HomeMy WebLinkAboutNo 11079 1
,i~,~ Village of Lakeville ~,,,,<~9
INSPECTION DEPARTMENT Building Permit.....
Valuation 'J , i7C,1
BUILDING PERMIT
s ~ 3.;~Y Building Permit Fee
State Surcharge...... 1 _ `it s
TOTAL FEE PAID.. ^ `7 - ~;~s
?~r~`z:~ ~ . ~r3.t:
Permission is hereby granted to
Building ott Lot Na Block Subdivision
Pareol ~t^ w(-,~~-1r y_:~°kt1a;>. Plat .'a~Yz.~.~v,
ik the `VILLAGE OF LAKEVILLE to be used as "-+•r .ai_~'1-z~`• ~ "~'M ~~r~"
This permit is issued on .the express condition that the -ERECTION -ALTERATION -REPAIRS
ENLARGEMENT-- _MOVWG -DEMOLITION respects #o the statemervts certified to in the applieallon for
such permit, and tt?at all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and tho Stall
of Minnesota pertaining to the construction of buildings.
~ Street Address ? ; :~+2 i'
Director,, License and Inspection
Attention is particularly called to the cutting up of streets, making main
~ sewer .connections, driveways and curbs. Obtain permit for suth construe- gy
tion from .the VILLAGE OF LAKEVILLE. Inspection Department 'Not Re-
` sponsble for Any DamogesYO Public Utilities.
I~
APPLICATION FOR BUILDING PERMIT
` CITY OF LAKEVILLE
8830 207th St. W. P.0. Box M
Lakeville, MN 55044
469-4931
r
Job Site Address: _ ~\~h,~~)~ \~i,~~_L;~.-'~
Legal Description: Lot Block Addition
Owner ~ ; Phone
Address ~~'~`~~+\°~~i
Contractor ~ ' _ Phone
Address
Class of Work: ( )Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
' Proposed Use (Describe in Detail) r~ t ~ ~~11J~5~ ~l.J
Heating Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special Conditions
Valuation of Work: $
Signature of Applicant & Title: FOR CITY USE ONLY
~ ~...~y,
` ~
.r ~ ~ Zone
City Fee ^ ~ ~
Date ~ _ ~ Plan Check $
Signature of Zoning Officer: Surcharge $ ~ ..J~
SAC $
, Date Hook-ups $
Signature of Building Inspector: Area Charge $
Other $
Total $ r,
Date