HomeMy WebLinkAboutLA103686 4 PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103686
Lakeville, MN 55044 Date Issued: 10/26/2007
(952) 985-4440
www. ci.lakeville.mn.us
Site Address: 16360 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: Descri tion 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
Permit Number
* CITY OF LAKEVIi,LE
BUILDING INSPECTIONS DEPARTMENT Received By
20195 HOLYOKE AVENUE
~ LAKEVILLE, MN 55044 ~ - ~ v`
952-985-4440 Date Received
www.cilakeville.mn us / c/
'"1 ~ Y_ _ _ jJ ~Y`~ Permit Fee
SITE ADDRESS: ~
MAILING ADDRESS; CITY: ~ ~
~ ( STATE: ZIP: U
JOB DESCRIPTION: I ~l,~~tt~ ` r` ~yL
ESTIMATED VA_L,UATION: ~ (.,i'
~ PROPOSED START DATE:
END ATE:
(New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: I SUBDIVISION. ~~c~~ C,
2~~EW MODEL HOME: ? YES C~NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NA'ME'
HOME PHONE CELL PHONE: •
GENERAL CONTRACTOR
CONTRACTOR: ~ LICENSE B ~ V~
? Homeowner
? Contractor OFFICE PHONE # (CJ ~J3 CELL PHONE:
ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK ,
CONTRACTOR: T ~1'Z..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: l CZ..N~- LICENSE PM
? Homeowner
? Contractor -OFFICE PHONE 9 ~ ' Q~ ~ CELL PHONE:
ADDRESS:. CITY: ST: ZIP:
MECHANICAL WORK z
CONTRACTOR: C't.r-~
? Homeowner ~ -
? Contractor OFFICE PHONE G ~ CELL PHONE:
ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRACTOR ~ G1-~.,
CONTRAC OR: 1
New Construction Only
INTEREST EARNINGS ON TI3E ESCROW ACCOUNTS IF
ANY ARE RET
AIMED. BY THE CITY TO OFFSET T
~rISTRA HE
TIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND
APPLY FOR A BUILDING I HEREBY
PERMIT AND I ACKNOWL
EDGE THAT THE INFORMATION ABOVE IS COMPLETE AND.
ACCURATE; THAT THE WQRK 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.
II'~ NAME OF APPLICANT (Please Print} ~G~ t- y-~z y
APPLICANT'S SIGNAT': 1 0-~.-c~1~ DATE:Id
.,..,J (Revised 02/ 2/2006)
II
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 r
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)
CONDO (40) ~_FOUNDATION (67)
ACCESSORY BUILDING (71) t/ FRAMING (62)
REROOF (73) LATH (64)
RESIDE (72) FIREPLACE (68)
RES ADDN/REPAIlZ/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
~ ~ ~ ~
o _ ROUGH-IN 62)
? TRENCH (64)
CITY BUILDING VALUATION ? FINAL (65)
BUILDING PERMIT FEES MECHAI~TICAL
/~a,~ ~
r PERMIT FEE ROUGH-IrI (s4)
$ 2TG a~ PLAN CHECK ~ "'A1R~TEST (69)
$ COO o~ SURCHARGE ~.~_FINAL (91)
~6 7 METRO SAC
$ 3 4f90 Q= CITY WATER HOOKUP UNIT PLUMBING
-'i Z Z CITY SEWER HOOKUP UNIT F - ~ `'ROUGH-1N (83)
$ LANDSCAPE ESCROW ~ FINAL (92}
$ TREE ESCROW `METER SIZE
$
$ ELECTRICAL ~ ~~-PRESSURE REDUCING VALVE
$ ~ C`~ C~ : PLUMBING ~-SEWER AND WATER
$ SEWER & WATER ~=~~F1NAL (93)
, ~ = MECHANICAL _-~,_STREET DRAINTILE (75)
$ OTHER
$ BUILDING INFORMATION
TOTAL 1Z •R TYPE OF CONSTRUCTION
APPROVED BY: ..~_000UPANCY GROUP
J 1~1 /ZZONING
BUILDING INSPECTOR: ~ ~ DATE: lO- 2~-~
PLUMBING/ME~HANICAL INSPECTOR: ~ ~ ~ `
~ DATE:
~ s ~
COMMENTS ~ ~ ~ - A ~ ~ _ , ,
p, F~ Sir