HomeMy WebLinkAbout1985-06-13 Permit, New Residence #5650CITY of ORt)ANO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
F
G DI TRICT
ARTMEFICE
6
VAR. D TE
COND. USE DATE
LOT AREA
WIDTH DEPTH
a
PROPOSED SETBACKS
FR / R. SIDS /
REAR L. SIDE
LAKE WETLANDS
ACCESS
0EXISTING
-APPROV.DATE
CI
COTJNTY
STATE
PRIVATE EASEMENT
REMARKS
J
SITE ADDRESS /-IT// ✓
PROPERTY IDENTIFICATION NO (PID)
LOT BLOCK
PERMIT NO. 5650
DATE ISSUED 6 /
Ja-ti
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SUBDIVISIO
IN ) (A dress) [� (Phone)
ARCHITECT/ENGINEER - Musi Certify Multi -Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm) (Address) (Phones
TYPE OF WORK New Addition
Remodel
Renovate
CONST. TYPE
BUILDING SIZE
Estimated Construction Valuation
/
3
'ev
L. W.
H0ZOO
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
��n J
s'CJ
DWELL.
STORIES 3
O t 2
UNITS
STATE FEE
REVIEW
—"�
�S
P�3Sr
STALLS
NUMBER OF BEDROOMS
q a
DET
PLAN
SEPTIC
SAC CHARGE
APP. DATE -�—
SEWER UNIT
PROPOSED USE
PARK FEE
_—
_ _ --o/
�t C1Yv+
,_ 0.2�s
'�
COtINCIL
APP DATE
OTHER
.__ _
• Z
TOTAL DUE
��
L-
A _
WO:K REQUIRING
INSP CTION REQUIRED
SEFARATL PERMITS
FOOTING before pour
FRAMING rough -In
PLU,ABING
INSULATION
MEC 4ANICAL
WALLBOARD before taping
W E L
17�
FINAL before occupancy
❑
❑ ...... SITE INSPECTION
SEPTIC..
WORK BEYOND OR WITHOUT A RE-
SEW 41. _
OUIRED INSPECTION WILL BE SUB-
WATT R. ...... ....
JECT TO PENALTY
GRAt ING 8 FILLING
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE.
FIRE
ACKNOWLEDr-,EMENT
THE UNDERSIGNED HEREBY REQUESTS PE11MISS!0N TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF IAW 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
OF MINNESOTA UILDING CODE REQUIREMENTS
Signature Date /
4�Oro..
COPY WHITE -FILE GREEN-FINA 4CE
CANARY -INSPECTOR GOLD-RECEI J
PINK -ASSESSOR / L c —++pc
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