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Home My WebLink AboutLA108547 PERMIT Clty Of LakeVllle Permit Type: Building 20195 Holyoke Ave Permit Number: LA108547 Lakeville, MN 55044 (952) 985-4440 * L R 1 IC7 8 5 4 7 www.ci.lakeville.mn.us Date Issued: 10/17/2008 Site Address: 6568 Folsom Path Lot: 005 Block: 001 Addition: Jacob Glen Estates PID: 22-38125-050-01 Use: *zZ-38 125-RJ5QI-QJ 1* Description: Sub Type: Lower Level -Residential Construction Type: V-B Work Type: Alter/Remodel Description: Family Room w/wet bar, (1) bedroom, and bathroom Occupancy: IRC-1 Census Code: 434 - Addition/Bsmt fin/Decks/Porch Zoning: RS-3 Square Feet: 0 Comments' LOWER LEVEL FAMILY ROOM WITH WET BAR, (1) BEDROOM AND BATHROOM. HOMEOWNER DOING HIS OWN WORK. Fee Summary: Description Amount Revenue Code Valuation: 9,000.00 1997 UBC Permit Fee $167.25 1000-4151 Electrical Addition/Remodel Fees $40.00 1000-4167 Plan Review $0.00 1000-4170 Surcharge -Based on Valuation $4.50 1000-2127 Total: $211.75 Contractor: Owner:. -Applicant - Christopher JScholl 1713 Jackson Ct Northfield MN 55057 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 Offc~use only - PERMIT APPLICATION Permit Number r CITY OF LAKEVILLE n ~ , BUILDING INSPECTIONS DEPARTMENT 'I ceived By ~ 20195 HOLYOKEAVENUE ~ ,:~,;-.~~~s<..,,.~.,~.~:. LAKEVILLE, MN 5504 ~ ~ _ ~ r~ 952-9&5-444.0 e c ive www.ci.lakeville.mn.us \Qi`~- l ~ , Fee Total SITE ADDRESS:~~'~ ~ ~G ~"calS~Yh pe~-~~ ~ ~_a4rv+ile ~IJ MAILING ADDRESS: CITY: ~4'-'/'wt i y~.~~ify1 STATE:_~_ ZIP: ~S~ JOB DESCRIPTION: IXtS~YV~t~t ~I ~ P5~ ESTIMATED VALUATION: PROPOSED START DATE: I n-- is- c~ X END DATE: ~ (New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION: APPLICANT IS; q~ESIDENT OWNER ? CONTRACTOR NEW MODEL HOME: ? YES ? NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD # PLEASE FILL OUT THE FOLLOWING COMPLETELY NAME: ~ ~'1 r + S ~G ~vI ~ RESIDENT OWNER HOME PHONE °i ~ Z - Z3(eT b'7 ~ 3 CELL PHONE: ~ Z ~ 8 " r~IS L 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: 5T: ZIP: Single Meter on individual unit Meter Bank at end of building (Requires licensed electrician.) PLUMBING WORK CONTRACTOR: LICENSE PM ~I Homeowner OFFICE PHONE CELL PHONE: ? Contractor ADDRESS: CITY: ST: ZIP: MECHANICAL WORK CONTRACTOR: Q/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 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) ~n r'~ ~ ~j~1n of ~ DATE ~ U - I -O$ APPLICANT'S SIGNATURE: RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 OFFICE USE ONLY BUILDING PERMIT TYPE REQUIRED INSPECTIONS , SINGLE FAMILY DWELLING BUILDING DUPLEX _ FOOTII~IG 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 ~ ~ N $ ~ ELECTRICAL CITY BUILDING VALUATION _~C ROUGH-IN TRENCH BUILDING PERMIT FEES _~FINAL $ ~~Q~ ~ SPERMIT FEE MECHANICAL $ PLAN CHECK TROUGH-IN $ Ll ~5 d SURCHARGE AIR TEST $ METRO SAC FIl~TAL $ CITY WATER HOOKUP UNTI' PLUMBING $ CITY SEWER HOOKUP UNIT SOUGH-IN $ LANDSCAPE ESCROW FINAL $ TREE ESCROW METER SIZE $ MISC ESCROW PRESSURE REDUCING VALVE $ ~ C~, d0 ELECTRICAL SEWER AND WATER $ PLUMBING FINAL $ MECHANICAL STREET DRAINTILE $ SEWER & WATER $ OTHER UILDING INFORMATION ~1 ~ TYPE OF CONSTRUCTION $ w 1 s~ S TOTAL ZONING -CODE EDITION APPROVED BY: l FIRE SUPPRESSION SYSTEM OCCUPANCY GROUP I BUILDING INSPECTOR: ~-rL~-~`S~ ~ DATE: 6 ~Jd ~ ~ PLUMBING/MECHANICAL INgSPECTOR: DATE: l COMMENTS: t-- c~t~.>i` L._.~,y~e..~ o ~ 1'~ 1 ~ R t`~ ~ ~ lid-- hG f` ( ~ ~~2~t a, n c:~ ~t-~ r2M . (Revised 03/26/2007) _ ~ ~ ~ a ~ v ~ / ~ ~ s ¢ _ _ ~ ° " I ~ T d I j ~ ~ I ~ ~ 3 M o ~ 7 I r N fJ o W 7 I ~ il ? r, I- ~b V Vii, I Q j U I~ , Q 03 'o-~ 9 ~ ` z ~ ~ ~ ~ a v j ~ ~ 9 ~ ~ - _ _ ~ ---o I ' i f f 3 o'J `J ~ ti r v ~ ~ i. ~ ~ a ~ L I d ~ ~ a ~ ~ r3Srnd±~wl~,`o1 -r ; t ~ P _w..- ® o a° ~ r ~ ~N~ ay _I I J o ! ~ d- ~3~ 7 ° ~ ' ~ I ; I ~ a ~I _ _ _ ~3 a~ - ~i Yh7 T 3 M ~ ~ C ~ ~ ~ ~ ~ °-~j w ~3 °J dr.. oeZ CrQ i II I ,.o ; 1 .Q :z~ o:l, ~ .g