HomeMy WebLinkAbout1978-03-06 Permit, New Residence #3718CITY of ORO NO PERMIT N? - 3718
Building Permit C.Q
DATE ISSUED_ -3 _ � "7S
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT7] SITE ADDRESS �rA
9 7.J R�� I
LR -I d LEGAL DESCRIPTION: PROP. ID.
LOT 8 BLOCK SUBDIVISION AiZU1CW
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
A C P_
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
ISO 1(00
LAKE WETLANDS
ACCESS
NE EXISTING
AGENCY-APPROV. DATE
PITY
COUNTY
STATE
PR. EASEMENT
WNER
(Name) Gees) (Phone)
Ad
,3I. % el_
V 75-.700 /
ARCHITECT/ENGINEER
- Must Certify Multi -Family, Com ercial & Industrial Construction Plans
ERT.NO.
(Firm) (Address)
(Phone)
BUILDER
(Firm) (Address)
(Phone)
AM 13
14 Z .2ad .S7-
' � �
TYPE OF WORKS Addition Remodel
Renovate
CONST TYPE
BLDG. SIZE
E CONST. VALUATION
WD
RZAV►E
L. W. Ht
I D, Off . o0
RESIDENTIAL
STORIES 8 1 2 3
PERMIT FEESI
BDRMS/FLR
BLDG. PERMIT 00
,
S
DWELL.
UNITS
STATE FEE
PLAN REVIEW S
t3AR. STALLS
SEPTIC Q
3- 2 — 7
ATT.
APP. DATE G7
DET.
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
occ.
CLASS.
STORIES
COUNCIL
O�
APP. DATE
TOTAL DU 9 08 e
REMARKS: EN�R�,J(./ K "' Z. q --7 t;x,
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
INSULATION
_ WALLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WroHOUT A RE-
QUIRED INSPEw
LLSUBJECT TOP NA((., v
INS ON H 1373-7357
C 12 A. P. 1 4 P.M.
C L 1 - 4 P.. NSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
P'_UMBING _ _ __
MECHANICAL
WELL
SEPTIC
SEWER
WATER ----
GRADING & FILLING ---
ELECTRICAL 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
MENT', REFHESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL LITY OF ORONO ORDINANCES AND STATE
OF MINNESOTAAZILDING CODE REQUIREMENTS
Signatur �LJ �'��C%' `�. ✓ �l S�
Approved ___ City of Orono
COPY WHITE --FILE GREEN —FINANCE
CANARY --INSPECTOR GOLD -RECEIPT
PINK —ASSESSOR