HomeMy WebLinkAbout1978-10-13 Permit, New Residence #3889'CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS _ ,�%, o
LEGAL DESCRIPTION: PROP. ID.
LOT_ BLOCK
FIRE ZONE
VAR.DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
INSPECTION REQUIRED
PERMIT N? 3889
DATE ISSUED
EXPIRES _
SURr)IVIginN
WN
(Name)
(Address) �(Pho etc//
4:G1� ✓ 7'!0' �$
ARCHIT
/E INFER —
Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
( irm)
(Address) (Phone)
BUILD R
Zteewl
(Fi
) C (Address) (Phone)
TYPE OF ORK
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATIOV
L.
W. H t.
RESIDENTIAL
STORIES B
1 20 33
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE �/
GA T A L L S
SEPTIC
APP. DATE
PLAN REVIEW
DET.
PENALTY
DOCK
PARK FEE !t%
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
CLASS,
STORIES
COUNCIL
APP. DATE
TOTAL DUE 1Qf7, &0
FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Before Taping
F INA L before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALL B - 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
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, THE UNDER—
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
9
OF MINNESOTA BUILDING CODE REQUIR ENTS
Z ^
Signature
Approved ' (�" City of Orono