HomeMy WebLinkAbout1983-06-03 Permit, New Residence #5030('ITV of ORO NO
PERMIT 50301
Building Permit - , �
DATE ISSUED /s
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 00, CRYSTAL BAY, MN 55323 473-7357 n f
ZONING DISTRICT SITE ADDRESS is Key �L1iCE KC1
LEGAL DESCRIPTION: PROP, ID.
LOT S Ri nrK �— ct rnnrvrcrnrr �, wi. sr _ tr
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
o � 37
REAR L.SIDE
1% rz b 12
LAKE WETLANDS
ACCESS
EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT —
1 LAILC
INNER (Name)
(Address) (Phone)
ARCH ITECT!ENGINEER — Must Certify
Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER (Firm)
(Phone)
(Address] �-ADA`E
I $Oe� H�� �
T
O
TYPE OF WORK Addition
Remodel Renovate
/ 5 c1 fa"r_ c� _
CONST TYPE
BLDG SIZE
EST CONSST.T.. VALUATION
L W
Ht.
PERMIT FEES
o �,
HESIDENTIAL
STORIES B 1 a J
BLDG. PERMIT
OWE LL
BDRMS FLR
J
UNITS
STATE FEE
PLAN REVIEW 2 �-�
v
STALLS
Ai
Alfl"
SEPTIC
APP DATE
DET
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED uSE
SAC CHARGE
OCC
CLASS
STORIES
COUNCIL
APP DATE
TOTAL DUE I1 % 7,
np
REMARKS: S H tvbws. rCha�.`GPO tC
T1, c I fj y 6 tv —tit w
-7:i- - �M—
CTION REQUIRED
�_/ _ FOOTING before pour
_____ FRAMING roughen
INSULATION
WALLBOARD Before Tapmq
_ FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY
INS?ECTION 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
PI�IMBING
�CHANICAL
L
EPTIC
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 MINNESOTA BUILDING CODE FjEpUIREMENTS
COPY WHITE FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
Signature _ Date
Approved �� City of Orono