HomeMy WebLinkAbout1987-04-20 App. & Permit, New Residence #6330CITY«rORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
PERMIT NO. 6330 '
DATE ISSUED 4/20/87
ZONING DISTRICT
RR-IB
FIRE DEPARTMENT
T.ftn^ T.alee
POST OFFICE
Hayzata
VAR. DATE
SITE ADDRESS.1290 French Creek Drive
PROPERTY IDENTIFICATION NO. (PIDl
LOT_____________BLOCK_________
/ O - // 7 • .-SL? ooH
SUBDIVISION_______________________________
COND. USE DATE
LOT AREA
lac+ PRD
WIDTH DEPTH
191* 197*
PROPOSED SETBACKS:
FRONTS SIDE 72.7*
REAR LSIDE
91 72.7*
LAKE WETLANDS
26**l-
ACCESS
NEW EXISTING
AUtlMuV^XPPWW. UAIb
CITY
COUNTY
STATE
PRIVATE EASEMENT
OWNER (Name)
Jensen Homes, Inc.
(Address)
900 E. Wayzata Blvd
(Phone)
475-0548
ARCHITECT/ENQINEER ■ Must Certify Multi-Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER
Owner
(Firm)(Address)(Phone)
TYPE OF WORK New Addition
New-Res
Remodel Renovate
CONST. TYPE BUILDING SIZE
L. 122' w 40'Ht
Estimated Construction Valuation
$400,000
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS
STORIES B 1 2 3
GAR. STALLS
ATT.
DET.
NUMBER OF BEDROOMS 4
SEPTIC
APP DATE 4-17-87
PROPOSED USE
COUNCIL
APP. DATE
PERMIT FEES
BLDG. PERMIT 1185.50
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
200.00
770.58
REMARKS:TOTAL DUE 2156.08
i
I
INSPECTION REQUIRED
CX...........FOOTING before pour
CX...........FRAMING rough in
DC...........INSULATION
1^...........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
Fireplace....
PLUMING ................
MECHANICAL.....................
WELL...............................................
SEPTIC...............................................
SEWER............................................
WATER.
GRADING & FILLING..................
FIRE....................................................
ibo
ti
□□□□
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 REOUIRE-
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 MINNESOTA BUILDING CODE REQUIREMENTS
Signature,
COPY: WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
•roMIvn Pnt. • Ad«. Co. I<w 16171 Ml-Mro
GREEN-FINANCE
GOLD RECEIPT
.Dale
Approved i City of Orono