HomeMy WebLinkAbout1983-05-12 Permit, New Residence #5007(:ITS'of ()RO NO
PERMIT �0 _ 5007,
Building Permit
DATE ISSUED 5 17--2; 3
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS 31,1414d 6_ L.AX:c ST ______.__
r p,' C —' LEGAL DE RIPTION: PROP. ID _Q� — It 7 LIP 1 CiO�3
l.• 1� LOT_ Z BLOCK _---SUBDIVISION----. _
FIRE ZONE
1 VAR. DATE
1 COND. USE DATE
I LOT AREA
WIDTH DEPTH
IPPOSED SETBACKS
! S R.S ff /
R LSIDE1
a•
LAKEI WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
OWNER
INam ► (Address) (Phone) 9,95
A L
1
SLZ4
ARC ITECT//E��NGIINEER
Is
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
E RT. NO. __LL.K A __ . s
_ v
(Firm) (Address)
(Phone)
BUILDER
(Firm) (Address)
L�
(Phone.)
V�
TYPE OF WORK Ne Addition Remodel Renovate
(�
CONST TYPE
BLDG SIZE
EST CONST VALUATION
r O U
W0
RESIDENTIAL
STORIES 8 I 7 3
PERMIT FEES
e!:3
BDRMS/FLR
BLDG. PERMIT
W.
DWELL
I
UNITS
STATE FEE _
PLAN REVIEW
GAR. STALLS
SEPTIC
APP DATE S r i Z- —
7T L_
ET
PENALTY
DUCK
PARK FEE _wt
NON RESID
PROPOSED USE
SAC CHARGE TZs, e0
OCC
CLASS
STORIES
COUNCIL
—
APP DATE
TOTAL DUE
INSPECTION REQUIRED
FOOTING before pow
FRAMING rough m
INSULATION
WALLBOARD Befu,u Tapinu
FINAL before occupattr,
WORK BEYONC JR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HOURS 473 1357
CALL 8 12 A M INSP 1 4 P.M
CALL 1 4 P.M. INSP NEXT DAY
WORK REQUIRING
S1:^ARATE PERMITS
PLUMBING
AECHANICAL
WELL
SEPTIC
SEWER
W AT E R _----- -
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. AN") DECLARES
UNDER PENALTY OF LAW ACKNOWLECCEMENT AND ACCEPT.
ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE.
MENTS REPRESENTED ON THIS DOCUMENT THE Ut:DER-
SIGNED FLNTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE tWITH ALL CITY OF ORONO OROINANCtS AND STATE
OF -MINN[ 13 ING COQ&REQUIREMENTS