HomeMy WebLinkAboutNo 13627 Valuation 7e~.,: Water Unit ~2~t,-~;t`~
Clty Of Lak2Vl l I@ Bldg. Permit Fee............ 3&i .l • .Sewer Unit 5~?~ •
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State Surcharge ~ ~e~tArea,~:..~'~Z.... ~SO,t7~
Metro SAC Charge w 7 ~ - ;?i7 Park Fee .
BUILDING PERMIT Otf,er ~~2E~..~~~G~.... n-{5 TOTAL PAII~..........~,~_~~Gi..tL~J
Receipt
Permission is hereby granted to Wa~~r °~iom~s 1ne
Building on Lot No. Bloci~ ~ Subdivision Dttd~# ~riinTe
Parcel No. 22_`Q3~~-lU+~-[31
in the. CITY OF LAKEVILLEtobeusedas ~pren4t trn t*raihat^r„nt ~ir~mTw ils~r rtweal limn
This permit is issued ontheexpressconditionthatthe 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 1~-l.f)~ 'F'vncy1csir~r `I"lr-f4ra ~~d4V~f~ ~1^~F}~a:3
Director, Licenseand Inspection
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Call for inspections - 469-4431.. By ` t~ - ~ '
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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
4b9-4431
DATE:
JOB SITE ADDRESS: ~ (pl~p ~ ~Cj~~ ,
LEGAL DESCRIPTION: LOT; /O BLOCK:~_ SUBDIVISION OR SECT ION:17ocfc} in7(' ~~"~~d
OWNER: WG.oIM~P~"` ~~w1tS .~NC PHONE: ~3j--
6
STREET ADDRESS: ~
~l ~A~4Jlt ~ CITY: ~P.t i°tYi~S r,,te~Pes ZIP:
CONTRACTOR: _~~~._~_~e~- ~o~~~ ,~n~C . PHONE: 4'..~C/.~
STREET ADDRESS: /Ball f~.aCcSf€ ~~74. s. CITY: ~juryi $ v.~/£ ZIP: S
S'"~37
CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL) : ~ a~ S ts~ ~1~"yp
'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.
FOR CITY USE ONLY
Ap 'cant's Signature:
~ Date: ~ Zone
Permit Fee $ G`[~
~ Plan Check $ ~ ~ ~ . OZa
Building Of 'cial ' Signature:
Surcharge $ ~ ~ O"~
Date: ~
SAC $ .4~~ tP~~~~~0
Comment s_: _
S/W Units $ l ~~5 .
Sewer Area $ C/
Park or Misc. $
TOTAL DUE $ ~ ~~~1~