HomeMy WebLinkAbout1982-11-12 Permit, New Residence #4893(:ITS' of ORt)\'( )
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS J S
_ l LEGAL DESCRIPTION: PROP. ID.
71 LOT BLOCK
FIRE ZONE
VAR. DATE
CON! USE DATE
LOT .. A
WIDTH DEPTH
PROPOSED SETBACKS
FRONrl R.SIDE
O 35
REAR L.SIDE
30 f
LAKE WETLANDS
ACCESS
EXISTING
AGENCY-APPROV. DATE
CITY
LA
COUN Y
STATE
PR. EASEMENT
PERMIT N.�� _ 48931
DATE ISSUED I' _R _9 2
EXPIRES
-- 117 - 7-3 `j '-
SUBDIVISION
WNER
(Name)
re). (Phone) (Pho
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gone)
z
c
=x o r
ARCHITECT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
E R T. N 0.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
JAB SPaw�,
TYPE OF WORK Gam•
Addition Remodel Renovate
CO\NST' TYPE
BLDG. SIZE
EST. CONST. VALUATION
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L. 7-S W.
3Ht
J, 000,
RESIDENTIAL
STORIES B 1
2 .,
PERMIT FEES
Q"
BDRMS,FLR
BLDG. PERMIT 0"3
STATE FEE
PLAN REVIEW 6 ��
-
_
DWELL.
UNITS
GAR STALLS
00 y
SEPTIC
APP DATE
DET.
PENALTY
DOCK
od
PARK FEE '
NON RESID.
PROPOSED USE
SAC CHARGE /
OCC.
C LASS.
STORIES
COUNCIL
OU
APP. DATE
TOTAL DUE
REMARKS: �jL� �LLNSf�r
Wlv�S c La htu4E_ _ e-
ReWtR= 0 t�x
-t C_hA2c�F W/ iS'D e rw.
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough in
INSULATION
WALLBOARD Before Taping
FINAL 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
PLUMBING _
MECHANICAL
WELL
SEPTIC —._-- ---- -
SEWER -------- - --- -
WATER
GRADING & FILLING
ELECTRICAL from State
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-
CURTHER AGREES TO DO ALL WORKS IN STRICT COM-
P :VITH ALL CITY OF ORONO ORDINANCES AND STATE
OF ;ESOTA BUILDING CODE REQUIREMENTS.
COPY: WHITE -FILE GREEN -FINANCE
CANARYINSPECTORGOLD-RECEIPT
PINK ASSESSOR
Signatu
Approved
Datel/ - / Z -eL
ty of Orono