HomeMy WebLinkAbout1984-11-01 Permit, New Residence #5502(,iTV of OROA O PERMI r N11 55021
Building Permit DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 ��-`�
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TRICT SITE ADDRESS y3s2� _�� �f' - 4 —
_ LEGAL DESCRIPTION: PROP. ID. - -
LOT BLOCK _----SUBDIVISION
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v ER arnel (Address) 1(,4 / k(1, (Phone)
AR. DATE
(/
ND. U E DATE- 0 �(_jOT
IL
AREA
to -Acres
WI T
DEPTH
ios7'
PROPOSED SE1 t3ACKS
FR N i
R.SIDE
REAy
L.SIDE
LAKE
WETLANDS
ACCESS
EXISTING
AGENCY APPROV. DATE
CITYCOUNTY
STATE
PR. EASEMENT
REMARKS [2ki/AJK-{
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c
ARCHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction Plans
NO. LV41 04 U It 5-
E RT. —i
(Firm) (Address)
(Phone)
70 14 AliBUILDER
(Firm) (Address)
(Phone)
93
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3 -asp/
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_
TYPE OF WORK New Addition Remodel Renovate
O
CONST TYPE BLDG. SIZE
EST CONST VALUATION
0 r�
L
RESIDENTIAL
ST014IFS B 2 S
PERMIT FEES fRJ
BDRMS?FLR
%al'
BLDG. PERMIT
STATE FEE
DWELL
UNITS
�L
623,0,
PLAN REVIEW Ju
GAR STALLS
SEPTi
T
APP DATE
OET.
PENALTY
DOCK
PARK FEE
NON•RESID.
PROPOSED USE
dv
SAC CHARGE �•
OCC.
CLASS.
STORIES
COUNCIL
9 ' /Q
TOTAL DudT75-'
APP DATE
INSPECTION REQUIRED
— FOOTING before pour
FRAMING rough ins% INSULATION
_AZ— WALLBOARD Before Taping
l/ 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 DAv
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL 1/_ -
WELL
SEPTIC
SEWER _ _-
WATER
GRADING & F ILLING -
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 MINNE BUILDING CODE REQUIREMENTS
i
Srgnat Date /
COPY. WHITE FILE GHLLN F INANt:E /
CANARY --INSPECTOR GOLD -RECEIPT
PINK -ASSESSOR Approved �tv of Orono