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Home My WebLink AboutBuilding Permit #99-0893 5" 0 0 o~ 0 0 0 "ll ~ )0 -0 Z_ III 0 :x: 0 ~~ "0 ~ en-n--n-n-n 0 0 g CD s: ::jzen~OO Z Z ;u 0 n m mo )0 0 ::u s: ~)OC:i:~~ m ::u m O-n , :-! 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Yellow File City Applicant Permit No. ~-q - S 1:5 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bOllom) 2. SITE ADDRESS /J .., / ?J.- Ir 3. LEGAL DESCRIPTION L-- LOT ADDITION 4. OWNER Gr-e (r-)O I? .M (Naml)l ./ I d{ c./< 5. ARCHITECT (Name) 6. BUILDER (Name) H-e11 1I~'1f'fr 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. FI. 1. DATE BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) (2 12. NO. OF STORIES BLOCK I (--\ I L- L- PID -Z 'i3/fJ - 00 Z-o 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) (Address) r.jJ (~re-~ W)~ /7gr Jf;IL"ft;y l.1.'l~L ? ?-a.."-Ir 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Allic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basem~ . 9. PROPERTY DIMENSIONS Width Depth 17. COMPLETION DATE 10. CULVERT SIZE Yes No 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 submilled plans. I am aware that the building off 'al can revoke . permit r just cause. Furthermore, I hereby agree th the city official or a desi nee may enter upon the property to perform needed inspections. f}.() G J I)J '7-Ja - 9''1' Signature License No. Date x SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING f<e; FOR ADMINISTRATIVE USE Front MATERIAL FILED WITH APPLICATION Back Side Side SOIL TESTS 0 ENERGY DATA 0 OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION 3/tXX>~ {)O PLOT PLAN 0 ,Aje , TYPE OF CONSTRUCTION: I II III IV Occupancy Group A B E F HIM Division 1 2 & 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge............................. $ Penalty............................ __......... $ (9s U t"JLI.'l S l.st) Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Plumbing Permit Fee ....................... $ \~? 00 ~o 1/z G~ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Paid Date Special Conditions ij any 24 hour notice for all inspections 447-9850 The Cen1er of Ihe Lakt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted / Accepted With Corrections Denied QtJf -1c/VO-1 Date: i/;y,;yj 7 CJ I # Reviewed By: Comments: "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." ('1 .9(1 ~ The Cenler of the takr ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L "~:~ !,j f- \0 N TE:i2- -; 177 ler 0 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ~ f) 7 z- bL'-' bl (2- t) -l \2- Accepted Accepted With Corrections Denied Reviewed By: \i ~/ , i Date: , , ( Comments: I I c\ \ \ L (. .." \. .t \ \ \:\ ! - \ '. ( .\. ) i ~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not beco.nstrued 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ApDRESS I LltJ~? b([>R ?\0 Tt--o-i \ NATURE OF WORK 13111SPIJA-Q.l... ~ =t\'",,'c; '"", USE OF BUILDING SFP PERMIT NO. CJ1. B CJ5 DATE ISSUED '1- 2.."3 - ~ ( CONTRACTOR KeV\ \-k.>V\.\ (' .- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 1)- z-1~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED r- I I 1 FINALS ~ -- BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections aRd maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspeations FOR ALL INSPECTIONS (612) 447-9850