HomeMy WebLinkAboutLA045452PERMIT
CITY OF LAKEVILLE
20195 HOLYOKE AVE.
Lakeville, Minnesota 55044
(612) 985-4440
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
045452
07/06/98
SITE ADDRESS:
16267 FLORIDA WAY
LOT: BLOCK:
DONNAY'S VALLEY PARK 3RD
P.I.N.: 22-21172-020-06
DESCRIPTION:
EGRESS WINDOW
Building;, Permit Type
BuildingWork Type
UBC Occupancy
Construction Type
Zoning
RES-ADDN\REPAIRS
ADDITION
R-3
V -N
R-2
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION,,
$21.00
$.50
$21.50
$300
CONTRACTOR:
OWNER: Applicant -
KUPPEN THOMAS
16267 FLORIDA WAY
ROSEMOUNT MN 55068
997-2006
ISSUED BY: SIGNATURE
BUILDING PERMIT APPLICATION
RESIDENTIAL CONSTRUCTION
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE
LAKEVILLE, MINNESOTA 55044
(612) 985-4440
DATE: - / /c1
JOB SITE ADDRESS: I
SCHOOL DISTRICT:
LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION: D�[ 67(43°*
ei q;, I) Uc� , ,r
APPLICANT: cl OWNER lOR CONTRACTOR
OWNER: �k c v�. 5 \ivv \C e p �� c'i cl1 02 r�GG�
STREET ADDRESS: t C, , Co wl FAQ,- CITY: L tc , i 4 1 -- (IP: 5 5 06,
CONTRACTOR:
(circle one)
STREET ADDRESS:
CONTR #: CITY ID #: PHONE:
TYPE OF WORK (Describe in Detail):
CITY: ZIP:
c 5
VALUATION OF WORK (excluding land): 3 UL)
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 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 THAT THE WORK WILL BE IN ACCORDANCE WITH
THE APPROVED PLAN.
APPLICANT'S SI NA
/TURE
217
DATE: 7/z /5';
OFFICE USE
Class of Work ew ( Addition (82) Repair (83) Demolish (84)
Replace (85) Alter/Remodel (86) Move (87)
APPROVED BY: OinCid
DATE: 7
COMMENTS: 7/VDMtJ e e s c
PID:
U
CITY VALUATION: U Q �-
RESIDENTIAL BUILDING PERMIT APPLICATION
OFFICE USE
BUILDING PERMIT TYPE:
Single Family Dwelling (10)
2 Family Dwelling Units (20)
Townhouse Units (30)
Multi -Family Apartments (50)
Mobile Home Installations (60)
Parking Lots (61)
Garages (70)
Accessory Buildings (71)
X Residential (Addn/Remodel) (75)
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)
Swimming Pools (91)
Signs/Billboards (92)
Fences (93)
Buildings Moved (94)
Buildings Demolished (95)
Foundations Only (96)
Grading (97)
Miscellaneous (98)
PERMIT FEES:
PERMIT FEE:
PLAN CHECK:
SURCHARGE:
SAC:
WATER HOOKUP UNIT:
SEWER HOOKUP UNIT:
LANDSCAPE ESCROW:
TREE ESCROW:
OTHER:
TOTAL:
PAGE 2
Construction Type
Owner: Public ,i'` Private
UBC Occupancy
I ^
Zoning
Special City Zones
REQUIRED INSPECTIONS
FOOTING(61)
FOUNDATION(67)
FRAMING(62)
SHEATHING(72)
FIREPLACE(68)
INSULATION(63)
GAS TEST(69)
PLG RI (83)
POURED WALL (86)
X
x
Z cc
FND DRAINTILE(79)
ST. DRAINTILE(75)
DECK FOOTING(80)
PORCH FTG(81)
FINAL(65)
SITE(71)
OTHER(70)
HTG RI (84)
EXT DRAINTILE (87)
Revised 1/8/98