HomeMy WebLinkAbout1987-01-02 App. & Permit, New Residence #6259<:iTYof OROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
PERMIT NO. 6259’
/- ^-91DATE ISSUED
ZONI
FIRE D
DISTRICT
DEPARTMENTTJ .
POST OFFICfFFICE
VAR DATE J
COND. USE DATE
LOT AREA
WIDTH6no 'DEPTH
PROPOSED SETBACKS
FRONI _ . R. SIDE .
REAR , . L SIDEnil.
71
I
LAKE
4f0‘
IDSWETLAN
^ ov t
ACCESS
EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS <0 /^/f lP£
PROPERTY IDENTIFICATION NO (PID) //) ' //O______________________________________
LOT- /---------BLOCK stjRni\/isiotsLJ7Ao
^NER (Name) (Address;
Lyfinv'lf^
(Phone)
ARCHITECT/ENGINEER - Must Cerlily Multi-Family. Commercial & Industrial Construction Plans
(Address) (P»^one) ^ ^
^ . *5//1>/'A ^ ?>to CjiJi,!/
BUILDER (Firm)L> imddr^s) (Phone)‘w^ooressi (Phone) ^ .
TYPE OF WORK
CONST TYPE
I Addition Remodel Renovate
BUILDING SIZE
L O/) ' W viLj '
OCCUPANCY
CLASSIFICATION
DWELL
UNITS
STORIES B 1 3
GAR STALLS
ATT
DET ^
NUMBER OF BEDROOMS
SEPTIC .y
App DATE y.:3-y<7 L
PROPOSED USE
COUNCIL
APP DATE
Estimated Construction Valuation
BLDG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
PERMIT FEES
:59S.
o?17-7y
REMARKS.
L
INSPECTION REQUIRED
...........FOOTING belore pour
...........FRAMING rough in
..............INSULATION
..............WALLBOARD belore taping
j?..............FINAL beloie occupancy
C..............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,uSPECTOR
PINK ASSESSOR
BioMivnPna A Ado Co Inc let2IMIA4ro
WORK REQUIRING
S‘=PARATE PERMITS
PLUMBING
MECHANICAL
WELL
SEPTIC
SEWER
WATER
GRADING & FILLING
FIRE
□□□□
GREEN FINANCE
GOLD RECEIPT
ACKNOW'LEOGEMENT
the undersigned hereby REUUESTS 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 V/ORK IN STRICT COM
PLIANCE with ALl CITY OF ORONr) ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
S-gnatiiM-
_____n.,. iL/iti
Approver jf '>of Otono