HomeMy WebLinkAbout1987-06-19 App. & Permit, New Residence #6423i
CITY of OROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
PERMIT NO. 6423 *
DATE ISSUED 6/19/87_
ZONING DISTRICT
RR-IB
FIRE DEPARTMENT
LL
POST OFFICE
LL
VAR. DATE
COND. USE DATE
LOT AREA
6+
WIDTH
346*
DEPTH
1288*
PROPOSED SETBACKS:
FRON590* R SIDE X50*
REAR L SIDE
600*154.4*
LAKE WETLANDS
ACCESS New
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
lot CLOCK ---------------------SUBDIVISION.
OWNER (Namei (Address! (Phone)
John Hallson 2056 Grand Ave. LL_ _ _ _ _ _ _ _475-3266
ARCHITECT/ENGINEER - Must Certily Multt-Family. Commercial & Industrial Construction Plans
I iPhnno)(Firm)
Hyles Graff
(Address)(Phone)
473-7362
BUILDER
Dwner
(Firm)(Address)(Phone)
TYPE OF WORK New Addition
New-Res
Remodel Renovate
CONST TYPE
PR
BUILDING SIZE
L 32 w 24 Ht
Estimated Construction Valuation
92,000
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS 1
STORIES B 1 J.3
GAR. STALLS
ATT.
DET 3
NUMBER OF BEDROOMS 4
SEPTIC
APP DATE
PROPOSED USE Res
COUNCIL
APP DATE
PERMIT FEES
BLDG. PERMIT 4 0 9^^^^
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
46.00
265.85
REMARKS
TOTAL DUE 720.85
John Gerhardson to approve new curb cut^
INSPECTION REOUIRED
QO...........FOOTING belore pour
QQ...........FRAMING rough-m
IX...........INSULATION
50..........WALLBOARD before taping
^..........FINAL belore 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 A FILLING
Wood burning
unitFIRE
0m
0
(5□□□
0
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 MINNESOTA BUILDING CODE REQUIREMENTS
COPY white-file
CANARY-INSPECTOR
PINK-ASSESSOR
B>ooklyn a All* Co Inc 16121 bei-MIO
GREEN FINANCE
GOLD RECEIPT
Signalurr’
Approved
t -1.
/
Date.
ly ol Orono