HomeMy WebLinkAboutNo 14519 _
~~~1•ia 1:+, 1s $7
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Valuation 74, GUC. 00 Water Unit , $2C}. UU
CiltyOf LakBVI~~@ Bldg. Permit Fee......... 5~/~.5U Sewer Unit........... 60S.OU
State Surcharge......:.. 37. U0 gtArea...~ew~r 25t7.UU
Metro SAC Charge ~ ~ ~ • 00 Park Fee
BUILDING PERMIT other...~.l~n c~l}eck i'31..00 `TOTAL PAID.... ..$2,890.50
Receipt
Permission is herebygrahtedto Ratzlatt CCt7struct2orl
Building on LoY No. Block ~ Subdivision 17cdd Po~tlf:e 3rd Add:a
.Parcel No. 22-208b2-09(7-G?
a.
in the CITY qF LAKEVILLE to be used as CaiiSt"l1Ct sir~sxe ~dtai? "k d*~~:1Ii.1~
This permit is issued on theexpresscondition thatthe ERECTION ALTERATION REPAIRS
i
~ 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 ofi LAKEVLLLE, Minnesota and
the State of Minnesota pertaining to the construction ofi buildings.
Street Address 16023 ~:xcGl 'sv~ David E. Krizi~
` Director, License and Inspection
Call forinspections-469-4431. By
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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
4.69-4431
DATE: ~ 4~Q ~ C1
JOB SITE .ADDRESS: ~~ro0
LEGAL DESCRIPTION; LOT:~ BLOCK: SUBDIVISION OR SECTION: ~ N,
OWNER: ~14Y"TN~. ~ _~t u 1•kx..ST PHONE:
STREET ADDRESS: `y~C~k -CC~c~O C~[`u.r~T CITY: ZIP:
CONTRACTOR: ~~L CpwtSt`2~J.CT1(] G PHONE : ~3Z^~O3S ~
STREET ADDRESS : \ ~ ~ U"~ ~ I,..)4-n12= C ITY ~ - ~~--~S2M Occ.nT ZIP : 550
CLASS OF WORK: NEW: X ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL) : ~StCI,~-h'~j
VALUATION OF WORK (EXCLUDING LAND): ~ SOU
I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION CV ,
ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH ~1?'M,, ~
THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE; THAT ~ ~~~~l)
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.
FOR CITY USE ONLY
Applicant's Signature:
,Date: ~ Zone
r L
Permit Fee $ 5a~ • ?d
Plan Check $ l 3 l •
ilding ffi ial 's Signature: --7
` ~ L/ Surcharge $ ~ /
.Date: T-
I ~ ----~F,F--i~ .SAC $ ~
Comments: ~
it _ _ - S/W Units $ ~ yp~'.~
Sewer Area $ O'~
~ Park or Misc. $
TOTAL DUE $ ~ , ~ ~l/