HomeMy WebLinkAbout1985-07-01 Permit, New Residence #5670GlTYoTORONO
Building Permit PERMIT NO.
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
DATE ISSUED
5670
ZONI^ DISTRICT
Vf(- JA
FIRE DEPARTMENT, /Tu *
VAR Da W
COND. USE DATE
LOT AREA __ ^/sAct
WIDTH /j, DEPTH ,.
(^OO ' C/OG ^
PROPOSED SETBACKS:
REAR ^ L SIDE
LAKE WETLANDS
ACCESS
existing
AdfeWCT-APPROV DATE
CITY
COUNTY
STATE
.—-—
"PWIVATC CASEMENTJ
SITE ADDRESS,
PROPERTY IDENTIFICATION NO (PID)
LOT________
ATIONNO lPIDl - cS
.BLOCK./___ SUBDIVISION '"7^C /“7^/^
OWf^(Nam^(Address)------------ (Phone)
Dcha7/xA jQ'j. cJ75-
ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm)(Address)
~ (Ne^ AdTYPE OF WORK
(Phone)
Addition Remodel Renovate
CONST. TYPE BUILDING SIZE
L. W O Ht.^ ?
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS
GAR. STALLS
ATT.
DET.
STORIES B 1
NUMBER OF BEDROOMS
SEPTIC
APP DATE
PROPOSED USE
COUNCIL
APP. DATE
REMARKS:
Estimated Construction Valuation
*r9 r.
PERMIT FEES
BLDG. PERMIT S^O
STATE FEE
PLAN REVIEW
SAC CHARGE
SEVER UNIT
PARK FEE
PENALTY
OTHER
^JS.OO
TOTAL DUE /5*70.-»»
INSPECTION REOUIRED
... FOOTING before pour
... FRAMING rough-in
.. . INSULATION
... WALLBOARO before taping
... FINAL before occupancy
□..........SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTIONS MUST BE CALLED IN
24 HOURS IN ADVANCE.
V;ORK REOUIRING
SEPARATE PERMITS
PLUMBING...............
MECHANICAL...........
WELL ..................
SEPTIC.......................
SEWER ...................
WATER.............. ..
GRADING A FILLING
FIRE ........................
□□□□
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
OF MINNESOTAJ^IMING CODE REQUIREMENTS
Signature
COPY WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
Prat, a A«» 0*. IM MI3IMt44?e
GREEN-FINANCE
GOLD RECEIPT
Approved