HomeMy WebLinkAbout1985-12-18 Permit, Pool #5806CITY of ORONI)
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
P
DISTRICT
as
RTMENT
L-
POST OFFICE
VAR.DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS:
F NT R. SID
REAR L. SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY•APP
CIT`r
COUNTY
STATE
PRIVATE EASEMENT
REMARKS:
PERMIT NO. 5806 I
DATE ISSUED 7.) -19 - AN'
SITE ADDRESS
PROPERTY IDENTIFICATION NO (PID)
LOT BLOCK SUBDIVISION
OWNER :c, DY(Name) (Address) (Phone)
Ju
o�
ARCHITECT/ENGINEER - IMust Certify Multi Family. Commercial 8 Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm) (Address) (Phone)
837/ C1 r I f use a1vc�
TYPE OF WORK Addition Remodel Renovate
[IZANSOTTYPE1 BUILDING SIZE Est mated Construction Valuation
L. .3 ( ( w. to I Ht I 13 goo
OCCUPANCY
PERMIT FEES
CLASSIFICATION
M —
BLDG. PERMIT
Q
/8 SD
DWELL.
STORIES B t 2 3
UNITS
STATE FEE
��•.__
GAR. STALLS
NUMBER OF BEDROOMS
ATT.
PLAN REVIEW
__
DET.
SEPTIC
SAC CHARGE
__
APP. DATE
SEWER UNIT
_. ---
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP. DATE
OTHER
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
❑ ...... FOOTING before pour
El...... FRAMING rough -In
PLUMBING
❑ ...... INSULATION
MECHANICAL
❑ ...... WALLBOARE before taping
El ...... FINAL belure occupancy
WELL
❑ ...... SITE INSPECTION
SEPTIC...
WORK BEYOND OR WITHOUT A RE-
SEWER . ...........
OUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY
WATER
GRADING & FILLING
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE-FILF GREEN FINANCE
CANARY INSPECTOR GOLD -RECEIPT
PINK ASSESSOR
IkootWn On% & AW Cc Inc ts111 %14470
TOTAL DUE
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATION CONDITIONS AND REOUIRE-
MENTS F:PRESENTED JN 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 BUILDING CODE RE UIREMENTS
SignatureDete
of Orono