HomeMy WebLinkAbout1985-04-29 App. & Permit, New Residence #5603fCITYofORONO
Building Permit
T .
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473 73
SITE ADDRESS
PERMIT N9 ^ 56031
DATE ISSUED
EXPIRES
ZONING DISTRICT
^R- /A
FIRE ZONE L . C.
VAR. DATE
COND. USE DATE ^
WIDTH /DEPTH /y
PROPOSED SETBACKS
FRONT^^ / R.SIDE
REAR
LAKE WETLANDS
ACC|Sfr->v
^6W—^
VeeNer-APP
EXISTING
-APPROV. DATE
CITY
STATE
PR. EASEMENT
LEGAL DESCRIPTION: PROP. ID. /J7' 3> ^___
LOT L BLOCK ^IRniVISION J
nnc>y
DWN^(Name)
yA'ln l<^rhr-y^—^
(Address)
ARCHITECT/EN5JNEER -
CERT.NO.
(Phone)
c/7/-r^</<r
'/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans
r7T S . n <RrJb/exf. a}£ v>7vV<; .
(Firm) (Address) T (PWone) C9i7
AJ (1 J-OJri oJtiu. l4fTy*^S T^'-ryiA^a
BUILDER (Firm)(Address)
TYPE OF WORK
(Phone)
Addition Remodel Renovate
CONST. TYPE
jL'€S, a jf
BLDG. SIZE
^(X/^ L. ^ W UQ ^ ^
RESIDENTIAL
DWELL.
UNITS
STORIES B
BORMS/ELR
1 2 3
GAR STALLS
ATT
DET
SEPTIC
APPDATE
NON RESID
OCC.
CLASS.
DOCK
PROPOSED USE
EST. CONST. VALUATION
/ ^(/Sl,0O0
PERMIT FEES
BLDG. PERMIT ^Ys’^OO
STATE FEE
PL.AN REVIEW
PENALTY
PARK FEE
SAC CHARGE
/^ /^oo
STORIES COUNCIL
APP. DATE TOTAL DUA/ 7^^
REMARKS:
INSPECTION REQUIRED►ECTIpl
^FOOTING before pour
^FRAMING rough-in
^..-INSULATION
_WALLBOARO Before Taping
FINAL before occupancv
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALLS 12 A.M. INSP. 1 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING _
MECHANICAL .
WELL_______
SEPTIC.
SEWER .
WATER
GRADING & FILLING
ELECTRICAL from State
ACKNOWLEDGEMENT
THF UNDERSIGNED HEREBY REOUESTS 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 WORKS IN STRICT COM
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REOUIREMENTS.
COPY: WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
Signature
GREEN- FINANCE
GOLD-RECEIPT
Approved
mil/
1
1 of Orono