HomeMy WebLinkAboutNo 12482 s~'~ r 1
-'I to S~ S~~t. 2~~, 19
a ~ City of Lakeville
INSPECTION DEPARTMENT
BUILDING PERMIT Valuation 50(?.~+~
.Y c~.~r,~~4, Building Permit Fee 20.~t?
& Receipt ~ .50
State Surcharge:.. .
TOTAL FEE PAID. ~~'S~
Permission isherebygrantedto ~FF> C.1ti,~r~T
Building on Lot. No. ~ Block Subdivision ~Ttt-$~"$ ~~~-~-~Y ~~~k ~Sti~ Addn
I Parcel ~`>~°2i177-"(SZ~}~°~Ji Plat
p in the CITY OF LAKEVILLE to be used as ~'~rmt fi^ c; ~truct 4 ~ fence end ~toY'~~e
This permit is issued on he express condition hat the ERECTION ALTERATION REPAIRS
,ENLARGEMENT MOVING ___DEMOLITIONYespects to the statements certified to in the application for
such permit, and'that all work shall be done in accordance with the Ordinance of LAKEVtLLE, Minnesota and the-State of Minnesota
pertaining to the construction of buildings.
Street Address ?5 3~'3*'r ~ ~ u'a ~ fif:~3 ~~il.~.nr
Director; License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer' ~ .
i~. ~
connections, driveways and curbs: Obtain permitforsuch construction fromthe CITY •
_
OF LAKEVILLE. Inspection Department Not Responsible Fora Any Damages to By d
- L
Public Utilities.
APPLICATION FOR BtTILDING PIT CITY OF LAKL'PILLE
8747 208th St. W., P,O,go~ 22
Lakeville, . MN 55044
(612) 469-4431
Job Site Address ~ a
Legal Description: Lot ~
Block Addition
Owner ~ (1C"f } `c
,~;c;,~ _ Phone ~/,3%'~~0 (P
Address ~Cg LA'S j=~C12t.I ~-C,~~~ Cit ~
y t- zip Jam' d~ ~
Contractor ~~-lyL
Phone _ >2~~'~
Address /'y~~f
City Zip
Class of Work: ( ) Erect ( ) Alter
( ) Repair ( ) Enlarge ( } 'dove ( ) Demolish
Proposed Use (Describe in Detail) ~ ~
r 6r
Commercial: Squaw Feet
~ Employees
Heating Contractor
Plumbing Contractor -
Sewer & Water Contractor
Electrical Contractor
Special Conditions
Valuation of Work.
$
Signature of Applicant ~ Title: ~ FOR CIT°' USE ONLY
City Fee $ ~ ~
Plan Check $
Date Subtotal )
Signature of Zoning Officer: Surcharge $ {
SAC $
Date S/W Units $
Signature of Building Official: Area Charge $
Other $
Date: ~ Total $ ~_,6G~
I~ SID MILLER, BUZLDI:IG
INSPECTOR