HomeMy WebLinkAbout1982-11-15 Permit, New Residence #4894(.1TV 4 ORONO PERMIT N►► _ 4894
Building Permit DATE ISSUED S --Cf 9'
ANDAPPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 / %�
SITE,ADDRESS � >r it �/ d p D
ZONING DISTRICT I - - I
LEGAL DESCRIPTION: PROP. ID.
LOT BLOCK ___/___-_--_.SUBDIVISION .
FIRE Z0�
WNER (Name) (Address) Wo
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT S 1 R.Y� /
REAR , L. IDE
300 • /6
LAKE WETLANDS
ACCESS
EW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
REMARKS:
ARCHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction Plus
:ERT.NCG. - -.. - ---- (Firm) ^ (Address) (Phone)
BUILDER (Firm)
TYPE OF WORK ( New
UNST TYPE
BLDG SIZE
L E' Iv
RESIDENTIAL
STORIES B I
DWELL
SDRMSrFLR
UNITS
STORIES
GAR STALLS
SEPTIC
ATT
APP DATE
DFi
WORK REQUIRING
DOCK
NON HESID
PROPOSED USE
OCC.
CLASS.
INSULATION
STORIES
COUNCIL
MECHANICAL
APP DATE
Addition
J _ •
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTING before P(,u
FRAMING rough in
INSULATION
PLUMBING
__. WALLBOARD Before Tap -q
MECHANICAL
---
WELL - ..
F INA L before occupancy
----
SEPTIC
WORK BEYOND OR WITHOUT A RF.
SEWER
QUIRED INSPECTION WILL 9F SUR
WATER
JECT TO PENALTY
GITnDING &FILLING _.
INSPECTION HOURS 473 73b7
CALLS 12 A M INSP 14 P M
CALL I - 4 P.M. INSP NEXT DAY
ELECTRICAL from State
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK -ASSESSOR
(Address) (Phone)
r tit
Remodel Renovate
CONST VALUATION
151 000 ' u0
PERMIT FEES
BLDG. PERMIT
STATE FEEZ
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
TOTAL DU /6 A6-, -06
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 QUERE091REMENTS
S,gnatwh Date
Approved ff� GO'J
of Orono