HomeMy WebLinkAbout1979-06-29 Permit, New Residence #4040CITY of ORONO PERMIT N? 4040
Building Permit DATE ISSUED __1Z - 7
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS a�D�PS
LEGAL DESC IPTION: PROP. ID.
I OT RI nrK SUBDIVISION
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS
(A 1,47ress)
(Phone)
ARCHITECT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial
Construction Plans
ERT.NO.
(Firm) ( ress)
(Phone)
BUI LDE
irm) (Address)
(Phone)
TYPE OF WORK New Addition Remodel
Renovate
CONST TYPE
BLDG. SIZE
EST. CONST. VALUATION
ODoA�M
W. Ht.
RESI E TIA
STORIES e C::�_Ij3
PERMIT FEES
�
BDRMS/FLR
BLDG. PERMIT
STATE FEE
PLAN REVIEW
DWELL.
UNITS
GAR. STALLS
SEPTIC
ATT
APP. DATE
DET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
S
occ.
CLASS.
STORIES
COUNCIL
le C9O
APP. DATE
TOTAL DUE
5�.3
INSPECTIOI�I REQUIRED
TING before pour
_ F
--MING rough -in
LATION
— AL RD Before Taping
INAL 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
COPY WHITEFILE
CANARY-INSPECTOR
PINK- ASSESSOR
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
WELL _
SEPTIC
SEWER _
WATER
GHAi;:N(_, & FILLING ._
ELECTRICAL from State
GREEN --FINANCE
GOLD- RECEIPT
ACKNOWLEDGEMENT
THE UNDERSIGNED HEPEBY REOUESTS 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 MINNESCIAA BUILDING CODE RE IREMENTS. q
Signature i ` `Date
i
Approved City of Orono