HomeMy WebLinkAboutLA103681 PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103681
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www. ci.lakeville. mn.us
Site Address: 16350 Elm Creek La
Lot: 003 Block: 001 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-030-01
Use: DEA
Description:
Sub Type: Single Family -All Inclusive Construction Type: V-B
Work Type: New
Description: CO Required Prior to Occupancy
Census Code: 101- 1-Single Family Detach Occupancy: R-2
Zoning: RM-1
Square Feet: 0
COmmentS: 1--2" METER, PRV, AND MXU PER BUILDING HAS STREET DRAINTILE.
HAS FIREPLACE AND FIRE SPRINKLER.
CONTRACTORS: PLBG: GENZ-RYAN
Fee Sammary: Description Amount Revenue Code
1997 UBC Permit Fee $1,105.75 1000-4151
Valuation: 120,000.00 EL -Residential (New) $85.00 1000-4167
ME -Residential (New) $85.00 1000-4154
PL -Residential (New) $85.00 1000-4152
Plan Review $276.44 1000-4170
Res-Sewer Unit $722.00 5600-4570
Res-Water Unit $3,490.00 5500-4560
SAC -Single Family Home $1,675.00 1000-2128
Surcharge -Based on Valuation $60.00 1000-2127
Total: $7,584.19
Contractor: _ Applicant - Owner:
DR HORTON INC - MN DR Horton Inc MN
20860 KENBRIDGE CT 20860 Kenbridge Ct Ste 100
LAKEVILLE MN 55044 Lakeville MN 55044
(952) 985-7815
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. A
SEPARATE ELECTRICAL PERMIT IS REQUIRED
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING PERMIT office Use only
" ~ APPLICATiON ~ _
PermitNumbe
;i: = CITY OF LAKEVILLE
BUIi,DING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
LAKEVFLLE, MN 55044 ~ - , - ~ ~
952-985-4440 ~ Date Received
v,~~v.ci Lakeville mn us ~~~~,-~.1~ t q
SITE ADDRESS:'~~v Permit Fee
MAILING ADDRESS: CIT~ U~ STATE: Z1P: U
JOB DESCRIPTION: VI~~~~ ` r
ESTIMATED VALUATION:
f PROPOSED START DA`
TE: END ATE: _
(New Residential Only): LEGAL DESCRIPTION: LOT:~~ .FLOCK: I SUBDIVISION. ~~S C,r~~
NEW MODEL HOME: ? YES [~NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER N`AME'
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR: ~ ~ LICENSE B ~~~~jt
cti~l
? Homeowner ~ ~3
? Contractor OFFICE PHONE # CELL PHONE:
ADDRESS: CITY: ST: ZII':
ELECTRICAL WORK ~e~.~'k' ,
CONTRACTOR: ~T ' ~ LICENSE CA
? Homeowner * OFFICE PHONE
? Contractor ~ ~ CELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK
CONTRACTOR: l ~C.~w LICENSE PM
? Homeowner
? Contractor .OFFICE PHONE - CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: ~ 1Z l CSI"
? Homeowner
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY: ST: ZII':
SER'ER/W ATER CONTRACTOR
CONTRAC OR: ~ ~
New Construction Only
PHONE LjJ ( - ~ 3
INTEREST EARNINGS ON THE ESCROW ACCOUNTS, TF ANY, ARE RETAINED BY THE CITY TO OFFSET THE
ADMII~TISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND. I HEREBY
APPLY FOR A BUILDING PERIvIIT 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.
NAME OF APPLICANT' (Please Print) ~Ce.~ t- i~y--e_ E,-
Ai'PLIC
ANT'S SIGNAT' i ~~1~'-t.:c 1' DATE:1~ C~
(Revis`ed 02/ 2/2006)
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUIRED INSPECTIONS
SINGLE FAMILY DWELLING (10) BUILDING
DUPLEX (20) V FOOTING (60}
TOWNHOUSE UNITS (30) ?POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES 70
CONDO (40) c/FOUNDAT
ON (67)
ACCESSORY BUILDING (71) -~FRANITNG (62)
REROOF (73) LATH (64)
RESIDE (72) ?FIREPLACE (68)
RES ADDN/REPAIR/RMDL (75) -~-INSULATION (63)
DECK (76) DECK FOOTING- (80)
PORCH (77) ORCH FOOTING (81)
LOWER LEVEL FINISH (78) ? BUILDING FINAL (90)
ADDITION (79) LOWER LEVEL FRAME (56)
FOUNDATION ONLY (96} SITE (71)
MISCELLANEOUS (98) OTHER (70)
UNDEFINED (99) SEPTIC TANK REMOVAL(77)
DEMO (95)
MOVED (94) ELECTRICAL
$ ~ Z DSO o
° _1/ ROUGH-IN 62)
t~
TRENCH (64)
CITY BUILDING VALUATION t/FINAL (65)
BUILDING PERMIT FEES
MECHANICAL
1 10S~" 7r PERMIT FEE ROUGH-IN (84)
$ Z 76 ~ PLAN CHECK ~ AIR TEST (69)
!00 SURCHARGE FINAL (91)
$ /G75` METRO SAC
$ CITY WATER HOOKUP UNIT PLUMBING
$ - 7zL CITY SEWER HOOKUP UNIT ~ 'ROUGH-IN (83)
$ _ LANDSCAPE ESCROW ° FINAL (92}
$ ~ TREE ESCROW -METER SIZE
$ ~ MISC ESCROW, ~
PRESSURE REDUCING VALVE
ELECTRICAL
$ ~ ~ ~ PLUMBING SEWER AND WATER
$ SEWER & WATER r FINAL (93)
$ ~ ~ . MECHANICAL ~ _ > STREET DRAINTILE (75)
$ OTHER
~ 7~~~ 9 TOTAL BUILDING INFORMATION
.TYPE OF CONSTRUCTION
!~-z OCCUPANCY GROUP
APPROVED BY: ~M_L.ZONING
BUILDING INSPECTOR: - DATE:- ~ ~ ,Q Z_
PLUMBING/MECHANICAL INSPECTOR:
~ ~ DATE: ~~i
COMMENTS: r~~M ~ ~ ~ ~ ~ ~ ~ ~ r.- ~ ~ ~ ~
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