HomeMy WebLinkAbout1980-12-29 Permit, New Residence #4404CITY of ORO)NO PERMIT 4404
Buildin Permit
a DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. -
LOT ? BLOCK __ z_ SUBDIVISION
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
N e)ddress)
1
—)
(Phone)
ARCHI ECT/EN INEER —Mint Ce
fy Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address)
(Phone)
—41&A4--
-
-4
a�z�
5,17949.e 7
BUILDER
V (Firm)
(Address)
(Phone)
TYPE OF WORK ew
Addition Remodel
Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L.
W.
Ht.1000100
�y
RESIDENTIAL
STORIES B
1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
✓fS
DWELL.
UNITS
STATE FEET
PLAN REVIEW
GAR. STALLS
SEPTIC
ATT. )e
APP. DATE
DET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
S
OCC
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
y
1 J•Sa?, ,0U
INSPECTREQUIREDEQUIRED
TING before pour
_ l�R/ AING rough -in
U LAT IO N
:_::A�WA OAR Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A SE.
QUIRED INSPECTION WILL BE SUB.
JECT TO PENALTY,
INSPECTION HOURS 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 Stab
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 R
EES TO DiE
WORKS IN STRICT COM-
PLIANCE WITHJAIYILITY OF ORORDINANCES AND STATE
OF MINNESOTDING CODE IREMENTS.
Signature
COPY: WHITE —FILE GREEN —FINANCE
CANARY —INSPECTOR GOLD —RECEIPT
PINK —ASSESSOR
Approved
City of Orono