HomeMy WebLinkAboutDemo Permit 99-0059
,.
Permit No. qq -OOf?4 .
'sge 14 ~t1:>C:;8
BUILDING INFORMAnON
7. SIZE OF STRUCTURE
i
I
f
,
..,tfECnONS
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED ",' ' .
(Please print or type and sign at bottom).
. SV,; p CA ...,Oy ('(Jut" 1(;'/,>: L
2. SITE ADDRESS
1. DATE I'JO ' f";
3, LEGAL DESCRIPTION
LOT t -z..:'~ \ ~ BLOCK
'"
PIO
es.. 0'2..1 "0(0 .. 0
8. NO. OF STORIES
" l?,.;.\,~/ft<' !(,f)f/IJlOJr
9. TYPE OF CONSTRUCTION
tAl () t) 0 I" ,{J /l ,""'" (
10. COMPLETION DATE
ADDITION
r."NOl ~~ p~
,
"
\.
4. OWNER (Name)
Q fi-J/~" 6; I b
5. ARCHITECT (lQame)
(Address)
Sl/~(/ ('A.-JDf../ ('Ollf... 11?1:I;~
(Address)
(Tel. No.)
(Tel. No,)
6. CONTRACTOR (Name) (Address) (Tel. No.)
'Nt//Y\ e........I()C,f?~ .J,-..c, 139/5 C'(~Ar;oJit....J Of ~/-f~Vr)Oa. 4'1'1)"7373 tJ10'S(,I?1~
I hereby~ertify 1 have furnished information which is to the best of my knowledge true and correct. I also certify that I am the
ownef 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. 1 am aware that the building official can revoke this permit for just cause.
Further"]..Q{e. I her,by agree that the city official or: a de~ignee may enter upon the property to perform needed inspections.
X Jlhul JI&.~ ", /'r;?O-91
-~ ~
~-1
FOR ADMINISTRATIVE USE
;"""
METRO SAC UNI'H)EJE~MiNA~N'
.- ~.) ",~
. ;1
MATERIAL FILED WITH APPLICATION
"
o Site Restoration Plan
~. 00 c...~~
IN VAut-,
o Utility Abandonment Plan
o Sewer Abandonment
USE OF BUILDING
-:5~(/
SITE RESTORATION PLAN
Accepted by
Rejected by
o Water Abandonment
o Electrical Abandonment
o Other
Occupancy Group
B
I
Et
\1
I.
III
H
IV
G;J
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
o
A
M
I
,
I
I
<' TYPE OF CONSTRUCTION:
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .........................~........$
c,eO \ t1 ~ C Other .................................................................. $
This application becomes your TOTAL;J;;EDITS ........................ $' l
derpoljtion rermih when approved , , /J, ,,' /. <-
By I,l' O} /" k Date 1- ~ <'( - or ~ ISSU9cfby I~f)" + I'" S Date', Z-! 3 qq'
/, ;- , I
i. is is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance, and
.~y~ceed as re,fluested., " ,.' ,
I -;~ f~ ,- 2--'-2-~'1 .' ~
CitY Planner - Date Special Conditions if any
. ,.....
Division f
2
~
cfJ
1!Ic.,..
4
.
In
i J
CITY/._. I hi R LAKE
INSPECTION NOTICE
DATE
TIME
I()~~
OWNER
2-1 t 41
Candy CoV~ Ii
CONTR.
SCHEDULED
ADDRESS 54 LB
PHONE NO.
~T1NG fr
~ ~~MING
o INSULATIO
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
PERMIT NO.
qq-sCJ
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
I
I
COMMENTS:
. '\ )
~KJr
IS
r~\
tcsef WVr-
~
I
1
~Sl 1 --
--=-V ~
- 't~=:rV
,.,. , ~ \O~ ·
r-J/~
I ,
-;-..:::;:..----.
/"'.
ljf~
l _
/
/ "
II /7~
"ORK SATISFA TORY, )
REI:SPECTI ~FORE COVERING
Inspector:
I Owner/Contr:
CALL 44
T INSPECTION 24 HOURS IN ADVANCE.
E FOR YOUR PERSONAL HEALTH & SAFETYl
.,
"'r-
.