HomeMy WebLinkAboutLA103682 - PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103682
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www, ci.lakeville.mn.us
Site Address: 16352 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 Summary: 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 Offioe Use On1
APPLICATiON
Pe
rmit Number
_ ; CITY OF LAKEVILLE
BUILDING
INSPE
CTIONS
DEP
ARTMENT
20195 HOLYOKE A Received Bq
NUE .
. .
.
LAKEVII.,LE, MN 55044 I u _ 3 , . ,
952-985-4440 Date Received
vs~vw.ci.lakeville.mn us , i
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SITE ADDRESS: ~ ~~L~~~ ~ ~ Permit Fee
,.h~ ~..v~-~
MAILING ADDRESS: CItTY: vi STATE:~_ZIP: G
JOB DESCRIPTION: I' r vyL
ESTIMATED VALUATION: ~ PROPOSED START DATE:
END ATE:
(New Residential Only): LEGAL DESCRIPTION: LOT:~BLOCK: ~ SUBDIVISION. ~~S C,
I~'EW MODEL HOME: ? YES C~NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME:
HOME PHONE CELL PHONE: •
GENERAL CONTRACTOR
CONTRACTOR: ~ , Fem. LICENSE BC~~~~9~
? Homeowner
? Contractor OFFICE PHONE # ~ ~ ~3 CELL PHONE:
ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK
CONTRACTOR: -T ~.1-~.,, ~~Y~-C° LICENSE CA
? Homeowner * OFFICE PHONE
? Contractor CELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK
CONTRACTOR: ~ C~v~- LICENSE PM
? Homeowner
? Contractor .OFFICE PHONE ~ - CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: t1~ L Ct.L~
? Homeowner
? Contractor OFFICE PHONE ~ 1QU~.1 CELL PHONE:
ADDRESS: CITY:. ST: Zn':
SEWER/WATER CONTRACTOR
CONTRAC OR:i~~ ~ti~
New Construction Only ~ C~
PHONE ( - ~
.INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY
ADMII~~ISTRATIVE CO THE CITY TO OFFSET THE
STS ASSOCIATED WITH PROCESSING THE ESCR
APPLY FOR OW APPLICATION AND REFUND, I HEREBY
A BUILDING PERMIT AND I ACKNOWLEDGE. THAT THE INFORMA
TION ABOVE IS C
OMPLETE
ACCURATE• AND
T
HAT T
HE 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} ~i~--~ y •
r
APPLIC
ANT' S SIGNAT'I
ZE; 1 ~.-e.~c~ 1 • DATE: jd Z.~ Ci''~
(Revised 02/ 2/2006)
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUIRED INSPECTIONS
SINGLE FAMILY DWELLING (10) BUILDING
DUPLEX 20
TOWNHOUSE UNITS (30) ~-POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70)
I~-CONDO (40) ? FOUNDATION (67)
ACCESSORY BUILDING (71) ~_FRAMIl~G (62)
REROOF (73) LATH (64)
RESIDE (72) ? FIREPLACE (68)
RES ADDN/REPAIR/RMDL (75) ? INSULATION (63)
DECK (76) ~ DECK FOOTING (80)
PORCH (77) PORCH 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
$ ~ 201 n pO ~ .,~_ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION ? FINAL (65)
BUILDING PERMIT FEES
7s PERMIT FEE MECHANICAL
$ Z~ PLAN CHECK --~=ROUGH-IN (84)
$ ~4 ° SURCHARGE -`AIR TEST (69)
$ ~G75 METRO SAC ~ FINAL (91)
$ X90 ~ CITY WATER HOOKUP UNIT PLUMBING
$ 7ZZ CITY SEWER HOOKUP UNIT ~ - ROUGH-1N (83)
$ LANDSCAPE ESCROW FINAL (92)
$ TREE ESCROW ~~_METER SIZE
$ + ^a MISC ESCROW ' ,PRESSURE REDUCING VALVE
$ ,~T _ELECTRICAL
~ PLUMBING
$ SEWER AND WATER
t SEWER & WATER ~ ~`-FINAL (93)
L' ' MECHANICAL ~ ~%.STREET DRAINTILE (75)
$ OTHER
$ ~ ~ 9 TOTAL BUILDING INFORMATION
~'•B TYPE OF CONSTRUCTION
IZ~ 2 OCCUPANCY GROUP
APPROVED BY: J7~.~ZONING
BUILDING INSPECTOR: i~~~ . ~ ~ DATE: /Q' 25.0'7
PLUMBING/MECHANICAL IN_ SPECTOR: " ~
` 7 '1 ~ ~ DATE: ~ 1
COMMENTS: i` ~ f?~ ~ t - f , t ~ ~ -
F~ - { _
r~ ~a r ~ n In /~.C