HomeMy WebLinkAboutNo 14262 Valuation ~ > 3~4. Water Unit ,
Clay Of LakeVl~~@ Bldg. Permit Fee . • Sewer Unit .
.State Surcharge ~ • Q~) Street Area .
Metro SAC Charge Park Fee .
BUILDING PERMIT Other.......:.. TOTAL PAID......... lZ4Fi_S(~
& Receipt
Se~~~-.~a~:i F~ccicrita~aa~ * ~.z,~r/~fw~~~'~{~~ i'i;~8~7tir~ & Ca~stz .
Permission is hereby granted to
Building on Lot No. ~ Block ~ Subdivisionl~4.tluELy' a Va ~ ~ Q~~~1^
Parcel No.
in the CITY OF LAKEVILLE to be used as 7~~T1'. ~ ~ ~ r€~? ~ G3r? rte f i.~'2,~.L.~c~e
~f
This permit is issued on the expressconditionthat he ERECTION ALTERATION REPAfRS
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.
If~3~ ~ ]~arev ~da~v David ~'.~.nPs
Street Address
Director, License and Inspection
~ ~ a . ~
Call for inspections-469-4431. BY ~ ` ~ ~ v~~
t,~
BUILDING PERMIT APPLICATION
ONE AND TWO FAMILY RESIDENTIAL
CITY OF LAKEVTLLE
INSPECTION DEPARTMENT
8747 208TH STREET W.
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE : I J~~
JOB SITE ADDRESS: ~ t;r old rt ~
LEGAL DESCRIPTION: LOT; BLOCK: SUBDIVISION OR SECTION; V=^
OWNER: ~r~"rc: W ~ I er~1 ~~'4~~ rte., PHONE: 3Ln 7 3
STREET ADDRESS: _~b3~3 ~rcr,~ ~r~v CITY: ~aS,~r.,.,m,,,,~ ZIP: -j-~~
c~ -7
CONTRACTOR: ~ ~71V G PHONE: ~ / ' ~
STREET ADDRESS: - S~ CITY: ~ ZIP: ~d.S~~
CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE. (DESCRIBE IN DETAIL): ~ ~s ',.r
VALUATION OF WORK (EXCLUDING LAND): ~ J ~ ~
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.
App1'cant's Signature: FOR CITY USE ONLY
a Zone
Date: 1I
Permit Fee $ ~ ~ ~ C`>
Plan Check $
_ Building Of~ic~'~rl 's Signature: F
- ; / Surcharge $ . Cj
~a^` ~ A Date: ~ lJ~
SAC $
Comments:
S/W Units $
Sewer Area $
Park or Misc. $
TOTAL DUE $ 'T
I