HomeMy WebLinkAbout1986-10-02 Permit, New Residence #6177CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
ZONIN IS�RICT _ 0_1
FIRE D PARTM NT
POST 61FIIQE _
VAR DATE
COND, USE DATE
LOT AREA T
n !r
WIDT DEPTH
PROPOSED SETBACKS
FR -:� R. SIDE} -
REAR 1. SIDE
LAKE WETLANDS
ACCESS_
NE EXISTING
PPROV DATE
CITY
COUNTY
STATE
F111111—ATE EASEMENT
REMARKS
SITE ADDRESS / _� L 4- - !)�
PROPERTY IDENTIFICATION NG III _y2
LOT BLOCK /
7o" ER INamel /
If
C ARCHITECT/ENGINEER kOst Certify MultiT
(Firm) (j
PERMIT NO. 61771
DATE ISSUED /" 09 `f'
1G�Zc-71
_ SUBDIVISIO
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ddress) 1.
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Pu LDER (rm) (Addi
TYPE OF WORKMew,) Addition
CONST. TYPE BUILDING SIZE
L')
W HI
OCCUPANCY
WORK REQUIRING
CLASSIFICATION
DWELL
STORIES
UNITS
... FRAMING tough -in
(AE14STALLSNUMBER
[SEPTIC
OF I
/
.... WALLBOARD before taping
SAC CHARGE
SEWER UNIT
WELL
APP DATE
PROPOSED USE
ICOUNCIL
APP DATE
REQUIRED
WORK REQUIRING
XIECTION
SEPARATE PERMITS
....FOOTING before pour
B , z3
jorPLAN
... FRAMING tough -in
PLUMBING
... INSULATION
MECHANICAL
.... WALLBOARD before taping
SAC CHARGE
SEWER UNIT
WELL
FINAL before occupancy
l_J ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
QUIRED INSPECTION WILL BE SUB-
WATER
JECTTO PENALTY.
GRADINti 8 FILLING
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE FILE GREEN FINANCE.
CANARYINSPECTOR GOLD -RECEIPT
PINK ASSESSOR
araou.e I.q a All. Co IM ro17f s!1 wro
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Remodel
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73 "
8 Industrial Construction Plans
(Phone)
(Phone)
7:3.
Renovate
Estimated Construction Valuation
/.4o,
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 CITY OF ORONO ORDINANCES AND STATE
f1 OF MINNESOTA BUILDINP rODE REQUIREMENTS
S,gnatufe ate
ApproveA`__L:__
�01 Orono
PERMIT FEES
,TSI
BLDG. PERMIT �. v
B , z3
jorPLAN
STATE FEE _
/
REVIEW
L'-
3ED�RO�01'IC
` /c
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE/ )
v2_ i
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 CITY OF ORONO ORDINANCES AND STATE
f1 OF MINNESOTA BUILDINP rODE REQUIREMENTS
S,gnatufe ate
ApproveA`__L:__
�01 Orono