HomeMy WebLinkAbout1983-06-28 Permit, New Residence #5056(CITY of 0KO N0 PERMIT NV 50561
Building Permit
DATE ISSUED "3
ANG APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS y24' ' 5,F' RCS
C -1 JA LEGAL DESCRIPTION: PROP. ID.el (i j: - 23 12_ dOUZ-
LOT ________._ BLOCK __ SUBDIVISION
FIRE ZONE ---- - --
VAR. DATE
COND. USE DATE
LO'" AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT r R.SI E
130 REAR L.SIDE
_ :S30 _
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY —
COUNTY
STATE
PR. EASEMENT
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WNER ("Jame)
(Address) (Phone)
Q A
I
ti
SIKI
RCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO. —-
(Firm)
(Address)
(Phone)
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UI LDER (Firm)
(Address)
(Phone)
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TYPE OF WORK <1j *
Addition Remodel
Renovate
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CONST TYPE
BLDG SIZE
EST CONST. VALUATInN
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L. 52 VT
2-7_
H t,
HESIDENTIAL
STORIES BJ
2 3
PERMIT FEES
BDRMS!FLR
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BLDG. PERMIT
DWE L.
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_
Vs•ot�
UNITS
STATE FEE
PLAN REVIEW
GAR. STALLS
aT 2
SEPTIC
APP. DATE
2
��
DFT
PENALTY
---- - —
DOCK
PARK FEE So• Of
NON RESID
PROPOSED USE
SAC CHARGE y2s ou
oCC.----
CLASS.
OUNCIL
TAPP.
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STORIES
OATF
TOTAL DUE
INSPECTION REQUIRED
Al I
tOT57ING hetwe pow
—__ FFAMING ror,yh in
INSULATION
WALLBOARD Before Tapm.i
F INA L before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY,
INSPECTION HOURS 473.7357
CALL 8 12 A.M. INSP. 1 - 4 P.M.
CALL 1 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
ZMBING —._
MECHANICAL
W-LL— - - -
EPTIC
SEWER _� ---- —
WATER
GRADING & FILLING _
ELECTRICAL from State
COPY WHITE FILE; GREEN - FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
PINK -ASSESSOR
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 STAT"E
OF MINNESOTA BUI I G ODF REQUI MENTS.
Signature Date tJ
Approved City of Orono