HomeMy WebLinkAbout1984-10-10 Permit, New Residence #5467CITY Oi ORONO PERMIT M 54671
Building Permit1D -
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES .
P.O. BOX 66, CRYSTAL BAY, MN 5532: 473-7357
ZONING DISTRICT SITE ADL RESS / 9 Z2 .1-_✓t
/ C LEGAL
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A DESCRIPTION: PROP. ID.���-7
f� LOT BLOCK SUBDIVISION
FIRE ZONE -
hCOARPATE
USE DATE _
LOT AREA 3";2
WIDTH DEPNn
PROPOSED SETBACKS
FRONT R.SIDE/5
REAR L. ID O
LAKE WETLANDS
ACCESS
NEW XIST NG
AGENCY-APP TE
CITY
COUNTY
STATE —
PR. EASEMENT
REMARKS:
WNER (Name) (Address) (Phone)
/ 0- S
P1 �
ARCHITECT/CNGGIINEEEI�R - Must Certify Multi. Family, Commercial Industrial Construction Plans
(Firm) (Address)
(Phone)
t.
c.JOnS" (�C� 7ru J
BUILDER (Firm) (Address)
(Phone)
TYPE OF WORK a Addition Remodel Renovate
� 7
CONST TYPE!
BLD,, S17E
ST VALUATION
C� -v ,,v - z,,
6) 00
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TBLDG
RESIDENTIALSTOHItS
B
PERMIT FEES
y03, �
BDRMS!FLR
PERMIT
DWELL
UNITS
SEPTIC „
STATE FEE
PLAN REVIEW � D
CAR STALLS
ATT
APP DATE
DET
-- --_-
PENALTY
DOCK
PARK FEE
NON I ESID
PROPOSED USE
SAC CHARGE
---
OCC
CLASS
—
9, 1
STORIES
COUNCIL
APP DATE
TOTAL DUE
INSPECTION RECUIRED
.. 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 FENALTY
INSPECTION HOURS 473 7357
CALL 12AM INSP 1 4 P M
CALL 1 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING —_--_.
MECHANICAL _
WELL —_ -_ _
---
SEPT IC _
SEWER —
WATER
GRADING & FILLING --
ELECTRICAL from State
m fV x-G r, 0f_-' iAJCk. l
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 0 -=S TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL . jF ORONO ORDINANCES AND STATE
OF MINNESOTA 8U1-_ , CODE REQUIREMENTS.
i
Signatur Date/ �d
COPY WHITE- FILE
CANARY INSPECTOR
PINK -ASFESSOH
GREEN -FINANCE
GOLD RECEIPT
Approved
!:!�YrL/_)C-ty or Orono