HomeMy WebLinkAbout1985-5574 - fire damage CITYO� ORONO PERMIT N� = 55'74 �
Building Permit �, ,
DATE ISSUED l
AND APPLICATION FOR CERTIFICATE OF OCCI�PANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, M S TE ADDRESS 3-7357 �D� �� � �� ���
ZONING DISTRICT . �
LEGAL DESCRIPTION: PROP. ID. �'S=/I�s � � '"1 �
LOT BLOCK SUBDIVISION
FIRE ZONE
WNE �Name) (Address) (Phone)
,.
VAR. DATE
ARC TECT/ NGINEER — Must Certify Multi-Fa ily,Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
r
WIDTH DEPTH BUILDER (Firm) Address) �'�'• �-�S ( one
PROP E E BACKS �I � � � � �
FRON .SIDE TYPE OF WORK New Addition Remodel � e ovate
REAR L.S E '
CONST.TYPE BL .SIZE EST.CONST.VALUAT
LAKE NDS �
L. W. Ht.
�
ACCES RESIDENTIA STORIES B 1 2 3 PE MIT F �
BLDG. PERMIT
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS STATE FEE S �'"'
CITY � GAR.STALLS sEPT�C PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT OCC. SAC CHARGE
C LASS.
STORIES COUNCIL � r�—�
APP. DATE TOTAL DUE '�r
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
FOOTINGbeforepour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL before occupancy
SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
1NORK BEYOND OR WITHOUT A RE- SEWER
QUIREO INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING&FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING ODE EQ I M TS.
CALL 8-12 A.M. INSP. 1 -4 P.M. y��L /
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State
Signature Date
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT
PINK—ASSESSOR Approved �City of Orono