I _ III I L I: ~ 91 II`Il~iil= II~,III~~11=_III =1 v ~ ~ t =1 I i- -1;1=! m it Z DESIGN BY: DB SCOTT ~ KATHLEEN BURESH HOME ENHANCERS INC. PAGE APPROVED BY: 17126 FAIRMONT AVE. 12400 PRINCETON AVE. SUITE A LAKEVILLE, MN. 55024 SAVAGE, MN. 55378 C-612-295-1855 952-884-6106 LIC.# 1949