HomeMy WebLinkAbout1983-05-12 Permit, New Residence #5006(:ITS' of ORO NO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357 3%/
ZONING DISTRICT SITE ADDRESS
L _ / C _ LEGAL DESCRIPTION: PROP. ID.,
771--/— LOT _4:� RIOrK
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FR T I R.SIDE OIS t
R AR��� L.SIDE /� s
f
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY --
STATE
PR. EASEMENT
REMARKS
PERMIT M 50061
DATE ISSUED -5_ /2-:F;KR
EXPIRES
ZE /- _LS C1C/7 1
CIIanivlclnm LiW_C/Z>6 JI&NO-AJ
(Name) (`ditssO �J iPhone)
Coxrt� Aloeof ES c e�p
/�zn f rL . q 35-
T/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
E
A116 uCKA bE
(Firm) (Address)
(Phdhell
Air I-kAJ D,— E 4.4V
BUILDER (Firm) (Address)
(Phone)
TYPE OF WORK New Additic,n Remodel Renovate
CONST TYPE
BLDG SIZE
EST CONST. VALUATION
L s7 w 37
/gyp Duo
HI
RESIUENTIA
STO'tIE5 B 1 0 3
PERMIT FEES
BDRMS,FLR
BLDG. PERMIT
00
DWELL
UNITS
/ B2
STATE FEE
PLP J REVIEW
GAR STALLS
A
SEPTIC
APP DATE
.�
PENALTY
DOCK
PARK FEE
NON RESID,
PROPOSED USF
SAC CHARGE mO
OCC
CLASS
STORIES
COUNCIL
APP DATE
TOTAL DUE J 3 % cro
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERW' T S
FOOTING before pour
FRAMING rough m
INSULATION
PLUMBING
_ WALLBOARD Before Tap-nq
/MECHANICAL
_----
WELL
F INA L before occupancy
-"-
SEPTIC ..
WORK BEYOND OR WITHOUT A RE
SEWER
OUIRED INSPECTION WILL BE SUB
WATER
JECT TO PENALTY
,,GRADING & FILLING.-
INSPECTION HOURS 473 I367
CALL B 12 A M INSP 1 4 P M
CALL 1 4 P.M INSP NEXT DAY
ZELECTRICAL from State
COPY WHITE FILE GREEN FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
PINK- ASSESSOR
ACKNOWLEDGEMENT
THE UNCEHSIG:AD HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDcR PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF ALL INFORMATION. CONDITIONS VO 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
CIF MINNE LOING CO EQUI EMENTS.
Kn,er.r D.I~5-4N3
A4Xw caved �_ - ".__Cityof Orono/