HomeMy WebLinkAboutNo 13844 ~~y '~R .~u.~.y ry a ~~1~4?e~ 19
. * Valuation ~ 9 , Vii? 7. Water Unit .
~Jty Of LakeVIlle Bldg. Permit Fee ~ - .Sewer Unit ~~g
State Surcharge '~h_s'f~ ~Area...._....,, 25t~.{JC3
Metro SAC Charge ~ 7 ~ _ f1~1 Park Fee
BUILDING` PERMIT Other....~~s'iII..C~~~1~ oo TOTAL PAID.......... 52,f~9fi-~0
& Receipt
Permission is hereby granted to Jc3t~eph ~;C7t4f:2'uCt an
17arin~ys ~~h Ai~ciitinn
Building on Lot No. Block 12 Subdivision
Parcel No. 2~--~'I177-~tt7~?_~2
in the CITY OF LAKEVILLEtobe used as pel~nit to cr~xs ~;:r. t1rt: 3fri~;1~ f~ini.:~y cis~i~.liti
Thispermltisissuedontheexpressconditionthatthe 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 1226 F'air~reen Ava
Director, Lic nseand Inspection
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Call for inspections-469-4431. By ~ ~ ~ ~ ~ ~ r
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BUILDING PERMIT APPLIGA~ZON Z''-
ONE AND TWO FAMILY RESIDENTIAL ~
CITY. OF LAKEVILLE
INSPECTION DEPARTMENT
8747 208TH STREET W.
P.0. BOX 957
LAKEVILLE, MN 55044
469-4431
J._ ~ ~ '
DATE :
JOB SITE ADDRESS : ~ ~ ~r~ ~
LEGAL DESCRIPTION: LOT; BLOCK: SUBDIVISION OR SECTION;
OWNER: - PHONE:
STREET ADDRESS: CITY/:h ZIP:
CONTRACTOR : r l~ HONE : ~ y~C~ j
STREET ADDRESS : \ Q~ ~ l-(.L~f'•<S, CITY : ~W ( IP : c_J
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"CLASS OF WORK: NEW / \ ADDITION: ALTER/REMODEL: DEMOLISH: ~
PROPOSED USE (DESCRIBE IN DETAIL}:
I'
VALUATION OF WORK (EXCLUDING LAND): ~ ~ ~ ~'f / ~ ~ '
' 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 STAHT WITHOUT A PERMIT;
AND THAT THE WORK WILL BE TN ACCORDANCE WITH THE APPROVED PLAN.
FOR-CITY USE ONLY
Applicant's Signature: /
Date: J ~ (C~ Zone
Permit Fee $ ~ •
0
Plan Check $ ~
Building Official 's Signature:
' Surcharge $ ~3_p• ~
-2~°2 Date: ~
c~'~
~ t ~ SAC $ ~ 7 ~
3'~ ~ •
Comments: _ /
S/W Units $ OL~j
i
Sewer Area $ ~.~C~. G~`C~
Park or Misc. $
TOTAL DUE $ ~ b~~ •