HomeMy WebLinkAboutNo 14618 _
f.
~Y #9 '87
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valuation 2 `a0Q.4~ Water Unit
ct/ Of Lakevl I le. Bldg. Pei`rflrt'Fee ~ Sewer Unit :
~ State Surcharge • 50 .Street Area .
T Metro SAC Charge Park Fee . .
~iUlLDSNC PEI~~~ 1 9ther. TOTAL PAID.. . ~zg•~Q
, ~ & Receipt
Larry .Tocteten, C~aer
rmrssion is hereby granted to~
Donne' Valley Park 8th
~4ilang on Lot No. :Block 1Q Subdivision
~ in='the C}TY OF LAKEVILLE to be used as Pertait t0 install COZY he8t f irsplBCe
~hispermitisissuedontheexpressconditionthatthe ERECTION ALTERATION REPAIRS
~ ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
application 'for such permit, and tha# alf work shall be done in accordance with the Ordinance of LAKEVILLE,`~~Vfinnesota and
r 'a the State ofkfJiinnesota pertaining to the construction of buildings.
Street Address 162],x- F'aatas+la Ave David. E. KEtnge
Director, License an Insp@Ction
Call for inspections-4.69-441. BY
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' BUILDING PERMIT APPLICATION
RESIDENTIAL CONSTRUCTION
CITY OF LAKEVILLE
INSPECTION DEPARTMENT
8747 208TH STREET WEST
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE.
~
JOB SITE ADDRESS: 1~,~~'l~'=f'',~' l~ p.~-~?~1~~+~ ~ r''~fg
LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION OR SECTION:
APPLICANT: OWNE OR CONTRACTOR (circle one)
OWNER: t~%~" /~`iA ,~~c~ ~;°~:.~'!r~,~ PHONE: =?J+~ ® ~
STREET ADDRESS: ~-/7 ~,9~',~S~r~ ~P= CITY:4~~,r- ZIP: SSGS(o~
r
CONTRACTOR: tl ~ ~ ~ CITY ID N0. PHONE:
STREET ADDRESS: CITY: ZIP:
.CLASS OF WORK: NEW (81): ADDITION (82): ? REPAIR (83):
DEMOLISH (84); REPLACE (85): ,,,,ALTER/REMODEL (86): MOVE (87):
PROPOSED USE (DESCRIBE IN DETAIL): 1 ? ~ ~~t~
VALUATION OF WORK (EXCLUDING t_AND): m~,~.-G~~ N0. OF DWELLING UNITS:
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 WITH THE APPROVED PLAN..
DATE: ~
APPLICANT'S SIGNATURE: ~ ~'i_
i
~~f#~i'~7~~C~iE'~f i~i' ~~K'NC7~^~'7~i'7~^iE'!~'~~C ~~i~'3f~C 7~C']~C'~'~f'~EX'~'iC~~~"~~ i~i~"3~'~iT"3~f il~~li`T~t~c-is'~C"3~~7~'ii'~d'3~'f"~~f~i~C
OFFICE USE
APPROVED BY• PID:
' CENSUS CODE:
DATE: LOCAL CODE:
SAC CODE:
COMMENTS: CITY UALUATION:
RESOLUTION NUMBER:
PLANNING CASE
BUILDING PERMIT APPLICATION PAGE 2
BUILDING PERMIT TYPE: OFFICE USE:
SINGLE FAMILY DWELLING (10) CONSTRUCTION TYPE
TWO FAMILY DWELLING (20)
TOWNHOUSE UNITS (30) STANDPIPES
MULTI-FAMILY APTS. (50)
MOBILE HOME INSTALLATIONS (60) SPRINKLERS
MOBILE HOME REPAIRS (61)
GARAGES (70) TAX PROP
ACCESSORY BLDGS. (71)
RESIDENTIAL (ADDN/REMODEL/REPAIRS)(75) OWNER: PUBLIC PRIVATE
COMMERCIAL BLDGS-NEW (80) -
COMMERCIAL BLDGS-ADDN/REMODEL (81) UBC OCCUP.
INDUSTRIAL BLDGS-NEW (85)
INDUSTRIAL BLDGS-ADDN/REMODEL (86) ZONING
TAX EXEMPT BLDGS (90)
SWIMMING POOLS (91) WATERSHED DISTRICT
SIGNS/BILLBOARDS (92)
FENCES (93) SPECIAL CITY ZONES
BUILDINGS MOVED (94)
BUILDINGS DEMOLISHED (95)
FOUNDATIONS ONLY (96)
GRADING (97)
MISCELLANEOUS (99)
REQUIRED INSPECTIONS:
FOOTING (61 FRAMING (62): INSULATION (63): ROUGH-IN (64):
FINAL (65): WALK THROUGH (66): FOUNDATION (67): FIREPLACE (68):
OTHER (70):
PERMIT FEE:
PERMIT FEE: $ 02~
PLAN CHECK: $
SURCHARGE: $ 5 D
SAC $
S/W UNITS: $
SEWER AREA: $
PARK: $
ROAD UNITS $
TOTAL: $ •