HomeMy WebLinkAbout1977-10-24 Permit, New Residence #3663CITY of ORONO PERMIT N? 3663
Building Permit
DATE ISSUED %
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS 117,9 .
fir- 2 ��� LEGAL DESCRIPTION: PROP. ID. S!3 O - Sly00
LOT I RI nCK 3 ct IRnivicinni i ce„/ i _
FIRE ZONE
V R. DATE
COND. USE DATE
LOT AREA
a7oo
WIDT DEPTH
PROPOSED SETBACKS
FROND. R.SIDESO �O
REAR S71 L.SIDE $Z9
LAKE WETLANDS
Ato A o
ACCESS
NEW �TIANAGENCY-APP
COUNTY
SATE
E .bEMENT
REMARKS
WNER (Name)
C/1
(Address)
(Phone)IX%j �7
ARCHITECT/ENGINEER - Must Certify
Iti-Fami y, Commercial & IndustrialVastruction
Plans
ERT.NO.
_
(Firm)
(Address)
(Phone)
BUILDER
(Firm)
(Address)
(Phone)
TYPE OF WORK ew Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST ONST. VALUATION
RESIDENTIAL
STORIES B 2
3
PERMIT FEES
!gZ
BLDG. PERMIT
/77.00
/ D LL.
BDRMS/FLR
UNITS
/
SEPTIC JV
APP. DATE f ,0y_ 71
it
STATE FEE
PLAN REVIEW
S—D
�D
GAR. STALLS
AT
DET
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
37S- �D 0
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
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-
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS.
COPY: WHITE ---FILE GREEN --FINANCE
CANARY —INSPECTOR GOLD —RECEIPT
PINKASSESSOR
Signature T E. zw�to
Appr
of Orono