HomeMy WebLinkAbout1981-08-14 Permit, New Residence #4578CITY of ORO NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55373 4/3-7357 .. ZONING DISTRICT ,,,irE ADDRESS 4E-
O
00 _ LEGAL DESCRIPTION: PROP. ID. -91
FIRE ZONE
VAR.DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SI
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
PERMIT N° 4578
DATE ISSUED
EXPIRES
r iy,o,
LOT S BLOCK
SUBDIVISION
OWNER (Na
(Address)
(Phone)
l
A',.t I "j
ARCHITECT/ENGINEER - Must Certify
Multi -Family, Commercial ndustrial Construction Plans
ERT.NO.
(Firm)
(Address)
(Phone)
BUILDER (Firm)
1,=,ddress)
(Phone)
TYPE OF WORK New
Addition Remodel
Renovate
k" J�_U;U_
ftNST. TYPE BLDG. SIZE
EST. COp T. VALUATION
L. W.
?n.���7J1(}
,�O
Ht.
0
RESIDENTIAL STORIES B 1
2 3 PERMIT
EES
BLDG. PERMIT
DWELL. BDRMS/FLR
tl�
UNITS
STATE FEE
GAR. STALLS SEPTIC
(�O
ATT. APP. DATE
PLAN REVIEW
DET.
PENALTY
DOCK
NON-RESID. PROPOSED USE
PARK FEE
CAU
SAC CHARGE
ACC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DU
REMARKS: k * a.333
INSPECTION REQUIRED
je!� 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 _ (w
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 'HE UNDER
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNES BUILDING CREMENTS
Signature /_ _ /z2w Date /Y-&/
Approved(, 1 ) of Orono