HomeMy WebLinkAboutBuilding Permit 95-0295
553:
~~~~"~~-
-~~="~~~"""";l"."",,,,,,-,=~=,.......,.,,.,,-_.",,,~~.._..'.,,c'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY/
f 5" 0 n OOOO~ 00000000 -I 0 ~ 'V Z 0
(II ~ !!!. zcnooo "o"'''~z'''' m ~ C m (I) =4
'0 ~ r" C ::D
i - m60000 jjmoz>m~8 m z '"D -<
CD CD 0 :II S
n :::. ... ~,,~~~~ m~i~Fc~-i 'V m m 0
j - - :D m =t (')
0 (') ';s' oo~mm'" jlrg alSZZ % (I) ,.
... 0 CD -t~ooo~ 0 ....
~ m -t !=' - CHj) (I) Z 0 '"D
~ ~ Qe-t-t-t-t :< 0 ~ Z ~
- :II
~. :'" CD z!Bc~~cn z m z 5
~"~~::JJ~ Z ~
>,..~o P :II
~ "0>6 -I ,..
m >Z::JJ ,- ~
rOo( l\J~ ~
e Or,,"" m
o Z"::JJ" DD~~DD ~
oog::JJ "mm 3:"
I\) r ::!::JJ g l::qJqJm!!l ml::
~ rzo~mm 3::::!:::!~m Q3:
';s' -tmZ!!!ogJ
0 O,,~z alOO::JJ::JJ::JJ>!!!
c: z~-ImIzz
... >m_~ G) Z !!l -G)
(II ::JJo-tm "z~8~8~~
50 ~6~O
III z::JJz:::! z-t>"'c'"
>" FC::JJC
0- G)" 0 r ""Z" 0 ~ 0
< m Z 0 >
I>> > al 0 3: I r
~ 0 m Z " m r
n 0 " 0 m
r Ii'
!II m IO !!l C
m O::JJ r Z
~ m m
Cm 0 00000000 e e
::JJO " :!!fR~o>~~
mO
"< ::t ~"r~"'om 'j4
-m 0
Z::JJ 6 ~g5~m~z (') ~
m- e
"z ~ I:...,.m 0
~G) ~ o"'-OG)" ~ >
mzcz::JJ~m Z -t
-t ~ >,,-t~ 0 .... m
I 0 m r o:::! :u
::JJ Z !!lzo
{ ~ G)Z ......
t r= >~ .......
r zr "
"
1 ....., ::JJ oC ~ -t
J. m mz f
-t G) m
I\) C
..- (,.) ::JJ
t 0 ;Z
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY/
5" 0 n OOOnOOO -I 0 ~ 'V Z 0
(II ~ !!!. "0'" -"" m ~ C m (I) =t
"i ~ -mo- z~8 r" C ::D
CD iR3:C:~ ~ m z :D I: '"D -<
n ... 'V m m 0
- - "O~rr~~:::! m =t
0 (') % :II (I) (') ,.
... 0 ~r)> al-tzz 0 -I
m -t O_G)G) (I) Z 0 '"D
a < - . 0 z ~
:'" o ~ Z m z :II
Z z 5
!=> ~o :D
~ ,..
~ \S\5 ~
~
~DDDDDH --t. 1m m
~ CJ)CJ)CJ)3:~ " ......J ~
I\) Emmm!!j>m
~ 3:~~~m-to
';s' aloo!B~!B~_ ~
0
c: Z3:-ICJ)IZZ
... G)>~8!!18oG)
en
50 "z-t ~ >::JJ
Z~>~C~t
~ >' rc C \J\
r r"~,, 8 ~ 0
< ~ >
I>> 0 3: I r
~ Z " m r
n 0 m
!II r Ii'
t !!j c
r Z
m m
0 00000000 0 0
" "cn~o>m~
::t -m 0 x-t ~
0 iR"r3:~om .
6 "-tr,,m>_ 8 --
s:oOs:CJ)<Z 0
~ I:...,.CJ)
~ o"'-OG)" >
mzcz::JJ~m Z -t
,.. >,,-t~ 0 .... m
m
J Z r o:::! ;U ~
i !!jZO
G)Z
{ t s:~ ~
zr
j ....., oC -t
J. CJ)Z f
G)
I\) m
..- (,.)
t 0
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY!
f 5" 0 n ODO[l~ (') OO~OOOO -I 0 ~ 'V Z (')
(II ~ !!!. -CJ) (") "l10"" ~z"l1"Tl m ~ c m (I) =t
'0 ~ - ~-t800 Jjmoz>CJ)~8 ,.. Z C :II ." -<
~ CD CD 0 m :II S
n ... ... ,,!ti~::JJ~::JJ m3:~>rc ." m m 0
j 0 - - m ::JJ::JJ::JJ,.. "Ocrr~~:::! :II m =4 (')
(') ';s' OOmmm % (I) ,.
