HomeMy WebLinkAbout1987-06-08 App. & Permit, New Residence-2Pgs #6400CITY of ()ROAN
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
ZONING DISTRICT
LR-1B
FIRE DEPARTMENT
Mound
POST OFFICE
Mound
Vi. R DATE
5/11/87 Resol
CCND. USE DATE
LOT AREA .45 aC
WIDTH DEPTH
1271 ' PROPOSED SETBACKS
FRONT411 R SIBS str e�
REAR L. SIDE
63' 31.23
LAKE WETLANDS
NA
ACCESS
NEW EXISTING
AGENCY-APPROV.DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS
PERMIT NO. 64001
DATE ISSUED 6/8/87
SITE ADDRESS 4160 Forest Lake Drive.
PROPERTY IDENTIFICATION NO (PID) c, 7 — // .d 3 3
LOT 4 BLOCK 1 SUBDIVISION Forest Arms Country
OWNER IName) (Address) (Phone)
Bert Norman
ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans
(Form) (Address) (Phone)
BUILDER (Firm) (Address)
(Phonel
Dave Rod Const. 17335 13 Ave N. Plymouth 473-7157
TYPE OF WORK New Addition Remodel Renovate
New -Res
CONST TYPE
BUILDING SIZE
ood Fr
64.5 32
L W
Ht28
OCCUPANCY
CLASSIFICATION Single Family
res
DWELL
STORIES B 1 2
3
UNITS
GAR STALLS
NUMBER OF BEDROOMS
3
ATT
DIET.
SEPTIC
APP DATE
PROPOSED USE
COUNCIL
APP DATE
INSP CTION REQUIRED
WORK REQUIRING
FOOTING before pour
SEPARATE PERMITS
V i r t 14 C
.... FRAMING rough -In
PLUMBIN
Y INSULATION
MECHANICAL
//.... WALL bOARD before taping
WELL
T7
L!7
I/7 ...... FINAL before occupancy
❑
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
09
QUIRED INSPECTION WILL BE SUB
WATER
❑
JECT TO PENALTY
GRADING d FILLING
❑
INSPECTIONS MUST BE CALLED -IN
FIRE
❑
24 HOURS IN ADVANCE
COPY WHITE FILE GREEN FINANCE
CANARY -INSPECTOR GOLD
RECEIPT
PINK ASSESSOR
M.o.lrn My • •d. Co Ina 161216914410
Estimated Construction Valuation
130,000
PERMIT FEES
BLDG. PERMIT
508.00 _
STATE FEE
_65.00
330.20
PLAN REVIEW
_
525.00
SAC CHARGE
SEWER UNIT
225.00
430.00
PARK FEE
PENALTY __.-_
OTHER
TOTAL DUE 2083.20
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATION COND;TIONS 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
or MI 'OTA BUILDING C E REQUIREMENTS
r
dtur Da 1,
Approved ` of Orono