HomeMy WebLinkAbout1984-10-31 Permit, New Residence #5501CCITYoTORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473 7357
SITE ADDRESS______
PERMIT NV " 55011
DATE ISSUED /Q~3I'K4~
ZONING DISTRICT
FIRE ZONE* . /
K(Ty\tJ iM K q^j
VAR DATE J
COND. USE DATE
LOT AREA qq
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE /
REAR L.SIDE /
/C>Z)
LAKE WETLANDS
75T^ —
ACCESS
NEW CT xiStIn G^
AGENCY APPROV. DATE
C3J.
COUNTY
STATE
PR. EASEMENT
^PIRES .
LEGAL DESCRIPTION: PROP. ID. _
LOT T/C*Ci A BinCK
7fti (' i /] /Va.
.SUBDIVISIONSii i7
OWI^ (N
Kr/jt
rch Itect ^J^
RTNO
(Name (Address)
ARi
CERT. NO.
•P)- , / (Add
0 ^ i shyA^
EER - Must Certify Multi Family. Commercial & Industrial Construction Plans
(Ptione)
^IL 03in
(Firm)
JiArd.
(Address)(Phone)
BUILDER
TYPE OF VWRK
(Firm) (Address)
PljZ/ylrtU'//.
Addition
CONST TYPE
/r 0 j t‘> /( 0 (}_
(Phone)
Remodel Renovate
BLDCi SIZE
L >V ^ ? //}Ml.
PtHiDENTIAL
r^ELL
UNI IS
CiAH stalls
^3
f)tT
NON RESID
OCC
CLASS
STORIES
.STORIES ?
BDRMS FLR
SEPTIC
APP DATE
DOCK
PROPOSED USE
COUNCIL
APP DATE
REMARKS: ^
EST CONST VALUATION
PERMIT FEES
BLOG. PERMIT //J/S ^
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
•77:2 7sr
3S’0. ^
ev
TOTAL DUE
V-Cdji^
^ ta il'll kdUi it___________________________________
--------------------------------------^ ^ IAA a ^
99 /INSPE^ION REQUIRED WORK REQUIRING
FOOTING hnloFt Dour SEPARATE PERMITS
FRAMING njuqh m
PLUMBING l/ ____ INSULATION
___„ WALLBOARO Before T*.pinti MECHANICALS^. ..........................
F INAL before occupar^cy WELL
SEPTIC
WORK BEYOND OR WITHOUT A RE SEWER
QUIREO INSPECTION WILL BE SUB VS/ATTM
JECT TO PENALTY
la M 1 wf »
INSPECTION HOURS 473 /357
GRADING & FILLING____________
CALI 8 1? A M INSP 1 4 P M
(^ECTRICAL homSu^CALL 1 4 P.M INSP NEXT DAY
ACKNOWLEDGEMENT
COPY
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE real IMPROVEMENTS SPECIFIED. AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF AcL INFORMATION. CONDITIONS AND REQUIRE
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM
PLIANCE WITH ALL CITY OF OHONO ORDINANCES AND STATE
OF MINNESOTATTUILDINr, CODE REQUIREMENTS
AtSiqn^ture
I PA 111
WHITE file
CANARY INSPECTOH
PINK ASSESSOR
GREEN FINANCE-
GOLD RECEIPT
Appruveu
MwiilL'k'y
.Otv of Orono