HomeMy WebLinkAbout1986-02-21 Permit, New Residence #5903(:1TY of t wAyt )
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
ZONING ISTRICT
C,
FIRED TMENT
0
POST OFFICE
V DATE I
CON SE DATE
LOT AREA
Z 3y
WIDTH_ DEPTH
5' 0�
PROPOSED SETBACKS
FRONJO S ASIDE 3 L)
I/ I
REAR L. SIDE
.,-
LAKE WETLANDS
U 6 I ---
ACCESS
NEW xll
AGENCY-APP
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS
SITE ADDRESS_ 2S W IV-,- t
PROPERTY IDENTIFICATION NO IPIDI
LOT BLOCK
OW FR �,- INamel
PERMIT NO. 5903
DATE ISSUED s;t it Uc
1-7---x
SUBDIVISION
IAddressl
ARCHITECT'ENGINEER - Must Certify Multr•Farndy. Comme cla, 8 tnJustrill Construction Plans
I F1rm1 lAddressl (Phone)
BUILDER iFrrnn IAddresst IPhonel
ickri l !�4& fihc(
TYPE OF WORK Nr•w Additiem Remodel Renovate
CONST TYPEJ
BUILDING SIZE
SE,IjIe
rrl
L W
OCCUPANC
CLASSIFICATION
DWELL
STORIES B 1 2
UNITS
GAR STALLS
NUMBER OF FiEDROOMS
ATT
OFT
SEPTIC
APP DATE
PROPOSED USt
COUNCIL
APP DATE
YIrJSP CTION REQUIRED WORK REQUIRING
FOOTING before pour SEPARATE PERMITS
FRAMING rough-m PLUMBING
INSULATION MECHANIC Al
WALLBOARD before tapinq
FINAL before oecupancv WELL
...... SITE INSPECTION SEPTIC
WORK BEYOND OR WITHOUT A RE SEWER
OLiRED INSPECTION WILL BE SUB. WATER
JECT TO PENALTY
INSPECTIONS MUST BE CALLED -IN GRADING A FILLIN(l.
24 HOURS IN ADVANCE I FIRE
COPY WHITE FILE- GREEN FINANCE
CANARY -INSPECTOR GOLD RFCEMY
PINK ASSESSOR
Fe..lvw M6 • Ae. Co -I -6171 561 6. r)
Estimated Construct )n Valuation
HI S V `, r
PERMIT FEES
BLDG. PERMIT q1D ._�m
STATE FEE
PLAN REVIEW
SAC CHARGE ,
SEWER UNIT `-Y 6 2 v v
PARK FEE
PENALTY
OTHER [scn'mo 30.
10TAL FLUE 1 I9 s i) /1
ACKNOWLEDGEMENT
THE UNDERSIGNLD HEREBY REQUESTS PERMISSION TO MAKE
r✓ 'HE RE At IMPROVFMENTS SPECIFIED AND DECLARES
1Q INDER PENAI TY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCr OF AL. INFURMATION CONDITIONS AND REOUIRE•
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
NIIANCE WITH ALI CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTABUILDING CODE RFOUIREMFNTS
O„u.1a � � I 6
—c-t-0 .