HomeMy WebLinkAboutLA103975 PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103975
Lakeville, MN 55044
(952) 985-4440 * L R 1 PJ 5 9 7 5
www.ci.lakeville.mn.us Date Issued: 08/15/200$
Site Address: 16347 Elm Creek La
Lot: 001 Block: 002 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-010-02
Use: *22-z67QJZ-PJ 1QJ->?JZ*
Description:
Sub Type: Twnhse Unit -All Inclusive Construction Type: V-B
Work Type: New
Description: 2 of 6 Units
Census Code: 105 -Multi Unit S 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: Description Amount Revenue Code
1997 UBC Permit Fee $1,105.75 1000-415 ]
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
Res-Sewer Unit $740.00 5600-4570
Res-Water Unit $3,570.00 5500-4560
SAC -Townhouses/Condos $1,825.00 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 ssued By: Signature
RESIDENTIAL BUILDING PERMIT ofFcenUse only
-r'" -~-"`ti APPLICATION ~~'1-~
Permit Number
~ CITY OF LAKEVILLE ~ °O
~ BUILDING INSPECTIONS DEPARTMENT
Received By
20195 HOLYOKE AVENUE
LAKEVILLE, MN 55044 ~ ~ - ~ - iJ I ~ % : ~ , - . D
952-985-4440 Date Received
~v.ci.lakeville.mn.us / ~ '
, S 3 a ~ t Permit Fee
SITE ADDRESS: ~ t ~.~5 :I,yLQ.-~
MAILING ADDRESS: CITY: l t~ STATE:~~1V ZIP: ~ -
JOB DESCRIPTION: ~ - ~y1-_;
ESTIMATED VALUATION: PROPOSED START DATE: EN`D~D TE:
(New Residential Onl LEGAL DESCRIPTION: LOT: ~ BLOCK: 2. SUBDIVISION: ~
Y)~ '
NEW MODEL HOME: ? YES O , IF YES - ADMR~ISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME.
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR c~e--z
CONTRACTOR: r ~ ~C~ "J LICENSE B~7 Y~
? Homeowner G
? Contractor OFFICE PHONE [ ~ ~ ~ CELL PHONE:
ADDRESS: CITY: ST: ZIP:
ELECTRICAL WORK
CONTRACTOR: 1" LICENSE CA
? Homeowner * OFFICE PHONE #:,5~~ ~ ~ ~~(~~CELL PHONE:
? Contractor i~
* ? 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: ZIP:
MECHANICAL WORK
CONTRACTOR: 'Z.,
I~ ~
? Homeowner
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRACTOR CONTRALTO ~?y
New Construction Oniy pHONE !
1
INTEREST EARNINGS ON THE ESCROW °~ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE
ADMIl~IISTRATIVE 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 QRDINANCES 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} ~ i
APPLICANT' S SIGNATURE: ~ ~°-~-w DATE: / ~ r 1
(Revised 02/22/2006)
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)
1/' CONDO (40) ~-FOUNDATION (67)
ACCESSORY BUILDING (71) ~ FRAMIl~tG (62)
REROOF (73) LATH (64)
RESIDE (72) r,//' 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 FR-AIv1E (56)
FOUNDATION ONLY (96) SITE (71)
MISCELLANEOUS (98) OTHER (70)
UNDEFINED (99) SEPTIC TANK REMOVAL(77)
DEMO (95)
MOVED (94) ELECTRICAL
I ZO QDD-° y ROUGH-IN 62)
~ TRENCH (64)
CITY BUILDING VALUATION t/ FINAL (65)
BUILDING PERMIT FEES MECHANICAL
$ 1/4S ~s PERMIT FEE ~"ROUGH-IN (84)
$ -2710 ~ PLAN CHECK ~rAIR TEST (69)
$ !o D SURCHARGE ,FINAL (91)
f G7~,' METRO SAC
$ 3"f'90 CITY WATER HOOKUP UNIT PLUMBING
$ 7ZL's CITY SEWER HOOKUP UNIT RfJUGH-IN (83)
$ LANDSCAPE ESCROW INAL (92)
$ - TREE ES CRO W Z_METER SIZE
$ MISC ESCROW PRESSURE REDUCING VALVE
$ S ELECTRICAL
$_~'S~ PLUMBING SEWER AND WATER
$ - SEWER & WATER INAL (93)
$ ; c C MECHANICAL _STREET DRAINTILE (75)
$ OTHER
BUILDING INFORMATION
$ ~ S£S~ ~
9 TOTAL Y. 8 .TYPE OF CONSTRUCTION
Q
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OCCUPANCY GROUP
APPROVED BY: .~/~1_I
ZONING
BUILDING INSPECTOR: DATE: IO
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PLUMBING/1VIECHANICAL SPECTO) DATE~~
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