HomeMy WebLinkAboutLA103716 PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103716
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440
www. ci.lakeville.mn. us
Site Address: 16379 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 - ~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
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Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL BUILDING PERMIT' office Use only
~
APPLICATION ~ _ ~
Permit Number
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
'~~~_...~-f`=~ ^ LAKEVILLE, MN 55044 - f ; _ , : , . ;
952-985-4440 Date Received
www.ci.lakeville.mn.us C
SITE ADDRESS: i (_.t3t..Yl.~ Permit Fee
MAILING ADDRESS; CITY: ~ + STATE: ~ ZIP:
~ i - L
JOB DESCRIPTION: 4 " °
CY1~ Y`~ j
ESTIMATED VALUATION: PROPOSED START DATE:
(New Residential Onl LEGAL DESCRIPTION: LOT:.: E~iD D TE:
y~' BLOCK: SUBDIVISION: ~ ',~l~ ~
NEW MODEL HOME: ? YES ? NO ~ ~ ~ *~1
~ YES - ADNIINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT THE FOLLOWING COMPLETELY
RESIDENT OWNER NAME:
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR: ~ ,~<~'`~C~~ ~~-'r--
? Homeowner LICENSE B
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY: ST: ZIP;
ELECTRICAL WORK /
CONTRACTOR: ~1.~ LICENSE #i CA
? Homeowner *
? Contractor OFFICE PHONE #:~-(C'7 ~ ELL PHONE:
* ? SingIe Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK j
? Homeowner CONTRACTOR: `Cu--c••,_, LICENSE PM
? Contractor -OFFICE PHONE ~ ~ ~ CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: ~ ~ ~y`,~
? Homeowner
? Contractor OFFICE PHONE
C
ELL PHONE:
AD
DRESS:
CITY: ST: ZIP:
SEWER/WATER CONTRACTOR
CONTRACTOR:-~~~_~,~
New Construction Only , f
PHONE `t'
INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE
ADMIl~ISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND FISE~T~TB
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 1N ACCORDANCE WITH THE APPROVED PLAN.
NAME OF APPLICANT (Please Print) ~C~.Y1 ° j ~ ~g_
APPLICANT'S SIGNAT I V-~-y DATE; ~ ~
(Revised 02/22/2006
i
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)
_j,~CONDO (40) t/ FOUNDATION (67)
ACCESSORY BUILDING (71) l/ FRANIII~IG (62)
REROOF (73) LATH (64)
RESIDE (72) ? FIREPLACE (68)
RES ADDN/REPAIR/RMDL (75) ~ t~INSULATION (63}
DECK (76) DECK FOOTING (80)
PORCH (77) PORCH FOOTING (81)
LOWER LEVEL FLNISH (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 DDO on ? ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION y' FINAL (65)
BUILDING PERMIT FEES ME__ ]HCAL
$ I lA5` ?
s PERMIT FEE OUGH-IN (84)
$ Z7(~ ~ PLAN CHECK C/AIR TEST. (69)
$ G 0 SURCHARGE FINAL (91)
$ S METRO SAC
$ CITY WATER HOOKUP UNIT PLUMBING
$ 7ZL ` CITY SEWER HOOKUP UNIT ROUGH-1N (83)
$ LANDSCAPE ESCROW c/FINAL (92)
$ ~ TREE ESCROW /'v2`~ METER SIZE
$ ~ MISC ESCROW j~_PRESSURE REDUCING VALVE
$ ELECTRICAL
$ ~ ' op PLUMBING S WER AND WATER
$ _ SEWER & WATER C.FINAL (93)
$ ~~~C~ MECHANICAL STREET DRAINTILE (75)
$ OTHER
$ ~ 0 9 BUILDING INFORMATION
TOTAL ~_TYPE OF CONSTRUCTION
Z OCCUPANCY GROUP
APPROVED BY: ZONING
BUILDING INSPECTOR: DATE: /o`L2 Q~
PLUMBING/MECHANICAL INSPEC~TO} R DATE:- < ~rZ~~
COMMENTS: - ~ ~ ( v ~-{%~'t ~j s
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