HomeMy WebLinkAbout1983-03-07 Permit, New Residence #4940CITY o ORO NOPERMIT N:' _ 4940
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUEDEXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7 57
ZONING DISTRICT SITE ADDRESS 1
LEGAL DESCRIPTION: PROP. ID. /I % ` 2-3 q.2. 0/108
LOT 1 RI nrw CI IunrviCinni LI r ,, D :-G
FIRE ZONE
VAR.DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT, R.SI
REAR L.SIDE�
LAKE WETLANDS
ACCESS
EXISTING
AGENCY APPR E
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
VVNER
(Name)
(Address) (Phone)'6'53
! .N
_LA rse-
Oo vjcot_5CZ4 A
Trq
ARCHITECT/ENGINEER - Must Certify Multi -Family, Commerci Industrial Con truction Plans
E9T.N0.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
MC_ Mu
I' T, Cr)'.,CXf
,t, /^tee 50
TYPE OF WORK �Jgw) Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
3C
!I,
309, 000,
ENTIA
sroRlEs B
PERMIT FEES
_3
BDRMS/FLR �
'"piµ
BLDG. PERMIT
O
L.
(
STATE FEE
PLAN REVIEW
o O
STALLS
SEPTIC p2
APP. DATE " 3 D _i
[NON
PENALTY
��%�
DOCK ry
PARK FEESACCHARGE.
ESID.
PROPOSED USE
Y-_
COUNCIL
APP. DATE
TOTAL DUE p? 6)/9,
INSPECTION REQUIRED
FOOTING before pour
FRAMING r,)ugh-in
INSULATION
WALLBOARD Nefore Tapinq
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL B - 12 A.M. INSP. i - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK RECIUIRING
SEPARATE PERMITS
PLUMBING
"_
MECHANICAL
WELL
SEPTIC
SEWER
WATER
GRADING & FILLING
ELECTRICAL from State
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 CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS,
COPY: WHITE -FILE GREEN --FINANCE
CANARY -INSPECTOR GOLD -RECEIPT
PINK -ASSESSOR
Signature
Approved
ty of Orono