HomeMy WebLinkAbout1982-08-16 Permit, New Residence #4824(.I "I"Yoi ORO NO� PERMIT N:' _ 4824 �
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 �%S__�oZ��f �i.`� .Ca •�--
LEGAL DESCRIPTION: PROP. ID.Z_
LOT RI nr.K CI lanlvlclnnl
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
O
REAFr L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
I ____ _ - __j
REMARKS
WNER, (Name
(Address) (Phone) - 7(
ARCHITECT/ENGINEER - Must Certify Multi-FarTily, Commercial 81rindustrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER (Firm)
(Address) (Phone)
TYPE OF WORK New Addition
Remodel Renovate
CONST. TYPE
BLDG SIZE
EST CO ST. VALUATION
F
L E
RESIDENT
STORIES B 1
3
PERMIT FEES
✓
BDRMS/FLR
BLDG. PERMIT .373 d°
STATE FEE u. �
PLAN REVIEW d�
DWELL.
UNITS
GAR. STALLS
SEPTIC
ATT.
APP. DATE--
DET.
PENALTY
DOCK
l
PARK FEE `�/
NUN-RESID
PROPOSED USE
-_-a
S.-IC CHARGE
OCC.
CLASS.
4
STORIES
COUNCIL
—0c)
APP DATE
TOTAL DUE
INSPECTION REQUIRED
( FOOTING before pour
_jLFRAMING rough -in
_____INSULATION
KNALLBOARD Before Tapinq
FINALbefore occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY,
INSPECTION HOURS 473-7361
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
SE"XC
SEWER -----
_ _
WATER
GRADING &
FILLING
ELECTRICAL from State
COPY WHITE FILE GREEN FINANCE
CANARYINSPECTORGOLD 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-
PL�WITTH L CITY OF ORONO ORDINANCES AND STATE
ILDING CODE REQUIREMENTS.
Date \y Z- I
Approved
City of Orono'