HomeMy WebLinkAbout1983-06-17 Permit, New Residence #5045CITY of ORO NO PERMIT N" _ 50451
Building Permit DATE ISSUED -
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ffZONITNG DISTRICT7] SITE ADDRESS _3C1 �!� LA,_L� i E Lam• A
` ^ LEGAL DESCRIPTION: PROP. ID. Q `j' _ Z, 7 CSC�nt
1� LOT L R1 nr-K l sl IRnlviginru FAP.;, a... A.-)
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
PLl
WNER
pp (Name)
(Address) �PF eIiYSne)
tif -JAN ' 5
t-A:EE 0
o Art
ARCHITECT/ENGINEER - Must Certify Multi -Family, Co6mercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDERFirm)
7A{.L•r+e�E�
(Address) 7 - A ✓i- �'
ijy S hone)
rt EN
L Ci-��-"iT F/.dLe Mn pe
TYPE OF WORK Ne,
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. W.
H t.
)
RESIDENTIAL
STORIES B 1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
C,
DWELL.
UNITS
STATE FEE
PLAN REVIEW
GAR STALLS
ATT
SEPTIC
APP DATE
DET
PENALTY
DOCK
PARK FEE L-1 5CQ3
NON RESID.
PROPOSED USE
SAC CHARGE 06
OCC.
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE PIV 7
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
_ INSULATION
WALLBOARD Before Taping
FINAL:,^rnre occupancy
WORK BEYOND OR WITHOUT A RE
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
'PL�IMBING
E�HANICAL
Y`IE I- L
SEPTIC --- -- _
SEWER
WATER
GRADING & FILLING -
ELECTRICAL from State
COPY: WHITE --FILE . GREEN FINANCE
CANARY-igSPECTOR 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 BUILD (NG ¢60iE IREMENTS.
Signature
Approve
City of Orono
CITY OF UPON
3L IT-D-1 NG =PLIC TION
IhVILDING IEk.4IT APPLICATION kF.UU1RE':E'iT5
ET-quirt-r-ents to be handed in with Puilding Permit Application:
1) Building Permit Application - to be filled out & signed
2) Mechanical Pennit Application & Calculation filled out
3) Energy Calculations - filled out
4) Furnish Septic Report & Design
S) Furnish a Certificate of Survey
6) Furnish g sets of Construction Plans:
a) 1 set for City to keep on file
b) 1 set for builder to use on site
CITY USE ONLY_
R U1LDINC PEkMIT
N 0. DATE_
+I 20NING DISTRICT
E IRE ZONE
VAR DATE
COIID (fiE DATE
LOT APEA
WIDTH DEPTH
PROPOSE D SETBACKS
F �. R.
NEAR J L SIDE
l�_ AlinLAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
jCITY ----
e COUNTY --
PERMIT FE
BLDG PERMIT _
STATE FEE _
PLAN REVIEW _
PENALTY
PARK FEE _
SACCHARGE _
TOTAL DUE
Construction Plans should include
a) First floor plan
b) Footin& 6 foundation plan
c) Elevations (of all sides)
d) Wall sections b cross sections
e) Details - stairs and any special connections
THE ABOVE INFORMATION MUST BE SUBMITTED BEFORE PLAN REVIEW IS DONE
Work beyonl or without a regaired inspection will be subject to a penalty
rt-vU••_kANf _PA&—s's.3- f,_!� _.. —
r.
LEGAL DISCR TION PROP. ID = KI LOT BLOCK i SUBDIVISION
WNER (Name) (Address) Ph
H -°���
crI-5Tfn;1 ��w�� h4✓,� ��t',
ARCHIWT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
E R T. N I 11 'Oc` 41 T� _� 'S --2 7t-5—
(Firm) (Address) (Phone)
744
1, 7S *� . it 7 kA/
ILDER (Firm) (Adds) (Phone) /
s�.C�, (..aye r �vi'►'Ac� ii; :. rl E.•r 7 �{-; 3(fiA/
TYPE OF WORK Ne ' AdAion'-E' `K memodely r Renovate
CONST. TYPE
tr& IM'e,
BLDG. SIZE
L. W. 30 Ht.
EST. CONST. VALUATION
RESIDENTIAL
STORIES B 1 2 3
BDRMS/FLR
REMARKS: 1 (�. �%^J (� O J
DWELL.
UNITS
GAR. STALLS
ATT.
DIET.
SEPTIC
APP. DATE
DOCK
NON-RESID.
PROPOSED USE
OCC.
1— CLASS.
00 STORIES COUNCIL
APP. DATE
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
F DOTING w1•.. Pww
TRAMING •wq/i •.
INSULATION
PLUMaIMb
WALLa0AR0 IN'— TP-ry
MECHANICAL_
PINALb.0 w—
WELL —
ST P11C
WORK of VON& ON WITHOUT A RE
Sl WEN
CLIME IN S/EC1IOM WILL aE EUa
1ECT 10 PENALTY
WATEH —
INYlCT1oNNOURE 4777761
GRACING aEII LING__
CALL / 17 A M INS/ 1 E P.M
CALL 1 4►M INS► NEAT DAY
ELECTRICAL IK Sww
The undersigned hereby makes application for a building
permit for the work described, agrees to do all work in strict
accordance with the ordinances of the City of Orono and rulings
of the State Building Code Division, and declares that all
facts and representations stated herein are and correct.
Date ignature