HomeMy WebLinkAboutNo 14541 .April IEi, is 87
1454.
7Q 695 00 =3'E) . t3Q
Valuation ~ ~ Water Unit .
Clty Of Lak@VI I (@ Bldg. Permit Fee 5d~ • QO Sewer Unit 6U5 •
State Surcharge . , 35.5Q Area . Sewer. 250.00
Metro SAC Charge 52~ • OQ Park Fee... .
BUILDING PERMIT other....P1an,Check 127.Q4 TOTAL PAID......... $2,871.5Q
Receipt
Permission is hereby granted to Keri ~ S COt:1S tr . , IriC
Dodd Poirtf< end Addition
Building on Lot No. 2 Block ~ Subdivision
Parcel No. 2i-2u86 Z-Q2d-Q
perm t to construct s ng am y we ng
in the CITY OF LAKEVILLE to be used as
T
.This permit is issued on the expressconditionthat-the ERECTION ALTERATION REPAIRS
ENLARGEMENT' MOVING DEMOLITION respects to the statements certified to in the
application for such permit; and that ali work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction of buildings. David ~ . Krings
Street Address 16239 ~xcelsiox ~,r
Director, License and Inspection
~
Call for inspections-469-4431. By
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BUILDING PERMIT APPLICATION
RESIDENTIAL CONSTRUCTION
~ CITY OF LAKEVILLE
INSPECTION DEPARTMENT
8747 208TH STREET WEST
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE: ~r° %
JOB SITE ADDRESS: 3 ~ 1-=x c, ~.~5~ ~ G'?'
LEGAL DESCRIPTION: LOT: BLOCK:~_ SUBDIVISION OR SECTION: j~~r~c~ p~
APPLICANT: OWNER 0 CONTRACTOR• (circle one)
OWNER: PHONE:
STREET ADDRESS: CITY: ZIP:
CONTRACTOR: ~ ~s C''~n~ f:. ~T'y~ ~ _ CITY ID N0. PHONE: ~-?~C?
30
STREET ADDRESS: ~ ~j`r'/ . ~~f~ ~"`~S CITY: ~1~~~~~~, ZIP: S,~"".~3~
CLASS OF WORK: NE 81): ADDITION (82): REPAIR (83):
DEMOLISH (84): REPLACE (85): ALTER/REMODEL (86): MOUE (87):
PROPOSED USE (DESCRIBE IN DETAIL): 5=,,,~; ~r ct ~ ~x~Fn
VALUATION OF WORK (EXCLUDING LAND): ~ ~ _ NO. OF DWELLING UNITS:
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.:
OFF ICE USE 4 l S/~
APPROVED BY: ~ PID:
CENSUS CODE:
DATE: ~--1~-'g ~ LOCAL CODE:
I
D
SAC GO E:
COMMENTS: CITY VALUATION:
RESOLUTION NUMBER:
PLANNING CASE
BUILDING PERMIT APPLICATION PAGE 2
BUILDING PERMIT TYPE: OFFICE USE:
SINGLE FAMILY DWELLING (10) 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) 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):~UGH-IN (64):
FINAL (65):~ WALK THROUGH (66): FOUNDATION (67): FIREPLACE (68):
OTHER (70):
PERMIT FEE•
PERMIT FEE: $ ~Oq~
PLAN CHECK: $ l o27r '
SURCHARGE: $
SAC ~ $ ,
S/W UNITS: $ a2$~ ,
SEWER AREA: $ 'oZ SO. 0 ~
PARK: $
ROAD UNITS $
TOTAL: $
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