HomeMy WebLinkAboutNo 14053 NG l'.FR'T:~'~£"'R'"~ (}F 4~C~{Pr~'~ti<,. ` ~E I~.~~{tEI) U~'~~L k'~L~, ~TRREa AND lt'~TLZ'.CIR~ ~'~VR IiE AP~'P.aVED!
1'~tU~ai7 SQ{at~m6er 1.7, 19 8b
,+~'6 ~
Valuation ~~,334.00 Water Unit $20.00
Clay Of Lak@Vl~~e Bldg. Permit Fee 32' .00 Sewer Unit 605.00
State Surcharge , 31.50 Area $.~W.~~ . 250. Gtr
Metro SAC Charge 475.00 Park Fee .
BUILDING PERMIT Other ...~x,A11 . C11E.C~4 . 20~ • 13o TOTAL PAID......... $ 2,1~. 50
&~Receipt.
I Permission is hereby granted to' Rat2laif f %pLll:~'I:ruCt~£ti1.
Building on Lot No. 7 Bloci~ 2 Subdivision Dodd P4P~.lte 37rd Addition
Parcel No. 22~r2+;162-0?U-02
in the CITY OF LAKEVILLE to beused as ~~~'nlit to COIAStYUa.^1: Siltgl.e f~iT[~.ly d[aeliina
This permitis issued on the expresscondition that the ~ ERECTION ALTERATION 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 of buildings.
Street Address 16041 Excel Wray {3~v~.d E, i:ri~g~
Director,ticenseand Inspection
Call for inspections - 469-4431. Bye > ; ~
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BUILDING PERMIT APPLICATION ,
ONE AND TWO FAMILY RESIDENTIAL
CITY OF LAKEVILLE
INSPECTION DEPARTMENT
8747 2D$TH STREET W.
f
- P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE : C_~/i.~trcl.~ ~i-G . J~
JOB SITE ADDRESS: C ~
LEGAL DESCRIPTION: LOT: ~ BLOCK: Z SUBDIVISION OR SECTION; J~`E, ~ r~
OWNER: ~ ~(k..~ w-~.Ct~ PHONE: ~1~--~~j L3Lj
STREET ADDRESS: CITY: ZIP:
CONTRACTOR: C s~„ PHONE: 132`~3J~
STREET ADDRESS : ~'p ~ ~ ~ ' ~'3r ~ ,533 3 g
CITY: a m t~ZIP: ~ ~
CLASS OF WORK: NEW:~_ ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED ,US_E Y (,D'E^SCR~IBE IN DETAIL)
VALUATION OF WORK (EXCLUDING LAND) : ~ j ` ` ~,,.-°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 PERMIT;
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
Applicant's Signatu e: FOR CITY USE ONLY
~ Date: b/Z~ Zone /r`!~...~ ~ ~ g l~
Permit Fee $ ~-'Jc~
~ ~iG>
Plan Check $ v~G' `j .
Building Official 's Signature:
urcharge $
Date:
SAC $ ~ /
Comments : ~ i c~--r~
- - - S/W Units $
Sewer Area $
Park or Misc. $
TOTAL DUE $ ~ - ~ ~-0