HomeMy WebLinkAbout1982-04-29 Permit, Dock #4728CITYof ORONO
Building Permit
^ .
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY, MN 323 473-7357
SITE ADDRESS_
i
i
i
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDEy
30
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY ■
COUNTY
STATE
PR. EASEMENT
PERMIT N9 ” 4728
DATE ISSUED
EXPIRES_____________________
LEGAL DESCRIPTION: PROP. ID. .
LOT BLOCK .SUBDIVISION.
OV^ER (Ij^me)
HeO/7^
VRCHITEOT/ENGINEER - Mu
(Address)(Phone)
ARCHITE
CERT.NO.
Must Certify Multi-Family, Commercial & Industrial Construction Plans
(Firm)(Address)(Phone)
BUILDER
OU/lCf^
(Firm)(Address) (Phone)
TYPE OF WORK New^
CONST. TYPE
/^ew Addition Remodel Renovate
WJ'
BLDG. SIZE
L.W.Ht.
RESIDENTIAL
DWELL.
UNITS
STORIES B 1 2 3
BDRMS/FLR
GAR. STALLS
ATT.
DET.
SEPTIC
APP. DATE
NON-RESID.
OCC.
CLASS.
DOCK
PROPOSED USE
EST. CONST. VALUATION
/^>7.
PERMIT FEES
BLDG. PERMIT
STATE FEE
PLAN REVIEW
PENALTY
PARK FEE
SAC CHARGE
/0.06
STORIES COUNCIL
APP. DATE TOTAL DUE 4 /o.s'ic
REMARKS:
1
INSPECTION REQUIRED
. FOOTING before pour
. FRAMING rough-in
. INSULATION
. WALLBOARD Before Taping
FINAL before occ 'pancy
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL Bl r"R.
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALLS - 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
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY RECUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE OF ALL INFORMATICN, 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
CANARY- INSPECTOR
PINK-ASSESSOR
Signature
GREEN-FINANCE
GOLD-RECEIPT
Approved.
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