HomeMy WebLinkAbout1985-09-04 Permit, New Residence #5743CITY of OR()NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
F
NING Q{Sjr�iICT
E DFPARTM NT
POST OFFICE _
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
( q��
PROPOSED SETBACKS'
FRIP96 i R. SIDE E— 7
REAR L SIDE / I
0100,
LAKE WETLANDS
ACCESS
EW EXISTING
A ENCY- PROV DATE
CITY
COUNTY
LTRIVATE
EASE MEN
REMARKS
PERMIT NO.
DATE ISSUED
SITE ADDRESS 9 50 l 1lam- e�j L;CAe-
PROPERTY IDENTIFICATION NO (PID) -Q-7 / I — 21
LOT -T BLOCK I SUBDIVISION
5743,
q-q-K
✓e—
ER (Name) (Address)
(Phone)
yz
od r ri5 Ca .
FARCHITE
Po.
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T/ENGINEER - Must Certify Multi -Family. Commercial d Industrial Constr c to Plans
(Firm) (Address)
(Phone)
BUILDER (Firm) (Address)
(Phone)
Sat ti' e C-5 w r) e r
TYPE OF WORK New Addition Remodel
Renovate
47S 1
CONST. TYPE
BUILDING SIZE
Estimated C • ., n Valuation
n'ie
L (vo w 3Z Ht
000. UU
OCCUPANCY
PERMIT FEES
CLASSIFICATION
Oa
BLDG. PERMIT 5P3.
STATE FEE _ 0
PLAN REVIEW
DWELL.
UNITS
STORIES B (D 2 3
G STALLS
NUMBER OF B D OO�M� S
_�
O /
SEPTIC —�
DET.
SAC CHARGE
APP. DATE
SEWER UNIT
PROPOSED USF
PARK FEE
--- ------
PENALTY
FACOUNCIL
PP DATE
OTHER
i )TAL DUE
INSPECTION REQUIRED
FOOTING before ?our
.... FRAMING rough In
... INSULATION
... WALLBOARD before taping
.... FINAL before occupancy
1. .... SITE INSPECTION
WORK BEYOND OR WITHOUT A RE-
OUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTIONS MUST BE CA' -LED -IN
24 HOURS IN ADVANCE
WORK RFJUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL ............ I...I......
SEPTIC .. ...............
SEWER ............. ❑
WATER ...... ❑
GRADING & FILLING ...... ❑
FIRE
COPY WHITE -FILE GREEN-FtNANCF
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
troar�nq a %&, co IK ror7156r4470
ACKNOWLEDGEMENT
THE i,NUERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
ONDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANC:E OF ALL INFORMASION CONDITIONS AND REQUIRE.
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
......... ❑ � ltAst�y X�
Signature Dare
Approved C.ly of Orono