HomeMy WebLinkAboutLA103685 - PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103685
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www.ci.lakeville.mn.us
Site Address: 16358 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 Summa 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 - ~Wner:
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~ce~Use Only
~ ~ APPLICATION
l Permit Number
- CITY OF LAKEVII,LE
BUILDING INSPECTIONS DEPARTMENT . - Rec~eiued Biv : , ,
- 20195 HOLYOKE~AVENUE ~ ~ - ~ ~ . r ;
LAKEVII,LE, MN 55044
952-985-4440 Date Received
www.ci.lakevilie mn us ! r
SITE ADDRESS: ~ Permit Fee
- -Y'Ex.~.... ~ ` a .Y~-~
MAILING ADDRESS; CITY: cc
t~ f STATE: ZIP: ~U
JOB DESCRIPTION:. 1 ~.i~ ` r ~y~
ESTIMATED VALUATION: ~~TM' ~ ~
t ~ PROPOSED START DATE: END ATE:
(New Residential Only): LEGAL DESCRIPTION: LOT: FLOCK: ' SUBDIVISION. ~~S~- ~
NEW MODEL HOME; ? YES [~O g• yES _ ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME'
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR: ~ : Cam. LICENSE B ~~5~j!
_ ? Homeowner
? Contractor OFFICE PHONE # ~ ~J3 CELL PHONE:
ADDRESS: CITY; ST: Zn':
ELECTRICAL WORK Lam' ,
CONTRACTOR: ~ T LICENSE CA
? Homeowner
? Contractor * * OFFICE PHONE ~ ~ ~ CELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK
CONTRACTOR: ~ C2._v~- LICENSE PM
? Homeowner
? Contractor _OFFICE PHONE ' CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: ? L CL.w
? Homeowner
? Contractor QFFICE PHONE ~ -j~(,.}(~ CELL PHONE:
ADDRESS: CITY: ST: ZII':
SEy4'ERlWATER CONTRACTOR
CONTRAC OR: ~ ~ G~'~'
New Construction Only
PHONE ~Q _ 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 HE
-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?-t'~ t-- ~~y--~.Y-
APPLICANT' S STGNAT'I~RE: 1 X10 ~ 1 `ir-~...y~ ,
D C~
ATE: j ! C~]
(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) FOUNDAT
ON (67)
ACCESSORY BUILDING (71) ~FRANIING (62)
REROOF (73) LATH (64)
RESIDE (72) ?FIREPLACE (68)
RES ADDN/REPAIR/RMDL (75) t/ INSULATION (63)
DECK (76) DECK FOOTING (80)
PORCH (77) PORCH FOOTING (81)
LOWER LEVEL FINISH (78) _~GBUILDING 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
$ 12 n 40 n ~ ? ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION t./ FINAL (65)
BUILDING PERMIT FEES
MEC CAL
~ !/OS" ~ s' PERMIT FEE ~ OUCH-IN (84)
~ ~Z(~ `rK PLAN CHECK ,
AIR TEST (69)
(n0 9° SURCHARGE FINAL (91)
$ ~ ~ METRO SAC
$ ~ CITY WATER HOOKUP UNIT PL ING
7ZL CITY SEWER HOOKUP UNIT OUCH-IN (83)
$ LANDSCAPE ESCROW FINAL (92)
~ - TREE ESCROW y~ _ METER SIZE
$ MISC ESCROW ' ? ~ PRESSURE REDUCING VALVE
~ ELECTRICAL
~ ~"A < - ~ PLUMBING
SEWER AND WATER
~ SEWER & WATER
„~.~FINAL (93)
~ ~ MECHANICAL ~1~, ~ ..STREET DRAINTILE (75)
~ OTHER
( TOTAL BUILDING INFORMATION
- TYPE OF CONSTRUCTION
APPROVED BY: ~'Z OCCUPANCY GROUP.
_.~ZONING
BUILDING INSPECTOR: ~ `
~ DATE:_ /0'2 ~ lI ~
~
PLUMBING/MECHANICAL INSPECTOR: ~y ~ fl ~ ~ DATE. a
- -
e
1 ~ ,
COMMENTS• ~ ~ ~ ~ ~
~
n ~ ~
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