HomeMy WebLinkAbout1981-10-29 Permit, Move House #4650CITY of OROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 ^
ZOn Tn Td ISTRICT I SITE ADDRESS 0^.5“^^
L(L-\C
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE /
AO
REAR LSIDE
30
LAKE WETLANDS
ACCESS
^EXISTIN
AG E NCY-APFRW tOTC tE
CITY J
——^
COUNTY
STATE
PR. EASEMENT
PERMIT N9 _ 46501
DATE ISSUFD
EXPIRES___________________
'P^- flrl ______________
LEGAL DESCRIPTION: PROP. ID..
LOT ’7-___________BLOCK i .SUBDIVISION TfltPA St-fe LAAjfienf^i^
i>ir% jAi,kmt ^ rlO-C L/Aviid /nqhrg^__________________L
(Phone) ^
ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans
:ert.no.
(Firm)(Address)(Phone)
BUILDER (Firm)(Address)
UJoOiJJllck
TYPE OF WORK
tA
<Sieyt^
(Phone)
it
Renovate
0\J^Xh
CONSrj>f^
RESIDENTIAL^ENI
DWELL
UNITS
GAR STALLS
ATT.
DET.
NON RESID
OCC.
CLASS.
STORIES
BLDG. SIZE
L J?7-w.Z-4
STORIES B
BDRMS/FLR ^
SEPTIC
APP. DATE
DOCK
PROPOSED USE
COUNCIL
APP DATE
REMARKS:
EST. CONST. VALUATION
PERMIT FEES ^
BLDG. PERMIT
STATE FEE
PLAN REVIEW
P6NALTV-
PARK FEE
SAC CHARGE
!0 7.
O O
Pd
TOTAL DUE .CJ o
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough-in
INSULATION
WALLBOARD Before Taping
FINAL belofe occupancy
WORK BEYOND OR WITHOUT A HE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HOURS 473 7357
CALL 8 12 A M INSP 1 4 P.M
CALL 1 4 P M INSP NEXT DA r
COPY WHITE FILE GREEN
CANARY INSPECTOR GOLD
PINK ASSESSOR
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL ______
SEPTIC _____
SEWER
WATER
c/
GRADING & FILLING
LECTRICAL from Slate
FINANCE
HECEIPr
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF ALL INFCRM.iVTION. CONDITIONS AND REQUIRE
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER
SIGNEU further AGREES TO DO ALL WORKS IN STF.ICT COM
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MlN‘ tSOTA BUILDING CODE REQUIREMENTS
... D*» ,
Approved /■ y C«rv of OfOfK>