HomeMy WebLinkAbout1986-09-08 App. & Permit, New Residence #6143ClTYofOROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
PERMIT NO. 6143'
DATE ISSUED
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
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ZONINGJpiSTRICT
FIRE D^PAR^ENf
POST
VAR. DATE
CX)ND. USE DATE
LOT AREAV /)cl/l^ i
WIDTH DEPTH
PROPOSED SETBACKS:
FRQjy^^/R SIDE ^
REAR LSIDE V/'
LAKE WETLANDS
3 3 '
ACCESS
NEW E)^TING__^
agency-apPhuv! l5ATt—
CITY
COUNTY
STATE
r^RIVATE EASEMENT J
SITE ADDRESS____
PROPERTY IDENTIFICATION NO (PIDl
LOT 5^ BLOCK L
OKI Mn iPini "//'I - ^ ^“7
SUBDIVISION.
(Name)(Address)O^ER
I la '~7Y]cl< / Lu
ARCHITECT/ENGINEER -'Must Certily Multi-Family. Con|<fi4rcial & Industrial Construction Plans
•ss) 'A
(Phone)
? 3‘r-yvs7
(Firm)(Address)(Phone)
BUILDER (Firm)(Phone)(Ajjress) ^ p
. y Q. V75 -Y9?^
TYPE OF WORK ewJ Addition
1 cl'C
Remodel Renovate
CONST. TYPE BUILDING SIZE
L W Ht
Estimated Construction Valuation
5 9'^, 0 o a
OCCUPANCY
CLASSIFICATION
DWELL
UNITS
STORIES B 1 3
GAR STALLS
ATT. y
DET.
NUMBER OF BEDROOMS y
SEPTIC
APP. DATE
PROPOSED USE
COUNCIL
APP. DATE
BLDG. PERMIT
state FEE
PLAN REVirW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
PERMIT FEES
J9Q.<rO
^ 7y. PC
REMARKS:\RKS: 'Pri/^31^ 4-^ cj,\ AlU^j aXZi ^ ^ i-JJ.
^ 1 r^^LA^^gjhrtCk O ri ^ CO <3_j/i ----------^
TOTAL DUE ^ S'?/
INSPECTION REQUIRED
.. . FOOTING before pour
. . . FRAMING rough in
. . . INSULATION
. . . WALLBOARO before taping
. .. FINAL before occupancy
□ ...........SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE.
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL.
WELL
SEPTIC
SEWER
WATER
GRADING & FILL.NG
FIRE................................
□
JS(□
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 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 MiNNf SOU^UILDING CODE REQUIREMENTS
SujnaluM*
COPY WHITE FILE
CANARY INSPECTOR
PINK-ASSESSOR
atooktyn Pn» • Ad« Co Inc 1612150144.0
GREEN FINANCE
GOLD RECEIPT
Approve
z D.ile
U OoZ-
'i-t-u.
.City of Orono
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