HomeMy WebLinkAbout1983-03-01 Permit, New Residence #4958CITY of 0RO �N0 PERMIT M 4958
Building Permit dd
DATE ISSUED -.._7--_J_- 93
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRF_S . _---
P.O BOX 66, CRYSTAL BAY, MN 55323 4737357
FRENE
RICT SITE ADDRESS _!0 s-_.�-alJ.r9_hz _all -c e- f�J�
� LEGAL DESCRIPTION. PROP. ID. Qy 7 _Z 3 110004
� — LOT _ BLOCK _SUBDIVISION
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– FARCHITECT/ENGINEER
(Name) (Address)/3Sii QuF.h16C A e) qV7
S -Must Certify Multi Family,Commercial Industrial Construction Plans
Firm) (Address) (Phone)
DEPTH IF um) (Address) (Phone)
PROPOSED SETBACKS
FOONT,f R. I E�
REAR. L.5113
LAKE WETLANDS
ACCESS
QLUV EXISTING
AGENCY APPROV. DATE
CITY
COUNTY
STATE
PR EASEMENT
REMARKS.
PE OF WORK �
Addtticn
Rrs �dAA,. X--
NST TYPE
BLDG. SIZE,
If1[DVY
L 8'0 i ' V1
.S Z
iI ENTIA
STORIES B
ELL
BDRMSiFLR
FITS
R STALLS
SEPTIC -
.
APP DAZE.
It[T
W)CK
RESOD
PROPOSED USG
rASS.
COUNCIL
APP DATE
INSPECTION REQUIRED
/LFOOTING before pow
FRAMING rough in
INSULATION
✓ _-_ WALLBOARD Before Tapw ,
FINA Lbefore txcupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BF SUB
JECT TO PENALTY.
INSPECTION HOURS 413 7357
CALL 8 12 A.M INSP 1 4 P.M.
CALL 1 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
CHANICAL
LL — - -- _
SEWER __—
WATER . - ----
GRADING & FILLING--
ELECTRICAL
ILLING_
ELECTRICAL from State
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
Remodel Renovate
EST CONST VALUATION
tlt L 9 300) 000, ow
PERMIT FEE
BLDG. PERMIT IC ��
STATE FEE 156•x00
PLAN REVIEW 60
PENALTY
PARK FEE eA
SAC CHARGE 42C 00
TOTAL DUE 197�.00
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 MINNEWfT aUILDJNG CODE REQUMEMENTS
Date Al 1 -.4r.3 I
Appy ove, i
City of Orono