HomeMy WebLinkAboutNo 12466 Y i
- City of Lakeville
$~zs.c~+~ ~~A~. INSPECTION DEPARTMENT
;~sc~.~, ~~~tn~~ ~~•BUILDING PERMIT Valuation S~,~Ur~.oo
2~£~.~)~ 5~'':s~~ A~~a 8t ReC@Ipt BuiidingPermitFee
25.4p
- State Surcharge
TOTAL FEE PAID ~~1~-~'~
Permission is hereby granted to ,~a~S~p~'i `~•~°~°~~i ~.:~*t~+fxttCtr3.oYt
Building on Lot. No. Block ,f~ Subdivision ~]nnn~c*~a Vm`i'tav P~artr Rrt, l~,~d,~,
Parcel #r'~~-~~.~.7f--~.`:~ 'Ltt Plat
I
in the CITY OF LAKEVILLE to be used as ~'E''!"1i~.i c' `='-~it¢St•1'ilCC ~ i rt:2, i ~ ; ~ "i ~~,E,'! 7 Ong
'This permit is issued on the express condition that the _-;:,-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 1~3':"' ac:~_~iyi~ ~;•,~~;;ura i.~ i~il:~.er
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer i
connections, driveways and curbs. Obtainpermitforsuchconstructionfrom.theClTY. ~ '
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to' By r'~' " -k
publoc Utilities. ' ' N
. , . v
,
.
APPLICATION FOR BUILDING PERMIT
~ ~ CITY OF LAKEVILLE
8747 208th St. W. P.O. Box M "
Lakeville, MN 55044
4 -
69 4431
J v
Job Site Address : ~ 1 ~ k.~'Y~~~~~ C-
Legal Description : Lot ~ Block ~~1 _Addition " ?~G ~ ~ ' c5 -=,f1
Owner ~ Phone
Address /
Contractor Phone y4S~5`- S~~S,3
Address '
Class of Work: ~ Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Desscribe in Detail) /_/../J y~~~~'TLei
Heat'inq Contractor ~i~~,/~/~ l.C.~/1'
Plumbing Contractor ~~J ~/-LL~-I~
Sewer & water Contractor `
Electrical Contractor ~%~/~~i1~
Special Conditions
_
Valuation of work: S 'T~ _ , ~-~>r
Signature of Applicant & Title: ~ FOR CITY USE ONLY
Zone
p r City Fee S r
Date efi/Xr~/~7` Plan Check S
Signature of Zoning Officer: Surcharge S ~
SAC S .s%
Hook-ups S / \ ~ ~ f
Date
Signature of Building Inspector: Area Charge S ~
Other S
Total S ~ .
Date