HomeMy WebLinkAbout1987-04-22 App. & Permit, New Residence #6338(:i'TY of OWENO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-735-7
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E A T ENT
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VAR.DATE
DATE
Air
LOT AREA ,
WIDTH DEPTH D /
PROPOSED SETBACKS:
FRO TC R. SIDE
REAR L. SIDE UJ _ /
LAKE WETLANDS
ACCESS
NEW a
AGENCY-APPROV DATE
CITY
&W, , JC
COUNTY
STATE
PRIVATE EASEMENT
REMARKS.
PERMIT NO. 63381
DATE ISSUED /
SITE ADDRESS
I
PROPERTY) IDENTIFICATION NO (PIDI
_
LOT _pS____BLOCK ! SUBDIVISION
OWNER (Name)
(Address) (Phon 5-/.
ernjDn
ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans
(Firm)
(Address) (Phonevi-1 -/ p//
ld 5 M f! -
11---034 4'464. w't-_eta
BUILDER (Firm)
(Address) (Phone)
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3 �,�c �t1ar 471,' y
11 r rL
,C. )j a,
TYPE OF WORK ew d
on Remodel Renovate
CONS? ,TYPE
BUILDING SIZE
Estimated Construction Valuation
L W.
Ht.3 V
LX
OCCUPANCY
PERMIT FEES
CLASSIFICATION
BLDG. PERMIT —7a 3, [oU
DWELL.
STORIES B 1
3
UNITS
STATE FEE •-
GAR. STALLS
NUMBER OF BEDROOMS
3
ATT.
PLAN REVIEW
DET 9`
SEPTIC
APP DATE
SAC CHARGE
SEWER UNIT
PARK FEE
PROPOSED USE
PENALTY
COUNCIL
APP.DATE
OTHER
TOTAL DUE { ��•
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
... FOOTING before pour
... FRAMING rough -In
PLUMBING
... INSULATION
I
MECHANICAL
... WALLBOARD before taping
WELL
..... FINAL before occupancy
❑ ...... SITE INSPECTION
SEPTIC
❑
WORK BEYOND OR WITHOUT A RE-
SEWER
QUIRED INSPECTION WILL BE SUB-
WATER
❑
JECT TO PENALTY.
GRADING 8 FILLING
INSPECTIONS MUST BE CALLED -IN
}❑
24 HOURS IN ADVANCE
FIREPIa t(,,
COPY WHITE -FILE GREEN FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
PINK ASSESSOR
bookivn ht6 • Adv Co Inc 1612) 561 4410
ACKNOWLEDGEMENT
THE. UNDERS! NED HEREBY REUUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIFU AND DFCLARES
UNDER PENALT`r 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-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESO A BUIID%IJN■CiCODE REQUIREMENTS
i
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