Laserfiche WebLink
CITY of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING WTJJICT ,, <br />iw,jlwl <br />W;R.'W41/ <br />COND. USE DATE <br />LOT AREA L <br />WIM,t DEPTH <br />PROPOSED SETBACKS: <br />FjI0bj R. SIZE <br />REAR <br />1 � L. SID <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENC <br />CITY <br />COUNTY <br />STATE <br />TE EASEME <br />REMARKS: <br />SITE ADDRESS - it <br />PROPERTY 1 TIFICATION NO. IPID) <br />LOT —BLOCK <br />ame) <br />PERMIT NO. 5630 <br />DATEISSUED <br />n <br />SUBDIVISION <br />(Address) <br />�� <br />CHITECT/ENGINE - Must Certlly Midti-Fa7tyy. Commercial & Industrial Construction Plana <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phone) <br />/4� 9� 5"- <br />.&jk4_,U- Z!�Ia-APE OF WORK Addition Remodel Renovate <br />CONST. TYPEI <br />BUILDING SIZE <br />EsIt led Construction Valuation <br />L. W. Mt <br />OCCUPANCY <br />PERMIT EES <br />CLASSIFICATION <br />S_0 <br />BLDG. PERMIT <br />STATE FEE <br />DWELL. <br />UNITS / <br />STORIES B 10 3 <br />TALLS <br />NUMBER OF BEDROOMS <br />q <br />PLAN REVIEW — _- <br />PET. <br />SAC CHARGE <br />SEPTIC <br />APP DATE <br />SEWER UNIT <br />PROPOSED USE <br />PARK FEE <br />PENALTY _---- <br />COUNCIL <br />APP DATE <br />OTHER <br />TOTAL DUE <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />....FOOTING before Dour <br />,ry <br />to, <br />FRAMING rough--n <br />PLUMBING <br />INSULATION <br />MECHANICAL ............. <br />ICJ <br />WALLBOARD before taping <br />FINAL before occupancy <br />V.. <br />WELL ...................... <br />LCJ <br />. <br />SITE INSPECTION <br />SEPTIC. ........................... <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER .............. ........... <br />❑ <br />QUIRED INSPECTION WILL BE SUB- <br />WATER ...... ..... ........ <br />❑ <br />JECT TO PENALTY <br />❑ <br />INSPECTIONS MUST BE CALLED -IN <br />GRADING 8 FILLING ........... <br />❑ <br />24 HOURS IN ADVANCE <br />FIRE.... ........................... <br />COPY WHITE-Fn E GRE --�— <br />-- <br />CANARY -INSPECTOR / }LD RECEIPT PI^ <br />PINK-ASSE-ASSESSOR � �) � / J - <br />ACKNOWLEDGEMENT <br />CHE UNDERSIGNED HEREBY REOUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />?ANCE OE ALL INFORMATION CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY CIF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REOUIREMENTS <br />S.gnature <br />of Orono <br />