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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