Laserfiche WebLink
CITY of ORONO PERMIT 3 121 <br />Building Permit <br />DATE ISSUED � <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS _i�'rD ,�!/ / C. [t <br />LEGAL DESCRIPTION: PROP. ID. <br />o[ I nT '6— RI nrK i SUBDIVISION r 01^ V / f_' L✓ <br />L <br />ATE <br />LOT AREA <br />IDTH DEPTH <br />J <br />PROPOSED SETBACKS <br />FFJQNT R.SIDE <br />D <br />REAR L.SIDE <br />11 . v. ? <br />LAKE _METL"DS <br />1 n `Fear <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />WNER <br />(Name) <br />(Address) (Phone) <br />Z '-a- <br />Vql- 7 :36'-0 <br />ARCH ► ECT/ENGI NXER - Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />I.ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />I <br />Lo <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />- <br />r � <br />' 5 9 30 <br />TYPE OF WORK ew <br />Addition Remodel Renovate <br />COVST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />i/DD <br />D� <br />'Pd <br />w.[ �� Ht./ <br />C)UD <br />RESIDENTIAL <br />STORIES B <br />1 2 3 <br />PERMIT FF„�S <br />BDRMS/FLR <br />BLDG. P. T <br />00 <br />_ <br />DWELL. <br />/ <br />UNITS <br />STATE F I L v_G <br />PLAN REVIEW <br />GAR. STALLS <br />SEPTIC <br />> <br />UAT <br />APP. DATE <br />PENALTY <br />DOCK <br />PARK FEE �C <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />,CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE , <br />REMARKS: SDI r S al L/Sf C! -C%h lam:' I-", J C2 <br />1' e v ► �� [ -d dF tea/ / � �o not �,hr t,c,� C�� � P �_'1 /ans �/� <br />INSPECTION REQUIRED <br />r/ FOOTING before pour <br />�RAMING rough-ir>L_ <br />NSULATI N 7 <br />YTION <br />D f Taping <br />o occupancy <br />INITHOUT A RE <br />WILL BE SUB- <br />473.7357 <br />P. 1- 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL <br />WELL --=�'- <br />i <br />SEPTIC <br />SEWER <br />WATER_ - - - <br />GRADINC & FILLING <br />ELECTRICAL 1-om State <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 CI1 Y OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />COPY: WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD RECEIPT <br />PINK -ASSESSOR <br />Signature ^ Date J <br />