HomeMy WebLinkAboutLA103717 PERMIT
Clty Of LakeVllle Permit Type: Building
20195 Holyoke Ave Permit Number: LA103717
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440
www. ci.lakeville.mn.us
Site Address: 16381 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 tg ion Amount Revenue Code
Valuation: 120,000.00 1997 UBC Permit Fee $1,105.75 1000-4151
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 Issued By: Signature
r RESIDENTIAL BUILDING PERMIT Office~Use Only
APPLICATI :
ON
----.-~--r~
~ Permit Number
=`r_: CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
~ 20195 HOLYOKE AVENUE Received By
"'-~_,._-<r-~=- LAKEVILLE, MN 55044 i I
952-985-4440 Date Receive ~ j
www.ci.lakeville.mn.us 1~1
SITE ADDRESS: ~ 'n1 ~ n Permit Fee
i~ ~
MAILING ADDRESS: CITY:
' STATE:
3OB DESCRIPTION: ~ i " ZIP:
ESTIMATED VALUATION: PROPOSED START DATE:
(New Residential Onl LEGAL DESCRIPTION: LOT: ~ BLOCK: ~ END TE:
Y)~ ;
SUBDIVISION:i i"[ ~ 1 "
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: f
? Homeowner LICENSE B ~ '
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
ELECTRICAL WORK j
CONTRACTOR: ~.j,,.Q LICENSE CA
? Homeowner
? Contractor OFFICE PHONE C' ELL PHONE:
? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician,)
PLUMBING WORK ,
? Homeowner CONTRACTOR: C'~--+~.., LICENSE PM
? Contractor .OFFICE PHONE ~ CELL PHONE:
.ADDRESS: CITY: ST: ZIP:
MECHANICAL WORK ~
CONTRACTOR: 'Z ~ may`,,,,
? Homeowner
? Contractor OFFICE PHONE 1 CELL PHONE:
ADDRESS: 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 CITY TO OFFSET THE
ADMINISTRATIVE COSTS ASSOCIATED _
WITH
PROCESSING THE ESC
APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATIONOABOVE IBS 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 WIL
~ r L BE IN ACCORDANCE WITH THE APPROVED PLAN.
NAME OF APPLICANT (Please Print} G~C~.Yl ' ~ "erg ~
APPLICA.NT' S SIGNAT i ~ ~ _
~ DATE:
(Revised 02/22/2006)
I
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 -
OFFICEUSE 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) t/' FOUNDATION (67)
ACCESSORY BUILDING (71) ~ FRAMING 62
( )
REROOF (73) LATH 64
RESIDE (72) ~-FIREPLACE (68)
RES ADDN/REPAIlZ/RMDL (7~ ~ V 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
$ / 20 00~ 2.. ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION -FINAL (65)
BUILDING PERMIT FEES MECHANICAL
$ / / 0 ~ ~
~ PERMIT FEE UGH-IN (84)
$ ~ ~ PLAN CHECK CHAIR TEST (69)
$ SURCHARGE FINAL (91)
$ 7 ~ METRO SAC
$ `f40 CITY WATER HOOKUP UNIT PL ING
$ ~ZZ ? CITY SEWER HOOKUP UNIT OUGH-IN (83)
$ LANDSCAPE ESCROW FINAL (92)
$ TREE ESCROW `TMETER SIZE
$ MISC ESCROW ~D _PRESSURE REDUCING VALVE
$ ELECTRICAL
$ ^ cX~ PLUMBING SEWS SAND WATER
$ SEWER & WATER AL (93)
$ - ~LZ_MECHANICAL STREET DRAINTILE (75)
$ OTHER G~~
r~-~(,~ /
~ BUILDING INFORMATION
$ ~ TOTAL ~'•Q TYPE OF CONSTRUCTION
~-2 OCCUPANCY GROUP
APPROVED BY: ZONING
BUILDING INSPECTOR: DATE: ~~~Q ~
PLUMBING/MECHANICAL INSPECTOR: DATE: D
COMMENTS: ~/`C~ ~C S ! ~