HomeMy WebLinkAbout1986-06-18 Permit, New Residence #6020CITY of ORO NO)
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
p--
FIRE DEPART NT
POST OFFICE
L, L.
VAR.DATE
COND. USE DATE
LOT AREA2-4
WIDTH I DEPTH I
PROPOSED SETBACKS t
FRONT f R. SIDE 13/
RE-�SAI L. SIDE
2f
LAKE WETLANDS
ACCESS
NE EXISTING
AGENCY-APPROV DATE
CITY
COUNTY
STATE
RIVATE SEMENT
REMARKS
INSPECTION REQUIRED
gr..... FOOTING before pour
Er ..... FRAMING rough -on
...... INSULATION
0�...... WALLBOARD before taping
R ...... FINAL before occupancy
❑ ...... SITE INSPECTION
WORK BEYOND OR WITHOUT A RE_
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE.
PERMIT NO. 6020
DATE ISSUED
SITE ADDRESS
I Vt--7
PROPERTY IDENTIFICATION NO (PID)
LOT 9- BLOCK 2 _ SUBDIVISION 91AJC'reV-$ 6V0C1tS
OWNER (Name) (Address) (Phone)
!TZ ULL Cis O� B /L
W WM'lZ_
ARCHITECT/ENGINEER - Must Certify Multifamily. Commercial 8 industrial Constructu n Plans
IFIrm) (Address)
(Phone;
BUILDER (Firml (Address)
(Phone)
S w Aj
TYPE OF WORK New Addition Remodel Renovate
CONST. TYPE
Wp
BUILDING SIZE
Estiln�ted Construction Valuation
F��
L
%B� CT��
OCCUPANCY
PERMIT FEES
CLASSIFICATION
��
BLDG. PERMIT �_—L--
DWELL
STORIES B 1 2 a
UNITS
STATE FEE
�S-
GAR. STALLS
NUMBER OF BEDROOMS
ATT
PLAN REVIEW
DET
SAC CHARGE
SEPTIC
�,
APP DATE �'%�
SEWER UNIT
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP DATE
OTHER
TOTAL DUE
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL
SEPTIC
SEWER
WATER
GRADING 6 FILLING
FIRE
COPY WHITE -FILE GREEN FINANCE
CANARY -INSPECTOR GOLD-RECLIPT
PINK• ASSESSOR
a**k"Pf &Ae. CeA- 9612le614410
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REOUESTS 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