HomeMy WebLinkAbout1984-05-16 Permit, New Residence #5287(,ITV of ORO NO PERMIT N�; n 528''
Building Permit DATE ISSUED ' �644
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZON NG DISTRICT SITE ADDRESS �Lsv,>t-�
�_' [� LEGAL DESCRIPTION PROP. ID. 3 —.
L� LOT fi3 — BLOCK _ l SUBDIVISION Tie—
FIRE ZONE L
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH rDEPTH
PROPOSED SETBACKS
FFj0NTo R.SIDE 2�
RE R 1 L.SIDE I
LAKE WETLANDS
ACCESS
NEW <ZXISTI
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
�(r L� - --
REMARKS:
WNER
(Namt)
(Address) (Phone)
`
IoWd
ARCHITECT/EN
INEcR Must Certify
Multi Family, CGmmercidl & Industrial Construction Plans
ERT.NO.
-- - — ---
--- ------ -----
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) 15-4p / t7?rVCt4dAj(Phone)
I
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TYPE OF WORK New
Addition Remodel Renovate
�C 1C
CONST TYPE
BLDG Sill[
(
EST CONST VALUATION
L
1313,°U
RESjQENJIAI
_•5
STORIES a
11
PE MIT FEES
K
BDRMS/FLR
BLDG. PERMIT
l=
DWELL
UNITS
STATE FEE
PLAN REVIEW Z U) 0 U
c' STALLS
li
Z
SEPTIC APP. C_�
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DET
PENALTY
--
DOCK
PARK FEE
NUN RESID
PROPOSED USE
SAC CHARGE
OCC.
CLASS
COUNCIL
A U
Z% 3 -
STORIES
APP. DATE
TOTAL DUE
INSPECTION REQUIREfSUBWATER
ORK REQUIRING
FOOTING before
P RATE PERMITS
_ FRAMING rough i
INSULATION
MBING
WALLBOARD BeCHANICAL
_-
ELL
_FINALbefore ac
_
PTIC �-
WORK BEYOND OR WITHOUEWER
QUIRED INSPECTION WILL
ATERJECT
TO PENALTYRADING
8 FILLING_INSPECTION
HOURS47CALLS
• 12 A.M. INSP. 1 - 4
CALL 1 • 4 P.M. INSP. NEXLECTRICAL
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 A BUILD INjQXQeCRJ4LIREMENTS.
Signature
1-i
Appruved
COPY WHITEFILEGREEN FINANCE
CANARY --INSPECTOR GOLDRECEIPT
PINK ASSESSOR
ty of Orono