HomeMy WebLinkAbout1985-11-19 Permit, New Residence #5848I
CITYwTOROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
PERMIT NO. 5848 '
DATE ISSUED
ZONING DISTRICT^Lr-iol
FIRE DEPARTMENT
m cv^ncJ
POST OFFICE
VAR DATE _
COND USE DATE
, DEPTH
PROPOSED SETBACKS
SlDc /
REAR L SIDE y ^ / /
LAKE WETLANDS
.^SO'
ACCESS
NEW
AGENCYAPPR0V-4MU4
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS_________________________________________ ^ ___________________
PROPERTY IDENTIFICATION NO iPlDl ~ 1 1 ~1- ^
LOT________________BLOCK_____________________ SUBDIVISION_______________________
OWNER (Name)(Address)
t Z/\ jQl^kXk
ARCHITECT/ENGINEER Must Certify Multi-Family Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BU'LDER
Ak'c^'eork (X rc.l o~rr /?N /Jcr 4hrkik ^d. ^5
TYPEOFV/ORK Addition Remodel Renovate
fiaric'ipn I Zk
CONST TYPE
fyUt/lUcl
BUILDING SIZE
70
OCCUPANCY
CLASSIFICATION
DWELL
UNITS
GAR ST
ATT___
DFT
STORIES B
NUMBER OF BEDROOMS'°J/
SEPTIC
APP DATE
PROPOSED USE
COUNCIL
APP DATE
remarks >SA(L O^Uc^i'i'<;xQACacli,4. f\r-T;tC<^l fo
.LL i t / > 1 / y~
Estimated Construction Valuation
nno
'^PERMIT FEES ^
BLDG PERMIT /
STATE FEE
PLAN REVIEW 313,7s"
SAC CHARGE —
SEWER UNIT
PARK FEE
PENALTY
other
TOTAL DUE a /4P607S"
0
I
ECTION REQUIRED
FOOTING before pour
. . . FRAMING rough-in
.... INSULATION
.... WALLBOARLi before taping
FINAL before occupancy
□.............SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT TO penalty
INSPECTIONS MUST BE CALLED IN
HOURS IN ADVANCE
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL
SEPTIC
SEWER
WATER
GRADING A FILLING
TIRE
s□□
#w□□
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE-
the RLAl IME’ROVEML NTS SPEClEIED AND DECLARES
UNDER penalty OF LAW ACKNOWL FOGE ME NT AND ACCEPT
ANCE or 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 city OF ORONO ORDINANCES AND STATE
OF MiNNESOfA BuKDiNp CQD REC^UiREMtffTS
COF'Y WHiTL HIE
canary inspector
PINA ASSESSOR
•rMfeiyM A Aa» C« Inc «WI «€« 4410
GREEN FINANCI
rK)lD RECt'PT
Signatuf**
AtH*rowe<J
.Date
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