HomeMy WebLinkAbout1980-11-14 Permit, New Residence #4390( 'Al l Y of ORONO PERMIT N? 4390
Building Permit
DATE ISSUED �� � M - 'v
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS (A,• FFRN_QAC.'�E_
L2 _ / LEGAL DESCRIPTION: PROP. ID.
FIRE ZONE LOT BLOCK _.— SUBDIVISION
VAR.DATE
-Z7-7'T
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT IFj,S 2 E
REAR L.SIDE
_ 45-
LAKE WETLANDS
75 6
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
COUNTY
STATE
PR. EASEMENT
REMARKS:
(Name)
(Address) (Phone)
0—
Must Certify Multi -Family, Commercial & Industrial Construction Plans
rARCHITEdT/ENGINEiF_h
Firm)
(Address)
(Phone)
(Firm)
(Address)
(Phone)
Sa57
9Zoajz
SN
LRK
Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST, CONST. VALUATION
L. jW W.
S b Ht.
' 771600
RESIDENTIAL
STORIES B 10
3
PERMIT FEES
BDRMS/FLR Z
1
BLDG. PERMIT
DWELL
UNITS
STATE FEE
OD
(�AN REViEW l
GAR STALLS
SEPTIC
ATT.
APP DATE
DET.
PENALTY
DOCK
-
PARK FEE • ��
NON RESID
PHOPOSED USE
SAC CHARGE �a
OCC.
CLASS.
COUNCIL
STORIES
TOTAL DUE
APP. DATE
INSPECTION REQUIRED
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 - 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
CANARYINSPECTORGOLD RECEIPT
PINK- ASSESSOR
ACKNOWLEDGE^SENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACI�EPT-
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 STATI
OF MINNESOTA BUILDING CODE REQUIREMENTS.
Signature Date
C
ApprovedY of