HomeMy WebLinkAbout11-13-1985 Permit, New ResidentialGITYorCHIONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
SITE AnnRFRS
PROPERTY lOEN^FICATION NO. IPIO) )•
/ .SUBDIVISION.^
PERMIT NO. 5842'
DATE ISSUED
ZONII^DISTRI^
POST OFFICE
FIRE DEPARTMENT, ,
VAR. DATE
COND. USE DATE
LOTAREA^___^ AO. -t
WIDTH DEPTH .3r^o
PROPOSED SETBACKS:
FRON^^/R.SIDE
RE^LSIDE
3/
LAKE WETLANDS
/c57'
ACCESS
EXISTING
WiNe^APPROV. DATE
CITY
COUNTY
STATE
il^iVA^ easemen F
LOT..BLOCK.
REMARKS:.
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fc>ir\yJ<Nv> lyf'^iTK
OWNER (Name)(Address)(Phone)WVViTic.r« -----------—1
ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm) (Address) (Phone)
TYPE OF WORK Addition Remodel Renovate
k)-(>x C\ OO
CONST. TYPE BUILDING SIZE
L. W. Ht.
Estimated Construction Valuation
4^/^. cm
OCCUPANCY
CLASSIFICATION
PERMITTEES
ni Pii-i DCOMIT ^ r OC.3
DWELL, j
UNITS /
STORIES B 1 3
STATE FEE / Q_0
GAR. STALLS ATT. Jl
DET.
NUMBER OF BEDROOMS PLAN REVIEW 3V/ .-S-O
SAC CHARGE ^-0-
SEWER UNIT
PARK FEE
PENALTY
SEPTIC
APP. DATE /A-/- 5 S
PROPOSED USE
COUNCIL OTHER
TOTAL DUE f^
INSPECTION REQUIRED
... FOOTING belore pour
...........FRAMING rough-in
... INSULATION
... WALLBOARO belore taping
... FINAL belore occupancy
□...........SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTIQN WILL BE SUB
JECT TO PENALTY.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE
WORK REOUIRING
SEPARATE PERMITS
PLUMBING...............
MECHANICAL............
WELL.......................
SEPTIC.....................
SEWER.....................
WATER.....................
GRADING & FILLING .
FIRE........................
COPY: WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
■iMkl>nmt.aAi)>.Ca.l<ic. ll1»MI-44?a
GREEN-FINANCE
GOLD-RECEIPT
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY 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 WORK IN STRICT COM
PLIANCE WITH ALL COY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUI^NijrCODE R.^0tJlliEMENTS.
:itv of Ofono