HomeMy WebLinkAbout1986-09-04 App. & Permit, New Residence-2Pgs #6140CITY4 ORO NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
-ONING DISTRI T
FIRE DEPA TMENT
urla
POST OFF(
Ou IZ
VAR. DATE
COND. USE DATE
LOT AREA
too s F,
WI(ITF1 DEPTH
PROPOSED SETBACKS.
FRONT . SIDE 4J1
REAR /� L SIDE ��L-7.
0 4. WETLANDS
�s
LAKE
ACCESS
NEW (STING '
AGENCY-APP
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS'
r
SITE ADDRESS I)y �
PERMIT NO. 6140
DATE ISSUED
PROPERTY IDENTIFICATION NO (PIDI r- 1 1 - // / - crj-
LOT BLOCK SUBDIVISION__
O R INdmei (Address) IPhonel
Fj ForP ;�" �M �`lz--
ARCHITECT NGINBER - Must Certify Multi -Family. Commercial & Industrial Construction Pal -arms
IFirml (Address) (Phone)
BUILDER
IFirml
(Address)
(Phone)
- Y630
a��
TYPE OFVORK
New
Addition Remodel
Renovate
Jio .
CONST TYPE
BUILDING SIZE
Estimated Construction Valuation
L 41OQ"' W.
p
`�r Ht�8
6
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
DWELL
STORIES B 1 2 U
UNITS
STATE FEE
PLAN REVIEW
JJ
STALLS
ATT �3
NUMBER OF BEDROOMS
1
ET
lc)
7� C'2
SEPTIC
APP DATE
SAC CHARGE
SEWER UNIT
/
PROPOSED USE
PARK FEE
PENALTY
COUNCIL
APP DATE
OTHER
TOTAL DUE
INS P TION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTING before pour
f FRAMING rough -in
PLUMBING
INSULATION
MECHANICAL
WALLBOARD before taping
WELL
CI ...... FINAL before occupancy
Ll ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE.
SEWER
QUIRED INSPECTION WILL BE SUB.
JECTTO PENALTY
WATER
INSPECTIONS MUST BE CALLED -IN
GRADING b FILLING
74 HOURS IN ADVANCE
FIRE
(.' SPY wi(i t[ i it ! GRI EN FINANCF
CANARY INSPI l..TOH GOt D
RECEIPT
PINK -ASSESSOR
1100►IVn F,1& F AO* Co. la. I6121561 44IU
FOR
01
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY RLUUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF tAW 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 AND STATE
CIF MINNESOTA BUILDINr; ,ODF REOUIREME S
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