HomeMy WebLinkAboutNo 14179 ~ Jt.l~ Clcxo~~~° 2fs, 1s$~
Valuation. Fi~,3~'},O~t Water Unit ......a.. .~,~i~.3f1
Cilty Of LakeVl~~@ Bldg. Permit Fee 3~r<.>.-~~ ~ S n Unit 60~.'~~1
State Surcharge ~~+.5 .tv„ rea ~ewe>~ 253.00
Metro. SAC Charge ~ ~ Park Fee .
BUILDLNG PERMIT other.F:t:~.n C~ea~3-... 221.~€~ TOTAL PA~o.... s2.~~s.~~
& Receipt
~T'~'Sf3.~,E reVelc~cr€~r~ y iT,iG.
Permission is hereby granted to
Building on Lot No. ~ Bloch 2 Subdivision n~.~ >}s#nwc
Parcel No. '3?~2C$60-1r~?--02
it
in the CITY OF LAKEVILLEto be used as p~;~t~i~ Lc~ t:tit'i~t:T±;.C:t' ~in~l~ farai.ly ,3~veAl~.n
This permit is issued on theexpress condition that the ~ 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 of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction. of buildings.
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Street Address I ~i24~ ~x~~r~3o~ ~'r~~rt ~avi~1 E. ~1^i~aa~
.Director, License and Inspection
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Callforinspections-469-4431. By r~tt.~i - /t.~~'~`~'~'Y~
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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 : ~ ~ t!
JOB SITE ADD ESS: ~~81 ~~c~S~~{ ~ ,
LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION OR SECTION;
OWNER: ~j~, ~ .~1rL.-. PHONE: ~a
STREET ADDRESS : \~~jb~ X10 ~ ~d ~ , CITY: d 'V- ZIP
CONTRACTOR: PHONE:
STREET ADDRESS: CITY: ZIP:
CLASS OF WORK: NEW:~_ ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL):. 7P'~ Cw~~,
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.
Appl ant's u e• FOR .CITY USE ONLY
Date: ~ Zone Yf"
Permit Fee $ c~~~ • "
Plan Check $ 0021
Bui ding Of 'cial 's Signature:
Surcharge $ ~ ~
Date: -a27 -~~p
SAC $
Comments:
S/W Units $ ~ 02 ~
Sewer Area $ ~~(J•
Park or Misc. $
elm
TOTAL DUE $ ~ '7 `cam -<SD