Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CITY of OKOXO <br />Building Permit <br />r. - <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473 7357 <br />SITE ADDRESS _______ <br />PERMIT NV ^ 5274 <br />DATE ISSUED ^ <br />ZONIN mh <br />FIRE ZO frwi (jlisL. <br />VAR DATE d <br />CONU. USE DATE <br />LOT AREA <br />WIDTH . <br />J. (g <br />PROPOSED SETBACKS <br />FR05iI^/ R SIDE^t^^mL <br />REA <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PR EASEMENT <br />EXPIRES ___________ <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT ________BLOCK <br />C3JZZ:23 <br />/ .SUBDIVISION <br />DVVI^ (I(Ndmo)(Aflflrfss) <br />ARCHITECTT;NCilNEER Must Certify Multi Family, Commercial h Industrial Construction Plans <br />:ERT NO. <br />(Film)< Address)(Phone) <br />BUILDER |E irm)(Adflress) <br />fJi6D <br />TYPE OF WORK Addit.on Remodel <br />_____________ <br />(Phone) <br />Rencvale <br />CCJNST rvfH Ml U. SI/I <br />IttSIDf P>JT lAL <br />UW( 1.1. <br />UNITS <br />t,AR stalls <br />T T <br />or T <br />S T OM If s <br />BDMMS ri.H <br />stpric <br />APP UAJi <br />DOCK <br />NON MLSIU <br />occ: <br />Class <br />STOMieS <br />PMOrOSt D USl <br />COUNCIL <br />APP UATl <br />LST CONi-i VALUATIONCON^ <br />rJlP <br />PE^it FEE <br />BLDG PERMIT <br />STATE FEE <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />SAC CHARGE <QS1 <br />TOTAL DU ^ 4 9rs 2S^ <br />REMARKS: <br />INSPECTION REQUIRED WORK REQUIRING <br />_ __PCX)TING t»•lcKf pf)ur SEPARATE PERMITS <br />___FRAMING muMh «n <br />____INSULATION PLUMBING _____ <br />„„ i0/^ WAL LBCARD 8€*0'e Tip.nq MECHANICALS!^. - <br />.........E iNAL b0*of9 uctupancy <br />WELLAr^....... <br />SEPTIC/^ <br />WORK BEYOND OR WITHOUT A HE SEWER _ <br />QUIRED INSPECTION WILL BE SUB WATER <br />iiCT TO penalty <br />GRADING A f ILUNG <br />INSPECTION HOURS 4/3 73B7 <br />CALLS 12 A M INSP 1 4PM <br />CALL 1 4 PM INSP NEXT DAY ELECTRICAL btjm Slat# 7 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAK6 <br />THE REAL IMPROVEMENTS SPEClElfO AND DECLARES <br />UNDER PENALLY OP LAAf ACKNOWUOGEMENT AND ACCEPT <br />ANCE Of ALL INFORMATION CONDITIONS ANC REQUIRE <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER <br />SIC,NED FURTHER AGREES TO fX) ALL WORKS IN STRICT mE» <br />PLIANCE WITH ALL CITY Of QHONO OROINANCIS AND SI. TP <br />OP MINNESOTA ByiLDfNO COOt REQUIREMtNTS <br />S«qnatwi'« <br />COPY WHITE file <br />CANARY INSPECT OR <br />PINK ASSESSOR <br />GMITN MNANCf <br />GOLD RICfIPT <br />I <br />r ^4^ c.i» <br />7rdr* <br />Ci'v ot