HomeMy WebLinkAbout1981-09-09 Permit, New Residence #4605FCJITYof OR()NO PERMIT N? _. 4605
Building Permit
DATE ISSUED 9'" ! ' 9'1
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESSLa-
/�,�_�/1 LEGAL DESCRIPTION: PROP. ID. Q? lL7-o?'3 21 OL11.2—
LOT ____ _ _ BLOCK SUBDIVISION
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT t R.SIDE 44
REAR t L.SIDE r
O
LAKE WETLANDS
ACCE
NEW EXISTING
NAGeNEY-APPROV. DATE
CITY '
COUNTY
STATE
EASEMENT
REMARKS:
INSPECTION REQUIRED
OWNER,/
(Name
(Addres)
(Phone)
o �sroc
ARCHITECT/ENGINEER
- Must Certify Multi -Fan ,Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
4
(Address)
(Phone)
BUILDER
(Firm)
(Address)
(Phone)
TYPE OF WARK
New
Addition ffet4odel
Renovate
CONST. TYPE
BLDG. SIZE
EST. CONS . VALUATION
L. 70 W
H1.
RESIDENTIAL
STORIES B 1
2 3
PERMIt
FEES
BDHMS/FLR
BLDG. PERMIT
/�O
DWELL.
UNITS
STATE FEE
PLAN REVIEW
GAR. STALLS
SEPTIC
ATT.
APP. DATE
DET.
PENALTY
DOCK
PARK FEE
Ct,l
NON-RESIO.
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
o FOOTING before pour
✓FRAMING rough -in
INSULATION
eWALLBOARD Before Taping
C FINALbefore 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 v
ME'JHANICAL
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 MINNESOT I
NG CODE REQUIREMENTS.
1�e,
Signature Date
COPY: WHITE -FILE GREEN -FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
l PINK -ASSESSOR
Approved - V ( I T_City of Orono