HomeMy WebLinkAbout1979-05-21 Permit, New Residence #4008CITYof ORONO PERMIT N? 4008
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-73 7 �q
ZONING DISTRICT SITE ADDRESS �n� / �/�G1//E�_
LEGAL DESCRIPTION: PROP. ID.
LOT --mod BLOCK suRDIVIRInN
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
WNER
(Name)
(Address) (Phone)
y1
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
j 2-3 E, GRIYtrf *-
c — 70.
BUILDER
(Firm)
(Address) (Phone)
D vlb `
-
Y7/ Nq
TYPE OF WORK New Addition Remodel Renovate
CONST, TYPE
BLDG. SIZE
EST. CONST. VALUATION
ODF1rz
MENNEN
L. 70 W.
Ht. .12.
/ �O� Op p
RESIDENTIAL
STORIES B O 2
3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
SEPTIC
APP.DATEDET.
ATE FEEGAR.
N REVIEWATT.
STALLS
Z
NALTY
DOCK
RK FEELL,,OCC.
NON-RESID.
PROPOSED USE
jSACCHARGE
7�CLASS.
STORIES
COUNCIL
APP. DATE
TAL DUEDUElf 0
INSPECTION REQUIRED
k FOOTING before pour
K' FRAMING rough -in
(' INSULATION
WALLBOARD Before Taping
Le FINAL before occupancy
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
MECHANICAL
WELL
SEPTIC
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-
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 MINNE46_;r� BUILDIdG CODE REQUIREMENTS.
COPY: WHITE -FILE GREEN -FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
PINK-ASS?SSOR
Signature
Approved
Date)
ty of Orono'