HomeMy WebLinkAbout1987-03-30 Permit, New Residence #6304GlTYofORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473*7357
PERMIT NO. 6304'
DATE ISSUED 3'
ZONING DISj^K
mOFFICE J
COND. USE DATE
WIDTH . DEPTH
PROPOSED SETBACI
FRONT R. SIDE
LAKE
OS'
WETLANDS
ACCESS
NEW ^STING
AC5NCY-APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
cirATinM tan <Pin> ’ 7/9 g
SITE ADDRESS.
PROPERTY IDENTIFICATION NO. (PID)
LOT_____________BLOCK
^ ^ 000/
SUBDIVISION.
ATOHITECT/ENGINiER - Must Certify Witl-Family. Commercial A Industrial Construction Plans
(Firmj^ (Address) (Phone) q
ILDER (^rm) (Address) ® (Phone)BUILDER
n
TYPE OF WORK ^New^ A^^n Remodel Renovate
CONST. TYPE
Dovd^
BUILDING SIZE
OCCUPANCY
CLASSIFICATION
DWELL
UNITS
GAR. STALLS
ATT. a
DET.
STORIES
NUMBER OF BEDROOMS 3
SEPTIC
APP. DATE
PROPOSED USE
COUNCIL
APP. DATE
REMARKS:ftpprmtt M Okir ^onic£j-linn-t aP ^
Estimated Construction Valuation
/ 9^^ OOP
PERMIT FEES
BLDa PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
•kn.^o
¥P3. 33
TOTAL DUE / /f / 33
^i^.inpru'£j'-ty J J jp/1 n D'i
siai^\L
'dicju.j.
INSPECTION REQUIRED
0*..........FCX)TING before pour
0^.........FRAMING rough-in
0^..... INSULATION
Zyf.___WALLBOARD before leplng
0T^... FINAL before occupancy
BTT. .. . SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE
WORK REO lTiRING
SEPARATE PERMITS
PLUMBING........................
MECHANICAL ....................
WELL.................................
SEPTIC...............................
SEWER ...........................
WATER...............................
GRADING a FILLING.................. Q
FIRE Q.n^mh _______ flf
es
S’a
.0^□cr□
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 OP ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
COPY: white-file
CANARY-INSPECTOR
PINK-ASSESSOR
a Atf». C« Inc WI7IMI44ra
GREEN-FINANCE
GOLD-RECEIPT
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Date yjo^in
_Citv ol Orono