HomeMy WebLinkAbout1981-06-01 Permit, New Residence #4501CITY of OR()NO PERMIT NO
4501
Building Permit
DATE ISSUED �—
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 /
ZONING DISTRICT SITE ADDRESS e "/', 0 �(� !�►��`(' d�P
/ Q _ / R LEGAL DESCRIPTION: PROP. Ili. % OCR �o
!�!` ,J LOT RI nrK I cllranlvlctna 7—'-- ,_4 W, �
LATE
DEPTH
PROPOSED SETBACKS
FRONT If R. IDE s
REGG RRC L.S_JDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
WNER _
IN e)
(Address) (Phone)
C►�r* ea_
ARCHITECT/ENGINEER - lost
Cer0y Multi -Family, Com ercia & Industrial Construction Plans
ERT.NO.
I irm'
(Address)
(Phone)
i �D0-
BUI ER
(Firm)
(Addt,:ss)
(Phone)
TYPE OF WORK New
Addition Remodel Renovate
T..TYPE
CONSL=L
BLDG. SIZE
EST. CONSST. VALUATION
L.
• OO
W Ht.
Q O 00o
RES)DENTIAL
STORIES B
1 2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT 3 66
D ELL. l
UNITS
STATE FEE UC)
PLAN REVIEW
GAR. STALLS
ATT
SEPTIC
APP. DATE
DET.
PENALTY
DOCK
-
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE �a�• G(D
OCC.
CLASS.
— — - --- --
--�Q �)
STORIES
COUNCIL
APP DATE
TOTAL DUE
INSP[rTION REQUIRED
��
FOOTING before pouf
-- FRAMING rough m
INSULATION
✓____ __
_ WALLBOARD Before Taping
FIIIAL 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
M
WORK REQUIRING
SEPARATE PERMITS
'PLUMBING __
MECHANICAL _
4ELL
�EPT IC
SEWED. _
WATER
GRADING & FILLING
ELECTRICAL from State
COPY 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 ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING C E REQUIREMENTS.
Sign Dat�
1
Appr d City of Orono