HomeMy WebLinkAboutNo 13415 a +
Valuation 623 _ Water Unit
Clay Of ~.Sk2Vl~~@ Bldg.Permif~Fee.... :Sewer Unit.
State Surcharge . • Street Area . .
CC ~~AA T Metro SAC Charge Park Fee .
~ ~ I N P G ~;'IYI I 1 Other TOTAL PAID........ ~ 13.50
Receipt
Permission is hereby granted to' ~ 0~~t ~
Building on Lot No. 1, Bloch ~ 1 Subdivision l3o~n.av' g Valley Park. nth Addn
Parcel No. t S 77 i3L?=f--? i
~ in the CFTY OF LAKEVI.LLE to be used as '~1e+"mi
t~~.~° C~~~ ~"~'Y'~r' 1 ~ r ~.~~v ~ ~ ~ 4
~
4P~ ~"~istin~ dwelling
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 I:,..'.~':, ~~ernan,~~ ~~:v I~avi~ T~. Kxi.n~~
Director, License and Inspection
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Call for inspections-469-4431. By ' ! ?
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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
469-4431
DATE : `f '
JOB SITE ADDRESS: ( c ~~r,~.cart~ L~G~.~r
LEGAL DESCRIPTION: LOT; BLOCK: SUBDIVISION OR SECTION;
OWNER : V~ ~ ~ C~ V ~ PHONE
STREET ADDRESS: ~ ~ CITY: I~-¢1S~~w-cc ZIP : ~ {y
CONTRACTOR : ~ t ~ PHONE : ~ - ~ ~ (y
STREET ADDRESS: ~ CITY: ZIP:
CLASS OF WORK: NEW: ~ ADDITION: AL)TER/REMODEL: x DEMOLISH;
PROPOSED USE (DESCRIBE IN DETAIL) : ~ ~ cal C.~ ~c
~ r~,¢
VALUATION OF WORK (EXCLUDING LAND) : ~ ~ !~~.~~'~*Jtz
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.
Applicant's Si~gna, re: FOR CITY USE ONLY
Date: ` Zone
Permit Fee $ , J • ~ ~
Plan Check $
Building Official 's Signature:
Surcharge $ S ~
Date:
SAC $
Comments : ~ ~
•
S/W Units $
E 0
i~
Sewer Area $
Park or Misc. $
TOTAL DUE $ ~ 3 • ~ U