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HomeMy WebLinkAbout1981-08-13 Permit, New Residence #4575ATY of OR()NO PERMIT N° 4575 Suilding Permit DATE ISSUED 8' 13 ' AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 _ ZONING DISTRICT SITE ADDRESS 50S 0o0:-_r.k 1-�c�Zf•�i>AIC 2 LEGAL DESCRIPTION: PROP. ID. C _ J LOT Z BLOCK I SUBDIVISION�t���wAs1_{Ci_F73—� FIRE ZONE VAR. DATE COND. USE DATE LOT AREA WIDTH DEPTH PROPOSED SETBACKS FR_QNT( R.SIDE REAR r L.SIDE 55 LAKE WETLANDS ACCESS EXISTING AG CY-APPROV. DATE CITY COUNTY STATE PR. EASEMENT _ REMARKS WNER (Name) (Address) (Phone) 5 4- ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans ERT.NO. (Firm) (A.ldress) (Phone) BUILDER (Firm) (Address) (Phone) K LAV EC q-g- C&msr• iivft, - 36 TYPE OF WORK 4 a1 Addition Remodel Renovate NF-0 V e---kde,,-, CONST. TYPE BLDG. SIZE EST. CONST. VALUATION 1� Ht. ©o o / L. RESIDENTIAL STORIES B 1 © 3 PERMIT FEES R--3 BDRMS/FLR 3 AL02060%k BLDG. PERMIT .458.00 SS po DWELL. UNITS STATE FEE PLAN REVIEW o0 GAR STALLS SEPTIC Q Cl ATT. APP DATE DET. PENALTY DOCK PARK FEE NON-RESID. PROPOSED USE SAC CHARGE Co OCC. CLASS. STORIES COUNCIL APP, DATE TOTAL DUE INSPECTION REQUIRED q-4-81 FOOTING before pour / FRAMING rough in INSULATION WALLBOARD Before Taping FINAL 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 REQUIRING SEPARATE PERMITS PLUMBING WELL SEPTIC SFWER -_--- -- --. WATER _ _ GRADING & FILLING ELECTRICAL from State COPY: WHITE --FILE GRLEN 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 ACCEP r- 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 BUILDING C E REQUIREMENTS. Signature v Date Approved - City of Orono