HomeMy WebLinkAbout1983 - 5015 l Y O1 0���1��� PERMIT �n -Q -
5 151
.ilding Permit - p
DATE ISSUED S '�3 `"OJ
APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
30X 66, CRYSI�AL BAY, MN 55323 473-7357 �'_
�VINGDISTRICT SITEADDRESS�� J�UI?iEU� ��
'�`'� LEGAL DESCRIPTION: PROP. ID. _%7'/17 - Z� ��f�- �JZfJ�
LOT BLOCK SUBDI VISiON
IE ZONE
WNER (Name) (Address) (Phone)
R. DATE �_����r `kt vv�� / 'f��'��
ARCH ECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans
ND. USE DATE ERT.NO.
(Firm) (Addressl (Phone)
�T AREA
DTH DEPTH BUILDER (Firm) (Address) (Phone)
C����
OPOSEDSETBACKS
�ONT� R.SI E� TYPE OF WORK I� Addition Remodel Renovate
�
AR � LSIDE � ��,,,.��v�r�t�n�� ���
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
aKE WETLANDS ��
L. W. Ht. �.
CCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT y�•S�
NEW EXISTING DWELL. BDRMS/FLR
GENCY-APPROV. DATE UNITS STATE FEE Z� ��-J
ITY GAR.STALLS SEPTIC
ATT. APP. �ATE PLAN REVIEW
OUNTY �ET. PENALTY
DOCK
TATE
NON-RESID. PROPOSED USE PARK FEE
R. EASEMENT oCC. SAC CHARGE
C LASS.
STORIES COUNCIL L`/
APP. DATE TOTAL DUE 7 fc�i ��/
iEMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL before occupancy
SEPTIC - MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
INSPECTION HOURS 473-7357 GRADING& FILLING
CALL 8- 12 A.M. INSP. 1 -4 P.M.
OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State -
♦ �'�, �
Signatur� Date
COPY: WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved City of Orono