HomeMy WebLinkAbout1984-06-19 Permit, New Residence #5323CITYof 01N)AN0 PERMIT' N° = 53231
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED 19 '9`�
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS l05 1 F—t—.T
Oz _ (4 LEGAL DESCRIPTION: PROP. ID. DL - 11 T -Z3 c/Y a-VO
LOT Al nrlc CHUMVICIntu
FIRE ZONE
UJAU zdTA
VAR. D TE
-17--84-
COND. USE DATE
LOT AREA
2-. A ca_E
WIDTH DEPTH
(,00 190
PROPOSED SETBACKS
FRROXNT R.SIIDE
REAR f L.SIDE
Xf
LAKE WETLAP ' -,
-58 l RE VAAAf 1UC,a_ ,
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
WNER
(Name)
(Address)
(Phone)
Ale aEL.L_.
ARCHITECT/ENGINEER — Must Certify
ulti•Family, Commercial & Industrial Construction Plans
ERT.NO. Iyta:�l6�- - S^ lh f? fe—C
—�
CcdG �� L Lf-d
S- 0 336
(Firm)
'(Address)
(Phone)
BUILDER
(Firm)
(Address)
(Phone)
E
— /93
TYPE OF WORK Addition Remodel
Renovate
-S1
COKST TYPE
BLDG SIZE
EST, CONST. VALUP.I ON
L. W
4A0 coo,
0c)
HI
RESIDENTIAL
STORIES B 1 ?
3
PERMIT FEES
BDRMSIFLR
BLDG. PERMIT
1 L.3
DWELL
UNITS
STATE FEE
LAN REVIE
REVIEW
3S
S
GAR STALLS
SEPTIC
ATT
APP DATE
DIET
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
a kaT,
oCc
CLASS.
STORIES
COUNCIL
APP DATE
TOTAL DUE
0 85 50
a2
REMARKS: -:SAC ccEDI T 8P Ux.At) #SLZ3
Ua A� 4-ck✓� AJn i
urn t L Anor000st--- ---- —
INSPECTION REQUIRED
FOOTING before pour
_ FRAMING tough in
INSULATION
— WALLBOARD Before Taping
_ F INA L before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTION HOURS 473 1357
CALL 8 12 A M. INSP. 1 .4 P.M
CALL 1 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING _ _ .
MECHANICAL
WELL
SEPTIC
SEWER -
WATER -- ---- — ---
GRADING & FILLING —_
ELECTRICAL from State
COPY WHITE -FILE GREEN FINANCE
CANARY INSPECTOR GOLD RECEIPT
PINKASSESSOR
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 ANn 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 MINNESC- 1I DING CODE REQUIREMENTS.
r
Slgnatur l Datet+'
Approved of Orono