... 0 CD -t::JJo(")o~ iRr~ ~:::!~~ 0 (I) Z ....
I a ::J 50-t-t-t-t < 0 '0 z !=> 0 ."
:'" CD zg]~~~~ . z Z m z :D
)( 0
- ~~CJ)::JJ::JJ~ Z Z
~ :II
o >~~-t 0 ,..
cCJ)"Tlo>o W U1~
--tm Z ~
~gJ(")~o~ ...(:. , (') ~
0' or".. -l f m
OZ"l1::JJj! 00000000
rr3~~g "CJ)CJ)CJ)3:~3:;2
rmmm!!j>mc
rzO:umm ~~~~m-t(")3: (
-tCJ)Z!!!om aloo!B::JJ!B~!!!
o,,~z 0 Z~-IcnIZZ
>m_~ G)>~8!!j8oG)
::JJO-tm
~d~O "Tlz-t ~ >~
- >~ ~r-
z::JJz:::! ~:-Ireee
G)' 0 r r"~,, 0 ~ (")
m Z 0 >
> al 0 ?1 ~ I r
~ r
0 m Z " m m
0 "l1 r 0 Ii'
m IO m c
CJ) O::JJ -t r Z
~ em 0 00000000 m m
~ 0 0
::JJO " "l1CJ)"l1os:m!a
CJ)O
< I -moO x-t U\
-m 0 iR"r~"'(")m
Z::JJ -t ~g5~m~z (') .l.
CJ)- 0 l'l 0
"Z ~ I:...,.CJ) 0
mG) ~ O"l1. -OG)" ~ >
(") m~ez::JJ~m Z -t
-t ,.. ,,-t~ 0 -I m
I 0 m r o:::! :u
::JJ Z !!jzo
~ ~ G)Z ~
t r= >~
r zr
I ~ ~ ":l oC -t
m CJ)Z f
-t G)
~ I\) c m
..- (,.) ::JJ
." Z
, 0
~--~._-_..~.-
I i-~ fC,' .9 r;-:-' :-. - . "h_'_"_ i
Ii [1 ):l L." .. CITY OF PRIOR LAKE
~// i nI I.. R 1995 BUILDING PERMIT,
m~~PCR"ARY CE'RTIFICATE OF ZONING COMPLIANCE
IU ilL ~D ~qONNEcnON PERMIT PermR No.
1. White
20 Pink
30 Yellow
File
City
Applicant
CJ s-;:;. <rS--
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS I J 7
'1s ..,
1, DATE
~ - ).... g - ~- BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helg,t) (WIdth) (Depth)
3, LEGAL DESCRIPTION
LOT ~OCK
12. NO, OF STORIES
PID 3-)' /g> (JJ ~ 8
13, TYPE OF CONSTRUCTION
7, TYPE OF WORK
New Construction)(
Chimney (] Misco
8, PROPERTY AREA OR ACRES
Sq, Fl /;/ ().J 5-
Septic (]
Addition (]
Reroofing (] Porch (]
Residing (] Finish Basement (]
(Address)
~-
(Tel. No,)
140 FLOOR AREA APPORTIONMENT USE
10, CULVERT SIZE
Yes No
150 NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
160 ESTIMATED VALUE
( C:X""
170 COMPt ION D E
6. BUILDER (Name)
Fireplace (]
Alterations (]
I hereby certify that I have fumished information on this application which Is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
building 0 'a1 revoke this r just ca ,Furthermore, I hereby agree that the city ofIiclaI or a designee may enter upon the property to perform needed inspections,
X J<(~ t-,2.~- 1Y
No, Dale
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPUCATlON
SOIL TESTS (] ENERGY DATA
PILING LOGS (] PERCOLATION TESTS (]
PlANS & SPECS ~ SETS
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION 115'. '7Gf'B . ~ t.(
SURVEY
PLOT PLAN
d COPIES
(]
TYPE OF CONSTRUCTION: I III IV
Occupancy Group A BEl H~
Division 1 ill' 4
CIty:
Amount Brought Forward .. .. .............. $
Pari< Support Fee ........................... $
SAC ......................................... $
7s0 .n(J
8S() . tX'J
Lt(~f) .<.9D
Plan Checking Fee ...........00............ $
State Surcharge 0............................ $
q ~7 :2'5'-
l'o"2~ . '15
57. 'tD
Penally ..........0............................ $
