HomeMy WebLinkAboutNo 13299 .a
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Valuation. fi4 ,~'4S • `Pt°) Water Unit lg2~1 flC}
CltyOf Lak2V1~~2 BIdg.PermitFee... Sewer Unit......... F~1.!~LL
State Surcharge • ~t1t Area ..Se~.wE.1.'.. " 5 (?~1
Metro SAC Charge ~ 5 • ~•`3 Park Fee . .
BU1LDfNG PERMIT OtherFz.~,~..c~~:~9}.. ~~~.ui, TOTAL PAID.........~~,7_2~ n'~
& Receipt
Permission is herebygranted to ir1l.'`H4r>~ ~nnsLlrtxcti~zt
Building on Lot No. ~ Block ~ Subdivision ?3ncf~~? Prs9 n ?ncr dc~f t$ nr~
Parcel No. "2°-2#~f3hl-E39?3-+~3
in the CITY OF LAKEVILLE to be used as p~2"t~ti~' COL16tL"TCt sinl~ family rl~aelln~;
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This permit is issued ontheexpressconditionthatthe ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING 'DEMOLITION respects to the statements' certified to in the
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application for such permit, `and that all work shall. be done in accordance with the Ordinance of LAKEVILLE; Minnesota and
the State of Minnesotapertaining to the construction of buildings.
Street Address l~il.~J8 T?ar~c? T~n~± ~'aa.r~r~ _ +tr~
~ Director, License and Inspection
GalFforinspections-469-4431. By il~'~~~~ ~ ~-si~°--" '
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BUILDING PERMIT APPLICATION
ONE AND TWO FAMILY RESIDENTIAL
CITY OF LAKEVILLE
INSPECTION DEPARTMENT
8747 208TH STREET W.
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE: ~ ` ~5~°~~
JOB SITE ADDRESS: ~ ~ j~~
LEGAL DESCRIPTION: LOT: ~ BLOCK: ~ SUBDIVISION OR SECTION; ~ ~ ~
OWNER: OL G, h ' 1 C
i 4 PHONE:
STREET ADDRESS: CITY: ZIP:
CONTRACTOR : ~ ~ ~ }J ~ PHONE : _ ~ 3 ~ ? ~ I
STREET ADDRESS: ~ ~ S) CITY: ~~c-C ZIP: ~,j
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CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL):
~~n~ ~W~L -tub
VALUATION OF WORK {EXCLUDING LAND): $ ~`f ~ y~
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 PERMITS
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
Applicant's Signature: FOR CITY USE ONLY
~ Date: y g.~ Zone
Permit Fee $ ,
~ Plan Check $ / ~ ~~y
Build' Official 's Signature:
,tea _ Surcharge $ ~ Z , (jam
Date:
SAC $ ~ 7 S , ~,C7
Comments:
S/W Units $ %L~,~ ~ ~~.J
Sewer Area $ 2 ~ ~
Park or Misc. $
TOTAL DUE $ ~?p?3 ,