HomeMy WebLinkAbout1984-05-08 Permit, New Residence #5274CITY of OKOXO
Building Permit
r. -
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473 7357
SITE ADDRESS _______
PERMIT NV ^ 5274
DATE ISSUED ^
ZONIN mh
FIRE ZO frwi (jlisL.
VAR DATE d
CONU. USE DATE
LOT AREA
WIDTH .
J. (g
PROPOSED SETBACKS
FR05iI^/ R SIDE^t^^mL
REA
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY APPROV DATE
CITY
COUNTY
STATE
PR EASEMENT
EXPIRES ___________
LEGAL DESCRIPTION: PROP. ID.
LOT ________BLOCK
C3JZZ:23
/ .SUBDIVISION
DVVI^ (I(Ndmo)(Aflflrfss)
ARCHITECTT;NCilNEER Must Certify Multi Family, Commercial h Industrial Construction Plans
:ERT NO.
(Film)< Address)(Phone)
BUILDER |E irm)(Adflress)
fJi6D
TYPE OF WORK Addit.on Remodel
_____________
(Phone)
Rencvale
CCJNST rvfH Ml U. SI/I
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UW( 1.1.
UNITS
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T T
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S T OM If s
BDMMS ri.H
stpric
APP UAJi
DOCK
NON MLSIU
occ:
Class
STOMieS
PMOrOSt D USl
COUNCIL
APP UATl
LST CONi-i VALUATIONCON^
rJlP
PE^it FEE
BLDG PERMIT
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE <QS1
TOTAL DU ^ 4 9rs 2S^
REMARKS:
INSPECTION REQUIRED WORK REQUIRING
_ __PCX)TING t»•lcKf pf)ur SEPARATE PERMITS
___FRAMING muMh «n
____INSULATION PLUMBING _____
„„ i0/^ WAL LBCARD 8€*0'e Tip.nq MECHANICALS!^. -
.........E iNAL b0*of9 uctupancy
WELLAr^.......
SEPTIC/^
WORK BEYOND OR WITHOUT A HE SEWER _
QUIRED INSPECTION WILL BE SUB WATER
iiCT TO penalty
GRADING A f ILUNG
INSPECTION HOURS 4/3 73B7
CALLS 12 A M INSP 1 4PM
CALL 1 4 PM INSP NEXT DAY ELECTRICAL btjm Slat# 7
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAK6
THE REAL IMPROVEMENTS SPEClElfO AND DECLARES
UNDER PENALLY OP LAAf ACKNOWUOGEMENT AND ACCEPT
ANCE Of ALL INFORMATION CONDITIONS ANC REQUIRE
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER
SIC,NED FURTHER AGREES TO fX) ALL WORKS IN STRICT mE»
PLIANCE WITH ALL CITY Of QHONO OROINANCIS AND SI. TP
OP MINNESOTA ByiLDfNO COOt REQUIREMtNTS
S«qnatwi'«
COPY WHITE file
CANARY INSPECT OR
PINK ASSESSOR
GMITN MNANCf
GOLD RICfIPT
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