HomeMy WebLinkAboutNo 13386 ~c3~4~ Ay~s~
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Valuation Fit,r.F,!11 f7fl .Water Unit _$7f1-O~
' ~ilt~/Of LakE'VI~~2 ' Btdg.FPermitFee'......... ~tg=~~~ Sewer Unit........... ~!~i..
State Surcharge ; . 1 , i`Gf'3 ~
Area ...S~,~rvr. 25+~ .i~:,
Metro SAG Charge , ~ fz 7 ~ _ 1^ Park Fee .
6lJILDING PERMIT Other:~?~.a,~ .G~l~:~~+• ~n ~?'i TOTAL PAID......... 42,7117 s~43
&'F~ecept
Permission is hereby granted to Lct~x'[i`r". ~3uiZcir~rs
BuildingoniotNo. ? Block 1 Subdivision ~7Udr~ Faint:e Z ~ .~~d3tic,~.
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Pareel No.~2-~~+~Fi 1--~~~-1'3X
in the CITY OF LAKEVILLE to be used as ~ ~ mntlstr's ^t: s$n~;l 2 ~ 3m~.ly dwe~.l3ng
This permit is issued ontheexpressconditionthatthe -.~;~ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION respects. to the statements certified to in the
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..application for such permit, and that all work shall be done. in accordance with the Ordinance of LAKEVILLE, Minnesota and
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f the State of Minnesota pertaining#o the construction of buildings.
F Street Address i62f?f? Fsxc~e~s~.,Jr. ~?r~.~.° ~~uic~ ?s. .:?'~_rt~.-
Director, License and Inspection
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~ Call for inspections - 469-4431. By ~ -~w_. •~~t,-.- -,c~ j
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BUILDING PERMIT APPLICATION
ONE AND TWO FAMILY RESIDENTIAL
CITY OF LAKEVILLE
INSPECTION DEPARTMENT ,
' 8747 208TH STREET W.
P.0. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE: ~ ~ ~ ~ l
JOB SITE ADDRESS: `~a~
LEGAL DESCRIPTION: LOT: BLOCK: J SUBDIVISION OR SECTION:~~/~
OWNER : ~ ~ ~ ~ ~ ~ PHONE
STREET ADDRESS: S~'" ~ CITY: ~ ~~~=eiuc:`p ZIP:
CONTRACTOR: ~ ~ ~ f~~ i # ~ PHONE: ~ 3
STREET ADDRESS : ? ~ ~ ~ ~ ~ ~ CITY : ~ ~ ~'c~ l^ Z IP : 5~5
CLASS OF WORK: NEW ~ ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL) : ~1 m/ ~y
VALUATION OF WORK (EXCLUDING LAND): ~P°~~ 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;
AND THAT THE WORK WILL BE IN ACCORDANCE FTITH THE APPROVED PLAN.
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FOR CITY USE ONLY
pp icant's Sign~_at~
...~C~~" I Zone ~
~ Date.
Permit Fee $ 3/ •b0
Plan Check $ (~67 UO
Buildin fficial 's Signature:
Surcharge $ 3 / O D
Date:
J sac $ ~~5 ad
Comments
S/W Units $ S • Ob
Sewer Area $ o~-S~ • Dd
Park or Misc. $
TOTAL DUE $ 0''2 ~D~ OCR