HomeMy WebLinkAboutLA103683 _ PERMIT
Clty Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA103683
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www. c i. Lakeville. mn. us
Site Address: 16354 Elm Creek La
Lot: 003 Block: 001 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-030-01
Use: DEA
Description:
i 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
C0111IrientS: 1--2" METER, PRV, AND MXU PER BUILDING HAS STREET DRAINTILE.
HAS FIREPLACE AND FIRE SPRINKLER.
CONTRACTORS: PLBG: GENZ-RYAN
Fee SLIInlllary: Description Amount Revenue Code
Valuation: 120,000.00 1997 UBC Permit Fee $1,105.75 1000-4151
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 ~ ~n
Permit Number
~ CITY OF LAKEVILLE
~ BUILDING INSPECTIONS DEPARTMENT Received By
20195 HOLYOKE AVENUE
LAKEVII,LE, h~IN 55044 i -
952-985-4440 Date Received
w~uvv.ci.Iakeville.mn.us ~
SITE ADDRESS: , Permit Fee
MAILINGADDRESS: CITY: IF.._.! - i ~l
, ~ i STATE:~4 ZIP: • t~ '
JOB DESCRIPTION: GyL,
ESTIMATED VALUATION: ~
~ c"~
PROPOSED START DATE:
END ATE:
(New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: ~ SUBDIVISION. ~~c5 CSC..
I'~TEW MODEL HOME: ? YES ~O IF yES -ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME'
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR:... : C~ LICENSE#: B ~~5~ j
? Homeowner
? Contractor OFFICE PHONE # _ ( ~J3 CELL PHONE:
ADDRESS: CITY; ST: ZIP:
ELECTRICAL WORK L~-~'
CONTRACTOR: T T LICENSE CA
? Homeowner * OFFICE PIIONE
? Contractor ``f" CELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires Iicensed electrician.)
PLUMBING WORK
CONTRACTOR: l ~C.Z...v~- LICENSE PM
? Homeowner
? Contractor -OFFICE PHONE 9 - CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: 1 `~Z l C.'i.,w
? .Romeo«rner /
? Contractor OFFICE PHONE fir/ CELL PHONE:
ADDRESS: CITY: ST: Zn':
SEWER/WATER CONTRACTOR
CONTRAC OR~~
New Construction Only
PHONE ( _
INTEREST EARNIrIGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE
ADMII~TISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND, .THEREBY
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 BUII.,DING 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.
I"1AME OF APPLICANT' (Please Print) ~Gi~ t- iy-~ y
APPLICANT'S SIGNAT'~RE: 1 c~ 1, DATE: ja
°.._f (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) FOOTING (60)
TOWNHOUSE UNITS (30) POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70}
~-CONDO (40) ? FOUNDATION (67)
ACCESSORY BUILDING (71) ~ FRANIIl~IG (62)
REROOF (73) LATH (64)
RESIDE (72) ? FIREPLACE (68)
RES ADDN/REPAIR/RMDL (75) _s~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
1 ~ n~~ ? ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION ? FINAL (65)
BUILDING PERMIT FEES MECHANICAL
1.1 o~ ~
s PERMIT FEE SOUGH-IN (84)
`t-~ PLAN CHECK ~ ` AIR TEST (69)
$ ~ 4 SURCHARGE FINAL (91)
f
G 75 METRO SAC
$ 3'f'QO CITY WATER HOOKUP UNIT PLiTMBING
$ 7Z Z ~ CITY SEWER HOOKUP UNIT ' ROUGH-IN (83)
$ - LANDSCAPE ESCROW L_,~ 'FINAL (92)
$ TREE ESCROW METER SIZE
$ ~'~~MISC ESCROW ~ ,
$ ELECTRICAL `-~=P~SSURE REDUCING VALVE
_PLUMBING SEWER AND WATER
$ SEWER & WATER ' ~ FINAL (93)
t > MECHANICAL
$ OTHER i STREET DRAINTILE (75)
~ 9 BUILDING INFORMATION
- ~ TOTAL- ~ f3 TYPE OF CONSTRUCTION
APPROVED BY: OCCUPANCY GROUP
.Y.LGW ZONING
BUILDING INSPECTOR:
DATE:~Q' Z ~ • p~
PLUMBING/MECHANICAL INSPECTOR: ~ Z~ ~ ; ~ ~ ~ DATE:
COMMENTS: r l'ti-E ~ , ~ ~ ~6 ~ , ~ ~ ~ ~ ~ ~ \ ~
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