HomeMy WebLinkAbout1982-06-04 Permit, New Residence #4767CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS 3070
'ey LEGAL DESCRIPTION: PROP. ID. _
LOT _ _ __ at {" K
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FgQNOT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
PERMIT N? _ 47671
DATE ISSUED 6— 4-20
EXPIRES
SL1RDI VISInN
OWNER
(Name)
(Address) (Phone)
U
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
Q3s- o0
BUILDER
(Firm)
(Address) (Phone)
14214 to/ Amz
TYPE OF WORK MNeAddition
Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. W.
Ht.
RESIDENTfA
STORIES B 1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE Z76 O
PLAN REVIEW 0
GAR STALLS
SEPTIC
APP. DATE
ATT.
DET.
PENALTY
DOCK
PARK FEE !I✓ �(/
NON-RESID.
PROPOSED USE
SAC CHARGE jw
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
3
TOTAL DUEmom
INSPECT N REQUIRED
QC
TING before pour
RAMING rough in
A LLBO ION
ALLBOARD Before Taping
—L FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOUR 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 _
MECHANICAL_
WELL
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.
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 MINNESOTA BU LOIN CODE REQUIREMENTS.
Sign► Ole Date
Approved City of Orono