HomeMy WebLinkAbout1984-5424 - foundation repair CITY Ol 0��11��� PERMIT �
Buildin P rm� N� �. 5424 !
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED
P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 , EXPIRES
ZONING DISTRICT SITE ADDRESS 7" � C , la �-,
LEGAL DESCRIPTION: PROP. ID. l — "— �Z� �
LOT BLOCK SUBDIVISION
FIRE ZONE
WN R (Name) (Address) (Phone)
VAR. DATE �7-G�
ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUI,k�DER (Firm) (Address) (Phone)
�/ .
PR POSE S TBACKS
F NT �.SIDE TYPE OF WORK New Addition Remodel enovate
R A LS I D E `/, '�' �1 L�LL_TZ CSY� /`�-�'"`"'�
CONST. TYPE BLDG.SIZE EST. CC�NtST. VALUATION
LA E S ��s
�. W. Ht. J� �� C�
A C RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT � ��
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE uNiTs STATE FEE � . ��
CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC. SAC CHARGE
C LASS.
STORIES COUNCIL �� S_�
APP. DATE TOTAL DU
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
F I NA L before occupancy --
SEPTIC
- MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING& FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State ,
Signature �-� �L Date
PY: WHITE—FILE GREEN—FINANCE /�
CANARY—INSPECTOR GOLD—RECEIPT G��'!/`� (
PINK—ASSESSOR Approved City of Orono