HomeMy WebLinkAbout1981-06-10 Permit, New Residence.CITS' of ORO NO PERMIT N? 4517
Building Permit DATE ISSUED LboLsol
AND APPLICATION FOR CERTIFICATE GF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY,
ZONING DISTRICT
RR-� _
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT � R.S E f
7. o7
REAR L.SIDE
> o � / 07
LAKE WETLANDS
ACCESS
NEW EXISTING
I AGENCY-APPROV. SATE
CITY
COUNTY
STATE
PR EASFnEN
0r, iJ .
EMARKS
MN 55323 473-7357
SITE ADDRESc 6 a4 __N�N_.__��Rl.lOplf
LEGAL DESCRIPTION: PROP. ID. I II
LOT _L BLOCK ! SUBDIVISION LAV rtN. AAAA,at,
OWNER
(Name)
(Address) (Phone)
1
47 - 7974
_
ARCHITECT/ENGINEER AJAust Certify Multi Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm) (Address) (Phone)
BUILDER
(Firm)
(Address) 8(Phone) ew 0 5-3t fJ (o.r.w��b�+ oc�U
He S+I G
VEST-Pwe#sT If NC
cc1
TYPE OF WORK <!e�" N Addition
Remodel Renovate
If Es, 41 e —
CONST.TYPE
BLDG. SIZE
EST VALUATION
,rr�
L. �✓ W Sl/
Hi
/CONST.
RESIDENTIA
STORIES B 1 2
3
PERMIT FEE$-
BDRMS/FLR
BLDG. PERMIT �f 3 a a
OQ
DWF
UNITS
STATE FEE
PLAN REVIEW any
G STALLS
Z
SEPTIC
APP DATE
DET.
PENALTY
DOCK
r
PARK FEE S
NON RESID.
PROPOSED USE
.,
SAC CHARGE CIP 4n)
OCC.
CLASS.
STORIES
COUNCIL
Qq O Q
APP DATE
TOTAL DUE
SP �j ION REQUIRED WORK REQUIRING
/�� FOOTING before pour SEPARATE PERMITS
FRAMING rough -in
INSULATION L4L BING
—._ WALLBOARD Before Taping �iXANICAL (.0'J4-21
_FINAL before occupancy F L al �ap('�._1Q-A!rX_1
EPTIC-081-7- 7.3b "l
RK BEYOND OR WITHOUT A RE SEWER
ED INSPECTION WILL BE SUB -
TO PENALTY WATER
GRADING & FILLING
#SP�CTION HOURS 473-7357
L 8 - 12 A.M. INSP 1 4 P.M.
r L 1 4 P.M. INSP NEXT DAY ELECTRICAL from State
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 A ITY F ORONO ORDINAN."S AND STATE
OF MINNESOT ING CO R
�rtarawu / � �i
Appr
UI rS
/ mate O
'^' City of Orono