HomeMy WebLinkAbout1978-03-21 Permit, New Residence #3727CITY of ORONO PERMIT 3 121
Building Permit
DATE ISSUED �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS _i�'rD ,�!/ / C. [t
LEGAL DESCRIPTION: PROP. ID.
o[ I nT '6— RI nrK i SUBDIVISION r 01^ V / f_' L✓
L
ATE
LOT AREA
IDTH DEPTH
J
PROPOSED SETBACKS
FFJQNT R.SIDE
D
REAR L.SIDE
11 . v. ?
LAKE _METL"DS
1 n `Fear
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
WNER
(Name)
(Address) (Phone)
Z '-a-
Vql- 7 :36'-0
ARCH ► ECT/ENGI NXER - Must Certify Multi -Family, Commercial & Industrial Construction Plans
I.ERT.NO.
(Firm)
(Address) (Phone)
I
Lo
BUILDER
(Firm)
(Address) (Phone)
-
r �
' 5 9 30
TYPE OF WORK ew
Addition Remodel Renovate
COVST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
i/DD
D�
'Pd
w.[ �� Ht./
C)UD
RESIDENTIAL
STORIES B
1 2 3
PERMIT FF„�S
BDRMS/FLR
BLDG. P. T
00
_
DWELL.
/
UNITS
STATE F I L v_G
PLAN REVIEW
GAR. STALLS
SEPTIC
>
UAT
APP. DATE
PENALTY
DOCK
PARK FEE �C
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
,CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE ,
REMARKS: SDI r S al L/Sf C! -C%h lam:' I-", J C2
1' e v ► �� [ -d dF tea/ / � �o not �,hr t,c,� C�� � P �_'1 /ans �/�
INSPECTION REQUIRED
r/ FOOTING before pour
�RAMING rough-ir>L_
NSULATI N 7
YTION
D f Taping
o occupancy
INITHOUT A RE
WILL BE SUB-
473.7357
P. 1- 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL --=�'-
i
SEPTIC
SEWER
WATER_ - - -
GRADINC & FILLING
ELECTRICAL 1-om 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 CI1 Y OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS.
COPY: WHITE -FILE GREEN -FINANCE
CANARY -INSPECTOR GOLD RECEIPT
PINK -ASSESSOR
Signature ^ Date J