Laserfiche WebLink
CITY of ORO�TO _ <br /> Buildin Permit PERMIT NO. 61�5 � <br /> g D- � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANC;Y �ATE ISSUE� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT ����'" � ' �, ���� <br /> SITE ADDRESS ..- � <br /> PROPERTY IDENTIFICATION NO.(PID) ,_..J / r ���' c-r��' ��J ��0.�-- <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) ( �d�d,�re�s�s) �i/ (Phone) <br /> . G� � ��f 3� ��-T//'��- ,,"" c�G�C� ' �i i" ���ei.� <br /> VAR. DATE RCHITECT/ENGIN E - Must Certify Multi-Family, Commercial& Indust I Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA \ BUILDER (Firm) (Address) (Phone) <br /> `t <br /> WIDTH TH <br /> TYPE OF WORK Addition cRemodel � Renovate <br /> PROPOSED B CKS: -��" � �.� /�e� <br /> FR T E �--�f1 - <�t-ef <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REA L. SIDE <br /> L. W. Ht. ������ C`�f� <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> � CLASSIFICATION � <br /> AC ESS DWELL. STORIES B 1 2 3 BLDG. PERMIT �' � <br /> UNITS STATE FEE � � <br /> NEW XISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY-A ROV. DATE ATT. PLAN REVIEW <br /> TY DET. SEPTIC SAC CHARGE <br /> APP. DATE <br /> U TY PROPOSED USE SEWER UNIT <br /> ATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE !}� �� <br /> REMARKS: �-�` <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . . . . . . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> WELL............................... ❑ <br /> ❑ . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER.............................. <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ; <br /> Signature [L� s Date �� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (672)S61d470 <br />