HomeMy WebLinkAbout1979-09-07 Permit, New Residence #4081i
CITY of ORONO PERMIT N? 4081
Building Permit 9 7.7
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXP ES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID.
LOT __'A RI nric CIIfinlvlclnru
FIRE ZONE
VAR.DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAP. L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
WNE (Na el. �T�S
(A�iress)
(Phone)
•�!1!�
ARCH ITECT/ENGINEE — Must Certify Multi Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm) (Address)
(Phone)
%`l 7Gts0
B 44K F;
(Firm) (Address)
(Phone)
w
-e19/
TYPE WORK ew A4dfFon
Remodel
Renovate
CONST. TYPEE
llewlo
BLDG. SIZE
EST. CONST. VALUATION
, o"
L. �s W. q�s Ht.
/KG
��
!/ �'
RESIDE;;IAL
STORIES B 1 2 3
PERMIT FEES
/
BDRMS/FLR
BLDG. PERMIT
STATE FEE
PLAN REVIEW
is
DWELL.
UNITS I
GAR. STALLS
ATT.�
SEPTIC
APP DATE
DIET.
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
QCC
C LASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
INSPECT,pN REQUIRED
/ OTING before pour
-0RAMING rough -in
v.,M/� SULATION
WALLBOARD Before Taping
FINAL 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
PLUMBING
MECHANICAL
WELL
SEPTIC
SEWER _
WATER _
GRADING & FILLING
ECTRICAL from State
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND AC'.EPT-
ANCE OF LL INFORMATION, CONDITIONS AND REQUIRE-
MENTS REPRESENTED ON THIS DOCUMENT. THE JNDER-
SIGNED FURTHER AGREES TO DO ALL WORKS IN STR,CT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS.
I I c t
Signature I Date
COPY: WHITE —FILE
CANARY —INSPECTOR
PINK —ASSESSOR
GREEN —FINANCE
GOLD —RECEIPT
City of Orono