HomeMy WebLinkAbout1981-02-24 Permit, New Residence #4427CITY of ORO NO PERMIT N? - 4421
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED o!'24 ���,
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS / g/S Pr
LAP_ I C 71 LEGAL DESCRIPTION: PROP. ID. L?1 1I— A3 2Z 003S
LOT ____' RLnCK Sl1RnIVISICIN #A&DLc. 4w-rF iutls7-
LRENE
ATE
DEPTH
PROPOSED SETBACKS
F NT R.SIDE"
REAR CSID5
LAKE WETLANDS
%CCESS
NEW EXISTING
AGENCY-APPROV. DATE
CI
COUNTY
STATE
PR. EASEMENT
REMARKS
OWNER
(Name)
(Address) o{ j54q) �izj
5
I w
ZN c.. M N
ARCHITECT/ENGINEER
- Must
Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
KQ
47
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
LIEU
rN�
TYPE OF WORK
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
�•�
L. L4 8
W. -4 f Ht.
S+/S 0 . D.t�
REFENTIAL
STORIES B
1 2 3
PERMIT FEES
-3
BDRMS/FLR
BLDG. PERMIT ao
DWELL.
UNITS
STATE FEE
PLAN RVIEW J to
GAR. STALLS
SEPTIC
ATT.
APP DATE
•X VNfT
DET.
aC
DOCK
4"
PARK FEE
NON-RESID.
PROPOSED USE
,,��
SAC CHARGE '4 Its,"
occ.
C LASS.
STORIES
COUNCIL
APP. DATE
d�
TOTAL DUE �� a
INSPECTION REQUIRED
.1111, FOOTING before pour
FRAMING rough -in
INSULATION
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 8 12 A.M. INSP. 1 - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
7MBING
HANICAL
WELL
S PTIC
SEWER
,011111ATER
GRADING & FILLING _ _-_
ECTRICAL from State
COPY: WHITE -FILE GREEN --FINANCE
CANARYINSPECTORGOLD-RECEIPT
PINK -ASSESSOR
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.
Signature Date-��
Approv City of Orono