HomeMy WebLinkAbout1977-11-04 Permit, Roof #3673CITY of ORO NO PERMIT N? 3673
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED 7 �� ^ �� - 7
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS 3 597 cry,5 L L T�L
LEGAL DESCRIPTION: PROP. ID.
LOT BLOCK SUBDIVISION
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
WNER
(Name)
(Address) (Phone)
TC(Av
c Ir tiSY E
IZ 5'A M42 1f %l g�f j-
ARCH ITECT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
3A A C
TYPE OF WORK
N(�ew
Addition Remodel ovate
�i
I1o01�•'t
CONST. TYPE
BL.-G. SIZE
EST. ONST. VALUATION
L. W.
Ht. O`J
RESIDENTIAL
STORIES 8 1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
S
DWELL.
UNITS
STATE FEE
GAR. STALLS
SEPTIC
ATT.
APP. DATE
PLAN REVIEW
DET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC,
CLASS.
STORIES
COUNCIL
APP. DATE
r-
TOTAL DUE
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTICN 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
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 STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS.
n
Signature _.-"1"r-'L C _.11� �G�L/SAS--� Date /- _
Approved � City of Orono