HomeMy WebLinkAbout1986 - 6045 CITY of ORONO _ C
Building Permit PERMIT NO. 6045
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED f5___
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 PetrA (� ,/. /pZONING DISTRICTSITE ADDRESS Ae/ .Se Lies
PROPERTY IDENTIFICATION NO.(PID) -// -�3- 4-/I-001/
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE QWNER (Name) (Address /}� /�f� J� (Phone)/ / `
VAR. DATE y !�Lv� aa&0 £ I. id s " "a'pI(/' '`"f-76- (L�(o(O
ARCHITECT/ENGINEER- Must Certify hi-Family,Commercial&industrial Construction Plans
_ (Firm)
/ dress) (Phone)
COND. USE DAT , -
Y4-�n 0 _ .'' . a,✓� i `,+.
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH AE'TH
TYPE OF WORK New Addition Remodel Renovate
ROP�►.-ED .TRACKS: \
FRO
FRO T R.\ DE Y\
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. S DE ` jjqq
L. W. Ht. � C/` OD WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION 00
CCES DWELL. STORIES B 1 2 3 BLDG. PERMIT 02\3 i
UNITS
STATE FEE `
EW EXISTING GAR. STALLS NUMBER OF BEDROOMS
AG CY-APPROV. DATE ATTPLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
REMARKS: TOTAL DUE C"-j)
WORK REQUIRING ACKNOWLEDGEMENT
INSPECTION REQUIRED SEPARATE PERMITS
D FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ FRAMING rough-in PLUMBING ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
E INSULATION MECHANICAL ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ WALLBOARD before taping
❑ FINAL before occupancy WELL ❑ ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
D 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- WATER ❑ PLIANCE WITH ALL CITY OF ORONO ORDI ANCES AND STATE
JECT TO PENALTY. OF MINN SOTA : I DING COD REdUIREM NTS.
GRADING&FILLING El " f
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE CI �� 4 //8‘
Sig,: .r:
Date L�
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved — I *AA/Y. �1.1 City of Orono
Brooklyn Prtg.&Adv.Co.Inc. 16121 5614470