Septic System ............................... $
Other ......................................... $
Subtotal .........0.................0... $ I , (0 S ~ 710
""~..v..~---:''15
BY~~ Date 7-~
~cate of Occupancy
Issued
Check if
Deferred
Collective Street Fee ....................... $
Sewer Tap........ ......... ........ .......... $
Ucense Check Fee ......................... $------#1
Pressure Reducer .......................... $~ 5. 0-0
Meter Hom ................................... $
Water Meter ................................. $ '15. () 0
(] sewer & Water Connection Fee ........... $ _'I 0 00. t:J -0
(] Water Tower Fee ........................... $ '7n (') . ~ n
Water Tap ................................... $
Other ......................................... $
Other~\.~~k....... $ \.SOO. &'\
: r;lflb............~~f:l1.to
Permit Fee .0................................. $
in the above application and accompanying documents Is In accordance with the CIty Zoning Ordinance and may proceed as r
ttutes a temporary Certificate of ~1~pIiance and allows constnJclion to commenceo Before occupancy, a Certificate of
')..{, - Y5
Dale Special Conditions n any
24 Hour notice for all inspections 447-42309:00 a.m, '10:00 a.m.
C/S-2f/r
Ih
J~ .
White - Building
Canary - Engineering
Pink - Planning
Tho ConI.. of lho Lab Country
BUILDING peRMIT APPLICATION DEPARTMENT CHECKLIST
. .~ A
NAME OF APPLICANT ,_ ft/j "~jl1j("11' .....1;; 1 '
APPLICATION RECEIVED! ?!J f/IJi-- J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ./,
J-J ~t/7- h t J. L"
1,- j ,- ,/"ll i. ( . ...A... . (. (U.... ,
Accepted
Accepted With Corrections
;/'"
Denied
Reviewed By: ~. tv11(:.j-IAE.l- I roB::- Date: 7,/05/90""
Comments: ~-,p.d ~ d .l!d?./~ /M~/; .&W;;jY'
-L1.hud.le. ..,UN,&'/" k .d-W/ L4h~../~ ~L /"'&"h&~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
o
~
,
"'tl
m
JJ
s:
~
."
m
m
en
~
~
~
d
JJ
ID
n
ID
"S
-
-.J
-.J
0()
-...0
I
o ~ 0
~, ~
en
~
....
m
en
c
JJ
o
:I:
>
~
m
~
CJ1
o
J:
m
~
Z
G>
"'tl
m
JJ
s:
~
."
m
m
~
~
""
c
ec::J
5.
a:
:5"
ce
"'tl
ID
3
~
-
r
)oJ
"(\
~
m
~
>
;:+
CD
...
a
o'
::J
III
~
!!l.
~
JJ
CD
i
:;.
~.
\)
ry,
m
~
JJ
ID
"0
ff
CD
3
CD
a
~
3
l'
o
a
CD
Z
ID
:IE
~
::J
!!l.
2
S
o'
::J
t
{J:rg.~Ill-
"OIllCD::J8"i6
a 8 en ~ < ...
<O::JlIIlD:g.
~a.9.llliir'<
9.g:g-aS{J
]-2883~
::J:lE30.12.._
!'l::+IDID!!a,O
:rllllllCD'"
:i-"O 9. III 3
1D~:i-::J~
1ll3CDo.:r
"0 ~ n III III
~ c: ~. 8 ~o
O::J c: n
a5~g:"'~
0. !!!o 0. ~ ~
"0 ce :IE ,. III
ji)~~:TlD
::J 0. III 3
-. C'" :T ... en
:: '< ID :T"O
:r:i-enIDCD
CDlDa:IE3
fJc::JCDQ~
lC 5g-"1ll
, -. :IE ::J
9.0a:=0.
~ z~. ~ ;;
-G>3IDn
:lEolD-.g
o "TIn::J 0
~"'';s'S:IE
:IE C5g:::J CD
:r - -. _ 0.
C'r>~ Oce
:r':'-3CD
CD:i-SIll:i-
.ga~5a
-. ... en CD ...
CD :r,. .." :r
en ID_.." CD
... :IE ~ ~-.
mo'" a
~. ;.. :T :T ~
~ :IE iii' ID 3
=-Olll
g:-Qa.6"'
0. i' 3 ,0 ::J
~
."
m
o
,.
