HomeMy WebLinkAbout1984-11-29 Permit, New Residence #5520CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357�/
ZONING FIST ICT SITE ADDRESS c(
LEGAL DESCRIPEION: PROP. ID. _
LOT 3 RI nCK
FIRE ZONE 1a
VAR. DATE
COND. USE DATE
LOT AREA
WID H f DEPT
PROPOSED SETBACKS
FROMO R.SID�C-Z
REAR 6/ L.SIDES-O
LAKE WETLANDS
ACCESS
;NPEW EXISTING
AAPPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
PERMIT O
N . _ 5520
DATE ISSUED _
EXPIRES
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CIIanIVICtnou /=L11diP.c_cJ
W R
el
PIZO,00'24
(Address)
(Phone)
CHITECT`,NJGGIIN
ER —
st rtify Multi -Family, Commercial 8 Industrial Construcl;on Plans
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7(5rm) O 1V a4 ��f (/`-%a Cam-
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BUILDER
(Firm) (Address)
(Phone)
TYPE OF WORK New
Addition Remodel
-161
Renovate
CONST TYPE
BLDG. SIZE
EST. CONST. VALUATION
E
L.
W Ht.
cSa
RESIDENTIA1
STORIES B
, 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL
UNITS
STATE FEE
PLAN REViEW
d.
(JtD
G TALLS
TT 3
SEPTIC
APP DATE
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q`;T_ y
D E T
Pa4t+�EF V -
_
DOCK
PARK FEE
NON-RESID
PROPOSED USE
SAC CHARGE
OCC
CLASS
TOTAL DUE
7,9 8 °�
STORIES
COUNCIL
APP DATE
INSPECTION REQUIRED
L/ FOOTING before pour
_---FRAMING rough in
—__&,dt�TNSULATION
—_.Lt1VALLBOARD Before Tapmq
FINAL before ocr.upancy
WORK. BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALLS 12 A M INSP. 1 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING Jt� ______
M_CHANICAL
WELL L/ --- --
SEPTIC
SEWER --- —__
WATER
GRADING & FILLING
LECTRICAL 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 REPRESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CIT` OF ORONO ORDINANCES AND STATE
OF MINNESOTA IL ING CODE REQUIREMENTS I
COPY WHITE - FILE GREENFINANCE
CANARY INSPECTOR GOLD RECEIPT
PINK ASSESSOR
Signature
Approvft.Xvd'✓ —Ciry Orono