HomeMy WebLinkAboutLA103714 - ~ PERMIT
Cit of Lakeville Permit Type: Building
Y
20195 Holyoke Ave Permit Number: LA103714
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440
www. ci.lakeville.mn.us
Site Address: 16375 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-]
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 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
i
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING PERMIT office use only
r~ APPLICATION ~ ~ I
Permit Number
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
~ ~ LAKEVILLE, MN 55044 i-
952-985-4440 Date Received
ww<v.ci.lakeville.mn.us ~-ry
SITE ADDRESS: ~ ~ ~~y,~~,~..1~• ~_1:3t..Yl.~, Permit Fee
MAILING ADDRESS: CITY: ~ ~ ~
JOB DESCRIPTION: STATE: ~ l~ ZIP: ~SC~
ESTIMATED VALUATION: ~ ~ ~
PROPOSED START DATE: _ END ATE:
(New Residential Only): LEGAL DES RIPTION: LOT: BLOCK: SUBDIVISION
NEW MODEL HOME: ? YES ? NO _ Y' "
~ YES ADMINNISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME'
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR: ~ LICENSE B ~ ~
? Homeowner
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY:
ST• ZIP•
ELECTRICAL WORK (-"j ,fir ~1
CONTRACTOR: ~_L,Q LICENSE #c CA
? Homeowner f
? Contractor OFFICE PHONE [ ! ELL PHONE:
* ? SingIe Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK +
? Ho CONTRACTOR: C~-~
meo _
weer LIC
ENSE PM
? Contractor .OFFICE PHONE ~ CELL PHONE:
ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK
CONTRACTOR: ~
? Homeowner
? Contractor OFFICE PHONE " c1~,.v CELL PHONE:
ADDRESS: CITY: ST: ZIP:
SEWER/WATER CONTRACTOR
CONTRACTOR:
New Construction Only
PHONE ~ - -
s ~
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 BUII..DING 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 P
LAN.
NAME OF APPLICANT (Please Print) C.~.1~1 > ~
APPLICANT' S SIGNAT i DATE: ' f ~
(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)
CONDO (40) ? FOUNDATION (67)
ACCESSORY BUILDING (71) ? FRAMING (62)
REROOF (73) LATH (64)
RESIDE (72) ? 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
~ ~ O ~ ~ ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION ? FINAL (65)
BUILDING PERMIT FEES MECHANICAL
~ - 'S PERMIT FEE OUGH-IN (84)
$ Z~6 ~ PLAN CHECK ,_S~AIR TEST (69)
$ Cott SURCHARGE ~INAL (91)
$ ~~75. METRO SAC
$ 390 CITY WATER HOOKUP UNIT PLUMBING
$ 7Z Z CITY SEWER HOOKUP UNIT ROUGH-IN (83)
$ - LANDSCAPE ESCROW _~FINA.L (92}
$ _ TREE ES CRO W ~
METER SIZE
$ - MISC ESCROWPRESSURE REDUCING VALVE
ELECTRICAL
$ ~ ~ PLUMBING SEWER AND WATER
$ SEWER & WATER (93~
~ ~ O~ MECHANICAL STREET DRAINTILE (75)
~ - OTHER
0 9 BUILDING INFORMATION
~ 7~~g~ TOTAL TYPE OF CONSTRUCTION
2
OCCUPANCY GROUP
APPROVED BY: /~c_Lr~
ZONING
BUILDING INSPECTOR: DATE: ~O' Z2. ~ 7
PLUMBING/MECHANICAL INSPECTOR: DATE:
COMMENTS: ~ ^ ~r ..Q:t~ T-~/1'l ~ ~
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