HomeMy WebLinkAbout1984-09-04 App. & Permit, New Residence #5412CITY of ORONO PERMIT M _ 5412
Building Permit -S
DATE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES �•/
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 �/ ��_ � � ZONING ZT ICT SITE ADDRESS 'l
LEGAL DESCRIPTION: PROP. ID. _
LOT l BLOCK 3 SUBDIVISION ,_0hIV S /1
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA C� +
WI H r DEPT S (1 l
PROPOSED SETBACKS
FR T / R.SIDE n �,
L.SID i R E�// /
LAKE WETLANDS
1,
ACCESSreV.S• F')(
P Gt f YCLAu t tit r
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
R
71,L
(Name)
(Address) (Phone)
c, r Je«e
ARCHITECT/ENGINEER
- Must Certify Multi•Family, Commercial & Industrial Construct
ERT.NO.
(Firm)
jPlans
(Address) (Phone)
BU DER
(Firm)
(Address) (Phone)
1f,60 2.3
TYPE OF W
RK New Addition Remodel Renovate
1
CONST TYPE
BLDG. SIZE
EST CONST VALUATION
L /,30 W
3 / , r , , CiCI
RESIDENTIAL
STORIES 2
BD MS/FLR _
�- / S� -
3
PERMIT FEE
BLDG. PERMIT
et
STATE FEE ,
PLAN REVIEW
DWELL.
UNITS
GAR STALLS
ATT
SEPTIC
APP DATE
DET
PENALTY
DOCK
PARK FEE
NON RESID
PROPOSED USE
SAC CHARGE
UCC.
CLASS.
STORIES
COUNCIL
APP DATE
TOTAL DUE
REMARKS: 1 eOA
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -on
INSULATION
✓ - WALLBOARD Before Taping
- - FINAL 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 k-' _
MECHANICAL✓._._____
WELL i< -
SEPTIC----- - -
SEWER
WATER-- ------
GRADING & FILLING -_—_- _
RICAL 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 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 BUILDAQIG CODE REQUIREMENTS.
Signature � C 1 d�i< �q<�—/— Date wclev
Y� i1 !
Approved �---a C'/t 611I 4fi JA lC {y of Orono