HomeMy WebLinkAbout1977-12-19 Permit, New Residence #3694GlTYof ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY,
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT
REAR LSIDE_^3 <9
LAKE WETLANDS
■ 3^0
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
VIN 55323 473-7357
SITE ADDRESS S^ S'D r /OX
PERMIT N9 . 3694
DATE IS.SlJFn
EXPIRES_____________________
LEGAL DESCRIPTION: PROP. ID. F/O^ rOr (^X/ ‘7S^O'0
LQlTfY^CT ^ BLOCK SUBDIVISION ^A S ) cP
OWNER (Name)
fFir^mrs ft
(Address)
/)/ y/7/9
(PhoneJ
trial ConstructfoTl PARCHITECT/ENGINEER - MusWertify Multi-Family, Commercial & Industrial Constructrormans
CERT. NO.
(Firm)(Address)(Phone)
BUILDER
TYPE OF WORK
(Address)(Firm)
Qprys./-. /2r,. i(,o9-.Ona
(Phone)
• 3‘$9-d67</
Addition Remodel Renovate
CONST. TYPE
finome
BLDG. SIZE
RESIDENTIAL
DWELL.
UNITS
GAR. STALLS
ATT.- O “
DET. 3
STORIES B 1^3
BDRMS/FLR
SEPTIC
APPDATE /p-yA-??
NON RESID. PROPOSED USE
OCC.
CLASS.
DOCK
EST. CONST. VALUATION
PERMIT FEES ^
BLDG. PERMIT ^7P. ^
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
//r. OO
^36. nt)
ov
37^. Of)
STORIES COUNCIL
APP. DATE
TOTAL DUE ^iQQS' ^
REMARKS:JE^/7 €rrt -Ok-
(jrOeJ - nk - 79^-S'- 77
Oc/e^Fn^e^noF /7)(L/ ot-i p^^rmrF
INSPECTION REQUIRED
. FOOTING before pour
. FRAMING rough-in
. INSULATION
. WALLBOARD Before Taping
FINAL 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_______
^ ! Ff /h/reS
SEPTIC.
SEWER .
WATER
GRADING & FILLING.
ELECTRICAL from State
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
I
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^ilding code requirements.
COPY:WHITE-FILE
CANARY-INSPECTOR
PINK-ASSESSOR
GREEN-FINANCE
GOLD-RECEIPT
Signature^
Approved T _^,^_^^Citv of Orono