HomeMy WebLinkAbout1985-06-14 App. & Permit, New Residence-2Pgs #5653CITE' of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
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POST OFFI E
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VAR.DATE
COND. USE DATE
LOT AREA f
WIDTH DEPTH
PROPOSED SETBACKS:
FR T / R. SIDE �
RE 3 3-0-6�
L. SIDE /
LAKE WETLANDS
ACCESS
FCY-A�PPROV.
EXISTING GATE
CITY
COUNTY
STATE
PR VAT EASEMENT
REMARKS
PERMIT NO. 5653
DATE ISSUED
SITE ADDRESS - 1 / /\�
PROPERTY IDENTIFICATION NO IPIDI
LOT BLOCK SUBDIVISION
OWNER INamel (Address), (Phone)
ARCHITECT/ENGINEER - Must Certify Multi -Family. Commc,clal 8 Industrial Construction Plans
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(Address)
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(Phone)
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BUILDER
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TYPE OF WiQRK
ew Addition
Remodel
Renovate
CONST. TYPE
BUII-DING SIZE
Estimated Construction Valuation
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OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
STATE FEE
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DWELL. /
UNITS
STORIES 2 G
GAR STALLS
NUMBEF OF, BEDROO S
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PLAN REVIEW
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DIET
SEPTIC
APP. DATE
-SPROPOSED
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SAC CHARGE
SEWER UNIT
USE
PARK FEE
1111
PENALTY
COUNCIL
APP.DATE
OTHER
INS CTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTING before pour
.... FRAMING rough -in
PLUMBING
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... INSULATION
MECHANICAL
12
WALLBOARD before taping
WELL
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FINAL before occupancy
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
❑
QUIRED INSPECTION WILL BE SUB
WATER
❑
JECTTO PENALTY
GRADING 8 FILLING
❑
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE
FIRE
❑
COPY WHITE FILE
GREEN -FINANCE
CANARY -INSPECTOR
GOLD RECEIPT
PINKASSESSOR
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MWhqnt NM
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TOTAL DUE )1 ') n rl)
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED A"ID DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF ALL INFOHMATICN 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
OF MINNE.SOTA BUII DING CODE RE IIREMENTS
S p,alwe! / z Dale
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