Laserfiche WebLink
CITY of nit()M) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473.7357 <br />29 <br />ZONING DISTRICT SITE ADDRESS <br />` / LEGAL DESCRIPTION: PROP. ID., <br />LOf BLOCK <br />FIRE Zq!Y, <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSEE SETBACKS <br />FRONT R.SIDE <br />REAR L.SIDE <br />LAKE WETLANDS <br />S <br />ACCESS <br />NEW ISTIN <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />PERMIT N° _ 55391 <br />DATE ISSUED /�O54'a-� <br />EXPIRES <br />UBDIVISION <br />WNER <br />(Name) <br />(Address) (Phone) <br />s 7i- 9 <br />ARCHITECT/ENGINEER — Must Certify Mufti -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(F irm) <br />(Address) (Phone) <br />71- S7/ <br />TYPE OF WORK New <br />Addition model Renovate <br />do­-62LZI <br />CONST TYPE <br />BLD', SIZE <br />EST�/{�CONST VALUATION <br />L. W <br />Hi �/ �O/ �oo. OO <br />RESIDENTIAL <br />STORIES B 1 <br />2 1 PERMIT FEE ,�{{ c�-l1 <br />BLDG. PERMIT l/• > v <br />DWELL. <br />3DRMS/FLR <br />Ad Q 47 <br />UNITS <br />STATE FEE <br />GAR STALLS <br />SEPTIC <br />PLAN REVIEW <br />ATT <br />APP DATE <br />DET <br />PENALTY <br />DOCK <br />NON RESID <br />PROPOSED USE <br />PARK FEE <br />SAC CHARGE <br />OCC <br />CLASS <br />STORIES <br />COUNCIL <br />APP DATE <br />TOTAL DUE p�?p;),'7.!_ <br />INSPECTION REQUIRED <br />-_ FOOTING before .)our <br />_. FRAMING rough in <br />INSULATION <br />WALLBOARD Before Tapm9 <br />F I N A L before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SL"' <br />�r CT TO PENALTY. <br />INSPECTION HOURS 473 7357 <br />CALL 8 12 A M. INSP 1 4 P M <br />CALL 1 4 P.M. INSP NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING - <br />MECHANICAL <br />WELL _ <br />SEPTIC.__... <br />SEWER---- <br />WATER <br />GRADING dr FI; LING -.__.. <br />ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNDER PENA I TY OF LAW ACKNOWLEDGEMENT AND ACCEPT. i <br />ANCE OF ALL INFORMATION. CONDITIONS A.:D REQUIRE I <br />MENTS REPR ENTED ON THIS DOCUMENT. THE UNDER- <br />SIGNED FUR ER AGREES TO D L WORKS IN STRICT COM. <br />PLIA E ALL CITY OF O N // RDINANCES AND STATE <br />OF MI TA BUILOJgG� 6QUIREMENTS <br />� r r <br />Date <br />COPY WHITE -FILE <br />CANARYINSPECTOR <br />PINK- ASSESSOR <br />GREEN -FINANCE <br />GOLD RECEIPT <br />Qdo r Crty of Orono <br />