HomeMy WebLinkAbout1984-03-26 Permit, Demo Residence #5223ryof ORONO PERMIT N.) _ 52231
uilding Permit
DATE ISSUED
rD APPLICATION FOR CERTIFICATE OF OCCUPANCY
EXPIRES
), BOX 66, CRYSTAL BAY, MN 55323 473-7 57
ZONING DISTRICT SITE ADDRESS ` 0�5_ _M _reezt,. LE
LEGAL DESCRIPTION: PROP. ID. C 7 It 17 C-C/O
LOT RI nCK
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT A2EA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY APPROV. DATE
CITY —
COUNTY
STATE
PR. EASEMENT
SIIRr)ivicinKj
OWNER
(Name)
(Address) (Phone)
W -4_—
ARCHITECT/ENGINEER
- Must
Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
----------^ -- -
(Firm)
- - --
(Address) ( Phone I
BUILDER
(Firm)
(Addre6yov AL-Atu"A Crr,(Phone) IT94/
jr f
S �! Eb
!71
TYPE OF WORKNew
Addition Remodel Renovate
_Dejuur)
fe A4"'
CONST TYPE
BLDG. SIZE
EST CONST VALUATION
L
lV fit
/ t-7eel 00
fif'SIDENTIAL
STOHIES Ii
1 2 3
PERMIT FEES oc�
_
BLDG. PERMIT d*5�
DYJELL
BDRMS)FLR
UNITS
SEPTIC
APP DATE
STATE FEE
PLAN REVIEW
(,AH. STALLS
All
f)Er
PENALTY
DOCK
— —
PARK FEE -
NON RESID
PROPOSED USE
SAC CHARGE
OCC
CLASS
STORIES
COUNCIL
nPP 0A. E
TOTAL DUE
REMARKS: CYl45"T_I l' 6_ l LL--. F�ffi Ac nio L�-----
- SE.w--- - - C CFI -
114SPECTION REQUIRED
------ FOOTING before pour
FRAMING rougn-m
_ INSULATION
WALLBOARD Before Tapmq
.. _FINAL before occupancy
")RK BEYOND OR WITHOUT A RE
IRED INSPECTION WILL BE SUB-
T TO PENALTY
WECTION HOURS 473 7357
.L8 12AM INSP I 4PM
L I 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE 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 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 MINNESO BUILDING CODE REQUIREMENTS
Signature 44W--t;ftd4A9dAte 6-r_If
VHITE FILE
ANARY INSPECTOR
NK ASSESSOR
GREEN FINANCE
GOLD RECEIPT
Approved c / 'L'= / X_ ` Crty of Orono I