HomeMy WebLinkAbout1979-12-11 Permit, New Residence #4156:ITY of ORONO vL/
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 -
F
ING DISTRICT
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
SITE ADDRESS -21
LEGAL DESCRIPTION
LOT 7
PERMIT N? - 4156
DATE ISSUED
EXPIRES
PROP. ID.
BLOCK SUBDIVISION VIIV
WNE
(N ) (Address)
(Phone)
3Ra29
AR ITECT INEER — YuWCertify Multi Famil
Commercial & Industrial
nstruction Plans
(Firm) (Address)
(Phone)
BUILDER
rm (Address)
(Phone)
TYPE OF WORK New Addition
Remodel
Renovate
CONST, TYPE
BLDG. SIZE
EST. CONNjSTT.. VALUATION
L. W. Ht.
RESIDENTIAL
STORIES 3
PERMIT FEES
BDRMSIFLR
BLDG. PERMIT
DWELL.
UNITS
SEPTIC
STATE FEE
PLAN REVIEW
a91 4-�►
GAR. STALLS
APP. DATE
DET. 3
PENALTY
—
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
Occ.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
INSPECTION REQUIRED
_JMTING before pour
RAMING rough-in
ULATION
WA L:tOARD Before Taping
F INA L before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HO'JRS 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 L/
MECHANICAL____
WELL
SEPTIC
SEWER
WATER
GRADING & FILLING
ELECTRICAL from State
COPY: WHITE -FILE GREEN -FINANCE
CANARY -INS#'ECTOR GOLD - RECEIPT
PINK-ASSE-'SOR
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 A .. WORKS IN STRICT COM- I
PLIANCE WITH ALL CITY WIF ORONO ORDINANCES AND STATE
OF MINNESOT BUILDI ODE QUIR EQITS.
T
Signature Date/L-
Approved J / Cit, of rlrono