HomeMy WebLinkAboutNo 14480 '~zaret~ 30, 87
19
~ 448Q
Sb,OC~3.00 8L0.00
Valuation Water Unit .
Clt)/ Of"Lak@VI~~@ Bldg: Permit Fee . ' 'Se~Xw~er Unit
.State Surcharge ~ -`~0 Sewer X50.00
p~C e ~ Area .
Metro S Yla2h'zart~neCk Park Fee
BUILDING PERMIT Other..........':........ TOTAL PAID.........
Receipt
A-a~lus Constructian
Permission is hereby granted to
7 1 Dodd Poixlte
Building on Lot No. Block Subdivision
z~-20~s~-o~t~-o1
Parcel No.
perms t to coE~struct s.n82e fam:Liy dwel~zng
in the CITY OF LAKEVILLE to be used as
This permit is issued on the expresscondition hat 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.
~ 1.61:.5 E~celstor Drive Ds.vid E. Krngs
Street Address
Director, License an In pection
~ ~ 1
Cail for inspections-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 95.7
LAKEVILLE, MN 55044
i 469-4431
DATE : ~ ` p~ ~ ~ b ~
JOB SITE ADDRESS:
LEGAL DESCRIPTION: LOT: ~ BLOCK: ~ SUBDIVISION OR SECTION; ~4UD ~ S)
OWNER: ~l ~L lJ-~ ~~~v3~^//1u~ j
/o?-' ~ ~~.,G _ PHONE: 9,3 7 /
I nn
STREET ADDRESS : ~o~ t~ L S X"N I/iQ~!, CITY : ,~O,E'~ / ~l/ni 1~- ZIP : ~`S"~3 y~
CONTRACTOR: S'~?n~ ~s 6c~'d..~~/Z PHONE:
STREET ADDRESS:. CITY: ZIP:
' / .
CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL. DEMOLI/SIH:
PROPOSED USE (DESCRIBE IN DETAIL) : sr~"(o' L,~-' ~r/~1'Y) I L~ /VGyYI L~~
VALUATION OF WORK (EXCLUDING LAND) : ~ _~°~7 nQ_~j
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;
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AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. `:r~
FOR CITY USE ONLY ~I~-~~~'
Appli nt's Signature: A,~,
~ ~/Z2/~f-~r~. Date:3 0~ D'~~ Zone ~,r~°
Permit Fee $ IJ~'S .
Plan Check $ f ~p
Building Official 's Signature: •o--~
Surcharge $
y~
L% Date: ~ ~ b1
SAC $ ~ ~ , C?°T~
Comments:
S/W Units $
P
Sewer Area $ ~rj ~ Q ~
Park or Misc. $
TOTAL DUE $
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