HomeMy WebLinkAbout1983-04-01 Permit, New Residence #4960CATYof OltONO PERMIT N': _ 49601
Building Permit
DA I, E ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES —._.
P.O. BOX 66, CRYSTAL BAY, MN 55323 473 7357 ~
ffG DISTRICT SITE ADDRESs__________�� 7 Q LEGAL DESCRIPTION: PROP. ID.�y _� v LOT BLOCK ._ .. _--SUBDIVISION--
FIRE
SUBDIVISION__FIRE ZONE
VAR.DATE
rL
OND. USE DATE
OT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
/ I
REAR L SID
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
BUILDER IFirml (A(
T YPE OF WO K (yy) Addition
CONST TYPE hi U:, ii"
Remodel Renovate
v- I L
r1W
STORIES B '
�UI:NA
SEPARATE PERMITS
OWE LL�
BDRM51 FLR
,;NITS
ISDOco,
,.AR STALLS
SLP tIC
ATT
APP DATE
t1ET
`- ----- _ .
FINAL before occupancy
DOCK
JUN HI
PROPOSED USE
OCC —
SEWER _
C LASS
WATER
;TORIES
F;'_Pot"UNCIL -
UAT I
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTINUtwtu.ePuu
133. 0G_
FRAMING sough .n
ISDOco,
_ INSULATION
PLUMBING ._
--WALLBOARD Before Tdpinq
MECHANICAL
�..__._..
WELL
FINAL before occupancy
_
TOTAL DUE
SEPTIC
WORK BEYOND OR WITHOUT A f;E
SEWER _
OUIRED INSPECTION WILL BE SUB
WATER
JECT TO PENALTY
GRADING & FILLING _.
INSPECTION HOURS 413-1357
CALL 8 12 A M INSP 1 4 P.M.
CALL 1 4 P.M INSP NEXT DAY
ELECTRICAL from State
COPY: WHITE FILE GREEN FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK ASSESSOR
FST CONST VALUATION
PERMIT FEES
BLDG. PERMIT
133. 0G_
STATE FEE
ISDOco,
PLAN REVIEW
oC
__66.
PENALTY
PARK FEE
(}�� 10
SAC CHARGE
4rZi . O
TOTAL DUE
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED. ^ LARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT-CCEPT-
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
O. MINNESO )BUILDING CODE REQUIREMENTS.
1
Signetur _/ "*%-._ (<ti� Date'CJWi//
nut, ,„• � i� -'.,'.
City of Orono