HomeMy WebLinkAbout1978-06-27 Permit, New Residence #3790CITY of ORONO
Building Permit
PERMIT N9 3790
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
SITE ADDRESS__
DATE ISSUED -^7-7^
EXPIRES______________________
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
C^GOJI__
LEGAL DESCRIPTION: PROP. ID..
LOT__________________BLOCK SUBDIVISION
OWNER (Name)
ARCHITECT/ENGIN
CERT.NO_____
NEER - Must Ce
(Addres»yOlrfl^(^.^A/
/32T /noi/AJl>
IPhone)
Must Certify Multi-Family, Commercial & Industrial Construction Plans
(Firm)(Address) (Phone)
BUILDER (Firm)(Address)(Phone)
TYPE OF WORK Addition Remodel Renovate
CONST. TYPE
RESIDENTIAL
y£-S
dw|ll.
UNITS I
GAR STALLS
NON RESIU
UCC
CLASS
STORIES
BLDG. SIZE
STORIES B
BDRMS/FLR
SEPTIC
APR. DATE
DOCK
PROPOSED use
COUNCIL
APP DATE
EST. CONST VALUATION
'^iOoo
PERMIT FEE
BLDG. PERMIT oo
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
93.00
TOTAL DUE
REMARKS;
INSPECTION REQUIRED
FOOTING btfore pour
FRAMING rouuh in
INSULATION
WALL0OARD Btfore Tapinq
__FINAL btfore occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALLS 12 A M INSP 14P M
CALL 1 4 P M INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL _______
SEPTIC
SEWER
WATER
GRADING & FILLING
ELECTRICAL from Stttt
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
the REAL IMPROVEMENTS SPECIFIED. AND DECLARES
UNDtR PENALTY OF LAW ACKNOY. EDGEMENT AND ACCEPT
ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE
MENTS HEPHtStNTED 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 BUILDING CODE RtCTUIREMENTS
Sentl
COPY WHITE FILE
CANARY INSPECTOR
PINK ASSESSOR
GREEN FINANCE
GOLD RECEIPT
Date
Approuf^Orom