HomeMy WebLinkAboutNo 12803 ,,a
1803 ,9
z,t~5~.c~~
Valuation ~ Water Unit
CI#y Of La~(2VI I Ie Bldg. Permit Fee ~ Sewer Unit 1
l.. C~~
State. Surcharge Street Area i
Metro SAC Charge Park Fee . '
BUILDING PERMIT Other..... TOTAL PAID......... ~2~~•~Jf1
~ Receipt
Permission is hereby granted to Kef ~h A I~ntAf:.s?~xt
Building on Lot No, 4 Block ~ ~ Subdivision T301'tTlFl°~7 r 8 VR1I ~V ~~rk nth ~1=3~~t]..
Parcel No. ~?_-2I~77°~4t~+~-~1 g
in the CITY OF LAKEVItLEto be used as ~d Ct?Z1St~UCt Sun deck
4 ERECTION ALTERATION REPAIRS
This permit is issued onthe express cond ition that the
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 ~ 6245 Fern1t~ ~o WAy ~i ~ tdti 1 1
~~irector Licenseand Inspection
3 ,lr~~~
Call for inspectiohs - 469-4431. By ` ~ ' J ~ °
-
`1
V
~I
l r
APPLICATION FOR BUILDING PERMIT
• CITY OF LAKEVILLE
~ 8747 208th st. w. P.o. Box 957
Lakeville, MN 55044
469-4431
,,f`Job Site Address : ~~n~ ~ l~s
Legal Description: Lot Block Addition
-
-owner ~r='~~~ ,~I~( L7~ ~ Phone
,address S ~`yj ~ P ,O.Box City Zip
Contractor ~g Phone
Address P.O.Box City Zip
Class of Work: ( )Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Describe in Detail) ~ ~ (J UF'
Commercial: Square Feet Number of Employees
Heating Contractor.
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special Conditions •
v'"Valuation of Work: $ _ , ~r G~
c/S`ignature of Applicant & Title.: FOR CITY USE ONLY
e
~ Zone
City Fee ~ ~
~.s°Oate Plan Check $
Signature of Zoning Officer: Surcharge $ ~
~
SAC $
Date S/W Units $
Signature of Building Inspector: Sewer Area $
St. Area. $ •
Park `or Misc . $ •
Date
TOTAL $ L-~ ~ ~ cy