Laserfiche WebLink
CITY of OIZ()N() PERMIT N� �� 5494 I <br /> Building Permit ��,_ - S_� <br /> DATE ISSUED � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIR <br /> P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 � � �� /l` <br /> ZONING DISTRICT SITE ADDRESS <br /> LEGAL DESCRIPTION: PROP. ID. O� ` �� ���,�� �%��-C7 <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WN R (Na e) (Address) (Phone) <br /> VAR. DATE �/� � <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family,Commercial & Industrial Construction Plans <br /> COND. U TE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WI H D PTH ILDER (Firm) (Address �� �'r (Phone) <br /> d�'-�o q�a06 S - p <br /> PRO OSED SETBAC <br /> FRO T R.SI TYPE OF W K New Addition Remodel Re ovate <br /> RE R .S <br /> CONST. TYPE BLDG.SIZ EST.GONST. VALUATION <br /> L KE TLA .l� <br /> //� / �C/v� ��Y�i" <br /> L W. Ht. ��r� <br /> AC RESIDENTIA STORIES B 1 2 3 ERMIT FEES <br /> NEW EXISTING BLDG. PERMIT �S- �� <br /> DWELL. BDRMS/FLR 7� <br /> AGENCY-APPROV. DATE UNITS STATE FEE � d v <br /> CITY GAR.STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT aCc. SAC CHARGE <br /> C LASS. <br /> S�TORIES COUNCIL <br /> APP. DATE TOTAL DUE �� . � <br /> R E M A R K S: �! (JL� � (�(/ l��i'(, `�i/CG�C- �C�� Q�_ _ <br /> wG��� * �l, <br /> ✓��.n� - r <br /> INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGE!lIIENT <br /> FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> --�• WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> 1� FINALbeforeoccupancy <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. , � <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State � <br /> Signature � ! Date <br /> COPY: WHITE—FILE GREEN—FINANCE /^^ <br /> CANARY—INSPECTOR GOLD—RECEIPT �•'� <br /> PINK—ASSESSOR Approved ity of Orono <br />