Laserfiche WebLink
CITY of 0RO �N0 PERMIT M 4958 <br />Building Permit dd <br />DATE ISSUED -.._7--_J_- 93 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRF_S . _--- <br />P.O BOX 66, CRYSTAL BAY, MN 55323 4737357 <br />FRENE <br />RICT SITE ADDRESS _!0 s-_.�-alJ.r9_hz _all -c e- f�J� <br />� LEGAL DESCRIPTION. PROP. ID. Qy 7 _Z 3 110004 <br />� — LOT _ BLOCK _SUBDIVISION <br />��pp������ <br />– FARCHITECT/ENGINEER <br />(Name) (Address)/3Sii QuF.h16C A e) qV7 <br />S -Must Certify Multi Family,Commercial Industrial Construction Plans <br />Firm) (Address) (Phone) <br />DEPTH IF um) (Address) (Phone) <br />PROPOSED SETBACKS <br />FOONT,f R. I E� <br />REAR. L.5113 <br />LAKE WETLANDS <br />ACCESS <br />QLUV EXISTING <br />AGENCY APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR EASEMENT <br />REMARKS. <br />PE OF WORK � <br />Addtticn <br />Rrs �dAA,. X-- <br />NST TYPE <br />BLDG. SIZE, <br />If1[DVY <br />L 8'0 i ' V1 <br />.S Z <br />iI ENTIA <br />STORIES B <br />ELL <br />BDRMSiFLR <br />FITS <br />R STALLS <br />SEPTIC - <br />. <br />APP DAZE. <br />It[T <br />W)CK <br />RESOD <br />PROPOSED USG <br />rASS. <br />COUNCIL <br />APP DATE <br />INSPECTION REQUIRED <br />/LFOOTING before pow <br />FRAMING rough in <br />INSULATION <br />✓ _-_ WALLBOARD Before Tapw , <br />FINA Lbefore txcupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BF SUB <br />JECT TO PENALTY. <br />INSPECTION HOURS 413 7357 <br />CALL 8 12 A.M INSP 1 4 P.M. <br />CALL 1 4 P.M. INSP NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />CHANICAL <br />LL — - -- _ <br />SEWER __— <br />WATER . - ---- <br />GRADING & FILLING-- <br />ELECTRICAL <br />ILLING_ <br />ELECTRICAL from State <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK ASSESSOR <br />Remodel Renovate <br />EST CONST VALUATION <br />tlt L 9 300) 000, ow <br />PERMIT FEE <br />BLDG. PERMIT IC �� <br />STATE FEE 156•x00 <br />PLAN REVIEW 60 <br />PENALTY <br />PARK FEE eA <br />SAC CHARGE 42C 00 <br />TOTAL DUE 197�.00 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNEWfT aUILDJNG CODE REQUMEMENTS <br />Date Al 1 -.4r.3 I <br />Appy ove, i <br />City of Orono <br />