HomeMy WebLinkAbout1978-03-22 Permit, New Residence #3728CITY of ORO NO PERMIT 3728
Building Permit,:
DATE ISSUED -
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 -�
ZONING DISTRICT SITE ADDRESS 13L -I -_ L7
LEGAL DESCRIPTION: PROP. ID.
LOT `� BLOCK SURD IVISION/1CL�irYl�
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE/
c,
REAR L.SIDE
16-0
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS:? / a-�;
DINER
(Name)
(Address)
(Phone)
ARCHI CT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
_
(Address)
(Phone)
BUILDER
(Firm) (Address)
(Phone)
TYPE OF WORK
ew Addition Remodel
Renovate
CONST YYPE
BLDG. SIZE
EST. CONST. VALUATION
-�
,
L. :14
Ht.
RESIDENTIALSTORIES
B 1 2 3
PERMIT F71,,
BLDG. PERMIT
a D
DWELL. /
BDRMS/FL
UNITS
1 �. f ,.r ,
STATE FEE
PLAN REVIEW
G STALLS
SEPTIC
TT c-!
APP DATE
DIET.
PENALTY
oocK
PARK
NON-RESID
PROPOSED USE
SACCHARGE
f).
QCC.
CLASS.
STORIES
COUNCIL
/J�
APP. DATE
TOTAL DU
f O n, CAD
INSPECTION REQUIRED
i FOOTING before pour
FRAMING rough -in
r — INSULATION
&--- WALLBOARD Bore Taping
Ll FINALtgokoccupancy
WORK BEV CR WITHOUT A RE.
OUI INCTION WILL BE SUB-
J1111inPENALTY.
1 SPECTION HOURS 473-7357
CALL B - 12 A.M. INSP. 1 - 4 P.M.
CALL i - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
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 INFORMATION, CONDITIONS AND REQUIRE-
MENTS REPRESE::TED 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 MINNEA BUILDING CO E REQUIREMENTS
J i
Signature` Date
M
COPY: WHITE --FILE GREEN FINANCE
CANARY -INSPECTOR GOLD RECEIPT