HomeMy WebLinkAbout1997-10-15 Permit, Addition to Septic System #4118CITYof ORONO
Building: Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPA^’ :Y
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
SITE ADDRESS pElafag.
PERMIT N9 . 4118
DATE ISSUED _/# "
EXPIRES________________
ZONING DISTRICT
FIRE ZONE
VAR. DATE
2.S -7-?
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
LEGAL DESCRIPTION: PROP. ID..
ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans
CERT.NO _______
(Firm) (Address) (Phone)
BUILDER (Firm) (Address) (Phone)
TYPE OF WORK New ^’^dition,^ Remodel Renovate
Qsr ,
CONST. TYPE BLDG. SIZE ■*
L. /1_ W. 2-H- Ht.
E^ILCONST. VALUATION
RESIDENTIAL STORIES B 1 2 3
BDRMS/FLR
PERMIT FEES c>c»
BLDG. PERMIT JtV*
DWELL.
UNITS
~ f --STATE FEE /
GAR. STALLS
ATT.
DET.
SEPTIC
APP. DATE PLAN REVIEW ___i. - i
DOCK
PENALTY
PARK FEENONRESIDPROPOSED USE
SAC CHARGE *OCC.
CLASS
STORIES COUNCIL
APP. DATE TOTAL DUE STo
REMARKS:
INSPE^^^ REQUIRED
FOOTING belora pour
FRAMING rough-in
INSIJI ATiniM
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
JDMTC lBOARO Before Taping MECHANICAL
% ■ •__^ _ _________ —well
SEPTIC __
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTION HOURS 473-73S7
CALLS - 12 A.M. INSP. 1 - 4 P.M.
SEWER
WATER _
GRADING a FILLING
CALL 1 • 4 P.M. INSP. NEXT DAY ELECTRICAL Irom Suit
COPY: WHITE-FILE
CANARY- INSPECTOR
PINK-ASSESSOR
GREEN-FINANCE
GOLD-RECEIPT
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBN REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF ALL 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 ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS.
Signatu^
Approved City of Orono