HomeMy WebLinkAbout1983-10-27 App. & Permit, New Residence #5158('ITYo OKONO PERMIT N40 = 51581
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
LR. _ I � LEGAL DESCRIPTION PROP ID. - 0-7 " 1 /1 - Z3 r 7-_ 660(, _
LOT- 7 - BLOCK I SUBDIVISION Pre--r
FIRE ZONE II
u .n CI
VAR DATE
1-
COND. USE DATE
LOT
AREA
AC9-C
WIDTH DEPTH
015.71 2,bt,Lev
PROPOSED SETBACKS
FRONT R.SIDE
&< %- 5__ --
REAR L.SIDE
ems/
LAKE WETLANDS
ACCESS
CNr EXISTING
AGENCY APPROV. DATE
O r
IC
COUNTY
STATE
PR. EASEMENT ^
REMARKS
(Name) "W"re s) (P4f t7Z
O
lvA
SF3
c MA 7so S
NGINEER - Must Certify Multi Family, Commercial & Industrial Construction Plans
rHEC
irm) (Address)
(Phone)
(F 1rm1 (Address) (Pluwne)
VZZ
%
7SdK
New Addition
Remodel Renovate
CANST TYPE
BLDG SIZE
FST (.ONST VALUA110n:
L & z-� W S8 H t
lee, ocx-) , fla
DENTIA
STORIES B T 7 ;
PERMIT FEES
- 3
BLDG.PERMIT y00
L
BORMS'FLR
0oS
I
STATE FEE
PLAN REVIEW Z
STALLS
SEPTIC
2
APP DATE
I
PENALTY
DocK
PARK FEEj `jU bSACCHARGE
F+E ID
PlfoPosED usE
` °S
C
TOTAL DUE 1 I Z 4.
IES
COUNCIL
APP DATE
INSECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
FOOTIN"; before poul
--__ FRAMING rough rn
INSULATION
PLUMBING -
` WALLBOARD Before Tapinq
MECHANICAL -
WELL
FINAL before occupancy
SEPTIC _
WORK BEYOND OR WITHOUT A HE
SEWER _
OUIRED INSPEC ION WILL BE SUB
WATER
JEECCT 0 P{,ENpALTYJJ G
1T "C0(%HOl7RPt4j3�
_
GRADING & FILLING
INSP
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 REOUIRE-
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TC DO ALL WORKS IN STRICT COM-
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING Co J HEQUI MENTS
Signatw
_G1V ,:O�ono
C i TY OF ORONO
BUILDING r-ERMIT PPLICATION
hVILDING PEPNIT APPLICATION REOUIREKENTS
P-quirer.ents
to be handled in with Euilding Permit Application:
Construction Plans should include:
1)
building Permit Application - to be filled out h signed
a)
First floor plan
2)
Mechanical Permit Application b Calculation filled out
b)
Footing 6 foundation plan
3)
Energy Calculations - filled out
c)
Elevations (of all sides)
4)
Furnish Septic Report i Design
d)
Wall sections 6 cross sections
S)
Furnish a Certificate of Survey
e)
Details - stairs and any special connections
b)
Furnish Ik sets of Construction Plans:
•) 1 set for City to keep on file
b) 1 set for builder to use on site
CITY 1ISE
BUILD14C PI
N 0. DAl
ZONING OISTRWT-
F on JOKE
VAR DATE
C0%3 U$[ DATE
LOT AREA
0;37N
DE►TN
►AD"l D sf TaACTts
sl
A AR f
LSID� /
'_AIU
WETLANDS
ACCESS
kFIN EXISTING
A-,EACT'.A[1ROV. DATE
ar✓ETr
nAn
M [A.SL MEFR
PERMIT FEE
BLDG PERMIT
VIATE FEE _
FLAN RE VIEW —,
F'1%^LTV _
PARK FEE
SAL CHARGE 4
THE ABOVE INFORMATION MUST BE SUMTTED BEFORE PLAN REVIEW IS DONE
Work beyond or without a required inspection will be subject to a penalty
SITE r.DX ESS Q _ �L:�Cf1 S i
LEGAL DEsc TIoN rad.lo �% — — Z-
GAL
LO[,_ IL OCIC J SUBDIVISION . FTt i
OWNER IN ) (Address) ( (/ (Phone) -y
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial 6 Industrial Construction Plans
ERT.NO.
(Firm) (Address) (Phonee))
BUILDER (Firm) (Address) (Phone)
TYPE OF WORK New Addition Remodel Renovate
CO�NSST�.TYPE BLDG. SIZE EST. CONST. VALUATION
f.,E/Lk1�L L. W.
RESIDEN1lA STORIES B 1 3 REMARKS:
+AaD
LL. BORMS/FLR
TS
STALLS SEPTIC
? APP. DATE Al
TOTAL DUE 1 17-4 . b O
NON-RESID.
OCC.
CLASS.
STORIES
PROPOSED USE
COUNCIL
APP. DATE
INSPECTION REQUIRED
WORK REOUIRIft
IOO1,,,Gw,��M
SEPARATE. PERMITS
FRwMING wyR+
INWI.11 K1M
Fl1ATIING
w At laOARO MRNI I�.IF
M{CHANK:AI
�nkwtw...y.,n
will
410104 aE TONO OR WITHOUT A RI
{IWIA
OIMIEo INEFECTO" WILL a Iva
ACT TOFF NAITV.
,.wren
"WICTHINNOURI AT)T{{1
GRADING a FILLG
IN
CALLS IIAM IN{/.I {FAI
CALL 1 4 P.M 18EF ON III GAT
ELECTRICAL kw INN
The undersigned hereby makes application for a building
permit for the work described, agrees to do all work in strict
accordance with the ordinances of the City of Orono and rulings
of the State Building Code Division, and declares that all
facts and representations stated herein are ,true and correct.
Date ature