HomeMy WebLinkAbout1981-10-21 Permit, New Residence #4644CITYofORONO
Building Pennit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY.
ZONINaiWTRICT^
FIRE ZONE
VAR. DATE
COND. USE DATE
PROPOSED SETBACKS
'
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY •
COUNTY
STATE
PR. EASEMENT
I/IN 55323
SITE ADDRESS
473735^
LEGAL DESCRIPTION: PROP. ID.
LOT__________________BLOCK
PERMIT-N9 '_'464ll
DATE ISSIlFn
XPIRES__________________PXP
'UtllTfL
.SUBDIVISION.
DW1/^
Cknsm—i
RCfllTECT/ENGIIS
(Address) 1 Imonei
Must Certify Multi-Family, Commercia^^i^ndustrial Construction Plans
(Phone)
ARCHITECT/ENGINEER - Must Certify Multi-Family, Commerci
CERT. NO.
(Firm)(Address)(Phone)
BUIL
TYPE
.QHf i/irm)
E OF WORK /llew )
(Address)(Phone)
CONST. TYPE
t^EsioENTIA!
DWELL.
UNITS
\ ^TORIES 2^ 3
^ br/TL ^
GAR. STALLS
ATT.
DET.
NON RESID.
OCC.
CLASS.
STORIES
Addition Remodel Renovate
BLOG. SIZE
BORMS/FLR
DOCK
PROPOSED USE
COUNCIL
APP. DATE
EST. CONST. VALUATION
PERMI'/fEES
BLDG. PERMIT
TATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
3 ^5, SO
^n. Db
TOTAL DUE Od
REMARKS:
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough-in
INSULATION
WALLBOARO Before Taping
. FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALLS - 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 REOUIREMENTS.
I Signature
COPY:WHITE-FILE
CANARY- INSPECTOR
PINK-ASSESSOR
GREEN-FINANCE
GOLD-RECEIPT
Approved Orono