HomeMy WebLinkAbout1979-08-14 Permit, Demolition #4064CITY of OR()NO PERMIT N? 4064
Building Permit DATE ISSUED. 7
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS.�� /Ya >"►-K �+o��e_
LEGAL DESCRIPTION: PROP. ID.
I nT RI nCK 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
WNE
(Name).
(Address) (Phone)
>r
Q ►- /ri �-
75 -
ARCHITECT/ENGINEER — Must
Certify Multi -Family, Com ercial & Industrial Construction Plans
ERT.NO.
_
(Firm)
_
(Address)
(Phone)
Y Lk C_
2!�r'U C_�iV
it
BUILDER
(Firm)
(Address)
(Phone)
TYPE OF WORK New
Addition Remodel ), I ",y enovate
CONST TYPE
BLDG. SIZE
/
EST. CONST. VALUATION
W.
RESIDEN A L
STORIES B
1 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT U
DWELL
UNITS
STATE FEE . SO
PLAN REVIEW
GAR. STALLS
PTIC
ATT
A DAT
—
DET
PENALTY
DOC
PARK FEE
NON-RESID
uSE
/POS
SAC CHARGE
OCC
CLASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
REMARKS: e h+o (! �io �ro�-In r ky
&7� e`yC ryy / )^�• V ti r�o I
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Before Taping
F INA L before 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 ^EQUIRING
SEPAL .TE PERMITS
PLUMBING
MECHANICAL_ —_-__-
WELL
SEPTIC _
SEWER
WATER _---
GRADING & FILLING
ELECTRICAL from 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 INI-OHMATION, 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 MINIvESOTA BUILDING CODE REQUIREMENTS.
Signature r `� 6"f tK,t Date
COPY WHITE -FILE
CANARY --INSPECTOR
PINK —ASSESSOR
GREEN FINANCE
GOLD RECEIPT
Approved
City of Orono