HomeMy WebLinkAboutNo 13987 ` s
i A~=az~t :37 t 19 ~
i
Valuation ~'rJ , 'I ~ _ tin Water Unit . .
Clty Of Lak@VI~~B Bldg. Permit Fee • Sewer Unit
State Surcharge ` ~ ~ • fir'
J Street Area .
MetroBAC Charge....... t~ d'~~~ Park Fee .
BUILDING PERMIT ~ther..~`.~-ar?..G~t~~~?:.. ToTA~ P,e;~o:.......
Receipt ~ ~ ~
Permission is hereby granted to t~~ ~~~+'~~'~~`k~ ("c~ra a~hct'r~r~Rf$ ~ta~rir~-trj~~~r
Building on LotNo. ~ Block 1- Subdivision. taeishSar ~.ddn
Parcel No. ~?-~.~~~r5=G3t~°G~:
in the CITY OF LAKEVILLE to be used as ~~L7nit tcs ccs°t~t~~~ct ~in~I~ ~~aml ~~l'>
This permit is issued on theexpressconditionthatthe ERECTIOtV _ ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the.
application for such permit, and that all work shall be done in accordance-with the Ordinance of LAKEVILLE, Minnesota and
the Stateaf Minnesota pertaining to the construction ofbuildings.
Street Address ~i1i ~~y D~wi~ E. k~xin~s
li~ Director, License and Inspection
l , '7
7
Call for inspections-469-4431. By-t ~ ~ ~ " ` ~ ^ ;
- ~
I
~ -
H o~ ~
~~z~~
o ~ ~ ~
o ~ ~
~ ~
~ ~
~ ~
BUILDING PERMIT APPLICATION
'1 ~ ~ ~ ~ (,~;It, ~ ° ONE AND TWO FAMILY RESIDENTIAL y
~S ~ ~ ~ _ Q' CITY OF LAKEV TLLE
INSPECTION DEPARTMENT
8747 208TH STREET W.
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE : ~
t
JOB SITE ADDRESS: ~t.-~-~.-
Gt1E/ SN,9t} iC' ~
LEGAL DESCRIPTION: LOT:~~ BLOCK:_l_ SUBDIVI ON OR SECTION;
OWNER: ~7 ~ fl` S v`»~i~ G.E PHONE : 7~ ~ . 7 4% 1 /
STREET ADDRESS : ~ ~'"y'~f ..,~dC' Si L CITY : ~vr ..ZIP : t~~~
CONTRACTOR: ~ ~1'1 ~z.c~,~.~'c:,~. PHONE: ~ - J
STREET ADDRESS: /,$~y'G~ -._,~j~~'~~' CITY: ~,?~f~',~r~i`io=~,;.. ZIP: /`~,~i~t1.
CLASS OF WORK: NEW:~ ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL) : ~
p'~~Gc S(Z~ 1~ -~,i1„ ~l
VALUATION OF WORK (EXCLUDING LAND): =e3
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 [dITH THE APPROVED PLAN. -~~j~.~~s.~~
FOR CITY USE ONLY ~~v
Applicant's Signature: C~~ ~1
rL-° ~t*.~ Date:7~7~=,t'C Zone ~ ~ ~2~g~P
Permit Fee $ J "
Plan Check $ ~ (~q
Building .Official 's Signature:
p Surcharge $ ~ • J~D
Date: p
SAC $ ~ 7~•
Comments:
S/W Units $
Sewer Area $
Park or Misc. $
TOTAL DUE $