HomeMy WebLinkAboutNo 13692 -
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Valuation 5'9 _ 77 _ d~~ Water Unit , ~n
Clay Of LakeVl~~@ Bldg. Permit Fee "tf17 _ f"4fi .Sewer Unit ~z, Ot1
State-Surcharge ?y~f1f1 tArea...SE4Tki7^. 2..5~:-Ilfl
Metro SAGCharge rL7'S _ £1ft Park Fee .
BUILDING PERMIT Other. t,t, ToTA~ PA~o..:.......
Receipt
Permission is herebygranted to .J~:3. I"i31.1.~~' ~oal9tx~tct~.csn
Building on Lot No. ~ Block t ~ Subdivision Dc~nna~ ~ ~ Va13eq p>*~rk 8th Addis
Parcel No. 22~-2117~#~1D-12
in theClTY OF LAKEVILLEtobeusedas T~~ t r~nnt-riirt• ait4~1 _ Simi ~~1w~Ilin~
TMispermitisissuedontheexpressconditionthatthe X- 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, Minhesota and-
the State of Minnesota pertaining to the construction of buildings.
Street Address 1~Q1$ ?~a~x~r>~~~ ~iv~ue ~a~r3.si. iit~.?'3~8
Director, License and inspection
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Callforinspections-469-4431, By
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BUILDING PERMIT APPLICATION `
ONE AND TWO_FAMILY RESIDENTIAL '
CITY OF LAKEVILLE
INSPECTION DEPARTMENT
Y
8747 208TH STREET W. - ~
P.O. BOX 957 ~.~,'~G~v J p._..*
LAKEVILLE, MN 55044
469-4431
DATE: C" V:'
1
JOB SITE ADDRESS: ~ . ' L'
~ _ Q7~-,
LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION OR SECTION: v
OWNER: Joseph M. Miller Const. Inc. PHONE: 431-2001
STREET ADDRESS: 18133 Cedar Ave. So_ CITY: Farmington ZIP: 55024
CONTRACTOR: Joseph M. Milelr Const. PHONE:
STREET ADDRESS: CITY: ZIP:
CLASS OF WORK: NEW: X ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL): ~i~l~ F'a~i}„
VALUATION OF WORK (EXCLUDING LAND): ~ ~
I HEREBY APPLY FORA BUILDING PERMIT AND ~ 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 TS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT;
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
A cant's Signature: FOR CITY USE ONLY
~a s ~`z--~ Date: ~ Zone
Permit Fee $ ~ 7 .
Plan Check $ c~~.
Building Official 's Signature:
Surcharge $ . f%
~~-c~`~ Date: ~'Z~~~
,~T SAC $ ' l ~ 7 . L
Comments :
S/W Units $ /'~,`~~7 .
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Sewer Area $ ~~~~.~~c,s~ @@
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Park or Misc. $
TOTAL DUE $ ~ ti