Laserfiche WebLink
CITY of ORONO _ _ <br /> Building Permit ci-q‘, <br /> PERMIT NO. 6148 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED q E <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT 2LiLS 1 oefi , <br /> SITE ADDRESS ,21,j <br /> PROPERTY IDENTIFICATION NO.(PID) 3-) t`a—a Y"/- X05 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER _ (Name) (Address) (Phone) <br /> 1 fin &e.1Oa4e,, c /5O k)0 ace h auJei r <br /> VAR. DATE111 ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> 4k (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA AiBUILDER (Firm) (Address) (Phone) <br /> WIDTH DEPTH ��-- 4.41-7 <br /> TYPE OF WORK New Additi) Remodel Renovate <br /> PROPOS I SETBAC <br /> FRONT R.S .E ,aye-k <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. • DE ,� <br /> L. W. Ht. �6 /1,f <br /> LAKE WETk - DS — <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION o 0- .\j� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT X� <br /> UNITS C * 4•7)--e) <br /> STATE FEE <br /> ry E STING GAR. STALLS NUMBER OF BEDROOMS <br /> AGEN \ ROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> OUN PROPOSED USE SEWER UNIT <br /> ST E PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE 2 (- _, <br /> REMARKS: \--5''' ,." <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION 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 /> 0, WALLBOARD before taping FINAL before occupancy WELL ElANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE <br /> ❑ SITE INSPECTION SEPTIC ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RESEWER ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> -QUIRED INSPECTION WILL BE SUB- WATER ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. OF MINNESOTA B. LDING C REQUIREMENTS. <br /> GRADING&FILLING ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE El l <br /> Signature A.L----- L ' Dateil--/--F6 <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT \ 1 _ l <br /> PINK-ASSESSOR Approyed�'^ (6City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 ��� <br />