HomeMy WebLinkAbout1982-06-10 Permit, New Residence #4770CI 1 Y o ORONO� PERMIT Nn _ 47701
Building Permit DATE ISSUED �) M -
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357Q7 /
ZONI G ISTR! T SITE ADDRESS v /\� D�P LQr�-
�_ LEGAL DESCRIPTION: PROP. ID. L d
/ LOT BLOCK _ SUBDIVISION
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
F R2I) / R. /
REAR L.SIDE
LAKE WETLANDS
D
ACCESS
NE EXISTING
AGENCY-APPROV. DATE
CI
COUNTY
STATE
PR. EASEMENT
REMARKS
R
IN e)
(Address) (Phone)
V
AdVdlif
ITECT/ENGINEER
ust Certify Multi Family, Commercial &Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
�.
(Address) (Phone)
TYPE &F WORK New ,
10-
Addition Remodel Renovate
CONi$1 TYPE
BLDG. SIZE
EST CONST. VALUATION
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�O
I
L. W.
J Ht./D
RESIDEN
STORIES B 1
2 3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
C�Ci
_
DWELL
uNl rs
STATE FEE
PLAN REVIEW
d
C�gSTALLS
TT
SEPTIC
APP. DATE
D E T
3
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S
DOCK
PARK FEE
NON RESID.
PROPOSED USE
SAC CHARGF-
O fJ
OCC.
CLASS.
STORIES
COUNCIL
Q
APP DATE
TOTAL DUE
INSPIECSION REQUIRED
FOOTING before pour
FRAMING rough in
INSULATION
_Je�'_ 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 8 12 A.M. INSP 1 4 P M
CALL 1 4 P.M INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING �___..._
MECHANICAL fc__ ___
WELL S ..
SEPTIC
SEWER
WATER
GRADING & FILLING
ELECTRICAL from State
COPY WHITE FILE GHEE_N 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 UNU'ER
SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING C REQUIREMENTS.
Sign Date
rove ` '� City of Orono