:is
o
::D
~
)10
r"
r"
:is
o
:D
~
~
c
~
m
m
Z
m
."
m
o
~
c
-
t~
..... c:
J. C)
NJ:
w'
pz
~
z
c
,.
Z
~
,..
-
.
Q
?
~
.g>nfE:I:~H~~~ d
~9::;Ill~ ?-oa<"'3'"Dm
-. III <; 3:::1 0 - -.
~6"oa z en::Jg:~>o
o ::J ID C) ~ g: ci" :;0 ,.
CD'" .... 00 III
< 0 ID::J- 31m
ci" :II 3 _. III -<
ID ::J::J m
III ." ce lit ....
o m
:is ~
m
~ \
z
....
m
0.
;'"
S- JJ en ." ~
~JI~i
o :!!
c: c:
-6' CD
c: en
... ;::;:r
CD
Q
:r
CD
...
o
CD
<
ci"
ID
III
o
~
:I:
~
0'
c:
en
S'
CD
III
III
:r
o
c:
in
III
CD
(Xl
III
3
~ >"'tl12..~
m '<...
. "'tl III ...
~ ' ::J 0
o' 0 0. ~
... >...
, :::! CD :IE
~OcS:
.CD Z :;
en 0
S:s:03E
:z > g lII'
01 -< go "0
~ c::J ::J ~
..... m III 0
~s:~~
> 0 ::J
r= :IE S'
m::Jlp
O'
Z
offi~ :IE
> < ~
:i-l!!l.:r
m , 2 ::J
o S c:
o en ~ 8-
~en31 ~
0009.
.,,>; en
'o.c:
"'tl 0 0. "0
JJ:==12..
O>g'<
JJ-Ien III
- III ::J
~~~i
.rn!J>-c:
~"'tl83
Q) > .... 0
I\) -<"0 "0
<Os:ji)~
o m ::J -.
III Z :IE c5
[-I5'=lII
III > III !a"
enzc:CD
r+ 0"9 0.
~
i:.)
o
l'
?
o
)10
r"
r"
o
~
J:
~
r"
r"
So :I:
ce 0
n c:
CD :g
5:I:
C'i" CD
a a
ID So
o ce
-....
o CD
8 !!l.
"2 ~
::J 8
.Q a.
~ 3
- c:
g- !!!.
iiiO g
en en
; c:
p..0'
3
a'
ID
0.
:IE
;:0:
:r
s:
o
0.
!!!.
en
N'
CD
."
c:
....
::J
III
2
~
III
i
llO
~
0.
!!!.
>-1
0. :r
0. CD
~
~r -go
~ g
~. 9.
"0,<
ID 0
go c:
o ....
::J :r
en CD
~ ~.
c;: ::J
ID ce
g~
[ 3
III ::+
~ :r
I\) !l
01 c:
o 0.
o ID
ID III
Pl g
'iT CD
o
c:
ce
:r
.!...
::J
III
::J
0.
o
::J
ID
0'
!e-
o
CD
0'
5.
9=
a;t
CD
-g.
o
::J
CD
-
-
::J
~
:5"
III
"0
CD
S
00
::J
=-. -64
o 01
::J (,)
III I\)
;;01
.... 0
"0-
o Q
o
o :i-
... CD
-
ill -
S [
00 ~
::J 01
- 0
i6'O
CD 0
o 0
;-0.12..
c:
III
~
.....
01
o
0'
...
6:
0.
...
ID
Zl
6:
0.
...
ID
Zl
~
01
o
"0
~
III
::J
0.
o
<
CD
...
~ go ~
o ::J (,)
g!!!.~
p~o
;:;0
o ...
o:i-
o CD
o -
:[
... ~
III ....
S 0
00 '0
::J 0
_ 0
~~
ID III
2.~
, ....
ID
III
n
:r
III
0.
0.
"
- 0
o 0
III 0'
a. ....
CD
::J Pl
!l:r
c: III
0.0.
c5 !p
~
o
'0
o
......
~
8
....
~
o
~
....
8
o
~
01
o
'0
o
o
~
....
o
'0
o
o
~~
....1\)
o 0
o 0
o 0
o
o 0'
... ...
-:i-
K ~
g" ~.
:T~
ID ,
CD g
9.0
c;12..
III c:
::J III
0. ~
....
~. N
2"01
0.0'
:r ....
ce ID
~Ill
.... n
o :r
'O~
o 0.
P ::+
o'
::J
~
I\)
*'
o
-
0'
0'
<
III
2"
!D
3
?'
