HomeMy WebLinkAbout1982-12-02 Permit, New Residence #4906CITYof ORONO PERMIT M _ 4906
Building Permit
FATE ISSUE
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS I&S5 irnn aP_r-)ta ST
LEGAL DESCRIPTION: PROP. ID.
LOT Z BL-OCK I SUBDIVISION �A42ltl�gs WOerIS
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FST
R. /0EI
VtAcevet
g65 Ca Sr 1 -7 L92
REAR
L.S_TEE
LAKE
WETLANDS
?9
BUILDER
ACCESS
:i: D EXISTING
AGENCY-APPROV. DATE
CI Y
ow+ Lottp i a
COUNTY
STATE
PR. EASEMENT
REMARKS:
WNER
(Name)
(Address) (Phone)
VtAcevet
g65 Ca Sr 1 -7 L92
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone,
l�or Sva Aima N79
�TjIN
SNC
30
TYPE OF WORK New
Addition Remodel Renovate
QED}t
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
SEE
l -c. 1
W.. Ht.
L.
RESIDENTIALSTORIES
IZ
Q 2 3
PERMIT FEES
3
2
6DRMS/FLR
1
BLDG. PERMIT 69 Z
%
DWELL.
UNITS
STATE FEE
PLAN REVIEW I Q00
GAR. STALLS
53
SEPTIC
APP. DATE
T
DET.
avow uNiT 'A.2
DOCK
S
PARK FEE 11J �11�p
NON-RESID.
IPROPOSED USE
SAC CHARGE _'00
OCC
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE 1(.07—. eo
�l
INSPECTION REQUIRED
FOOTING before pour
V 7 - FRAMING rough -in
'NSULATION
T WALLBOARD Before Taping
--
F INAL before occupancy
WORK BEYOND OR WITHOUT A RE-
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 DAY
W09K REQUIRING
S ARATE PERMITS
UMBING
MECHANICAL
WELL –_
SEPTIC
2ATSWERER -- --
GR/(DING & FILLING
ELECTRICAL from Stare
COPY: WHITE- FILE GREEN -FINANCE
CANARYINSPECTORGOLD 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 BUILDING CODE REQUIREMENTS.
i
442ri- Date
' iCity of Orono