HomeMy WebLinkAboutNo 14586 - -
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Valuation 6q, 474..00 Water Unit........... 820.00
Clty Of Lak@VI Bldg. Permit Fee 504.50 Sewer Unit 605.OO
State Surcharge 3 z _ 0O €t Area Seer 25O. n0
Metro SAC Charge 5 7 a, . 00 Park Fee I
BUILDING PERMIT Other.$3..ax3..~:.heck.. ,?h, 25 TOTAL PAID......... '~~,~3-~i5.75
Receipt
Permission is herebygranted to Ratz3aff Constr .
Building on Lot No. 5 Bloch 1 Subdivision hodd Paints 3rd Addn
Parcel No. 22-20$62-050-t31'
in the CITY OF LAKEVILLE to be used as p~~~-t to Con~truCt Sine family dWelTi n~
This permit is issued on theexpressconditionthatthe X 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 16074 Excel Wain David E. Krings
Director; License and Inspection ,
Callforinspections - 469-4431. By
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BUILDING PERMIT APPLICATION
RESIDENTIAL CONSTRUCTION
CITY OF LAKEVILLE
.INSPECTION DEPARTMENT
8747 208TH STREET WEST
P.0. BOX 957
LAKEVILLE. MN 55044
469-4431
DATE: 2`I ~ ICI
JOB SITE ADDRESS: 1~~ f ~ C~ A~ r~~ ~ ~
LEGAL DESCRIPTION: LOT: BLOCK: -1 SUBDIVISION OR SECTION: C~ ~)Yt~ ~ ~
APPLICANT: OWNER OR NTR (circle one)
OWNER: ~ C~ 6~~i~r~~cY~. C~-r~c~• PHONE: ~ ~.-off
_ STREET ADDRESS: \~~C)~l ~C~~ ~ ~ ~ CITY: 1C~-~mU~+-rn~- ZIP: ~ ~c~~
CONTRACTOR: ~,c CITY ID N0. PHONE: ~`~d la
STREET ADDRESS: 110~~~ CITY: ..-~,~u.•rL~ ZIP: ~ D(o
CLASS OF WORK: NEW (81):~ ADDITION (82): REPAIR (83):
DEMOLISH (84): REPLACE (85): ALTER/REMODEL (86): MOVE (87):
PROPOSED USE (DESCRIBE IN DETAIL): '(Y`1p~A[ :1i~~
111 ~ ` cc-~
N0. OF DWELLING UNITS:
VALUATION OF WORK (EXCLUDING LAND):
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 SIGNATURE: ~ DATE:
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OFFICE USE
APPROVED BY: ~V PID:
CENSUS CODE: /O/
DATE: ~Q> LOCAL CODE: /3~
SAC CODE: A ~ _ _
COMMENTS: CITY VALUATION: ~~~~1~
RESOLUTION NUMBER:
PLANNING CASE
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BUILDING PERMIT APPLICATION PAGE 2
BUILDING PERMIT TYPE: OFFICE USE:
? SINGLE FAMILY DWELLING (10) 5-~ CONSTRUCTION TYPE
TWO FAMILY DWELLING (20)
TOWNHOUSE UNITS (30) STANDPIPES
MULTI-FAMILY APTS. (50)
MOBILE HOME INSTALLATIONS (60) SPRINKLERS
MOBILE HOME REPAIRS (61)
GARAGES (70) ? TAX PROP
ACCESSORY BLDGS, (71)
RESIDENTIAL (ADDN/REMODEL/REPAIRS)(75) OWNER: PUBLIC PRIVATE
COMMERCIAL BLDGS-NEW (80) -
COMMERCIAL BLDGS-ADDN/REMODEL (81} i~-3 UBC OCCUP.
INDUSTRIAL BLDGS-NEW (85)
INDUSTRIAL BLDGS-ADDN/REMODEL (86) ZONING
TAX EXEMPT BLDGS (90)
SWIMMING POOLS (91) WATERSHED DISTRICT
SIGNS/BILLBOARDS (92)
FENCES (93) SPECIAL CITY ZONES
BUILDINGS MOVED (94)
BUILDINGS DEMOLISHED (95)
FOUNDATIONS ONLY (96)
GRADING (97)
MISCELLANEOUS (99)
REQUIRED INSPECTIONS:
FOOTING (61 ? FRAMING (62): ? INSULATION (63): ? ROUGH-IN (64):
FINAL (65): ? WALK THROUGH (66): FOUNDATION (67): FIREPLACE (68):
OTHER (70):
PERMIT FEE:
PERMIT FEE: $ 5r~~-,
P AN CHECK:
L $ 102, o~
SURCHARGE: $
SAC $ ~ -r
S/W UNITS: $ /x'025 ~
SEWER AREA: $ ~ ~l~ ~
PARK: $
ROAD UNITS $
TOTAL : $ ~ `~I -C.~.>-