Laserfiche WebLink
CITY of ORO NO PERMIT N? 3689 <br />Building Permit 1 _ <br />DATE ISSUED � AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS C!LO V cZ..� `A iAC=-vn La, . <br />[� LEGAL DESCRIPTION: PROP. ID. "?\&-% ` 12_ 3C; PAR- <br />Lip- <br />--k 1AT 4 1 L.ufS <br />FIRE ZONE <br />U c_ <br />VAR, DATE <br />f>t.t 2- 6 77 <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT „ R.SIDE <br />S-9, ZI, 5l <br />REAR L.SIDE <br />'� i S'. <br />LAKE WETLANDS <br />ACCESS <br />NEW ! EXISTING <br />AGENCY-APPROV. DATE <br />CIT <br />COUNTY <br />STATE <br />PR. EASEMENT <br />avuvr v ioivly � <br />WNER <br />(Name) <br />�Addr�ess) (u^ (Phone) <br />F-In k- <br />fsc <br />C•V., <br />1 0 it <br />ARCHITECT/ENGINEER — Must Certify Multi <br />-Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />SUM` <br />TYPE OF WORK t_ NeVY Addition <br />Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />l.0 v <br />FKq�%I- <br />L 26 W. .0C.t <br />Ht. <br />u c,c <br />7 00C . <br />RESIDEjNTIA <br />STORIES B 1 ��_ 2 <br />3 <br />PERMIT FEES <br />� <br />BDRMS/FLR <br />BLDG. PERMIT 1 ? Z G <br />DWELL. <br />UNIrs <br />STATE FEE <br />PLAN REVIEW rS '7 <br />'s(cw:cV_ <br />GAR STALLS <br />ATT 3 <br />SEPTIC <br />APP. DATE i. 1 E <br />DIET <br />_ p� <br />-TY QN,,+ ;t <br />DOCK <br />, <br />PARK FEE <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />C L ASS. <br />STORIES <br />COUNCIL <br />APP DATE <br />,� rr <br />TOTAL DUE�r',r: <br />. <br />REMARKS: VA VANCC-- { ► g, <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough -in <br />__,►NSULATION <br />WALLBOARD Before Taping <br />F I NA L before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />INSPECTION HOURS 473.7357 <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 />PLUMBING -_ <br />MECHANICAL _ <br />WELL <br />SEPTIC <br />SEWER <br />WATER <br />GRADING & FILLING _ <br />ELECTRICAL from State <br />COPY: WHITE --FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <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 CI ONA. F;O DINNCES D STATE <br />OF MINNESOTA ING COD QUIREM <br />0010; <br />Signature Daty14 �7.12Z <br />/e <br />Approved L otti1 Jit / /'-/fll 4 J "_City of Orono <br />