HomeMy WebLinkAbout1985-03-12 Permit, New Residence #5564(:ITY of 0KO N0 PERMIT NIS 5564
Building Permit -
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
FFIREZONE
ISTRICT SITE ADDRESS 454•` c" -.4q _5 _ �c- —
LEGAL DESCRIPTION: PROP. ID. _tB 110011- _
LOT- BLOCK 3 - - _SUBDIVISION +
,
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONy R.SIDyF
HEAR L.SIDE
LAKF WETLANDS
ACCESS
EW7 EXISTING
AGENCY APPROV DATE
C; TY
COUNTY
STATE
PR. EASEMENT
REMARKS
WNER (Name)
(Address) (Phone)
ARCHITECT/ENGINEER Must Certify Multi -Family, Commercial & Industrial Co struction Plans
ERT.NO.
_ —
(Firm)
(Address)
(Phone)
BUILDER (Firm►
(Address)
(Phone)
Rents WE,,r &1,1ey-s
QC-.
__
TYPE OF WORK ew
Addition Remodel
Renovate
CONST I PE HI_D{, SILL
FST CON57 VALUATION
4
30 OOU ei e�
RE IUENTIAL
STORIES H I
PERMIT FEES
3
BDRMS,FLR
_
BLDG. PERMIT
DWELL
UNITS3
^+�
STATE FEE
PLAN REVIEW
(,,AR STALLS
SEPTIC
APP DA
S
PENALTY
DUCK
- -
PARK FEE
NONRESID
PF40POSE 1) USE
SAC CHARGE
--
DCC
CLASS
COUNCIL
APP DATE
STORIES
DOTAL DUE Id -52_ Gv
INSPECTION REQUIRED
_... FOOTING.reforepour
_.. FRAMING rough -in
INSULATION
WALLBCARDBefore Tapu.i
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY
INSPECTION 14OURS 4737357
CALL 12AM INSP 1-4PM
CALL 1 4 PM.INSP NEXT DA,
WORK REQUIRING
SEPARATE PERMITS
✓ 47t CFtA'�Il, �+t
XL LIC
-----
SEWER - - -
WATER -- -- —..
GRADING & FILLING-----
ELECTRICAL
ILLING____-
ELECTRICAL from State
COPY WHIT'c FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
L_
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 MINNESOT ILDING CODE REQ IREMENTS.
Signature X/4e0fj"A
Approved _--.`�...-_-- 4.' J Gtyof0"Ma