HomeMy WebLinkAbout1981-04-21 Permit, New Residence #4474CITY of ORO NO PERMIT 4474
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 �'qD AJ.. y'tn� �/2�-•.0
RA LEGAL DESCRIPTION: PROP. ID. - 1,F - 3 - a 3 — 0 U D tZ
LOT lip RI OCK Z SIIRnI VICInN AA i P . /07. Lei . �.
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AggA
v ArA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
UO " 7<
RE R L.SIDE
!J� u 0
[LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. &ASEMENT
REMARKS
INSPECTION REQUIRED
T FOOTING before pour
y_ FRAMING rough -in
INSULATION
tl 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 B - 12 A.M. INSP. 1 - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
OWNER
(Name)
(Address) 73 (Phone)4 7
3 S si
ARCHITECT/ENGINEER
- Must Certify Multi -Family, Commercial & Indus I Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
/ / ____ 5,-75, OS
B DER
(Firm)
(Address) (Phone)
TYPE OF WORK New
Addition Remodel Renovate
e Lu
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. //� /
W. / Ht.
�
SO
(O (�
D UU
RESIDENTIAL
STORIES B
1 2 3
PERMIT FEES
BDRMS/FLR
oZ
- -S FQ
BLDG. PERMIT SS 60
STATE FEE J!. O O
PLAN REVIEW 9 DD
DWELL.
UNITS
GAR. STALLS
SEPTIC
APP. DATE
ATT. .3
DET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DU / 3 6W , 00
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL _
WELL — - -- -
SEPTIC
SEWER ----- --------
WATER —_---
GRADING & F ILLING
ELECTRICAL from tate
COPY: WHITE -FILE GREEN --FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK -ASSESSOR
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE I
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 B ILDING CODE REQUIREMENTS p
Signature Date
I
Approved ���� r fi` - �� N Z City of Orono