HomeMy WebLinkAbout1986-04-14 Permit, Demo Boat House #5934CITY of OKOXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
PERMIT NO. 5934 '
DATE ISSUED
ZONING DISTRICT
FIRE DEPARTMENT
POST OFFICE
VAR DATE
COND USE DATE ^
LOT AREA
-
WIDTH ^ depth
PROPOSED SETBACKS
FRONT R SIDE
REAR
LA»^‘
L SIDE
wetlands
ACCESS
NEW EXISTING
AGENCY-APPROV DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS
PROPERTY iDt NTIFICATION NO (PIDi
LOT________________BLOCK___________SUBDIVISION
OWNER (Name) (Address) (Phone) ^ .
ARCEIITECT/ENGINEER - Must Certify Multi Family Commercial & Indu' trial Construction Pla**r
(Firm) (Address) (Phone)
BUILDER (Address)(Phone)
yrY-/^s3
Addition Remod*^l RenovateTYPE OF WORK New Addition Remod*>i Renovate
•bfe>LO ^/ler Hvuiez / J€.if^-g4ef^
CONST TYPE BUILDING SIZE Estim.itVd Construction Valuation
L w 2 0' H,
OCCUPANCY PERMIT FEES
CLASSIFICATION
DWELL
UNITS
STORIES B 1 .? 3
Bl DG PERMIT ____
ro
S 'ATF FFF
GAR STALLS
ATT
NUMBER or BEDROOMS
PI AN RFVIFW
DET SEPTIC
APP DATE
SAC CHARGE
PROPOSED USE SEWER UNIT
PARK FEE
PENALTY
COUNCIL
APP DATE OTHER
REMARKS_RQ4T~
lOrAL DUE
^/P~gA(P /skue^ n~zi< Mco3T>/j>aJiT
INSPECTION REQUIRED
O.............FOOTING before poie
□ ......FRAMING rough in
□ ......INSULATION
O.......... WALLBOARD before taping
Q.............FINAL before occupancy
^^iiC..........SITE INSPf CTION
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTIONS MUST BE CALLED IN
24 HOURS IN ADVANCE
WORK REQUIRING
SEPARATE PERMITS
PI UMBING □
MECHANICAL □
mil □
SEPTIC □
SEWER □
WATFR □
GRADING A ML LING □
^ iNE □
ACKNOWLEDGEMENT
THL UNDTRSIGNlf) HtRLHv RfvjUESTS PERMISSION TO MAKE
THE rial IMMMOVLMINTS SPECIFIED AND DECLARES
UNDER PINAL TV QF I AW ACK NOWl I DGF MF NT AND ACCEPT
A i'JCE Of ALL iNFOMMAflUN ( (JNDITIONS AND REQUIRE
MENTS RIPRISINTED ON THIS DOCUMENT THE UNDER
SIGNED FUFUHER AGREES U) DO ALL WORK IN STRICT COM
PLIANCE WITH All CITY QF URONO ORDINANCES AND STATE
OF MlNNl ItA BUU DiNli Cl>i4t REQUIREMENTS
COPY WHITE FILE
CANARY INSPL CIOR
PINK ASSESSOR
•*ook>vM a A<K Co l«17tMl44rO
(iNk E N f INANCI
GOl D RECEIPT
S^jr-al
Appf of Ofnnt,