HomeMy WebLinkAbout1984-10-12 Permit, New Residence #5470CITYof ORONO PERMIT N4; _ 54701
Building Permit DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-735!2 � ( �
FREZONE
STF ICT SITE ADDRESS -_--.._-_
LEGAL DESCRIPTION. PROP. ID. ��2 �, ���
LOT------ BLOCK -_ __SUBDIVISION,_
;JR (Nam • (Addressx( S (Phone)
VAR. DATE
ARCHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction ans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH
HUf DER• nm) IA dress) (Phone)
zy
PROPOSED SETBACKS
FFLONT R.SIDEO -
REA&R L.SID
TYPE OF WOR D_I%,W Addition Remodel Renovate
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1:ONST. TYPE BLDG. SIZE EST CONST VALUATION
LA E WETLANDS
L. W Ili
ACCESS
HESIDENTIAL
STORIES B 1 z
PERMIT FEES
BLDG. PERMIT �z
NEW EXISTING
AGENCY-APPROV. DATE
DWELL.
uNITS
BDRMS/FLR
STATE FEE
GAR STALLS
ATr
SEPTIC
APP DATE
CITY
PLAN REVIEW
COUNTY
DET
PENALTY _
G JCK
PARK FEE
R
NON ESIO
PROPOSED USF
STATE
-
SAC CHARGE
PR. EASEMENT
OCC.
C L ASS.
-- — _'— —
STORIES
COUNCIL
APP. DATE
/
TOTAL DUE �f ��c _ S-0
n
MMMMP
INSPECTION REQUIRED
FOOTING belo,e puu,
%— FRAMING rough in
INSULATION
WALLBOARD Before Tapoul
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED 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 DA -f'
COPY WHITE FRF GRE
WORK REQUIRING
SEPARATE PERMITS
PLUMBING lL_
MECHANICALle' _
MVELL
SEPTIC✓ -
SEWER __-
WATER
GRADING & FILLING .
CTRICAL from State
CANARY INSPECTOR GOLD RECEIPT
PINK--ASSESSOH
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 UUIIILLDI COD OU MENTS.
Signature /� /'' U.rte le /
Appruved q / City of Orono