HomeMy WebLinkAbout1979-12-24 Permit, New Residence #4161CITY of ORO NO
Building Permit !oz_
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 4733-7
ZONING DISTRICT SITE ADDRESS ' C Q
PERMIT N? 4161
DATE ISSUED
EXPIRES
R _ , LEGAL DESCRIPTION: PROPUD, O 2. — 1 1 T — 2.3 . 12 000 Z
LOT BLOCK SUBDIVISION
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
t.
WIDTH DEPTH
i '146.2-1
PROPOSED SETBACKS
FR,QNT R58
REAR LIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
OWNER
(Name)
124 (Address]
Le
log)
11
ARCHITECT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
_
(Firm)
(Address)
(Phone)
BUILDER
(Firm)
(Address)
�hOne)
c.
TYPE OF WORK <—qe—w7 Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. h Z - w. 3
H•
I.3D� 000,
o O
RESIDENTIAL
STORIES B 1 2
3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
fJ
G5 60
DWELL.
UNITS
STATE FEE
PLAN
PLAN REVIEW
OO
GA STALLS
SEPTIC Q e
ATT
APP. DATE 1, l
DET.
PENALTY
DOCK
PARK FEE
00
NON RESID
PROPOSED USE
SACCHARGE
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
3$• ��'
REMARKS: CouAC.L wAS-e.up-0 I AppLI,C.24104+ "j L 8E nolwn4-tkgr0,y1-1'
A Lo f A RSA �— 445)�AIhce—
INSPECT I REQUIRED
,,��FOOTING before pour
RAMING rough -in
SULATION
WALLBOARD Before Taping
F INA L before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL B 1. ' RR INSP. 1 4 P.M.
CALL 1 - 4 P.M. 'NAP. NEXT DAY
WORK REQUIRING
SEPARATE, PERMITS
PLUMBING
MECHANICA
WELL
SEPTIC(
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 REQUIREMENTS.
COPY: WHITE- FILE GREEN FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK ASSESSOR
Sign
Approved
2
City of