~
I\)
o
o
o
o
a
ID
~
::r:
m N
:D! ClO (") ! .
I ::! ,-
z " :j
G) ~ -.
~ ~.mO
~ :! "T1
, ~~-~ ~
"'tl ~ i: ~ -
a 0- zl 0
- UI ~ ::rJ
z f}~r-
...... ......
" N en :J>
m m"
::D . m
~
=i
""C
ID
3
::+
Z
p
; ~
,
C>'
C-
o
c::J
<
>
,
c
~
CS
z
~
3
3
ID
o
~
en
5'
ce
CD
."
III
2.
-<
."
m
m
s-
o.
c:
~
~
~
~
o
.
."
III
3
~
""C
c:
Q:
C'r
Q
:r
~
s:
c:
a::
~
3
-< ~~;-"
~~:P.
i~~
Q9.~
:>-<CD
i
~
1. Blue
2. Gold
3. Yellow
File
City
Applicant
# f-.5-/-.32-
Applicant: Phone: b8"~ -7 ~ g OL.
Address:
Signature:
Legal Description: Lot .s ) Sub: 1. ~/"f. Lh. f/ /
Site Address: \., ~ 1...(, S! . .. . ~ L r:. ~ ~ ("--
Building Permit ## tiS - .Lfr S '> \., 'S.~ PID ## J.. S - J t j- ().j 6 - 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
I Bath Tub with or without shower $ 6.00
\ Dishwasher $ 6.00
\ Floor Drain $ 6.00
a... Lavatory (bathroom sink) $ 6.00
, Laundry Tray (1 or 2 compartment sink) $ 6.00
1 Shower Stall $ 6.00
\ Sinks: \.(~-\-el-Q '^ $ 6.00
Bar Sink $ 6.00
~ Water Closet (toilet) $ 6.00
,. Rough-ins 3/--( b ""-~~ $ 6.00
l Water Heater $ 6.00
( Water Softner $ 6.00
t Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE O~lJo.50
~ t::> "'- V\ M ~ "'-C~ ~1 Lc t'- ~ '
GRAND TOTAL $
iLfo~-o
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
o~the State Plumbing Code and the ame!l~l1}&:n~,thereof.
(,z t '1-7 () RECEIPT NO. o/l-l?~ DATE
AITEST
Call for all inspe io s 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
GREEN . FILE
YELLOW - APPLICANT
GOLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
7",' ! -7
NO C" -' .
. ,." jJ ,
APPLICANT:
ADDRESS:
SIGNATUR .
Sewer and Water
contractors must
be registered
with the City.
PHONE:
DATE:
BLDG.
PID#,"
FILL IN THE BLANKS
1. Estimated length of water service ~~
J JI
2. Size of water service _ inch(es).
3. Location of any couplings from structure ~
feet.
feet.
4. Type of sewer pipe. ABS PVC ~ Cast Iron
5. Estimated length of sewer line ~t? feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
ByJTdtJ;;J '-r'M, DATE: 7/;1/fS"
I I
===== ========== -===============================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID.z 7flllfr
RECEIPT # ~'/~J
AMOUNT PAID $.})-V
REC'D BY ~~~/
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Pho (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPlDYER
Ib
'.
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.. ollh. Lak. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~j(t>.'l- LJ-; .
APPLICATION RECEIVED~ ~iJ.flf-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IJ,jt/7 ~.llA ~~T -^-~
Accepted
Accepted With Corrections X
Denied
Reviewed By: ~.~~
Comments:
J.~cJJ.-~ ~~
t -L-I! Jf
2.tJv._L- S~. d.J:.-1 ~. LI LA
Date:
7- ~ - 'is--
~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
ii'"
I~
" 1
i
tj'>~?S-
~,
Th. C.nt.. of Ih. lAb Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF :PPLlCANT ~W~ _~AJgn't-: Il,~~ .
APPLICATION RECEIVED} ttb. lit!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con~ructio~aotivity, 'f-'hich is proposed at:
Ii (l.. /J
/7...31./ 7 <::,):1'1 <,~T-A. p~.' f.. .-
f _.. r f '.. ! .-
Accepted -.J/ ' I " . .'"' ,AQCepted With Corrections
to
Date:
31-..
!1J..~t:.U'~t; 1rf3~, 7k<~ ItA ~t;; ~ l~~.J!
~~p,.d ~~k~~~tiIiify~~O
liThe Issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
~a~;h;::;~a~~~ ~fIi~
/wtrL~~~. p,5'