HomeMy WebLinkAbout1983-08-26 Permit, New Residence #5110I
C.13TV4 ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 4737357
ZONING DISTRICT
L&71c.
FIRE ZONE
R
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FR0kT R SIDE
ol()
REAR L.SIDE
LAKE WETLANDS
ACC
__NEW / EXISTING
AGENCY-APPROV DATE
COUNTY
STATE
PR. EASEMENT
REMARKS:
SITE ADDRESS
LEGAL DESCRIPTION PROP. ID. _
LOT
PERMIT;'�'- 51101
DAT -E ISSUED -X,-" .,
EXPIRES
17
----SUBDIVISION--------._
)WNER
-____-SUBDIVISION-_---_---
OWNER (Name) (Address) (Phone)
ARCHI TFCTIENGINEER Certify Multi -Family, Commercial & Industrial Construction Plans
;ERT.NO.------- -- ---- - , - -
(Firm) (Addlpss) (Phone)
BUILDER (Flrml (Address) (Phont.)
LSC L ���
TYPE OF WORK Ne� Addition Remodel Renrnvatc
CONST TYPE KLOG SI?E ESI (-9NST VAt UATIUN
f ,
T
c 0i ire-- ��—
;ALSIDENTIAL STORIES H I PERMIT FEES �U
BLDG PERMIT 3
DWI l t BOR MS F LF: cej c?
UNI I S _ STATE FEE
t� :11 AL L`; SE Pt IC PLAN REVI W
Ali A
I T ) r? APP DA I E _
_ !;:&L4.
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OE r
DOCKPARK FEES✓ I�hsw IP I�
'VCl'V FiE51D i'FiOF'c)SEt) lrsf
UCC _ SAC: CHARGE
CLASS
STc�RIESCOUNCIL
APP DATE TOTAL DUE
I'1Q�.cE'
tr74-
INSPECTION REQUIRED
OOTING before pou,
___l&�I RAMING rough to
JNSULATION
WALLBOARD Before Taping
.FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HOURS 4737351
CALL 12AM IN`J' 1 4 P M
CALL 1 4 P M INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL �
WELL __-
SEPTIC
SEWER
WATER
GRADIN(, & F ILLING -
ELECTRICAL from State
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
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 WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDIW CO
Siqnatur
REQUIREMENTS.
Dat '�-r-5I
Approved/-` ' r of Orono