HomeMy WebLinkAbout1985-5789 - demo CITY of ORONO _ _ -
Buildin Permil� PERMIT NO. S�S� '
g
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �' �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT �1 � ���� �� ��
SITE ADDRESS
PROPERTY IDENTIFICATION NO.(PID)
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
I � ' � /
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Com rcial& Indus rial Constructio Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH D PTH
TYPE OF WORK New Addition Remodei Renovate
PROP E TBACKS: � N � �
FRONT R.SIDE
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L.SIDE '
LAKE WETLANDS L. W. Ht.
OCCUPANCY PER�T FEES 9,�3
CLASSI FICATION
ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT � .
UNITS STATE FEE `
NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE qn. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
.
/��l TOTAL DUE
REMARKS. '^ Cf/`
INSPECT�ON REQUIRED WORK REQUIRING 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- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER..............................
GRADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREME �`
INSPECTIONS MUST BE CAILED-IN �
24 HOURS IN ADVANCE. FIRE................................. ❑ 9 �.��j�
Si nature � Date_/����JS�
COPY:WHITE-FILE GREEN-FINANCE
T
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved Cit of Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)561�470