HomeMy WebLinkAbout1978-03-17 Permit, New Residence Foundation #3725CITE' of ORO NOPERMIT NQ 3725
Building Permit
DATE ISSUED • 3 ' 1 % - 7 ?
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS 3 G• -S n t l FE S r
LEGAL DESCRIPTION: PROP. ID.
LOT 3 BLOCK SUBDIVISION - +
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
INSPECTION REQUIRED
WNER
(Name) (Address) 34• 10 (Phone)
73
' 1 EE T r-302
ARCHITECT/ENGINEER
— Must Certif Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm) (Address)
(Phone)
BUILDER
(Firm) (lj
(Phone)as
20ss1
n" Erg' io NUD
TYPES OF WORK Addition Remodel Renovate
relw,�
Ci fV 7 E
BLDG SIZE
EST. t�pNST. VALUATION
F'Ptsrnt,
L. W Ht.
PERMIT FEES
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RESIDENTIAL
STORIES B 1 2 3
BDRMS/FLR
B PERMIT 3Z DO
2 5
DWELL
UNITS
STATE FEE •
O Q
PLAN REVIEW
GAR STALLS
SEPTIC
3' Ile __
ATT.
APP DATE
DET.
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
OCC
C LASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE ys•
_ FOOTING before pour
_ FRAMING rough in
INSULATION
_ WALLBOARD Before Taping
__ FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALL 8 12 A.M. INSP. 1 4 P.M
CALL 1 4 P.M. INSP, NEXT DAY'
WORK REQUIRINC3
SEPARATE PERMITS
PLUMBING _ ___
MECHANICAL
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 INfOHMATION, 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 BU L ING CODE REQUIREMENTS
Signature `` Date- -___-
COPY: WHITE --FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK- ASSESSOR
Approved City of Orono