HomeMy WebLinkAboutLA103979 PERMIT
City Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA103979
Lakeville, MN 55044
952 985 4440
( ) *LR 1QJ3979*
www.ci.lakeville.mn.us Date Issued: 08/15/2008
Site Address: 16355 Elm Creek La
Lot: 001 Block: 002 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-010-02
Use: *ZZ-267t~Z-0 10-~J2*
Description:
Sub Type: Twnhse Unit -All Inclusive Construction Type: V-B
Work Type: New
Description: 6 of 6 Units
Census Code: 105 -Multi Unit 5 or More Units (1 lot) Occupancy: R-2
Zoning: RM-1 U
Square Feet: 0
Comments' SEPARATE FIRE SUPPRESSION PERMIT REQUIRED. Includes Fireplace. 1 ea 2" meter, PRV & MXU for
building. Street Draintile connection required.
Electrical Contractor: Phase Electric /Plumbing & Mechanical Contractor: Genz Ryan /S/W Contractor: DSM
Fee Summary: Descri tp ion 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
Res-Sewer Unit $740.00 5600-4570
Res-Water Unit $3,570.00 5500-4560
SAC -Townhouses/Condos $],825.00 1000-2128
Similar Plan Review $276.44 1000-4170
Surcharge -Based on Valuation $60.00 1000-2127
Total: $7,832.19
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.
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING PERMIT office [Ise onl
T,:..-. APPLICATION _ I o 3~~
Permit Number
~ CITY OF LAKEVILLE
f~ BUILDING INSPECTIONS DEPARTMENT Received By
20195 HOLYOKE AVENUE
_ LAKEVILLE, MN 55044 ° V
952-985-4440 Date Received
~ ~ ~v.ci.lakeville.mn.us Iq
F ~ $ ~ ! 1, Permit Fee
SITE ADDRESS: ~ ~ ~S ~~,/~l„
MAILING ADDRESS: CITY: + ~ t~ STATE:~~..lV ZIp;.
JOB DESCRIPTION: ' ~Lh, ~'l ~l~~t,,~, °Cy~,
ESTIMATED VALUATION: PROPOSED START DATE: END D TE:
i (New Residential Only): LEGAL DESCRIPTION: LOT: BLOCK: 2 SUBDIVISION: C'~~'tt(S.
V'1
NEW 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 c
CONTRACTOR: _I n ~ LICENSE B~~ , ;
? Homeowner OFFICE PHONE ~ CELL PHONE:
? Contractor
ADDRESS:- CITY: ST: ZIP:
ELECTRICAL WORK
CONTRACTOR: 1" LICENSE CA
? Homeowner *
? Contractor OFFICE PHONE ?"'s ~ ~ C.~CELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed'electrician.)
PLUMBING WORK
CONTRACTOR: LICENSE PM
? Homeowner
? Contractor OFFICE PHONE - ~ ~ CELL PHONE:
ADDRESS: CITY: ST: 7II':
MECHANICAL WORK
CONTRACTOR; ~
? Homeowner
? Contractor OFFICE PHONE ~ CELL PHONE:
ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRACTOR
CONTRALTO
New Construction Only pHONE #F a
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 EOR4 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 lease Print ~1. i~.
-a----~
APPLICANT'S SIGNATURE: ~ ~ ~ . ' ~ ' ` r
DATE. IC, J
(Revised 02/2212006)
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) ~l -FOUNDATION (67)
ACCESSORY BUILDING (71) ~-FRAMII~G (62)
REROOF (73) LATH (64)
RESIDE (72) t/' 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
$ ~ Z 0 D00 ~ ~ ROUGH-IN 62)
~ TRENCH (64)
CITY BUILDING VALUATION ~ FINAL (65)
BUILDING PERMIT FEES MECHANICAL
$ lion' ~s PERMIT FEE ~`"ROUGH-IN (84)
$ 27fo ~ PLAN CHECK FAIR TEST (69)
!0 0 SURCHARGE ~~FINAL (91)
f G7~' METRO SAC
$ 3tf'90 CITY WATER HOOKUP UNIT PLUMBING
7ZL's CITY SEWER HOOKUP UNIT ROUGH-IN (83)
$ LANDSCAPE ESCROW FINAL (92)
$ - TREE ESCROW Z`~
METER SIZE
$ MISC ESCROW PRESSURE REDUCING VALVE
$ ~ Q' ELECTRICAL
~ PLUMBING SEWER AND WATER
$ SEWER & WATER ~1 ~INAL (93)
$ ; ~7C MECHANICAL .STREET DRAINTILE (75)
$ ~ OTHER
BUILDING INFORMATION
$ ~
$ TOTAL TYPE OF CONSTRUCTION
•Z OCCUPANCY GROUP
APPROVED BY: f,~1~j-1 ZONING
BUILDING INSPECTOR: DATE: ~®"Z`+~' ~I
PLUMBING/MECHANICAL SPECTO DATE;~~
COMMENTS: -
- ~ Ir F. ip,~,dr.:~t (c ~P r