HomeMy WebLinkAbout1979-03-07 Permit, New Residence #3951CITE' of ORO NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
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
PERMIT N? 3951
DATE ISSUED
EXPIRES
SLJPDIVISION
WN
(N�mel
(Address) / (�
D
s
�&/Industrial
ARCHITECT/ENGINEER
— Must Certify Multi -Family, Commercial Construction Plans
ERT.NO.
(Firm)
(Address)
(Phone)
BUI ER
(Firm)
)(Address)
(Phone)
TYPE OF WORK New
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONSSTT. VALUAI ION
L.
Ht.
RESID NTIA
STORIES B
1 2 3
PEftMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE S,
PLAN REVIEW
GAR. STALLS
ATT.
SEPTIC
APP.DATE
DET.
PENALTY
DOCK
PARK FEE A !2U.SpIalslos,
NON RESID
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
INSPECTION REQUIRED
FOOTING before pour
�R ULATIMING rough -in
/dSU LAT 10 N
WALLBOARD Before Taping
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 DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING 61""'—
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
OF MINNESOTA BUILDING CODE REQUIREMENTS
4
Signature \ Date -�
Approved / City of Orono