HomeMy WebLinkAboutLA103684 - PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103684
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www.ci.lakeville.mn. us
Site Address: 16356 Elm Creek La
Lot: 003 Block: OOl 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
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 o U
only ;
r_~.. APPLICATION
Perms Number
CITY OF LAKEVILLE
' BUILDING INSPECTIONS DEPARTMENT Received By
20195 HOLYOKE AVENUE
LAKEVII,LE,MN 55044 r
952-985-4440 bate Received
www.ci.lakeville mn us p~~ !
SITE ADDRESS: 1 i Y ~v ~v`~ Permit Fee
4~ .
MAILING ADDRESS: CI~TY(:~ Ui STATE: '`.4 ZIP:
JOB DESCRIPTION: 1 ~i.~.~ ' ~ r ~(~y~,
ESTIMATED VALUATION:- t~.~ , / `
PROPOSED START DAi
TE: END ATE:
(New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: { SUBDIVISION. ~~v
I~'EW MODEL HOME: DYES C~NO IF YES - ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME'
HOME PHONE CELL PHONE:
.GENERAL CONTRACTOR
CONTRACTOR: ~ ~ LICENSE B ~jv~'
? Homeowner
? Contractor OFFICE PHONE # ( ~J3 CELL PHONE:
ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK ~j E
CONTRACTOR: 7 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:t..Y~- LICENSE PM
? Homeowner
? Contractor -OFFICE PHONE ~ ' ~ CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~ ~
CONTRACTOR: ? L GtI.-..
? Homeowner
? .Contractor OFFICE PHONE ~ -CELL PHONE:
ADDRESS: CITY: ST: ZIP:
SER'ER/WATER CONTRACTOR CONTRAC OR: l ~
New Construction Only ~ _
PHONE (~I ( - ( ;
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.
NAME OF APPLICANT (Please Print) ~C~ ~~y--~f.-
APPLICANT' S SIGNAT~RE: 1 ~ ~ " ~-~-~r 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) y'' POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70)
._~CONDO 40
__1GFOUNDATION (67)
ACCESSORY BUILDING (71) FRAMING (62)
REROOF (73) LATH (64)
RESIDE (72) c/ FIREPLACE 68
RES ADDN/REPAIR/RlVIDL (75) (/INSULATION (63)
DECK (76) DECK FOOTING (80)
PORCH (77) PORCH FOOTING (81)
LOWER LEVEL FLNiSH (78) -t~BUILDING FINAL (90)
ADDITION (79) LOWER LEVEL FRAIvlE (56)
FOUNDATION ONLY (96) SITE (71)
MISCELLANEOUS (98) OTHER (70)
UNDEFINED (99) SEPTIC TANK REMOVAL(77)
DEMO (95)
MOVED (94) ELECTRICAL
l Z Q. n~4 n„1 ROUGH-IN 62)
~ TRENCH.(64)
CITY BUILDING VALUATION v FINAL (65)
BUILDING PERMIT FEES MECHANICAL
~ ~l~3 ~ PERMIT FEE `ROUGH-IN (84)
I, $ 2 >G ~ PLAN CHECK
.~•'AIR TEST (69)
$ ~ SURCHARGE . FINAL (91)
l 6 T 5 METRO SAC
$_3 Y'90 CITY WATER HOOKUP UNIT PLUMBING
$____.~22. CITY SEWER HOOKUP UNIT Pw----ROUGH-IN (83)
$ LANDSCAPE ESCROW - FINAL (92}
~ TREE ESCROW METER SIZE
$ MISC ESCROW
PRESSURE REDUCING
$ _ ELECTRICAL VALVE
~ ~ PLUMBING ~ SEWER AND WATER
$ SEWER & WATER ~`~r FINAL (93)
= ~'L ~ MECHANICAL
$ -OTHER , =STREET DRAINTILE (75)
0 9 BUILDING INFORMATION
~ r' TOTAL ~ 13 TYPE OF CONSTRUCTION
OCCUPANCY GROUP
APPROVED BY: /ZNI .ZONING
BUILDING INSPECTOR: ~ - ~
~ DATE: I~'Z~ 07
PLUMBING/MECHANICAL INSPECTOR• ~ ~ • i y; ~ ~
G..~
DATE'
~ i
COMMENTS: ~ ~ ~ ~ ~ ~ ~ `
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