HomeMy WebLinkAboutLA103718 v PERMIT
City of Lakeville Permit Type: Building
20195 Holyoke Ave Permit Number: LA103718
Lakeville, MN 55044 Date Issued: 10/29/2007
(952) 985-4440 -
www.ci.lakeville.mn.us
Site Address: 16383 Elm Creek La
Lot: 002 Block: 002 Addition: Fieldstone Creek 3rd Addition
PID: 22-26702-020-02
~ Use: DEA
Description:
i 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 tion 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 - 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
V RESIDENTIAL BUILDING PERMIT office Use only
_ ~
APPLICATION
Permit Number
CITY OF LAKEVII,LE
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENUE Received By
LAKEVILLE, MN 55044 ~ ,
952-985-4440 JDate Received .
www.ci.lakeville.mn.us ~ ~
~l°'~
SITE ADDRESS: ~ ~ ~ Permit Fee
MAILING ADDRESS; CITY•
~ STATE:
30B DESCRIPTION: 1 ~,.`D~ Z~~
ESTIMATED VALUA'T'ION: Ct= PROPOSED START DATE:
Y) ~ i-- ` _ r
(New Residential Onl LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION - END D TE:
NEW MODEL HOME: ? YES ? NO IF YES - AD ~ ~ v+ C'
MINISTRATIVE PERMIT REQUIRED ISD#:
PLEASE FILL OUT TAE FOLLOWING COMPLETELY
' RESIDENT OWNER NAME:
HOME PHONE CELL PHONE:
GENERAL CONTRACTOR
CONTRACTOR:- ~ C~Y~ LICENSE B ~ ~
? Homeowner
? Contractor OFFICE PHONE CELL PHONE:
ADDRESS:- CITY:
ST• ZIP•
ELECTRICAL WORK ( j
CONTRACTOR: ~._Q LICENSE CA
? Homeowner *
? Contractor OFFICE PHONE ELL PHONE:
* ? Single Meter on individual unit ? Meter Bank @ end of building (Requires licensed electrician.)
PLUMBING WORK
? Homeowner CONTRACTOR: t'.1z-x~ LICENSE PM
? Contractor -OFFICE PHONE ~ ~ CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
_
MECHANICAL WORK
CONTRACTOR: ~ ~
? Homeowner
? Contractor OFFICE PHONE ~ CELL PHONE:
ADDRESS: CITY:
ST: ZIP:
SEWER/WATER CONTRACTOR
CONTRACTOR:
New Construction Only
PHONE ~ ~f /
i INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY,--ARE RETAINED BY THE CITY TO OFFSET THE
ADMINISTRATIVE COSTS ASSOCIATED WITH P _
RO
CESS
APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMA
ION ABOVE TES 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
AP ,
PLICANT (Please Print) ~ ~ t,.
APPLICANT'S SIGNAT 1 v-e.--~, DATE: - j~
Revised 02/2
( 2/2006)
RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2
OFFICE USE ONLY
BUILDING PERMIT TYPE REQUIRED INSPECTIONS
SINGLE FAMILY DWELLING (10) BUILDING
DUPLEX (20} l/' .FOOTING (60)
TOWNHOUSE UNITS (30) 11 POURED WALL (86)
DETACHED TOWNHOUSE UNITS (35) GARAGES (70)
_1~CONDO (40) _~FOUNDATION (67)
ACCESSORY BUILDING (71) c~ FRANIII~IG (62)
REROOF (73) LATH (64)
RESIDE (72) C/ FIREPLACE (68)
RES ADDN~REPA.IR/RMDL (75) ~ C/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
$ I Z 0 ®OD ~ ROUGH-IN 62)
TRENCH (64)
CITY BUILDING VALUATION V (6$)
BUILDING PERMIT FEES MECHANICAL
$ OS ~
s PERMIT FEE SOUGH-IN (84)
$ 27~ PLAN CHECK /AIR TEST (69)
$-19 O - SURCHARGE JFINAL (91)
$ /6 7 pd' METRO SAC
$ 0 CITY WATER HOOKUP UNIT PLUMBING
$ ~ 2~ CITY SEWER HOOKUP UNIT ~OUGH-IN (83)
$ LANDSCAPE ESCROW FINAL (92)
$ ~ TREE ESCROW 1' METER SIZE
$ MISC ESCROW PRESSURE REDUCING VALVE
$ ELECTRICAL
$ Q` e PLUMBING SE RAND WATER
$ SEWER & WATER INS, (93)
$ , C~C7 MECHANICAL STREET DRAINTILE (75)
$ OTHER
s-~~ p BUILDING INFORMATION
TOTAL ~•g TYPE OF CONSTRUCTION
2 OCCUPANCY GROUP
APPROVED BY: ~(k !
ZONIl~G
BUILDING INSPECTOR: DATE: ~ -~Z ~Q7
PLUMBING/M/ECHANICAL INSPECTOR: DATE r~
COMMENTS•_{ ~ ~ ~ln~ ~~(J ~ yy(~ ~-f ~ C f ~ ~ ~ I j~ %
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