HomeMy WebLinkAbout1986-05-16 Application & Permit, New Residence #5977CITY of ORO NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZL � DISTRICT
FIRE QEopARTMETr.
POST OFFICtJ
VAR.DATE
COND. USE DATE
LOT A A
WIDTH DEPTH
9. SD y t
PROPOSED SETBACKS
FRON T t R SIDE I p
REAR / L SIDE
100
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV DATE
CITY
COUNTY
STATE
RIVAT
REMARKS
PERMIT NO. 5977,
7
DATE ISSUED _D"
SITE ADDRESS � : I """ I/ I (=✓V
PROPERTY IDENTIFICATION NO IPIDI O'l - II7-D 3
LOT--- BLOCK SUBDIVIZION
OWNER (Name) IAddressl
(Phone)
ARCHITECT/ENGINEER - Must CertifkkMjllI- Family. Commercial & Industrial Construction Pd1ans
(Firm) IAddressl IPhonel
--� c� ✓� y
m BUILDER (Fir) (Address) Phone
y �l �
-idC Y - 7
TYPE OF WORK e _ dd(tlon Remodel Renovate
CONST TYPE
BUILDING SIZE
ated Construction Valuation
�TlniP
L.� J7'�� /1W
l_0FHI
D-66
OOO
OCCUPANCY
PERMIT FEES �
CLASSIFICATION
DWELL
UNITS
STORIES B t
�% 3
BLDG. PERMIT/�a
STATE FEE
Qj
S1
GAR STALLS
3
NUMB R OF 8 ROOMS
Me
PLAN REVIEWS
, J
�Z
SEPTIC
SAC CHARGE
�,
FE
APP_ DATEPOSED
USE
SEWER UNIT
PARK FEE
K�
A
PENALTY
COUNCIL
1APP
DATE
OTHER
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTING before pour
FRAMING roughen
PLUMBING
'bk..... INSULATION
MECHANICAL
..... WALLBOARD before taping
....FINAL before occupancy
WELL
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
QUIRED INSPECTION WILL BE SUB
JECT TO PENAL-Y
WATER
GRADING 6 FILLING
INSPECTIONS MUST BE GA. -LED -IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD
RECEIPT
PINK ASSESSOR
M oo. irn ►.. aAO. G. ILK (a 121 w.4ru
TOTAL DUE
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKt
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
Ind 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 Ali CITY OF ORONO ORDINANCES AND STATE
OF MINNFcOTA BUILDING CODE REQUIREMENTS /
❑ ti it�atun• , _Date J6
AnorOVed / (,I' (I"',
ill; I T 7)1'�G =::';i T A F PI.ICAT70N
In
BUILDING PERMIT APPLICATION REQUIREY.ENTS
f � ,
Requirements to be handed in with Building Permit Application:
Construction Pli`ns shouWclude: )
1.
2.
Building Permit Application - to be filled out S signed
Mechanical Permit Application s Calculation filled
1.
F, ItItQ plan �rI 7 JLL�_
V1
out
Z.
Footi undation plan
3.
Energy Calculations - filled out
3.
Elevato��ll.aLde6
I.
Furnish Septic Report S Design
4.
aior���...,,,
Wall f L Cross sections
S.
Furnish a Certificate of Survey, including hardcover calculations S.
Details - Seeisa and any special connections
and gradirg and drainage plans as required.
6.
Furnish 2 sets of Construction Plans:
a) 1 set for City to kelp on fi'e
I:) 1 set for builder to use on site
THE ABOVE INFORMATION MUST BE SUBMITTED BEFORE PIAN REVIEW IS DONE
Work beyond or without a required inspection will be subject to a penalty
CITY IISE ONLYtARCHIITECT�&NGINEER
TE A.1)D`r,, E SS 3CA 1 F•1kIL'_LX
!BUILDING PEkM1T 3
No. DATE IEGAIOLSCRIPIION PROP ID a:f _11Z — J
—� Lnr l Atncc f _susolvlsrON
ZONING DISTRICT ER (Name) (Address) (Phone)
rlRt ZONE
d q7 ll?N; GSt n:
— Must Certify Multi•Family, Commercial & Industrial Construction PIVAR DATET.NO. <<CfI S41�, - / 1S
CONo Lai DATE (Firm) (Address) (Phone)
LOT AREA 7 A(
n C
PROPOSED SET BACK$
PET IF, R slog 5 2
LAKE WETLANDS
ACCESS
NEW EXIST RIG
AGENCV APPROV DATE
uTV
CouNTy
STATE
PERMIT FEE&,'A3 d,C.
IILDG ►IRMIT
STATE FEE
o.
PLAN RIVIIW
otNwlTV
PANIC FIE
/_
W Sul'
SACCHARFiE
y 75 .-,
■ TOTAL DUE 107)' • A-j ■
BUILDER
TYPE OF WORK
CONST. TYPE
BLDG. SIIE
F�'Rrn 6
L 73'6 „
RESIDENTIAL
STORIES 8
DWELL. I
BDRMS/FLR
UNITS
GAR. STALLS
SEPTIC
1� % 3
,.PP. DATE
NON RESID
OCC.
CLASS.
STORIES
PROPOSED USE
COUNCIL
APP. DATE
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PLRMITS
igWLAT Oq
IILAN14l, __ - _ �_ _
w AIIaUAI.'7 aM�• 1��..
YIINA NIGAL _�
WORIC N TO40 CIA MT."" A RI
al Rep
GUICIIa OVICTIOW WILL II IUa
ACT TOPS"LT I
24 hour notice
`"OIN`ar'LL*lr
on all in sp.
ILICTAr[AL ►—I--
(Firm) (Address)
;LEI ac is t c Y►ncvT+�, mK;
AdU tion Remodel
R E r I'E 1.�[
EST. CONST. VALUATION
i
REMAW :
W -no , ' HI.
I C2,01 3
I
y N� r L�
(Phone)
(?3 -7 LSa - 3--OaSl
Renovate f I
The undersigned hereby nakes application for a building
permit for the work described, agrees to do all work in strict
accordance with the ordinances of the City of Orono and rulings
of the State Building Code Division, and declares that all
facts and representations stated herein are true and correct.
Date Signat ire