HomeMy WebLinkAbout1987-05-22 App. & Permit, New Residence #6377CITY of tRl[)*O
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
R -IB
FIRE DEPARTMENT
Long Lake
POST OFFICE
Long Lake
VAR. DATE
C ND. USE DATE
LOT AREA
2+Acres
WIDTH 365 DEPTH
965'
PROPOSED SETBACKS:
FRONT300 A' SIDE
62'
REAR L. SIDE
5001+ 1001+
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
REMARKS:
PERMIT NO. 63771
DATE ISSUED 5122197
SITE ADDRESS 2240 FOX STreet
PROPERTY IDENTIFICATION NO (PID 3— 17-23 32 0009
LOT 4 BLOCK 1 SUBDIVISION a ey $ an
OWNER (Name) (Address) 829-7280 (Phone)
James R. Johnson, 8327 W Bush Lk Rd, Bloomington
ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
Work 931-4026
BUILDER (Firm) (Address) Whonel
Owner
TYPE OF WORK New
Addition
Remodel
Renovate
New -Residence
CONST. TYPE
BUILDING SIZE
Estimated Construction Valuation
64'x40'*,2
Storiept
$175,000
L
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT
DWELL.
1
STORIES B
t X* 3
UNITS
STATE FEE
_87.50__
403.33
GAR. STAILS
NUMBER OF BEDROOMS
ATT.
PLAN REVIEW
DET.
SAC CHARGE
NA _
SEPTIC
APP. DATE
SEWER UNIT
_ _
PROPOSED USE
PARK FEE
Pd.wisubld.
PENALTY
COUNCIL
APP DATE
OTHER
_
John Gerhardson must approve new curb cut I TOTAL DUE 181 3 3
SEPARATE FIREPLACE PERMIT REQUIRED.
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
® ...... FOOTING before pour
...... FRAMING rough•in
PLUMBING
...... INSULATION
MECHANICAL.
WALLBOARD before taping
WELL
.... FINAL before occupancy
SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
WATER
GRADING A FILLING
INSPECTIONS MUST BE CALLED -IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE FILE GREEN FINANCE
CANARYINSPECTOR GGLD RECEIPT
PINK -ASSESSOR
Fa•►rvn M•.•" Co Inc I{t 2154144r0
ACKNOWLEDGEMENT
THE UNDERSIGNED HEOEBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY OF LAW 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
PIJANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MI NF SOTA HUIL DING CODE REQUIREMENTS
OS�gndtur _ die
n-
Ai)I) evl