HomeMy WebLinkAbout1983-11-15 App. & Permit, New Residence-2Pgs. #5175IF -
CITY of ORONO PERMIT NO; _ 51751
Building Permit
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473.73 7
ZONING DISTRICT SITE ADDRESS WQ Fvzes-r 1�►-,Ic� +yA/N 4
Lit l p LEGAL DESCRIPTION: PROP. ID.
[� LOT '16 BLOCK SUBDIVISION v;u4xV/e1- 6r*ftD4!rIS
FIRE ZONE
VAR. DATE
COND, USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FR NT I R.SIDE
REAR L.SIDE/A /
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
WNER (Name)
(Address) (Phone)
)-"v
OLD o
v 0,1
6Ie
- 3 0
ARCHITECT/ENGINEER
- Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO.
—�
(Firm) (Address)
(Phone)
BUILDER
(F rrm)
(Address) (Phone)
o
f '_wN 1 N
TYPE OF WORK New Addition
Remodel Renovate
G A,2k&-,!F_
CONST TYPE.
BLDG SIZE
EST CONST VALUATION
w k"
2- 2 W 2Z
Hr
yB0O
F
L
>'
14F1,IDEN71A1
STOMES 4 1
3
PERMIT FEES
Sp
BLDG. PERMIT ozn
DWELL
BORMS'FLR
UNITS
STATE FEE
PLAN REVIEW
GAR STALLS
SEPTIC
ATT
APP DATE—
DEi .Z
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
OCC
CLASS
TOTAL DUE J
IrV
STORIES
COUNCIL
APP DATE
_REMARKS SL49mkT CeElf(e-3 OF Vg::us's DeTIGN _7D L(TY -
INSPECTION REQUIRED
'"FOOTING before pour
_�RAMING rough rn
__ -INSULATION
---WALLBOARD Before Taping
_.VtINAL before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED 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 6 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 REOUIRE-
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 MINNESOT LDING CODE RE REMENTS
�� L �
Signature _ Date _. f1
Approve(��,,� try of Orono
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