HomeMy WebLinkAboutNo 13875 „ z,
Valuation 3 7 t3. fl'3 Water Unit 82~.; . Ot)
Clty Of LakeVl~~@ Bldg. Permit Fee . '.:4.3. flt~ Sewer Unit fifl~. fl(~
State Surcharge 3s. A`~Area 2Sfl. 00
Metro SAC Charge • fl[w Park Fee
BUILDING -PERMIT other y3~~~.Che~~4... ~~'?=fl'fl TOTAL PAID:..,.....~~~.
& Receip#
Permission is Hereby granted to , ~4ItA3t=1`i] tr~.()n, I;t.c .
Building on Lot`No. ~ Block 2 Subdivision Dodd points
Parcel No. 2?^-27r~`6f1~-fl~0-fl2
in the CITY OF LAKEVILLEtobe used as 3y~~-t tts G~n~truCt sit~i~3.E ~~.trii~.'~ d~~lliii~2
This permit is issued on the expressconditionthatthe ~-ERECTION ALTERATION REPAIRS
ENLARGEM1IIENT MOVING DEMOLITION respects to the statemen#s 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 i 61! ~ ~x z7:3 i3 ,r Davie' KrttQs
Director, License and Inspection
Call for inspections-469-4431. BY-.` ~ ¢ ~ ~ ~ k ~
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BUTLDING 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 .S~ ~,V
~
JOB SITE ADDRESS: ~ ~ ~ r' ~ ~ ~r
LEGAL DESCRIPTION: LOT:~ BLOCK: ~d SUBDIVISION OR SECT ON:
r',1jr~.. ITT" .S!Gf.~,~O:r~.
OWNER: ~ PHONE
STREET ADDRESS: CITY: ZIP:
CONTRACTOR: ~ PHONE : 3
STREET ADDRESS : CITY : fi~/Y!/I6t~~ ZIP :
CLASS OF WORK: NEW= ~C, ADDITION: ALTER/REMODEL^: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL) : J ~ . ~'1-~.-"
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 PERMITS
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
Applicant's Signature: FOR CITY USE ONLY
Date: Zone ~`30~~~
~
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9 ~
Permit Fee $ ~ ~3 • ` -t:~'"
~ ~.~~,yr'''
Plan Check $ ~ _
Buil 'ng Off' 's Signature:
Surcharge $ -
Date:
sAC $ 47~
Comments:
- - S/W Units $ ~~o2S•
Sewer Area $ ~
Park or Misc. $
TOTAL DUE $ ~ l