HomeMy WebLinkAbout1979-03-06 Permit, New Residence #3950CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS y
LEGAL DESCRIPTION: PROP. ID.,
LOT BLOCK
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
PERMIT 3950
DATE ISSUED _Z�6 /7Z
EXPIRES
SUBDIVISION
E
(Name)
(Address) (Phone)
/ 7
S-ems'
CHITECT/E
INEE — Mus Certify Multi -Family, Commercial & I dustrial onstruction Plan
ERT.NO.
irm)
(Address)
( hone)
BUI LEER
(Firm)
(Address)
(Phone) y7�-OIJ�
TYPE OF WORK New
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST.VVALUATION
L. W.
Ht.
)
/' /0_
RESIDE TIA
STORIES B 1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE S 0-0
PLAN REVIEW r 0"19
GAR STALLS
ATT.3
SEPTIC
APP. DATE
DIET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARG jK 0-0
occ.
CLASS.
Q 3 M
STORIES
TAPP.
COUNCIL
DATE
TOTAL DUE
INSPECTIREQUIRED
OTING before pour
� AMING rough -in
�SULATION
�LLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECT!ON 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 _ ✓ _ _
MECHANICAji�
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.
I
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 A CITY OF ORONO ORDINANCES A,vJ STATE
OF MINNESOT UILDING CO E REQUIREMENTS.
7
Signatur > Dat�
Approv Q ~ City of Orono