HomeMy WebLinkAbout1977-12-07 Permit, New Residence #3689CITY of ORO NO PERMIT N? 3689
Building Permit 1 _
DATE ISSUED � AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS C!LO V cZ..� `A iAC=-vn La, .
[� LEGAL DESCRIPTION: PROP. ID. "?\&-% ` 12_ 3C; PAR-
Lip-
--k 1AT 4 1 L.ufS
FIRE ZONE
U c_
VAR, DATE
f>t.t 2- 6 77
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT „ R.SIDE
S-9, ZI, 5l
REAR L.SIDE
'� i S'.
LAKE WETLANDS
ACCESS
NEW ! EXISTING
AGENCY-APPROV. DATE
CIT
COUNTY
STATE
PR. EASEMENT
avuvr v ioivly �
WNER
(Name)
�Addr�ess) (u^ (Phone)
F-In k-
fsc
C•V.,
1 0 it
ARCHITECT/ENGINEER — Must Certify Multi
-Family, Commercial & Industrial Construction Plans
ERT.NO.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
SUM`
TYPE OF WORK t_ NeVY Addition
Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
l.0 v
FKq�%I-
L 26 W. .0C.t
Ht.
u c,c
7 00C .
RESIDEjNTIA
STORIES B 1 ��_ 2
3
PERMIT FEES
�
BDRMS/FLR
BLDG. PERMIT 1 ? Z G
DWELL.
UNIrs
STATE FEE
PLAN REVIEW rS '7
's(cw:cV_
GAR STALLS
ATT 3
SEPTIC
APP. DATE i. 1 E
DIET
_ p�
-TY QN,,+ ;t
DOCK
,
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
C L ASS.
STORIES
COUNCIL
APP DATE
,� rr
TOTAL DUE�r',r:
.
REMARKS: VA VANCC-- { ► g,
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
__,►NSULATION
WALLBOARD Before Taping
F I NA L 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 _
WELL
SEPTIC
SEWER
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 CI ONA. F;O DINNCES D STATE
OF MINNESOTA ING COD QUIREM
0010;
Signature Daty14 �7.12Z
/e
Approved L otti1 Jit / /'-/fll 4 J "_City of Orono