HomeMy WebLinkAbout1985-5868 - demo structure CITY of ORONO
Building Permit PERM�T No. � 5ss� �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /��// �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
SITE ADDRESS
PROPERTY IDENTIFICATION NO.(PID) —
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE D E
LOT ARE BUILDER (Firm) (Address) (Phone)
WIDTH DEPTH �' '�� ����
Y E OF W K ew Addition Remodel � Reno�ate
PROP SED SETBACKS: ' �Q /�
�
FRON R.SIDE 0 -�' �C11
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REA .
L. W. Ht.
LAKE TLANDS
OCCUPANCY PERMITFEES
CLASSIFICATION ���0 7�
ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT L�
UNITS STATE FEE S�/
NEW . EXISTING GAR.STALLS NUMBER OF BEDROOMS '
AGENCY-APPROV. DATE q�J. PLAN REVIEW
CITY DET. SEPTIC SAC CHARGE
APP. DATE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
` TOTAL DUE� ��
REMARKS: — "- '
' � �.
�s.7�LC�/1 •
INSPECTION REQUIRED woRK REQu�R�►vG ACKNOWLEDGEMENT
SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ .... . . FOOTING before pour
❑ . . . . .. FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ . . . ... INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ . . ... .WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL before occupancy WELL............................... ❑
�.. . . . .SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK �N STRICT COM-
SEWER..............................
QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
WATER..............................
JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUI EMENTS.
GRADING&FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ /
Signa re Date� (
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approve ity of Orono
Brooklyn Prt9.&Adv.Co.Inc. (612)581�4470 .