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HomeMy WebLinkAbout1987-05-28 App. & Permit, New Residence #6383ii 4 PERMIT NO. 6383 ' ClTYof OROXO Building Permit AND APPLICATION FOR CERTIFICATE OF OCCUPANCY P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 ^ FIRE DEPARJMTT. POST OFFICE VAR. DATE <_ COND USE DAT LOT AREA cJ WIDTH DEPTH,iso PROPOSED SETBACKS FRoyb^)^ ^s.DE^.X.y^ REAR L. SIDE LAKE WETLA NDS ACCESS EXISTING AGENCY-APPROV DATE CITY COUNTY STATE PRIVATE EASEMENT DATE ISSUED n SITE ADDRESS. PROPERTY IDENTIFICATION NO (PID) .BLOCK ILOT. ARCHITECT/ENGINEER - Must Cerlily Mulli-Family. Commercial & Industrial Construction Plans (Firm) (Address) (Phone) f)lu€ L •\( U. >K 65 ^ ^7_ BUILDER (Firm) 0 (Addre*) (Phone) OWNER - (Name) (Address) v (Phone) DUIk.l^&n inii; ^ Luhji,4^6r\ ^u. TYPE OF WORK CONST TYPE iddihM Remodel Renovate BUILDING SIZE L 3 W. OCCUPANCt’ CLASSIFICATION DWELL. UNITS STORIES B 1 ©3 STALLS DET. ^ NUMBER OF BEDROOMS SEPTIC APP DATE PROPOSED USE COUNCIL APP. DATE Estimated Construction Valuation PERMIT FEES BLDG. PERMIT _ STATE FEE PLAN REVIEW SAC CHARGE SEWER UNIT PARK FEE PENALTY OTHER 5^^ ^:iAXiAC> a) A REMARKS; . ^ ^KS: OjLiJr /iLU/^4 Qt^f t (s)!(a i L total due i 4'il /V'/3" ^ INSPECTION REQUIRED ... FOOTING before pour . . . FRAMING rough-in . . . INSULATION . . . WALL6OAR0 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 SEPAR^E PERMITS PLUMBING.................. MECHANICAL............ WELL......................... SEPTIC....................... SEWER....................... WATER....................... GRADING ft FILLING FIRE.......................... a □□□□ ACKNOWLEDGEMENT THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND DECLARES UNDER penalty OE 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/jbRDINANCES AND STATE OF MINNE^ A B^DI^ Cf^'^E^IREMENTS Signature COPY WHITE-FILE CANARY-INSPECTOR PINK-ASSESSOR koaklyn fr«» • Adv. Co Inc 16131 Ml-«4ra GREEN FINANCE GOLD-RECEIPT Approved e/y// /______Dale .City of Orono