HomeMy WebLinkAbout1985-05-29 Permit, New Residence #5630CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING WTJJICT ,,
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W;R.'W41/
COND. USE DATE
LOT AREA L
WIM,t DEPTH
PROPOSED SETBACKS:
FjI0bj R. SIZE
REAR
1 � L. SID
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENC
CITY
COUNTY
STATE
TE EASEME
REMARKS:
SITE ADDRESS - it
PROPERTY 1 TIFICATION NO. IPID)
LOT —BLOCK
ame)
PERMIT NO. 5630
DATEISSUED
n
SUBDIVISION
(Address)
��
CHITECT/ENGINE - Must Certlly Midti-Fa7tyy. Commercial & Industrial Construction Plana
(Firm) (Address) (Phone)
BUILDER (Firm) (Address) (Phone)
/4� 9� 5"-
.&jk4_,U- Z!�Ia-APE OF WORK Addition Remodel Renovate
CONST. TYPEI
BUILDING SIZE
EsIt led Construction Valuation
L. W. Mt
OCCUPANCY
PERMIT EES
CLASSIFICATION
S_0
BLDG. PERMIT
STATE FEE
DWELL.
UNITS /
STORIES B 10 3
TALLS
NUMBER OF BEDROOMS
q
PLAN REVIEW — _-
PET.
SAC CHARGE
SEPTIC
APP DATE
SEWER UNIT
PROPOSED USE
PARK FEE
PENALTY _----
COUNCIL
APP DATE
OTHER
TOTAL DUE
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
....FOOTING before Dour
,ry
to,
FRAMING rough--n
PLUMBING
INSULATION
MECHANICAL .............
ICJ
WALLBOARD before taping
FINAL before occupancy
V..
WELL ......................
LCJ
.
SITE INSPECTION
SEPTIC. ...........................
WORK BEYOND OR WITHOUT A RE-
SEWER .............. ...........
❑
QUIRED INSPECTION WILL BE SUB-
WATER ...... ..... ........
❑
JECT TO PENALTY
❑
INSPECTIONS MUST BE CALLED -IN
GRADING 8 FILLING ...........
❑
24 HOURS IN ADVANCE
FIRE.... ...........................
COPY WHITE-Fn E GRE --�—
--
CANARY -INSPECTOR / }LD RECEIPT PI^
PINK-ASSE-ASSESSOR � �) � / J -
ACKNOWLEDGEMENT
CHE UNDERSIGNED HEREBY REOUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
?ANCE OE 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 CIF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REOUIREMENTS
S.gnature
of Orono