HomeMy WebLinkAboutUntitled PERMIT
City o a VIII Permit Type: Building
20195 HOLYOKE AVE Permit Number: LA055537
LAKEVILLE, MN 55044 Date Issued: 11/22/1999
(612)985-4440
Site Address:
17102 FIlZTREE PL
Lot: 0140 Block: 0001 Addition: MEADOW BROOK 1ST ADDITION
22-481-00-14-001
Description:
Sub Type: Miscellaneous UBC Occupancy:
Work Type: New Construction Type:
Description: TOWER Zoning:
Census Code: Square Feet:
Remarks:
Fee Summary: surcharge 2.00
Valuation: $4,000.00 1997 UBC Permit Fee 97.25
$99.25
Contractor: Owner: -Applicant -
St. Lic.: PAUL A RAMEY
I
I HEREBY AGREE THAT THE WORK FOR WHICH THIS PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO:
(1) THE APPROVED PLANS AND SPECIFICATIONS; (2) THE APPLICABLE CITY ORDINANCES,AND CODES; AND (3)
THE MN STATE BUILDING CODE.
Applicant/Permitee: Signature Issued By: Signature
` ` ~ BUILDING PERMIT APPLICATION ~ S~ ~ ~ ' 3
RESIDENTIAL CONSTRUCTION
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE
LAKEVILLE, MINNESOTA 55044
(612) 985-4440
DATE: C / / SCHOOL DISTRICT:
JOB SITE ADDRESS: l 7CG~ l/
LEGAL DESCRIPTION: L BLOCK: SUBDIVISION:
APPLICANT: OV~~iE R CONTRACTOR (circle one)
OWNER: ,/~,~vL - ~S PHONE: ~ J 7^ ~
STREET ADDRESS: ~ 7/a ~ //jf'~ ~L CITY: ' ZIP:
CONTRACTOR: CONTR CITY ID PHONE:
STREET ADDRESS: CITY: ZIP:
TYPE OF WORK (Describe in Detail): TUV~,~~r ~//~/~ft~-`'~' ~Q~s'sf~
VALUATION OF WORK (excluding land): ~~a'
INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO
OFFSET THE ADMINISTRATI`'E COSTS ASSOCIATED WITH PROCESSING THE ESCROW
APPLICATION AND REFUND. I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKi~IOWLEDGE
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 IS NOT TO START
WITHOUT A PERMIT; AND TH_-~T THE WORK WILLBE IN ACCORDANCE WITH THE APPROVED
PLAN.
APPLICANT'S SIGNATURE: ~ e'`~ ~ /5~~~%'
G'i ~i'l DATE: ~
OFFICE USE
Class of Work New (81) Addition (82) .Repair (83) Demolish (8-#)
Replace (85) Alter/Remodel (86) Move (87)
APPROVED B~', ~ PID:
DATE: /d f CITY VALUATION: ~~L•~
COMMENTS:
a~~
1
RESIDENTIAL BUILDING PERMIT APPLICATION 'PACE 2''
OFFICE USE
BUILDING PERMIT TYPE:
Single Family Dwelling (i 0) Construction Type
2 Family Dwelling Units (.'0)
Townhouse Units (30) Owner: Public Private
Multi-Family Apartments (~0)
Mobile Home Installations (60) UBC Occupancy
Parkin Lots 61
~ ( )
Garages (70) Zoning
Accessory Buildings (71)
Residential (Addn/Remodel) (75) Special City Zones
Commercial Bldgs-New (80)
Commercial Bldgs (Addn/Remodel) (81)
Industrial Bldgs-New (85)
Industrial Bldgs (Addn/Remodel) (86)
Tax Exempt (Addn/Remodel) (89)
Tax Exempt Buildings (90 j
Swimming Pools (91) REQUIRED INSPECTIONS
Signs/Billboards (92) FOOTING(61) ~ FND DRAINTILE(79)
Fences (93) FOUNDATION(67) ST. DRAINTILE(75)
Buildings Moved (94)
Buildings Demolished (95) FRAMING(62) DECK FOOTING(80)
Foundations Only (96) SHEATHING(72) PORCH FTG(81)
Grading (97) FIREPLACE(68) FINAL(65)
_~Miscellaneous (98)
INSULATION(63) SITE(71)
GAS TEST(69) OTHER(70)
PLG RI (83) HTG RI (84)
POURED WALL (86) EXT DRAINTILE (87)
PERMIT FEES:
PERMIT FEE: $ ' - ' s ~~i
PLAN CHECK: $
SURCHARGE: $ Z`~'
SAC: $
WATER HOOKUP UNIT: $
SEWER HOOKUP UNIT: $
LANDSCAPE ESCROV~': $
.TREE ESCROW: $
OTHER: $
TOTAL: $ ~ ~ ~~~j. z
Revised 1/8/98