HomeMy WebLinkAboutNo 11551 ` City of Lakeville
INSPECTION DEPARTMENT
BUILDING PERMIT Valuation {
Building Permit Fee i
Receipt sz.ao
State Surcharge . ~ •
TOtAL fEE PAID 3~"'
Permission is hereby granted to T' •i~,~t:"~11'~Y, fiJ~Jtl:£x
Building on Lot No. Block Subdivision 1fi `i~ 32
Parcel ~2~»~~Z~Q-Ql(3-~3~ Plat
in theClTY OF LAKEVILLE to be used as p~,~.-+.r E ~rt $`~~.~tw ~-~a~~'~ ~~~j~~
This permit is issued on the express condition that the ERECTION ALTERATION ~iEPAiRS
_~NLARGEMENT MOVING DEMOL1710N .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
i
pertaining to the construction otbuildings.
Street Address 2~t? I3a~d ~~.ve? , 5~.~ MiIT er
Director,. License and lnspectlon
Attention is particularly. called to the cutting up of streets, making main sewer
connectiohs,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY ~ ,
OF LAKEVILLE.:Inspection Department Not Respohsible For'Any Damages to 8y -~-~'`4
Pu bI icUfi l iti es. `
'APPLICATION FOR BUILDING PERMIT
CITY OF LAKEVILLE
8747. 208th St. W. P.O. Box M
- Lakeville, MN 55044
.469-4431
Job Site Address:
Legal Description: Lot Block Addition
Owner ~ ~ ~ ~~'F ~ Phone ~6 y- ~ g ~ ~
Address ~ D p ~ ~ _
Contractor U G~~c.~r~-~L.c t~~~,,,~.~ Phone
Address__
Class of Warkr ~~jErect ( )Alter ( )Repair O Enlarge ( )Move.( ) Demolish
Proposed Use (Describe in Detail} ~c~
Heating Contractor
Plumbing Contractor.
Sewer & Water Contractor
Electrical Contractor
Special Conditions
Valuation of .Work: $
Signature of Applicant & Title: FOR CITY USE ONLY
Zone
City Fee
Date~~,/
~~j ~ Plan Check $
Signature of Zoning Officer: Surcharge $ ~
SAC $
Date Hook-ups
I
Signature of Building Inspector: Area Charge $
i Other $
Total $ t ~
Date
. .