HomeMy WebLinkAbout1985-03-12 Permit, New Residence #5563CITY life OR NO PERMIT N" _ 55631
Building Permit
DATE ISSUED 3
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.U. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SIT': ADDRESS � ►�iY�`�,d�� 1�
LEGAL DESCRIPTION: PROP. ID. _ ______` _.____ L C `�`/L
I0T `L RLOCI' Z SUBDIVISION/OU.1foii-l a ri�11t(L�
FIRE ZONE
VAR. DAzIA
COND. USE DATE
LOT ARF
Z �'tcr G
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE f
110 1 . __-
REAR; L SIDE
i 1-c'---- II r -
LAKE WETLANDS
ACCESS_
(NoZi' EXISTING
AGENCY-APPROV. DATE
CITY
CUUNIY
STATE
Eta v��
REMARKS
INSPECTION REQUIRED
✓ FOOTING before pour
FRAMING rough in
f�_ INSULATION
__ WALLBOARD Before Tap,mt
F INAL before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
j,;CT To PENALTY.
INSPECTION HOURS 4737357
CALL 8 12 A M INSP t 4 P M
CALL 1 4 PM INSP NE>'T )AY
COPY: WHITE --FILE
CANARY -INSPECTOR
PINK -ASSESSOR
(Name)
(Address) (Phone)
, .:ylka S
4-)`�X 1161112NGINEER
-- Must Certify Multi•Family, Commercial & Industrial nstruction Plans
F
Firm) (Address) (Phone)
RLD (F irm) (Address) (Phone)
' t -i a -rw- 2,k.
c -4 -7 4, D 18 �f
TYPE OF''WORK
RK Nem Addition
Remodel Renovate
( � 1
WEW „l stcb_L'`Ql_y -
CONST TYPE
Of UG SIZE
EST, CONST VALUATION
--
I L Z- W . Ht
2�
f G D��r.
- -_-,_
PERMIT FEES
RETIAL
STORIES B I z +
LTE
BDRMSrFLR
A+J C
BLDG PERMIT
STATE FEE
PLAN REVIEW^. S
_
DWELL.
;NILS I
H STALLS
SEPTIC
APP DATE
_
_
c 1
PENALTY
DOCK
S u
PARK hEF b
%l+r`1
CSN RESUIPROPOSED
USE
SAC CHARGE
1C(
CLASS
COUNCIL
APP DATE
STORIES
TOTAL DUE d
WORK REQUIRING
SEPARATE PERMITS
,UMBIN(;
ECHANICAL _
SEPTIC
SEWER _
WATER
GRADING & FILLING -
ELECTRICAL from State
GREEN -FINANCE
GOLD- RECEIPT
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REOUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATION, CONDITIONS AND REOUIRE-
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER --
SIGNED Ft11THER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOI,I B�ILDING CODE REQUIREMENTS
Signature
Appr uvecl
mommow
tY of Orono