HomeMy WebLinkAbout1986-07-25 Permit, New Residence #6079CITS' of t)ItON
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
ZONING ICT
i fi
TIRE DEPAELT14ENP
r
POST OFFICE
VAR DATE
COND USE Dj
LOT AREA tic
WIDT DEPTH .
p 'f
PROPOSED SETBACKS
FROt R SIDE Qi1� I
RE& i L SIDE //0
LAKE ^
LAKE WETLANDS
ACCESS
W (STI
A�'i'ENCY APP ATE
CIT Y
COUNTY
STATE
PRIVATE EASEMENT
REMARKS
SITE ADDRESS '—l-;A(iL/
PROPERTY IDENTIFICATION NO (PIDI
LOT BLOCK
OWNER (Name)
r 1_ A- i
rARCHITECT&NGINEER Must
IFirml
PERMIT NO. 6079
DATE ISSUED
SUBDIVISION
IAddressl (Phone) a-79
Multi -Family. Commercial & Industrfdl Construction
IAddressl (Phone)
B LDE IFJrm1 I sl Whonel
U Li
TYPE OF WORK /*ITeJ Addition Remodel Renovate
CON
ST TYPE BUILDING SIZE
L W 0 i Ht
OCCUPANCY
CLASSIFICATION
DWELL STORIES B t 2 3
UNITS
G"TALLS NUMBER OF BEDROOMS
DET SEPTIC
APP DATE
PROPOSED USE
j&,�52
COUNCIL
APO DATE
INSPECTION REOUIRED
WORK REOUIRING
/
SEPARATE PERMITS
FOOTING before pour
l—/ FRAMING rough -in
PLUMBING
k1 INSULATION
MECHANICAL
WALLBOARD Galore taping
WELL
......FINAL before occupancy
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
OUIRED INSPECTION WILL BE SUB.
JECT TO PENALTY
WATER
INSPECTIONS MUST BE CALLED IN
GRADING FILLING
8
24 HOURS IN ADVANCE
FIRE
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD -RECEIPT
PINK ASSESSOR
areaurn rrq • Aa co r� wl n en «ro
Estimated Construction Valuation
/5O i07i'D
PERMIT FEEES�
BLDG. PERMIT `55$•.ja?
STATE FEE 7SX7
PLAN REVIEW t11r' Y"
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE / q,37
JACKNOWLEDGEMENT
��/ THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
E THE REAL IMPROVEMENTS SPECIFIED AN- 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-
POANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
Ej OF MINNESOTA BUILDING CODE REQUIREMENTS
OSrgnatu,« `Date
Approved y tit Oronc