HomeMy WebLinkAbout1985-09-04 App. & Permit, New Residence -2Pgs #5741CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
F
NG DISTRICT
M 8 DEPARTMENT
A
POST O FICE
VAR.DATE
COND. USE DATE
LOT AREA
2. S Ac.
WIDTH DEPTH
65�
PROPOSED SETBACKS:
FR T R. SIDE
0
REAR L. SIDE
ios'
LAKE WETLANDS
ACCESS
EXISTING
A NCY-APPROV. DATE
CITY
00. F
COUNTY
STATE
PRIVATE EASEMENT
REMARKS:
PERMIT NO. 5741,
DATE ISSUED 5 r I - O S
SITE ADDRESS 117 ,ew A
PROPERTY IDENTIFICATION NO. (PIDI
LOT BLOCK SUBDIVISION
OWNER (Name) (Address) (Phone)
tests M.4hu,n q73-886A
ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm)
(Address) Whonel
TYPE OF WORK
® Addition
Remodel
Renovate
CONST. TYPE
BUILDIt
IZE
Estimated Construction Valuation
L.
W. Ht.
c% 013
Q40O
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
7-10
DWELL.
STORIES B C 2 3
UNITS
STATE FEE
-•sv
___� , L570
gALSTALLS
NUMBER OF BEDROOMS
3
ED 3
PLAN REVIEW
DET.
�2-5, GC
SEPTIC
11
APP. DATE
SAC CHARGE
SEWER UNIT
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP DATE
OTHER
TOTAL DUE
1 �t+ • 2�
INSP CTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTING before pour
FRAMING rough -In
PLUMBING
INSULATION
MECHANICAL
WALLBOARD before taping
...FINAL before occupancy
WELL
(y..... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
QUIRED INSPECTION WILL BE SUB.
JECT TO PENALTY.
WATER .
GRADING d FILLING
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE -FILE GREEN FINANCE
CANARY INSPECTOR GOLD
RECEIPT
PINK -ASSESSOR
MowlYn /rty •Mv Co Inc I.171561 �70
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENI 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
OF MINN BUILDING CODE REQUIREMENTS
Siynalur Dale ��