HomeMy WebLinkAbout1984-08-01 Permit, New Residence #5369CITY of 0140NO PERMIT N9 _ 53691
Building Permit
Of.TE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, PAN ", 323 473-7357
ZONING DISTRICT SITE ADDREyS '16 ��AS-r L�1CF sT _
L �_/A LEGAL DESCRIPTION: PROP. ID. # S- //7- a13 /3 O
1 nT / RI Orx SUBDIVISION
FIRE ZONE
L,ONb LA E
VAR. DATE
COND. USE DATE
LOT AREA
l DDO SCA
WIDTH DEPTH
/..-is^ ....f. t
PROPOSED SETBACKS
FRONT R.SIDE
REAR L. E
LAKE WETLANDS
ACCESS Ik,, ATE
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
EAL_":rVT Pfl I UIIT C
INNER
(Nadel (Adcrress)
(Phone)
/VC v
ARCHITECT/ENGINEER - Must Certify M Iti-Family, Commercial & Industrial
Construction Plans
I.ERT.NO.
_-
(Firm) (Address)
(Phone,
BUILDER
(Firm) (Address)
(Phone)
iC F' 1'" S
w
a - O
TYPE OF WORK
Nwwew Addition Remodel
Renovate
(9(
CONST TYPE
riLDG. SIZE
ESTCONST VALUATION
�,"'
L yg W HI
/
RESIDENTIALf
S10HIES B 1 Q 3
PERMI
FEES
✓_t
BLDG. PERMIT
S 00
_
OWLLL
nn
BDRMS,-FLR yr OZ STa7�
"�
UNITS
STATE FEE
PLAN REVIEW
S•00
a>Z 00
G TALLS
SEPTIC
ZTT:)
APP D',TE
PENALTY
_
D)CK
PARK FEE
f✓
NON RESID
PROPOSED USE
SAC CHARGE
Y �'
OCC
CLASS
STORIES
i
COUNCIL
APP DATE
TOTAL DUE
/35,01
REMARKS: J1 DE'GCc &,. _Alnr� wi07- CA& TO 7S' _SGTAACC Alep/}
-1.) P-9lrl-0 0411 ��Q A'11�at. AtLiZ_ �`'1rl gL1J H�fQOCGtICQ t../J rj-1 - —
ST1trl/tt Zwe .05 0/-
3i Se,Ii SC�1��C S�/S?jr` A OPA O /N o,,c.H►4
INSPECTION REQUIRED
_! '
FOOTING before Pow
FRAMING rough rn
INSULATION
_ 16-_
WALLBOARD Before Taping
."t_.-. FINAL ben- -e occupancy
WORK BEYOND OR W'THOUT A RE
OUIRED 11'.3PECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HnURS 413 7357
CALLS 12 A M INSP 1 4 P M
CALL 1 - 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL1!___
WELL
SEPTIC--
SEWER
WATER - -----
GRADING & FILLING—__
E ICAL Iron Stera - %
COPY WHITE FILE GREEN FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK -ASSESSOR
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY RFOUESTS 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.
Ile
Signature r Dow
Approved7rn _City of Orono