HomeMy WebLinkAbout1984-08-21 Permit, New Residence #5398(,ITV of \ R NO PERMIT5396 �
Building Permit
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS /Erni.) CaAJCgn&,QA ST.
LEGAL DESCRIPTION: PROP. I0. 17 • 117-,7 1- c -AA • DO•2 S
LOT P.4 BLOCK —_'_- SUBDIVISION CO 6ff6> 4001 7101y YO
LRENE
n
DATEO G. AIC DEPTH
OD SETBACKS
FRONT R.SIDE�
REAR L.SIDE
_!� ,tge _y_ -r -
LAKE VET
ACCESS
11017 .0—
EXISTING
ENCY-APPROV. DATE
CITY —'
COUNTY
STATE
PR. EASEMENT
REMARKS
WNER
(Name) (Address) (Phone9 1w►
_ FOOTING before tout
kAiL-_W ./A�1V Y60 N
S Ave AM tibi'ktwlS
ARCH ITECT/ENGINEE R Must Certify Multi -Family, Commercial & Industrial Construction Pla .s
ERT.NO.
-- -- -
— _-
(Firm) PD �OAddress)
dy `I
(Phone)
SS3- " yPl
BUILDER
IF irm) (Address)
(Phone)
Oco"Velz
TYPE OF WORK < New Addition Remodi
l Renovate
ONST TYPE
BLDG SILL
k'.1 CONST VALUATION
L A' Sr �� '1y ' o
('j C -_3
RESIDENTIAL
STORIES B I ��
_ _
PERMIT FEES
BDRMS%F LR
BLDG. PERMIT 0
44C
_-4
DWELL
uNlts
Nc,
STATE FEE _ Z •O 6
PLAN REVIEW 1 0
GAR. ST+ALLS
SEPTIC
APP DATE
ATT. O�
DLT.
PENALTY
PENALTY
DOCK
-- - -
PARK FEE -� Imo---- -
NON RESIU
PROPOSED USE
CLASS
SIMOCItr tA+r►.)y vt'!l,I1iC-�
1—
SAC CHARGE
STORIES
COUNCIL
;1PP UATI
TOTAL DUE /
INSPECTION REQUIRED
_ FOOTING before tout
FRAMING rough in
INSULATION
_._. WALLBOARD Before Tap -o
F:VALbefore occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HOURS 4737357
CALL 8 12 A.M INSP. 1 - 4 P.M.
CALL 1 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
pWLUMBING
WECHANICAL _
WELL
SEPTIC
$EWER
p&ATEH _-__-.----
411116GRADING &FILLING
ELECTRICAL from State
COPN WHITE FILE -,NELN FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK ASSESSOR
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPELIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
MENTS RFPRESENTED 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 REQUIREMENTS.
SignatweAc i ate
Appy uv�•�i Tai•• +i•�� �/�_ IS��City of Orono ,