HomeMy WebLinkAbout1981-04-17 Permit, New Residence #4470CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS A - % <
L n _ / A LEGAL DESCRIPTION: PROP. ID..
!� LOT RI nrK
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA n
CCXA—
WIDTH � DEPTH
PROPOSED SETBACKS
FRO T I R.SID ./
REARS L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. E SEMENT
REMARKS
PERMIT N? 4470,
DATE ISSUED '7` I7-kl
EXPIRES
4ZI IRnlvlclnfu
OWNER
(Name)
Address) (Phone)
/ O /
y3 f�0
ARCHITECT/ENGINEER
— Must Certify Multi -Family,
Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address)
(Phone)
BUILDER
(Firm)
(Address) (Phone)
III/ .
14,4. qpoe.'0
No s — 10 M40
TYPE OF WORK eW
Addition
Remodel Renovate
/ An�st
4L-�-
—
CONST. PE
.
BLD SIZE
V
I
EST. CONST. VALUATION
IOo�
L. O W.
3'1 Ht.
�dU
RESIDENTIAL
STORIES B 1
3
PERMIT FEE
_ a
BDRMS/FLR
BLDG. PERMIT dQ
SI 00
DWELL.
UNITS
STATE FEE
PLAN REVIEW S�
GAR. STALLS
SEPTIC
0TT.
APP. DATE
— /f� --dz/
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
DU// 11
TOTAL p? , .7
INSPECTION REQUIRED
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 PENALTY,
INSPECTIONHOURS 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 if
MECHANICAL
WELL _________✓
SEPTIC
SEWER
WATER
GRADING & FILLING --
ELECTRICAL from State
COPY: WHITE —FILE GREEN —FINANCE
CANARY —INSPECTOR GOLD —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 1L` �' Q Date 1=17'Yi
Approved 'fit 4 4-10ty of Orono