HomeMy WebLinkAboutLA103715 Y PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103715
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440
www. ci.lakeville.mn. us
Site Address: 16377 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: Description 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
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING PERMIT office u_se only
~ APPLICATION ~ l
Permit Number
~ CITY OF LAKEVILLE
BUII,DING INSPECTIONS DEPARTMENT
~ Received By
20195 HOLYOKE AVENUE
- LAKEVILLE, MN 55044 I t'; - s - .
952-985-4440 Date Received
www.ci.la(teville.mn.us
SITE ADDRESS: l.E?~ t d._1~..1'L~. Permit Fee
L
MAILING ADDRESS: CITY: STATE: G' ZIp;(~
JOB DESCRIPTION: ~C~~ ` r,~
ESTIMATED VALUATION: R - ~ PROPOSED START DATE:
Y)~ / ~
(New Residential Onl LEGAL DESCRIPTION: LOT: BLOCK:. Ems' D TE:
SUBDIVISION: " CI G"'~`'`~' ~1~` G'~:~~"
NEW MODEL HOME: ? yES ? NO g~ yES _ ADMINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME:
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR:_ ~ z~~~~~C~
? Homeowner LICENSE B
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
ELECTRICAL WORK
CONTRACTOR: -.~-C-~ ' ~ Z~ LICENSE #i CA
? Homeowner * f
? Contractor OFFICE PHONE J / ELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK +
? Homeowner CONTRACTOR: ~CR-tom.., LICENSE PM
? Contractor .OFFICE PHONE , CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
- _
MECAANICAL WORK
CONTRACTOR: ~ may`,,
? Homeowner
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY: ST; ZIP:
SEWER/WATER CONTRACTOR
CONTRACTOR:~~~
New Construction Only J ~ '
PHONE / f
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) C~C~.+~l ~ ~
APPLICANT'S SIGNAT I +r-~--~ 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) V FOOTING (60)
TOWNHOUSE UNITS (30) _S~POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70)
_~G,CONDO (40} c./ FOUNDATION (67)
ACCESSORY BUILDING (71) _L~FRANIING (62)
REROOF (73) LATH (64)
RESIDE (72) _~FIREPLACE (68)
RES ADDN/REPAIl2/RMDL (75) ? INSULATION (63)
DECK (76) DECK FOOTING (80)
PORCH (77) PORCH FOOTING (81)
LOWER LEVEL FIl~ISH (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
$ ~ ZP ~0® n rr ROUGH-IN 62)
TRENCH (64)
CITY BUILD
ING VALUATION F
INAL 65
( )
BUILDING PERMIT FEES MECHANICAL
$ I l p S' ~
s PERMIT FEE ROUGH-IN (84)
$ 76 PLAN CHECK TEST (69)
00
0 .
$ ~ SURCHARGE -~~~FINAL (91)
$ X1075 METRO SAC
$ 3rt90 CITY WATER HOOKUP UNIT PLUMBING
$ 7Zz. CITY SEWER HOOKUP UNIT R UGH-IN (83)
$ LANDSCAPE ESCROW --6~-t'~~, (92)
$ TREE ESCROW ~~.~,_METER SIZE
$ MISC ESCROW PRESSURE REDUCING VALVE
$ ~ ~ ELECTRICAL
$ , PLUMBING SEWER AND WATER
$ SEWER & WATER FINAL (93)
$ ~a MECHANICAL STREET DRAINTILE (75)
$ OTHER
$ 7 ~ ~
~ TOTAL BUILDING INFORMATION
TYPE OF CONSTRUCTION
Z OCCUPANCY GROUP
APPROVED BY: ~H ZONING
BUILDING INSPECTOR: DATE: h_~ ~
PLUMBING/MECHANICAL INSPECTOR: DATE: L D~2
COMMENTS- ~t ~C~ ~