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HomeMy WebLinkAbout1982-4841 - addition/renovate �S.... .. . _. .. ....,�: . v \ �,. Yr. � �r . . .•. . .. •�. ...:.... . .. . ... . .. . ...... .. •'w.. ¢ �� . ..: 'Y"��° :. - . . � . . � . ... , _ ��! <-.. ;.. YU� � NO PERMIT �� r 4�4i ( 4Building Permit - " AND APPUCATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED Q" �^�� � ;,: �,:. EXPIRES f P,O.:BOX 66,'CRYSTAL BAY, MN 55323 473-7357 SITE ADDRESS��,t�� ,';` � �„ .ZONING DISTRICT` � s�-s-e — � ;- • I.EGAL DESCRIPTION: PROP. ID. �,C,/7—�.� � _ � ��` � LOT BLOCK StJBDIVISION _ �FIRE ZONE � ; WNER (Name) (Ad�ress) (Phone) � ;,VAR.DATE G�.�e� "' ':' ARCHITECT/ENGINEER—Must Certify Multi-Family,Commercial& Industrial Construction Plans k` `COND. USE DATE ERT.NO. "� (Firm) (Address) (Phone) �, LOT AREA • ,;; ;� . ` WIDTH DEPTH BUILDER (Firm) (Address) (Phone) � PROPOSED SETBACKS` ; "FRONT R.SIDE ": TYPE OF WORK New Additio Remodel Renova . ...» ._ , • � �REAR L.SIDE tir.�s>��-: . . . . ,*,. _ � ,�: ` CONST.TYPE BLDG.SIZE EST.CONST.VALUATION � .�AKE,., WETLANDS � E; "� �t� L. W. Ht. �1.Ar3��0 c7CiCiCJ r A�E� RESIOENTIA STORIES B 1 z s PERMIT FEES �'� �' - .:; ° ,� BLDG.PERMIT �j�� �` NEW' EXISTING DWELL. BDRMS/FLR s� �AGE�ICY-APPROV.DATE uNirs STATE FEE ''CITY r:, GAR.STALLS SEPTIC ' �,'a`� w.;. ATT. APP.DATE PLAN REVIEW �— �COUNTY,, � + .; DEr. PENALTY - t4�a��1.s,� +,•,.� DOCK �STATE'' +. NON•RESID. PROPOSED uSE PARK FEE �;; � . - *!: . , , sPR.,EASEMENT oCC. SAC CHARGE ;'-4,a, CLASS. STORIES COUNCIL �.;4t�. ��' APP.DATE TOTA� DUE Q� K�REMARKS: '��e C�Q7��'��a�17ri.r dd,7.C.0 �1J�/L12[d� �� S S'� - '��- .� - �.�ru.0 — �/1,�et� �l..,w•�c�7 � d� S St.�� s. .r, ;� ` ' sx�� ,�r1c� ���) �� . . "` � / � � INSPECTION REQUIFiED WORK REQUIRING ACKNOWLEDGEMENT SEPARATE PERMITS `,� , ; =�•FOOTING before pour THE UNDERSIGNED HEREBY REQUBSTS PERMISSION TO MAKE �.,_�FRAMING rough•in ,� � < �_t0 INSULATION PLUMBING THE REAL IMPROVEMENTS SPEC�FIED, AND DECLARES '.i h '�. WALLBCjARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- � �' ' � WE�� ANCE OF ALL INFORMATION, CONDITIUNS AND REQUIRE- � g, �FINALbefore occupancy SEPTIC MENTS REPRESENTEO ON THIS DOCUMENT. T�iE UNDER— Y '•WORK BEYON�OR WITHOUT A RE- SEWER � r " SIGNED FURTHER AGREES T�DO ALL WORKS IN STRICT COM- ''� QUIRED INSPECTION WILL BE SUB• yyATER +�,� � �JEC'f l O PENALTY, GRADING&FILLING PLIANCE WITH ALL CITY OF OR;7N0 OfiDINANCES AND STATE .- �`:, INSPECTION HOURS 473J357 OF MINNESOTA BUILOING CODE REdUIREMENTS. f� CACL 8-12 A.M.INSP.1-4 P.M. ,* ' '� CALL,1- 4 P.M.INSP.NEXT DAY ELECTRICAL from State ' J:� X � �,/� . rf'7 g ;t signacu.a�� oace �, � yt�COPY:_' WHITE-FIL•E GREEN—FINANCE �% �' � �.CANARY-INSPECTOR ' GOID—FiECEIPT �+'!! `�e`xk`�� ;PINK ASSESaOR ;_ Approved City of Orono � �.'+'ti.. N s'.fi �.y,�`�'�Yi -^ ...�' �,.. , �.{ . .,-.. � . �... . .::�. .,,,... �.'. x.:. ..'; . .:�Y" i.%�4:,a;c'.tir�'����..{v