HomeMy WebLinkAbout1986-03-13 Permit, New Residence #5905CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DI TRICT
FIRE OEPARTMEN T
POST OFFICE �r
VAR. DATE
COND. USE DATE
LOT AREA Z
WIDTH DEPTH.700 02Y
PROPOSED SETBACKS:
FRONY,R. SIDE
REAR L SIDE V T
LARE WETLANDS
ACCESS
C"d oes'od
EXISTING
A Y-APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS:
SITE ADDRESS d4A4D (Z V/ f A L
PROPERTY I ENTIFICATION NO. (PID) 03 �
LOT BLOCK SU
OWNER (Name)
PERMIT NO.
DATE ISSUED
ARCHITECT/ENGINEER - Must Certify Multi-Fabily. Commercial a
(Firm) (Address)
5905,
3-/3—r7
d < •r ^e— (Pnone)
x c'' 4*✓ -17J-/-/
]ustriel Construction Plans
(Phone)
BUILDER (Firm)
(Address)
(Phone)
TYPE OF WORK ew Addition
Remodel
Renovate
CONST. TYPE
BUILDING SIZE
Estimated Construction Valuation
L. W.
Ht
�5
9 low —
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
DWELL
STORIES B 1 3
UNITS
STATE FEE
GAR. STALLS
NUMBER OF BEDROOMS
ATT.
PLAN REVIEW
7 ow
DET.
SAC CHARGE
SEPTIC
APP. DATE
SEWER UNIT
PROPOSED USE
PARK FEE
PENALTY
UNCIL
FAPP.DATE
OTHER
TOTAL DUE
/ 3 /0, 00
INFECTION REQUIRED WORK REQUIRING
SEPARATE PERMITS
..... FOOTING before pour
FRAMING rough -in PLUMBING
If7f ..... INSULATION MECHANICAL
.... WALLBOARD before lapmg rl
..... FINAL before occupancy WELL LUUYLLJ!!
..... SITE INSPECTION SEPTIC .........
WORK BEYOND OR WITHOUT A RE- SEWER .................... ❑
OUIRED INSPECTION WILL BE SUB- WATER_ ............................ ❑
JECT TO PENALTY.
GRADING • FILLING ............. . ❑
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE FIRE .............................. ❑
COPY WHITE -FILE GREEN -FINANCE
CANARY INSPECTOR GOLD -RECEIPT
PINK -ASSESSOR
rarr�►ry & Adv Cc 1n 46121 561 Mto
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REOUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES i
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 I
OF MINNESOTA BUILDING CODE REOUIREMENTS
S,pnatur@ Date '3
17
Approved ^ City of Orono