HomeMy WebLinkAbout1986-04-25 App. & Permit, New Residence #5953GITYof ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. 55323 473-7357
PERMIT NO. 5953
v-ps -aiDATE ISSUED
Z OWING DISTRICT
IB
FIRE DEPARTMENT,
POSTOFFIOU
VAR. DATE
COND. USE DATE
LOT AREA
PROPOSED SETBACKS:
FRON^^' ”
REA^ . . t L SIDE
I
LAKE WETLANDS
ACCESS
EXISTING
•PROV. DATE
CITY
COUNTY
STATE
-Private easement
SITE ADDRESS I (pfyL) ^
PROPERTY IDENTIFICATION NO (PID)
LOT 21 BL0CK ^SUBDIVISION.
C :7>7
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1/6
if •It
OWNER (Name)(Address)(Phone)(Name) (Address) / ^ (Phone)
ARCHITECT/ENGINE’eI^ - Must Certify Mult^Family.C^mercial & Industrial Construction Plans ^
(Firm)ir-irmi
Must Certify Multi-Family. Commercial & Industrial Construction Plans
(Address) , IPhone)
^1 BUILDER (Firm)
_________TYPE OF WORK QNew ^
(Firm)(Address)(Phone)
Addition Remodel
CONST. TVPEUpo^BUILDING SIZE
m
T?!
Renovate
L.W ■3>y Ht
^fKmated Construction Valuation
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS
STORIES B 1 3
GAR. STALLS
ATT.
DET.SEPTIC'
NUMBE^O^ED^g^S^
i:n
APP. DATE A
PROPOSED USE
•A.P5-S^
COUNCIL
APP. DATE
O 6n ocn
PERMIT FEES
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BLOG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER ^
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/TSiO
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INSPECTION REQUIRED
.... FOOTING before pour
.... FRAMING rough-ln
.... INSULATION
WALLBOARD belore 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
COPY WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
■toofehin Pf1« a Atf* Co Inc 10121 Ml 44n)
WORK REQUIRING
SEPARATE PERMITS
PLUMBING ...........
MECHANICAL...........
WELL ............
SEPTIC ..................
SEWER.......................
WATER ..........
GRADING a FILLING
FIRE..........................
f□□□□□□
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PENALTY Of LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE or ALL INFORMATION CONDITIONS AND REQUIRE
MENTS REPRE.SENTED ON THIS DC}CUMENT 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 REOUIREMENTS
;
green-finance
GOLD-RECEIPT
Signaturp^/>V-
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