Laserfiche WebLink
CITY of OR()N( <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING ISTRIC 7 <br />L - <br />FIRE DgQARTMENT <br />POST gFFICE <br />/)-) r , e <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />o te 4 ' <br />PROPOSED SETBACKS: <br />FR T R. SIDE�� <br />REAR L. SIDE _ <br />LAKE WETLANDS <br />c jj <br />ACCESS <br />NEW STING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS: <br />PERMIT NO. 6305, V <br />DATE ISSUED 3' 3-e0 7 <br />SITE ADDRESS��— <br />PROPERTY IDENTIFICATION NO. IPIDI n 7 -7 3,1' <br />LOT ;-� BLOCK SUBDIVISION 't' <br />OWNER (Name) (Address) ;Phone�� <br />ARCHITECT/ENGINEER Must Certify Multi -Family. Commellibal 3 lnduslriaT Construction Plans <br />(Firm) (Address) (Phone) <br />74-5221 <br />VBUILDER (Firm) ` (Address) (Phone) <br />TYPE OF WORK <br />Remodel <br />Renovate <br />CONST. TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />A.- ra( I <br />L W. H I "A' <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT 3 •GL <br />DWELL. <br />STORIES B 3 <br />UNITS <br />STATE FEE <br />3 cis <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />ATT. 3 <br />PLAN REVIEW? <br />SEPTIC <br />DET. <br />SAC CHARGE rGv <br />APP. DATE �- <br />_�. __—___ _ <br />Lka <br />PROPOSED USE <br />SEWER t <br />(i) <br />PARK FEE <br />PENALTY _ <br />COUNCIL <br />ADD nerc <br />OTHER <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />�..... FOOTING before pour <br />SEPARATE PERMITS <br />j r t . dill I <br />Q!�.... FRAMING rough-'n <br />PLUMBIeG ................... <br />�y <br />IU <br />Lk .....INSULATION <br />MECHANICAL.................... <br />�y <br />WALLBOARD before taping <br />�, �• <br />E ...... FINAL before occupancy <br />WELL .......................... <br />... SITE INSPECTION <br />SEPTIC SEPTIC ...................... <br />... <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER .................. <br />ell <br />MIRED INSPECTION WILL BE SUB <br />WATER. <br />JECT TO PENALTY. <br />......................... <br />El <br />INSPECTIONS MUST BE CALLED -IN <br />GRADING & FILLING _... <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD. <br />OLD <br />RECEIPT <br />PINK -ASSESSOR <br />1010ydil,n 0116. a br Co 1- 45121 541 4470 <br />TOTAL DUE�- <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE RFAL IMPROVEMENTS SPECIFIED AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION CONDITIONS AND REQUIRE - <br />MINTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED RTH AG4E TO DO ALL WORK IN STRICT COM- <br />PLIA-'dC WITH LL CI OF O NO ORDINANCES AND STATE <br />OF MI ESOT UILD G C EOUIREMENTS <br />i <br />S ynatur Date I ( 1 <br />Approve City of Orono <br />