HomeMy WebLinkAbout1984-10-01 Permit, Demolish House #5452ITY of ORONO )
uilding Permit
ND APPLICATION FOR CERTIFICATE OF OCCUPANCY
.0. BOX 66, CRYSTAL BAY,
ZONING DISTRICT
FIRE ZONE
VAR. DP
CONL
LOT AREA
WIDT DEPTH
PR POSED BACKS
FR T SIDE
REA L SI
LAKE
AC SAJ
N EXItiTING
AG�tJ PPROV DATE
CITY___--
COUN-
STAT
PR. EASEMENT
REMARKS.
MN 55323 473-7357
SITE ADDRESS f 9.3 2�_
LEGAL DESCRIPTION: PROP. ID. _I7 - f IZ
x. T=545
PERMIT O
DATE ISSUED
EXPIRES
LOT BLOCK _ _SUBDIVISION
F
(Nam�e,)� (Address) (Phone)
I/N iLl /aye 1932_ENGINEER — Must Certify Multi -Family, Commercial N Industrial Construction Plans
Firm) (Address) (Phone )
INSPECTION REQUIRED
—�__--- FOOTING bolo, . pcw
FRAMING ouwh -n
INSULATION
WALLBOARD Before Tpiny
FINAL before occupencv
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY
INSPECTION HOURS 473-731j7
CALL 8 - 12 A.M. INSP 1 4 P M.
CALL 1 . 4 P.M. INSP. NEXT DAY
BUILDER (Flrml (Address) (Phone)
TYPE OF WORK New Addition Remodel Renovate
ell U L c eX 1 STIN ('-% NOL.,(SE,-
CONST TYPE I BLDG SIZE EST CCNST VALUATION
L IN ra i
RESIDENTIAL STORIES B 1 ? 3
DWELL 8DRMSJFLR
UNITS
GAR STALLS SEPTIC
ATT APP UATE
DET
NON RESIO I PROPOSED USE
OCC I
CLASS
STORIES COUN..
nPP DATE
PERMIT FEES �o
BLDG. PERMIT
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
TOTAL DUE 30
SSA e--
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL
SEPTIC _
SEWER
►VATER _-
GRADING A FILLING
ELECTRICAL from State
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PEROW"I"N TO MAKE
THE PEAL IMPROVEMENTS SPECIFIED. AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
ANCE OF ALL INFORMATIUN. CONDITIONS AND REOUIRE-
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WIT LL CITY OF ORONO ORDINANCES AND STATI
OF MINNESOTg0ILDINGLODE REQUIREMENTS
SI¢gture`` `f ,%-)- %A,lXV - a —` Date 1 O _%
COPY WHITE FILE GREEN FINANCE
CANARY —INSPECTOR GOLD -RECEIPT
PINK —ASSESSOR
Approved I /fj�=_.C'tV of