HomeMy WebLinkAbout1985-08-23 Permit, New Residence #5735()ltO NO
Building Perinit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
ZONING DISTRICT
1�--)
FIR DEPARTM NT
1,71r, LaKt.
POST OFFI
VAR DATk
COND. USE DATE
LOT ARE P C 1
WIDTH �� DEPTH r
r
PROPOSED SETBACKS
FRON d / R. SIDE /
REAR L. SIDE /
LAKE WETLANDS
of d e
ACCESS
��
6L w' EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS
SITE ADDRESS 7-3o OCI'c a z
PROPERTY IDENTIFICATION NO IPID)
PERMIT NO. 57351
DATE ISSUED Lei S
LOT _BLOCK
SUBDIVISION
OU
OWNER (Name)
(Address)
(Phgpey, 97'
Al le
ARCHITECT/ENGINEER - Must Certify Multi -Family.
Commercial & Indust al Construction Plans
(Firm) (Address)
(Phone) " `'
4 -
BUILDER (Firm) (Address)
(Phone)
rA
TYPE OF WORK ew Addition
Remodel
Renovate
r?C e
CONS7T TYPE
BUILDING SIZE
Esti ated Construction Valuation
l f!) IC
L W.
Ht
O i O U
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
L
DWELL
STORIES g t
j
_ -
UNITS
STATE FEE
PLAN REVIEW
: as
STALLS
NUMBER OF BEDROOMS 41
DIET
SEPTIC
SAC CHARGE
/1
0
APP DATE
SEWER UNIT
_Y3 -
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP DATE
OTHER
INSPLCTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
..... FOOTING before pour
.... FRAMING rough -in
PLUMBING
.... INSULATION
MECHANICAI.
..... WALLBOARD before taping
�...... FINAL before occupancy
WELL
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A I•I
SEWER
OUIRED INSPECTION WILL BE St N
JECT TO PENALTY
WATER
INSPECTIONS MUST BE CALLED Ir4
GRADING A FILLING
24 HOURS IN ADVANCE
FIRE
COPY WHITE -FILE GREEN FINANCE
CANARY -INSPECTOR GOLD
RECEIPT
PINK ASSESSOR
er"lio" 1101.% a M CO r- ,N, 7, jar "?a
TOTAL DUE
ACKNOWLEDGEMENT
IIIL UNDERSIGNED HEREBY REQUESTS PEFtMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATION CONDITIONS AND REOUIRE-
{�] 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
L_J
OF MINNESOTA BUILDING CODE REQUIREMENTS
C/
Aoproveo C,tv of Orono