HomeMy WebLinkAboutLA103712 PERMIT
City Of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103712
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440
www. c i. lakevil le. mn. us
Site Address: 16371 Elm Creek La
Lot: 002 Block: 002 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-020-02
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, FIREPLACE, FIRE SPRINKLER
Fee Summary Descri tp ion 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 Cl SYe 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
,i
Applicant/Permitee: Signature Issued By: Signature
~I
RESIDENTIAL BUILDING PERMIT Office Use Only
APPLICATION ~ ! ~ /
Permit Number
~ CITY OF LAKEVII,LE
BUILDING INSPECTIONS DEPARTMENT
~ 20195 HOLYOKE AVENUE Received By
LAKEVILLE, MN 55044 ~ ~ ' ` _
952-985-4440 Date Received
www.ci.la~eville.mn.us ; 1
SITE ADDRESS: ~ ~ ~t y~ ~~~y ~ ~_~`~Y~~.,•. Permit Fee
MAILING ADDRESS: CITY: ~ ~ i. STATE: b' ZIp;C~
JOB DESCRIPTION: p^t~ 1,
ESTIMATED VALUATION: ~ 'i
-?L- j-~_ PROPOSED START DATE: E~ D TE:
(New Residential Only): LEGAL DESCRIPTION: LOT, BLOCK: SUBDIVISION, ~ C/
NEW MODEL HOME: ? YES ? NO IF' YES - ADMINIS.pRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME'
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR:- f
? Homeowner ~ ~ C~Y~ LICENSE B
? Contractor OFFICE PHONE
CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
ELECTRICAL WORK {y~
? Homeowner * CONTRACTOR: _ LICENSE CA
? Contractor OFFICE PHONE ~ / ELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK +
? Homeowner CONTRACTOR: C1°--rte LICENSE PM
? Contractor -OFFICE PHONE ~ ~ CELL PHONE:
ADDRESS: CITY:
ST• ZIP,
MECHANICAL WORK
? Homeowner CONTRACTOR: ~Z ~
? Contractor OFFICE PHONE " CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
SEWERlWATER CONTRACTOR
CONTRACTOR:-~ c~ ~
New Construction Only ! , j~ ~z'.-~~
PHONE l `•C' ]
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) G~Ck,if1 v^~..
APPLICANT'S SIGNAT ? ~v
DATE, - I~
(Revised 02/22/2006}
.RESIDENTIAL BUILDING PERMIT APPLICATION .PAGE 2 ~ r
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUIRED INSPECTIONS
SINGLE FAMILY DWELLING (10) BUILDING
DUPLEX (20) _~FOOTING (60)
TOWNHOUSE UNITS (30) V POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70)
~_CONDO (40) V FOUNDATION (67)
ACCESSORY BUILDING (71) -~~FRAMING (62)
REROOF (73) LATH 64
RESIDE (72) -~-FIREPLA.CE (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 o DDD ~ ROUGH-IN 62)
~ TRENCH (64)
CITY BUILDING VALUATION -FINAL (65)
BUILDING PERMIT FEES MECAAlVICAL
$ / 1 ~ S ~s PERMIT FEE TROUGH-IN (84)
$ 2 7~ PLAN CHECK C/ AIR TEST (69)
b U ~jO SURCHARGE FINAL (91)
$ ~ .-METRO SAC
$ _ `f90 ~ CITY WATER HOOKUP UNIT PLUMBING
$ 7ZZ ~-CITY SEWER HOOKUP UNIT i /ROUGH-IN (83)
$ LANDSCAPE ESCROW c:.J-°''~ FINAL (g2)
$ TREE ESCROWMETER SIZE
$ " MISC ESCROWPRESSURE REDUCING VALVE
$ ELECTRICAL
$ PLUMBING SEWER AND WATER
$ - SEWER & WATER FINAL (93)
$ - dU MECHANICAL e ..STREET DRAINTILE (75)
$ - OTHER
/ 9 BUILDING INFORMATION
$ ~ SB~f TOTAL ~_TYPE OF CONSTRUCTION
~"Z OCCUPANCY GROUP
APPROVED BY: /ZONING
BUILDING INSPECTOR: DATE: ~ Z 4
PLUMBING/M [ECHANICAL INSPECTOR: DATE: '2 Z
COMMENTS: l - ~C> ~