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HomeMy WebLinkAboutLA103713 - PERMIT City of Lakeville Permit Type: Building 20195 Holyoke Ave Permit Number: LA103713 Lakeville, MN 55044 Date Issued: 10/29/2007 (952) 985-4440 www. ci.lakeville.mn.us Site Address: 16373 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 to 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 - ~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 _T Issued By: Signature RESIDENTIAL BUILDING PERMIT Office Use Only APPLICATION ~ ~ ~ ~ ~ I~__ ~ ~ Permit Number / ~ CITY OF LAKEVII.,LE 1` BUILDING INSPECTIONS DEPARTMENT Receive 20195 HOLYOKE AVENUE d By LAKEVILLE, MN 55044 ' - ; , _ ; 952-985-4440 Date Received v,*ww.ci.lakevzlIe.mn.us ~ ~ ,f~ ~ j g ~ 1 SITE ADDRESS: h Permit Fee ~ MAILING ADDRESS: CITY: ~ , JOB DESCRIPTION; STATE: ~ ZIP: ESTIMATED VALUATION: ~ PROPOSED START DATE: END. D TE: (New Residential Oni LEGAL DESCRIPTION: LOT: BLOCK;,. Y)• SUBDTVISION• NEW MODEL HOME: ? YES ? NO IF YES -ADMINISTRATIVE PERMIT REQUIRED ISD#: PLEASE FILL OUT THE FOLLOWING COMPLETELY RESIDENT OWNER NAME: HOME PHONE CELL PHONE: ' GENERAL CONTRACTOR CONTRACTOR: ~ c'~ ? Homeowner LICENSE B ? Contractor OFFICE PHONE CELL PHONE: ADDRESS: CITY: ST: ZIP: ELECTRICAL WORK CONTRACTOR: (-=~.~-.~:~t,/ ~ LICENSE #i CA ? Homeowner * / ? Contractor * * OFFICE PHONE #:~C'? ~ C / ELL PHONE: * ? SingIe Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.) PLUMBING WORK , ? Homeowner CONTRACTOR: Ct~~ LICENSE PM ? Contractor .OFFICE PHONE ~ CELL PHONE: ADDRESS: CITY: ST: ZLP• MECIiANICAL WORK CONTRACTOR: ~ ~ ~ yip ? Homeowner ? Contractor OFFICE PHONE CELL PHONE: ADDRESS: CITY: ST: ZIP: SEWER/WATER CONTRACTOR CONTRACTOR: New Construction Only ~ j ~ PHONE ! j`~ / 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 ORL?INANCES 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} 4 ~ ~ ~ APPLICANT' S SIGNAT I DATE • ' (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) DE TACHED TOWNHOUSE UNITS (35) GARAGES (70) CONDO (40) ? FOUNDATION (67) ACCESSORY BUILDING (71) ? FRAMING (62) REROOF (73} LATH (64) RESIDE (72) ~-FIREPLACE (68) RES ADDN/REPAIR/RMDL (75) ~ l.~ 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~.DOp o~ ~ ROUGH-IN 62) TRENCH (64) CITY BUILDING VALUATION t~FINAL (65) BUILDING PERMIT FEES MECIiANICAL //l~S- PERMIT.FEE ROUGH-IN (84) $ 2 7(0 `~-Y PLAN CHECK FAIR TEST (69) l~ °n SURCHARGE FINAL (91) / -a- $ !0 7 ME TRH SAC $ 3~t~D CITY WATER HOOKUP UNIT PLUMBING $ ~7zZ ~ CITY SEWER HOOKUP UNIT ROUGH-IN (83) $ LANDSCAPE ESCROW </'FINAL (92} $ TREE ESCROW d METER SIZE $ _ MISC ESCROWPRESSURE REDUCING VALVE $ _ ELECTRICAL $ © PLUMBING SEWER AND WATER $ SEWER & WATER ~ FINAL (93) $ - ~ ~ MECHANICAL STREET DRAINTILE (75) $ ~ OTHER ~ 9 BUILDING INFORMATION $ ~ s ~ ~ TOTAL 7Z Q TYPE OF CONSTRUCTION OCCUPANCY GROUP APPROVED BY: ~ ZONING BUILDING INSPECTOR: DATE: /O-Z Z"'O ~ PLUMBING/MECHANICAL IN(S~PE~CT)OR: DATE: - ~ ~ COMMENTS: ~~~d{'~ l 1 v ~1 ~ ~