Laserfiche WebLink
CITY of ORONO _ ,_ _ <br /> �3uilding Permit PERMIT NO. 6165 ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING�DIST ICT (�� r�` �n � � r- i <br /> L_ SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) � ""' <br /> FIRE DEPART EN� LOT BLOCK SUBDIVISION <br /> POST OFFICE ,� OWNER (Name) (Address) (Phone) <br /> >-- 3�3�� <br /> �r�v�f�rl C�l� � <br /> VAR. DATE AR HITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> ' (Firm) (Address) (Phone) <br /> COND. USE DATE � ,,,�_ ( �� l' `�] <br /> �� � ��� �`7"� �l / <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> 2� �iC' �-�' - � , _ �5 ' <br /> WIDTH DEPTH ` <br /> ' � � �� TYPE OF WORK New Addition Remodel Renovate <br /> . PROPOSED SETBACKS: <br /> FR � I3. SIDE ��y- <br /> �{�y� CONST.TYPE BUILDING SIZE i��l. ��'� <br /> RE R �( L. SIDE Estimated Construction Valuation <br /> ! �V � ' `-�\ L Z W. �,�.�..� Ht. �.5 .� <br /> LAKE WETLANDS <br /> � � � OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCESS DWELL STORIES B �7 2 3 BLDG. PERMIT Z�• J� <br /> UNITS STATE FEE � • �v <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS c� <br /> AGENCY-AP . q�J PLAN REVIEW � f � ZJ <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE � . -��"' <br /> REMARKS: <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSP ION REQUIRED SEPARATE PERMITS <br /> . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . . . FRAMING rough-in PLUMBING ......................... THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> . . . . INSULATION MECHANICAL....................... UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> . . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . WELL............................... ❑ <br /> . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES ANO STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING& FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ �—�,�G <br /> Signature Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ��/���/it�y of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561�4470 /' • <br />