HomeMy WebLinkAboutNo 12790 i
~~y 19
~.7~ 11GlrT
Valuation ~ ~I: ~~tlQ. ~Q Water Unit
Clay Of L.akl?Vrl~e Bldg. Permit Fee 1L ~ • t~0 Sewer Unit
State Surcharge • Street Area .
425 ~!0
ww,, ~AA T Metro SAC Charge Park Fee .
B~~L~~IYG PE~IYI,' 1 Other.. TOTAL PAID..... 76R-nQ
Recei pt Q-~ 5
Permission is hereby granted to John ~ ° Rret3ra~~t' t}wn:Pr
Building on Lot No. Block Subdivision ~ ~ 'flan -'t 1 Za _ R.,'1ti
Parcel No. ~k2~1 ~11.~E~
in theClTY OF LAKEVILLEtobeusedas ~`R ~i'3193i:~UCY ~4~-~'~~ ~amil~
e-w~in~' t~.~.T?~rn a
d~r.?~r i.gh~?d ~C~r,.-,,
This permit is issued ontheexpressconditionthatthe ~-ERECTION AL~ERA~ION 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 State of Minnesota pertaining to the construction ofbuildings.
Street Address , $~7+~ C~daY A~*~ni~~ ~a-~~'~~.se
Director, License and Inspection
.*f~
Calfforinspections-469-4431. BY ~
~~~~rn~~
~ ~ ~
~ r
T'
ti ~ ~
1
~ \
~ ~ 0
~ ~
' ~ ~ APPLICATION FOR BUILDING '~'1"iIT CITY OF LAKEPIZLE _
8747 208th St. W,, P.0.3ox 957
. ~ ~ Lakevj,Ile,.2~1 55044 .
(612) 4b9-4431
Job Site Address I ~
~y~
Legal Description: Lot Block Addition
Owner ~ ~ ~ °
Phone ~ ~
Addre`s's ~f P•O.Box:
Contractor Phone
Address P.O.Box:
City Zip
Class of Work: Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) dove
Demolish
. Proposed Use (Describe is Detail) •
Commercial: Square Feat ~ Employees
Heating Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special Conditions
Valuation of Work: $ "w. {.~,,Y~ , .
' FOR CIT° IISE ONLY
.Signature of Applicant ~ Title:
w Citq Fee $
«4
Plan Check $ ~ .
Surcharge $ ~i ,
Date ~ _ -
SAC $ ~y ~ ~ ~ ~
Signature of Zoning Officer:
• S/W Units $
Date Sewer Area $
I _ '
Signature of Building Official: Street Area $
. ~ Park or Misc..$
_ Total $ ~ , ,
Date:
SID MILI,EI~, BUILD~IG INSP$CTOR