HomeMy WebLinkAbout1986-06-18 Permit, New Residence #6021CITE' of ORONO Building Permit PERMIT NO. 60211
AND APPLICATION FOR CERTIFICATE OF CCCUP,ANCY
DATE ISSUED
P.O. BOX 66, CRYSTAL BAY. MN 55323 473
P
STRICT
MENT
POST OFFICE
VAR.DATE
COND USE DATE
LOT AREA
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WI TH DEPTH
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PROPOSED SETBACKS.
FROPT R. SIDE 7 1_
REAR L. SIDE T
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LAKE WETLANUS
accEss
EXISTING
A CY-APPROV.DATE
CITY _
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COUNTY
STATE
PRIVATE EASEMENT
REMARKS
SITE ADDRESS %-ki
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PROPERTY IDENTIFICATION NO ID,
—
O
LOT_gLOCK
SUBDIVISION
_
O R (Name)
(Address)
(Phone)
ARCHITECT/ENGINEER - Must Certif
Multi -Family, CoMmerctaft
Industrial Construction Plans
IFIrm)
i
(Address)
(Phone)
BUILDER (Firm)
(Address)
(Phone)
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TYPE OF WOfT ew Addition Remodel
Renovate
L:UNST TYPE
BUILDING SIZE
Estimated Construction Valuation
L W 39 if Ht r
Q 000
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
DWELL.
STORIES B 3
UNITS
STATE FEE �00
GAR STALLS
NUMBER OF BEDROOMS
ATT
PLAN REVIEW _v
DET.
t/—sue
SAC CHARGE
SEPTIC
APP DATE
SEWER UNIT
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP DATE
OTHER
INSPECTION kEOUIRED
WORK REQUIRING
SEPARATE PERMITS
❑ ......FOOTING before pour
❑ ...... FRAMING rough -on
PLUMBING . •......
❑
❑ ...... INSULATION
MECHANICAL
❑
.... WALLBOARD before taping
.... ..... ...
...
❑ ......FINAL before occupancy
WELL ...............
.. ❑
❑ ...... SITE INSPECTION
SEPTIC ..................
❑
WORK BEYOND OR WITHOUT A RE-
SEWER ......................
❑
OUIRED INSPECTION WILL BE SUB-
❑
JECT TO PENALTY
WATER
INSPECTIONS MUST BE CALLED -IN
GRADING 8 FILLING ....
...... ❑
24 HOURS IN ADVANCE
FIRE
❑
COPY WHITE -FILE GREEN FINANCE
CANARY INSPECTOR GOLD -RECEIPT
PINK ASSESSOR
&*"I'- NIS a Ae. Co Ise i6171 541 NM
TOTAL DUE
1" / `l S !]
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 ANO STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
Sgnaiw, ! Date ��—
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